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.
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
- Conditions the study is for
- Irritable Bowel Syndrome With Constipation
- 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
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
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 group | Role | What they receive |
|---|---|---|
| 72 ug linaclotide acetate | Active comparator | Not described Receives: Drug: Linaclotide Acetate |
| 145 ug linaclotide acetate | Active comparator | Not described Receives: Drug: Linaclotide Acetate |
| 290 ug linaclotide acetate | Active comparator | Not described Receives: Drug: Linaclotide Acetate |
| 579 ug linaclotide acetate | Active comparator | Not described Receives: Drug: Linaclotide Acetate |
| Matching Placebo | Placebo comparator | Not described Receives: Drug: Matching placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
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)
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
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
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
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
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
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.
- First posted16 Apr 2007 (estimated)
- Study startApr 2007
- Primary completionFeb 2008
- Study completionApr 2008
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Irritable Bowel Syndrome With ConstipationStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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)
Sponsor and investigators
- Lead sponsor
- Ironwood Pharmaceuticals, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Microbia Medical Director, MD, Study director, Microbia, Inc.
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
- Results posted
- Yes, on ClinicalTrials.gov
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 36324245Johnston 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
Study at a glance
From the registry record, last updated by the sponsor on 4 Feb 2013. Recruitment status is as the sponsor reported it: confirm with the study team.
- 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
- ClinicalTrials.gov ID
- NCT00460811
- Acronym / sponsor ID
- MCP-103-202
- Keywords
- Irritable Bowel Syndrome with Constipation, IBS, Irritable Bowel Syndrome, linaclotide acetate, linaclotide, MD-1100
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 420 participants (actual)
- Lead sponsor
- Ironwood Pharmaceuticals, Inc.Industry (pharma, biotech, devices)
- Study start
- Apr 2007
- Primary completion
- Feb 2008 (actual)
- Study completion
- Apr 2008 (actual)
- First posted
- 16 Apr 2007 (estimated)
- Results
- Posted 30 Jan 2013
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 5
| Arm | Type | Receives |
|---|---|---|
| 72 ug linaclotide acetate | Active comparator | Drug: Linaclotide Acetate |
| 145 ug linaclotide acetate | Active comparator | Drug: Linaclotide Acetate |
| 290 ug linaclotide acetate | Active comparator | Drug: Linaclotide Acetate |
| 579 ug linaclotide acetate | Active comparator | Drug: Linaclotide Acetate |
| Matching Placebo | Placebo comparator | Drug: Matching placebo |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- 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.
Key exclusion criteria (6 listed)
- 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;
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Linaclotide AcetateOral, once daily | Drug | 145 ug linaclotide acetate, 290 ug linaclotide acetate, 579 ug linaclotide acetate, 72 ug linaclotide acetate |
| Matching placeboOral, once daily | Drug | Matching Placebo |
Primary outcome
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
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.
6 secondary outcomes
CSBM 75% Responder for the Treatment Period (Based on the Normalized Rate)
Time frame: Change from Baseline to Week 12
Change From Baseline in the Weekly Normalized SBM Rate for the Treatment Period
Time frame: Change from Baseline to Week 12
Change From Baseline in Stool Consistency (7-point Ordinal BSFS) for the Treatment Period
Time frame: Change from Baseline to Week 12
Change From Baseline in Straining (5-point Ordinal Scale) for the Treatment Period
Time frame: Change from Baseline to Week 12
Change From Baseline in Degree of Relief of Irritable Bowel Syndrome (IBS) Symptoms (7-point Balanced Scale) for the Treatment Period
Time frame: Change from Baseline to Week 12
Change From Baseline in Abdominal Pain (5-point Ordinal Scale) for the Treatment Period
Time frame: Change from Baseline to Week 12
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 4 Feb 2013.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 36324245Lembo 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.
- Derived from this study: PubMed 20801122Johnston 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.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Microbia Medical Director, MD study director
Microbia, Inc.
85 sites in 2 countries: see every site and its status.
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.