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ConstipationPhase 4SPD555-401NCT01424228

Evaluation of Long-term Prucalopride Treatment With Chronic Constipation in Subjects Aged ≥ 18 Years

A Phase 4 study testing prucalopride in people with Constipation, run by Shire at 60 sites in 9 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this trial is to evaluate the long-term (24 weeks) efficacy of prucalopride versus placebo in subjects aged 18 years and older with chronic constipation. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Constipation
What is being tested?
prucalopride
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
364 participants
Where
60 sitesin 9 countries
Study dates
6 Apr 2011to 19 Dec 2012
Phase
Phase 4
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subject is a male or non-pregnant, non-breastfeeding female out-patient ≥18 years of age (no upper age limit).
  • Subject has a history of constipation. The subject reports an average of ≤2 SBM/week that result in a feeling of complete evacuation (SCBM).
  • Subject agrees to stop his/her current laxative treatment and is willing to use rescue medication according to the rescue rule [bisacodyl/enemas].

Who cannot join

  • Subjects in whom constipation is thought to be drug-induced
  • Subjects using any disallowed medication.
  • Subjects who previously used prucalopride.
  • Subjects suffering from secondary causes of chronic constipation.

Trial locations and contacts

60 sites in 9 countries.

60 sites in 9 countries

Hungary14 sites
  • UNO Medical Trials, Kft.

    Budapest, 1135

  • Pannónia Magánorvosi Centrum Kft.

    Budapest, 1136

  • Fundamed Háziorvosi Szövetkezet

    Érd, Pest County, 2030

  • Petz Aladár Megyei Oktató Kórház

    Győr, Győr-Moson-Sopron, 9024

  • Békés Megyei Képviselotestület Pándy Kálmán Kórháza

    Gyula, Bekes County, 5700

  • BAZ Megyei és Egyetemi Oktató Kórház

    Miskolc, 3526

  • Karolina Kórház Rendelointézet

    Mosonmagyaróvar, Győr-Moson-Sopron, 9200

  • Szegedi Tudományegyetem I. Sz. Belgyógyászati Klinika

    Szeged, Csongrád megye, 6720

  • Fejér Megyei Szent György Kórház

    Székesfehérvár, Pejer, 8000

  • Clinfan Kft. SMO

    Szekszárd, 7100

  • Dr. Bugyi István Kórház

    Szentes, Csongrád megye, 6600

  • CRU Hungary Kft.

    Szikszó, 3800

  • Bíró Praxis Kft.

    Úrhida, 8142

  • Jávorszky Ödön Városi Kórház

    Vác, 2600

Other trials in Hungary

Romania11 sites
  • Spitalul Militar Central Bucuresti

    Bucharest, Bucharest, 010825

  • Centrul Medical Sana

    Bucharest, Bucharest, 011025

  • SC Cabinet Medical Dr. Blaj Stefan SRL

    Bucharest, Sector 5, 040101

  • Endocenter Medicina Integrativa SRL

    Bucharest, 021978

  • Spitalul Clinic Judetean Cluj,Clinica Medicala I

    Cluj-Napoca, Cluj, 400006

  • Biomed Plus SRL

    Craiova, Dolj, 200347

  • Gastromedica SRL

    Iași, 700506

  • Spitalul Clinic Judetean de Urgenta Sibiu

    Sibiu, 550245

  • CMI de Gastroenterologie Dobru Daniela

    Târgu Mureş, 540103

  • Centrul Medical Tuculanu SRL

    Timișoara, Timiș County, 300158

  • Policlinic Algomed SRL

    Timișoara, 300002

Other trials in Romania

Czechia7 sites
  • Derma Plus s.r.o.

    České Budějovice, 370 01

  • Oblastní nemocnice Kolín, a.s.

    Kolín, 280 20

  • Diagnostika a Lécba Zažívacích Chorob, s.r.o.

    Ostrava-Hrabuvka, 700 30

  • MONSE s.r.o

    Prague, 118 33

  • Fakultní Thomayerova nemocnice s poliklinikou

    Praha 4 - Krc, Prague, 140 59

  • Nemocnice Tábor, a.s.

    Tábor, 390 03

  • Orlickoústecká Nemocnice a.s

    Ústí nad Orlicí, 562 18

Other trials in Czechia

Italy6 sites
  • Azienda Ospedale San Martino

    Genova, 16132

  • Policlinico Universitario

    Padova, 35128

  • Fondazione IRCCS Policlinico S. Matteo

    Pavia, 27100

  • Policlinico Universitario Campus Biomedico

    Roma, 00128

  • Azienda Policlinico Umberto I di Roma

    Roma, 00161

  • Istituto Clinico Humanitas

    Rozzano, Milano, 20089

Other trials in Italy

Poland6 sites
  • Centrum Medyczne sw. Lukasza Sp. z o.o.

    Częstochowa, Silesian Voivodeship, 42-202

  • Krakowskie Centrum Medyczne NZOZ

    Krakow, Lesser Poland Voivodeship, 31-501

  • Szpital Wojewódzki w Opolu

    Opole, Opole Voivodeship, 45-061

  • Endoskopia Sp. z o.o.

    Sopot, Pomeranian Voivodeship, 81-756

  • Niepubliczny Zaklad Opieki Zdrowotnej "SONOMED"

    Szczecin, West Pomeranian Voivodeship, 70-361

  • Przychodnia Polskiej Fundacji Gastroenterologii Filia Nr 1 NZOZ

    Warsaw, Masovian Voivodeship, 02-653

Other trials in Poland

Slovakia6 sites
  • Lama Medical Care s.r.o., Gastroentero-hepatologicke centrum Thalion

    Bratislava, 811 07

  • Gastroenterologická ambulancia

    Košice, 040 01

  • PIGEAS s.r.o.

    Martin, 03601

  • Radvanská lekáren, spol. s r.o.,

    Nitra, 950 01

  • Gastro I.s.r.o.

    Prešov, 08001

  • GEA s.r.o Gastroenterologicka ambulancia

    Trnava, 91701

Other trials in Slovakia

Belgium4 sites
  • Cliniques Universitaires St. Luc

    Brussels, 1200

  • Huisartspraktijk Jaak Mortelmans

    Ham, 3945

  • Universitaire Ziekenhuizen Leuven

    Leuven, Flemish Brabant, 3000

  • Centre Hospitalier Universitaire Sart Tilman Liège

    Liège, 4000

Other trials in Belgium

Spain3 sites
  • Hospital Clínico San Carlos

    Madrid, 28040

  • Hospital Parc Tauli

    Sabadell, Barcelona, 08208

  • Hospital Universitario Nuestra Señora de Valme

    Seville, 41014

Other trials in Spain

Sweden3 sites
  • Sahlgrenska Universitetsjukhuset

    Gothenburg, Västra Götaland County, 413 45

  • Aleris Specialistvård Sabbatsberg

    Stockholm, 113 82

  • Karolinska University Hospital Solna

    Stockholm, 171 76

Other trials in Sweden

About this study

Official title: A Randomised, Double-blind, Placebo-controlled Trial to Evaluate the Efficacy, Quality of Life, Safety and Tolerability of Long-term Treatment (24 Weeks) With Prucalopride in Subjects Aged ≥18 Years With Chronic Constipation

The purpose of this trial is to evaluate the long-term (24 weeks) efficacy of prucalopride versus placebo in subjects aged 18 years and older with chronic constipation.

Read the detailed description

In this phase IV trial a total of 340 subjects (170 subjects per treatment group), with chronic constipation, are planned to be randomly assigned to double-blind treatment.

The trial duration for a subject can be 26 to 28 weeks in total, including a 2- to 4-week run-in phase followed by a 24-week double-blind treatment phase. The patient will complete an e-diary.

Adult subjects (≥18 to <65 years of age) will take 2 mg prucalopride or matching placebo throughout the entire 24-week treatment period. Elderly subjects (≥65 years of age) will start at a dose of 1 mg prucalopride or matching placebo. In case of insufficient response the daily dose has to be increased to 2 mg (i.e. changed to 2 mg prucalopride or matching placebo).

Conditions
Constipation
Being tested
placebo, prucalopride
Keywords
Long term, Constipation, Digestive signs and symptoms
Medical subject headings
Constipation, Signs and Symptoms, Digestive

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • placeboDrug

    Placebo matching tablet 2 mg once daily before breakfast for 24 weeks

  • prucaloprideDrug

    Prucalopride 2 mg daily before breakfast

    1 mg for subjects >65 years; in case of insufficient response 2 mg at week 2 or week 4

Study groups in NCT01424228
Study groupRoleWhat they receive
PlaceboPlacebo comparatorPlacebo 2 mg tablet once daily before breakfast
Receives: Drug: placebo
prucaloprideActive comparatorPrucalopride 2 mg once daily before breakfast
Receives: Drug: prucalopride

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. The Percentage of Subjects With an Average of ≥3 Spontaneous Complete Bowel Movements (SCBM) Per Week Over the 24 Week Treatment Period

    Spontaneous Bowel Movements defined as a bowel movement that is not preceded within a period of 24 hours by the intake of a laxative agent or by the use of an enema.

    Measured: Over 24 week treatment period

Secondary outcomes (16)
  1. Percentage of Subjects With an Increase of ≥1 Spontaneous Complete Bowel Movement (SCBM) Per Week Up to 24 Weeks

    Measured: Over 24 week treatment period

  2. Average Number of Spontaneous Complete Bowel Movements (SCBM) Per Week Up to 24 Weeks

    Measured: Over 24 week treatment period

  3. Change From Baseline in Spontaneous Complete Bowel Movements Per Week at Up to 24 Weeks

    Measured: Baseline and Over 24 week treatment period

  4. Percent of Subjects With an Average Weekly Frequency of at Least 3 SCBM by Week

    Measured: Over 24 week treatment period

  5. Percent of Subjects With an Average Weekly Frequency of at Least 3 SCBM by 4-Week Treatment Period

    Measured: Over 24 week treatment period

  6. Change From Baseline in Average Consistency Per SCBM at Up to 24 Weeks

    Consistency measured using the 7-point Bristol scale where 1-2 indicate constipation (=hard/very hard), 3-4 are ideal stools (=normal), and 5-7 tending toward diarrhea.

    Measured: Baseline and Over 24 week treatment period

  7. Change From Baseline in Percent SCBM With a Consistency of Normal and Hard/Very Hard at Up to 24 Weeks

    Measured: Baseline and Over 24 week treatment period

  8. Change From Baseline in Straining Per SCBM at Up to 24 Weeks

    Straining was evaluated on a 5-point scale (0=none, 1=mild, 2=moderate, 3=severe, or 4=very severe)

    Measured: Baseline and Over 24 week treatment period

  9. Change From Baseline in Percent SCBM With No Straining and Severe/Very Severe Straining at Up to 24 Weeks

    Measured: Baseline and Over 24 week treatment period

  10. Change From Baseline in Percent SBM With Sensation of Complete Evacuation at Up to 24 Weeks

    Measured: Baseline and Over 24 week treatment period

  11. Time to First SCBM After Investigational Product Intake on Day 1 and Day 28

    Measured: Day 1 and 28

  12. Change From Baseline in the Number of Bisacodyl Tablets Taken Per Week at Up to 24 Weeks

    Measured: Baseline and Over 24 week treatment period

  13. Change From Baseline in the Number of Days With Rescue Medication Taken Per Week at Up to 24 Weeks

    Rescue medications include laxatives and enemas.

    Measured: Baseline and Over 24 week treatment period

  14. Change From Baseline in the Patient Assessment of Constipation - Symptom (PAC-SYM) Questionnaire Score at Up to the Final On Treatment Assessment Value

    The PAC-SYM is a validated 12-item questionnaire for the evaluation of severity of symptoms of constipation in subjects with constipation. Items are rated on a 5-point Likert scale: 0=absent, 1=mild, 2=moderate, 3=severe, 4=very severe. Total score ranges from 0 to 48. Lower scores indicate improvement in symptoms. A 1-point improvement in PAC-SYM total score was considered clinically meaningful.

    Measured: Baseline and Over 24 week treatment period

  15. Change From Baseline in the Patient Assessment of Constipation - Quality of Life (PAC-QOL) Score at Up to the Final On Treatment Assessment Value

    The PAC-QOL is a validated 28-item questionnaire for the evaluation of quality of life in subjects with constipation. Items are rated on a 5-point Likert scale: 0=not at all/none of the time, 1=a little bit/a little bit of the time, 2=moderately/some of the time, 3=quite a bit/most of the time, 4=extremely/all of the time. Total score ranges from 0-112. Lower scores indicate improvement in symptoms. A 1-point improvement in PAC-QOL total score was considered clinically meaningful.

    Measured: Baseline and Over 24 week treatment period

  16. Change From Baseline in the Short Form-36 Health Survey (SF-36) Score at Up to the Final On Treatment Assessment Value

    The SF-36 consists of eight scaled scores, which are the weighted sums of the questions in their section. Total score ranges from 0 (lowest level of health) - 100 (highest level of health) on the assumption that each question carries equal weight. The lower the score the more disability. The higher the score the less disability (i.e. a score of zero is equivalent to maximum disability and a score of 100 is equivalent to no disability). Higher scores are associated with better quality of life.

    Measured: Baseline and Over 24 week treatment period

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted26 Aug 2011 (estimated)
  2. Study start6 Apr 2011
  3. Primary completion19 Dec 2012
  4. Study completion19 Dec 2012

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
364 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01424228
Sponsor's protocol ID
M0001-C401
Other IDs
2011-000670-62, SPD555-401
Acronym
SPD555-401
Status last verified
May 2021
First submitted
25 Aug 2011
Last updated
11 Jun 2021
Data monitoring committee
No

Publications

  • Lembo A, Staller K, Boules M, Feuerstadt P, Spalding W, Gabriel A, Youssef A, Xie Y, Terreri B, Cash BD. Efficacy and safety of prucalopride in patients with chronic idiopathic constipation stratified by age, body mass index, and renal function: a post hoc analysis of phase III and IV, randomized, placebo-controlled clinical studies. Ther Adv Gastroenterol. 2024 Dec 10;17:17562848241299731. doi: 10.1177/17562848241299731. eCollection 2024.

    PubMed 39664231
  • Staller K, Hinson J, Kerstens R, Spalding W, Lembo A. Efficacy of Prucalopride for Chronic Idiopathic Constipation: An Analysis of Participants With Moderate to Very Severe Abdominal Bloating. Am J Gastroenterol. 2022 Jan 1;117(1):184-188. doi: 10.14309/ajg.0000000000001521.

    PubMed 34585675
  • Piessevaux H, Corazziari E, Rey E, Simren M, Wiechowska-Kozlowska A, Kerstens R, Cools M, Barrett K, Levine A. A randomized, double-blind, placebo-controlled trial to evaluate the efficacy, safety, and tolerability of long-term treatment with prucalopride. Neurogastroenterol Motil. 2015 Jun;27(6):805-15. doi: 10.1111/nmo.12553. Epub 2015 Mar 25.

    PubMed 25808103

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing prucalopride in people with Constipation, run by Shire at 60 sites in 9 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 11 Jun 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 60 sites in Hungary, Romania, Czechia, Italy, Poland and 4 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 2 Apr 2014). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

The Percentage of Subjects With an Average of ≥3 Spontaneous Complete Bowel Movements (SCBM) Per Week Over the 24 Week Treatment Period (time frame: Over 24 week treatment period). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01424228, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 Jun 2021.

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