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Chronic ConstipationPhase 3NCT00765882

Phase III, Randomized, Double-Blind, Placebo-Controlled, Trial of Linaclotide Administered to Patients With Chronic Constipation

A Phase 3 study testing Linaclotide 290 micrograms and Linaclotide 145 micrograms in people with Chronic Constipation, run by Forest Laboratories at 108 sites in 2 countries.

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 treatment 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 290 micrograms and Linaclotide 145 micrograms
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
633 participants
Where
108 sitesin 2 countries
Study dates
Sep 2008to Aug 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

108 sites in 2 countries.

108 sites in 2 countries

United States100 sites
  • Forest Investigative Site

    Akron, Ohio, 44302

  • Forest Investigative Site

    Albuquerque, New Mexico, 87106

  • Forest Investigative Site

    Arkansas City, Kansas, 67005

  • Forest Investigative Site

    Atlanta, Georgia, 30342

  • Forest Investigative Site

    Austin, Texas, 78705

  • Forest Investigative Site

    Bellevue, Washington, 98402

  • Forest Investigative Site

    Bensalem, Pennsylvania, 19020

  • Forest Investigative Site

    Birmingham, Alabama, 35205

  • Forest Investigative Site

    Birmingham, Alabama, 35215

  • Forest Investigative Site

    Bismarck, North Dakota, 58501

  • Forest Investigative Site

    Boca Raton, Florida, 33486

  • Forest Investigative Site

    Boston, Massachusetts, 02135

  • Forest Investigative Site

    Boulder, Colorado, 80304

  • Forest Investigative Site

    Bradenton, Florida, 34203

  • Forest Investigative Site

    Brooklyn, New York, 11214

  • Forest Investigative Site

    Brooksville, Florida, 34601

  • Forest Investigative Site

    Burbank, California, 91505

  • Forest Investigative Site

    Chandler, Arizona, 85225

  • Forest Investigative Site

    Charlottesville, Virginia, 22911

  • Forest Investigative Site

    Chaska, Minnesota, 55318

  • Forest Investigative Site

    Chevy Chase, Maryland, 20815

  • Forest Investigative Site

    Christianburg, Virginia, 24073

  • Forest Investigative Site

    Cincinnati, Ohio, 45219

  • Forest Investigative Site

    Cleveland, Ohio, 44122

  • Forest Investigative Site

    Colorado Springs, Colorado, 80909

  • Forest Investigative Site

    Dallas, Texas, 75234

  • Forest Investigative Sites

    Denver, Colorado, 80205

  • Forest Investigative Site

    Elkhart, Indiana, 46514

  • Forest Investigative Site

    Encinitas, California, 92024

  • Forest Investigative Site

    Evansville, Indiana, 47714

  • Forest Investigative Site

    Fayetteville, North Carolina, 28304

  • Forest Investigative Site

    Foothill Ranch, California, 92610

  • Forest Investigative Site

    Fort Myers, Florida, 33916

  • Forest Investigative Site

    Great Neck, New York, 11021

  • Forest Investigative Site

    Great Neck, New York, 11023

  • Forest Investigative Site

    Greensboro, North Carolina, 27403

  • Forest Investigative Site

    Greenville, South Carolina, 29615

  • Forest Investigative Site

    Greer, South Carolina, 29651

  • Forest Investigative Site

    Hagerstown, Maryland, 21742

  • Forest Investigative Site

    Hickory, North Carolina, 28601

  • Forest Investigative Site

    Houston, Texas, 77090

  • Forest Investigative Site

    Huntsville, Alabama, 35801

  • Forest Investigative Site

    Idaho Falls, Idaho, 83404

  • Forest Investigative Site

    Indianapolis, Indiana, 46237

  • Forest Investigative Site

    Indianapolis, Indiana, 46254

  • Forest Investigative Site

    Iowa City, Iowa, 52242

  • Forest Investigative Site

    Jupiter, Florida, 33458

  • Forest Investigative Site

    Kissimmee, Florida, 34741

  • Forest Investigative Site

    Lake Jackson, Texas, 77566

  • Forest Investigative Site

    Lakewood, Washington, 98499

  • Forest Investigative Site

    Lexington, Kentucky, 40509

  • Forest Investigative Site

    Longmont, Colorado, 80501

  • Forest Investigative Site

    Los Angeles, California, 90036

  • Forest Investigative Site

    Lutherville, Maryland, 21093

  • Forest Investigative Site

    Madisonville, Kentucky, 42431

  • Forest Investigative Site

    Marietta, Georgia, 30060

  • Forest Investigative Site

    Marietta, Georgia, 30067

  • Forest Investigative Site

    Mesa, Arizona, 85210

  • Forest Investigative Site

    Miami, Florida, 33143

  • Forest Investigative Site

    Milwaukee, Wisconsin, 53209

  • Forest Investigative Site

    Nashville, Tennessee, 37205

  • Forest Investigative Site

    Newport News, Virginia, 23606

  • Forest Investigative Site

    Newton, Kansas, 67114

  • Forest Investigative Site

    Norfolk, Virginia, 23502

  • Forest Investigative Site

    Norfolk, Virginia, 23507

  • Forest Investigative Site

    Ocala, Florida, 34471

  • Forest Investigative Site

    Oklahoma City, Oklahoma, 73104

  • Forest Investigative Site

    Orange, California, 92869

  • Forest Investigative Site

    Orlando, Florida, 32806

  • Forest Investigative Site

    Panama City, Florida, 32405

  • Forest Investigative Site

    Pembroke Pines, Florida, 33024

  • Forest Investigative Site

    Peoria, Arizona, 85381

  • Forest Investigative Site

    Phoenix, Arizona, 85012

  • Forest Investigative Site

    Pittsburgh, Pennsylvania, 15206

  • Forest Investigative Site

    Raleigh, North Carolina, 27612

  • Forest Investigative Site

    Richmond, Virginia, 23294

  • Forest Investigative Site

    Rockford, Illinois, 61107

  • Forest Investigative Site

    Salt Lake City, Utah, 84102

  • Forest Investigative Site

    San Antonio, Texas, 78209

  • Forest Investigative Site

    San Antonio, Texas, 78229

  • Forest Investigative Site

    Scottsdale, Arizona, 85251

  • Forest Investigative Site

    St Louis, Missouri, 63110

  • Forest Investigative Site

    St Louis, Missouri, 63128

  • Forest Investigative Site

    St. Petersburg, Florida, 33709

  • Forest Investigative Site

    Stockbridge, Georgia, 30281

  • Forest Investigative Site

    Tampa, Florida, 33606

  • Forest Investigative Site

    Trinity, Florida, 34655

  • Forest Investigative Site

    Tucson, Arizona, 85741

  • Forest Investigative Site

    Tulsa, Oklahoma, 74135

  • Forest Investigative Site

    Vineland, New Jersey, 08360

  • Forest Investigative Site

    Waterbury, Connecticut, 06708

  • Forest Investigative Site

    Wenatchee, Washington, 98801

  • Forest Investigative Site

    Westlake Village, California, 91361

  • Forest Investigative Site

    Wheat Ridge, Colorado, 80033

  • Forest Investigative Site

    Wichita, Kansas, 67205

  • Forest Investigative Site

    Wichita, Kansas, 67207

  • Forest Investigative Site

    Wilmington, North Carolina, 28401

  • Forest Investigative Site

    Winston-Salem, North Carolina, 27103

  • Forest Investigative Site

    Woodstock, Georgia, 30189

  • Forest Investigative Site

    Zephyrhills, Florida, 33542

Other trials in United States

Canada8 sites
  • Forest Investigative Site

    Greater Sudbury, Ontario, P3E 1H5

  • Forest Investigative Site

    Hamilton, Ontario, L8N 4A6

  • Forest Investigative Site

    Newmarket, Ontario, L3Y 7V1

  • Forest Investigative Site

    Ottawa, Ontario, K2c 3R2

  • Forest Investigative Site 1

    Sarnia, Ontario, N7T 4X3

  • Forest Investigative Site 2

    Sarnia, Ontario, N7T 4X3

  • Forest Investigative Site

    Toronto, Ontario, MCN 2V7

  • Forest Investigative Site

    Vancouver, British Columbia, V67 2K5

Other trials in Canada

About this study

Official title: A Phase III, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Trial of Linaclotide Administered Orally for 12 Weeks 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 treatment group that meet the protocol definition for Complete Spontaneous Bowel Movement (CSBM) Overall Responder

Being tested
Linaclotide 290 micrograms, Linaclotide 145 micrograms, Placebo
Keywords
Constipation, Chronic Constipation, Linaclotide
Medical subject headings
Constipation

What participants receive

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

  • Linaclotide 290 microgramsDrug

    Oral, once daily each morning at least 30 minutes before breakfast for the duration of the study

  • Linaclotide 145 microgramsDrug

    Oral, once daily each morning at least 30 minutes before breakfast for the duration of the study

  • PlaceboDrug

    Oral, once daily each morning at least 30 minutes before breakfast for the duration of the study

Study groups in NCT00765882
Study groupRoleWhat they receive
1ExperimentalLinaclotide 290 micrograms
Receives: Drug: Linaclotide 290 micrograms
2ExperimentalLinaclotide 145 micrograms
Receives: Drug: Linaclotide 145 micrograms
3Placebo comparatorMatching placebo
Receives: Drug: 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 responders 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 Rate

    The number of CSBMs per week.

    Measured: Change from Baseline to Week 12

  2. 12-Week Spontaneous Bowel Movement (SBM) Frequency Rate

    A patient's 12-week spontaneous bowel movement (SBM) frequency rate was the number of SBMs per week calculated over the 12-weeks of the treatment period.

    Measured: Change from Baseline to Week 12

  3. 12-Week 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 Severity of Straining

    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 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 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 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 posted3 Oct 2008 (estimated)
  2. Study startSep 2008
  3. Primary completionJul 2009
  4. Study completionAug 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
633 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00765882
Sponsor's protocol ID
LIN-MD-01
Status last verified
Dec 2012
First submitted
1 Oct 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 290 micrograms and Linaclotide 145 micrograms in people with Chronic Constipation, run by Forest Laboratories at 108 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 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 108 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 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 NCT00765882, 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; AzTrials last refreshed its copy on 7 Nov 2026.

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