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Linaclotide

Phase 3

Irritable Bowel Syndrome With Constipation (IBS-C) | Small molecule | Gastrointestinal |AstraZeneca PLC|Last Updated: Sep 27, 2016

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment1,722

FDA Designations

No designations recorded

Clinical trial landscape

Linaclotide · 1 trial · 1 indication

Phase 3 1
NCT01880424A Phase 3, International, Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel-group Efficacy and Safety Trial of Linaclotide Administered Orally for 12 Weeks to Patients With Irritable Bowel Syndrome With Constipation (IBS-C)Irritable Bowel Syndrome With Constipation (IBS-C)
COMPLETED1,722 Analytics
PHASE3COMPLETED
A Phase 3, International, Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel-group Efficacy and Safety Trial of Linaclotide Administered Orally for 12 Weeks to Patients With Irritable Bowel Syndrome With Constipation (IBS-C)
Irritable Bowel Syndrome With Constipation (IBS-C)Unlock trial analytics

Study Endpoints

Primary Endpoints

12-week Abdominal Pain/Abdominal Discomfort Weekly Responder
Baseline and Weeks 1-12 during the Treatment Period

A 12-week Abdominal Pain/Abdominal Discomfort Responder is a patient who meets the Abdominal Pain/Abdominal Discomfort Weekly Responder criteria (i.e., an improvement of ≥30% from baseline in either the mean abdominal pain score or mean abdominal discomfort score for that week, with neither score worsening from baseline for that week) for at least 6 out of the 12 weeks of the Treatment Period. Abdominal pain at its worst (in the last 24 hours) was assessed daily by patients on an 11-point numerical rating scale (NRS) where 0 represents no abdominal pain and 10 represents very severe abdominal pain. Abdominal discomfort (in the last 24 hours) was assessed daily by patients on an 11-point NRS where 0 represents no abdominal discomfort and 10 represents very severe abdominal discomfort.

12-week Irritable Bowel Syndrome (IBS) Degree of Relief Responder
Baseline and Weeks 1-12 during the Treatment Period

A 12-week IBS Degree of Relief Responder is a patient who meets the IBS Degree of Relief Weekly Responder criteria (i.e., response to the degree of relief of IBS symptoms question for that week was "Considerably relieved" or "Completely relieved") for at least 6 out of the 12 weeks of the Treatment Period. Degree of relief of IBS symptoms (in the last 7 days) was assessed weekly by patients on a 7-point balanced ordinal scale where 1 = Completely relieved, 4 = Unchanged, and 7 = As bad as I can imagine.

Secondary Endpoints

Change From Baseline in 12-week Complete Spontaneous Bowel Movement Frequency Rate
Baseline and 12-week Treatment Period
Change From Baseline in 12-week Spontaneous Bowel Movement Frequency Rate
Baseline and 12-week Treatment Period
Change From Baseline in 12-week Stool Consistency
Baseline and 12-week Treatment Period
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
controlled armPLACEBO_COMPARATOR -
treatment armEXPERIMENTAL -

Interventions

NameTypeDescription
PlaceboDRUGmatching Placebo Capsules, Oral, once daily
LinaclotideDRUGLinaclotide 290 ug Capsules, Oral, once daily
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites82

Inclusion Criteria: 1. Patient has signed an Informed Consent Form(ICF). 2. Patient Must not be pregnant or breastfeeding and agree to use birth control 3. Patient meets the colonoscopy requirements defined by the American Gastroenterological Association guidelines and no clinically-significant lab...

Countries:United StatesAustraliaCanadaChinaNew Zealand
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Frequently asked questions about Linaclotide

What is Linaclotide used for?

Linaclotide is an investigational small molecule being developed for the treatment of Irritable Bowel Syndrome With Constipation (IBS-C). It is administered orally and is currently in Phase 3 clinical development. The drug is designed to address the symptoms of IBS-C, a gastrointestinal condition characterized by abdominal pain and constipation.

Who makes Linaclotide?

Linaclotide is being developed by AstraZeneca PLC, a biopharmaceutical company listed on the stock exchange under the ticker AZN. AstraZeneca is conducting clinical trials to evaluate the safety and efficacy of Linaclotide for the treatment of Irritable Bowel Syndrome With Constipation (IBS-C).

What phase is Linaclotide in?

Linaclotide is in Phase 3 clinical development. It is an investigational drug and has not been approved by regulatory authorities. A Phase 3 trial has been completed to assess its efficacy and safety in patients with Irritable Bowel Syndrome With Constipation (IBS-C).

What clinical trials is Linaclotide in?

Linaclotide has one completed Phase 3 clinical trial, identified as NCT01880424. This international, multicenter, randomized, double-blind, placebo-controlled trial enrolled 1,722 patients with Irritable Bowel Syndrome With Constipation (IBS-C). The study was conducted in the United States, Australia, Canada, China, and New Zealand, and included adults aged 18 years and older.

How does Linaclotide work?

Linaclotide is a small molecule that works by targeting the guanylate cyclase-C receptor in the gastrointestinal tract. By activating this receptor, it increases fluid secretion and accelerates intestinal transit, which helps relieve constipation and reduce abdominal pain associated with Irritable Bowel Syndrome With Constipation (IBS-C).