The Plecanatide Chronic Idiopathic Constipation (CIC) Study

NCT ID: NCT01429987

Last Updated: 2019-05-28

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2/PHASE3

Total Enrollment

951 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-10-31

Study Completion Date

2012-12-31

Brief Summary

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This is a randomized, double-blind, placebo controlled, 12 week repeat oral dose, dose ranging study to determine the efficacy and safety of 3 doses of plecanatide compared to placebo in patients with Chronic Idiopathic Constipation (CIC).

Detailed Description

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This is a Phase IIb/III, randomized, double-blind, placebo-controlled, 12-Week, Repeat, Oral Dose Ranging, study to determine the safety and efficacy of plecanatide in patients with chronic idiopathic constipation (CIC). Subjects diagnosed with CIC via modified Rome III criteria will be screened against the inclusion and exclusion criteria for the study and enter a 2 Week pre treatment screening. During this phase patients will be required to call in their bowel movements (BM diary) as they occur, and call at least once daily to complete a patient diary of questions on their symptoms (Symptom Diary) associated with CC, as they will throughout the trial. Patients who complete at least 5 days of dosing per week, 6 of each 7 day period of BM diary calls, and continue to have less than 3 complete spontaneous movements per week (as well as meeting other inclusion and exclusion criteria) will be enrolled and randomized to one of three plecanatide doses 0.3 mg, 1.0 mg, and 3.0 mg or placebo. 880 patients will be randomized with the intent of having 200 patients per treatment group (each group the same size) included in efficacy analyses. All subjects receiving at least one dose of plecanatide or matching placebo will be included in the safety analyses.

Conditions

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Chronic Idiopathic Constipation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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plecanatide 0.3 mg

Subjects receive plecanatide 0.3 mg for 12 consecutive weeks

Group Type EXPERIMENTAL

plecanatide

Intervention Type DRUG

Subjects receive experimental study drug for 12 weeks.

plecanatide 1.0 mg

Subjects receive plecanatide 1.0 mg for 12 consecutive weeks

Group Type EXPERIMENTAL

plecanatide

Intervention Type DRUG

Subjects receive experimental study drug for 12 weeks.

plecanatide 3.0 mg

Subjects receive plecanatide 3.0 mg for 12 consecutive weeks

Group Type EXPERIMENTAL

plecanatide

Intervention Type DRUG

Subjects receive experimental study drug for 12 weeks.

Placebo

Subjects receive placebo for 12 consecutive weeks

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Subjects receive experimental study drug for 12 weeks.

Interventions

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plecanatide

Subjects receive experimental study drug for 12 weeks.

Intervention Type DRUG

Placebo

Subjects receive experimental study drug for 12 weeks.

Intervention Type OTHER

Other Intervention Names

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Trulance

Eligibility Criteria

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Inclusion Criteria

* Male or female aged 18-75, inclusive
* Body Mass Index = 18-35 kg/m2, inclusive
* Meets modified Rome III criteria for functional chronic idiopathic constipation for at least 3 months with symptom onset for at least 6 months. Note: For this trial, patients with manual maneuvers required for \>25% of defecations will not be eligible for participation.
* Less than 3 CSBMs per week at baseline and during pretreatment
* Completed a colonoscopy in accordance with medical guidelines as appropriate, with no clinically significant findings
* Patient is willing to discontinue use of supplemental fiber, laxatives, prescription and nonprescription medications, herbal or dietary supplements intended to treat constipation during the screening, pre-treatment, treatment and 2-week post-treatment periods
* Willing to maintain a stable diet during the study.
* Patients with hemorrhoids and/or diverticulosis (NOT diverticulitis) CAN be entered into the study.

Exclusion Criteria

* Loose stool (mushy) or watery (Bristol score- 6 or 7) stool in the absence of any laxative or prohibited medicine for \> 25% of BMs during the 3 months prior to screening visit OR during the 14 day treatment period
* Patient meets the Rome III criteria for Irritable Bowel Syndrome (IBS-C)
* Active peptic ulcer disease not adequately treated or not stable
* History of cathartic colon, laxative, enema abuse, or ischemic colitis.
* Fecal impaction within 3 months of screening
* Patient has had /has any: diseases or conditions associated with constipation (GI or CNS), structural abnormality of the GI tract or gastric bypass surgery, pelvic floor dysfunction, pseudo-obstruction, active infectious gastritis, diverticulitis, anal fissures or any disease or condition that can affect GI motility or defecation or can be associated with abdominal pain
* Unexplained and clinically significant "alarm symptoms" including lower GI bleeding, iron-deficiency anemia, weight loss or systemic signs of infection or colitis.
* Major surgery within 60 days of screening.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Parexel

INDUSTRY

Sponsor Role collaborator

Bausch Health Americas, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Compass Research, LLC

Orlando, Florida, United States

Site Status

South Medical Research Group, Inc

Miami, Florida, United States

Site Status

Coastal Clinical Research, Inc.

Mobile, Alabama, United States

Site Status

East Valley Gastroenterology and Hepatology Associates, PC

Chandler, Arizona, United States

Site Status

Genova Clinical Research

Tucson, Arizona, United States

Site Status

Desert Sun Clinical Research, LLC

Tucson, Arizona, United States

Site Status

Adobe Clinical Research, LLC

Tucson, Arizona, United States

Site Status

Preferred Research Partners, Inc

Little Rock, Arkansas, United States

Site Status

ACRI-Phase 1,LLC

Anaheim, California, United States

Site Status

Translational Research Group, INC., d/b/a Providence Clinical Research

Burbank, California, United States

Site Status

GW Research, Inc

Chula Vista, California, United States

Site Status

Community Clinical Trials

Orange, California, United States

Site Status

Dormir Clinical Trials, Inc

Redlands, California, United States

Site Status

Inland Gastroenterology Medical Associates, Inc.

Redlands, California, United States

Site Status

Superior Research LLC

Sacramento, California, United States

Site Status

Medical Center for Clinical Research

San Diego, California, United States

Site Status

Medical Associates Research Group, Inc.

San Diego, California, United States

Site Status

Progressive Clinical Research

Vista, California, United States

Site Status

Horizons Clinical Research Center, LLC

Denver, Colorado, United States

Site Status

Consultants for Clinical Research of S. Florida

Boynton Beach, Florida, United States

Site Status

Medical Research Unlimited, LLC

Hialeah, Florida, United States

Site Status

Nature Coast Clinical Research

Inverness, Florida, United States

Site Status

Health Awareness, Inc.

Jupiter, Florida, United States

Site Status

Jupiter Research, Inc.

Jupiter, Florida, United States

Site Status

Miami Gastroenterology Consultants, PA

Miami, Florida, United States

Site Status

Advance Medical Research Service Corp

Miami, Florida, United States

Site Status

Advance Medical Research Service

Miami, Florida, United States

Site Status

Florida International Research Center

Miami, Florida, United States

Site Status

Columbus Clinical Services, LLC

Miami, Florida, United States

Site Status

Gold Coast Research, LLC

Plantation, Florida, United States

Site Status

DMI Research

Seminole, Florida, United States

Site Status

Meridien Research

Tampa, Florida, United States

Site Status

Palm Beach Research Center

West Palm Beach, Florida, United States

Site Status

Gastro Specialists Research Center, LLC

Decatur, Georgia, United States

Site Status

Mount Vernon Clinical Research, LLC

Sandy Springs, Georgia, United States

Site Status

CTL Research

Eagle, Idaho, United States

Site Status

Advanced Clinical Research

Meridian, Idaho, United States

Site Status

Medex Healthcare Research, Inc.

Chicago, Illinois, United States

Site Status

Southwest Gastroenterology Assoc

Oak Lawn, Illinois, United States

Site Status

Rockford Gastroenterology Associates, Ltd.

Rockford, Illinois, United States

Site Status

Investigators Research Group, LLC

Brownsburg, Indiana, United States

Site Status

MediSphere Medical Research Center, LLC

Evansville, Indiana, United States

Site Status

Memorial Health System, Inc., d/b/a LaPorte Medical Group

La Porte, Indiana, United States

Site Status

Memorial Health System, Inc., d/b/a Ireland Road Medical Group

South Bend, Indiana, United States

Site Status

Iowa Digestive Disease Center

Clive, Iowa, United States

Site Status

Heartland Research Associates, LLC

Augusta, Kansas, United States

Site Status

Hutchinson Clinic, P.A

Hutchinson, Kansas, United States

Site Status

Heartland Research Associates, LLC

Newton, Kansas, United States

Site Status

Heartland Research Associates, LLC

Wichita, Kansas, United States

Site Status

Heartland Research Associates, LLC

Wichita, Kansas, United States

Site Status

Research Integrity

Owensboro, Kentucky, United States

Site Status

Horizon Research Group, LLC

Baton Rouge, Louisiana, United States

Site Status

Gastroenterology Associates, LLC

Baton Rouge, Louisiana, United States

Site Status

Women Under Study, LLC

New Orleans, Louisiana, United States

Site Status

Willis-Knighton Physician Network / Pinnacle Gastroenterology

Shreveport, Louisiana, United States

Site Status

Mid-Atlantic Medical Research Centers

Hollywood, Maryland, United States

Site Status

Boston Clinical Trials, Inc

Boston, Massachusetts, United States

Site Status

NECCR Internal Medicine and Cardiology Associates, LLC

Fall River, Massachusetts, United States

Site Status

Clinical Research Institute of Michigan, LLC

Chesterfield, Michigan, United States

Site Status

Beyer Research

Kalamazoo, Michigan, United States

Site Status

Remedica LLC

Rochester, Michigan, United States

Site Status

American Center for Clinical Trials

Southfield, Michigan, United States

Site Status

Ridgeview Research

Chaska, Minnesota, United States

Site Status

The Center for Pharmaceutical Research, PC

Kansas City, Missouri, United States

Site Status

Midwest Center for Clinical Research

Lee's Summit, Missouri, United States

Site Status

St. Louis Center for Clinical Research

St Louis, Missouri, United States

Site Status

Internal Medical Associates of Grand Island, PC

Grand Island, Nebraska, United States

Site Status

Quality Clinical Research Inc.

Omaha, Nebraska, United States

Site Status

Central Jersey Medical Research Center

Elizabeth, New Jersey, United States

Site Status

South Jersey Gastroenterology, PA

Marlton, New Jersey, United States

Site Status

Jeffrey Danzig

Ridgewood, New Jersey, United States

Site Status

Albuquerque Clinical Trials, Inc

Albuquerque, New Mexico, United States

Site Status

Lovelace Scientific Resources, Inc

Albuquerque, New Mexico, United States

Site Status

NY Total Medical Care

Brooklyn, New York, United States

Site Status

Synergy First

Brooklyn, New York, United States

Site Status

Long Island Gastrointestinal Research Group LLP

Great Neck, New York, United States

Site Status

Premier Medical Group of the Hudson Valley, PC

Poughkeepsie, New York, United States

Site Status

North American Partners in Pain Management

Valley Stream, New York, United States

Site Status

Paddu and Associates, LLP

Woodside, New York, United States

Site Status

MediSpect, LLC

Boone, North Carolina, United States

Site Status

Clinical and Translational Research Center Hospital

Chapel Hill, North Carolina, United States

Site Status

Carolina Digestive Health Associates

Charlotte, North Carolina, United States

Site Status

Carolina Digestive Health Associates

Davidson, North Carolina, United States

Site Status

LeBauer Research Associates, PA

Greensboro, North Carolina, United States

Site Status

Medoff Medical / Vital re:Search

Greensboro, North Carolina, United States

Site Status

Carolina Digestive Health Associates

Harrisburg, North Carolina, United States

Site Status

Burke Primary Care

Morgantown, North Carolina, United States

Site Status

Wake Research associates, LLC

Raleigh, North Carolina, United States

Site Status

PMG Research of Wilmington

Wilmington, North Carolina, United States

Site Status

PMG Research of Winston-Salem

Winston-Salem, North Carolina, United States

Site Status

Valley Medical Research

Centerville, Ohio, United States

Site Status

Hometown Urgent Care

Columbus, Ohio, United States

Site Status

Hometown Urgent Care and Research

Dayton, Ohio, United States

Site Status

Hometown Urgent Care

Groveport, Ohio, United States

Site Status

Great Lakes Gastroenterology

Mentor, Ohio, United States

Site Status

Hometown Urgent Care and Research

Springfield, Ohio, United States

Site Status

Clinical Research Associates, LLC

Oklahoma City, Oklahoma, United States

Site Status

Consultants in Gastroenerology

Columbia, South Carolina, United States

Site Status

ClinSearch, LLC

Chattanooga, Tennessee, United States

Site Status

Associates in Gastroenterology

Hermitage, Tennessee, United States

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HCCA Clinical Research Solutions

Jackson, Tennessee, United States

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PMG Research of Knoxville

Knoxville, Tennessee, United States

Site Status

St. Thomas Medical Group

Nashville, Tennessee, United States

Site Status

KRK Medical Research

Dallas, Texas, United States

Site Status

Research Across America

Dallas, Texas, United States

Site Status

Reasearch Across America

El Paso, Texas, United States

Site Status

Gastroenterology Consultants

Houston, Texas, United States

Site Status

Pioneer Research Solutions, Inc.

Houston, Texas, United States

Site Status

Research Across America

Katy, Texas, United States

Site Status

DCOL Center for Clinical Research

Longview, Texas, United States

Site Status

Digestive Health Center

Pasadena, Texas, United States

Site Status

Quality Research Inc.

San Antonio, Texas, United States

Site Status

Spring Gastroenterology PA

Spring, Texas, United States

Site Status

Utah Clinical Trials. LLC

Salt Lake City, Utah, United States

Site Status

Jean Brown Research

Salt Lake City, Utah, United States

Site Status

Advanced Clinical Research

West Jordan, Utah, United States

Site Status

New River Valley Research Institute

Christiansburg, Virginia, United States

Site Status

Clinical Research Partners, LLC

Henrico, Virginia, United States

Site Status

Blue Ridge Medical Research / Gastroenterology Associates of Central Virginia

Lynchburg, Virginia, United States

Site Status

National Clinical Research-Norfolk, Inc

Norfolk, Virginia, United States

Site Status

National Clinical Research-Richmond, Inc.

Richmond, Virginia, United States

Site Status

Countries

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United States

Related Links

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Other Identifiers

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SP-SP30420210

Identifier Type: -

Identifier Source: secondary_id

SP304-20210

Identifier Type: -

Identifier Source: org_study_id

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