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| ID | Type | Description | Link |
|---|---|---|---|
| 2022-003221-22 | EudraCT Number |
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Data Monitoring Committee (DMC) decision; terminated due to futility, with no safety concerns; FDA agreement to terminate the study.
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| Name | Class |
|---|---|
| Takeda Development Center Americas, Inc. | INDUSTRY |
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Functional constipation is a condition when it is very hard to pass a stool that is not due to any other health problem or to medicines being taken. This condition is more common in children and teenagers.
This study has 2 parts:
The main aim of the 1st part of the study is to learn if a medicine called prucalopride can improve bowel movements in children and teenagers with functional constipation. Another aim is to check for side effects from 2 different doses of prucalopride. The main aim of the 2nd part of the study is to continue to check for side effects from 2 different doses of prucalopride.
In the 1st part, at the first visit, the study doctor will check who can take part. Participants who take part will be picked for 1 of 3 treatments by chance.
Participants who took prucalopride will continue to the 2nd part of the study. They will have the same treatment as they did in the 1st part of the study. They will continue with their treatment for another 36 weeks. Participants who took placebo in the 1st part of the study will receive prucalopride in the 2nd part of the study. They will be picked for a low dose or a high dose of prucalopride by chance.
Participants will visit the clinic a few times during treatment. The clinic staff will also telephone the participants, or their parents or caregivers throughout treatment for a check-up 4 weeks after last treatment, the clinic staff will telephone the participants, or their parents or caregivers for a final check-up.
This study consists of a 12-week double-blind, placebo-controlled part (Part A) followed by a 36-week double-blind safety extension part (Part B). Participants aged 3 to 17 years are planned for randomization in a 1:1:1 ratio to the Low Dose Group, High Dose Group, or matching placebo (placebo-controlled part [Part A]). After completion of Part A, participants in the placebo group will be re-randomized in a 1:1 ratio to the Low Dose Group or the High Dose Group (safety extension part [Part B]). Randomization at study entry will be stratified by toilet-trained status.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part A: Placebo | Placebo Comparator | Participants weighing <50 kilograms (kg) will draw equal volumes from two bottles of placebo oral solution to account for the daily dose assigned or participants weighing ≥ 50 kg will receive two placebo oral tablets, once daily (QD), during 12 weeks in Part A. Prucalopride matching placebo (oral solution or tablet) will be dosed depending on the participant's body weight (BW) at the randomization visit. |
|
| Part A: Low Dose Prucalopride | Experimental | Participants weighing <50 kg will receive 0.04 milligrams per kilogram (mg/kg) of prucalopride oral solution (will draw the required volume from one bottle of 0.4 milligram per milliliter [mg/mL] and one bottle of placebo oral solution), QD or participants weighing ≥50 kg will receive one 2 milligram (mg) of prucalopride oral tablet and one placebo oral tablet, QD, during 12 weeks in Part A. Prucalopride (oral solution or tablet) will be dosed depending on the participant's BW at the randomization visit. |
|
| Part A: High Dose Prucalopride | Experimental | Participants weighing <50 kg will receive 0.08 mg/kg of prucalopride oral solution (will draw the required volume from two bottles of 0.4 mg/mL to account for the daily dose assigned), QD or participants weighing ≥50 kg will receive two 2 mg of prucalopride oral tablets, QD, during 12 weeks of treatment period in Part A. Prucalopride (oral solution or tablet) will be dosed depending on the participant's BW at the randomization visit. |
|
| Part B: Low Dose Prucalopride | Experimental |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Prucalopride | Drug | Prucalopride oral solution or oral tablets. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Part A: Change From Baseline in Average Number of Weekly Number of Spontaneous Bowel Movements (SBMs) at Week 12 | Spontaneous bowel movement was defined as a bowel movement that was not preceded within a period of 24 hours by the intake of rescue medication. The average change from baseline in number of SBMs per week derived from the (e-diary) data, in toilet-trained participants who were at least 3 years of age collected during the placebo-controlled part (Part A) was assessed. | Baseline, Week 12 |
| Parts A and B: Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Treatment Emergent Serious Adverse Events (TESAEs) | An adverse event (AE) was defined as any untoward medical occurrence in a clinical investigation participant administered a pharmaceutical product that did not necessarily have a causal relationship with this treatment. A TEAE was defined as any event emerging or manifesting at or after the initiation of treatment with an investigational product (IP) or medicinal product or any existing event that worsens in either intensity or frequency following exposure to the IP or medicinal product. A serious adverse event (SAE) was any untoward medical occurrence (whether considered to be related to investigational product or not) that at any dose: results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital abnormality/birth defect, is an important medical event. | From first dose of study drug up to Week 52 |
| Parts A and B: Number of Participants With Clinically Significant Abnormalities in Clinical Laboratory Parameters | Laboratory parameters included blood chemistry, hematology, and urinalysis. Clinically significant laboratory parameters assessment was based on investigator interpretation. Number of participants with clinically significant changes in laboratory parameters (included hematology, blood chemistry, and urinalysis) were reported. | From first dose of study drug up to Week 52 |
| Parts A and B: Number of Participants With Clinically Significant Vital Sign Abnormalities |
| Measure | Description | Time Frame |
|---|---|---|
| Part A: Change From Baseline in Participants' Weekly Stool Consistency Based on Bristol Stool Form Scale (BSFS) Score at Week 12 Categorized by Age | The Bristol Stool Form Scale is a 7-score visual scale to measure stool consistency, 1- Separate hard lumps, 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, 6- Fluffy pieces with ragged edges, a mushy stool, 7- Watery, no solid pieces, entirely liquid. A score of 1 or 2 indicates constipation while a score of 6 or 7 indicates diarrhea. A better score (score of 3 and 4 represent ideal stools as they are easy to defecate while not containing excess liquid, 5 indicates average consistency but lack of dietary fiber) would trend toward the middle of the scale (3 to 5). Daily scores were summed to obtain a weekly score ranging from 7 to 49 with higher scores indicating diarrhea. Data for this outcome measure is reported per age group bifurcation. |
| Measure | Description | Time Frame |
|---|---|---|
| Part A: Pharmacokinetic (PK) Plasma Concentrations of Prucalopride | 1-3 hours post-dose at Baseline (Day 0), 14-26 hours post-dose at Weeks 4, 8 and 12 |
Inclusion Criteria:
Note: Participants and/or parent(s)/caregiver(s)/legally authorized representative(s) (where appropriate depending on age and local regulation) can also provide consent/assent to the sparse Pharmacokinetic (PK) sampling in this study.
Note: All female participants >= 12 years and/or female participants lesser than (<) 12 years who have started menarche must have a negative serum pregnancy test at screening.
- Participant meets modified Rome IV criteria:
* For child/adolescent (aged > 4 years) functional constipation (H3a):
Participants must have lesser than or equal to (<=) 2 defecations per week and 1 or more of the following occurring at least once per week for a minimum of 1 month:
For infants/toddler (aged 6 months to <= 4 years) functional constipation (G7):
Participants must have <= 2 defecations per week and >= 1 month of at least 1 of the following:
In toilet-trained children, the following additional criteria may be used:
To be evaluated prior to randomization:
Exclusion Criteria:
Current or recurrent disease that could affect the action, absorption, or disposition of the investigational product (IP), or clinical or laboratory assessments.
Any clinically significant abnormal findings on the electrocardiogram (ECG) that indicates a dysrhythmia or conduction abnormalities (such as abnormal heart rate, PR, QRS, or QT).
Major cardiovascular disease such as: cardiomyopathy, cardiac insufficiency, uncorrected congenital heart disease, symptomatic valve disorders, or septal defects.
Current or relevant history of physical or psychiatric illness (e.g. severe autism, depression, etc.), any medical disorder that may require treatment or make the participant unlikely to fully complete the study, or any condition that presents undue risk from the IP or procedures.
Non-retentive fecal incontinence.
Intestinal perforation or obstruction due to structural or functional disorder of the gut wall, obstructive ileus, severe inflammatory conditions of the intestinal tract such as Crohn's disease, ulcerative colitis, and toxic megacolon/megarectum.
Current use of any medication (including over-the-counter, herbal, or homeopathic preparations) that could affect (improve or worsen) the condition being studied (e.g. opioids), or could affect the action, absorption, or disposition of the IP, or clinical or laboratory assessment. (Current use is defined as use within the past 5 days).
Participants with renal impairment:
Known or suspected intolerance or hypersensitivity to the IP(s), closely-related compounds, or any of the stated ingredients.
Known history of alcohol or other substance abuse within the last year.
Within 30 days prior to the first dose of the IP in the current study:
Participant used prucalopride within 10 days prior to the first dose of the IP or has been unsuccessfully treated with prucalopride before.
Participant meets Rome IV criteria for other Child/Adolescent Functional Gastrointestinal Disorders (FGID) (H1 - H2 and H3b).
Participant with secondary causes of constipation:
Any of the following clinically significant abnormalities of serum biochemistry:
Any significant underlying liver disease.
Participant is not able to swallow the IP (liquid or tablet).
Participant is pregnant or planning to get pregnant during study period.
To be evaluated prior to randomization:
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| Name | Affiliation | Role |
|---|---|---|
| Medical Director | Takeda | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Phoenix Children's Hospital | Phoenix | Arizona | 85016 | United States | ||
| Novak Clinical Research |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37215389 | Derived | Cuffari C, Spalding W, Achenbach H, Thakur M, Gabriel A. Design of a phase 3, randomized, double-blind, placebo-controlled study to evaluate the efficacy and safety of prucalopride in pediatric patients with functional constipation. Contemp Clin Trials Commun. 2023 Apr 30;33:101144. doi: 10.1016/j.conctc.2023.101144. eCollection 2023 Jun. |
| Label | URL |
|---|---|
| To obtain more information on the study, click here/on this link | View source |
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Takeda provides access to the de-identified individual participant data (IPD) for eligible studies to aid qualified researchers in addressing legitimate scientific objectives (Takeda's data sharing commitment is available on https://clinicaltrials.takeda.com/takedas-commitment?commitment=5). These IPDs will be provided in a secure research environment following approval of a data sharing request, and under the terms of a data sharing agreement.
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IPD from eligible studies will be shared with qualified researchers according to the criteria and process described on https://vivli.org/ourmember/takeda/. For approved requests, the researchers will be provided access to anonymized data (to respect patient privacy in line with applicable laws and regulations) and with information necessary to address the research objectives under the terms of a data sharing agreement.
A total of 175 participants with a diagnosis of functional constipation were enrolled and randomized in a 1:1:1 ratio to receive either prucalopride at low dose, high dose, or matching placebo in Part A of the study depending on their body weight. All participants who completed Part A entered Part B, and those in the placebo group of Part A were re-randomized based on their weight in a 1:1 ratio to receive either prucalopride at a low or high dose in Part B of the study.
Participants took part in the study at 42 investigative sites in the United States from 13 July 2021 to 13 November 2023.
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| ID | Title | Description |
|---|---|---|
| FG000 | Part A: Placebo | Participants weighing <50 kilograms (kg) drew equal volumes from two bottles of placebo oral solution to account for the daily dose assigned or participants weighing ≥50 kg received two placebo oral tablets, once daily (QD), during 12 weeks in Part A. Prucalopride matching placebo (oral solution or tablet) were dosed depending on the participant's body weight (BW) at the randomization visit. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| PartA:Placebo-controlled Period(12Weeks) |
|
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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 27, 2022 | May 10, 2024 |
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Participants weighing <50 kg will receive 0.04 mg/kg of prucalopride oral solution (will draw the required volume from one bottle of 0.4 mg/mL and one bottle of placebo oral solution to account for the daily dose assigned), QD or participants weighing ≥50 kg will receive one 2 mg of prucalopride oral tablet and one placebo oral tablet, QD, for 36 weeks during the 40-week Part B Period. Prucalopride (oral solution or tablet) will be dosed depending on the participant's BW at the randomization visit. |
|
| Part B: High Dose Prucalopride | Experimental | Participants weighing <50 kg will receive 0.08 mg/kg of prucalopride oral solution (will draw the required volume from two bottles of 0.4 mg/mL to account for the daily dose assigned), QD or participants weighing ≥50 kg will receive two 2 mg of prucalopride oral tablets, QD, for 36 weeks during the 40-week Part B Period. Prucalopride (oral solution or tablet) will be dosed depending on the participant's BW at the randomization visit. |
|
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| Placebo | Other | Prucalopride-matching placebo oral solution or oral tablets. |
|
Vital signs included measurement of pulse rate, systolic, and diastolic blood pressure. Clinically significant vital signs assessment was based on investigator interpretation. Number of participants with clinically significant changes in vital signs were reported. |
| From first dose of study drug up to Week 52 |
| Parts A and B: Number of Participants With Clinically Significant Electrocardiogram (ECG) Abnormalities | ECG included heart rhythm, heart rate, QRS intervals, QT intervals, RR intervals and corrected QT (QTc) intervals parameters measurement. Clinically significant ECG assessment was based on investigator interpretation. Number of participants with clinically significant changes in ECG were reported. | From first dose of study drug up to Week 52 |
| Baseline, Week 12 |
| Part A: Change From Baseline in Weekly Straining Score Based on a 3-point Likert Scale at Week 12 | Straining was assessed based on a 3-point Likert scale: (1=not at all, 2=a little, 3=a lot). A higher score indicates a lot of straining i.e., worsening of the condition. Daily scores were summed to obtain a weekly score ranging from 7 to 21 with higher scores indicating a lot of straining. | Baseline, Week 12 |
| Part A: Percentage of Responders Based on Assessment of SBMs | Spontaneous bowel movement was defined as a bowel movement that was not preceded within a period of 24 hours by the intake of rescue medication. Responder was defined as a participant having an increase of ≥1 SBM per week compared to Baseline and ≥3 SBMs per week for at least 9 out of the 12 weeks of placebo-controlled part (Part A), including 3 of the last 4 weeks. Percentages are rounded off to the nearest single decimal place. | Baseline through Week 12 |
| Part A: Percentage of Participants With Fecal Incontinence at Week 12 | Fecal incontinence was defined as unintentional smear or liquid stool in the underwear that is not due to poor wiping. Fecal incontinence can only occur in toilet-trained participants. Non-retentive fecal incontinence is diagnosed (must include at least a 1-month history in a child with a developmental age older than 4 years for all the following): (i) defecation in places inappropriate to the sociocultural context, (ii) no evidence of fecal retention, and (iii) after appropriate evaluation, the fecal incontinence cannot be explained by another medical condition. Percentages are rounded off to the nearest single decimal place. | Week 12 |
| Tucson |
| Arizona |
| 85741 |
| United States |
| Eclipse Clinical Research | Tucson | Arizona | 85745 | United States |
| Advanced Research Center, Inc. | Anaheim | California | 92805 | United States |
| Children's Hospital of Orange County | Orange | California | 92868 | United States |
| University of California, Davis Department of Pediatrics | Sacramento | California | 95817 | United States |
| University of California | San Francisco | California | 94158 | United States |
| University of Colorado Denver | Aurora | Colorado | 80045 | United States |
| Medstar Georgetown University Hospital | Washington D.C. | District of Columbia | 20016 | United States |
| Direct Helpers Research Center | Hialeah | Florida | 33012 | United States |
| Pediatric & Adult Research Center | Kissimmee | Florida | 34741 | United States |
| Auzmer Research | Lakeland | Florida | 33813 | United States |
| University of Miami - Miller School of Medicine | Miami | Florida | 33136 | United States |
| Nicklaus Children's Hospital | Miami | Florida | 33155 | United States |
| Florida Research Center, Inc. | Miami | Florida | 33174 | United States |
| Orlando Health - APH Center for Digestive Health and Nutrition | Orlando | Florida | 32806 | United States |
| The University of Chicago Medical Center | Chicago | Illinois | 60637 | United States |
| GI Pediatric Subspecialty Clinic | Peoria | Illinois | 61603 | United States |
| Methodist Medical Center of Illinois | Peoria | Illinois | 61636 | United States |
| Riley Hospital for Children at Indiana University Health | Indianapolis | Indiana | 46202 | United States |
| Willis-Knighton Center for Pediatric Gastroenterology & Advanced Endoscopy | Shreveport | Louisiana | 71118 | United States |
| Massachusetts General Hospital | Boston | Massachusetts | 02114 | United States |
| Boston Children's Hospital | Boston | Massachusetts | 02115 | United States |
| Baystate Health | Springfield | Massachusetts | 01199 | United States |
| Cardinal Glennon Children's Medical Center | St Louis | Missouri | 63104 | United States |
| Jersey Shore University Medical Center | Neptune City | New Jersey | 07753 | United States |
| CUMC Pediatrics-GI | New York | New York | 10032 | United States |
| Cleveland Clinic | Cleveland | Ohio | 44195 | United States |
| Cyn3rgy Research & Development | Gresham | Oregon | 97030 | United States |
| Oregon Health & Science University | Portland | Oregon | 97239 | United States |
| Children's Hospital of Philadelphia | Philadelphia | Pennsylvania | 19104 | United States |
| GI For Kids | Knoxville | Tennessee | 37922 | United States |
| Le Bonheur Children's Hospital | Memphis | Tennessee | 38105 | United States |
| Tekton Research, Inc. | Beaumont | Texas | 77706 | United States |
| Cedar Health Research | Dallas | Texas | 75251 | United States |
| Allure Health LLC | Friendswood | Texas | 77546 | United States |
| Texas Children's Hospital | Houston | Texas | 77030 | United States |
| Pediatric Associates | Houston | Texas | 77087 | United States |
| Pediatric Center | Richmond | Texas | 77469 | United States |
| University of Utah | Salt Lake City | Utah | 84108 | United States |
| Pediatric Specialist of Virginia | Fairfax | Virginia | 22031 | United States |
| FG001 | Part A: Low Dose Prucalopride | Participants weighing <50 kg received 0.04 milligrams per kilogram (mg/kg) of prucalopride oral solution (drew the required volume from one bottle of 0.4 milligram per milliliter [mg/mL] and one bottle of placebo oral solution), QD or participants weighing ≥50 kg received one 2 milligram (mg) of prucalopride oral tablet and one placebo oral tablet, QD, during 12 weeks in Part A. Prucalopride (oral solution or tablet) were dosed depending on the participant's BW at the randomization visit. |
| FG002 | Part A: High Dose Prucalopride | Participants weighing <50 kg received 0.08 mg/kg of prucalopride oral solution (drew the required volume from two bottles of 0.4 mg/mL to account for the daily dose assigned), QD or participants weighing ≥50 kg received two 2 mg of prucalopride oral tablets, QD, during 12 weeks of treatment period in Part A. Prucalopride (oral solution or tablet) were dosed depending on the participant's BW at the randomization visit. |
| FG003 | Part B: Low Dose Prucalopride | Participants weighing <50 kg received 0.04 mg/kg of prucalopride oral solution (drew the required volume from one bottle of 0.4 mg/mL and one bottle of placebo oral solution to account for the daily dose assigned), QD or participants weighing ≥50 kg received one 2 mg of prucalopride oral tablet and one placebo oral tablet, QD, for 36 weeks during the 40-week Part B Period. Prucalopride (oral solution or tablet) were dosed depending on the participant's BW at the randomization visit. |
| FG004 | Part B: High Dose Prucalopride | Participants weighing <50 kg received 0.08 mg/kg of prucalopride oral solution (drew the required volume from two bottles of 0.4 mg/mL to account for the daily dose assigned), QD or participants weighing ≥50 kg received two 2 mg of prucalopride oral tablets, QD, for 36 weeks during the 40-week Part B Period. Prucalopride (oral solution or tablet) were dosed depending on the participant's BW at the randomization visit. |
| COMPLETED |
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| NOT COMPLETED |
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|
| Part B:Safety Extension Period(40 Weeks) |
|
|
For Part A, the Safety Analysis Set included all participants who received at least 1 dose of study drug in Part A.
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| ID | Title | Description |
|---|---|---|
| BG000 | Part A: Placebo | Participants weighing <50 kg drew equal volumes from two bottles of placebo oral solution to account for the daily dose assigned or participants weighing ≥50 kg received two placebo oral tablets, QD, during 12 weeks in Part A. Prucalopride matching placebo (oral solution or tablet) were dosed depending on the participant's BW at the randomization visit. |
| BG001 | Part A: Low Dose Prucalopride | Participants weighing <50 kg received 0.04 mg/kg of prucalopride oral solution (drew the required volume from one bottle of 0.4 mg/mL and one bottle of placebo oral solution), QD or participants weighing ≥50 kg received one 2 mg of prucalopride oral tablet and one placebo oral tablet, QD, during 12 weeks in Part A. Prucalopride (oral solution or tablet) were dosed depending on the participant's BW at the randomization visit. |
| BG002 | Part A: High Dose Prucalopride | Participants weighing <50 kg received 0.08 mg/kg of prucalopride oral solution (drew the required volume from two bottles of 0.4 mg/mL to account for the daily dose assigned), QD or participants weighing ≥50 kg received two 2 mg of prucalopride oral tablets, QD, during 12 weeks of treatment period in Part A. Prucalopride (oral solution or tablet) were dosed depending on the participant's BW at the randomization visit. |
| 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 |
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| Sex: Female, Male | Count of Participants | Participants |
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| Ethnicity (NIH/OMB) | Count of Participants | Participants |
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| Race (NIH/OMB) | Count of Participants | Participants |
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| Region of Enrollment | Count of Participants | Participants |
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| Weight | Mean | Standard Deviation | kg |
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| Height | Mean | Standard Deviation | centimeter (cm) |
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| Body Mass Index (BMI) | BMI = weight (kg)/[height (m)^2] | Mean | Standard Deviation | kilograms per meter square (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 | Part A: Change From Baseline in Average Number of Weekly Number of Spontaneous Bowel Movements (SBMs) at Week 12 | Spontaneous bowel movement was defined as a bowel movement that was not preceded within a period of 24 hours by the intake of rescue medication. The average change from baseline in number of SBMs per week derived from the (e-diary) data, in toilet-trained participants who were at least 3 years of age collected during the placebo-controlled part (Part A) was assessed. | The Completers Analysis Set included all toilet-trained participants who were at least 3 years of age in the Modified Intent-to-treat Analysis Set (mITT) analysis set who had an average number of SBM available for all 12 weeks in the placebo-controlled part (Part A) of the study. | Posted | Mean | Standard Deviation | SBMs per week | Baseline, Week 12 |
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| Primary | Parts A and B: Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Treatment Emergent Serious Adverse Events (TESAEs) | An adverse event (AE) was defined as any untoward medical occurrence in a clinical investigation participant administered a pharmaceutical product that did not necessarily have a causal relationship with this treatment. A TEAE was defined as any event emerging or manifesting at or after the initiation of treatment with an investigational product (IP) or medicinal product or any existing event that worsens in either intensity or frequency following exposure to the IP or medicinal product. A serious adverse event (SAE) was any untoward medical occurrence (whether considered to be related to investigational product or not) that at any dose: results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital abnormality/birth defect, is an important medical event. | For Part A, the Safety Analysis Set included all participants who received at least 1 dose of study drug in Part A. For Part B, the Safety Analysis Set included all participants who received at least 1 dose of study drug in Part B. | Posted | Count of Participants | Participants | From first dose of study drug up to Week 52 |
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| Primary | Parts A and B: Number of Participants With Clinically Significant Abnormalities in Clinical Laboratory Parameters | Laboratory parameters included blood chemistry, hematology, and urinalysis. Clinically significant laboratory parameters assessment was based on investigator interpretation. Number of participants with clinically significant changes in laboratory parameters (included hematology, blood chemistry, and urinalysis) were reported. | For Part A, the Safety Analysis Set included all participants who received at least 1 dose of study drug in Part A. For Part B, the Safety Analysis Set included all participants who received at least 1 dose of study drug in Part B. | Posted | Count of Participants | Participants | From first dose of study drug up to Week 52 |
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| Primary | Parts A and B: Number of Participants With Clinically Significant Vital Sign Abnormalities | Vital signs included measurement of pulse rate, systolic, and diastolic blood pressure. Clinically significant vital signs assessment was based on investigator interpretation. Number of participants with clinically significant changes in vital signs were reported. | For Part A, the Safety Analysis Set included all participants who received at least 1 dose of study drug in Part A. For Part B, the Safety Analysis Set included all participants who received at least 1 dose of study drug in Part B. | Posted | Count of Participants | Participants | From first dose of study drug up to Week 52 |
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| Primary | Parts A and B: Number of Participants With Clinically Significant Electrocardiogram (ECG) Abnormalities | ECG included heart rhythm, heart rate, QRS intervals, QT intervals, RR intervals and corrected QT (QTc) intervals parameters measurement. Clinically significant ECG assessment was based on investigator interpretation. Number of participants with clinically significant changes in ECG were reported. | For Part A, the Safety Analysis Set included all participants who received at least 1 dose of study drug in Part A. For Part B, the Safety Analysis Set included all participants who received at least 1 dose of study drug in Part B. | Posted | Count of Participants | Participants | From first dose of study drug up to Week 52 |
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| Secondary | Part A: Change From Baseline in Participants' Weekly Stool Consistency Based on Bristol Stool Form Scale (BSFS) Score at Week 12 Categorized by Age | The Bristol Stool Form Scale is a 7-score visual scale to measure stool consistency, 1- Separate hard lumps, 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, 6- Fluffy pieces with ragged edges, a mushy stool, 7- Watery, no solid pieces, entirely liquid. A score of 1 or 2 indicates constipation while a score of 6 or 7 indicates diarrhea. A better score (score of 3 and 4 represent ideal stools as they are easy to defecate while not containing excess liquid, 5 indicates average consistency but lack of dietary fiber) would trend toward the middle of the scale (3 to 5). Daily scores were summed to obtain a weekly score ranging from 7 to 49 with higher scores indicating diarrhea. Data for this outcome measure is reported per age group bifurcation. | The mITT Analysis Set included all randomized participants who received at least 1 dose of the study drug in Part A. Overall number analyzed is the number of participants with data available for analyses. | Posted | Mean | Standard Deviation | score on a scale | Baseline, Week 12 |
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| Secondary | Part A: Change From Baseline in Weekly Straining Score Based on a 3-point Likert Scale at Week 12 | Straining was assessed based on a 3-point Likert scale: (1=not at all, 2=a little, 3=a lot). A higher score indicates a lot of straining i.e., worsening of the condition. Daily scores were summed to obtain a weekly score ranging from 7 to 21 with higher scores indicating a lot of straining. | The mITT Analysis Set included all randomized participants who received at least 1 dose of the study drug in Part A. Overall number analyzed is the number of participants with data available for analyses. | Posted | Mean | Standard Deviation | score on a scale | Baseline, Week 12 |
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| Secondary | Part A: Percentage of Responders Based on Assessment of SBMs | Spontaneous bowel movement was defined as a bowel movement that was not preceded within a period of 24 hours by the intake of rescue medication. Responder was defined as a participant having an increase of ≥1 SBM per week compared to Baseline and ≥3 SBMs per week for at least 9 out of the 12 weeks of placebo-controlled part (Part A), including 3 of the last 4 weeks. Percentages are rounded off to the nearest single decimal place. | The mITT Analysis Set included all randomized participants who received at least 1 dose of the study drug in Part A. Overall number analyzed is the number of participants with data available for analyses. | Posted | Number | percentage of responders | Baseline through Week 12 |
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| Secondary | Part A: Percentage of Participants With Fecal Incontinence at Week 12 | Fecal incontinence was defined as unintentional smear or liquid stool in the underwear that is not due to poor wiping. Fecal incontinence can only occur in toilet-trained participants. Non-retentive fecal incontinence is diagnosed (must include at least a 1-month history in a child with a developmental age older than 4 years for all the following): (i) defecation in places inappropriate to the sociocultural context, (ii) no evidence of fecal retention, and (iii) after appropriate evaluation, the fecal incontinence cannot be explained by another medical condition. Percentages are rounded off to the nearest single decimal place. | The mITT Analysis Set included all randomized participants who received at least 1 dose of the study drug in Part A. Overall number analyzed is the number of participants with data available for analyses. | Posted | Number | percentage of participants | Week 12 |
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| Other Pre-specified | Part A: Pharmacokinetic (PK) Plasma Concentrations of Prucalopride | The PK analysis set included all participants regardless of age in the safety analysis sets for whom at least 1 PK sample was evaluable. Overall number analyzed is the number of participants with data available for analyses. Number analyzed is the number of participants with data available for analyses at the specified time point. | Posted | Mean | Standard Deviation | nanograms per milliliter (ng/mL) | 1-3 hours post-dose at Baseline (Day 0), 14-26 hours post-dose at Weeks 4, 8 and 12 |
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From first dose of study drug up to Week 52
For Part A, the Safety Analysis Set included all participants who received at least 1 dose of study drug in Part A. For Part B, the Safety Analysis Set included all participants who received at least 1 dose of study drug in Part B.
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Part A: Placebo | Participants weighing <50 kg drew equal volumes from two bottles of placebo oral solution to account for the daily dose assigned or participants weighing ≥50 kg received two placebo oral tablets, QD, during 12 weeks in Part A. Prucalopride matching placebo (oral solution or tablet) were dosed depending on the participant's BW at the randomization visit. | 0 | 56 | 1 | 56 | 5 | 56 |
| EG001 | Part A: Low Dose Prucalopride | Participants weighing <50 kg received 0.04 mg/kg of prucalopride oral solution (drew the required volume from one bottle of 0.4 mg/mL and one bottle of placebo oral solution), QD or participants weighing ≥50 kg received one 2 mg of prucalopride oral tablet and one placebo oral tablet, QD, during 12 weeks in Part A. Prucalopride (oral solution or tablet) were dosed depending on the participant's BW at the randomization visit. | 0 | 60 | 0 | 60 | 17 | 60 |
| EG002 | Part A: High Dose Prucalopride | Participants weighing <50 kg received 0.08 mg/kg of prucalopride oral solution (drew the required volume from two bottles of 0.4 mg/mL to account for the daily dose assigned), QD or participants weighing ≥50 kg received two 2 mg of prucalopride oral tablets, QD, during 12 weeks of treatment period in Part A. Prucalopride (oral solution or tablet) were dosed depending on the participant's BW at the randomization visit. | 0 | 59 | 0 | 59 | 10 | 59 |
| EG003 | Part B: Low Dose Prucalopride | Participants weighing <50 kg received 0.04 mg/kg of prucalopride oral solution (drew the required volume from one bottle of 0.4 mg/mL and one bottle of placebo oral solution to account for the daily dose assigned), QD or participants weighing ≥50 kg received one 2 mg of prucalopride oral tablet and one placebo oral tablet, QD, for 36 weeks during the 40-week Part B Period. Prucalopride (oral solution or tablet) were dosed depending on the participant's BW at the randomization visit. | 0 | 72 | 1 | 72 | 9 | 72 |
| EG004 | Part B: High Dose Prucalopride | Participants weighing <50 kg received 0.08 mg/kg of prucalopride oral solution (drew the required volume from two bottles of 0.4 mg/mL to account for the daily dose assigned), QD or participants weighing ≥50 kg received two 2 mg of prucalopride oral tablets, QD, for 36 weeks during the 40-week Part B Period. Prucalopride (oral solution or tablet) were dosed depending on the participant's BW at the randomization visit. | 0 | 62 | 1 | 62 | 8 | 62 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Abdominal pain | Gastrointestinal disorders | MedDRA 26 | Systematic Assessment |
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| Depression | Psychiatric disorders | MedDRA 26 | Systematic Assessment |
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| Intentional self-injury | Psychiatric disorders | MedDRA 26 | Systematic Assessment |
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| Suicidal ideation | Psychiatric disorders | MedDRA 26 | Systematic Assessment |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Headache | Nervous system disorders | MedDRA 26 | Systematic Assessment |
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| Nasopharyngitis | Infections and infestations | MedDRA 26 | Systematic Assessment |
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| Vomiting | Gastrointestinal disorders | MedDRA 26 | Systematic Assessment |
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The first study related publication will be a multi-center publication submitted within 24 months after conclusion or termination of a study at all sites. After such multi site publication, all proposed site publications and presentations will be submitted to sponsor for review 60 days in advance of publication. Site will remove Sponsor confidential information unrelated to study results. Sponsor can delay a proposed publication for another 60 days to preserve intellectual property.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Study Director | Takeda | +1-877-825-3327 | TrialDisclosures@takeda.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Nov 24, 2023 | May 10, 2024 | SAP_001.pdf |
| ID | Term |
|---|---|
| D003248 | Constipation |
| ID | Term |
|---|---|
| D012817 | Signs and Symptoms, Digestive |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
Not provided
Not provided
| ID | Term |
|---|---|
| C406662 | prucalopride |
Not provided
Not provided
Not provided
| Lack of Efficacy |
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| Lost to Follow-up |
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| Study Terminated by Sponsor |
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| Withdrawal of Consent by Participant |
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| Reason not Specified |
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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 |
|
| OG001 | Part A: Low Dose Prucalopride | Participants weighing <50 kg received 0.04 mg/kg of prucalopride oral solution (drew the required volume from one bottle of 0.4 mg/mL and one bottle of placebo oral solution), QD or participants weighing ≥50 kg received one 2 mg of prucalopride oral tablet and one placebo oral tablet, QD, during 12 weeks in Part A. Prucalopride (oral solution or tablet) were dosed depending on the participant's BW at the randomization visit. |
| OG002 | Part A: High Dose Prucalopride | Participants weighing <50 kg received 0.08 mg/kg of prucalopride oral solution (drew the required volume from two bottles of 0.4 mg/mL to account for the daily dose assigned), QD or participants weighing ≥50 kg received two 2 mg of prucalopride oral tablets, QD, during 12 weeks of treatment period in Part A. Prucalopride (oral solution or tablet) were dosed depending on the participant's BW at the randomization visit. |
| OG003 | Part B: Low Dose Prucalopride | Participants weighing <50 kg received 0.04 mg/kg of prucalopride oral solution (drew the required volume from one bottle of 0.4 mg/mL and one bottle of placebo oral solution to account for the daily dose assigned), QD or participants weighing ≥50 kg received one 2 mg of prucalopride oral tablet and one placebo oral tablet, QD, for 36 weeks during the 40-week Part B Period. Prucalopride (oral solution or tablet) were dosed depending on the participant's BW at the randomization visit. |
| OG004 | Part B: High Dose Prucalopride | Participants weighing <50 kg received 0.08 mg/kg of prucalopride oral solution (drew the required volume from two bottles of 0.4 mg/mL to account for the daily dose assigned), QD or participants weighing ≥50 kg received two 2 mg of prucalopride oral tablets, QD, for 36 weeks during the 40-week Part B Period. Prucalopride (oral solution or tablet) were dosed depending on the participant's BW at the randomization visit. |
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| OG002 | Part A: High Dose Prucalopride | Participants weighing <50 kg received 0.08 mg/kg of prucalopride oral solution (drew the required volume from two bottles of 0.4 mg/mL to account for the daily dose assigned), QD or participants weighing ≥50 kg received two 2 mg of prucalopride oral tablets, QD, during 12 weeks of treatment period in Part A. Prucalopride (oral solution or tablet) were dosed depending on the participant's BW at the randomization visit. |
| OG003 | Part B: Low Dose Prucalopride | Participants weighing <50 kg received 0.04 mg/kg of prucalopride oral solution (drew the required volume from one bottle of 0.4 mg/mL and one bottle of placebo oral solution to account for the daily dose assigned), QD or participants weighing ≥50 kg received one 2 mg of prucalopride oral tablet and one placebo oral tablet, QD, for 36 weeks during the 40-week Part B Period. Prucalopride (oral solution or tablet) were dosed depending on the participant's BW at the randomization visit. |
| OG004 | Part B: High Dose Prucalopride | Participants weighing <50 kg received 0.08 mg/kg of prucalopride oral solution (drew the required volume from two bottles of 0.4 mg/mL to account for the daily dose assigned), QD or participants weighing ≥50 kg received two 2 mg of prucalopride oral tablets, QD, for 36 weeks during the 40-week Part B Period. Prucalopride (oral solution or tablet) were dosed depending on the participant's BW at the randomization visit. |
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| OG002 | Part A: High Dose Prucalopride | Participants weighing <50 kg received 0.08 mg/kg of prucalopride oral solution (drew the required volume from two bottles of 0.4 mg/mL to account for the daily dose assigned), QD or participants weighing ≥50 kg received two 2 mg of prucalopride oral tablets, QD, during 12 weeks of treatment period in Part A. Prucalopride (oral solution or tablet) were dosed depending on the participant's BW at the randomization visit. |
| OG003 | Part B: Low Dose Prucalopride | Participants weighing <50 kg received 0.04 mg/kg of prucalopride oral solution (drew the required volume from one bottle of 0.4 mg/mL and one bottle of placebo oral solution to account for the daily dose assigned), QD or participants weighing ≥50 kg received one 2 mg of prucalopride oral tablet and one placebo oral tablet, QD, for 36 weeks during the 40-week Part B Period. Prucalopride (oral solution or tablet) were dosed depending on the participant's BW at the randomization visit. |
| OG004 | Part B: High Dose Prucalopride | Participants weighing <50 kg received 0.08 mg/kg of prucalopride oral solution (drew the required volume from two bottles of 0.4 mg/mL to account for the daily dose assigned), QD or participants weighing ≥50 kg received two 2 mg of prucalopride oral tablets, QD, for 36 weeks during the 40-week Part B Period. Prucalopride (oral solution or tablet) were dosed depending on the participant's BW at the randomization visit. |
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| OG002 | Part A: High Dose Prucalopride | Participants weighing <50 kg received 0.08 mg/kg of prucalopride oral solution (drew the required volume from two bottles of 0.4 mg/mL to account for the daily dose assigned), QD or participants weighing ≥50 kg received two 2 mg of prucalopride oral tablets, QD, during 12 weeks of treatment period in Part A. Prucalopride (oral solution or tablet) were dosed depending on the participant's BW at the randomization visit. |
| OG003 | Part B: Low Dose Prucalopride | Participants weighing <50 kg received 0.04 mg/kg of prucalopride oral solution (drew the required volume from one bottle of 0.4 mg/mL and one bottle of placebo oral solution to account for the daily dose assigned), QD or participants weighing ≥50 kg received one 2 mg of prucalopride oral tablet and one placebo oral tablet, QD, for 36 weeks during the 40-week Part B Period. Prucalopride (oral solution or tablet) were dosed depending on the participant's BW at the randomization visit. |
| OG004 | Part B: High Dose Prucalopride | Participants weighing <50 kg received 0.08 mg/kg of prucalopride oral solution (drew the required volume from two bottles of 0.4 mg/mL to account for the daily dose assigned), QD or participants weighing ≥50 kg received two 2 mg of prucalopride oral tablets, QD, for 36 weeks during the 40-week Part B Period. Prucalopride (oral solution or tablet) were dosed depending on the participant's BW at the randomization visit. |
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| OG001 | Part A: Low Dose Prucalopride | Participants weighing <50 kg received 0.04 mg/kg of prucalopride oral solution (drew the required volume from one bottle of 0.4 mg/mL and one bottle of placebo oral solution), QD or participants weighing ≥50 kg received one 2 mg of prucalopride oral tablet and one placebo oral tablet, QD, during 12 weeks in Part A. Prucalopride (oral solution or tablet) were dosed depending on the participant's BW at the randomization visit. |
| OG002 | Part A: High Dose Prucalopride | Participants weighing <50 kg received 0.08 mg/kg of prucalopride oral solution (drew the required volume from two bottles of 0.4 mg/mL to account for the daily dose assigned), QD or participants weighing ≥50 kg received two 2 mg of prucalopride oral tablets, QD, during 12 weeks of treatment period in Part A. Prucalopride (oral solution or tablet) were dosed depending on the participant's BW at the randomization visit. |
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| OG002 | Part A: High Dose Prucalopride | Participants weighing <50 kg received 0.08 mg/kg of prucalopride oral solution (drew the required volume from two bottles of 0.4 mg/mL to account for the daily dose assigned), QD or participants weighing ≥50 kg received two 2 mg of prucalopride oral tablets, QD, during 12 weeks of treatment period in Part A. Prucalopride (oral solution or tablet) were dosed depending on the participant's BW at the randomization visit. |
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| OG002 | Part A: High Dose Prucalopride | Participants weighing <50 kg received 0.08 mg/kg of prucalopride oral solution (drew the required volume from two bottles of 0.4 mg/mL to account for the daily dose assigned), QD or participants weighing ≥50 kg received two 2 mg of prucalopride oral tablets, QD, during 12 weeks of treatment period in Part A. Prucalopride (oral solution or tablet) were dosed depending on the participant's BW at the randomization visit. |
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| OG002 | Part A: High Dose Prucalopride | Participants weighing <50 kg received 0.08 mg/kg of prucalopride oral solution (drew the required volume from two bottles of 0.4 mg/mL to account for the daily dose assigned), QD or participants weighing ≥50 kg received two 2 mg of prucalopride oral tablets, QD, during 12 weeks of treatment period in Part A. Prucalopride (oral solution or tablet) were dosed depending on the participant's BW at the randomization visit. |
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