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.
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
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
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
- Conditions
- Chronic Constipation
- 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 group | Role | What they receive |
|---|---|---|
| 1 | Experimental | Linaclotide 290 micrograms Receives: Drug: Linaclotide 290 micrograms |
| 2 | Experimental | Linaclotide 145 micrograms Receives: Drug: Linaclotide 145 micrograms |
| 3 | Placebo comparator | Matching placebo Receives: Drug: 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 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)
12-week Complete Spontaneous Bowel Movement (CSBM) Frequency Rate
The number of CSBMs per week.
Measured: Change from Baseline to Week 12
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
12-Week 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 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
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
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
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.
- First posted3 Oct 2008 (estimated)
- Study startSep 2008
- Primary completionJul 2009
- Study completionAug 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
- 633 participants (actual)
Sponsor and investigators
- Lead sponsor
- Forest Laboratories
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Ironwood Pharmaceuticals, Inc.
- Responsible party
- Sponsor
- Investigators
- Paul F.C. Eng, PhD, Study director, Forest Laboratories
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
- 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 III, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Trial of Linaclotide Administered Orally for 12 Weeks in Patients With Chronic Constipation
- ClinicalTrials.gov ID
- NCT00765882
- Acronym / sponsor ID
- LIN-MD-01
- Conditions
- Chronic Constipation
- Keywords
- Constipation, Chronic Constipation, Linaclotide
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 633 participants (actual)
- Lead sponsor
- Forest LaboratoriesIndustry (pharma, biotech, devices)
- Collaborators
- Ironwood Pharmaceuticals, Inc.
- Study start
- Sep 2008
- Primary completion
- Jul 2009 (actual)
- Study completion
- Aug 2009 (actual)
- First posted
- 3 Oct 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 treatment 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 |
|---|---|---|
| 1 | Experimental | Drug: Linaclotide 290 microgramsLinaclotide 290 micrograms |
| 2 | Experimental | Drug: Linaclotide 145 microgramsLinaclotide 145 micrograms |
| 3 | Placebo comparator | Drug: PlaceboMatching 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 |
|---|---|---|
| Linaclotide 290 microgramsOral, once daily each morning at least 30 minutes before breakfast for the duration of the study | Drug | 1 |
| Linaclotide 145 microgramsOral, once daily each morning at least 30 minutes before breakfast for the duration of the study | Drug | 2 |
| PlaceboOral, once daily each morning at least 30 minutes before breakfast for the duration of the study | Drug | 3 |
Primary outcome
Complete Spontaneous Bowel Movement (CSBM) Overall Responder
Time frame: Change from Baseline to Week 12
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.
7 secondary outcomes
12-week Complete Spontaneous Bowel Movement (CSBM) Frequency Rate
Time frame: Change from Baseline to Week 12
12-Week Spontaneous Bowel Movement (SBM) Frequency Rate
Time frame: Change from Baseline to Week 12
12-Week Stool Consistency
Time frame: Change from Baseline to Week 12
12-Week Severity of Straining
Time frame: Change from Baseline to Week 12
12-Week Abdominal Discomfort
Time frame: Change from Baseline to Week 12
12-Week Bloating
Time frame: Change from Baseline to Week 12
12-Week 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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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.
Paul F.C. Eng, PhD study director
Forest Laboratories
108 sites in 2 countries: see every site and its status.
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.