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ConstipationNCT04961840

A Study to Assess Maternal and Fetal Outcomes After Taking Prucalopride During Pregnancy

An observational study of Constipation and Pregnancy, run by Takeda at 1 site in United States.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

This study will collect information on pregnant women diagnosed with constipation from the two large health care insurance claims records. It will include the following groups: Those who took prucalopride. Those who took other medicines for constipation. Read more about this study

Who is it for?
Ages 18 to 44 years, women only
Conditions the study is for
Constipation, Pregnancy
How many people
100 participants
Where
1 siteUnited States
Study dates
1 Jan 2022to 30 Jun 2027
Phase
Observational
Are there results?
Not yet: the study is under way

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 to 44 years
  • Women only
  • No healthy volunteers
  • Adult

Study population: This study will include pregnancy women with constipation including those with constipation predominant irritable bowel syndrome.

Who may be able to join

  • Pregnant women aged 18 to 44 years with constipation.
  • Maternal coverage by health care and prescriptions insurance during eligibility period:
  • To study pregnancy outcomes (live births, spontaneous abortions, terminations, or stillbirths): 90 days prior to the LMP until end of pregnancy; and b) to study malformations, perinatal, and infant outcomes: 90 days to LMP until 30 days post-delivery.
  • For infant outcomes, the cohort will be restricted to pregnancies with linked offspring.
  • For major malformations, only pregnancies with livebirths will be included, since information regarding the pathology results from a pregnancy loss or the indication for termination is rarely recorded. In addition, infants are required to have full insurance coverage from delivery to at least 90 days after the delivery, unless the infant died prior to the end of the 90 days, in which case a shorter eligibility period until death is permitted.
  • For the analyses of pregnancy losses, the cohort also includes pregnancies ending in spontaneous abortion, terminations, stillbirth and any livebirth (linked or unlinked to a delivery).

Who cannot join

  • Women with opioids dispensed in the 90 days prior to LMP or during the first trimester (to exclude potential opioid-induced constipation).
  • Women with inflammatory bowel diseases (IBDs) identified based on ICD codes recorded in the 90 days prior to LMP or during the first trimester (because it is a contraindication).
  • For major malformations, pregnancies with outpatient exposure to definite teratogens including warfarin, valproate, antineoplastic agents, colchicine, testosterone, radioiodine, isotretinoin, misoprostol, and thalidomide from LMP through LMP plus 90 days.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Harvard T.H. Chan School of Public Health

    Boston, Massachusetts, 02115

Other trials in United States

About this study

Official title: Observational Study to Assess Maternal and Fetal Outcomes Following Exposure to Prucalopride During Pregnancy

This study will collect information on pregnant women diagnosed with constipation from the two large health care insurance claims records.

It will include the following groups:

Read more
  • Those who took prucalopride.
  • Those who took other medicines for constipation.
  • Those who did not take any prescription medicines for constipation.

The main aim of the study is to find out whether the medicine prucalopride, which is used to treat constipation, is safe for use during pregnancy and to look at whether taking prucalopride at certain times during pregnancy is associated to a higher chance of specific health problems for the mother or baby.

The study uses two large existing healthcare insurance databases for collecting information. Participants are not enrolled, treated, or required to visit the doctor during this study.

Being tested
No Intervention
Keywords
Prucalopride, infant outcomes
Medical subject headings
Constipation

What participants receive

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

  • No InterventionOther

    This is a non-interventional study.

Study groups in NCT04961840
Study groupRoleWhat they receive
Cohort 1: Pregnant Women Exposed to PrucalopridePregnant women with clinically diagnosis of constipation who have been exposed to prucalopride during pregnancy will be observed.
Receives: Other: No Intervention
Cohort 2: Pregnant Women Not Exposed to PrucalopridePregnant women with clinical diagnosis of constipation who have been exposed to other constipation drugs and not prucalopride during pregnancy will be observed.
Receives: Other: No Intervention
Cohort 3: Untreated Pregnant WomenPregnant women with clinical diagnosis of constipation with no recorded prescription dispensed for any constipation drugs during pregnancy will be observed.
Receives: Other: No Intervention

What is being measured

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

  1. Percentage of Infants With Major Congenital Malformations

    A major congenital malformation is defined as a structural abnormality with surgical, medical, or cosmetic importance. Major malformations will be sorted and grouped according to the International Classification of Diseases 10th Revision (ICD-10). Percentage of infants with major congenital malformations after birth will be reported.

    Measured: From delivery up to 90 days post-delivery

Secondary outcomes (8)
  1. Percentage of Participants With Spontaneous Abortions

    Spontaneous abortions will be defined as spontaneous losses before 20 weeks of gestation. Percentage of participants with spontaneous abortion will be reported.

    Measured: 90 days prior to the Last menstrual period (LMP) until end of pregnancy

  2. Percentage of Participants With Terminations (Discontinuation of Pregnancy)

    Percentage of participants with discontinuation of pregnancy through medication or surgical procedures will be reported.

    Measured: 90 days prior to the LMP until end of pregnancy

  3. Percentage of Participants With Stillbirths

    Stillbirths will be defined as in utero fetal deaths at or after 20 weeks of gestation. Percentage of participants with stillbirths will be reported.

    Measured: 90 days prior to the LMP until end of pregnancy

  4. Percentage of Participants With Preterm Delivery

    Preterm delivery is defined as a live birth occurring at less than (<) 37 gestational weeks.

    Measured: From Delivery to 30 days post-delivery

  5. Percentage of Infants With Small for Gestational Age (SGA)

    SGA will be defined as weight at birth of full and preterm live-born infants in <10th percentile. Percentage of infants with SGA will be reported.

    Measured: From Delivery to 30 days post-delivery

  6. Percentage of Infants With Neonatal Intensive Care Unit (NICU) Admission

    Percentage of infants admitted to NICU in relation to early and late pregnancy. exposure to prucalopride will be reported.

    Measured: From Delivery to 30 days post-delivery

  7. Percentage of Infants With Hospitalizations

    Percentage of infants With Hospitalizations during the first year of life in relation to prenatal exposure to prucalopride will be reported.

    Measured: From Delivery to 365 days post-delivery

  8. Percentage of Infants With Poor Growth and Developmental Delays or Disorders

    Percentage of infants With Poor Growth and developmental delays or disorders during the first year of life in relation to prenatal exposure to prucalopride will be reported.

    Measured: From Delivery to 365 days post-delivery

Timeline

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

  1. First posted14 Jul 2021
  2. Study start1 Jan 2022
  3. Primary completion30 Jun 2027 (estimated)
  4. Study completion30 Jun 2027 (estimated)

Resources

More details

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

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Retrospective
Enrolment
100 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04961840
Sponsor's protocol ID
TAK-555-5002
Other IDs
EUPAS41866
Status last verified
Oct 2026
First submitted
13 Jul 2021
Last updated
13 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No: De-identified individual participant data from this particular study will not be shared as the data are subject to contractual (or consent) provisions that prohibit transfer to third parties.

Questions about this trial

What is this clinical trial studying?

An observational study of Constipation and Pregnancy, run by Takeda at 1 site 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 6 inclusion and 3 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: under way, not looking for participants, as of the sponsor's last update on 13 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site 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. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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 Infants With Major Congenital Malformations (time frame: From delivery up to 90 days post-delivery). 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 13 Oct 2026.

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