Trial Outcomes & Findings for A Safety and Efficacy Evaluation of BLI400 Laxative in Constipated Adults (NCT NCT02481947)

NCT ID: NCT02481947

Last Updated: 2020-07-27

Results Overview

The primary endpoint is based on the number of subjects who are weekly responders for at least 9 out of 12 weeks, with at least 3 of these weeks occurring in the last 4 weeks of treatment. A weekly responder is a subject who has ≥ 3 CSBMs and an increase from baseline of \> 1 CSBM in that week.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

459 participants

Primary outcome timeframe

12 weeks

Results posted on

2020-07-27

Participant Flow

Participant milestones

Participant milestones
Measure
BLI400 Laxative
BLI400 Laxative (21 gm BLI400 powder per day)
Lubiprostone
Lubiprostone (24 mcg capsule bid)
Overall Study
STARTED
230
229
Overall Study
COMPLETED
184
193
Overall Study
NOT COMPLETED
46
36

Reasons for withdrawal

Reasons for withdrawal
Measure
BLI400 Laxative
BLI400 Laxative (21 gm BLI400 powder per day)
Lubiprostone
Lubiprostone (24 mcg capsule bid)
Overall Study
Withdrawal by Subject
24
10
Overall Study
Lost to Follow-up
11
5
Overall Study
Adverse Event
6
11
Overall Study
Physician Decision
4
5
Overall Study
Protocol Violation
1
5

Baseline Characteristics

A Safety and Efficacy Evaluation of BLI400 Laxative in Constipated Adults

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
BLI400 Laxative
n=230 Participants
BLI400 Laxative BLI400 Laxative: Oral laxative
Lubiprostone
n=229 Participants
Lubiprostone Lubiprostone: Oral laxative
Total
n=459 Participants
Total of all reporting groups
Age, Continuous
45.3 years
STANDARD_DEVIATION 13.6 • n=93 Participants
45.6 years
STANDARD_DEVIATION 14.6 • n=4 Participants
45.5 years
STANDARD_DEVIATION 14.1 • n=27 Participants
Sex: Female, Male
Female
187 Participants
n=93 Participants
179 Participants
n=4 Participants
366 Participants
n=27 Participants
Sex: Female, Male
Male
43 Participants
n=93 Participants
50 Participants
n=4 Participants
93 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
95 Participants
n=93 Participants
98 Participants
n=4 Participants
193 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
135 Participants
n=93 Participants
131 Participants
n=4 Participants
266 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=93 Participants
0 Participants
n=4 Participants
1 Participants
n=27 Participants
Race (NIH/OMB)
Asian
8 Participants
n=93 Participants
7 Participants
n=4 Participants
15 Participants
n=27 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Black or African American
63 Participants
n=93 Participants
68 Participants
n=4 Participants
131 Participants
n=27 Participants
Race (NIH/OMB)
White
156 Participants
n=93 Participants
146 Participants
n=4 Participants
302 Participants
n=27 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants
n=93 Participants
8 Participants
n=4 Participants
10 Participants
n=27 Participants
Region of Enrollment
United States
230 participants
n=93 Participants
229 participants
n=4 Participants
459 participants
n=27 Participants

PRIMARY outcome

Timeframe: 12 weeks

Population: Per-protocol population

The primary endpoint is based on the number of subjects who are weekly responders for at least 9 out of 12 weeks, with at least 3 of these weeks occurring in the last 4 weeks of treatment. A weekly responder is a subject who has ≥ 3 CSBMs and an increase from baseline of \> 1 CSBM in that week.

Outcome measures

Outcome measures
Measure
BLI400 Laxative
n=187 Participants
BLI400 Laxative (21 gm BLI400 powder)
Lubiprostone
n=199 Participants
Lubiprostone (24 mcg capsule bid)
Complete Spontaneous Bowel Movement (CSBM) Response
47 Participants
56 Participants

Adverse Events

BLI400 Laxative

Serious events: 2 serious events
Other events: 26 other events
Deaths: 1 deaths

Lubiprostone

Serious events: 1 serious events
Other events: 15 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
BLI400 Laxative
n=225 participants at risk
BLI400 Laxative (21 gm BLI400 powder)
Lubiprostone
n=229 participants at risk
Lubiprostone (24 mcg capsule bid)
Infections and infestations
Cellulitis of legs
0.44%
1/225 • Number of events 1 • 12 weeks
Results for mortality, serious adverse events and other adverse events are based on the FDA agreed upon Safety Population (BLI400 n=225, lubiprostone n=229).
0.00%
0/229 • 12 weeks
Results for mortality, serious adverse events and other adverse events are based on the FDA agreed upon Safety Population (BLI400 n=225, lubiprostone n=229).
General disorders
Death
0.44%
1/225 • Number of events 1 • 12 weeks
Results for mortality, serious adverse events and other adverse events are based on the FDA agreed upon Safety Population (BLI400 n=225, lubiprostone n=229).
0.00%
0/229 • 12 weeks
Results for mortality, serious adverse events and other adverse events are based on the FDA agreed upon Safety Population (BLI400 n=225, lubiprostone n=229).
Gastrointestinal disorders
stomach ulcer
0.00%
0/225 • 12 weeks
Results for mortality, serious adverse events and other adverse events are based on the FDA agreed upon Safety Population (BLI400 n=225, lubiprostone n=229).
0.44%
1/229 • Number of events 1 • 12 weeks
Results for mortality, serious adverse events and other adverse events are based on the FDA agreed upon Safety Population (BLI400 n=225, lubiprostone n=229).

Other adverse events

Other adverse events
Measure
BLI400 Laxative
n=225 participants at risk
BLI400 Laxative (21 gm BLI400 powder)
Lubiprostone
n=229 participants at risk
Lubiprostone (24 mcg capsule bid)
Gastrointestinal disorders
diarrhea
4.9%
11/225 • 12 weeks
Results for mortality, serious adverse events and other adverse events are based on the FDA agreed upon Safety Population (BLI400 n=225, lubiprostone n=229).
5.2%
12/229 • 12 weeks
Results for mortality, serious adverse events and other adverse events are based on the FDA agreed upon Safety Population (BLI400 n=225, lubiprostone n=229).
Gastrointestinal disorders
flatulence
7.6%
17/225 • 12 weeks
Results for mortality, serious adverse events and other adverse events are based on the FDA agreed upon Safety Population (BLI400 n=225, lubiprostone n=229).
1.3%
3/229 • 12 weeks
Results for mortality, serious adverse events and other adverse events are based on the FDA agreed upon Safety Population (BLI400 n=225, lubiprostone n=229).

Additional Information

Vice President, Clinical Affairs

Braintree Laboratories, Inc.

Phone: 781-843-2202

Results disclosure agreements

  • Principal investigator is a sponsor employee The sole disclosure restriction which sponsor imposes on the PI is a sixty (60) day limited restriction in order to the protect potentially proprietary information which may be patentable.
  • Publication restrictions are in place

Restriction type: OTHER