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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.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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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

Other trials in United States

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.

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 groups in NCT00730015
Study groupRoleWhat they receive
145 μg linaclotideExperimentalNot described
Receives: Drug: Linaclotide
290 μg linaclotideExperimentalNot described
Receives: Drug: Linaclotide
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. 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)
  1. 12-Week Complete Spontaneous Bowel Movement (CSBM) Frequency

    The number of CSBMs per week.

    Measured: Change from Baseline to Week 12

  2. 12-Week Spontaneous Bowl Movement (SBM) Frequency

    The number of SBMs per week.

    Measured: Change from Baseline to Week 12

  3. 12-week Change in Stool Consistency

    The consistency of each BM was assessed using the 7-point Bristol Stool Form Scale:

    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
    7. = watery, no solid pieces [entirely liquid]

    Measured: Change from Baseline to Week 12

  4. 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

  5. 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

  6. 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

  7. 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.

  1. First posted8 Aug 2008 (estimated)
  2. Study startAug 2008
  3. Primary completionAug 2009
  4. Study completionOct 2009

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 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)
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

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 25312449
  • Lembo 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

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.

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