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Irritable Bowel Syndrome With ConstipationPhase 2NCT00460811

Randomized, Double-blind, Dose-range-finding, Phase 2 Study of Linaclotide Administered to Patients With Irritable Bowel Syndrome With Constipation (IBS-C)

A Phase 2 study testing Linaclotide Acetate in people with Irritable Bowel Syndrome With Constipation, run by Ironwood Pharmaceuticals, Inc. at 85 sites in 2 countries.

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 purpose of this study is to determine the safety, efficacy, and dose response of a range of oral doses of linaclotide administered to patients meeting criteria for IBS-C. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Linaclotide Acetate
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
420 participants
Where
85 sitesin 2 countries
Study dates
Apr 2007to Apr 2008
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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Must not be pregnant or breastfeeding and agree to use birth control;
  • Completion of a negative colonoscopy as per American Gastroenterology Association (AGA) criteria and no clinically-significant laboratory or physical examination findings;
  • Meets protocol-defined criteria for IBS-C, including stool frequency, straining, stool consistency, abdominal pain, and abdominal discomfort criteria;
  • Demonstrates English fluency and has access to a touch-tone telephone.

Who cannot join

  • Recent history of mushy or watery stools;
  • Various medical conditions, medical histories, or family medical histories that would not make the patient a good candidate for the study;
  • Clinically-significant alarm symptoms;
  • Secondary causes of constipation or evacuation disorders;
  • Surgery to the gastrointestinal tract;
  • Usage of prohibited medications.

Trial locations and contacts

85 sites in 2 countries.

85 sites in 2 countries

United States79 sites
  • Microbia Investigational Site

    Anaheim, California

  • Microbia Investigational Site

    Anderson, South Carolina

  • Microbia Investigational Site

    Ann Arbor, Michigan

  • Microbia Investigational Site

    Annapolis, Maryland

  • Microbia Investigational Site

    Asheville, North Carolina

  • Microbia Investigational Site

    Baton Rouge, Louisiana

  • Microbia Investigational Site

    Beaumont, Texas

  • Microbia Investigational Site

    Blackwood, New Jersey

  • Microbia Investigational Site

    Boynton Beach, Florida

  • Microbia Investigational Site

    Bristol, Connecticut

  • Microbia Investigational Site

    Bristol, Tennessee

  • Microbia Investigational Site

    Chandler, Arizona

  • Microbia Investigational Site

    Chapel Hill, North Carolina

  • Microbia Investigational Site

    Charleston, West Virginia

  • Microbia Investigational Site

    Chesapeake, Virginia

  • Microbia Investigational Site

    Cincinnati, Ohio

  • Microbia Investigational Site

    Cleveland, Ohio

  • Microbia Investigational Site

    Clive, Iowa

  • Microbia Investigational Site

    Corsicana, Texas

  • Microbia Investigational Site

    Davenport, Iowa

  • Microbia Investigational Site

    Dayton, Ohio

  • Microbia Investigational Site

    Dunedin, Florida

  • Microbia Investigational Site

    El Paso, Texas

  • Microbia Investigational Site

    Elkin, North Carolina

  • Microbia Investigational Site

    Fall River, Massachusetts

  • Microbia Investigational Site

    Garden Grove, California

  • Microbia Investigational Site

    Germantown, Tennessee

  • Microbia Investigational Site

    Great Neck, New York, 11020

  • Microbia Investigational Site

    Greensboro, North Carolina

  • Microbia Investigational Site

    Harrisburg, North Carolina

  • Microbia Investigational Site

    Henderson, Nevada

  • Microbia Investigational Site

    Hickory, North Carolina

  • Microbia Investigational Site

    Huntsville, Alabama, 35801

  • Microbia Investigational Site

    Jackson, Tennessee

  • Microbia Investigational Site

    Kingsport, Tennessee

  • Microbia Investigational Site

    La Crosse, Wisconsin

  • Microbia Investigational Site

    Lakewood, Washington

  • Microbia Investigational Site

    Largo, Florida

  • Microbia Investigational Site

    Las Vegas, Nevada

  • Microbia Investigational Site

    Levittown, Pennsylvania

  • Microbia Investigational Site

    Libertyville, Illinois

  • Microbia Investigational Site

    Lynchburg, Virginia

  • Microbia Investigational Site

    Medford, Oregon

  • Microbia Investigational Site

    Mission, Kansas

  • Microbia Investigational Site

    Missoula, Montana

  • Microbia Investigational Site

    Monroe, Louisiana, 71201

  • Microbia Investigational Site

    Mt. Pleasant, South Carolina

  • Microbia Investigational Site

    Ocala, Florida

  • Microbia Investigational Site

    Ogden, Utah

  • Microbia Investigational Site

    Oklahoma City, Oklahoma

  • Microbia Investigational Site

    Olympia, Washington

  • Microbia Investigational Site

    Peoria, Illinois, 60601

  • Microbia Investigational Site

    Pittsburgh, Pennsylvania

  • Microbia Investigational Site

    Pittsford, New York

  • Microbia Investigational Site

    Port Orange, Florida

  • Microbia Investigational Site

    Raleigh, North Carolina

  • Microbia Investigational Site

    Reading, Pennsylvania

  • Microbia Investigational Site

    Richmond, Virginia

  • Microbia Investigational Site

    Sacramento, California

  • Microbia Investigational Site

    San Antonio, Texas

  • Microbia Investigational Site

    San Diego, California

  • Microbia Investigational Site

    Sellersville, Pennsylvania, 18960

  • Microbia Investigational Site

    Shawnee, Kansas

  • Microbia Investigational Site

    Sherwood, Arkansas

  • Microbia Investigational Site

    Silver Spring, Maryland

  • Microbia Investigational Site

    Simpsonville, South Carolina

  • Microbia Investigational Site

    St Louis, Missouri

  • Microbia Investigational Site

    Statesville, North Carolina

  • Microbia Investigational Site

    Stockbridge, Georgia

  • Microbia Investigational Site

    Stuart, Florida

  • Microbia Investigational Site

    Summerville, South Carolina

  • Microbia Investigational Site

    Sylvania, Ohio

  • Microbia Investigational Site

    Tampa, Florida, 33607

  • Microbia Investigational Site

    Tulsa, Oklahoma

  • Microbia Investigational Site

    Tuscon, Arizona

  • Microbia Investigational Site

    Vancouver, Washington

  • Microbia Investigational Site

    West Monroe, Louisiana

  • Microbia Investigational Site

    Winston-Salem, North Carolina

  • Microbia Investigational Site

    Yukon, Oklahoma

Other trials in United States

Canada6 sites
  • Microbia Investigational Site

    Abbortsford, British Columbia

  • Microbia Investigational Site

    Guelph, Ontario

  • Microbia Investigational Site

    Milton, Ontario

  • Microbia Investigational Site

    Saskatoon, Saskatchewan

  • Microbia Investigational Site

    Toronto, Ontario

  • Microbia Investigational Site

    Winnipeg, Manitoba

Other trials in Canada

About this study

Official title: A Randomized, Multicenter, Double-blind, Placebo-controlled, Dose-range-finding, Parallel-design, Phase 2 Trial of Oral Linaclotide Acetate Administered to Patients With Irritable Bowel Syndrome With Constipation

The purpose of this study is to determine the safety, efficacy, and dose response of a range of oral doses of linaclotide administered to patients meeting criteria for IBS-C.

Being tested
Linaclotide Acetate, Matching placebo
Keywords
Irritable Bowel Syndrome with Constipation, IBS, Irritable Bowel Syndrome, linaclotide acetate, linaclotide, MD-1100
Medical subject headings
Irritable Bowel Syndrome

What participants receive

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

  • Linaclotide AcetateDrug

    Oral, once daily

  • Matching placeboDrug

    Oral, once daily

Study groups in NCT00460811
Study groupRoleWhat they receive
72 ug linaclotide acetateActive comparatorNot described
Receives: Drug: Linaclotide Acetate
145 ug linaclotide acetateActive comparatorNot described
Receives: Drug: Linaclotide Acetate
290 ug linaclotide acetateActive comparatorNot described
Receives: Drug: Linaclotide Acetate
579 ug linaclotide acetateActive comparatorNot described
Receives: Drug: Linaclotide Acetate
Matching PlaceboPlacebo comparatorNot described
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 the Weekly Normalized Complete Spontaneous Bowel Movement (CSBM) Rate During Weeks 1 Through 12 of the Treatment Period

    The change in the weekly normalized CSBM Rate during Weeks 1 through 12 of the Treatment Period from the weekly normalized CSBM Rate obtained during the Pretreatment Period.

    The CSBM rate was normalized based on the number of CSBMs occurring in that week, adjusting for differences in the duration of the week and black-out periods (time not covered due to a missed IVRS call) versus 7x24 hours.

    Measured: Change from Baseline to Week 12

Secondary outcomes (6)
  1. CSBM 75% Responder for the Treatment Period (Based on the Normalized Rate)

    For each week of the Treatment and Posttreatment Periods, a patient was considered a CSBM Responder if for that week the patient 1) completed ≥ 4 days of IVRS questions, 2) had a CSBM rate of ≥ 3 for the week, and 3) had an increase in CSBM rate of ≥ 1 from the baseline weekly CSBM rate.

    Measured: Change from Baseline to Week 12

  2. Change From Baseline in the Weekly Normalized SBM Rate for the Treatment Period

    SBMs were measured daily during the treatment period by patient calls to the IVRS.

    Measured: Change from Baseline to Week 12

  3. Change From Baseline in Stool Consistency (7-point Ordinal BSFS) for the Treatment Period

    Stool consistency analyses were performed using the 7-point Bristol Stool Form Scale (BSFS), whereby a score of 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; and 7 = watery, no solid pieces (entirely liquid).

    Measured: Change from Baseline to Week 12

  4. Change From Baseline in Straining (5-point Ordinal Scale) for the Treatment Period

    Straining was assessed using a 5-point ordinal scale, whereby a score of 1 = not at all, 2 = a little bit, 3 = a moderate amount, 4 = a great deal, and 5 = an extreme amount.

    Measured: Change from Baseline to Week 12

  5. Change From Baseline in Degree of Relief of Irritable Bowel Syndrome (IBS) Symptoms (7-point Balanced Scale) for the Treatment Period

    Patients provided a weekly assessment of Degree of Relief of IBS Symptoms using a 7-point balanced scale (1=completely relieved, 2=considerably relieved, 3=somewhat relieved, 4=unchanged, 5=somewhat worse, 6=considerably worse, 7=as bad as I can imagine).

    Measured: Change from Baseline to Week 12

  6. Change From Baseline in Abdominal Pain (5-point Ordinal Scale) for the Treatment Period

    During the study, patients provided their self assessment of abdominal pain using a 5-point ordinal scale (1=none, 2=mild, 3=moderate, 4=severe, 5=very severe

    Measured: Change from Baseline 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 posted16 Apr 2007 (estimated)
  2. Study startApr 2007
  3. Primary completionFeb 2008
  4. Study completionApr 2008

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
420 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00460811
Sponsor's protocol ID
MCP-103-202
Status last verified
Jan 2013
First submitted
13 Apr 2007
Last updated
4 Feb 2013

Publications

  • Lembo A, Kuo B, Boinpally R, Li E, Mallick M, Bochenek W, Bartolini W. Randomised clinical trial: effects of MD-7246 on irritable bowel syndrome with diarrhoea. Aliment Pharmacol Ther. 2023 Jan;57(2):192-204. doi: 10.1111/apt.17274. Epub 2022 Nov 2.

    PubMed 36324245
  • Johnston JM, Kurtz CB, Macdougall JE, Lavins BJ, Currie MG, Fitch DA, O'Dea C, Baird M, Lembo AJ. Linaclotide improves abdominal pain and bowel habits in a phase IIb study of patients with irritable bowel syndrome with constipation. Gastroenterology. 2010 Dec;139(6):1877-1886.e2. doi: 10.1053/j.gastro.2010.08.041. Epub 2010 Aug 27.

    PubMed 20801122

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Linaclotide Acetate in people with Irritable Bowel Syndrome With Constipation, run by Ironwood Pharmaceuticals, Inc. at 85 sites in 2 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 4 inclusion and 6 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 4 Feb 2013. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 85 sites in United States, Canada. 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 30 Jan 2013). 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 the Weekly Normalized Complete Spontaneous Bowel Movement (CSBM) Rate During Weeks 1 Through 12 of the Treatment Period (time frame: Change from Baseline to Week 12). 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 NCT00460811, which also lists 2 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 4 Feb 2013.

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