Phase III Study to Evaluate the Efficacy and Safety of ASP0456 in Patients With Constipation Predominant Irritable Bowel Syndrome

NCT ID: NCT02316899

Last Updated: 2024-10-18

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

500 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-10-21

Study Completion Date

2016-03-29

Brief Summary

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The objective of this study is to evaluate the efficacy and safety of ASP0456 in patients with constipation predominant irritable bowel syndrome (IBS-C).

Detailed Description

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\<Period I (double-blind period)\> A multicenter, collaborative, double-blind, parallel comparative study is conducted using IBS-C patients as subjects to verify efficacy of ASP0456 and examine the safety. After the 2-week bowel habit observation period, subjects satisfying the primary enrollment criteria are randomly allocated to either ASP0456 group or placebo group, and orally administered the drug or placebo once daily before breakfast for 12 weeks.

\<Period II (non-blind period)\> A multicenter, collaborative, non-blind, non-controlled study is conducted to examine safety and efficacy of ASP0456 in long-term administration in IBS-C patients. After Period I, subjects satisfying the transfer criteria are orally administered ASP0456 once daily before breakfast for 40 weeks.

Conditions

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Irritable Bowel Syndrome With Constipation (IBS-C)

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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ASP0456 (Period I)

Up to 12 weeks

Group Type EXPERIMENTAL

linaclotide

Intervention Type DRUG

Oral administration once daily

Placebo (Period I)

Up to 12 weeks

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Oral administration once daily

ASP0456 (Period II)

From 12 weeks to 52 weeks

Group Type EXPERIMENTAL

linaclotide

Intervention Type DRUG

Oral administration once daily

Interventions

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linaclotide

Oral administration once daily

Intervention Type DRUG

Placebo

Oral administration once daily

Intervention Type DRUG

Other Intervention Names

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ASP0456

Eligibility Criteria

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Inclusion Criteria

* Patients who had abdominal pain or discomfort repeatedly for at least 3 days per month during the 3 months before screening examination associated with at least 2 out of the following 3 conditions: (1) Improvement with defecation; (2) Onset associated with a change in frequency of stool; and (3) Onset associated with a change in form (appearance) of stool, and had the above symptom (IBS symptom) 6 months or more before the screening examination period
* Patients with ≥ 25% of stools hard or lumpy (with each bowel movement occurring without antidiarrheal, laxative, suppository or enema) and \<25% of them loose (mushy) or watery during the 3 months before the screening examination
* Patients who had pancolonoscopy or contrast enema (or sigmoidoscopy) after the onset of IBS symptom and had no organic changes

Exclusion Criteria

* Patient with history of surgical resection of stomach, gallbladder, small intestine, or large intestine (excluding resection of appendicitis and benign polyp)
* Patient with history or current affection of inflammatory bowel disease (Crohn's disease or ulcerative colitis)
* Patient with history or current affection of ischemic colitis
* Patient currently affected by infectious enteritis
* Patient currently affected by hyperthyroidism or hypothyroidism
* Patient currently affected by active peptic ulcer
* In the case of a female patient, the one currently affected by endometriosis or uterine adenomyosis
* Patient with high depression or anxiety considered to influence drug evaluation
* Patient with history of abuse of drug or alcohol within a year before consent acquisition, or with current abuse
* Patient who used or underwent or will use or undergo drug/therapy/test prohibited to combine 3 days before the start of bowel habit observation period (Day -17) or thereafter
* Patient with history or current affection of malignant tumor
* Patient currently affected by serious cardiovascular disease, respiratory disease, kidney disease, hepatic disease, gastrointestinal disease (excluding IBS), hemorrhagic disease, or neural/mental disease
* Patient with history of drug allergy
Minimum Eligible Age

20 Years

Maximum Eligible Age

79 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Astellas Pharma Inc

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Director

Role: STUDY_DIRECTOR

Astellas Pharma Inc

Locations

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Site JP00004

Aichi, , Japan

Site Status

Site JP00048

Aichi, , Japan

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Site JP00049

Aichi, , Japan

Site Status

Site JP00038

Chiba, , Japan

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Site JP00039

Chiba, , Japan

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Site JP00040

Chiba, , Japan

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Site JP00041

Chiba, , Japan

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Site JP00042

Chiba, , Japan

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Site JP00002

Fukuoka, , Japan

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Site JP00060

Fukuoka, , Japan

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Site JP00061

Fukuoka, , Japan

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Site JP00001

Hokkaido, , Japan

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Site JP00006

Hokkaido, , Japan

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Site JP00007

Hokkaido, , Japan

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Site JP00057

Hyōgo, , Japan

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Site JP00058

Hyōgo, , Japan

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Site JP00059

Hyōgo, , Japan

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Site JP00030

Kanagawa, , Japan

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Site JP00031

Kanagawa, , Japan

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Site JP00032

Kanagawa, , Japan

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Site JP00033

Kanagawa, , Japan

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Site JP00034

Kanagawa, , Japan

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Site JP00035

Kanagawa, , Japan

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Site JP00036

Kanagawa, , Japan

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Site JP00037

Kanagawa, , Japan

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Site JP00056

Kyoto, , Japan

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Site JP00003

Osaka, , Japan

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Site JP00050

Osaka, , Japan

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Site JP00051

Osaka, , Japan

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Site JP00052

Osaka, , Japan

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Site JP00053

Osaka, , Japan

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Site JP00054

Osaka, , Japan

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Site JP00055

Osaka, , Japan

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Site JP00043

Saitama, , Japan

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Site JP00044

Saitama, , Japan

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Site JP00045

Saitama, , Japan

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Site JP00046

Saitama, , Japan

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Site JP00047

Saitama, , Japan

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Site JP00005

Tokyo, , Japan

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Site JP00008

Tokyo, , Japan

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Site JP00009

Tokyo, , Japan

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Site JP00010

Tokyo, , Japan

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Site JP00011

Tokyo, , Japan

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Site JP00012

Tokyo, , Japan

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Site JP00013

Tokyo, , Japan

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Site JP00014

Tokyo, , Japan

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Site JP00015

Tokyo, , Japan

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Site JP00016

Tokyo, , Japan

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Site JP00017

Tokyo, , Japan

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Site JP00018

Tokyo, , Japan

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Site JP00019

Tokyo, , Japan

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Site JP00020

Tokyo, , Japan

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Site JP00021

Tokyo, , Japan

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Site JP00022

Tokyo, , Japan

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Site JP00023

Tokyo, , Japan

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Site JP00024

Tokyo, , Japan

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Site JP00025

Tokyo, , Japan

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Site JP00026

Tokyo, , Japan

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Site JP00027

Tokyo, , Japan

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Site JP00028

Tokyo, , Japan

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Site JP00029

Tokyo, , Japan

Site Status

Countries

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Japan

References

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Fukudo S, Miwa H, Nakajima A, Haruma K, Kosako M, Nakagawa A, Akiho H, Yamaguchi Y, Johnston JM, Currie M, Kinoshita Y. A randomized controlled and long-term linaclotide study of irritable bowel syndrome with constipation patients in Japan. Neurogastroenterol Motil. 2018 Dec;30(12):e13444. doi: 10.1111/nmo.13444. Epub 2018 Aug 22.

Reference Type DERIVED
PMID: 30136447 (View on PubMed)

Related Links

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https://astellasclinicalstudyresults.com/study.aspx?ID=207

Link to results on Astellas Clinical Study Results website

Other Identifiers

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0456-CL-0031

Identifier Type: -

Identifier Source: org_study_id

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