An Open-Label, Long-term Study to Assess the Immunogenicity of LINZESS® (Linaclotide) Administered Orally to Adult Participants With Irritable Bowel Syndrome With Constipation or Chronic Idiopathic Constipation
NCT ID: NCT02590432
Last Updated: 2019-08-22
Study Results
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View full resultsBasic Information
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COMPLETED
PHASE4
828 participants
INTERVENTIONAL
2015-11-01
2018-02-05
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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LINZESS® 145 μg (CIC, Open Label)
LINZESS® (linaclotide) 145 μg capsules, orally, once daily for up to 52 weeks for participants with CIC. If an intolerable AE occurred participants could be randomized to the Double-blind Treatment Period.
Linaclotide
Linaclotide capsules, orally, once daily.
LINZESS® 290 μg (IBS-C, Open Label)
LINZESS® 290 μg capsules, orally, once daily for up to 52 weeks for participants with IBS-C. If an intolerable AE occurred participants could be randomized to the Double-blind Treatment Period.
Linaclotide
Linaclotide capsules, orally, once daily.
LINZESS® 290 μg (IBS-C, Double Blind)
Following participation in the Open Label Treatment Period, LINZESS® 290 μg capsules, orally, once daily from double-blind randomization up to Week 52 for participants with IBS-C. If an intolerable AE occurred, dose was reduced to Open Label 72 μg, if applicable.
Linaclotide
Linaclotide capsules, orally, once daily.
LINZESS® 145 μg (IBS-C, Double Blind)
Following participation in the Open Label Treatment Period, LINZESS® 145 μg capsules, orally, once daily from double-blind randomization up to Week 52 for participants with IBS-C. If an intolerable AE occurred, dose was reduced to Open Label 72 μg, if applicable.
Linaclotide
Linaclotide capsules, orally, once daily.
LINZESS® 72 μg (IBS-C, Double Blind)
Following participation in the Open Label Treatment Period, LINZESS® 72 μg capsules, orally, once daily from double-blind randomization up to Week 52 for participants with IBS-C. If an intolerable AE occurred, dose was maintained at Open Label 72 μg, if applicable.
Linaclotide
Linaclotide capsules, orally, once daily.
LINZESS® 145 μg (CIC, Double Blind)
Following participation in the Open Label Treatment Period, LINZESS® 145 μg capsules, orally, once daily from double-blind randomization up to Week 52 for participants with CIC. If an intolerable AE occurred, dose was reduced to 72 μg, if applicable.
Linaclotide
Linaclotide capsules, orally, once daily.
LINZESS® 72 μg (CIC, Double Blind)
Following participation in the Open Label Treatment Period, LINZESS® 72 μg capsules, orally, once daily from double-blind randomization up to Week 52 for participants with CIC. If an intolerable AE occurred, dose was maintained at Open Label 72 μg, if applicable.
Linaclotide
Linaclotide capsules, orally, once daily.
LINZESS® 72 μg (CIC, Dose-reduced Open Label)
Following participation in the Double-blind Treatment Period, if an intolerable AE occurred, LINZESS® 72 μg capsules, orally, once daily up to Week 52 for participants with CIC.
Linaclotide
Linaclotide capsules, orally, once daily.
LINZESS® 72 μg (IBS-C, Dose-reduced Open Label)
Following participation in the Double-blind Treatment Period, if an intolerable AE occurred, LINZESS® 72 μg capsules, orally, once daily up to Week 52 for participants with IBS-C.
Linaclotide
Linaclotide capsules, orally, once daily.
Interventions
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Linaclotide
Linaclotide capsules, orally, once daily.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* IBS-C Criteria: the participant must meet the following 2 criteria (A and B).
A. IBS Criteria: The participant must have abdominal pain or discomfort at least 3 days per month in the 3 months before diagnosis (with symptom onset at least 6 months before diagnosis) associated with 2 or more of the following:
1. Improvement with defecation.
2. Onset associated with a change in frequency of stool.
3. Onset associated with a change in form (appearance) of stool. B. Stool Consistency Requirement: During the 3 months before diagnosis in the absence of laxative or enema use, the patient has hard or lumpy stools (Bristol Stool Form Scale \[BSFS\] score 1 or 2) with at least 25% of bowel movements (BMs) and has loose or mushy stools (BSFS 5 or 6) with \<25% of BMs.
* CIC Criteria: the participant must meet the following 3 criteria (A, B, and C):
A. Participant meets 2 or more of the following criteria for 3 months before the diagnosis with symptom onset at least 6 months before diagnosis:
1. Straining during at least 25% of defecations.
2. Lumpy or hard stools in at least 25% of defecations.
3. Sensation of incomplete evacuation for at least 25% of defecations.
4. Sensation of anorectal obstruction/blockage for at least 25% of defecations.
5. Manual maneuvers to facilitate at least 25% of defecations (e.g., digital evacuation, support of the pelvic floor).
6. Fewer than 3 defecations per week. B. Loose stools are rarely present without the use of laxatives. C. Insufficient criteria for irritable bowel syndrome. (The criteria for IBS are provided in Point A under IBS Criteria, above).
* Participant meets the colonoscopy requirements, which are modified from the Summary of the US-Multi-Society Task Force on Colorectal Cancer and other Colonoscopy Requirements.
* Participant has successfully completed protocol procedures (with no clinically significant findings).
Exclusion Criteria
* At Day 1 visit, the participant reports having any SBMs that were watery (BSFS=7) or more than 1 SBM that was mushy (BSFS=6) in the week prior to screening.
* Participant has a structural abnormality of the gastrointestinal (GI) tract or a disease or condition that can affect GI motility.
* Participant has any protocol excluded or clinically significant medical or surgical history that would limit the patient's ability to complete or participate in this clinical trial or could confound the study assessments.
* Participant has ever received linaclotide as a treatment (including commercially-available product) or has been randomized into any clinical study in which linaclotide was a treatment. (participant who enrolled into linaclotide clinical studies conducted prior or during this study but failed to be randomized are eligible for the current study).
* Participant has ever received plecanatide, SP-333, or has participated in a plecanatide clinical study.
18 Years
ALL
No
Sponsors
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Ironwood Pharmaceuticals, Inc.
INDUSTRY
Forest Laboratories
INDUSTRY
Responsible Party
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Principal Investigators
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Wieslaw Bochenek
Role: STUDY_DIRECTOR
Allergan
Locations
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Pinnacle Research Group, LLC
Anniston, Alabama, United States
North Alabama Research Center, LLC
Athens, Alabama, United States
Alliance Clinical Research
Childersburg, Alabama, United States
G & L Research, LLC
Foley, Alabama, United States
Radiant Research, Inc.
Chandler, Arizona, United States
Radiant Research, Inc.
Scottsdale, Arizona, United States
Clinical Research Institute of Arizona, LLC
Surprise, Arizona, United States
Clinical Research Consortium
Tempe, Arizona, United States
Desert Sun Clinical Research, LLC.
Tucson, Arizona, United States
Preferred Research Partners, Inc.
Little Rock, Arkansas, United States
Applied Research Center of Arkansas
Little Rock, Arkansas, United States
Kindred Medical Institute for Clinical Trials, LLC
Corona, California, United States
Global Clinical Trials LLC
Costa Mesa, California, United States
Diagnamics Inc
Encinitas, California, United States
MD Studies, Inc.
Fountain Valley, California, United States
Research Center of Fresno, Inc.
Fresno, California, United States
VVCRD Clinical Research
Garden Grove, California, United States
Facey Medical Foundation
Mission Hills, California, United States
Clinical Trials Research
Sacramento, California, United States
Northern California Research
Sacramento, California, United States
Artemis Institute for Clinical Research
San Diego, California, United States
Precision Research Institute
San Diego, California, United States
Empire Clinical Research
Upland, California, United States
Lynn Institute of Denver
Denver, Colorado, United States
ZASA Clinical Research
Boynton Beach, Florida, United States
Meridien Research
Bradenton, Florida, United States
Clinical Research of Brandon LLC
Brandon, Florida, United States
Clinical Physiology Associates
Fort Myers, Florida, United States
Direct Helpers Research Center
Hialeah, Florida, United States
Eastern Research, Inc.
Hialeah, Florida, United States
Center for Advanced Gastroenterology
Maitland, Florida, United States
Florida Medical Center and Research, Inc.
Miami, Florida, United States
Clinical Neuroscience Solutions, Inc
Orlando, Florida, United States
Accord Clinical Research
Port Orange, Florida, United States
Meridien Research
St. Petersburg, Florida, United States
River Birch Research Alliance, LLC
Blue Ridge, Georgia, United States
North Georgia Clinical Research
Woodstock, Georgia, United States
Northwest Clinical Trials
Boise, Idaho, United States
Rockford Gastroenterology Associates
Rockford, Illinois, United States
Iowa Digestive Center, PC
Clive, Iowa, United States
University of Iowa Hospitals and Clinics
Iowa City, Iowa, United States
Integrated Clinical Trial Services, Inc.
West Des Moines, Iowa, United States
Heartland Research Associates, LLC
Newton, Kansas, United States
Health Science Research Center
Pratt, Kansas, United States
Heartland Research Associates, LLC
Wichita, Kansas, United States
Heartland Research Associates, LLC
Wichita, Kansas, United States
KAMP Medical Research Inc
Natchitoches, Louisiana, United States
Coastal Research Associates, Inc.
South Weymouth, Massachusetts, United States
Bay State Clinical Trials, Inc.
Watertown, Massachusetts, United States
Aa Mrc Llc
Flint, Michigan, United States
Beyer Research
Kalamazoo, Michigan, United States
The Center for Clinical Trials, Inc.
Biloxi, Mississippi, United States
Sundance Clinical Research, LLC
St Louis, Missouri, United States
Digestive Health Associates
Reno, Nevada, United States
Albuquerque Clinical Trials
Albuquerque, New Mexico, United States
Lovelace Scientific Resources, Inc.
Albuquerque, New Mexico, United States
Drug Trials America
Hartsdale, New York, United States
Manhattan Medical Research Practice PLLC
New York, New York, United States
DiGiovanna Institute for Medical Education & Research
North Massapequa, New York, United States
UNC Health Care, University of North Carolina Medical Center, Memorial Hospital
Chapel Hill, North Carolina, United States
PharmQuest
Greensboro, North Carolina, United States
Northstate Clinical Research
Lenoir, North Carolina, United States
Digestive Health Specialists, PA
Winston-Salem, North Carolina, United States
New Horizons Clinical Research
Cincinnati, Ohio, United States
Clinical Inquest Center LTD
Dayton, Ohio, United States
Dayton Gastroenterology, Inc.
Dayton, Ohio, United States
IPS Research Company
Oklahoma City, Oklahoma, United States
The Clinical Trial Center, LLC
Jenkintown, Pennsylvania, United States
Temple University
Philadelphia, Pennsylvania, United States
Preferred Primary Care Physicians, INC
Pittsburgh, Pennsylvania, United States
Montgomery Medical, Inc.
Smithfield, Pennsylvania, United States
Partners In Clinical Research
Cumberland, Rhode Island, United States
Greenville Pharmaceutical Research, Inc.
Greenville, South Carolina, United States
Radiant Research, Inc.
Greer, South Carolina, United States
Clinical Neuroscience Solutions, Inc.
Memphis, Tennessee, United States
Houston Endoscopy & Research Center
Houston, Texas, United States
Research Across America
Plano, Texas, United States
Sun Research Institute
San Antonio, Texas, United States
Charlottesville Medical Research Center, LLC
Charlottesville, Virginia, United States
Countries
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Provided Documents
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Document Type: Study Protocol
Document Type: Statistical Analysis Plan
Other Identifiers
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LIN-MD-10
Identifier Type: -
Identifier Source: org_study_id
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