Evaluation of Clinical Equivalence Between Two Lubiprostone Products in the Treatment of Chronic Idiopathic Constipation

NCT ID: NCT01674530

Last Updated: 2014-04-03

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

909 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-10-31

Study Completion Date

2014-03-31

Brief Summary

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The objective of this study is to evaluate the clinical equivalence and safety of the test formulation of Lubiprostone 24 mcg capsules manufactured by Dr Reddy's Laboratories Ltd compared to the marketed formulation AMITIZA® ( Lubiprostone) 24 mcg capsules (Sucampo Pharmaceuticals, Inc.) in patients with confirmed Chronic Idiopathic Constipation

Detailed Description

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Constipation is a common gastrointestinal problem estimated to effect 2-27 % of the population in United States . It is found more commonly in women and elderly . The prevelance of constipation and growing demand for treatment dictate the need for safe and effective treatment options . Lubiprostone is the first chloride channel activator approved by FDA for long term treatment of chronic idiopathic constipation in adult men and women . To provide a generic medicine to the U.S population Dr Reddy's Laboratories intends to conduct this study to evaluate that the Lubiprostone manufactured by it is equally effective and safe as marketed AMITIZA® ( Lubiprostone) 24 mcg capsules (Sucampo Pharmaceuticals, Inc.)

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

DOUBLE

Participants Investigators

Study Groups

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Lubiprostone

Manufactured by Dr Reddy's Laboratories Ltd( 24 mcg administered for 7 days )

Group Type EXPERIMENTAL

Lubiprostone

Intervention Type DRUG

24 mcg Capsules to be given in the experimental arm with Placebo Of AMITIZA

AMITIZA®

Manufactured by Sucampo Pharmaceuticals(24 mcg administered for 7 days)

Group Type ACTIVE_COMPARATOR

Lubiprostone

Intervention Type DRUG

24 mcg Capsules with placebo of Lubiprostone ( Manufactured by Dr Reddy's Laboratories Ltd)

Placebo

Manufactured by Dr Reddy's Laboratories Ltd ( 24 mcg adminstered for 7 days )

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

24 mcg capsules of both experimental Lubiprostone and AMITIZA

Interventions

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Lubiprostone

24 mcg Capsules to be given in the experimental arm with Placebo Of AMITIZA

Intervention Type DRUG

Lubiprostone

24 mcg Capsules with placebo of Lubiprostone ( Manufactured by Dr Reddy's Laboratories Ltd)

Intervention Type DRUG

Placebo

24 mcg capsules of both experimental Lubiprostone and AMITIZA

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Patients who have signed the written informed consent form prior to entering the study.
2. Male or non-pregnant female aged ≥ 18 years with a clinical diagnosis of CIC defined as, on average, \< 3 SBMs per week and confirmed by daily diary during the two week baseline/washout period. An SBM is defined as any bowel movement (BM) that does not occur within 24 hours after rescue medication use.
3. Patients with body mass index between 18 and 35kg/m2 (both inclusive)
4. Have one or more of the following symptoms related to BMs for at least 6 months before the baseline visit and confirmed by daily diary during the 2 weeks baseline/washout period:

i. very hard (little balls) and/or hard stools for at least 25% of the bowel movements ii. sensation of incomplete evacuation following at least 25% of the bowel movements iii. straining at defecation at least a quarter of the time
5. Women of child-bearing potential should have a negative serum pregnancy test prior to beginning therapy and agree to use effective contraceptive methods (at least one medically approved and highly effective method of birth control defined as those which result in a low failure rate (i.e., less than 1% per year) when used consistently and correctly such as implants, injectables, oral contraceptives combined with at least one barrier method, hormonal IUDs, sexual abstinence or vasectomy of the partner) during the study.
6. For patients aged \< 50 years, documentation of the results of either a flexible sigmoidoscopy or colonoscopy performed within the five years prior to dosing, showing no mechanical bowel obstruction or organic disorders of the large or small bowel.
7. For patients aged ≥ 50 years, documentation of the results of either a barium enema with flexible sigmoidoscopy or colonoscopy performed within one year prior to dosing, showing no mechanical bowel obstruction or organic disorders of the large or small bowel.

Exclusion Criteria

1. Females who are pregnant, breast feeding, or planning a pregnancy during the proposed study period.
2. Patients of any age with evidence of weight loss, anemia, or rectal bleeding and without documentation of the results of either a flexible sigmoidoscopy or colonoscopy performed during the 6 months prior to dosing.
3. Patients who have documented mechanical bowel obstruction (e.g., bowel obstruction due to tumor, hernia), megacolon/megarectum, or diagnosis of pseudo-obstruction.
4. Patients with known or suspected organic disorders of the large or small bowel (e.g., inflammatory bowel disease, ulcerative colitis, Crohn's Disease) or constipation secondary to a documented cause (e.g., surgery, bowel resection) or acute hernia or with neurologic diseases or other diseases that cause motility problems for example Parkinson's disease and spinal cord injury, etc.
5. Patients with a history of bowel resection.
6. Patients who are regularly using medications, which are known to cause constipation (anticholinergics, narcotics, calcium channel blockers, tricyclic antidepressants, colchicine, iron supplements, magnesium supplements).
7. Patients who are hospitalized for any gastrointestinal or abdominal surgical procedure during the three months prior to dosing.
8. Patients with clinically significant cardiovascular, liver, lung, neurologic, renal or psychiatric disorder, or clinically significant laboratory abnormalities (if laboratory values exceed 2X Upper Limit of Normal the approval of medical monitor should be taken into consideration before randomizing the patient).
9. Use of systemic antibiotics within four weeks prior to baseline.
10. Any current or planned significant change in diet during the study.
11. Participation in a study with any investigational medication within the past 30 days before screening for this study or previous participation in this study.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Parexel

INDUSTRY

Sponsor Role collaborator

Dr. Reddy's Laboratories Limited

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ashis Patnaik, M.D

Role: STUDY_DIRECTOR

Dr. Reddy's Laboratories Limited

Shilpi Dhawan, M.D

Role: STUDY_DIRECTOR

Dr. Reddy's Laboratories Limited

Locations

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Radiant Research

Birmingham, Alabama, United States

Site Status

Digestive Health Specialists of the Southeast

Dothan, Alabama, United States

Site Status

Clinical Research Associates

Huntsville, Alabama, United States

Site Status

Drug Research Group, LLC

Mobile, Alabama, United States

Site Status

Radiant Research

Scottsdale, Arizona, United States

Site Status

Adobe Clinical Research , LLC

Tucson, Arizona, United States

Site Status

Visions Clinical Research

Tucson, Arizona, United States

Site Status

SC Clinical Research, Inc

Tucson, Arizona, United States

Site Status

Preferred Research Partners

Little Rock, Arkansas, United States

Site Status

Anaheim Clinical Trials

Anaheim, California, United States

Site Status

Diagnamics Inc,477 N. El Camino Real,Suite A100

Encinitas, California, United States

Site Status

Advanced Medical Research Institute

Fresno, California, United States

Site Status

Research Center of Fresno

Fresno, California, United States

Site Status

Translational Research Group

North Hollywood, California, United States

Site Status

Staywell Research

Northridge, California, United States

Site Status

Elias Research Associates

Orange, California, United States

Site Status

Benchmark Research

Sacramento, California, United States

Site Status

Medical Center for CR

San Diego, California, United States

Site Status

Shawn K Hassler

San Francisco, California, United States

Site Status

SC Clinical Research, Inc ,1060 E. Foothill Blvd, Suite 204

Upland, California, United States

Site Status

Progressive Clinical Research

Vista, California, United States

Site Status

Horizons Clinical Research Center

Denver, Colorado, United States

Site Status

Radiant Research

Denver, Colorado, United States

Site Status

Lynn Institute of Denver

Denver, Colorado, United States

Site Status

Consultants of Clinical

Boynton Beach, Florida, United States

Site Status

PAB Clinical Research

Brandon, Florida, United States

Site Status

Elite Trials

Clearwater, Florida, United States

Site Status

Health Care Family Rehabilitation and Research Center

Hialeah, Florida, United States

Site Status

Medical Research Unlimited, LLC

Hialeah, Florida, United States

Site Status

Health Awareness ,Inc

Jupiter, Florida, United States

Site Status

Sunrise Medical Research

Lauderdale Lakes, Florida, United States

Site Status

San Marcus Research Clinic

Miami, Florida, United States

Site Status

Pharmax Research Clinic

Miami, Florida, United States

Site Status

Community Research Foundation , Inc.

Miami, Florida, United States

Site Status

Florida International Research

Miami, Florida, United States

Site Status

Columbus Clinical Services

Miami, Florida, United States

Site Status

South Medical Research Group , Inc

Miami, Florida, United States

Site Status

Pharma Research International, Inc

Naples, Florida, United States

Site Status

Pharma Research International, Inc

Naples, Florida, United States

Site Status

Compass Research

Orlando, Florida, United States

Site Status

Ormond Medical Arts Pharmaceutical

Ormond Beach, Florida, United States

Site Status

Clinical Research of Central Florida

Plant City, Florida, United States

Site Status

Accord Clinical Research,LLC

Port Orange, Florida, United States

Site Status

Meridian Research

St. Petersburg, Florida, United States

Site Status

Meridian Research

Tampa, Florida, United States

Site Status

Clinical Research of Central Florida

Winter Haven, Florida, United States

Site Status

Mount Vernon Clinical Research

Atlanta, Georgia, United States

Site Status

Gastroenterology Consultants PC

Atlanta, Georgia, United States

Site Status

Atlanta Gastroenterology Assoc

Marietta, Georgia, United States

Site Status

Advanced Digestive Care Center , PC

Stockbridge, Georgia, United States

Site Status

Clinical Research Atlanta

Stockbridge, Georgia, United States

Site Status

Heartland Research Associates

Newton, Kansas, United States

Site Status

Heartland Research Associates

Wichita, Kansas, United States

Site Status

Research Integrity

Owensboro, Kentucky, United States

Site Status

East Jefferson Gastro

Metairie, Louisiana, United States

Site Status

Boston Clinical Trials Inc

Boston, Massachusetts, United States

Site Status

Beacon Clinical Research

Brockton, Massachusetts, United States

Site Status

Bay State Clinical Trials, Inc.

Watertown, Massachusetts, United States

Site Status

Clinical Research Institute

Chesterfield, Michigan, United States

Site Status

Bayer Research

Kalamazoo, Michigan, United States

Site Status

GI Associates and Endoscopy Center

Jackson, Mississippi, 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

University Hospital,150 Bergen Street,B-134 Pharmacy

Newark, New Jersey, United States

Site Status

Hosc Inc.

Brooklyn, New York, United States

Site Status

NY Scientific,189-11 Jamaica Ave

Hollis, New York, United States

Site Status

Peters Medical Research

High Point, North Carolina, United States

Site Status

Wake Research Associates

Raleigh, North Carolina, United States

Site Status

PMG Research of Salisbury

Salisbury, North Carolina, United States

Site Status

PMG Research of Wilmington

Wilmington, North Carolina, United States

Site Status

PMG Research of Winston-Salem, LLC

Winston-Salem, North Carolina, United States

Site Status

Valley Medical Research

Centerville, Ohio, United States

Site Status

Rapid Medical Research , Inc

Cleveland, Ohio, United States

Site Status

Radiant Research

Columbus, Ohio, United States

Site Status

Great Lakes Gastroenterology

Mentor, Ohio, United States

Site Status

Detweiler Family Medicine and Associates, PC

Lansdale, Pennsylvania, United States

Site Status

Clinical Trials Research Services, LLC

Pittsburgh, Pennsylvania, United States

Site Status

Radiant Research

Greer, South Carolina, United States

Site Status

Clinsearch LLC

Chattanooga, Tennessee, United States

Site Status

HCCA-CRS

Jackson, Tennessee, United States

Site Status

KRK Medical Research

Dallas, Texas, United States

Site Status

Gastroenterology Consultants P.A

Houston, Texas, United States

Site Status

Clinical Trial Network

Houston, Texas, United States

Site Status

Digestive Health Center

Pasadena, Texas, United States

Site Status

Paragon Research Center

San Antonio, Texas, United States

Site Status

Quality Research, Inc

San Antonio, Texas, United States

Site Status

Sun Research

San Antonio, Texas, United States

Site Status

Texas Medical Research Associates , LLC

San Antonio, Texas, United States

Site Status

Breco Research

Sugarland, Texas, United States

Site Status

Pioneer Research Solutions , Inc

Sugarland, Texas, United States

Site Status

Charlottesville Medical Research Center

Charlottesville, Virginia, United States

Site Status

BlueRidge Medical Research

Lynchburg, Virginia, United States

Site Status

Health Research of Hampton Roads

Newport News, Virginia, United States

Site Status

Countries

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United States

Other Identifiers

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DRL-USG01-L/2012

Identifier Type: -

Identifier Source: org_study_id

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