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Diarrhea-predominant Irritable Bowel SyndromePhase 2NCT03977155

Study to Evaluate the Efficacy, Safety, and Tolerability of BOS-589 in the Treatment of Patients With Diarrhea-predominant Irritable Bowel Syndrome (IBS-D)

A Phase 2 study testing BOS-589 in people with Diarrhea-predominant Irritable Bowel Syndrome, run by Boston Pharmaceuticals at 58 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

This study is being conducted to evaluate in participants with diarrhea-predominant Irritable Bowel Syndrome (IBS-D) the abdominal pain response to BOS-589 after 4 weeks of treatment and to evaluate the overall safety and tolerability of BOS-589 in the treatment of IBS-D during 4 weeks of treatment, relative to… Read more about this study

Who is it for?
Ages 18 to 65 years
What is being tested?
BOS-589
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
133 participants
Where
58 sitesUnited States
Study dates
4 Jun 2019to 6 May 2020
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 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Participant meets the diagnosis of diarrhea-predominant IBS (IBS-D) subtype based on Rome IV diagnostic criteria within 3 months prior to randomization. On days when the participant experiences IBS symptoms
  • At least 25% of stools are loose or watery; and
  • Fewer than 25% of stools are hard.
  • Recurrent abdominal pain occurring, on average, at least 1 day per week and associated with 2 or more of the following:
  • Related to defecation;
  • Associated with a change in frequency of bowel movements;
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  • Associated with a change in form (appearance) of stool.
  • Over the week prior to randomization, the participant has
  • An average of worst abdominal pain (WAP) scores in the prior 24 hours of 4.0 to 8.0 on a 0 to 10 numerical rating scale;
  • An average daily Bristol Stool Form Scale (BSFS) score ≥ 5.0 (and at least 5 days with a BSFS score ≥ 5.0;
  • An average daily IBS-Global Scale (IBS-GS) score of ≥ 2.0.
  • Participant must undergo or previously have undergone (a) an appropriate evaluation for their IBS symptoms, including an evaluation for organic/structural etiologies (if in the presence of alarm symptoms); and (b) age-appropriate screening for colorectal cancer, if applicable.
  • Participant is negative for serum tissue transglutaminase immunoglobulin A antibody (tTG-IgA) plus has evidence of detectable serum IgA within the normal reference range.

Who cannot join

  • At the time of screening, participant has a diagnosis of an IBS subtype other than IBS-D, based on Rome IV criteria.
  • Participant has a history of inflammatory or immune-mediated gastrointestinal (GI) disorders including (but not limited to) inflammatory bowel disease (i.e., Crohn's disease, ulcerative colitis, microscopic colitis, and celiac disease).
  • Participant has had an episode of diverticulitis within 3 months prior to Screening.
  • Participant has a history of intestinal obstruction, stricture, toxic megacolon, GI perforation, fecal impaction, gastric banding, bariatric surgery, adhesions, ischemic colitis, or impaired intestinal circulation (e.g., aortoiliac occlusive disease).
  • Participant has any of the following surgical history:
  • Cholecystectomy with any history of post-cholecystectomy biliary tract pain;
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  • Any abdominal surgery within the 3 months prior to Screening;
  • Major gastric, esophageal, hepatic, pancreatic, or intestinal surgery (appendectomy, hemorrhoidectomy, or polypectomy greater than 3 months post-surgery are allowed).
  • Confirmed alanine aminotransferase (ALT) > 2 upper limit of normal (ULN)
  • Confirmed total bilirubin > ULN, unless the participant has a documented history of Gilbert's syndrome
  • Evidence of active hepatitis B virus (HBV) or hepatitis C virus (HCV) infection or Human immunodeficiency virus (HIV)-1 or HIV-2 antibody positive
  • Evidence of HCV infection based on a positive HCV antibody screen (Participants who have been successfully treated for HCV are eligible if an undetectable HCV viral load at least 6 months after completion of treatment can be demonstrated.)

Trial locations and contacts

58 sites in 1 country.

58 sites in 1 country

United States58 sites
  • Synexus Clinical Research US, Inc.

    Akron, Ohio, 44311

  • Albuquerque Clinical Trials Inc - BTC - PPDS

    Albuquerque, New Mexico, 87102

  • Synexus Clinical Research US, Inc.

    Anderson, South Carolina, 29621

  • Pinnacle Research Group

    Anniston, Alabama, 36207

  • Northwest Clinical Trials-ClinEdge-PPDS

    Boise, Idaho, 83704

  • Boston Clinical Trials Inc

    Boston, Massachusetts, 02131

  • PAB Clinical Research-ClinEdge-PPDS

    Brandon, Florida, 33511

  • NY Scientific

    Brooklyn, New York, 11235

  • Synexus Clinical Research US, Inc.

    Carlsbad, California, 95821

  • Synexus Clinical Research US, Inc. - East Valley Family Physicians, PLC

    Chandler, Arizona, 85224

  • Synexus Clinical Research US, Inc. - Phoenix Southeast

    Chandler, Arizona, 85224

  • WR-ClinSearch, LLC

    Chattanooga, Tennessee, 37909

  • Hometown Urgent Care and Research

    Cincinnati, Ohio, 45215

  • Synexus Clinical Research US, Inc.

    Columbus, Ohio, 45424

  • L12 Clinical Research

    Dallas, Texas, 75219

  • Synexus Clinical Research US, Inc.

    Dallas, Texas, 78209

  • Hometown Urgent Care and Research

    Dayton, Ohio, 43212

  • Safe Harbor Clinical Research

    East Providence, Rhode Island, 02914

  • Synexus Clinical Research US, Inc. - Allaw

    Evansville, Indiana, 47714

  • Pledmont Research Partners LLC

    Fort Mill, South Carolina, 29707

  • Paragon Rx Clinical, Inc.

    Garden Grove, California, 92683

  • Synexus Clinical Research US, Inc.

    Greer, South Carolina, 29651

  • Peters Medical Research, LLC

    High Point, North Carolina, 27262

  • Southwest Clinical Trials

    Houston, Texas, 77074

  • Clinical Research Associates

    Huntsville, Alabama, 35801

  • Nature Coast Clinical Research LLC - ERN-PPDS

    Inverness, Florida, 34452

  • Mayo Clinic

    Jacksonville, Florida, 32224

  • Health Awareness Inc

    Jupiter, Florida, 33458

  • New Phase Research & Development

    Knoxville, Tennessee, 37421

  • eStudySite

    La Mesa, California, 91942

  • Grossmont Center For Clinical Research

    La Mesa, California, 92008

  • Blue Ridge Medical Research

    Lynchburg, Virginia, 24502

  • Synexus Clinical Research US, Inc. - Desert Clinical Research, LLC

    Mesa, Arizona, 85018

  • Synexus Clinical Research US, Inc. - Central Arizona Medical Associates, PC

    Mesa, Arizona, 85213

  • Suncoast Research Group LLC - ERN-PPDS

    Miami, Florida, 33135

  • Arkansas Gastroenterology

    North Little Rock, Arkansas, 72117

  • Advanced Research Institute

    Ogden, Utah, 84405

  • Quality Clinical Research - ClinEdge - PPDS

    Omaha, Nebraska, 68114

  • Ormond Medical Arts Pharmaceutical

    Ormond Beach, Florida, 32174

  • Hope Research Institute LLC

    Peoria, Arizona, 85381

  • Founders Research Corporation

    Philadelphia, Pennsylvania, 19114

  • Elite Clinical Studies

    Phoenix, Arizona, 85018

  • Synexus Clinical Research US, Inc. - Tatum Highlands Medical Associates, PLLC

    Phoenix, Arizona, 85050

  • Hope Research Institute LLC

    Phoenix, Arizona, 85206

  • PMG Research of Raleigh, LLC

    Raleigh, North Carolina, 27609

  • Clinical Research Partners LLC

    Richmond, Virginia, 23235

  • Clinical Trials Research

    Sacramento, California, 91942

  • Quality Research Inc.

    San Antonio, Texas, 75234

  • Research and Education Inc

    San Diego, California, 92105

  • Precision Research Institute

    San Diego, California, 92114

  • Shahram Jacobs MD Inc

    Sherman Oaks, California, 91403

  • Sundance Clinical Research

    St Louis, Missouri, 63141

  • Precision Clinical Research, LLC

    Sunrise, Florida, 33351

  • Millennium ClinicalTrials

    Thousand Oaks, California, 92840

  • Preferred Primary Care Physicians

    Uniontown, Pennsylvania, 15401

  • Chase Medical Research LLC

    Waterbury, Connecticut, 06708

  • Advanced Rx Clinical Research

    Westminster, California, 91360

  • West Michigan Clinical Research

    Wyoming, Michigan, 49519

Other trials in United States

About this study

Official title: A Phase 2a, Randomized, Double-blind, Placebo-controlled, Multicenter Study to Evaluate the Efficacy, Safety, and Tolerability of BOS-589 in the Treatment of Patients With Diarrhea-predominant Irritable Bowel Syndrome (IBS-D)

This study is being conducted to evaluate in participants with diarrhea-predominant Irritable Bowel Syndrome (IBS-D) the abdominal pain response to BOS-589 after 4 weeks of treatment and to evaluate the overall safety and tolerability of BOS-589 in the treatment of IBS-D during 4 weeks of treatment, relative to placebo (PBO).

Being tested
BOS-589, Placebo
Keywords
Irritable Bowel Syndrome, diarrhea, BOS-589
Medical subject headings
Irritable Bowel Syndrome, Diarrhea

What participants receive

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

  • BOS-589Drug

    oral tablets

  • PlaceboDrug

    oral tablets

Study groups in NCT03977155
Study groupRoleWhat they receive
High dose of BOS-589ExperimentalParticipants will receive a high dose of BOS-589 orally twice a day (BID).
Receives: Drug: BOS-589
Low dose of BOS-589ExperimentalParticipants will receive a low dose of BOS-589 orally BID.
Receives: Drug: BOS-589
PlaceboPlacebo comparatorParticipants will receive matching placebo orally BID.
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. 24-hour Worst Abdominal Pain Scores (WAP) at Day 29 Compared to Baseline (Averaged Over the Week Prior to Each Respective Time Point)

    To evaluate in participants with diarrhea-predominant irritable bowel syndrome (IBS-D) the abdominal pain response to BOS-589 after 4 weeks of treatment, relative to placebo. Throughout the 4 weeks of the double blind treatment phase, participants were asked to rate their WAP in the past 24 hours. The participant-reported WAP in the past 24 hours was recorded on a 0 to 10 scale, where 0 corresponded to no pain and 10 corresponded to worst imaginable pain. Higher scores indicated worse outcome.

    Measured: Baseline; Day 29

  2. Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs), Discontinuations Because of AEs, and Any Treatment-related Severe AEs

    To evaluate the overall safety and tolerability of BOS-589 in the treatment of IBS-D during 4 weeks of treatment, relative to placebo.

    Measured: Up to Day 43/end-of-study follow up visit

Secondary outcomes (9)
  1. Change in Stool Consistency, Measured by the Daily Bristol Stool Form Score (BSFS) Most Representative Stool Consistency Scores at Day 29 Compared to Baseline (Averaged Over the Week Prior to Each Respective Time Point)

    To evaluate the treatment effect of BOS-589 on defecation after 4 weeks, relative to placebo. Participants were asked to record daily stool consistency according to the BSFS most representative of the past 24 hours. The participant-reported BSFS consistency score was based on a 1 to 7 scale where 1 corresponded to a hard stool and 7 corresponded to watery diarrhea. Higher scores indicated worse outcome.

    Measured: Baseline; Day 29

  2. Change in Stool Consistency, Measured by the Daily BSFS Worst (Loosest) Stool Consistency Scores at Day 29 Compared to Baseline (Averaged Over the Week Prior to Each Respective Time Point)

    To evaluate the treatment effect of BOS-589 on defecation after 4 weeks, relative to placebo. Participants were asked to record daily stool consistency according to the BSFS worst stool consistency (defined as the loosest stool with the highest BSFS score) in the past 24 hours. The participant-reported BSFS consistency score was based on a 1 to 7 scale where 1 corresponded to a hard stool and 7 corresponded to watery diarrhea. Higher scores indicated worse outcome.

    Measured: Baseline; Day 29

  3. Change in Stool Frequency, Measured by the Total Number of Spontaneous Bowel Movements in 24 Hours at Day 29 Compared to Baseline (Averaged Over the Week Prior to Each Respective Time Point)

    To evaluate the treatment effect of BOS-589 on defecation after 4 weeks, relative to placebo. Participants were asked to record stool frequency based on the total number of spontaneous bowel movements in the past 24 hours.

    Measured: Baseline; Day 29

  4. Changes in the Irritable Bowel Syndrome-Severity Score (IBS-SS) at Day 29 Compared to Baseline

    To evaluate the treatment effect of BOS-589 on IBS-related signs and symptoms. Participants were asked to complete 5 questions regarding the severity of their IBS. Each of the 5 questions generated a maximum score of 100, leading to a total possible IBS-SS of 500. The IBS-SS scale ranges from 0 to 500. A higher score indicated greater severity.

    Measured: Baseline; Day 29

  5. Change in the IBS Global Scale (IBS-GS) at Day 29 Compared to Baseline (Averaged Over the Week Prior to Each Respective Time Point)

    To evaluate the treatment effect of BOS-589 on IBS related signs and symptoms. Participants were asked to record daily their overall diarrhea-predominant Irritable Bowel Syndrome (IBS-D) global symptoms in the prior 24 hours. The participant-reported daily IBS-GS was based on a 0 to 4 scale where: 0 corresponded to no symptoms; 1 corresponded to mild symptoms; 2 corresponded to moderate symptoms; 3 corresponded to severe symptoms; and 4 corresponded to very severe symptoms. Higher scores indicated severe symptoms.

    Measured: Baseline; Day 29

  6. Maximum Observed Plasma Concentration (Cmax) for BOS-589

    To evaluate the steady state pharmacokinetics (PK) of BOS-589.

    Measured: Day 1, Day 15 and Day 22 at pre-dose and at 0.5, 1, 2, and 4 hours post-dose

  7. Time to Reach Cmax (Tmax) for BOS-589

    To evaluate the steady state PK of BOS-589.

    Measured: Day 1, Day 15 and Day 22 at pre-dose and at 0.5, 1, 2, and 4 hours post-dose

  8. Area Under the Concentration-versus-time Curve (AUC) From Time Zero to 4 Hours Post Dose (AUC0-4) for BOS-589

    To evaluate the steady state PK of BOS-589.

    Measured: Day 1, Day 15 and Day 22 at pre-dose and at 0.5, 1, 2, and 4 hours post-dose

  9. AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) for BOS-589

    To evaluate the steady state PK of BOS-589.

    Measured: Day 1, Day 15 and Day 22 at pre-dose and at 0.5, 1, 2, and 4 hours post-dose

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted6 Jun 2019
  2. Study start4 Jun 2019
  3. Primary completion6 May 2020
  4. Study completion6 May 2020

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
133 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03977155
Sponsor's protocol ID
BOS-589-201
Status last verified
Jun 2021
First submitted
5 Jun 2019
Last updated
7 Jun 2021
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing BOS-589 in people with Diarrhea-predominant Irritable Bowel Syndrome, run by Boston Pharmaceuticals at 58 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 13 inclusion and 12 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 7 Jun 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 58 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 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 7 Jun 2021). 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?

24-hour Worst Abdominal Pain Scores (WAP) at Day 29 Compared to Baseline (Averaged Over the Week Prior to Each Respective Time Point) (time frame: Baseline; Day 29). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 7 Jun 2021.

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