Chronic ConstipationPhase 3NCT00730015
Trial of Linaclotide in Patients With Chronic Constipation
A Phase 3 study testing Linaclotide in people with Chronic Constipation, run by Ironwood Pharmaceuticals, Inc. at 105 sites in United States.
Trial summary
The objective of this trial is to determine the efficacy and safety of linaclotide administered to patients with chronic constipation (CC). The primary efficacy parameter is the percentage of patients in each dosing group that meet the protocol definition for Complete Spontaneous Bowel Movement (CSBM) Overall… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Chronic 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
- 643 participants
- Where
- 105 sitesUnited States
- Study dates
- Aug 2008to Oct 2009
- 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 according to the AGA criteria, with no clinically significant findings
- Patient has successfully completed protocol procedures (with no clinically significant findings): physical exam, 12-lead ECG, or clinical laboratory tests
- Patient meets protocol criteria for CC: reports < 3 bowel movements per week and reports straining, lumpy or hard stools, and/or sensation of incomplete evacuation during > 25% of BMs
- Patient demonstrates continued chronic constipation through Pretreatment Period
- Patient is compliant with IVRS
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
Trial locations and contacts
105 sites in 1 country.
105 sites in 1 country
United States105 sites
Ironwood Investigational Site
Albuquerque, New Mexico, 87108
Ironwood Investigational Site
Anaheim, California, 92801
Ironwood Investigational Site
Anderson, Indiana, 46011
Ironwood Investigational Site
Anderson, South Carolina, 29621
Ironwood Investigational Site
Annapolis, Maryland, 21401
Ironwood Investigational Site
Asheboro, North Carolina, 27203
Ironwood Investigational Site
Asheville, North Carolina, 28801
Ironwood Investigational Site
Baltimore, Maryland, 21215
Ironwood Investigational Site
Baton Rouge, Louisiana, 70809
Ironwood Investigational Site
Beachwood, Ohio, 44122
Ironwood Investigational Site
Beaumont, Texas, 77701
Ironwood Investigational Site
Birmingham, Alabama, 35209
Ironwood Investigational Site
Boynton Beach, Florida, 33426
Ironwood Investigational Site
Bristol, Connecticut, 06010
Ironwood Investigational Site
Bristol, Tennessee, 37620
Ironwood Investigational Site
Cedar Knolls, New Jersey, 07927
Ironwood Investigational Site
Chandler, Arizona, 85224
Ironwood Investigational Site
Chapel Hill, North Carolina, 27599
Ironwood Investigational Site
Charleston, South Carolina, 29414
Ironwood Investigational Site
Charlotte, North Carolina, 28211
Ironwood Investigational Site
Chattanooga, Tennessee, 37421
Ironwood Investigational Site
Chesapeake, Virginia, 23320
Ironwood Investigational Site
Chesterfield, Michigan, 48047
Ironwood Investigational Site
Chula Vista, California, 91910
Ironwood Investigational Site
Cincinnati, Ohio, 45224
Ironwood Investigational Site
Cincinnati, Ohio, 45242
Ironwood Investigational Site
Clive, Iowa, 50325
Ironwood Investigational Site
Colorado Springs, Colorado, 80904
Ironwood Investigational Site
Davenport, Iowa, 52807
Ironwood Investigational Site
Dayton, Ohio, 45440
Ironwood Investigational Site
El Paso, Texas, 79905
Ironwood Investigational Site
Encinitas, California, 92024
Ironwood Investigational Site
Garden Grove, California, 92840
Ironwood Investigational Site
Germantown, Tennessee, 38138
Ironwood Investigational Site
Greensboro, North Carolina, 27408
Ironwood Investigational Site
Harrisburg, North Carolina, 28075
Ironwood Investigational Site
Henderson, Nevada, 89104
Ironwood Investigational Site
Hickory, North Carolina, 28602
Ironwood Investigational Site
Hollywood, Florida, 33021
Ironwood Investigational Site
Hollywood, Maryland, 20636
Ironwood Investigational Site
Houston, Texas, 77024
Ironwood Investigational Site
Huntsville, Alabama, 35801
Ironwood Investigational Site
Inverness, Florida, 34452
Ironwood Investigational Site
Irving, Texas, 75061
Ironwood Investigational Site
Jackson, Mississippi, 39202
Ironwood Investigational Site
Jacksonville, Florida, 32256
Ironwood Investigational Site
Jacksonville, North Carolina, 28546
Ironwood Investigational Site
Jefferson City, Missouri, 65109
Ironwood Investigational Site
Kingsport, Tennessee, 37660
Ironwood Investigational Site
La Crosse, Wisconsin, 54601
Ironwood Investigational Site
Laguna Hills, California, 92653
Ironwood Investigational Site
Lancaster, Pennsylvania, 17604
Ironwood Investigational Site
Lancaster, Pennsylvania, 19606
Ironwood Investigational Site
Las Vegas, Nevada, 89128
Ironwood Investigational Site
Laurel, Maryland, 20707
Ironwood Investigational Site
Levittown, Pennsylvania, 19056
Ironwood Investigational Site
Longview, Texas, 75605
Ironwood Investigational Site
Los Angeles, California, 90045
Ironwood Investigational Site
Lynchburg, Virginia, 24502
Ironwood Investigational Site
Marlton, New Jersey, 08053
Ironwood Investigational Site
Milwaukee, Wisconsin, 53215
Ironwood Investigational Site
Mineola, New York, 11501
Ironwood Investigational Site
Mission, Kansas, 66202
Ironwood Investigational Site
Monroe, Louisiana, 71201
Ironwood Investigational Site
Nashville, Tennessee, 37203
Ironwood Investigational Site
New Bern, North Carolina, 28562
Ironwood Investigational Site
Newnan, Georgia, 30263
Ironwood Investigational Site
Ocean City, New Jersey, 07712
Ironwood Investigational Site
Ogden, Utah, 84405
Ironwood Investigational Site
Oklahoma City, Oklahoma, 73116
Ironwood Investigational Site
Orange, California, 92868
Ironwood Investigational Site
Overland Park, Kansas, 66215
Ironwood Investigational Site
Peoria, Illinois, 61602
Ironwood Investigational Site
Phoenix, Arizona, 85020
Ironwood Investigational Site
Pittsburgh, Pennsylvania, 15213
Ironwood Investigational Site
Pittsford, New York, 14534
Ironwood Investigational Site
Port Orange, Florida, 32129
Ironwood Investigational Site
Sacramento, California, 95830
Ironwood Investigational Site
Salt Lake City, Utah, 84107
Ironwood Investigational Site
San Antonio, Texas, 78229
Ironwood Investigational Site
San Carlos, California, 94070
Ironwood Investigational Site
San Diego, California, 92103
Ironwood Investigational Site
San Diego, California, 92108
Ironwood Investigational Site
San Diego, California, 92123
Ironwood Investigational Site
Sellersville, Pennsylvania, 18960
Ironwood Investigational Site
Sherwood, Arkansas, 72120
Ironwood Investigational Site
Shreveport, Louisiana, 71103
Ironwood Investigational Site
Simpsonville, South Carolina, 29681
Ironwood Investigational Site
Spokane, Washington, 99208
Ironwood Investigational Site
Statesville, North Carolina, 28625
Ironwood Investigational Site
Summerville, North Carolina, 29485
Ironwood Investigational Site
Sylvania, Ohio, 43560
Ironwood Investigational Site
Tampa, Florida, 33607
Ironwood Investigational Site
Topeka, Kansas, 66606
Ironwood Investigational Site
Traverse City, Michigan, 49684
Ironwood Investigational Site
Troy, Michigan, 48098
Ironwood Investigational Site
Tucson, Arizona, 85715
Ironwood Investigational Site
Tupelo, Mississippi, 38801
Ironwood Investigational Site
Tuscon, Arizona, 85710
Ironwood Investigational Site
Vancouver, Washington, 98664
Ironwood Investigational Site
Wadsworth, Ohio, 44281
Ironwood Investigational Site
Wilmington, North Carolina, 28401
Ironwood Investigational Site
Winston-Salem, North Carolina, 27103
Ironwood Investigational Site
Yukon, Oklahoma, 73099
Ironwood Investigational Site
Zanesville, Ohio, 43701
About this study
Official title: A Phase 3, Randomized, Double-blind, Placebo-controlled, Parallel-group Trial of Linaclotide Administered Orally for 12 Weeks Followed by a 4-Week Randomized Withdrawal Period in Patients With Chronic Constipation
The objective of this trial is to determine the efficacy and safety of linaclotide administered to patients with chronic constipation (CC). The primary efficacy parameter is the percentage of patients in each dosing group that meet the protocol definition for Complete Spontaneous Bowel Movement (CSBM) Overall Responder.
- Conditions
- Chronic Constipation
- Being tested
- Matching Placebo, Linaclotide
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Matching PlaceboDrug
Oral, once daily
LinaclotideDrug
Oral, once daily
| Study group | Role | What they receive |
|---|---|---|
| 145 μg linaclotide | Experimental | Not described Receives: Drug: Linaclotide |
| 290 μg linaclotide | Experimental | Not described Receives: Drug: Linaclotide |
| 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.
Complete Spontaneous Bowel Movement (CSBM) Overall Responder
A 12-week CSBM Overall Responder was defined as a patient who for at least 9 of the 12 weeks of the treatment period had a CSBM weekly frequency rate that was 3 or greater and increased by 1 or more from baseline. A CSBM was defined as a spontaneous bowel movement (SBM) that was associated with a sense of complete evacuation.
An SBM was 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: Change from Baseline to Week 12
Secondary outcomes (7)
12-Week Complete Spontaneous Bowel Movement (CSBM) Frequency
The number of CSBMs per week.
Measured: Change from Baseline to Week 12
12-Week Spontaneous Bowl Movement (SBM) Frequency
The number of SBMs per week.
Measured: Change from Baseline to Week 12
12-week Change in Stool Consistency
The consistency of each BM was assessed using the 7-point Bristol Stool Form Scale:
- = separate hard lumps like nuts [difficult to pass]
- = sausage shaped but lumpy
- = like a sausage but with cracks on surface
- = like a sausage or snake, smooth and soft
- = soft blobs with clear-cut edges [passed easily]
- = fluffy pieces with ragged edges, a mushy stool
- = watery, no solid pieces [entirely liquid]
Measured: Change from Baseline to Week 12
12-week Change in Severity of Straining
Severity of Straining is measured on a 5-point scale, where a value of 1 is "not at all" and a value of 5 is "an extreme amount".
Measured: Change from Baseline to Week 12
12-week Change in Abdominal Discomfort
Abdominal discomfort is based on a 5-point scale where a value of l is "none" and a value of 5 is "very severe."
Measured: Change from Baseline to Week 12
12-week Change in Bloating
Bloating was based on a 5-point scale where a value of l is "none" and a value of 5 is "very severe".
Measured: Change from Baseline to Week 12
12-week Change in Constipation Severity
Constipation severity was based on a 5-point ordinal scale where a value of l is "none" and a value of 5 is "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 posted8 Aug 2008 (estimated)
- Study startAug 2008
- Primary completionAug 2009
- Study completionOct 2009
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 Chronic 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 643 participants (actual)
Sponsor and investigators
- Lead sponsor
- Ironwood Pharmaceuticals, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Forest Laboratories
- Responsible party
- Sponsor
- Investigators
- Jeffrey M. Johnston, MD, FACP, Study chair, Ironwood Pharmaceuticals, Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00730015
- Sponsor's protocol ID
- MCP-103-303
- Status last verified
- Dec 2012
- First submitted
- 5 Aug 2008
- Last updated
- 30 Jan 2013
- Results posted
- Yes, on ClinicalTrials.gov
Publications
Chang L, Lembo AJ, Lavins BJ, Shiff SJ, Hao X, Chickering JG, Jia XD, Currie MG, Kurtz CB, Johnston JM. The impact of abdominal pain on global measures in patients with chronic idiopathic constipation, before and after treatment with linaclotide: a pooled analysis of two randomised, double-blind, placebo-controlled, phase 3 trials. Aliment Pharmacol Ther. 2014 Dec;40(11-12):1302-12. doi: 10.1111/apt.12985. Epub 2014 Oct 13.
PubMed 25312449Lembo AJ, Schneier HA, Shiff SJ, Kurtz CB, MacDougall JE, Jia XD, Shao JZ, Lavins BJ, Currie MG, Fitch DA, Jeglinski BI, Eng P, Fox SM, Johnston JM. Two randomized trials of linaclotide for chronic constipation. N Engl J Med. 2011 Aug 11;365(6):527-36. doi: 10.1056/NEJMoa1010863.
PubMed 21830967
Study at a glance
From the registry record, last updated by the sponsor on 30 Jan 2013. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Randomized, Double-blind, Placebo-controlled, Parallel-group Trial of Linaclotide Administered Orally for 12 Weeks Followed by a 4-Week Randomized Withdrawal Period in Patients With Chronic Constipation
- ClinicalTrials.gov ID
- NCT00730015
- Acronym / sponsor ID
- MCP-103-303
- Conditions
- Chronic Constipation
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 643 participants (actual)
- Lead sponsor
- Ironwood Pharmaceuticals, Inc.Industry (pharma, biotech, devices)
- Collaborators
- Forest Laboratories
- Study start
- Aug 2008
- Primary completion
- Aug 2009 (actual)
- Study completion
- Oct 2009 (actual)
- First posted
- 8 Aug 2008 (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 objective of this trial is to determine the efficacy and safety of linaclotide administered to patients with chronic constipation (CC). The primary efficacy parameter is the percentage of patients in each dosing group that meet the protocol definition for Complete Spontaneous Bowel Movement (CSBM) Overall Responder.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| 145 μg linaclotide | Experimental | Drug: Linaclotide |
| 290 μg linaclotide | Experimental | Drug: Linaclotide |
| 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 (5 listed)
- Patient has completed a colonoscopy according to the AGA criteria, with no clinically significant findings
- Patient has successfully completed protocol procedures (with no clinically significant findings): physical exam, 12-lead ECG, or clinical laboratory tests
- Patient meets protocol criteria for CC: reports < 3 bowel movements per week and reports straining, lumpy or hard stools, and/or sensation of incomplete evacuation during > 25% of BMs
- Patient demonstrates continued chronic constipation through Pretreatment Period
- Patient is compliant with IVRS
Key exclusion criteria (4 listed)
- 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
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 |
|---|---|---|
| Matching PlaceboOral, once daily | Drug | Matching Placebo |
| LinaclotideOral, once daily | Drug | 145 μg linaclotide, 290 μg linaclotide |
Primary outcome
Complete Spontaneous Bowel Movement (CSBM) Overall Responder
Time frame: Change from Baseline to Week 12
A 12-week CSBM Overall Responder was defined as a patient who for at least 9 of the 12 weeks of the treatment period had a CSBM weekly frequency rate that was 3 or greater and increased by 1 or more from baseline. A CSBM was defined as a spontaneous bowel movement (SBM) that was associated with a sense of complete evacuation. An SBM was 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.
7 secondary outcomes
12-Week Complete Spontaneous Bowel Movement (CSBM) Frequency
Time frame: Change from Baseline to Week 12
12-Week Spontaneous Bowl Movement (SBM) Frequency
Time frame: Change from Baseline to Week 12
12-week Change in Stool Consistency
Time frame: Change from Baseline to Week 12
12-week Change in Severity of Straining
Time frame: Change from Baseline to Week 12
12-week Change in Abdominal Discomfort
Time frame: Change from Baseline to Week 12
12-week Change in Bloating
Time frame: Change from Baseline to Week 12
12-week Change in Constipation Severity
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 30 Jan 2013.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 25312449Chang L, Lembo AJ, Lavins BJ, Shiff SJ, Hao X, Chickering JG, Jia XD, Currie MG, Kurtz CB, Johnston JM. The impact of abdominal pain on global measures in patients with chronic idiopathic constipation, before and after treatment with linaclotide: a pooled analysis of two randomised, double-blind, placebo-controlled, phase 3 trials. Aliment Pharmacol Ther. 2014 Dec;40(11-12):1302-12. doi: 10.1111/apt.12985. Epub 2014 Oct 13.
- Derived from this study: PubMed 21830967Lembo AJ, Schneier HA, Shiff SJ, Kurtz CB, MacDougall JE, Jia XD, Shao JZ, Lavins BJ, Currie MG, Fitch DA, Jeglinski BI, Eng P, Fox SM, Johnston JM. Two randomized trials of linaclotide for chronic constipation. N Engl J Med. 2011 Aug 11;365(6):527-36. doi: 10.1056/NEJMoa1010863.
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Outcome Research in Bowel Irrigation Techniques for the Treatment of Chronic Constipation and/or Faecal Incontinence
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This is a Randomized, Double-blind, Placebo-controlled, Multicenter, Parallel-group Study of the Efficacy and Safety of 2 Weight-based Treatment Groups of Plecanatide Versus Placebo in Children and Adolescent Participants 6 to Less Than 18 Years of Age With FC
Functional Constipation (FC)
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Risk of Major Adverse Cardiovascular Events for Naldemedine & Other Medications for Opioid Induced Constipation
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Do the Symptoms of Chronic Constipation Improve With a Primary Care Programme Based on Behavioural Re-education and Abdominal Massage?
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Constipation
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.
Jeffrey M. Johnston, MD, FACP study chair
Ironwood Pharmaceuticals, Inc.
105 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Linaclotide in people with Chronic Constipation, run by Ironwood Pharmaceuticals, Inc. at 105 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 4 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 30 Jan 2013. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 105 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 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?
Complete Spontaneous Bowel Movement (CSBM) Overall Responder (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 NCT00730015, 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 30 Jan 2013.