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This phase 3, 26-week, randomized, double-blind, placebo-controlled, multi-center study will evaluate the safety and efficacy of one dose of Tenapanor in subjects with constipation-predominant irritable bowel syndrome (IBS-C) as defined by the ROME III criteria and who have active disease as determined after a two-week screening period. Subjects who qualify and are randomized into the study will either receive 50mg BID of Tenapanor (1:1) for a 26 week treatment period.
During the 26-week double-blind treatment period, subjects will record daily assessments including: frequency and timing of bowel movements; sensation of complete bowel emptying; consistency of bowel movements; degree of straining, worst abdominal pain, abdominal discomfort, abdominal bloating, abdominal fullness and abdominal cramping; and use and timing of rescue medication. Subjects will also record weekly assessments including: adequate relief of IBS symptoms, degree of relief of IBS symptoms, IBS severity, and constipation severity.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 50mg BID | Experimental | Tenapanor, 50mg BID (100mg total) |
|
| Placebo | Placebo Comparator | Placebo |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Tenapanor | Drug |
|
| |
| Placebo |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Subjects With Overall Response for 6 Out of 12 Weeks | An overall responder is defined as a weekly responder for the first 6/12 weeks where both CSBM and abdominal pain response criteria were met for the week. The CSBM response criteria are defined as an increase of one or more change in average weekly CSBMs from baseline. The definition of a CSBM is as follows: A CSBM is a spontaneous bowel movement (SBM) for which the subject responds "yes" to the following question; "Did you feel like you completely emptied your bowels?" The abdominal pain response criterion is defined as a decrease of 30% or more of percent change in average weekly worst abdominal pain from baseline. | First 12 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Subjects With Overall Complete Spontaneous Bowel Movement (CSBM) Response for 6 Out of 12 Weeks | An overall CSBM responder is defined as a weekly responder for the first 6/12 weeks. The CSBM response criteria are defined as an increase of one or more change in average weekly CSBMs from baseline. The definition of a CSBM is as follows: A CSBM is a spontaneous bowel movement (SBM) for which the subject responds "yes" to the following question; "Did you feel like you completely emptied your bowels?" |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| David P Rosenbaum, Ph.D. | Ardelyx, Inc. | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ardelyx Investigative Site 257 | Dothan | Alabama | 36305 | United States | ||
| Ardelyx Investigative Site 200 |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41601848 | Derived | Lacy BE, Shin AS, Cangemi DJ, Yang Y, Zhao S, Rosenbaum DP. Tenapanor is associated with earlier and sustained symptom relief in IBS-C: a post hoc analysis. Ther Adv Gastroenterol. 2026 Jan 24;19:17562848251414831. doi: 10.1177/17562848251414831. eCollection 2026. | |
| 37668173 | Derived | Lembo AJ, Friedenberg KA, Fogel RP, Edelstein S, Zhao S, Yang Y, Rosenbaum DP, Chey WD. Long-term safety of tenapanor in patients with irritable bowel syndrome with constipation in the T3MPO-3 study. Neurogastroenterol Motil. 2023 Nov;35(11):e14658. doi: 10.1111/nmo.14658. Epub 2023 Sep 5. |
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| ID | Title | Description |
|---|---|---|
| FG000 | 50mg BID | Tenapanor, 50mg BID (100mg total) Tenapanor |
| FG001 | Placebo | Placebo Placebo |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Oct 6, 2015 | Mar 30, 2020 |
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| Drug |
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| First 12 weeks |
| Percentage of Subjects With Overall Abdominal Pain Response for 6 Out of 12 Weeks | An overall abdominal pain responder is defined as a weekly responder for the first 6/12 weeks. The abdominal pain response criterion is defined as a decrease of 30% or more of percent change in average weekly worst abdominal pain from baseline. | First 12 weeks |
| Percentage of Subjects With Overall Response for 13 Out of 26 Weeks | An overall responder is defined as a weekly responder for the first 13/26 weeks where both CSBM and abdominal pain response criteria were met for the week. The CSBM response criteria are defined as an increase of one or more change in average weekly CSBMs from baseline. The definition of a CSBM is as follows: A CSBM is a spontaneous bowel movement (SBM) for which the subject responds "yes" to the following question; "Did you feel like you completely emptied your bowels?" The abdominal pain response criterion is defined as a decrease of 30% or more of percent change in average weekly worst abdominal pain from baseline. | 26 weeks |
| Percentage of Subjects With Overall Complete Spontaneous Bowel Movement (CSBM) Response for 13 Out of 26 Weeks | An overall CSBM responder is defined as a weekly responder for the first 13/26 weeks. The CSBM response criteria are defined as an increase of one or more change in average weekly CSBMs from baseline. The definition of a CSBM is as follows: A CSBM is a spontaneous bowel movement (SBM) for which the subject responds "yes" to the following question; "Did you feel like you completely emptied your bowels?" | 26 weeks |
| Percentage of Subjects With Overall Abdominal Pain Response for 13 Out of 26 Weeks | An overall abdominal pain responder is defined as a weekly responder for the first 13/26 weeks. The abdominal pain response criterion is defined as a decrease of 30% or more of percent change in average weekly worst abdominal pain from baseline. | 26 weeks |
| Percentage of Subjects With Overall Response for 9 Out of 12 Weeks | An overall responder is defined as a weekly responder for the first 9/12 weeks where both CSBM and abdominal pain response criteria were met for the week. The CSBM response criteria are defined as an increase of one or more change in average weekly CSBMs from baseline and a minimum of at least 3 CSBMs that same week. The definition of a CSBM is as follows: A CSBM is a spontaneous bowel movement (SBM) for which the subject responds "yes" to the following question; "Did you feel like you completely emptied your bowels?" The abdominal pain response criterion is defined as a decrease of 30% or more of percent change in average weekly worst abdominal pain from baseline. | First 12 weeks |
| Percentage of Subjects With Overall Complete Spontaneous Bowel Movement (CSBM) Response for 9 Out of 12 Weeks | An overall CSBM responder is defined as a weekly responder for the first 9/12 weeks. The CSBM response criteria are defined as an increase of one or more change in average weekly CSBMs from baseline and a minimum of at least 3 CSBMs that same week. The definition of a CSBM is as follows: A CSBM is a spontaneous bowel movement (SBM) for which the subject responds "yes" to the following question; "Did you feel like you completely emptied your bowels?" | First 12 weeks |
| Percentage of Subjects With Overall Abdominal Pain Response for 9 Out of 12 Weeks | An overall abdominal pain responder is defined as a weekly responder for the first 9/12 weeks. The abdominal pain response criterion is defined as a decrease of 30% or more of percent change in average weekly worst abdominal pain from baseline. | First 12 weeks |
| Foley |
| Alabama |
| 36535 |
| United States |
| Ardelyx Investigative Site 103 | Huntsville | Alabama | 35801 | United States |
| Ardelyx Investigative Site 244 | Huntsville | Alabama | 35801 | United States |
| Ardelyx Investigative Site 251 | Huntsville | Alabama | 35801 | United States |
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| Ardelyx Investigative Site 213 | Savannah | Georgia | 31406 | United States |
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| Ardelyx Investigative Site 282 | Jefferson City | Missouri | 65109 | United States |
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| Ardelyx Investigative Site 156 | Billings | Montana | 59102 | United States |
| Ardelyx Investigative Site 182 | Las Vegas | Nevada | 89128 | United States |
| Ardelyx Investigative Site 175 | Vineland | New Jersey | 08360 | United States |
| Ardelyx Investigative Site 222 | Albuquerque | New Mexico | 87102 | United States |
| Ardelyx Investigative Site 264 | Albuquerque | New Mexico | 87106 | United States |
| Ardelyx Investigative Site 230 | Brooklyn | New York | 11206 | United States |
| Ardelyx Investigative Site 170 | Great Neck | New York | 11023 | United States |
| Ardelyx Investigative Site 203 | New Hyde Park | New York | 11040 | United States |
| Ardelyx Investigative Site 205 | Fayetteville | North Carolina | 28304 | United States |
| Ardelyx Investigative Site 190 | Greensboro | North Carolina | 27408 | United States |
| Ardelyx Investigative Site 194 | Hickory | North Carolina | 28601 | United States |
| Ardelyx Investigative Site 285 | Wilmington | North Carolina | 28401 | United States |
| Ardelyx Investigative Site 172 | Beavercreek | Ohio | 45432 | United States |
| Ardelyx Investigative Site 204 | Cincinnati | Ohio | 45212 | United States |
| Ardelyx Investigative Site 201 | Cincinnati | Ohio | 45234 | United States |
| Ardelyx Investigative Site 173 | Dayton | Ohio | 45429 | United States |
| Ardelyx Investigative Site 208 | Franklin | Ohio | 45005 | United States |
| Ardelyx Investigative Site 171 | Huber Heights | Ohio | 45424 | United States |
| Ardelyx Investigative Site 219 | Lima | Ohio | 45806 | United States |
| Ardelyx Investigative Site 232 | Wadsworth | Ohio | 44281 | United States |
| Ardelyx Investigative Site 236 | Oklahoma City | Oklahoma | 73103 | United States |
| Ardelyx Investigative Site 273 | Tulsa | Oklahoma | 74135 | United States |
| Ardelyx Investigative Site 220 | Levittown | Pennsylvania | 19056 | United States |
| Ardelyx Investigative Site 248 | East Providence | Rhode Island | 02914 | United States |
| Ardelyx Investigative Site 252 | Columbia | South Carolina | 29204 | United States |
| Ardelyx Investigative Site 265 | Gaffney | South Carolina | 29341 | United States |
| Ardelyx Investigative Site 246 | Rapid City | South Dakota | 57702 | United States |
| Ardelyx Investigative Site 261 | Sioux Falls | South Dakota | 57108 | United States |
| Ardelyx Investigative Site 217 | Chattanooga | Tennessee | 37404 | United States |
| Ardelyx Investigative Site 121 | Franklin | Tennessee | 37064 | United States |
| Ardelyx Investigative Site 189 | Hermitage | Tennessee | 37076 | United States |
| Ardelyx Investigative Site 133 | Jackson | Tennessee | 38305 | United States |
| Ardelyx Investigative Site 109 | Knoxville | Tennessee | 37909 | United States |
| Ardelyx Investigative Site 266 | Memphis | Tennessee | 38119 | United States |
| Ardelyx Investigative Site 235 | Nashville | Tennessee | 37211 | United States |
| Ardelyx Investigative Site 279 | Spring Hill | Tennessee | 37174 | United States |
| Ardelyx Investigative Site 180 | Channelview | Texas | 77530 | United States |
| Ardelyx Investigative Site 286 | Houston | Texas | 77036 | United States |
| Ardelyx Investigative Site 262 | Houston | Texas | 77043 | United States |
| Ardelyx Investigative Site 185 | Houston | Texas | 77079 | United States |
| Ardelyx Investigative Site 113 | McKinney | Texas | 75071 | United States |
| Ardelyx Investigative Site 263 | Port Arthur | Texas | 77640 | United States |
| Ardelyx Investigative Site 181 | San Antonio | Texas | 78229 | United States |
| Ardelyx Investigative Site 186 | San Antonio | Texas | 78258 | United States |
| Ardelyx Investigative Site 167 | Salt Lake City | Utah | 84102 | United States |
| Ardelyx Investigative Site 249 | Norfolk | Virginia | 23502 | United States |
| Ardelyx Investigative Site 231 | Norfolk | Virginia | 23507 | United States |
| Ardelyx Investigative Site 258 | Petersburg | Virginia | 23805 | United States |
| Ardelyx Investigative Site 245 | Virginia Beach | Virginia | 23462 | United States |
| Ardelyx Investigative Site 242 | Spokane | Washington | 99202 | United States |
| Ardelyx Investigative Site 195 | Morgantown | West Virginia | 26505 | United States |
| 33337659 | Derived | Chey WD, Lembo AJ, Yang Y, Rosenbaum DP. Efficacy of Tenapanor in Treating Patients With Irritable Bowel Syndrome With Constipation: A 26-Week, Placebo-Controlled Phase 3 Trial (T3MPO-2). Am J Gastroenterol. 2021 Jun 1;116(6):1294-1303. doi: 10.14309/ajg.0000000000001056. |
| COMPLETED |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | 50mg BID | Tenapanor, 50mg BID (100mg total) Tenapanor |
| BG001 | Placebo | Placebo Placebo |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
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| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
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| Age, Continuous | Mean | Standard Deviation | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Race (NIH/OMB) | Count of Participants | Participants |
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| Body Mass Index (BMI) | Mean | Standard Deviation | kg/m^2 |
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| 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 Subjects With Overall Response for 6 Out of 12 Weeks | An overall responder is defined as a weekly responder for the first 6/12 weeks where both CSBM and abdominal pain response criteria were met for the week. The CSBM response criteria are defined as an increase of one or more change in average weekly CSBMs from baseline. The definition of a CSBM is as follows: A CSBM is a spontaneous bowel movement (SBM) for which the subject responds "yes" to the following question; "Did you feel like you completely emptied your bowels?" The abdominal pain response criterion is defined as a decrease of 30% or more of percent change in average weekly worst abdominal pain from baseline. | Posted | Count of Participants | Participants | First 12 weeks |
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| Secondary | Percentage of Subjects With Overall Complete Spontaneous Bowel Movement (CSBM) Response for 6 Out of 12 Weeks | An overall CSBM responder is defined as a weekly responder for the first 6/12 weeks. The CSBM response criteria are defined as an increase of one or more change in average weekly CSBMs from baseline. The definition of a CSBM is as follows: A CSBM is a spontaneous bowel movement (SBM) for which the subject responds "yes" to the following question; "Did you feel like you completely emptied your bowels?" | Posted | Count of Participants | Participants | First 12 weeks |
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| Secondary | Percentage of Subjects With Overall Abdominal Pain Response for 6 Out of 12 Weeks | An overall abdominal pain responder is defined as a weekly responder for the first 6/12 weeks. The abdominal pain response criterion is defined as a decrease of 30% or more of percent change in average weekly worst abdominal pain from baseline. | Posted | Count of Participants | Participants | First 12 weeks |
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| Secondary | Percentage of Subjects With Overall Response for 13 Out of 26 Weeks | An overall responder is defined as a weekly responder for the first 13/26 weeks where both CSBM and abdominal pain response criteria were met for the week. The CSBM response criteria are defined as an increase of one or more change in average weekly CSBMs from baseline. The definition of a CSBM is as follows: A CSBM is a spontaneous bowel movement (SBM) for which the subject responds "yes" to the following question; "Did you feel like you completely emptied your bowels?" The abdominal pain response criterion is defined as a decrease of 30% or more of percent change in average weekly worst abdominal pain from baseline. | Posted | Count of Participants | Participants | 26 weeks |
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| Secondary | Percentage of Subjects With Overall Complete Spontaneous Bowel Movement (CSBM) Response for 13 Out of 26 Weeks | An overall CSBM responder is defined as a weekly responder for the first 13/26 weeks. The CSBM response criteria are defined as an increase of one or more change in average weekly CSBMs from baseline. The definition of a CSBM is as follows: A CSBM is a spontaneous bowel movement (SBM) for which the subject responds "yes" to the following question; "Did you feel like you completely emptied your bowels?" | Posted | Count of Participants | Participants | 26 weeks |
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| Secondary | Percentage of Subjects With Overall Abdominal Pain Response for 13 Out of 26 Weeks | An overall abdominal pain responder is defined as a weekly responder for the first 13/26 weeks. The abdominal pain response criterion is defined as a decrease of 30% or more of percent change in average weekly worst abdominal pain from baseline. | Posted | Count of Participants | Participants | 26 weeks |
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| Secondary | Percentage of Subjects With Overall Response for 9 Out of 12 Weeks | An overall responder is defined as a weekly responder for the first 9/12 weeks where both CSBM and abdominal pain response criteria were met for the week. The CSBM response criteria are defined as an increase of one or more change in average weekly CSBMs from baseline and a minimum of at least 3 CSBMs that same week. The definition of a CSBM is as follows: A CSBM is a spontaneous bowel movement (SBM) for which the subject responds "yes" to the following question; "Did you feel like you completely emptied your bowels?" The abdominal pain response criterion is defined as a decrease of 30% or more of percent change in average weekly worst abdominal pain from baseline. | Posted | Count of Participants | Participants | First 12 weeks |
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| Secondary | Percentage of Subjects With Overall Complete Spontaneous Bowel Movement (CSBM) Response for 9 Out of 12 Weeks | An overall CSBM responder is defined as a weekly responder for the first 9/12 weeks. The CSBM response criteria are defined as an increase of one or more change in average weekly CSBMs from baseline and a minimum of at least 3 CSBMs that same week. The definition of a CSBM is as follows: A CSBM is a spontaneous bowel movement (SBM) for which the subject responds "yes" to the following question; "Did you feel like you completely emptied your bowels?" | Posted | Count of Participants | Participants | First 12 weeks |
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| Secondary | Percentage of Subjects With Overall Abdominal Pain Response for 9 Out of 12 Weeks | An overall abdominal pain responder is defined as a weekly responder for the first 9/12 weeks. The abdominal pain response criterion is defined as a decrease of 30% or more of percent change in average weekly worst abdominal pain from baseline. | Posted | Count of Participants | Participants | First 12 weeks |
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6 months
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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 | 50mg BID | Tenapanor, 50mg BID (100mg total) Tenapanor | 0 | 293 | 4 | 293 | 47 | 293 |
| EG001 | Placebo | Placebo Placebo | 0 | 300 | 8 | 300 | 11 | 300 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Abdominal Pain | Gastrointestinal disorders | Systematic Assessment |
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| COPD | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
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| Diarrhea | Gastrointestinal disorders | Systematic Assessment |
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| Nausea | Gastrointestinal disorders | Systematic Assessment |
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| Bacterial Infection | Infections and infestations | Systematic Assessment |
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| carotid artery occlusion | Cardiac disorders | Systematic Assessment |
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| ovarian vein thrombosis | Vascular disorders | Systematic Assessment |
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| pulmonary embolism | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
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| pyelonephritis | Renal and urinary disorders | Systematic Assessment |
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| systemic inflammatory response syndrome | Immune system disorders | Systematic Assessment |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Diarrhea | Gastrointestinal disorders | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Chief Development Officer | Ardelyx | 6175134929 | drosenbaum@ardelyx.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Dec 16, 2015 | Mar 30, 2020 | SAP_001.pdf |
| ID | Term |
|---|---|
| C000599417 | tenapanor |
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| Black or African American |
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| More than one race |
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| Unknown or Not Reported |
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