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Chronic Idiopathic ConstipationPhase 3NCT02291679

Trial of Linaclotide in Patients With Chronic Idiopathic Constipation

A Phase 3 study testing Linaclotide in people with Chronic Idiopathic Constipation, run by Ironwood Pharmaceuticals, Inc. at 95 sites in United States.

Completed

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

Official record
Search all trials

Trial summary

The objective of this trial was to determine the efficacy and safety of linaclotide 72 ug administered once daily to patients with chronic idiopathic constipation (CIC). The primary efficacy parameter is the percentage of participants in each dosing group that meet the protocol definition for complete spontaneous… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Chronic Idiopathic Constipation
What is being tested?
Linaclotide
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
1,223 participants
Where
95 sitesUnited States
Study dates
Oct 2014to Aug 2015
Phase
Phase 3
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

  • Patient has completed a colonoscopy if one is needed according to the American Gastroenterological Association (AGA) criteria, with no clinically significant findings
  • Patient has no clinically significant findings on a physical examination and clinical laboratory tests
  • Patient meets protocol criteria for CIC: reports < 3 bowel movements (BMs) per week and reports one or more of the following during ≥ 25% of BMs: straining, lumpy or hard stools, sensation of incomplete evacuation during the 3 months before the diagnosis with the onset at least 6 months before the diagnosis
  • Patient is compliant with daily interactive voice response system (IVRS) calls
  • Patient reports an average of < 3 complete spontaneous BMs (CSBMs) and ≤ 6 SBMs per week by the IVRS over the 14 calendar days before the Randomization Visit and the calendar day of Randomization.

Who cannot join

  • Patient has history of loose or watery stools
  • Patient has symptoms of or been diagnosed with irritable bowel syndrome (IBS)
  • 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
  • Patient has Bristol Stool Form Scale score of 7 during Pretreatment period.

Trial locations and contacts

95 sites in 1 country.

95 sites in 1 country

United States95 sites
  • Ironwood Investigational Site

    Anaheim, California, 92801

  • Ironwood Investigational Site

    Anderson, South Carolina, 29621

  • Ironwood Investigational Site

    Atlanta, Georgia, 30328

  • Ironwood Investigational Site

    Baltimore, Maryland, 21215

  • Ironwood Investigational Site

    Bastrop, Louisiana, 71220

  • Ironwood Investigational Site

    Beaumont, Texas, 77701

  • Ironwood Investigational Site

    Boston, Massachusetts, 02135

  • Ironwood Investigational Site

    Boynton Beach, Florida, 33426

  • Ironwood Investigational Site

    Bozeman, Montana, 59718

  • Ironwood Investigational Site

    Bristol, Connecticut, 06010

  • Ironwood Investigational Site

    Bristol, Tennessee, 37620

  • Ironwood Investigational Site

    Brooklyn, New York, 11206

  • Ironwood Investigational Site

    Charlotte, North Carolina, 28209

  • Ironwood Investigational Site

    Charlotte, North Carolina, 28226

  • Ironwood Investigational Site

    Chattanooga, Tennessee, 37421

  • Ironwood Investigational Site

    Chesterfield, Michigan, 48047

  • Ironwood Investigational Site

    Chevy Chase, Maryland, 20815

  • Ironwood Investigational Site

    Christiansburg, Virginia, 24073

  • Ironwood Investigational Site

    Chula Vista, California, 91910

  • Ironwood Investigational Site

    Cincinnati, Ohio, 45219

  • Ironwood Investigational Site

    Cincinnati, Ohio, 45224

  • Ironwood Investigational Site

    Colorado Springs, Colorado, 80904

  • Ironwood Investigational Site

    Columbus, Ohio, 43214

  • Ironwood Investigational Site

    Coral Gables, Florida, 33134

  • Ironwood Investigational Site

    Dakota Dunes, South Dakota, 57049

  • Ironwood Investigational Site

    Dallas, Texas, 75230

  • Ironwood Investigational Site

    DeLand, Florida, 32720

  • Ironwood Investigational Site

    El Paso, Texas, 79905

  • Ironwood Investigational Site

    Endwell, New York, 13760

  • Ironwood Investigational Site

    Evansville, Indiana, 47714

  • Ironwood Investigational Site

    Fargo, North Dakota, 58103

  • Ironwood Investigational Site

    Garden Grove, California, 92843

  • Ironwood Investigational Site

    Great Neck, New York, 11023

  • Ironwood Investigational Site

    Greensboro, North Carolina, 27403

  • Ironwood Investigational Site

    Greer, South Carolina, 29651

  • Ironwood Investigational Site

    Hagerstown, Maryland, 21740

  • Ironwood Investigational Site

    Hialeah, Florida, 33016

  • Ironwood Investigational Site

    High Point, North Carolina, 27262

  • Ironwood Investigational Site

    Hollywood, Maryland, 20636

  • Ironwood Investigational Site

    Houston, Texas, 77074

  • Ironwood Investigational Site

    Houston, Texas, 77098

  • Ironwood Investigational Site

    Huntsville, Alabama, 35801

  • Ironwood Investigational Site

    Inverness, Florida, 34452

  • Ironwood Investigational Site

    Jackson, Mississippi, 39202

  • Ironwood Investigational Site

    Jupiter, Florida, 33458

  • Ironwood Investigational Site

    Kissimmee, Florida, 34741

  • Ironwood Investigational Site

    Knoxville, Tennessee, 37919

  • Ironwood Investigational Site

    La Crosse, Wisconsin, 54601

  • Ironwood Investigational Site

    La Mesa, California, 91942

  • Ironwood Investigational Site

    Las Vegas, Nevada, 89119

  • Ironwood Investigational Site

    Las Vegas, Nevada, 89121

  • Ironwood Investigational Site

    Lauderdale Lakes, Florida, 33319

  • Ironwood Investigational Site

    Lenoir, North Carolina, 28645

  • Ironwood Investigational Site

    Levittown, Pennsylvania, 19056

  • Ironwood Investigational Site

    Longview, Texas, 75605

  • Ironwood Investigational Site

    Lynchburg, Virginia, 24502

  • Ironwood Investigational Site

    Mentor, Ohio, 44060

  • Ironwood Investigational Site

    Metairie, Louisiana, 70006

  • Ironwood Investigational Site

    Miami, Florida, 33015

  • Ironwood Investigational Site

    Miami, Florida, 33126

  • Ironwood Investigational Site

    Miami, Florida, 33133

  • Ironwood Investigational Site

    Miami, Florida, 33135

  • Ironwood Investigational Site

    Miami, Florida, 33165

  • Ironwood Investigational Site

    Miami, Florida, 33175

  • Ironwood Investigational Site

    North Hollywood, California, 91606

  • Ironwood Investigational Site

    North Little Rock, Arkansas, 72117

  • Ironwood Investigational Site

    Oakwood, Georgia, 30566

  • Ironwood Investigational Site

    Oklahoma City, Oklahoma, 73112

  • Ironwood Investigational Site

    Orange, California, 92868

  • Ironwood Investigational Site

    Orlando, Florida, 32806

  • Ironwood Investigational Site

    Ormond Beach, Florida, 32174

  • Ironwood Investigational Site

    Phoenix, Arizona, 85018

  • Ironwood Investigational Site

    Port Orange County, Florida, 32129

  • Ironwood Investigational Site

    Raleigh, North Carolina, 27612

  • Ironwood Investigational Site

    San Antonio, Texas, 78209

  • Ironwood Investigational Site

    San Antonio, Texas, 78229

  • Ironwood Investigational Site

    San Antonio, Texas, 78258

  • Ironwood Investigational Site

    San Diego, California, 92108

  • Ironwood Investigational Site

    Sandy Springs, Georgia, 30328

  • Ironwood Investigational Site

    Shreveport, Louisiana, 71103

  • Ironwood Investigational Site

    Simpsonville, South Carolina, 29681

  • Ironwood Investigational Site

    South Miami, Florida, 33143

  • Ironwood Investigational Site

    South Ogden, Utah, 84405

  • Ironwood Investigational Site

    St Louis, Missouri, 63128

  • Ironwood Investigational Site

    Sylvania, Ohio, 43560

  • Ironwood Investigational Site

    Tampa, Florida, 33634

  • Ironwood Investigational Site

    Thousand Oaks, California, 91360

  • Ironwood Investigational Site

    Troy, Michigan, 48098

  • Ironwood Investigational Site

    Tucson, Arizona, 85712

  • Ironwood Investigational Site

    Wellesley, Massachusetts, 02481

  • Ironwood Investigational Site

    West Palm Beach, Florida, 33409

  • Ironwood Investigational Site

    Wilmington, North Carolina, 28401

  • Ironwood Investigational Site

    Winston-Salem, North Carolina, 27103

  • Ironwood Investigational Site

    Winter Park, Florida, 32792

  • Ironwood Investigational Site

    Wyoming, Michigan, 49519

Other trials in United States

About this study

Official title: A Phase 3, Randomized, Double-blind, Placebo-controlled, Parallel-group Trial of Linaclotide (72 ug or 145 ug) Administered Orally for 12 Weeks to Patients With Chronic Idiopathic Constipation

The objective of this trial was to determine the efficacy and safety of linaclotide 72 ug administered once daily to patients with chronic idiopathic constipation (CIC). The primary efficacy parameter is the percentage of participants in each dosing group that meet the protocol definition for complete spontaneous bowel movement (CSBM) Overall Responder.

Read the detailed description

The trial also included a 145 ug linaclotide treatment arm (an FDA-approved dose for CIC) as an established positive control to validate the study design.

Being tested
Linaclotide, Matching Placebo

What participants receive

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

  • LinaclotideDrug

    Also called Linzess, Constella

  • Matching PlaceboDrug

Study groups in NCT02291679
Study groupRoleWhat they receive
72 μg linaclotideExperimental72 μg oral linaclotide, once daily for 12 weeks
Receives: Drug: Linaclotide
145 μg linaclotideExperimental145 μg oral linaclotide, once daily for 12 weeks
Receives: Drug: Linaclotide
PlaceboPlacebo comparatormatching placebo, once daily for 12 weeks
Receives: Drug: Matching Placebo

What is being measured

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

  1. Percentage of 12-Week CSBM Overall Responders

    A 12-week CSBM Overall Responder is a participant who was a CSBM Weekly Responder for at least 9 of the 12 weeks of the Treatment Period. A CSBM Weekly Responder is a participant who had a CSBM weekly frequency rate that was 3 or greater and increased by 1 or more from baseline, and completed ≥ 4 IVRS calls for the specified week.

    A CSBM is defined as an SBM that is associated with a sense of complete evacuation. An SBM is defined as a bowel movement BM that occurred in the absence of laxative, enema, or suppository use on either the calendar day of the BM or the calendar day before the BM.

    Measured: Week 12

Secondary outcomes (10)
  1. Change From Baseline in 12-Week CSBM Frequency Rate

    A participant's 12-week CSBM Frequency Rate is the CSBM rate (CSBMs/week) calculated over the 12 weeks of the Treatment Period. A CSBM is defined as an SBM that is associated with a sense of complete evacuation. An SBM is defined as a BM that occurred in the absence of laxative, enema, or suppository use on either the calendar day of the BM or the calendar day before the BM.

    Measured: Baseline, Week 1 to Week 12

  2. Change From Baseline in 12-Week SBM Frequency Rate

    A participant's 12-week SBM Frequency Rate is the SBM rate (SBMs/week) calculated over the 12-weeks of the Treatment Period. An SBM is defined as a BM that occurred in the absence of laxative, enema, or suppository use on either the calendar day of the BM or the calendar day before the BM.

    Measured: Baseline, Week 1 to Week 12

  3. Change From Baseline in 12-Week Stool Consistency Score

    Stool consistency was measured daily using the 7-point ordinal Bristol Stool Form Scale (BSFS; 1 = separate hard lumps like nuts [difficult to pass]; 2 = sausage shaped but lumpy; 3 = like a sausage but with cracks on surface; 4 = like a sausage or snake, smooth and soft; 5 = soft blobs with clear-cut edges [passed easily]; 6 = fluffy pieces with ragged edges, a mushy stool; 7 = watery, no solid pieces [entirely liquid]). The participant's BSFS score for the Treatment Period is the average of the non-missing BSFS scores from the SBMs reported by the participant during the 12-week Treatment Period.

    Measured: Baseline, Week 1 to Week 12

  4. Change From Baseline in 12-Week Straining Score

    Straining was measured daily using a 5-point ordinal scale (1 = not at all; 2 = a little bit; 3 = a moderate amount; 4 = a great deal; 5 = an extreme amount). The participant's straining score for the Treatment Period is the average of the non-missing straining scores from the SBMs reported by the participant during the 12-week Treatment Period.

    Measured: Baseline, Week 1 to Week 12

  5. Percentage of 12-Week CSBM Overall Responders (>1 SBM/Week Subpopulation)

    A 12-week CSBM Overall Responder is a participant who was a CSBM Weekly Responder for at least 9 of the 12 weeks of the Treatment Period. A CSBM Weekly Responder is a participant who had a CSBM weekly frequency rate that was 3 or greater and increased by 1 or more from baseline, and completed ≥4 IVRS calls for the specified week.

    A CSBM is defined as an SBM that is associated with a sense of complete evacuation. An SBM is defined as a BM that occurred in the absence of laxative, enema, or suppository use on either the calendar day of the BM or the calendar day before the BM.

    Measured: Week 12

  6. Percentage of Month 1 CSBM Responders

    A Month 1 CSBM Responder is a participant who is a CSBM weekly responder for at least 3 of the 4 weeks of Month 1 of the Treatment Period. A CSBM weekly responder is a participant who had a CSBM weekly frequency rate that was 3 or greater and increased by 1 or more from baseline based on a minimum of 4 complete IVRS calls for that week.

    A CSBM is defined as an SBM that is associated with a sense of complete evacuation. An SBM is defined as a BM that occurred in the absence of laxative, enema, or suppository use on either the calendar day of the BM or the calendar day before the BM.

    Measured: Month 1

  7. Percentage of Month 2 CSBM Responders

    A Month 2 CSBM Responder is a participant who is a CSBM weekly responder for at least 3 of the 4 weeks of Month 2 of the Treatment Period. A CSBM weekly responder is a participant who had a CSBM weekly frequency rate that was 3 or greater and increased by 1 or more from baseline based on a minimum of 4 complete IVRS calls for that week.

    A CSBM is defined as an SBM that is associated with a sense of complete evacuation. An SBM is defined as a BM that occurred in the absence of laxative, enema, or suppository use on either the calendar day of the BM or the calendar day before the BM.

    Measured: Month 2

  8. Percentage of Month 3 CSBM Responders

    A Month 3 CSBM Responder is a participant who is a CSBM weekly responder for at least 3 of the 4 weeks of Month 3 of the Treatment Period. A CSBM weekly responder is a participant who had a CSBM weekly frequency rate that was 3 or greater and increased by 1 or more from baseline based on a minimum of 4 complete IVRS calls for that week.

    A CSBM is defined as an SBM that is associated with a sense of complete evacuation. An SBM is defined as a BM that occurred in the absence of laxative, enema, or suppository use on either the calendar day of the BM or the calendar day before the BM.

    Measured: Month 3

  9. Change From Baseline in 12-Week Abdominal Bloating

    Abdominal bloating was measured daily using an 11-point NRS (0 = none; 10 = very severe). The participant's abdominal bloating score for the Treatment Period is the average of the non-missing daily participant assessments of abdominal bloating scores reported during the 12-week Treatment Period.

    Measured: Baseline, Week 1 to Week 12

  10. Change From Baseline in 12-Week Abdominal Discomfort

    Abdominal discomfort was measured daily using an 11-point NRS (0 = none; 10 = very severe). The participant's abdominal discomfort score for the Treatment Period is the average of the non-missing daily participant assessments of abdominal discomfort scores reported during the 12-week Treatment Period.

    Measured: Baseline, Week 1 to Week 12

Timeline

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

  1. First posted14 Nov 2014 (estimated)
  2. Study startOct 2014
  3. Primary completionAug 2015
  4. Study completionAug 2015

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
1,223 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02291679
Sponsor's protocol ID
MCP-103-309
Status last verified
May 2017
First submitted
11 Nov 2014
Last updated
15 Jun 2017
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Linaclotide in people with Chronic Idiopathic Constipation, run by Ironwood Pharmaceuticals, Inc. at 95 sites in United States.

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 5 inclusion and 5 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 15 Jun 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 95 sites in United States. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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 19 May 2017). 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?

Percentage of 12-Week CSBM Overall Responders (time frame: Week 12). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 15 Jun 2017.

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