Trial Outcomes & Findings for Study of Elobixibat (A3309) in Patients With Chronic Idiopathic Constipation (NCT NCT01007123)

NCT ID: NCT01007123

Last Updated: 2017-03-22

Results Overview

Primary ep W 1

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

190 participants

Primary outcome timeframe

Baseline, weekly, up to 8 weeks

Results posted on

2017-03-22

Participant Flow

Participant milestones

Participant milestones
Measure
Elobixibat (A3309) 5 mg
Administered once daily for the duration of the study
Elobixibat (A3309) 10 mg
Administered once daily for the duration of the study.
Elobixibat (A3309) 15 mg
Administered once daily for the duration of the study
Placebo
Administered once daily for the duration of the study
Overall Study
STARTED
48
47
48
47
Overall Study
COMPLETED
42
41
37
41
Overall Study
NOT COMPLETED
6
6
11
6

Reasons for withdrawal

Reasons for withdrawal
Measure
Elobixibat (A3309) 5 mg
Administered once daily for the duration of the study
Elobixibat (A3309) 10 mg
Administered once daily for the duration of the study.
Elobixibat (A3309) 15 mg
Administered once daily for the duration of the study
Placebo
Administered once daily for the duration of the study
Overall Study
Adverse Event
3
4
7
1
Overall Study
Lack of Efficacy
1
0
1
4
Overall Study
Protocol Violation
1
1
2
1
Overall Study
Withdrawal by Subject
1
0
1
0
Overall Study
Lost to Follow-up
0
1
0
0

Baseline Characteristics

Study of Elobixibat (A3309) in Patients With Chronic Idiopathic Constipation

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Elobixibat (A3309) 5 mg
n=48 Participants
Administered once daily for the duration of the study
Elobixibat (A3309) 10 mg
n=47 Participants
Administered once daily for the duration of the study.
Elobixibat (A3309) 15 mg
n=48 Participants
Administered once daily for the duration of the study
Placebo
n=47 Participants
Administered once daily for the duration of the study
Total
n=190 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Age, Categorical
Between 18 and 65 years
44 Participants
n=5 Participants
46 Participants
n=7 Participants
43 Participants
n=5 Participants
41 Participants
n=4 Participants
174 Participants
n=21 Participants
Age, Categorical
>=65 years
4 Participants
n=5 Participants
1 Participants
n=7 Participants
5 Participants
n=5 Participants
6 Participants
n=4 Participants
16 Participants
n=21 Participants
Age, Continuous
48 years
STANDARD_DEVIATION 13 • n=5 Participants
48 years
STANDARD_DEVIATION 11 • n=7 Participants
46 years
STANDARD_DEVIATION 13 • n=5 Participants
50 years
STANDARD_DEVIATION 13 • n=4 Participants
48 years
STANDARD_DEVIATION 12 • n=21 Participants
Sex: Female, Male
Female
43 Participants
n=5 Participants
45 Participants
n=7 Participants
43 Participants
n=5 Participants
39 Participants
n=4 Participants
170 Participants
n=21 Participants
Sex: Female, Male
Male
5 Participants
n=5 Participants
2 Participants
n=7 Participants
5 Participants
n=5 Participants
8 Participants
n=4 Participants
20 Participants
n=21 Participants
Region of Enrollment
United States
48 participants
n=5 Participants
47 participants
n=7 Participants
48 participants
n=5 Participants
47 participants
n=4 Participants
190 participants
n=21 Participants

PRIMARY outcome

Timeframe: Baseline, weekly, up to 8 weeks

Population: ITT population

Primary ep W 1

Outcome measures

Outcome measures
Measure
Elobixibat (A3309) 5 mg
n=46 Participants
Administered once daily for the duration of the study
Elobixibat (A3309) 10 mg
n=43 Participants
Administered once daily for the duration of the study.
Elobixibat (A3309) 15 mg
n=44 Participants
Administered once daily for the duration of the study
Placebo
n=46 Participants
Administered once daily for the duration of the study
Change From Baseline in Frequency of Spontaneous Bowel Movements
2.5 Number of SBMs
Standard Error 0.7
4.0 Number of SBMs
Standard Error 0.7
5.4 Number of SBMs
Standard Error 0.71
1.7 Number of SBMs
Standard Error 0.7

SECONDARY outcome

Timeframe: Baseline, weekly and up to 8 weeks

Population: ITT population

A CSBM responder is defined as per FDA draft guidance for IBS-C: An increase of one or more of CSBMs per week over baseline for at least 4 out of the 8 weeks of treatment

Outcome measures

Outcome measures
Measure
Elobixibat (A3309) 5 mg
n=43 Participants
Administered once daily for the duration of the study
Elobixibat (A3309) 10 mg
n=42 Participants
Administered once daily for the duration of the study.
Elobixibat (A3309) 15 mg
n=40 Participants
Administered once daily for the duration of the study
Placebo
n=42 Participants
Administered once daily for the duration of the study
Responder Analyses for Complete Spontaneous Bowel Movements (CSBMs)
25 participants
27 participants
30 participants
14 participants

SECONDARY outcome

Timeframe: First week

Population: ITT population

Outcome measures

Outcome measures
Measure
Elobixibat (A3309) 5 mg
n=40 Participants
Administered once daily for the duration of the study
Elobixibat (A3309) 10 mg
n=39 Participants
Administered once daily for the duration of the study.
Elobixibat (A3309) 15 mg
n=40 Participants
Administered once daily for the duration of the study
Placebo
n=40 Participants
Administered once daily for the duration of the study
Time to First Bowel Movement
23 hours
Interval 17.0 to 29.0
12 hours
Interval 7.0 to 23.0
7 hours
Interval 5.0 to 20.0
27 hours
Interval 20.0 to 44.0

SECONDARY outcome

Timeframe: Baseline, weekly and up to 8 weeks

Population: ITT population

Bristol Stool Form Scale. Min value:1. Max value: 7. Higher value indicates more liquid shape than normal, lower indicates constipated state.

Outcome measures

Outcome measures
Measure
Elobixibat (A3309) 5 mg
n=48 Participants
Administered once daily for the duration of the study
Elobixibat (A3309) 10 mg
n=47 Participants
Administered once daily for the duration of the study.
Elobixibat (A3309) 15 mg
n=48 Participants
Administered once daily for the duration of the study
Placebo
n=47 Participants
Administered once daily for the duration of the study
Stool Consistency Change From Baseline
0.91 units on a scale (1-7)
Standard Deviation 0.99
1.52 units on a scale (1-7)
Standard Deviation 1.2
1.91 units on a scale (1-7)
Standard Deviation 1.3
0.66 units on a scale (1-7)
Standard Deviation 1.0

SECONDARY outcome

Timeframe: Baseline and 8 weeks of treatment

Population: ITT population

Ratio of plasma LDL cholesterol and HDL cholesterol Difference from baseline, placebo-adjusted

Outcome measures

Outcome measures
Measure
Elobixibat (A3309) 5 mg
n=48 Participants
Administered once daily for the duration of the study
Elobixibat (A3309) 10 mg
n=46 Participants
Administered once daily for the duration of the study.
Elobixibat (A3309) 15 mg
n=48 Participants
Administered once daily for the duration of the study
Placebo
Administered once daily for the duration of the study
LDL/HDL Ratio
-0.10 Ratio
Standard Error 0.08
-0.27 Ratio
Standard Error 0.09
-0.21 Ratio
Standard Error 0.1

SECONDARY outcome

Timeframe: Baseline and during 8 weeks of treatment

Population: ITT population

Daily assessment of straining. Min value: 1. Max value: 5. Higher value indicates more straining.

Outcome measures

Outcome measures
Measure
Elobixibat (A3309) 5 mg
n=48 Participants
Administered once daily for the duration of the study
Elobixibat (A3309) 10 mg
n=46 Participants
Administered once daily for the duration of the study.
Elobixibat (A3309) 15 mg
n=48 Participants
Administered once daily for the duration of the study
Placebo
n=47 Participants
Administered once daily for the duration of the study
Straining Change From Baseline
-0.84 units on a scale (1-5)
Standard Error 0.1
-1.13 units on a scale (1-5)
Standard Error 0.1
-1.15 units on a scale (1-5)
Standard Error 0.1
-0.64 units on a scale (1-5)
Standard Error 0.1

Adverse Events

Elobixibat (A3309) 5 mg

Serious events: 1 serious events
Other events: 5 other events
Deaths: 0 deaths

Elobixibat (A3309) 10 mg

Serious events: 1 serious events
Other events: 5 other events
Deaths: 0 deaths

Elobixibat (A3309) 15 mg

Serious events: 0 serious events
Other events: 13 other events
Deaths: 0 deaths

Placebo

Serious events: 1 serious events
Other events: 3 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Elobixibat (A3309) 5 mg
n=48 participants at risk
Administered once daily for the duration of the study
Elobixibat (A3309) 10 mg
n=47 participants at risk
Administered once daily for the duration of the study.
Elobixibat (A3309) 15 mg
n=48 participants at risk
Administered once daily for the duration of the study
Placebo
n=47 participants at risk
Administered once daily for the duration of the study
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Breast cancer
0.00%
0/48 • From randomization to end of follow-up 14 days after end of treatment
2.1%
1/47 • Number of events 1 • From randomization to end of follow-up 14 days after end of treatment
0.00%
0/48 • From randomization to end of follow-up 14 days after end of treatment
0.00%
0/47 • From randomization to end of follow-up 14 days after end of treatment
Gastrointestinal disorders
Bleeding colonic diverticulum
2.1%
1/48 • Number of events 1 • From randomization to end of follow-up 14 days after end of treatment
0.00%
0/47 • From randomization to end of follow-up 14 days after end of treatment
0.00%
0/48 • From randomization to end of follow-up 14 days after end of treatment
0.00%
0/47 • From randomization to end of follow-up 14 days after end of treatment
Musculoskeletal and connective tissue disorders
Shoulder pain
0.00%
0/48 • From randomization to end of follow-up 14 days after end of treatment
0.00%
0/47 • From randomization to end of follow-up 14 days after end of treatment
0.00%
0/48 • From randomization to end of follow-up 14 days after end of treatment
2.1%
1/47 • Number of events 1 • From randomization to end of follow-up 14 days after end of treatment

Other adverse events

Other adverse events
Measure
Elobixibat (A3309) 5 mg
n=48 participants at risk
Administered once daily for the duration of the study
Elobixibat (A3309) 10 mg
n=47 participants at risk
Administered once daily for the duration of the study.
Elobixibat (A3309) 15 mg
n=48 participants at risk
Administered once daily for the duration of the study
Placebo
n=47 participants at risk
Administered once daily for the duration of the study
Gastrointestinal disorders
Diarrhea
8.3%
4/48 • Number of events 4 • From randomization to end of follow-up 14 days after end of treatment
6.4%
3/47 • Number of events 3 • From randomization to end of follow-up 14 days after end of treatment
12.5%
6/48 • Number of events 6 • From randomization to end of follow-up 14 days after end of treatment
2.1%
1/47 • Number of events 46 • From randomization to end of follow-up 14 days after end of treatment
Gastrointestinal disorders
Abdominal pain
10.4%
5/48 • Number of events 5 • From randomization to end of follow-up 14 days after end of treatment
10.6%
5/47 • Number of events 5 • From randomization to end of follow-up 14 days after end of treatment
27.1%
13/48 • Number of events 13 • From randomization to end of follow-up 14 days after end of treatment
0.00%
0/47 • From randomization to end of follow-up 14 days after end of treatment
Gastrointestinal disorders
Abdominal distension
8.3%
4/48 • Number of events 4 • From randomization to end of follow-up 14 days after end of treatment
4.3%
2/47 • Number of events 2 • From randomization to end of follow-up 14 days after end of treatment
6.2%
3/48 • Number of events 3 • From randomization to end of follow-up 14 days after end of treatment
2.1%
1/47 • Number of events 1 • From randomization to end of follow-up 14 days after end of treatment
Gastrointestinal disorders
Flatulence
8.3%
4/48 • Number of events 4 • From randomization to end of follow-up 14 days after end of treatment
6.4%
3/47 • Number of events 3 • From randomization to end of follow-up 14 days after end of treatment
4.2%
2/48 • Number of events 2 • From randomization to end of follow-up 14 days after end of treatment
6.4%
3/47 • Number of events 3 • From randomization to end of follow-up 14 days after end of treatment
Gastrointestinal disorders
Nausea
4.2%
2/48 • Number of events 2 • From randomization to end of follow-up 14 days after end of treatment
4.3%
2/47 • Number of events 2 • From randomization to end of follow-up 14 days after end of treatment
6.2%
3/48 • Number of events 3 • From randomization to end of follow-up 14 days after end of treatment
4.3%
2/47 • Number of events 2 • From randomization to end of follow-up 14 days after end of treatment

Additional Information

Dr Mats Ekelund

Albireo

Phone: +46 31 741 14 80

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60