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Plecanatide

Phase 3

Irritable Bowel Syndrome Characterized by Constipation | Small molecule | Gastrointestinal |Bausch Health Companies Inc.|Last Updated: Jun 14, 2019

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials3
Total Enrollment2,617
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02493452Second Plecanatide Study In Irritable Bowel Syndrome With Constipation (IBS-C)PHASE3 COMPLETED 1,135Jun 1, 2015Feb 1, 2017Jun 14, 2019191 United States
NCT02387359The Plecanatide Irritable Bowel Syndrome With Constipation Study (IBS-C)PHASE3 COMPLETED 1,054Dec 1, 2014Feb 1, 2017Jun 14, 2019155 United States
NCT01722318The Plecanatide Irritable Bowel Syndrome With Constipation Study (IBS-C)PHASE2 COMPLETED 428Nov 1, 2012Oct 1, 2014May 28, 201999 United States
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Study Endpoints
Primary Endpoints
Number of Overall Responders - ITT Population
12 weeks

An Overall Responder was a patient who was a weekly responder (i.e., decrease of 30% from baseline for abdominal pain intensity and an increase of at least 1 complete spontaneous bowel movement in the same week) for at least 6 of the 12 treatment weeks.

Number of Abdominal Pain Responders for at Least 6 of 12 Treatment Weeks
12 Weeks

An Abdominal Pain Intensity Responder was a patient who had a decrease of 30 % from baseline for abdominal pain intensity. Baseline is the mean of non-missing abdominal pain scores recorded during the 2-week baseline diary assessment period prior to the first dose of study drug.

Number of Stool Frequency Responder for at Least 6 of the 12 Treatment Weeks
12 Weeks

A Stool Frequency Responder was a patient who experienced an increase of at least one CSBM (complete spontaneous bowel movement) per week from baseline. Baseline was the mean number of CSBMs recorded during the 2-week baseline diary assessment period prior to the first dose of study drug.

Change From Baseline in Weekly CSBMs Frequency Over the 12-Week Treatment Period (mITT Population)
12 weeks Treatment Period

The primary efficacy endpoint was the change from baseline in the weekly CSBM frequency (CSBMs per week minus CSBMs per week at baseline) over a 12-week Treatment Period. A Complete Spontaneous Bowel Movement (CSBM) is a Bowel Movement (BM) that occurs in the absence of laxative use within 24 hours of the BM and the patient reports a feeling of complete evacuation.

Secondary Endpoints
Number of Sustained Efficacy Responders
12 Weeks
Change From Baseline in Stool Consistency
Baseline and 12-Week
Change From Baseline in Straining
Baseline and 12-Week
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Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
3.0 mg plecanatideACTIVE_COMPARATORPlecanatide 3.0 mg dosed daily for 12 weeks
6.0 mg plecanatideACTIVE_COMPARATORPlecanatide 6.0 mg dosed daily for 12 weeks
Matching placeboACTIVE_COMPARATORPlacebo dosed daily for 12 weeks
Plecanatide 0.3mgACTIVE_COMPARATORPlecanatide 0.3mg, one tablet by mouth daily for 12 weeks
Plecanatide 1.0mgACTIVE_COMPARATORPlecanatide 1.0mg one tablet by mouth daily for 12 weeks
Plecanatide 3.0mgACTIVE_COMPARATORPlecanatide 3.0mg, one tablet by mouth daily for 12 weeks
Plecanatide 9.0mgACTIVE_COMPARATORPlecanatide 9.0mg, one tablet by mouth daily for 12 weeks
PlaceboPLACEBO_COMPARATORPlacebo, one tablet by mouth daily for 12 weeks
Interventions
NameTypeDescription
PlecanatideDRUG -
PlaceboDRUG -
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Eligibility Criteria
Age Range18 Years — 85 Years
SexALL
Healthy VolunteersNo
Study Sites191

Inclusion Criteria: • Adult patients between the ages of 18 and 85 years (inclusive) with a diagnosis of IBS based on ROME III diagnostic criteria and meeting criteria for diagnosis of the constipation predominant subtype - IBS-C Exclusion Criteria: * Refusal or inability to sign informed consent...

Countries:United States
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