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Phase 3 N=215 Randomized Quadruple-blind Treatment

Prucalopride in Pediatric Subjects With Functional Constipation

Functional Constipation

Enrolled (actual)
215
Serious AEs
2.9%
Results posted
Feb 2014
Primary outcome: Primary: Percent of Responders in the Last Four Weeks of the Double-Blind Treatment Period — 17.0; 17.8 percentage of subjects — p=0.9002

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
prucalopride (Drug); Placebo (Drug); PEG 4000 (Drug)
Age
Pediatric · 0+ yrs
Sex
All
Sponsor
Shire
Primary completion
Mar 2013

Outcome Measures

OutcomeResultp-value
PRIMARY
Percent of Responders in the Last Four Weeks of the Double-Blind Treatment Period
17.0; 17.8 0.9002
SECONDARY
Percent of Subjects With Bowel Frequency of 3 or More Spontaneous Bowel Movements (SBM) Per Week in the Last Four Weeks of the Double-Blind Treatment Period
29.2; 35.5 0.3520
SECONDARY
Percent of Subjects With Fecal Incontinence Episodes of 1 or Less Per 2 Weeks in the Last Four Weeks of the Double-Blind Treatment Period
43.0; 43.0 0.5228
SECONDARY
Number of Retentive Posturing or Excessive Volitional Stool Retention in the Double-Blind Treatment Period
1.1; 1.2
SECONDARY
Painful Bowel Movements Score in the Double-Blind Treatment Period
1.3; 1.7
SECONDARY
Stool Consistency Per SBM Score in Children Without Diapers in the Double-Blind Treatment Period
3.8; 3.6
SECONDARY
Stool Consistency Per SBM Score in Children With Diapers in the Double-Blind Treatment Period
2.1; 2.0
SECONDARY
Large Diameter Stools in the Double-Blind Treatment Period
1.7; 1.7
SECONDARY
Abdominal Pain Score in Double-Blind Treatment Period
0.9; 1.1
SECONDARY
Frequency of Toilet Training in the Double-Blind Treatment Period
4.9; 5.1
SECONDARY
Number of Rescue Medications Taken in the Double-Blind Treatment Period
1.2; 1.3
SECONDARY
Time to First SBM in the Double-Blind Treatment Period
67.00; 99.75 0.377
SECONDARY
Number of SBM Per Week in the Double-Blind Treatment Period
2.3; 2.1
SECONDARY
Change From Baseline in the Number of SBM Per Week Over the 8 Week Double Blind Treatment Period
1.5; 1.0
SECONDARY
Severity of Constipation Over the Past 2 Weeks for the Final On Treatment Assessment in the Double-Blind Treatment Period
15.5; 5.6; 21.4; 18.7; 19.4; 27.1 0.1599
SECONDARY
Severity of Constipation Over the Past 2 Weeks for the Final On Treatment Assessment in the Open-Label Treatment Period
24.7; 46.2; 17.5; 16.1; 17.5; 9.7 0.0003 sig
SECONDARY
Efficacy of Treatment for Final On Treatment Assessment in Double-Blind Treatment Period
33.0; 32.7; 14.6; 18.7; 15.5; 25.2 0.4647
SECONDARY
Efficacy of Treatment for Final On Treatment Assessment in Open-Label Treatment Period
29.9; 15.1; 10.3; 5.4; 20.6; 11.8 <0.0001 sig
SECONDARY
Convenience of Treatment for Final On Treatment Assessment in Open-Label Treatment Period
16.5; 15.6; 1.0; 2.2; 0.0; 5.6 0.3044

Summary

To evaluate the efficacy of prucalopride compared to placebo for the treatment of functional constipation in a paediatric population, aged ≥ 6 months to < 18 years. A 16-week open-label comparator (PEG) controlled part will follow, to document safety and tolerability up to 24 weeks.

Eligibility Criteria

Main Inclusion Criteria:

  • Boys and girls, aged ≥ 6 months and < 18 years.
  • Subjects with a confirmed diagnosis of functional constipation as defined by the Rome III criteria.

Main Exclusion Criteria:

  • Children with underlying GI abnormalities and causes for defecation disorders.
  • Constipation is thought to be drug-induced.
  • Subjects suffering from secondary causes of chronic constipation.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01330381). 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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