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| Name | Class |
|---|---|
| Forest Laboratories | INDUSTRY |
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The objective of this trial was to determine the efficacy and safety of linaclotide 72 ug administered once daily to patients with chronic idiopathic constipation (CIC). The primary efficacy parameter is the percentage of participants in each dosing group that meet the protocol definition for complete spontaneous bowel movement (CSBM) Overall Responder.
The trial also included a 145 ug linaclotide treatment arm (an FDA-approved dose for CIC) as an established positive control to validate the study design.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 72 μg linaclotide | Experimental | 72 μg oral linaclotide, once daily for 12 weeks |
|
| 145 μg linaclotide | Experimental | 145 μg oral linaclotide, once daily for 12 weeks |
|
| Placebo | Placebo Comparator | matching placebo, once daily for 12 weeks |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Linaclotide | Drug |
|
| |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of 12-Week CSBM Overall Responders | A 12-week CSBM Overall Responder is a participant who was a CSBM Weekly Responder for at least 9 of the 12 weeks of the Treatment Period. A CSBM Weekly Responder is a participant who had a CSBM weekly frequency rate that was 3 or greater and increased by 1 or more from baseline, and completed ≥ 4 IVRS calls for the specified week. A CSBM is defined as an SBM that is associated with a sense of complete evacuation. An SBM is 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. | Week 12 |
| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline in 12-Week CSBM Frequency Rate | A participant's 12-week CSBM Frequency Rate is the CSBM rate (CSBMs/week) calculated over the 12 weeks of the Treatment Period. A CSBM is defined as an SBM that is associated with a sense of complete evacuation. An SBM is defined as a 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. |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of 12-Week CSBM Overall Sustained Responders | A 12-week CSBM Overall Sustained Responder is a participant who was a CSBM Weekly Responder for at least 9 of the 12 weeks of the Treatment Period, including ≥ 3 of the last 4 weeks. A CSBM Weekly Responder is a participant who had a CSBM weekly frequency rate that was 3 or greater and increased by 1 or more from baseline, and completed ≥ 4 IVRS calls for the specified week. A CSBM is defined as an SBM that is associated with a sense of complete evacuation. An SBM is defined as a 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. |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Bernard J Lavins, MD | Ironwood Pharmaceuticals, Inc. | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ironwood Investigational Site | Huntsville | Alabama | 35801 | United States | ||
| Ironwood Investigational Site |
A total of 2244 participants were screened; 1223 were randomized and 1021 were not randomized (478 participants were screen failures and 543 participants were pretreatment failures).
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| ID | Title | Description |
|---|---|---|
| FG000 | Placebo | Matching placebo, once daily for 12 weeks |
| FG001 | 72 μg Linaclotide | 72 μg oral linaclotide, once daily for 12 weeks |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Matching Placebo |
| Drug |
|
| Baseline, Week 1 to Week 12 |
| Change From Baseline in 12-Week SBM Frequency Rate | A participant's 12-week SBM Frequency Rate is the SBM rate (SBMs/week) calculated over the 12-weeks of the Treatment Period. An SBM is defined as a 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. | Baseline, Week 1 to Week 12 |
| Change From Baseline in 12-Week Stool Consistency Score | Stool consistency was measured daily using the 7-point ordinal Bristol Stool Form Scale (BSFS; 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]). The participant's BSFS score for the Treatment Period is the average of the non-missing BSFS scores from the SBMs reported by the participant during the 12-week Treatment Period. | Baseline, Week 1 to Week 12 |
| Change From Baseline in 12-Week Straining Score | Straining was measured daily using a 5-point ordinal scale (1 = not at all; 2 = a little bit; 3 = a moderate amount; 4 = a great deal; 5 = an extreme amount). The participant's straining score for the Treatment Period is the average of the non-missing straining scores from the SBMs reported by the participant during the 12-week Treatment Period. | Baseline, Week 1 to Week 12 |
| Percentage of 12-Week CSBM Overall Responders (>1 SBM/Week Subpopulation) | A 12-week CSBM Overall Responder is a participant who was a CSBM Weekly Responder for at least 9 of the 12 weeks of the Treatment Period. A CSBM Weekly Responder is a participant who had a CSBM weekly frequency rate that was 3 or greater and increased by 1 or more from baseline, and completed ≥4 IVRS calls for the specified week. A CSBM is defined as an SBM that is associated with a sense of complete evacuation. An SBM is defined as a 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. | Week 12 |
| Percentage of Month 1 CSBM Responders | A Month 1 CSBM Responder is a participant who is a CSBM weekly responder for at least 3 of the 4 weeks of Month 1 of the Treatment Period. A CSBM weekly responder is a participant who had a CSBM weekly frequency rate that was 3 or greater and increased by 1 or more from baseline based on a minimum of 4 complete IVRS calls for that week. A CSBM is defined as an SBM that is associated with a sense of complete evacuation. An SBM is defined as a 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. | Month 1 |
| Percentage of Month 2 CSBM Responders | A Month 2 CSBM Responder is a participant who is a CSBM weekly responder for at least 3 of the 4 weeks of Month 2 of the Treatment Period. A CSBM weekly responder is a participant who had a CSBM weekly frequency rate that was 3 or greater and increased by 1 or more from baseline based on a minimum of 4 complete IVRS calls for that week. A CSBM is defined as an SBM that is associated with a sense of complete evacuation. An SBM is defined as a 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. | Month 2 |
| Percentage of Month 3 CSBM Responders | A Month 3 CSBM Responder is a participant who is a CSBM weekly responder for at least 3 of the 4 weeks of Month 3 of the Treatment Period. A CSBM weekly responder is a participant who had a CSBM weekly frequency rate that was 3 or greater and increased by 1 or more from baseline based on a minimum of 4 complete IVRS calls for that week. A CSBM is defined as an SBM that is associated with a sense of complete evacuation. An SBM is defined as a 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. | Month 3 |
| Change From Baseline in 12-Week Abdominal Bloating | Abdominal bloating was measured daily using an 11-point NRS (0 = none; 10 = very severe). The participant's abdominal bloating score for the Treatment Period is the average of the non-missing daily participant assessments of abdominal bloating scores reported during the 12-week Treatment Period. | Baseline, Week 1 to Week 12 |
| Change From Baseline in 12-Week Abdominal Discomfort | Abdominal discomfort was measured daily using an 11-point NRS (0 = none; 10 = very severe). The participant's abdominal discomfort score for the Treatment Period is the average of the non-missing daily participant assessments of abdominal discomfort scores reported during the 12-week Treatment Period. | Baseline, Week 1 to Week 12 |
| Week 12 |
| Phoenix |
| Arizona |
| 85018 |
| United States |
| Ironwood Investigational Site | Tucson | Arizona | 85712 | United States |
| Ironwood Investigational Site | North Little Rock | Arkansas | 72117 | United States |
| Ironwood Investigational Site | Anaheim | California | 92801 | United States |
| Ironwood Investigational Site | Chula Vista | California | 91910 | United States |
| Ironwood Investigational Site | Garden Grove | California | 92843 | United States |
| Ironwood Investigational Site | La Mesa | California | 91942 | United States |
| Ironwood Investigational Site | North Hollywood | California | 91606 | United States |
| Ironwood Investigational Site | Orange | California | 92868 | United States |
| Ironwood Investigational Site | San Diego | California | 92108 | United States |
| Ironwood Investigational Site | Thousand Oaks | California | 91360 | United States |
| Ironwood Investigational Site | Colorado Springs | Colorado | 80904 | United States |
| Ironwood Investigational Site | Bristol | Connecticut | 06010 | United States |
| Ironwood Investigational Site | Boynton Beach | Florida | 33426 | United States |
| Ironwood Investigational Site | Coral Gables | Florida | 33134 | United States |
| Ironwood Investigational Site | DeLand | Florida | 32720 | United States |
| Ironwood Investigational Site | Hialeah | Florida | 33016 | United States |
| Ironwood Investigational Site | Inverness | Florida | 34452 | United States |
| Ironwood Investigational Site | Jupiter | Florida | 33458 | United States |
| Ironwood Investigational Site | Kissimmee | Florida | 34741 | United States |
| Ironwood Investigational Site | Lauderdale Lakes | Florida | 33319 | United States |
| Ironwood Investigational Site | Miami | Florida | 33015 | United States |
| Ironwood Investigational Site | Miami | Florida | 33126 | United States |
| Ironwood Investigational Site | Miami | Florida | 33133 | United States |
| Ironwood Investigational Site | Miami | Florida | 33135 | United States |
| Ironwood Investigational Site | Miami | Florida | 33165 | United States |
| Ironwood Investigational Site | Miami | Florida | 33175 | United States |
| Ironwood Investigational Site | Orlando | Florida | 32806 | United States |
| Ironwood Investigational Site | Ormond Beach | Florida | 32174 | United States |
| Ironwood Investigational Site | Port Orange County | Florida | 32129 | United States |
| Ironwood Investigational Site | South Miami | Florida | 33143 | United States |
| Ironwood Investigational Site | Tampa | Florida | 33634 | United States |
| Ironwood Investigational Site | West Palm Beach | Florida | 33409 | United States |
| Ironwood Investigational Site | Winter Park | Florida | 32792 | United States |
| Ironwood Investigational Site | Atlanta | Georgia | 30328 | United States |
| Ironwood Investigational Site | Oakwood | Georgia | 30566 | United States |
| Ironwood Investigational Site | Sandy Springs | Georgia | 30328 | United States |
| Ironwood Investigational Site | Evansville | Indiana | 47714 | United States |
| Ironwood Investigational Site | Bastrop | Louisiana | 71220 | United States |
| Ironwood Investigational Site | Metairie | Louisiana | 70006 | United States |
| Ironwood Investigational Site | Shreveport | Louisiana | 71103 | United States |
| Ironwood Investigational Site | Baltimore | Maryland | 21215 | United States |
| Ironwood Investigational Site | Chevy Chase | Maryland | 20815 | United States |
| Ironwood Investigational Site | Hagerstown | Maryland | 21740 | United States |
| Ironwood Investigational Site | Hollywood | Maryland | 20636 | United States |
| Ironwood Investigational Site | Boston | Massachusetts | 02135 | United States |
| Ironwood Investigational Site | Wellesley | Massachusetts | 02481 | United States |
| Ironwood Investigational Site | Chesterfield | Michigan | 48047 | United States |
| Ironwood Investigational Site | Troy | Michigan | 48098 | United States |
| Ironwood Investigational Site | Wyoming | Michigan | 49519 | United States |
| Ironwood Investigational Site | Jackson | Mississippi | 39202 | United States |
| Ironwood Investigational Site | St Louis | Missouri | 63128 | United States |
| Ironwood Investigational Site | Bozeman | Montana | 59718 | United States |
| Ironwood Investigational Site | Las Vegas | Nevada | 89119 | United States |
| Ironwood Investigational Site | Las Vegas | Nevada | 89121 | United States |
| Ironwood Investigational Site | Brooklyn | New York | 11206 | United States |
| Ironwood Investigational Site | Endwell | New York | 13760 | United States |
| Ironwood Investigational Site | Great Neck | New York | 11023 | United States |
| Ironwood Investigational Site | Charlotte | North Carolina | 28209 | United States |
| Ironwood Investigational Site | Charlotte | North Carolina | 28226 | United States |
| Ironwood Investigational Site | Greensboro | North Carolina | 27403 | United States |
| Ironwood Investigational Site | High Point | North Carolina | 27262 | United States |
| Ironwood Investigational Site | Lenoir | North Carolina | 28645 | United States |
| Ironwood Investigational Site | Raleigh | North Carolina | 27612 | United States |
| Ironwood Investigational Site | Wilmington | North Carolina | 28401 | United States |
| Ironwood Investigational Site | Winston-Salem | North Carolina | 27103 | United States |
| Ironwood Investigational Site | Fargo | North Dakota | 58103 | United States |
| Ironwood Investigational Site | Cincinnati | Ohio | 45219 | United States |
| Ironwood Investigational Site | Cincinnati | Ohio | 45224 | United States |
| Ironwood Investigational Site | Columbus | Ohio | 43214 | United States |
| Ironwood Investigational Site | Mentor | Ohio | 44060 | United States |
| Ironwood Investigational Site | Sylvania | Ohio | 43560 | United States |
| Ironwood Investigational Site | Oklahoma City | Oklahoma | 73112 | United States |
| Ironwood Investigational Site | Levittown | Pennsylvania | 19056 | United States |
| Ironwood Investigational Site | Anderson | South Carolina | 29621 | United States |
| Ironwood Investigational Site | Greer | South Carolina | 29651 | United States |
| Ironwood Investigational Site | Simpsonville | South Carolina | 29681 | United States |
| Ironwood Investigational Site | Dakota Dunes | South Dakota | 57049 | United States |
| Ironwood Investigational Site | Bristol | Tennessee | 37620 | United States |
| Ironwood Investigational Site | Chattanooga | Tennessee | 37421 | United States |
| Ironwood Investigational Site | Knoxville | Tennessee | 37919 | United States |
| Ironwood Investigational Site | Beaumont | Texas | 77701 | United States |
| Ironwood Investigational Site | Dallas | Texas | 75230 | United States |
| Ironwood Investigational Site | El Paso | Texas | 79905 | United States |
| Ironwood Investigational Site | Houston | Texas | 77074 | United States |
| Ironwood Investigational Site | Houston | Texas | 77098 | United States |
| Ironwood Investigational Site | Longview | Texas | 75605 | United States |
| Ironwood Investigational Site | San Antonio | Texas | 78209 | United States |
| Ironwood Investigational Site | San Antonio | Texas | 78229 | United States |
| Ironwood Investigational Site | San Antonio | Texas | 78258 | United States |
| Ironwood Investigational Site | South Ogden | Utah | 84405 | United States |
| Ironwood Investigational Site | Christiansburg | Virginia | 24073 | United States |
| Ironwood Investigational Site | Lynchburg | Virginia | 24502 | United States |
| Ironwood Investigational Site | La Crosse | Wisconsin | 54601 | United States |
| FG002 | 145 μg Linaclotide | 145 μg oral linaclotide, once daily for 12 weeks |
| COMPLETED |
|
| NOT COMPLETED |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Placebo | Matching placebo, once daily for 12 weeks |
| BG001 | 72 μg Linaclotide | 72 μg oral linaclotide, once daily for 12 weeks |
| BG002 | 145 μg Linaclotide | 145 μg oral linaclotide, once daily for 12 weeks |
| BG003 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | |||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| ||||||||||
| Age, Customized | Count of Participants | Participants |
| |||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| |||||||||||
| Complete Spontaneous Bowel Movement Weekly Rate | Number of complete spontaneous bowel movements (CSBMs) per week. A CSBM is defined as a spontaneous bowel movement (SBM) that is associated with a sense of complete evacuation. An SBM is 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. Baseline efficacy values are derived from the interactive voice response system (IVRS) daily diary data collected in the Pretreatment Period, specifically the period of time from 14 days before randomization up to the time of randomization. | Mean | Standard Deviation | CSBMs/week |
| |||||||||
| Spontaneous Bowel Movement Weekly Rate | Number of spontaneous bowel movements (SBMs) per week. An SBM is defined as a 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. Baseline efficacy values are derived from the IVRS daily diary data collected in the Pretreatment Period, specifically the period of time from 14 days before randomization up to the time of randomization. | Mean | Standard Deviation | SBMs/week |
| |||||||||
| Stool Consistency Score | Measured daily using the 7-point ordinal Bristol Stool Form Scale (BSFS; 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]). Baseline efficacy values are derived from the IVRS daily diary data collected in the Pretreatment Period, specifically the period of time from 14 days before randomization up to the time of randomization. | Participants who did not have an SBM at baseline had missing Stool Consistency baseline scores. | Mean | Standard Deviation | units on a scale |
| ||||||||
| Straining Score | Straining was measured daily using a 5-point ordinal scale (1 = not at all; 2 = a little bit; 3 = a moderate amount; 4 = a great deal; 5 = an extreme amount). Baseline efficacy values are derived from the IVRS daily diary data collected in the Pretreatment Period, specifically the period of time from 14 days before randomization up to the time of randomization. | Participants who did not have an SBM at baseline had missing Straining baseline scores. | Mean | Standard Deviation | units on a scale |
| ||||||||
| Abdominal Discomfort | Abdominal discomfort was measured daily using an 11-point numerical rating scale (NRS; 0 = none; 10 = very severe). Baseline efficacy values are derived from the IVRS daily diary data collected in the Pretreatment Period, specifically the period of time from 14 days before randomization up to the time of randomization. | Mean | Standard Deviation | units on a scale |
| |||||||||
| Abdominal Bloating | Abdominal bloating was measured daily using an 11-point NRS (0 = none; 10 = very severe). Baseline efficacy values are derived from the IVRS daily diary data collected in the Pretreatment Period, specifically the period of time from 14 days before randomization up to the time of randomization. | Mean | Standard Deviation | units on a scale |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Percentage of 12-Week CSBM Overall Responders | A 12-week CSBM Overall Responder is a participant who was a CSBM Weekly Responder for at least 9 of the 12 weeks of the Treatment Period. A CSBM Weekly Responder is a participant who had a CSBM weekly frequency rate that was 3 or greater and increased by 1 or more from baseline, and completed ≥ 4 IVRS calls for the specified week. A CSBM is defined as an SBM that is associated with a sense of complete evacuation. An SBM is 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. | Intent-to-Treat Population: all randomized participants who received at least one dose of study drug. Only data for the 72 μg dose versus placebo arms were prospectively defined and evaluated as a primary endpoint; per protocol, data for the 145 μg dose arm were not collected for any pre-specified primary or secondary outcome measures. | Posted | Number | percentage of participants | Week 12 |
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| Secondary | Change From Baseline in 12-Week CSBM Frequency Rate | A participant's 12-week CSBM Frequency Rate is the CSBM rate (CSBMs/week) calculated over the 12 weeks of the Treatment Period. A CSBM is defined as an SBM that is associated with a sense of complete evacuation. An SBM is defined as a 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. | Intent-to-Treat Population: all randomized participants who received at least one dose of study drug. Only data for the 72 μg dose versus placebo arms were prospectively defined and evaluated as a secondary endpoint; data for the 145 μg dose arm were defined and evaluated as an additional endpoint per protocol. | Posted | Least Squares Mean | Standard Error | CSBMs/week | Baseline, Week 1 to Week 12 |
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| Secondary | Change From Baseline in 12-Week SBM Frequency Rate | A participant's 12-week SBM Frequency Rate is the SBM rate (SBMs/week) calculated over the 12-weeks of the Treatment Period. An SBM is defined as a 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. | Intent-to-Treat Population: all randomized participants who received at least one dose of study drug. Only data for the 72 μg dose versus placebo arms were prospectively defined and evaluated as a secondary endpoint; data for the 145 μg dose arm were defined and evaluated as an additional endpoint per protocol. | Posted | Least Squares Mean | Standard Error | SBMs/week | Baseline, Week 1 to Week 12 |
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| Secondary | Change From Baseline in 12-Week Stool Consistency Score | Stool consistency was measured daily using the 7-point ordinal Bristol Stool Form Scale (BSFS; 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]). The participant's BSFS score for the Treatment Period is the average of the non-missing BSFS scores from the SBMs reported by the participant during the 12-week Treatment Period. | Intent-to-Treat Population: all randomized participants who received ≥ 1 dose of study drug and reported an SBM during the Baseline period. Only data for the 72 μg dose versus placebo arms were prospectively defined and evaluated as a secondary endpoint; data for the 145 μg dose arm were defined and evaluated as an additional endpoint per protocol. | Posted | Least Squares Mean | Standard Error | units on a scale | Baseline, Week 1 to Week 12 |
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| Secondary | Change From Baseline in 12-Week Straining Score | Straining was measured daily using a 5-point ordinal scale (1 = not at all; 2 = a little bit; 3 = a moderate amount; 4 = a great deal; 5 = an extreme amount). The participant's straining score for the Treatment Period is the average of the non-missing straining scores from the SBMs reported by the participant during the 12-week Treatment Period. | Intent-to-Treat Population: all randomized participants who received ≥ 1 dose of study drug and reported an SBM during the Baseline period. Only data for the 72 μg dose versus placebo arms were prospectively defined and evaluated as a secondary endpoint; data for the 145 μg dose arm were defined and evaluated as an additional endpoint per protocol. | Posted | Least Squares Mean | Standard Error | units on a scale | Baseline, Week 1 to Week 12 |
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| Secondary | Percentage of 12-Week CSBM Overall Responders (>1 SBM/Week Subpopulation) | A 12-week CSBM Overall Responder is a participant who was a CSBM Weekly Responder for at least 9 of the 12 weeks of the Treatment Period. A CSBM Weekly Responder is a participant who had a CSBM weekly frequency rate that was 3 or greater and increased by 1 or more from baseline, and completed ≥4 IVRS calls for the specified week. A CSBM is defined as an SBM that is associated with a sense of complete evacuation. An SBM is defined as a 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. | Participants in the Intent-to-Treat Population who reported >1 SBM/week during the Pretreatment Period (14 days prior to randomization). Only data for the 72 μg dose versus placebo arms were prospectively defined and evaluated as a secondary endpoint; data for the 145 μg dose arm were defined and evaluated as an additional endpoint per protocol. | Posted | Number | percentage of participants | Week 12 |
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| Secondary | Percentage of Month 1 CSBM Responders | A Month 1 CSBM Responder is a participant who is a CSBM weekly responder for at least 3 of the 4 weeks of Month 1 of the Treatment Period. A CSBM weekly responder is a participant who had a CSBM weekly frequency rate that was 3 or greater and increased by 1 or more from baseline based on a minimum of 4 complete IVRS calls for that week. A CSBM is defined as an SBM that is associated with a sense of complete evacuation. An SBM is defined as a 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. | Intent-to-Treat Population: all randomized participants who received at least one dose of study drug. Only data for the 72 μg dose versus placebo arms were prospectively defined and evaluated as a secondary endpoint; data for the 145 μg dose arm were defined and evaluated as an additional endpoint per protocol. | Posted | Number | percentage of participants | Month 1 |
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| Secondary | Percentage of Month 2 CSBM Responders | A Month 2 CSBM Responder is a participant who is a CSBM weekly responder for at least 3 of the 4 weeks of Month 2 of the Treatment Period. A CSBM weekly responder is a participant who had a CSBM weekly frequency rate that was 3 or greater and increased by 1 or more from baseline based on a minimum of 4 complete IVRS calls for that week. A CSBM is defined as an SBM that is associated with a sense of complete evacuation. An SBM is defined as a 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. | Intent-to-Treat Population: all randomized participants who received at least one dose of study drug. Only data for the 72 μg dose versus placebo arms were prospectively defined and evaluated as a secondary endpoint; data for the 145 μg dose arm were defined and evaluated as an additional endpoint per protocol. | Posted | Number | percentage of participants | Month 2 |
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| Secondary | Percentage of Month 3 CSBM Responders | A Month 3 CSBM Responder is a participant who is a CSBM weekly responder for at least 3 of the 4 weeks of Month 3 of the Treatment Period. A CSBM weekly responder is a participant who had a CSBM weekly frequency rate that was 3 or greater and increased by 1 or more from baseline based on a minimum of 4 complete IVRS calls for that week. A CSBM is defined as an SBM that is associated with a sense of complete evacuation. An SBM is defined as a 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. | Intent-to-Treat Population: all randomized participants who received at least one dose of study drug. Only data for the 72 μg dose versus placebo arms were prospectively defined and evaluated as a secondary endpoint; data for the 145 μg dose arm were defined and evaluated as an additional endpoint per protocol. | Posted | Number | percentage of participants | Month 3 |
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| Secondary | Change From Baseline in 12-Week Abdominal Bloating | Abdominal bloating was measured daily using an 11-point NRS (0 = none; 10 = very severe). The participant's abdominal bloating score for the Treatment Period is the average of the non-missing daily participant assessments of abdominal bloating scores reported during the 12-week Treatment Period. | Intent-to-Treat Population: all randomized participants who received at least one dose of study drug. Only data for the 72 μg dose versus placebo arms were prospectively defined and evaluated as a secondary endpoint; data for the 145 μg dose arm were defined and evaluated as an additional endpoint per protocol. | Posted | Least Squares Mean | Standard Error | units on a scale | Baseline, Week 1 to Week 12 |
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| Secondary | Change From Baseline in 12-Week Abdominal Discomfort | Abdominal discomfort was measured daily using an 11-point NRS (0 = none; 10 = very severe). The participant's abdominal discomfort score for the Treatment Period is the average of the non-missing daily participant assessments of abdominal discomfort scores reported during the 12-week Treatment Period. | Intent-to-Treat Population: all randomized participants who received at least one dose of study drug. Only data for the 72 μg dose versus placebo arms were prospectively defined and evaluated as a secondary endpoint; data for the 145 μg dose arm were defined and evaluated as an additional endpoint per protocol. | Posted | Least Squares Mean | Standard Error | units on a scale | Baseline, Week 1 to Week 12 |
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| Other Pre-specified | Percentage of 12-Week CSBM Overall Sustained Responders | A 12-week CSBM Overall Sustained Responder is a participant who was a CSBM Weekly Responder for at least 9 of the 12 weeks of the Treatment Period, including ≥ 3 of the last 4 weeks. A CSBM Weekly Responder is a participant who had a CSBM weekly frequency rate that was 3 or greater and increased by 1 or more from baseline, and completed ≥ 4 IVRS calls for the specified week. A CSBM is defined as an SBM that is associated with a sense of complete evacuation. An SBM is defined as a 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. | Intent-to-Treat Population: all randomized participants who received at least one dose of study drug. Only data for the 72 μg dose versus placebo arms were prospectively defined and evaluated as a secondary endpoint; data for the 145 μg dose arm were defined and evaluated as an additional endpoint per protocol. | Posted | Number | percentage of participants | Week 12 |
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From first dose of double-blind study drug up to Week 12/End of Treatment Visit (Day 85 + 3 days) for nonserious events and within 30 days of the date of last dose of double-blind study drug for serious events.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Placebo | Matching placebo, once daily for 12 weeks | 4 | 401 | 28 | 401 | ||
| EG001 | 72 μg Linaclotide | 72 μg oral linaclotide, once daily for 12 weeks | 3 | 411 | 79 | 411 | ||
| EG002 | 145 μg Linaclotide | 145 μg oral linaclotide, once daily for 12 weeks | 2 | 411 | 91 | 411 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Colitis | Gastrointestinal disorders | MedDRA 17.0 | Systematic Assessment |
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| Diabetes mellitus inadequate control | Metabolism and nutrition disorders | MedDRA 17.0 | Systematic Assessment |
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| Asthma | Respiratory, thoracic and mediastinal disorders | MedDRA 17.0 | Systematic Assessment |
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| Azotaemia | Renal and urinary disorders | MedDRA 17.0 | Systematic Assessment |
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| Constipation | Gastrointestinal disorders | MedDRA 17.0 | Systematic Assessment |
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| Gastrointestinal haemorrhage | Gastrointestinal disorders | MedDRA 17.0 | Systematic Assessment |
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| Hypotension | Vascular disorders | MedDRA 17.0 | Systematic Assessment |
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| Intraductal proliferative breast lesion | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 17.0 | Systematic Assessment |
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| Peptic ulcer | Gastrointestinal disorders | MedDRA 17.0 | Systematic Assessment |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Diarrhea | Gastrointestinal disorders | MedDRA 17.0 | Systematic Assessment |
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PI may publish or disclose the results of the study 24 months after final data lock provided that sponsor can review the publication prior to public release, sponsor can request removal of confidential information of sponsor (not including results of trial), and sponsor can request a publication delay in order to protect potentially patentable information. Furthermore, if a publication committee is developing an initial publication, PI is to delay disclosure until that publication is published.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Michael Hall, MD | Ironwood Pharmaceuticals, Inc. | (617) 621-7722 |
| ID | Term |
|---|---|
| C523483 | linaclotide |
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| 40 to < 65 years |
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| ≥ 65 years |
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