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Linaclotide

Phase 4FDA approved

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

Linaclotide development status

FDA approval on record Aug 30, 2012 as Linzess
Approval holderAbbvie
ApplicationNDA202811
Highest phase Phase 4 run by Forest Laboratories (NCT02590432)
Phase scored for AZNPhase 3
Registered trials 14 across 6 sponsors since Aug 2008

Label indication LINZESS is indicated for the treatment of: • irritable bowel syndrome with constipation (IBS-C) in adults and pediatric patients 7 years of age and older • chronic idiopathic constipation (CIC) in adults • functional constipation (FC) in pediatric patients 2 years of age and older LINZESS is a guanylate cyclase-C agonist indicated for treatment of: Irritable bowel syndrome with constipation (IBS-C) in adults and… FDA label

Linaclotide target and mechanism

Molecular targetGUCY2C
Target classAgonist
ModalitySmall molecule

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

Linaclotide clinical trials

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 used for irritable bowel syndrome with constipation (IBS-C). It is being developed as an oral treatment for adults with this condition, and the clinical program has studied it in patients 18 years and older. The Phase 3 trial enrolled 1,722 participants with IBS-C across the United States, Australia, Canada, China, and New Zealand.

What does linaclotide target?

Linaclotide targets GUCY2C, also known as guanylate cyclase C. It acts as an agonist at this receptor, meaning it activates the target. Linaclotide is a small molecule designed for oral administration, and its activity at GUCY2C is the basis for its development in gastrointestinal conditions such as IBS-C.

Who makes linaclotide?

Linaclotide is being developed by AstraZeneca PLC, which trades under the ticker AZN. The company is the sponsor behind the clinical development program for the drug in irritable bowel syndrome with constipation.

What phase is linaclotide in?

Linaclotide is in Phase 3 development for irritable bowel syndrome with constipation. It is an investigational small molecule and is not described as approved. The Phase 3 program includes one completed trial, and no active trials are currently listed for this asset.

What clinical trials is linaclotide in?

Linaclotide has been studied in the Phase 3 trial NCT01880424, titled a Phase 3, international, multicenter, randomized, double-blind, placebo-controlled, parallel-group efficacy and safety trial of oral linaclotide for 12 weeks in patients with IBS-C. The trial is completed, enrolled 1,722 participants, and was conducted in the United States, Australia, Canada, China, and New Zealand.

How was the linaclotide Phase 3 trial designed?

The linaclotide Phase 3 trial NCT01880424 was a randomized, double-blind, placebo-controlled, parallel-group study. It evaluated oral linaclotide over 12 weeks in 1,722 patients with IBS-C, enrolled adults aged 18 years and older of all sexes. The study was international and multicenter, with sites in the United States, Australia, Canada, China, and New Zealand.