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Phase 3 N=805 Randomized Quadruple-blind Treatment

Trial of Linaclotide in Patients With Irritable Bowel Syndrome With Constipation (IBS-C)

Irritable Bowel Syndrome With Constipation

Enrolled (actual)
805
Serious AEs
1.4%
Results posted
Jan 2013
Primary outcome: Primary: Abdominal Pain and Complete Spontaneous Bowel Movement (APC) Responder, 9 Out of 12 Weeks — 12; 51 participants — p=<0.0001

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
Linaclotide or Matching Placebo (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Ironwood Pharmaceuticals, Inc.
Primary completion
Sep 2010

Outcome Measures

OutcomeResultp-value
PRIMARY
Abdominal Pain and Complete Spontaneous Bowel Movement (APC) Responder, 9 Out of 12 Weeks
12; 51 <0.0001 sig
PRIMARY
Complete Spontaneous Bowel Movement (CSBM) 3+1 Responder, 9 Out of 12 Weeks
20; 72 <0.0001 sig
PRIMARY
Abdominal Pain Responder, 9 Out of 12 Weeks
79; 156 <0.0001 sig
PRIMARY
Abdominal Pain and Complete Spontaneous Bowel Movement (APC) Responder, 6 Out of 12 Weeks
56; 135 <0.0001 sig
SECONDARY
12-Week Complete Spontaneous Bowel Movement (CSBM) Frequency
0.70; 2.24
SECONDARY
12-Week Spontaneous Bowl Movement (SBM) Frequency
1.31; 4.02
SECONDARY
12-Week Change in Stool Consistency
0.61; 1.91
SECONDARY
12-Week Change in Severity of Straining
-0.66; -1.24
SECONDARY
12-Week Change in Abdominal Pain Score
-1.07; -1.85
SECONDARY
12-Week Change in Abdominal Discomfort
-1.10; -1.94
SECONDARY
12-Week Change in Bloating
-1.03; -1.91
SECONDARY
Complete Spontaneous Bowl Movement (CSBM) Responder for 6 Weeks Out of 12 Weeks of Treatment
91; 191
SECONDARY
Abdominal Pain Responder for 6 Out of 12 Weeks
139; 196
SECONDARY
12-Week Percent of Abdominal Pain-free Days
4.83; 10.49

Summary

The purpose of this study is to determine the safety and efficacy of linaclotide administered to patients with Irritable Bowel Syndrome with Constipation (IBS-C).

Eligibility Criteria

Inclusion Criteria

  • Patient has completed a colonoscopy according to the AGA criteria, with no clinically significant findings
  • Patient has successfully completed protocol procedures (with no clinically significant findings): physical exam, 12-lead ECG, or clinical laboratory tests
  • Patient meets protocol criteria for diagnosis of IBS-C
  • Patient demonstrates continued IBS-C through Pretreatment Period
  • Patient is compliant with IVRS

Exclusion Criteria

  • Patient has history of loose or watery stools
  • Patient has symptoms of or been diagnosed with a medical condition that may contribute to abdominal pain
  • Patient has a structural abnormality of the gastrointestinal (GI) tract or a disease or condition that can affect GI motility
  • Patient has any protocol-excluded or clinically significant medical or surgical history that could confound the study assessments
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00938717). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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