Trial Outcomes & Findings for Long-term Safety of Linaclotide in Pediatric Participants With FC or IBS-C (NCT NCT04166058)

NCT ID: NCT04166058

Last Updated: 2026-01-06

Results Overview

An adverse event (AE) is defined as any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product which does not necessarily have a causal relationship with this treatment. The investigator assesses the relationship of each event to the use of study drug. A serious adverse event (SAE) is an event that results in death, is life-threatening, requires or prolongs hospitalization, results in a congenital anomaly, persistent or significant disability/incapacity or is an important medical event that, based on medical judgment, may jeopardize the participant and may require medical or surgical intervention to prevent any of the outcomes listed above. Treatment-emergent adverse events/treatment-emergent serious adverse events (TEAEs/TESAEs) are defined as any event that began or worsened in severity on or after the first dose of study drug.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

381 participants

Primary outcome timeframe

From first dose of study drug until 30 days following last dose of study drug [up to 24 weeks (FC participants) or 52 weeks (IBS-C participants)].

Results posted on

2026-01-06

Participant Flow

Participant milestones

Participant milestones
Measure
FC 72 ug Linaclotide
Functional Constipation (FC) participants who completed lead-in studies LIN-MD-62 or LIN-MD-64 were dosed as follows in this study: Participants aged 6 to 11 years received an open-label dose of linaclotide 72 ug, oral capsule, once daily for 24 weeks. Participants aged 12 to 17 years were randomized to receive an open-label dose of linaclotide either 72 or 145 ug, oral capsule, once daily for 24 weeks.
FC 145 ug Linaclotide
Functional Constipation (FC) participants who completed lead-in studies LIN-MD-62 or LIN-MD-64 were dosed as follows in this study: Participants aged 12 to 17 years were randomized to receive an open-label dose of linaclotide either 72 or 145 ug, oral capsule, once daily for 24 weeks.
IBS-C 145 ug Linaclotide
Irritable Bowel Syndrome with Constipation (IBS-C) participants were dosed as follows: Participants who received ≤ 145 ug linaclotide or placebo in lead-in study LIN-MD-63, in this study received an open-label dose of linaclotide 145 ug, oral capsule, once daily for 52 weeks. Participants who completed lead-in study LIN-MD-64, in this study had the option to either remain on the same blinded linaclotide dose they were receiving in lead-in study LIN-MD-64 (145 or 290 ug) or received an open-label dose of linaclotide 290 ug, oral capsule, once daily for 52 weeks.
IBS-C 290 ug Linaclotide
Irritable Bowel Syndrome with Constipation (IBS-C) participants were dosed as follows: Participants who completed lead-in study LIN-MD-63, in this study received an open-label dose of linaclotide 290 ug, oral capsule, once daily for 52 weeks. Participants who completed lead-in study LIN-MD-64, in this study had the option to either remain on the same blinded linaclotide dose they were receiving in lead-in study LIN-MD-64 (145 or 290 ug) or received an open-label dose of linaclotide 290 ug, oral capsule, once daily for 52 weeks.
Overall Study
STARTED
210
73
22
76
Overall Study
Number of Participants Treated and Received Placebo in lead-in Study
106
31
2
4
Overall Study
COMPLETED
189
66
20
60
Overall Study
NOT COMPLETED
21
7
2
16

Reasons for withdrawal

Reasons for withdrawal
Measure
FC 72 ug Linaclotide
Functional Constipation (FC) participants who completed lead-in studies LIN-MD-62 or LIN-MD-64 were dosed as follows in this study: Participants aged 6 to 11 years received an open-label dose of linaclotide 72 ug, oral capsule, once daily for 24 weeks. Participants aged 12 to 17 years were randomized to receive an open-label dose of linaclotide either 72 or 145 ug, oral capsule, once daily for 24 weeks.
FC 145 ug Linaclotide
Functional Constipation (FC) participants who completed lead-in studies LIN-MD-62 or LIN-MD-64 were dosed as follows in this study: Participants aged 12 to 17 years were randomized to receive an open-label dose of linaclotide either 72 or 145 ug, oral capsule, once daily for 24 weeks.
IBS-C 145 ug Linaclotide
Irritable Bowel Syndrome with Constipation (IBS-C) participants were dosed as follows: Participants who received ≤ 145 ug linaclotide or placebo in lead-in study LIN-MD-63, in this study received an open-label dose of linaclotide 145 ug, oral capsule, once daily for 52 weeks. Participants who completed lead-in study LIN-MD-64, in this study had the option to either remain on the same blinded linaclotide dose they were receiving in lead-in study LIN-MD-64 (145 or 290 ug) or received an open-label dose of linaclotide 290 ug, oral capsule, once daily for 52 weeks.
IBS-C 290 ug Linaclotide
Irritable Bowel Syndrome with Constipation (IBS-C) participants were dosed as follows: Participants who completed lead-in study LIN-MD-63, in this study received an open-label dose of linaclotide 290 ug, oral capsule, once daily for 52 weeks. Participants who completed lead-in study LIN-MD-64, in this study had the option to either remain on the same blinded linaclotide dose they were receiving in lead-in study LIN-MD-64 (145 or 290 ug) or received an open-label dose of linaclotide 290 ug, oral capsule, once daily for 52 weeks.
Overall Study
Adverse Event
1
1
0
0
Overall Study
Withdrawal by Subject
4
4
1
10
Overall Study
Lost to Follow-up
9
2
1
1
Overall Study
Pregnancy
1
0
0
0
Overall Study
Physician Decision
2
0
0
2
Overall Study
Protocol Violation
1
0
0
0
Overall Study
Lack of Efficacy
2
0
0
0
Overall Study
Other
1
0
0
1
Overall Study
Non-compliance with study drug
0
0
0
2

Baseline Characteristics

Long-term Safety of Linaclotide in Pediatric Participants With FC or IBS-C

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
FC 72 ug Linaclotide
n=210 Participants
Functional Constipation (FC) participants who completed lead-in studies LIN-MD-62 or LIN-MD-64 were dosed as follows in this study: Participants aged 6 to 11 years received an open-label dose of linaclotide 72 ug, oral capsule, once daily for 24 weeks. Participants aged 12 to 17 years were randomized to receive an open-label dose of linaclotide either 72 or 145 ug, oral capsule, once daily for 24 weeks.
FC 145 ug Linaclotide
n=73 Participants
Functional Constipation (FC) participants who completed lead-in studies LIN-MD-62 or LIN-MD-64 were dosed as follows in this study: Participants aged 12 to 17 years were randomized to receive an open-label dose of linaclotide either 72 or 145 ug, oral capsule, once daily for 24 weeks.
IBS-C 145 ug Linaclotide
n=22 Participants
Irritable Bowel Syndrome with Constipation (IBS-C) participants were dosed as follows: Participants who received ≤ 145 ug linaclotide or placebo in lead-in study LIN-MD-63, in this study received an open-label dose of linaclotide 145 ug, oral capsule, once daily for 52 weeks. Participants who completed lead-in study LIN-MD-64, in this study had the option to either remain on the same blinded linaclotide dose they were receiving in lead-in study LIN-MD-64 (145 or 290 ug) or received an open-label dose of linaclotide 290 ug, oral capsule, once daily for 52 weeks.
IBS-C 290 ug Linaclotide
n=76 Participants
Irritable Bowel Syndrome with Constipation (IBS-C) participants were dosed as follows: Participants who completed lead-in study LIN-MD-63, in this study received an open-label dose of linaclotide 290 ug, oral capsule, once daily for 52 weeks. Participants who completed lead-in study LIN-MD-64, in this study had the option to either remain on the same blinded linaclotide dose they were receiving in lead-in study LIN-MD-64 (145 or 290 ug) or received an open-label dose of linaclotide 290 ug, oral capsule, once daily for 52 weeks.
Total
n=381 Participants
Total of all reporting groups
Age, Continuous
10.6 years
STANDARD_DEVIATION 2.96 • n=37 Participants
14.2 years
STANDARD_DEVIATION 1.78 • n=56 Participants
13.7 years
STANDARD_DEVIATION 2.68 • n=82 Participants
12.9 years
STANDARD_DEVIATION 2.98 • n=31 Participants
11.89 years
STANDARD_DEVIATION 3.15 • n=5 Participants
Sex: Female, Male
Female
115 Participants
n=37 Participants
40 Participants
n=56 Participants
15 Participants
n=82 Participants
45 Participants
n=31 Participants
215 Participants
n=5 Participants
Sex: Female, Male
Male
95 Participants
n=37 Participants
33 Participants
n=56 Participants
7 Participants
n=82 Participants
31 Participants
n=31 Participants
166 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
92 Participants
n=37 Participants
37 Participants
n=56 Participants
8 Participants
n=82 Participants
29 Participants
n=31 Participants
166 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
118 Participants
n=37 Participants
36 Participants
n=56 Participants
14 Participants
n=82 Participants
47 Participants
n=31 Participants
215 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=37 Participants
0 Participants
n=56 Participants
0 Participants
n=82 Participants
0 Participants
n=31 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
2 Participants
n=37 Participants
0 Participants
n=56 Participants
0 Participants
n=82 Participants
0 Participants
n=31 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
Asian
2 Participants
n=37 Participants
3 Participants
n=56 Participants
0 Participants
n=82 Participants
3 Participants
n=31 Participants
8 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
2 Participants
n=37 Participants
0 Participants
n=56 Participants
0 Participants
n=82 Participants
0 Participants
n=31 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
59 Participants
n=37 Participants
17 Participants
n=56 Participants
3 Participants
n=82 Participants
19 Participants
n=31 Participants
98 Participants
n=5 Participants
Race (NIH/OMB)
White
142 Participants
n=37 Participants
52 Participants
n=56 Participants
18 Participants
n=82 Participants
52 Participants
n=31 Participants
264 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
3 Participants
n=37 Participants
1 Participants
n=56 Participants
1 Participants
n=82 Participants
1 Participants
n=31 Participants
6 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=37 Participants
0 Participants
n=56 Participants
0 Participants
n=82 Participants
1 Participants
n=31 Participants
1 Participants
n=5 Participants

PRIMARY outcome

Timeframe: From first dose of study drug until 30 days following last dose of study drug [up to 24 weeks (FC participants) or 52 weeks (IBS-C participants)].

Population: Safety Population: all participants who received at least 1 dose of study intervention (linaclotide) in this extension study. Number analyzed are participants with data available for analyses of the specific category.

An adverse event (AE) is defined as any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product which does not necessarily have a causal relationship with this treatment. The investigator assesses the relationship of each event to the use of study drug. A serious adverse event (SAE) is an event that results in death, is life-threatening, requires or prolongs hospitalization, results in a congenital anomaly, persistent or significant disability/incapacity or is an important medical event that, based on medical judgment, may jeopardize the participant and may require medical or surgical intervention to prevent any of the outcomes listed above. Treatment-emergent adverse events/treatment-emergent serious adverse events (TEAEs/TESAEs) are defined as any event that began or worsened in severity on or after the first dose of study drug.

Outcome measures

Outcome measures
Measure
FC 72 ug Linaclotide
n=210 Participants
Functional Constipation (FC) participants who completed lead-in studies LIN-MD-62 or LIN-MD-64 were dosed as follows in this study: Participants aged 6 to 11 years received an open-label dose of linaclotide 72 ug, oral capsule, once daily for 24 weeks. Participants aged 12 to 17 years were randomized to receive an open-label dose of linaclotide either 72 or 145 ug, oral capsule, once daily for 24 weeks.
FC 145 ug Linaclotide
n=73 Participants
Functional Constipation (FC) participants who completed lead-in studies LIN-MD-62 or LIN-MD-64 were dosed as follows in this study: Participants aged 12 to 17 years were randomized to receive an open-label dose of linaclotide either 72 or 145 ug, oral capsule, once daily for 24 weeks.
IBS-C 145 ug Linaclotide
n=22 Participants
Irritable Bowel Syndrome with Constipation (IBS-C) participants were dosed as follows: Participants who received ≤ 145 ug linaclotide or placebo in lead-in study LIN-MD-63, in this study received an open-label dose of linaclotide 145 ug, oral capsule, once daily for 52 weeks. Participants who completed lead-in study LIN-MD-64, in this study had the option to either remain on the same blinded linaclotide dose they were receiving in lead-in study LIN-MD-64 (145 or 290 ug) or received an open-label dose of linaclotide 290 ug, oral capsule, once daily for 52 weeks.
IBS-C 290 ug Linaclotide
n=76 Participants
Irritable Bowel Syndrome with Constipation (IBS-C) participants were dosed as follows: Participants who completed lead-in study LIN-MD-63, in this study received an open-label dose of linaclotide 290 ug, oral capsule, once daily for 52 weeks. Participants who completed lead-in study LIN-MD-64, in this study had the option to either remain on the same blinded linaclotide dose they were receiving in lead-in study LIN-MD-64 (145 or 290 ug) or received an open-label dose of linaclotide 290 ug, oral capsule, once daily for 52 weeks.
Number of Participants With Treatment-Emergent Adverse Events (TEAEs).
TEAE
37 Participants
15 Participants
4 Participants
31 Participants
Number of Participants With Treatment-Emergent Adverse Events (TEAEs).
TESAE
2 Participants
0 Participants
0 Participants
2 Participants

Adverse Events

FC 72 ug Linaclotide

Serious events: 2 serious events
Other events: 14 other events
Deaths: 0 deaths

FC 145 ug Linaclotide

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

IBS-C 145 ug Linaclotide

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

IBS-C 290 ug Linaclotide

Serious events: 2 serious events
Other events: 11 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
FC 72 ug Linaclotide
n=210 participants at risk
Functional Constipation (FC) participants who completed lead-in studies LIN-MD-62 or LIN-MD-64 were dosed as follows in this study: Participants aged 6 to 11 years received an open-label dose of linaclotide 72 ug, oral capsule, once daily for 24 weeks. Participants aged 12 to 17 years were randomized to receive an open-label dose of linaclotide either 72 or 145 ug, oral capsule, once daily for 24 weeks.
FC 145 ug Linaclotide
n=73 participants at risk
Functional Constipation (FC) participants who completed lead-in studies LIN-MD-62 or LIN-MD-64 were dosed as follows in this study: Participants aged 12 to 17 years were randomized to receive an open-label dose of linaclotide either 72 or 145 ug, oral capsule, once daily for 24 weeks.
IBS-C 145 ug Linaclotide
n=22 participants at risk
Irritable Bowel Syndrome with Constipation (IBS-C) participants were dosed as follows: Participants who received ≤ 145 ug linaclotide or placebo in lead-in study LIN-MD-63, in this study received an open-label dose of linaclotide 145 ug, oral capsule, once daily for 52 weeks. Participants who completed lead-in study LIN-MD-64, in this study had the option to either remain on the same blinded linaclotide dose they were receiving in lead-in study LIN-MD-64 (145 or 290 ug) or received an open-label dose of linaclotide 290 ug, oral capsule, once daily for 52 weeks.
IBS-C 290 ug Linaclotide
n=76 participants at risk
Irritable Bowel Syndrome with Constipation (IBS-C) participants were dosed as follows: Participants who completed lead-in study LIN-MD-63, in this study received an open-label dose of linaclotide 290 ug, oral capsule, once daily for 52 weeks. Participants who completed lead-in study LIN-MD-64, in this study had the option to either remain on the same blinded linaclotide dose they were receiving in lead-in study LIN-MD-64 (145 or 290 ug) or received an open-label dose of linaclotide 290 ug, oral capsule, once daily for 52 weeks.
Gastrointestinal disorders
CONSTIPATION
0.48%
1/210 • Number of events 1 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time in follow-up (or mean time participants were followed) was 176.0, 177.0, 373.5, and 369.0 days for FC 72 ug linaclotide, FC 145 ug linaclotide, IBS-C 145 ug linaclotide, and IBS-C 290 ug linaclotide, respectively.
All AEs were coded using MedDRA version 27.1 and 28.0 for FC and IBS-C participants, respectively.
0.00%
0/73 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time in follow-up (or mean time participants were followed) was 176.0, 177.0, 373.5, and 369.0 days for FC 72 ug linaclotide, FC 145 ug linaclotide, IBS-C 145 ug linaclotide, and IBS-C 290 ug linaclotide, respectively.
All AEs were coded using MedDRA version 27.1 and 28.0 for FC and IBS-C participants, respectively.
0.00%
0/22 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time in follow-up (or mean time participants were followed) was 176.0, 177.0, 373.5, and 369.0 days for FC 72 ug linaclotide, FC 145 ug linaclotide, IBS-C 145 ug linaclotide, and IBS-C 290 ug linaclotide, respectively.
All AEs were coded using MedDRA version 27.1 and 28.0 for FC and IBS-C participants, respectively.
0.00%
0/76 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time in follow-up (or mean time participants were followed) was 176.0, 177.0, 373.5, and 369.0 days for FC 72 ug linaclotide, FC 145 ug linaclotide, IBS-C 145 ug linaclotide, and IBS-C 290 ug linaclotide, respectively.
All AEs were coded using MedDRA version 27.1 and 28.0 for FC and IBS-C participants, respectively.
Infections and infestations
PYELONEPHRITIS
0.48%
1/210 • Number of events 1 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time in follow-up (or mean time participants were followed) was 176.0, 177.0, 373.5, and 369.0 days for FC 72 ug linaclotide, FC 145 ug linaclotide, IBS-C 145 ug linaclotide, and IBS-C 290 ug linaclotide, respectively.
All AEs were coded using MedDRA version 27.1 and 28.0 for FC and IBS-C participants, respectively.
0.00%
0/73 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time in follow-up (or mean time participants were followed) was 176.0, 177.0, 373.5, and 369.0 days for FC 72 ug linaclotide, FC 145 ug linaclotide, IBS-C 145 ug linaclotide, and IBS-C 290 ug linaclotide, respectively.
All AEs were coded using MedDRA version 27.1 and 28.0 for FC and IBS-C participants, respectively.
0.00%
0/22 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time in follow-up (or mean time participants were followed) was 176.0, 177.0, 373.5, and 369.0 days for FC 72 ug linaclotide, FC 145 ug linaclotide, IBS-C 145 ug linaclotide, and IBS-C 290 ug linaclotide, respectively.
All AEs were coded using MedDRA version 27.1 and 28.0 for FC and IBS-C participants, respectively.
0.00%
0/76 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time in follow-up (or mean time participants were followed) was 176.0, 177.0, 373.5, and 369.0 days for FC 72 ug linaclotide, FC 145 ug linaclotide, IBS-C 145 ug linaclotide, and IBS-C 290 ug linaclotide, respectively.
All AEs were coded using MedDRA version 27.1 and 28.0 for FC and IBS-C participants, respectively.
Injury, poisoning and procedural complications
POST PROCEDURAL HAEMORRHAGE
0.00%
0/210 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time in follow-up (or mean time participants were followed) was 176.0, 177.0, 373.5, and 369.0 days for FC 72 ug linaclotide, FC 145 ug linaclotide, IBS-C 145 ug linaclotide, and IBS-C 290 ug linaclotide, respectively.
All AEs were coded using MedDRA version 27.1 and 28.0 for FC and IBS-C participants, respectively.
0.00%
0/73 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time in follow-up (or mean time participants were followed) was 176.0, 177.0, 373.5, and 369.0 days for FC 72 ug linaclotide, FC 145 ug linaclotide, IBS-C 145 ug linaclotide, and IBS-C 290 ug linaclotide, respectively.
All AEs were coded using MedDRA version 27.1 and 28.0 for FC and IBS-C participants, respectively.
0.00%
0/22 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time in follow-up (or mean time participants were followed) was 176.0, 177.0, 373.5, and 369.0 days for FC 72 ug linaclotide, FC 145 ug linaclotide, IBS-C 145 ug linaclotide, and IBS-C 290 ug linaclotide, respectively.
All AEs were coded using MedDRA version 27.1 and 28.0 for FC and IBS-C participants, respectively.
1.3%
1/76 • Number of events 1 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time in follow-up (or mean time participants were followed) was 176.0, 177.0, 373.5, and 369.0 days for FC 72 ug linaclotide, FC 145 ug linaclotide, IBS-C 145 ug linaclotide, and IBS-C 290 ug linaclotide, respectively.
All AEs were coded using MedDRA version 27.1 and 28.0 for FC and IBS-C participants, respectively.
Nervous system disorders
MIGRAINE
0.00%
0/210 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time in follow-up (or mean time participants were followed) was 176.0, 177.0, 373.5, and 369.0 days for FC 72 ug linaclotide, FC 145 ug linaclotide, IBS-C 145 ug linaclotide, and IBS-C 290 ug linaclotide, respectively.
All AEs were coded using MedDRA version 27.1 and 28.0 for FC and IBS-C participants, respectively.
0.00%
0/73 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time in follow-up (or mean time participants were followed) was 176.0, 177.0, 373.5, and 369.0 days for FC 72 ug linaclotide, FC 145 ug linaclotide, IBS-C 145 ug linaclotide, and IBS-C 290 ug linaclotide, respectively.
All AEs were coded using MedDRA version 27.1 and 28.0 for FC and IBS-C participants, respectively.
0.00%
0/22 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time in follow-up (or mean time participants were followed) was 176.0, 177.0, 373.5, and 369.0 days for FC 72 ug linaclotide, FC 145 ug linaclotide, IBS-C 145 ug linaclotide, and IBS-C 290 ug linaclotide, respectively.
All AEs were coded using MedDRA version 27.1 and 28.0 for FC and IBS-C participants, respectively.
1.3%
1/76 • Number of events 1 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time in follow-up (or mean time participants were followed) was 176.0, 177.0, 373.5, and 369.0 days for FC 72 ug linaclotide, FC 145 ug linaclotide, IBS-C 145 ug linaclotide, and IBS-C 290 ug linaclotide, respectively.
All AEs were coded using MedDRA version 27.1 and 28.0 for FC and IBS-C participants, respectively.
Psychiatric disorders
DISRUPTIVE MOOD DYSREGULATION DISORDER
0.48%
1/210 • Number of events 1 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time in follow-up (or mean time participants were followed) was 176.0, 177.0, 373.5, and 369.0 days for FC 72 ug linaclotide, FC 145 ug linaclotide, IBS-C 145 ug linaclotide, and IBS-C 290 ug linaclotide, respectively.
All AEs were coded using MedDRA version 27.1 and 28.0 for FC and IBS-C participants, respectively.
0.00%
0/73 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time in follow-up (or mean time participants were followed) was 176.0, 177.0, 373.5, and 369.0 days for FC 72 ug linaclotide, FC 145 ug linaclotide, IBS-C 145 ug linaclotide, and IBS-C 290 ug linaclotide, respectively.
All AEs were coded using MedDRA version 27.1 and 28.0 for FC and IBS-C participants, respectively.
0.00%
0/22 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time in follow-up (or mean time participants were followed) was 176.0, 177.0, 373.5, and 369.0 days for FC 72 ug linaclotide, FC 145 ug linaclotide, IBS-C 145 ug linaclotide, and IBS-C 290 ug linaclotide, respectively.
All AEs were coded using MedDRA version 27.1 and 28.0 for FC and IBS-C participants, respectively.
0.00%
0/76 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time in follow-up (or mean time participants were followed) was 176.0, 177.0, 373.5, and 369.0 days for FC 72 ug linaclotide, FC 145 ug linaclotide, IBS-C 145 ug linaclotide, and IBS-C 290 ug linaclotide, respectively.
All AEs were coded using MedDRA version 27.1 and 28.0 for FC and IBS-C participants, respectively.
Psychiatric disorders
MENTAL STATUS CHANGES
0.00%
0/210 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time in follow-up (or mean time participants were followed) was 176.0, 177.0, 373.5, and 369.0 days for FC 72 ug linaclotide, FC 145 ug linaclotide, IBS-C 145 ug linaclotide, and IBS-C 290 ug linaclotide, respectively.
All AEs were coded using MedDRA version 27.1 and 28.0 for FC and IBS-C participants, respectively.
0.00%
0/73 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time in follow-up (or mean time participants were followed) was 176.0, 177.0, 373.5, and 369.0 days for FC 72 ug linaclotide, FC 145 ug linaclotide, IBS-C 145 ug linaclotide, and IBS-C 290 ug linaclotide, respectively.
All AEs were coded using MedDRA version 27.1 and 28.0 for FC and IBS-C participants, respectively.
0.00%
0/22 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time in follow-up (or mean time participants were followed) was 176.0, 177.0, 373.5, and 369.0 days for FC 72 ug linaclotide, FC 145 ug linaclotide, IBS-C 145 ug linaclotide, and IBS-C 290 ug linaclotide, respectively.
All AEs were coded using MedDRA version 27.1 and 28.0 for FC and IBS-C participants, respectively.
1.3%
1/76 • Number of events 1 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time in follow-up (or mean time participants were followed) was 176.0, 177.0, 373.5, and 369.0 days for FC 72 ug linaclotide, FC 145 ug linaclotide, IBS-C 145 ug linaclotide, and IBS-C 290 ug linaclotide, respectively.
All AEs were coded using MedDRA version 27.1 and 28.0 for FC and IBS-C participants, respectively.
Respiratory, thoracic and mediastinal disorders
ADENOIDAL HYPERTROPHY
0.00%
0/210 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time in follow-up (or mean time participants were followed) was 176.0, 177.0, 373.5, and 369.0 days for FC 72 ug linaclotide, FC 145 ug linaclotide, IBS-C 145 ug linaclotide, and IBS-C 290 ug linaclotide, respectively.
All AEs were coded using MedDRA version 27.1 and 28.0 for FC and IBS-C participants, respectively.
0.00%
0/73 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time in follow-up (or mean time participants were followed) was 176.0, 177.0, 373.5, and 369.0 days for FC 72 ug linaclotide, FC 145 ug linaclotide, IBS-C 145 ug linaclotide, and IBS-C 290 ug linaclotide, respectively.
All AEs were coded using MedDRA version 27.1 and 28.0 for FC and IBS-C participants, respectively.
0.00%
0/22 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time in follow-up (or mean time participants were followed) was 176.0, 177.0, 373.5, and 369.0 days for FC 72 ug linaclotide, FC 145 ug linaclotide, IBS-C 145 ug linaclotide, and IBS-C 290 ug linaclotide, respectively.
All AEs were coded using MedDRA version 27.1 and 28.0 for FC and IBS-C participants, respectively.
1.3%
1/76 • Number of events 1 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time in follow-up (or mean time participants were followed) was 176.0, 177.0, 373.5, and 369.0 days for FC 72 ug linaclotide, FC 145 ug linaclotide, IBS-C 145 ug linaclotide, and IBS-C 290 ug linaclotide, respectively.
All AEs were coded using MedDRA version 27.1 and 28.0 for FC and IBS-C participants, respectively.
Respiratory, thoracic and mediastinal disorders
NASAL TURBINATE HYPERTROPHY
0.00%
0/210 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time in follow-up (or mean time participants were followed) was 176.0, 177.0, 373.5, and 369.0 days for FC 72 ug linaclotide, FC 145 ug linaclotide, IBS-C 145 ug linaclotide, and IBS-C 290 ug linaclotide, respectively.
All AEs were coded using MedDRA version 27.1 and 28.0 for FC and IBS-C participants, respectively.
0.00%
0/73 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time in follow-up (or mean time participants were followed) was 176.0, 177.0, 373.5, and 369.0 days for FC 72 ug linaclotide, FC 145 ug linaclotide, IBS-C 145 ug linaclotide, and IBS-C 290 ug linaclotide, respectively.
All AEs were coded using MedDRA version 27.1 and 28.0 for FC and IBS-C participants, respectively.
0.00%
0/22 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time in follow-up (or mean time participants were followed) was 176.0, 177.0, 373.5, and 369.0 days for FC 72 ug linaclotide, FC 145 ug linaclotide, IBS-C 145 ug linaclotide, and IBS-C 290 ug linaclotide, respectively.
All AEs were coded using MedDRA version 27.1 and 28.0 for FC and IBS-C participants, respectively.
1.3%
1/76 • Number of events 1 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time in follow-up (or mean time participants were followed) was 176.0, 177.0, 373.5, and 369.0 days for FC 72 ug linaclotide, FC 145 ug linaclotide, IBS-C 145 ug linaclotide, and IBS-C 290 ug linaclotide, respectively.
All AEs were coded using MedDRA version 27.1 and 28.0 for FC and IBS-C participants, respectively.
Respiratory, thoracic and mediastinal disorders
TONSILLAR HYPERTROPHY
0.00%
0/210 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time in follow-up (or mean time participants were followed) was 176.0, 177.0, 373.5, and 369.0 days for FC 72 ug linaclotide, FC 145 ug linaclotide, IBS-C 145 ug linaclotide, and IBS-C 290 ug linaclotide, respectively.
All AEs were coded using MedDRA version 27.1 and 28.0 for FC and IBS-C participants, respectively.
0.00%
0/73 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time in follow-up (or mean time participants were followed) was 176.0, 177.0, 373.5, and 369.0 days for FC 72 ug linaclotide, FC 145 ug linaclotide, IBS-C 145 ug linaclotide, and IBS-C 290 ug linaclotide, respectively.
All AEs were coded using MedDRA version 27.1 and 28.0 for FC and IBS-C participants, respectively.
0.00%
0/22 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time in follow-up (or mean time participants were followed) was 176.0, 177.0, 373.5, and 369.0 days for FC 72 ug linaclotide, FC 145 ug linaclotide, IBS-C 145 ug linaclotide, and IBS-C 290 ug linaclotide, respectively.
All AEs were coded using MedDRA version 27.1 and 28.0 for FC and IBS-C participants, respectively.
1.3%
1/76 • Number of events 1 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time in follow-up (or mean time participants were followed) was 176.0, 177.0, 373.5, and 369.0 days for FC 72 ug linaclotide, FC 145 ug linaclotide, IBS-C 145 ug linaclotide, and IBS-C 290 ug linaclotide, respectively.
All AEs were coded using MedDRA version 27.1 and 28.0 for FC and IBS-C participants, respectively.

Other adverse events

Other adverse events
Measure
FC 72 ug Linaclotide
n=210 participants at risk
Functional Constipation (FC) participants who completed lead-in studies LIN-MD-62 or LIN-MD-64 were dosed as follows in this study: Participants aged 6 to 11 years received an open-label dose of linaclotide 72 ug, oral capsule, once daily for 24 weeks. Participants aged 12 to 17 years were randomized to receive an open-label dose of linaclotide either 72 or 145 ug, oral capsule, once daily for 24 weeks.
FC 145 ug Linaclotide
n=73 participants at risk
Functional Constipation (FC) participants who completed lead-in studies LIN-MD-62 or LIN-MD-64 were dosed as follows in this study: Participants aged 12 to 17 years were randomized to receive an open-label dose of linaclotide either 72 or 145 ug, oral capsule, once daily for 24 weeks.
IBS-C 145 ug Linaclotide
n=22 participants at risk
Irritable Bowel Syndrome with Constipation (IBS-C) participants were dosed as follows: Participants who received ≤ 145 ug linaclotide or placebo in lead-in study LIN-MD-63, in this study received an open-label dose of linaclotide 145 ug, oral capsule, once daily for 52 weeks. Participants who completed lead-in study LIN-MD-64, in this study had the option to either remain on the same blinded linaclotide dose they were receiving in lead-in study LIN-MD-64 (145 or 290 ug) or received an open-label dose of linaclotide 290 ug, oral capsule, once daily for 52 weeks.
IBS-C 290 ug Linaclotide
n=76 participants at risk
Irritable Bowel Syndrome with Constipation (IBS-C) participants were dosed as follows: Participants who completed lead-in study LIN-MD-63, in this study received an open-label dose of linaclotide 290 ug, oral capsule, once daily for 52 weeks. Participants who completed lead-in study LIN-MD-64, in this study had the option to either remain on the same blinded linaclotide dose they were receiving in lead-in study LIN-MD-64 (145 or 290 ug) or received an open-label dose of linaclotide 290 ug, oral capsule, once daily for 52 weeks.
Gastrointestinal disorders
DIARRHOEA
5.7%
12/210 • Number of events 14 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time in follow-up (or mean time participants were followed) was 176.0, 177.0, 373.5, and 369.0 days for FC 72 ug linaclotide, FC 145 ug linaclotide, IBS-C 145 ug linaclotide, and IBS-C 290 ug linaclotide, respectively.
All AEs were coded using MedDRA version 27.1 and 28.0 for FC and IBS-C participants, respectively.
6.8%
5/73 • Number of events 5 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time in follow-up (or mean time participants were followed) was 176.0, 177.0, 373.5, and 369.0 days for FC 72 ug linaclotide, FC 145 ug linaclotide, IBS-C 145 ug linaclotide, and IBS-C 290 ug linaclotide, respectively.
All AEs were coded using MedDRA version 27.1 and 28.0 for FC and IBS-C participants, respectively.
0.00%
0/22 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time in follow-up (or mean time participants were followed) was 176.0, 177.0, 373.5, and 369.0 days for FC 72 ug linaclotide, FC 145 ug linaclotide, IBS-C 145 ug linaclotide, and IBS-C 290 ug linaclotide, respectively.
All AEs were coded using MedDRA version 27.1 and 28.0 for FC and IBS-C participants, respectively.
9.2%
7/76 • Number of events 9 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time in follow-up (or mean time participants were followed) was 176.0, 177.0, 373.5, and 369.0 days for FC 72 ug linaclotide, FC 145 ug linaclotide, IBS-C 145 ug linaclotide, and IBS-C 290 ug linaclotide, respectively.
All AEs were coded using MedDRA version 27.1 and 28.0 for FC and IBS-C participants, respectively.
Infections and infestations
INFLUENZA
0.95%
2/210 • Number of events 2 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time in follow-up (or mean time participants were followed) was 176.0, 177.0, 373.5, and 369.0 days for FC 72 ug linaclotide, FC 145 ug linaclotide, IBS-C 145 ug linaclotide, and IBS-C 290 ug linaclotide, respectively.
All AEs were coded using MedDRA version 27.1 and 28.0 for FC and IBS-C participants, respectively.
0.00%
0/73 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time in follow-up (or mean time participants were followed) was 176.0, 177.0, 373.5, and 369.0 days for FC 72 ug linaclotide, FC 145 ug linaclotide, IBS-C 145 ug linaclotide, and IBS-C 290 ug linaclotide, respectively.
All AEs were coded using MedDRA version 27.1 and 28.0 for FC and IBS-C participants, respectively.
0.00%
0/22 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time in follow-up (or mean time participants were followed) was 176.0, 177.0, 373.5, and 369.0 days for FC 72 ug linaclotide, FC 145 ug linaclotide, IBS-C 145 ug linaclotide, and IBS-C 290 ug linaclotide, respectively.
All AEs were coded using MedDRA version 27.1 and 28.0 for FC and IBS-C participants, respectively.
5.3%
4/76 • Number of events 4 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time in follow-up (or mean time participants were followed) was 176.0, 177.0, 373.5, and 369.0 days for FC 72 ug linaclotide, FC 145 ug linaclotide, IBS-C 145 ug linaclotide, and IBS-C 290 ug linaclotide, respectively.
All AEs were coded using MedDRA version 27.1 and 28.0 for FC and IBS-C participants, respectively.

Additional Information

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