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Irritable Bowel Syndrome With ConstipationPhase 2(IBS-C)NCT03596905

Efficacy and Safety of Plecanatide in Children 6 to <18 Years With Irritable Bowel Syndrome With Constipation (IBS-C)

A Phase 2 study testing Plecanatide in people with Irritable Bowel Syndrome With Constipation, run by Bausch Health Americas, Inc. at 35 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 goal of this clinical trial is to learn if plecanatide can improve bowel function and relieve symptoms of irritable bowel syndrome with constipation (IBS-C) in children and adolescents aged 6 to <18 years. Read more about this study

Who is it for?
Ages 6 to 18 years
What is being tested?
Plecanatide
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
218 participants
Where
35 sitesUnited States
Study dates
30 Jun 2018to 25 Nov 2024
Phase
Phase 2
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 6 to 18 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • A patient will be eligible for study participation if he or she meets all of the following criteria:
  • Male or female child or adolescent age 6 to < 18;
  • Meets ROME IV criteria for child/adolescent IBS-C defined as:
  • For at least 2 months before diagnosis the patient has had:
  • Abdominal pain at least 4 days per month associated with one or more of the following:
  • Related to defecation
Show all 12Show fewer
  • A change in frequency of stool
  • A change in form (appearance) of stool;
  • The pain does not resolve with resolution of the constipation (children in whom the pain resolves have functional constipation, not irritable bowel syndrome);
  • After appropriate evaluation, the symptoms cannot be fully explained by another medical condition
  • More than one-fourth (25%) of bowel movements with Bristol stool form types 1 or 2 and less than one-fourth (25%) of bowel movements with Bristol stool form types 6 or 7 on the BSFS or 4 or 5 on the mBSFS-C;
  • 3. Patient's parent/guardian/LAR is able to voluntarily provide written, signed, and dated consent and patient is able to voluntarily provide assent as per IRB guidance; 4. Patient and patient's parent/guardian/LAR demonstrates an understanding, ability, and willingness to fully comply with protocol requirements and study procedures (e.g., acceptance of venipuncture, acceptance of urine drug screen for opiates, visit schedule, complete daily electronic diary reporting).

Who cannot join

  • A patient will be excluded from the study if he or she meets any of the following criteria:
  • The patient has a mental age <4 years in the investigator's opinion;
  • The patient has previously been diagnosed with anorectal malformations, neurological deficits, or anatomical anomalies that would constitute a predisposition to constipation;
  • The patient currently requires iron supplements, amitriptyline, or other tricyclic antidepressants for depression, opioid-containing medications or compounds for pain, or has other conditions that require medications known to cause constipation. A patient with an onset of constipation prior to the use of these medications and who has been on a stable dose for at least 8 weeks prior to Screening might be considered eligible for this study if the investigator deems these medications do not significantly contribute to the patient's constipation. Screening of these patients needs to be approved by the medical monitor and the sponsor;
  • The patient is pregnant or lactating;
  • Females age 12 to < 18 or females age 6 to 11 of childbearing potential (defined as post menarche) who does not agree to practice one of the following medically acceptable methods of birth control throughout the study;
Show all 31Show fewer
  • Hormonal methods such as oral, implantable, injectable, vaginal ring, or transdermal contraceptives for a minimum of 1 full cycle (based on the patient's usual menstrual cycle period) before study drug administration.
  • Total abstinence from sexual intercourse (since the last menses before study drug administration
  • Intrauterine device.
  • Double-barrier method (condoms, sponge, or diaphragm with spermicidal jellies or cream.
  • The patient follows a diet not considered normal by the investigator for the patient's age, relative to variety of food, caloric content, and quantity. The patient must have been on a stable diet for at least 30 days prior to Screening;
  • The patient's mobility or normal exercise tolerance is compromised in the investigator's opinion;
  • The patient has a history of an eating disorder;
  • The patient has clinical or laboratory signs and symptoms of significant cerebral, respiratory, renal, hepatobiliary, pancreatic, intestinal (including acute appendicitis, inflammatory bowel disease, or undiagnosed abdominal pain), endocrinologic, or infectious disease that in the investigator's judgment could interfere with study assessments or completion of the study. (Note: A patient with a history of thyroid disease may be enrolled if he or she has normal T3 and T4 at Screening. If the patient is taking medication for active thyroid disease, his or her T3 and T4 level must be within normal limits and the dose of any medication used to treat it must be stable for at least 30 days prior to Screening);
  • The patient has any other medical condition or is receiving concomitant medication or therapy that would in the investigator's opinion compromise his or her safety or compliance with the study protocol or compromise data collection;
  • The patient has a history or evidence of drug or alcohol abuse in the 12 months before Screening;
  • The patient has a hypersensitivity, allergy, or contraindication to plecanatide;
  • The patient has received any experimental drug, including linaclotide and lubiprostone, or experimental therapy within 30 days of study start;
  • The patient is unable to tolerate protocol-prescribed rescue medication (Dulcolax®), or unwilling to use it as the only laxative for the duration of the trial;
  • The patient has taken a medication considered to be a protocol-defined prohibited prior or concomitant medication or supplement as defined in section 3.3.2;
  • The patient and his or her caregiver are unable to communicate well with the study staff and comply with the study requirements (restrictions, appointments, and examination schedule). (The patient/caregiver must be able to complete required Daily BM and Symptom diary entries during the Screening/Baseline period and for the duration of the study. The patient/caregiver must also agree to provide contact information to receive daily reminders should the patient not complete the daily electronic diary entries or require password resets);
  • The patient has been screened for or participated in this or another Synergy study in the past;
  • The patient has a sibling that is currently participating or has participated in another Synergy study.
  • Patient reports having more than 1 loose, mushy stool (Diary-recorded stool consistency of 6 on the Bristol Stool Form Scale (BSFS or 4 on the modified Bristol Stool Form Scale for Children [mBSFSC]) or any watery stool (Diary-recorded stool consistency of 7 on the BSFS or 5 on the mBSFS-C) with any SBM that occurred in the absence of laxative use on the calendar day of the BM or the calendar day before the BM during each 7-day (week) period before the randomization day and up to the day of randomization;
  • ≥ 3 CSBMs per week for either week of the 2-week baseline diary assessment immediately preceding the randomization visit;
  • > 6 SBMs per week for either week of the 2-week baseline diary assessment immediately preceding the randomization visit;
  • Patient reports worst abdominal pain intensity (WAPI) scores in the 2-week baseline diary that meet either of the following:
  • WAPI score of 0 on the 11-point Numeric Rating Scale or Wong-Baker Faces® Pain Rating Scale for more than two days during each week of the 2-week baseline diary period.
  • An average WAPI < 3 for either of the two weeks of the baseline diary;
  • Completion of < 5 of the 7 required daily diary entries in each week of the 2-week baseline diary assessment immediately preceding the randomization visit;
  • Use of rescue medication (Dulcolax®, bisacodyl) for more than 2 days during either of the two weeks of the 2-week baseline diary assessment immediately preceding the randomization visit.

Trial locations and contacts

35 sites in 1 country.

35 sites in 1 country

United States35 sites
  • Bausch Site 145

    Akron, Ohio, 44308

  • Bausch Site 174

    Atlanta, Georgia, 30315

  • Bausch Site 132

    Atlanta, Georgia, 30342

  • Bausch Site 175

    Aurora, Colorado, 80012

  • Bausch Site 195

    Austin, Texas, 78723

  • Bausch Site 146

    Bellevue, Washington, 98007

  • Bausch Site 192

    Bowling Green, Kentucky, 42101

  • Bausch Site 225

    Cedar Park, Texas, 78613

  • Bausch Site 194

    Cleveland, Ohio, 44106

  • Bausch Site 160

    Corona, California, 92879

  • Bausch Site 172

    Covington, Louisiana, 70433

  • Bausch Site 180

    Crowley, Louisiana, 70526

  • Bausch Site 173

    Dallas, Texas, 75243

  • Bausch Site 135

    Doral, Florida, 33122

  • Bausch Site 115

    Evansville, Indiana, 47715

  • Bausch Site 147

    Garden Grove, California, 92845

  • Bausch Site 190

    Hialeah, Florida, 33012

  • Bausch Site 193

    Houston, Texas, 77030

  • Bausch Site 170

    Houston, Texas, 77087

  • Bausch Site 111

    Knoxville, Tennessee, 37922

  • Bausch Site 112

    Lafayette, Louisiana, 70508

  • Bausch Site 142

    Los Angeles, California, 90036

  • Bausch Site 150

    Miami, Florida, 33126

  • Bausch Site 130

    Miami, Florida, 33134

  • Bausch Site 165

    Miami, Florida, 33136

  • Bausch Site 120

    Newport News, Virginia, 23606

  • Bausch Site 220

    Omaha, Nebraska, 68134

  • Bausch Site 140

    San Antonio, Texas, 78215

  • Bausch Site 178

    Saraland, Alabama, 36571

  • Bausch Site 176

    Scottsdale, Arizona, 85258

  • Bausch Site 139

    Sioux City, Iowa, 51106

  • Bausch Site 148

    Stockbridge, Georgia, 30281

  • Bausch Site 110

    Tampa, Florida, 33607

  • Bausch Site 143

    Ventura, California, 93003

  • Bausch Site 197

    Washington D.C., District of Columbia, 20016

Other trials in United States

About this study

Official title: A Randomized, Double-blind, Placebo-Controlled, Dose Ranging, Parallel-Group Study of the Efficacy and Safety of Plecanatide in Children 6 to <18 Years of Age With Irritable Bowel Syndrome With Constipation (IBS-C)

The goal of this clinical trial is to learn if plecanatide can improve bowel function and relieve symptoms of irritable bowel syndrome with constipation (IBS-C) in children and adolescents aged 6 to <18 years. The main questions it aims to answer are:

  • Does plecanatide increase the number of spontaneous bowel movements (SBMs) compared to placebo?
  • Is plecanatide safe and well tolerated in this pediatric population? Researchers will compare plecanatide at different doses to a placebo (a look-alike substance with no active drug) to see if plecanatide improves bowel function.
Read more

Participants will:

  • Take plecanatide or placebo orally once daily for 4 weeks
  • Complete daily symptom diaries
  • Attend clinic visits for assessments and safety checks
Read the detailed description

This study is a randomized, double-blind, placebo-controlled, dose-ranging clinical trial designed to evaluate the safety, efficacy, and pharmacokinetics of plecanatide in pediatric patients aged 6 to <18 years with irritable bowel syndrome with constipation (IBS-C). IBS-C is a condition that causes abdominal pain and infrequent, hard bowel movements.

The study includes two age cohorts:

Group A: 6 to 11 years Group B: 12 to <18 years

Participants are randomly assigned to receive one of four plecanatide doses (0.5 mg, 1.0 mg, 2.0 mg, or 3.0 mg) or placebo. All treatments were taken orally once daily for 4 weeks following a 28-day screening/baseline period. After treatment, participants were followed for 2 weeks.

The primary objective is to determine whether plecanatide increases the number of spontaneous bowel movements (SBMs) compared to placebo.

Secondary objectives include:

Time to first bowel movement after starting treatment Changes in stool consistency Changes in abdominal pain and discomfort Overall safety and tolerability of plecanatide

Safety assessments include monitoring adverse events, laboratory tests, and treatment compliance. Participants recorded daily bowel habits and symptoms in an electronic diary and attended scheduled clinic visits for evaluations.

Being tested
Plecanatide, Matching placebo

What participants receive

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

  • PlecanatideDrug

    Also called Trulance

    Taken orally daily for 4 weeks

  • Matching placeboDrug

    Also called No other names

    Taken orally daily for 4 weeks

Study groups in NCT03596905
Study groupRoleWhat they receive
0.5 mg plecanatideExperimentalPlecanatide 0.5 mg Taken orally once daily for 4 weeks Group A: 6 to 11 years old
Receives: Drug: Plecanatide
1.0 mg plecanatide - Group AExperimentalPlecanatide 1.0 mg Taken orally daily for 4 weeks Group A: 6 to 11 years old
Receives: Drug: Plecanatide
2.0 mg plecanatideExperimentalPlecanatide 2.0 mg Taken orally daily for 4 weeks Group B: 12 to 18 Years of Age
Receives: Drug: Plecanatide
3.0 mg plecanatideExperimentalPlecanatide 3.0 mg Taken orally daily for 4 weeks Group B: 12 to < 18 years old
Receives: Drug: Plecanatide
Matching placebo - Group APlacebo comparatorMatching placebo Taken orally daily for 4 weeks Group A: 6 to 11 years old
Receives: Drug: Matching placebo
1.0 mg plecanatide - Group BExperimentalPlecanatide 1.0 mg Taken orally daily for 4 weeks Group B: ≥ 12 to < 18 Years of Age
Receives: Drug: Plecanatide
Matching Placebo - Group BPlacebo comparatorMatching placebo Taken orally daily for 4 weeks Group B: 12 to < 18 years old
Receives: Drug: Matching placebo

What is being measured

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

  1. Change From Baseline in Weekly Spontaneous Bowel Movement (SBM) Frequency Over the 4 Week Treatment Period Compared to Placebo and Across Treatment Groups

    Weekly SBM rate computed for each week

    Measured: Baseline to Week 4

Secondary outcomes (11)
  1. Change From Baseline in Frequency of Abdominal Pain and Abdominal Discomfort Over the 4-week Treatment Period Compared to Placebo and Across Treatment Groups..

    Weekly frequency was calculated as the number of abdominal pain episodes and abdominal discomfort episodes per week, based on daily diary entries. Baseline was the average weekly frequency during the 2-week baseline assessment period. Values shown are mean change from baseline (SD).

    Measured: Baseline to Week 4

  2. Change From Baseline in Severity of Abdominal Pain and Abdominal Discomfort Over the 4-week Treatment Period Compared to Placebo and Across Treatment Groups..

    Severity of abdominal pain and abdominal discomfort was recorded daily using an electronic diary on a 0-10 numeric rating scale (0 = no pain/discomfort; 10 = worst possible). Weekly averages were calculated; baseline was the average score during the 2-week baseline period. Values shown are mean change from baseline.

    Measured: Baseline to Week 4

  3. Change From Baseline in Frequency of Complete Spontaneous Bowel Movements (CSBM)

    Weekly frequency of complete spontaneous bowel movements (CSBMs) was calculated based on daily diary entries. Baseline was the average weekly frequency during the 2-week baseline period. Values shown are mean change from baseline (SD) at end of 4 weeks of study.

    Measured: Baseline to Week 6

  4. Change From Baseline in Frequency of Bowel Movements (BM)

    Weekly frequency of bowel movements (BMs) was calculated based on daily diary entries. Baseline was the average weekly frequency during the 2-week baseline period. Values shown are mean change from baseline (SD).

    Measured: Baseline to Week 4

  5. Time to First Bowl Movement (in Days)

    This outcome was analyzed as a time-to-event variable (time to first complete spontaneous bowel movement), and confidence intervals were estimated using Kaplan-Meier methods.

    Measured: Day 1 to first BM during Treatment Period

  6. Change From Baseline in Stool Consistency (Based on Bristol Stool Form Scale, BSFS or Modified Bristol Stool Form Scale for Children, mBSFS-C)

    Weekly stool consistency scores based on BSFS (≥12 years) or mBSFS-C (6-11 years). BSFS Scale is a 7 point scale, from Type 1 (Hard to pass) to Type 7 (entirely liquid). mBSFS-C is a 5 point scale, from Type 1 (hard to pass) to Type 5 (watery, no solid pieces).

    Measured: Baseline to Week 4

  7. Use of Rescue Medication

    Number of rescue medication tablets (Dulcolax® 5 mg) used during the 4-week treatment period. Subjects were instructed to use rescue medication only if ≥72 hours had passed since last bowel movement.

    Measured: Baseline to Week 4

  8. Change From Baseline in Frequency of Fecal Incontinence

    Weekly fecal incontinence episodes recorded in daily diary.

    Measured: Baseline to Week 4

  9. Change From Baseline in Severity of Defecation Pain

    Severity of abdominal pain scored daily on a 0-10 numeric rating scale (0 = no pain, 10 = worst possible pain). Weekly averages were calculated from daily scores.

    Measured: Baseline to Week 4

  10. Change From Baseline in Frequency of Pain With Defecation

    Pain with defecation was recorded in daily diaries as the number of episodes per week. Results represent the mean change from baseline in weekly frequency.

    Measured: Baseline to Week 4

  11. Change From Baseline in Frequency of Large Diameter Stools

    Weekly frequency of large diameter stools recorded in daily diary.

    Measured: Baseline to Week 4

Timeline

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

  1. First posted24 Jul 2018
  2. Study start30 Jun 2018
  3. Primary completion25 Nov 2024
  4. Study completion25 Nov 2024

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
218 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03596905
Sponsor's protocol ID
SP304202-14
Acronym
(IBS-C)
Status last verified
Nov 2025
First submitted
12 Jul 2018
Last updated
31 Dec 2025
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Plecanatide in people with Irritable Bowel Syndrome With Constipation, run by Bausch Health Americas, Inc. at 35 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 12 inclusion and 31 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 31 Dec 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 35 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 31 Dec 2025). 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?

Change From Baseline in Weekly Spontaneous Bowel Movement (SBM) Frequency Over the 4 Week Treatment Period Compared to Placebo and Across Treatment Groups (time frame: Baseline to Week 4). 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 31 Dec 2025.

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