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| Name | Class |
|---|---|
| Sucampo AG | INDUSTRY |
| Sucampo Pharmaceuticals, Inc. | INDUSTRY |
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The purpose of this study is to evaluate the bioequivalence of sprinkle and capsule formulations of lubiprostone, as compared to placebo, when administered orally in participants with Chronic Idiopathic Constipation (CIC).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Lubiprostone Capsule | Active Comparator | Lubiprostone 24 mcg capsule twice daily (BID) for 7 days. |
|
| Lubiprostone Sprinkle | Experimental | Lubiprostone 24 mcg sprinkle BID for 7 days. |
|
| Placebo | Placebo Comparator | Placebo matching to lubiprostone (sprinkle/capsule) BID for 7 days. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Lubiprostone | Drug | 24 mcg administered orally BID |
|
| Measure | Description | Time Frame |
|---|---|---|
| Observed Spontaneous Bowel Movement (SBM) Count Within 1 Week | Observed SBM count was based on the observed data reported in the electronic daily diary for the actual number of SBMs during the 1-week treatment period. | during the 1-week treatment period |
| Measure | Description | Time Frame |
|---|---|---|
| Mean SBM Consistency Score Within 1 Week | Stool consistency associated with SBMs was rated according to the 7-point Bristol Stool Form Scale (1-7) where 1 = Separate hard lumps, like nuts (hard to pass), 2 = Sausage-shaped but lumpy, 3 = Like a sausage but with cracks on the 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. Scores in the mid-range of this scale indicate better stool consistency. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Global Clinical Leader | Mallinckrodt | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Investigative Site | Birmingham | Alabama | 35216 | United States | ||
| Investigative Site |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33834354 | Derived | Adams A, Barish C, Chen A, Dennis P, Krause R, Lichtlen P, Losch-Beridon T, Mareya S, Schneider J. Capsule and Sprinkle Formulations of Lubiprostone Are Not Biologically Similar in Patients with Functional Constipation. Adv Ther. 2021 Jun;38(6):2936-2952. doi: 10.1007/s12325-021-01707-9. Epub 2021 Apr 8. |
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Actual randomization ratio of sprinkle:placebo:capsule (2:1:1) was different than the planned randomization ratio (1:1:1)
This trial was conducted at 66 investigative sites in the United States.
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| ID | Title | Description |
|---|---|---|
| FG000 | Placebo | Placebo matching to lubiprostone (sprinkle/capsule) twice daily (BID) for 7 days. |
| FG001 | Lubiprostone Sprinkle | Lubiprostone 24 mcg sprinkle BID for 7 days. |
| 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_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Jan 6, 2017 |
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| Placebo | Drug | 24 mcg administered orally BID |
|
| during the 1-week treatment period |
| Mean SBM Straining Score Within 1 Week | Bowel straining associated with SBMs was rated on a scale of 0-4 where 0 = Absent, 1 = Mild, 2 = Moderate, 3 = Severe, 4 = Very severe. Higher score indicates more straining, so a worse condition. | during the 1-week treatment period |
| Number of Participants With Treatment-Emergent Adverse Events (TEAEs) | An adverse event (AE) is any untoward medical occurrence (including clinically significant changes in laboratory values or other clinical tests) experienced by a participant administered a pharmaceutical product regardless of causal relationship with the treatment. A TEAE is an episode which occur after the administration of the first dose of study medication and within 7 days after final dose. | From first dose of study medication to follow-up (up to 15 days) |
| Foley |
| Alabama |
| 36535 |
| United States |
| Investigative Site | Little Rock | Arkansas | 72212 | United States |
| Investigative Site | Anaheim | California | 92805 | United States |
| Investigative Sitee | Chula Vista | California | 91910 | United States |
| Investigative Site | Garden Grove | California | 92840 | United States |
| Investigative Site | Long Beach | California | 90806 | United States |
| Investigative Site | Los Angeles | California | 90057 | United States |
| Investigative Site | Panorama City | California | 91402 | United States |
| Investigative Site | San Diego | California | 92103 | United States |
| Investigative Site | San Marcos | California | 92078 | United States |
| Investigative Site | Upland | California | 91786 | United States |
| Investigative Site | Colorado Springs | Colorado | 80909 | United States |
| Investigative Site | New London | Connecticut | 06320 | United States |
| Investigative Site | Clearwater | Florida | 33765 | United States |
| Investigative Site | Coral Springs | Florida | 33065 | United States |
| Investigative Site | DeLand | Florida | 32720 | United States |
| Investigative Site | Hialeah | Florida | 33012 | United States |
| Investigative Site | Jupiter | Florida | 33458 | United States |
| Investigative Site | Miami | Florida | 33142 | United States |
| Investigative Site 2 | Miami | Florida | 33143 | United States |
| Investigative Site | Miami | Florida | 33143 | United States |
| Investigative Site | Miami | Florida | 33165 | United States |
| Investigative Site | Orlando | Florida | 32806 | United States |
| Investigative Site | Plantation | Florida | 33322 | United States |
| Investigative Sitee | Port Orange | Florida | 32129 | United States |
| Investigative Site | Port Saint Lucie | Florida | 34952 | United States |
| Investigative Site | Tampa | Florida | 33609 | United States |
| Investigative Site | Tampa | Florida | 33634 | United States |
| Investigative Site | West Palm Beach | Florida | 33409 | United States |
| Investigative Site | Athens | Georgia | 30607 | United States |
| Investigative Site | Snellville | Georgia | 30078 | United States |
| Investigative Site | Stockbridge | Georgia | 30281 | United States |
| Investigative Site | Blackfoot | Idaho | 83221 | United States |
| Investigative Site | Boise | Idaho | 83712 | United States |
| Investigative Site | Meridian | Idaho | 83642 | United States |
| Investigative Site | Lake Charles | Louisiana | 70601 | United States |
| Investigative Site | New Orleans | Louisiana | 70124 | United States |
| Investigative Site | Shreveport | Louisiana | 71101 | United States |
| Investigative Site | Chevy Chase | Maryland | 20815 | United States |
| Investigative Site | Hagerstown | Maryland | 21742 | United States |
| Investigative Site | New Bedford | Massachusetts | 02740 | United States |
| Investigative Site | Jackson | Missouri | 39202 | United States |
| Investigative Sitee | Bellevue | Nebraska | 68005 | United States |
| Investigative Site | Las Vegas | Nevada | 89119 | United States |
| Investigative Site | The Bronx | New York | 10459 | United States |
| Investigative Sitee | High Point | North Carolina | 27262 | United States |
| Investigative Site | Raleigh | North Carolina | 27612 | United States |
| Investigative Site | Cleveland | Ohio | 44122 | United States |
| Investigative Site | Mentor | Ohio | 44060 | United States |
| Investigative Site | Midwest City | Oklahoma | 73110 | United States |
| Investigative Site | Philadelphia | Pennsylvania | 19152 | United States |
| Investigative Site | Charleston | South Carolina | 29406 | United States |
| Investigative Site | Spartanburg | South Carolina | 29303 | United States |
| Investigative Site | Chattanooga | Tennessee | 37421 | United States |
| Investigative Site 2 | Jackson | Tennessee | 38305 | United States |
| Investigative Site | Jackson | Tennessee | 38305 | United States |
| Investigative Site | Houston | Texas | 77058 | United States |
| Investigative Site | Houston | Texas | 77099 | United States |
| Investigative Site | Longview | Texas | 75605 | United States |
| Investigative Site | McAllen | Texas | 78504 | United States |
| Investigative Site | Sugar Land | Texas | 77479 | United States |
| Investigative Site | Layton | Utah | 84041 | United States |
| Investigative Site | Taylorsville | Utah | 84123 | United States |
| Investigative Site | West Jordan | Utah | 84088 | United States |
| Investigative Site | Newport News | Virginia | 23606 | United States |
| Investigative Site | Richmond | Virginia | 23220 | United States |
| FG002 | Lubiprostone Capsule | Lubiprostone 24 mcg capsule BID for 7 days. |
| Safety Population | Randomized and took at least one dose of study drug, by treatment actually received |
|
| Modified Intent to Treat | As randomized, received at least one dose of study drug and had at least one diary entry |
|
| Completers | Completed the entire treatment period with a recorded primary endpoint |
|
| Per-protocol Population (PP) | Main population for efficacy analysis |
|
| COMPLETED |
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| NOT COMPLETED |
|
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Per Protocol Population
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| ID | Title | Description |
|---|---|---|
| BG000 | Placebo | Placebo matching to lubiprostone (sprinkle/capsule) twice daily (BID) for 7 days. |
| BG001 | Lubiprostone Sprinkle | Lubiprostone 24 mcg sprinkle BID for 7 days. |
| BG002 | Lubiprostone Capsule | Lubiprostone 24 mcg capsule BID for 7 days. |
| 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 |
| |||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||
| Race (NIH/OMB) | Count of Participants | Participants |
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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 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Primary | Observed Spontaneous Bowel Movement (SBM) Count Within 1 Week | Observed SBM count was based on the observed data reported in the electronic daily diary for the actual number of SBMs during the 1-week treatment period. | Per protocol population | Posted | Mean | Standard Deviation | SBMs/week | during the 1-week treatment period |
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| Secondary | Mean SBM Consistency Score Within 1 Week | Stool consistency associated with SBMs was rated according to the 7-point Bristol Stool Form Scale (1-7) where 1 = Separate hard lumps, like nuts (hard to pass), 2 = Sausage-shaped but lumpy, 3 = Like a sausage but with cracks on the 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. Scores in the mid-range of this scale indicate better stool consistency. | PP population. Number of participants analysed indicates participants who were evaluated for this outcome measure at each categorical time point. | Posted | Mean | Standard Deviation | score on a scale | during the 1-week treatment period |
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| Secondary | Mean SBM Straining Score Within 1 Week | Bowel straining associated with SBMs was rated on a scale of 0-4 where 0 = Absent, 1 = Mild, 2 = Moderate, 3 = Severe, 4 = Very severe. Higher score indicates more straining, so a worse condition. | PP population. Number of participants analysed indicates participants who were evaluated for this outcome measure at each time point. | Posted | Mean | Standard Deviation | score on a scale | during the 1-week treatment period |
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| Secondary | Number of Participants With Treatment-Emergent Adverse Events (TEAEs) | An adverse event (AE) is any untoward medical occurrence (including clinically significant changes in laboratory values or other clinical tests) experienced by a participant administered a pharmaceutical product regardless of causal relationship with the treatment. A TEAE is an episode which occur after the administration of the first dose of study medication and within 7 days after final dose. | Safety population, defined as all randomized participants who took at least one dose of double-blinded study medication. | Posted | Count of Participants | Participants | From first dose of study medication to follow-up (up to 15 days) |
|
from first dose of study medication through a 1-week follow-up (up to 15 days)
Treatment-related Adverse Events (TRAEs) were any event with possible, probably, or definite relationship with the study medication, and with an onset date on or after the first dose of study medication and with an onset date no more than 7 days after the last dose of study medication. TRAEs were collected in the safety population, defined as all randomized participants who took at least one dose of double-blinded study medication.
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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 | Placebo matching to lubiprostone (sprinkle/capsule) twice daily (BID) for 7 days. | 0 | 143 | 0 | 143 | 15 | 143 |
| EG001 | Lubiprostone Sprinkle | Lubiprostone 24 mcg sprinkle BID for 7 days. | 0 | 275 | 0 | 275 | 50 | 275 |
| EG002 | Lubiprostone Capsule | Lubiprostone 24 mcg capsule BID for 7 days. | 0 | 130 | 0 | 130 | 29 | 130 |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Diarrhea | Gastrointestinal disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Nausea | Gastrointestinal disorders | MedDRA 19.1 | Systematic Assessment |
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| Abdominal pain | Gastrointestinal disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Vomiting | Gastrointestinal disorders | MedDRA 19.1 | Systematic Assessment |
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| Headache | Nervous system disorders | MedDRA 19.1 | Systematic Assessment |
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Actual randomization ratio (2:1:1) was different than the planned ratio (1:1:1).
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Medical Information Call Center | Mallinckrodt Pharmaceuticals | 800-556-3314 | clinicaltrials@mnk.com |
| Dec 13, 2019 |
| Prot_SAP_000.pdf |
| ID | Term |
|---|---|
| D000068238 | Lubiprostone |
| ID | Term |
|---|---|
| D000527 | Alprostadil |
| D005229 | Fatty Acids, Monounsaturated |
| D005231 | Fatty Acids, Unsaturated |
| D005227 | Fatty Acids |
| D008055 | Lipids |
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| Male |
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| Not Hispanic or Latino |
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| Unknown or Not Reported |
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| Asian |
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| Native Hawaiian or Other Pacific Islander |
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| Black or African American |
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| White |
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| More than one race |
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| Unknown or Not Reported |
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| ANCOVA |
| <0.0001 |
| Other |
| Units | Counts |
|---|---|
| Participants |
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| Units |
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| Counts |
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| Participants |
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