AzTrials
AzTrials

Functional ConstipationPhase 2NCT05760313

A Study to Assess Adverse Events and Change in Disease Activity in Pediatric Participants (Age 6 Months to <2 Years) With Functional Constipation Who Are Treated With Linaclotide

A Phase 2 study testing Linaclotide in people with Functional Constipation, run by AbbVie at 38 sites in 7 countries.

Completed

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

Official record

Search all trials

Trial summary

Functional constipation (FC) is a common healthcare problem in children of all ages, potentially due to genetic predisposition, inadequate fiber and fluid intake, and immobility. Currently, there are no pharmacological therapies approved for the treatment of FC. Read more about this study

Who is it for?
Ages 6 to 23 months
Conditions the study is for
Functional 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
19 participants
Where
38 sitesin 7 countries
Study dates
27 Apr 2023to 9 Jun 2025
Phase
Phase 2

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 6 to 23 months
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Individuals must be 6 months to less than 1 year and 11 months old, at the time the legally authorized representative (LAR)/parent/guardian signs the informed consent in alignment with local requirements.
  • The LAR/parent/guardian who will be completing the electronic diary (eDiary) is able to read and understand the assessments in the eDiary device and must undergo training.
  • Participant meets Rome IV criteria for functional constipation (FC): for at least 1 month before Screening (Visit 1), the participant must meet 2 or more of the following:
  • 2 or fewer defecations per week (with each defecation occurring in the absence of any laxative, suppository, or enema use during the preceding 24 hours)
  • History of excessive stool retention
  • History of painful or hard bowel movements (BMs)
Show all 9Show fewer
  • History of large-diameter stools
  • Presence of a large fecal mass in the rectum
  • LAR/Parent/Guardian is willing to discontinue any laxatives used before the Preintervention Visit in favor of the protocol-permitted rescue medicine.

Who cannot join

  • Participant has conditions that could interfere with drug absorption, including, but not limited to, short bowel syndrome.
  • History of clinically significant medical conditions or any other reason that the investigator determines would interfere with the individual's participation in this study or would make the participant an unsuitable candidate to receive study drug.
  • Participant has history of:
  • Celiac disease, or positive serological test for celiac disease or the condition is suspected but has not been ruled out by endoscopic biopsy
  • Cystic fibrosis
  • Hypothyroidism that is untreated or treated with thyroid hormone at a dose that has not been stable for at least 3 months prior to Screening (Visit 1)
Show all 15Show fewer
  • Down's syndrome or any other chromosomal disorder
  • Active anal fissure (investigator has confirmed an active anal fissure and participant reports known anal fissure symptoms [i.e., streaks of blood on the stool or on diaper or toilet paper and pain/crying with bowel movement within 2 weeks prior to Screening]). (Note: Anal fissures that have resolved at least 2 weeks prior to screening would not be exclusionary). However, if in the investigator's opinion, an anal fissure(s) may be the primary cause of participant's Rome IV FC criteria, the subject would not be eligible to participate in the study.
  • Anatomic malformations (e.g., imperforate anus, anal stenosis, anterior displaced anus)
  • Intestinal nerve or muscle disorders (e.g., Hirschprung disease, visceral myopathies, visceral neuropathies)
  • Neuropathic conditions (e.g., spinal cord abnormalities, neurofibromatosis, tethered cord, spinal cord trauma)
  • Lead toxicity, hypercalcemia
  • Inflammatory bowel disease
  • Lactose intolerance that is associated with symptoms which could confound the assessments in this study
  • History of cancer. (Note: Participants with a history of cancer are allowed provided that the malignancy has been in a complete remission before enrollment/randomization (Visit 3). A complete remission is defined as the disappearance of all signs of cancer in response to treatment)

Trial locations and contacts

38 sites in 7 countries.

38 sites in 7 countries

United States18 sites
  • Advanced Research Center /ID# 248763

    Anaheim, California, 92805

  • Coastal Pediatric Research - West Ashley B /ID# 248693

    Charleston, South Carolina, 29414

  • Kindred Medical Institute - Corona /ID# 251535

    Corona, California, 92879-3104

  • Prohealth Research Center /ID# 248696

    Doral, Florida, 33166

  • Michigan Center of Medical Research /ID# 253536

    Farmington Hills, Michigan, 48334

  • Velocity Clinical Research- Hastings Nebraska /ID# 260932

    Hastings, Nebraska, 68901-2640

  • HealthStar Research of Hot Springs PLLC /ID# 251553

    Hot Springs, Arkansas, 71913

  • Houston Clinical Research Associates /ID# 261571

    Houston, Texas, 77090-2633

  • Velocity Clinical Research - Lafayette /ID# 263873

    Lafayette, Louisiana, 70508

  • Velocity Clinical Research Macon /ID# 263959

    Macon, Georgia, 31210-6583

  • Prime Clinical Research - Mansfield - East Broad Street /ID# 262947

    Mansfield, Texas, 76063

  • South Miami Medical & Research Group Inc. /ID# 248765

    Miami, Florida, 33155

  • Valencia Medical & Research Center /ID# 251533

    Miami, Florida, 33165

  • Frederick County Pediatrics /ID# 251555

    New Market, Maryland, 21774-6154

  • Velocity Clinical Research - Phoenix /ID# 263871

    Phoenix, Arizona, 85006

  • Coastal Pediatric Research - Summerville /ID# 253534

    Summerville, South Carolina, 29486

  • Velocity Clinical Research Washington DC /ID# 263872

    Washington D.C., District of Columbia, 20016-4300

  • ClinPoint Trials /ID# 251534

    Waxahachie, Texas, 75165-1430

Other trials in United States

Bulgaria5 sites
  • UMHAT Sveti Georgi /ID# 250808

    Plovdiv, 4002

  • UMHAT Kanev /ID# 248931

    Rousse, 7002

  • Acibadem City Clinic Tokuda University Hospital EAD /ID# 251232

    Sofia, 1407

  • Specialized Hospital For Active Treatment Of Children Diseases Prof. Ivan Mitev /ID# 251229

    Sofia, 1606

  • Nova Clinic /ID# 249023

    Varna, 9000

Other trials in Bulgaria

Croatia4 sites
  • Klinicki bolnicki centar Osijek /ID# 252795

    Osijek, County of Osijek-Baranja, 31000

  • Klinicki bolnicki centar Sestre milosrdnice /ID# 252798

    Zagreb, City of Zagreb, 10000

  • Klinicki bolnicki centar Zagreb /ID# 252796

    Zagreb, City of Zagreb, 10000

  • Klinika za dječje bolesti Zagreb /ID# 252792

    Zagreb, City of Zagreb, 10000

Other trials in Croatia

United Kingdom4 sites
  • Russells Hall Hospital /ID# 252660

    Dudley, DY1 2HQ

  • Disc_Barts Health NHS Trust - The Royal London Hospital /ID# 252298

    London, Greater London, E1 2ES

  • Great Ormond Street Children's Hospital /ID# 253333

    London, Greater London, WC1N 3HZ

  • Norfolk and Norwich University Hospitals NHS Foundation Trust /ID# 252299

    Norwich, Norfolk, NR4 7UY

Other trials in United Kingdom

Germany3 sites
  • Kinderarztpraxis Dr. Froehlich /ID# 252050

    Forchheim, 91301

  • Universitaetsklinikum Muenster /ID# 251965

    Münster, North Rhine-Westphalia, 48149

  • HELIOS Klinikum Wuppertal /ID# 249022

    Wuppertal, 42283

Other trials in Germany

Serbia3 sites
  • Institut za zdravstvenu zastitu majke i deteta Srbije Dr Vukan Cupic /ID# 252485

    Belgrade, Beograd, 11000

  • University Children's Hospital 'Tirsova' /ID# 252483

    Belgrade, Beograd, 11000

  • Institute for Child and Youth Health Care of Vojvodina /ID# 252482

    Novi Sad, 21000

Other trials in Serbia

Hungary1 site
  • Debreceni Egyetem-Klinikai Kozpont /ID# 250793

    Debrecen, Hajdú-Bihar, 4032

Other trials in Hungary

About this study

Official title: A Phase 2 Dose Finding Study Evaluating the Safety and Efficacy of Linaclotide in Pediatric Subjects 6 Months to Less Than 2 Years of Age With Functional Constipation (FC).

Functional constipation (FC) is a common healthcare problem in children of all ages, potentially due to genetic predisposition, inadequate fiber and fluid intake, and immobility. Currently, there are no pharmacological therapies approved for the treatment of FC. This study will assess adverse events and change in disease activity with linaclotide therapy in participants with FC.

Linaclotide is an approved drug being developed for the treatment of FC in pediatric patients who meet modified Rome IV criteria for childhood FC. In Part 1 of this study, participants are placed in 3 groups, which occur consecutively. Each group receives a different dosage of linaclotide. In Part 2 of the study, participants will be randomly assigned to receive either linaclotide or placebo. There is a 1 in 2 chance that participants will be assigned to placebo. Up to 30 and at least 18 pediatric participants 6 months to less than 2 years of age with FC will be enrolled in the study at approximately 38 sites worldwide.

Read more

Participants will receive oral solution of linaclotide prepared from capsule by parent/guardian once daily for 4 weeks.

There may be higher treatment burden for participants in this trial compared to their standard of care (due to study procedures). Participants will attend regular visits during the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, blood tests, checking for side effects and completing questionnaires.

Being tested
Linaclotide, Placebo
Keywords
Linaclotide, pediatric functional constipation, Linzess

What participants receive

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

  • LinaclotideDrug

    Also called Linzess

    Capsule; oral

  • PlaceboDrug

    Capsule; oral

Study groups in NCT05760313
Study groupRoleWhat they receive
Part 1, Linaclotide Dose AExperimentalLinaclotide Dose A capsules, mixed with water and administered orally, once daily for 4 weeks
Receives: Drug: Linaclotide
Part 1, Linaclotide Dose BExperimentalLinaclotide Dose B capsules, mixed with water and administered orally, once daily for 4 weeks
Receives: Drug: Linaclotide
Part 1, Linaclotide Dose CExperimentalLinaclotide Dose C capsules, mixed with water and administered orally, once daily for 4 weeks
Receives: Drug: Linaclotide
Part 2, LinaclotideExperimentalParticipants will receive Linaclotide capsules mixed with water and administered orally in Part 2 for 4 weeks.
Receives: Drug: Linaclotide
Part 2, PlaceboExperimentalParticipants will receive placebo capsules mixed with water and administered orally in Part 2 for 4 weeks.
Receives: Drug: Placebo

What is being measured

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

  1. Change From Baseline in Overall Spontaneous Bowel Movement (SBM) Frequency Rate (SBMs/Week) During the Study Intervention Period

    An SBM is defined as a BM that occurs in the absence of laxative, enema, or suppository use on the calendar day of the BM or the calendar day before the BM. The caregiver/parent/guardian/legally authorized representative (LAR) will complete the electronic diary (eDiary), providing data for the SBM frequency rate up to the last dose date equivalent to the 4-week SBM frequency rate.

    Measured: Baseline to Week 4

  2. Change From Baseline in Stool Consistency (Bristol Stool Form Scale) During the Study Intervention Period

    The caregiver/parent/guardian/legally authorized representative (LAR) will rate and record in an eDiary the consistency of the stool for each BM using the Bristol Stool Form 7-point scale in which 1=Separate hard lumps, like nuts (hard to pass); 2=Sausage-shaped, but lumpy; 3=Like a sausage but with cracks on its surface; 4=Like a sausage or snake, smooth and soft; 5=Soft blobs with clear cut edges (easy to pass); 6=Fluffy pieces with ragged edges, a mushy stool; and 7=Watery, no solid pieces, entirely liquid.

    Measured: Baseline to Week 4

  3. Change From Baseline in Straining During the Study Intervention Period

    Straining for each LAR/parent/guardian/caregiver-observed BM the child passes was collected daily in the eDiary device, using a 4-point scale (0 = No, not at all; 1 = Yes, a little; 2 = Yes, a lot; 3 = I don't know) based on two questions (did he/she grunt or make a face like he/she was straining). Lower value represents a better outcome and "I don't know" is considered as a missing response. The subject's average straining score for each caregiver-observed BM was derived based on the average of non-missing responses of the two straining questions. The participant's straining score in the 4-week Study Intervention Period was the average of the non-missing average straining scores from all caregiver-observed SBMs during the 4-week Study Intervention Period. If a subject had no caregiver-observed SBMs at baseline, then the baseline straining score reported by the caregiver was missing and, therefore, that subject was not included in the change from baseline straining analysis.

    Measured: Baseline to Week 4

  4. Number of Participants With Adverse Events (AEs)

    An adverse event (AE) is defined as any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product which does not necessarily have a causal relationship with this treatment. The investigator assesses the relationship of each event to the use of study.

    Measured: Up to Week 5

Timeline

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

  1. First posted8 Mar 2023
  2. Study start27 Apr 2023
  3. Primary completion9 Jun 2025
  4. Study completion9 Jun 2025

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
Sequential
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
19 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05760313
Sponsor's protocol ID
M21-862
Other IDs
2022-501947-34-00
Status last verified
Jan 2026
First submitted
27 Feb 2023
Last updated
6 Jan 2026
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: AbbVie is committed to responsible clinical trial data sharing. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information.

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free AzTrials account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in