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IW-3718

Phase 3

Gastroesophageal Reflux Disease (GERD) | Small molecule | Gastrointestinal |Ironwood Pharmaceuticals, Inc.|Last Updated: Aug 18, 2021

Success Probability
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Market & Valuation
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment609
FDA Designations
No designations recorded
Clinical trial landscape

IW-3718 · 3 trials · 3 indications

Phase 3 1Phase 2 2
NCT03561883Trial of IW-3718 for 8 Weeks in Patients With Persistent Gastroesophageal Reflux Disease (GERD) Receiving Proton Pump Inhibitors (PPIs)Gastroesophageal Reflux Disease (GERD)
COMPLETED609 Analytics
PHASE3COMPLETED
Trial of IW-3718 for 8 Weeks in Patients With Persistent Gastroesophageal Reflux Disease (GERD) Receiving Proton Pump Inhibitors (PPIs)
Gastroesophageal Reflux Disease (GERD)Unlock trial analytics
Study Endpoints
Primary Endpoints
Change From Baseline in WHSS at Week 8
Baseline, Week 8

The WHSS is defined as the weekly average of the DHSS. The DHSS for a day is the greater of the 2 items assessing heartburn severity (Item #1 "Burning feeling behind the breastbone or in the center of the upper stomach" and Item #2 "Pain behind the breastbone or in the center of the upper stomach"). The DHSS items are assessed on a 5-point ordinal scale, where 0=Did Not Have, 1=Very Mild, 2=Mild, 3=Moderate, 4=Moderately Severe, and 5=Severe; higher scores indicate worse symptoms. A negative change from baseline indicates improvement.

Percent Change From Baseline to Week 8 in Weekly Heartburn Severity Score (WHSS)
Baseline (derived from the eDiary daily data collected from 7 days before randomization up to the time of randomization), Week 8

The WHSS for an analysis week was defined as the average of available DHSS during that week. DHSS was defined as the maximum on a 6-point scale (0=Did Not Have, 1=Very Mild, 2=Mild, 3=Moderate, 4=Moderately Severe, 5=Severe) of the 3 items measuring heartburn ( "Heartburn," "Burning feeling behind breastbone or in the center of the upper stomach," and "Pain behind breastbone or in the center of the upper stomach,") from a particular day. A negative change from Baseline indicates improvement.

Exploratory Endpoints - GERD Symptoms
Change from baseline: Treatment Period (weeks 1-4) compared with 2-week (baseline) Pretreatment Period
Secondary Endpoints
Change From Baseline in Weekly Regurgitation Frequency Score (WRFS) at Week 8
Baseline, Week 8
Percentage of Participants Who Were Overall Heartburn Responders During the 8-Week Treatment Period
Up to Week 8
Proportion of Heartburn-Free Days During the 8-Week Treatment Period
Up to Week 8
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
1500 mg IW-3718 BIDEXPERIMENTALThree 500 mg IW-3718 tablets administered twice daily (BID), immediately after the morning and evening meals. Standard-dose PPIs administered QD approximately 30-60 minutes before the morning meal each day.
PlaceboPLACEBO_COMPARATORThree placebo tablets administered BID immediately after the morning and evening meals. Standard-dose PPIs administered QD approximately 30-60 minutes before the morning meal each day.
ControlPLACEBO_COMPARATORMatching placebo twice daily
500 mg IW-3718EXPERIMENTAL500 mg IW-3718 twice daily
1000 mg IW-3718EXPERIMENTAL1000 mg IW-3718 twice daily
1500 mg IW-3718EXPERIMENTAL1500 mg IW-3718 twice daily
IW-3718EXPERIMENTALTwice a day
Matching PlaceboPLACEBO_COMPARATORTwice a day
Interventions
NameTypeDescription
IW-3718DRUGoral tablet
placeboDRUGoral tablet
Standard-dose PPIs QDDRUGbackground therapy
Matching PlaceboDRUG -
PPIDRUGAll participants were taking a standard dose QD PPI (dexlansoprazole, esomeprazole, esomeprazole magnesium, lansoprazole, omeprazole, pantoprazole, pantoprazole sodium sesquihydrate, rabeprazole or rabeprazole sodium) during the study.
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Eligibility Criteria
Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites101

Inclusion Criteria: Each patient must meet all of the following criteria to be eligible for enrollment in this study: * Patient is an ambulatory male or female (if female, nonpregnant) and is at least 18 years old at the Screening Visit. * Patient has a diagnosis of GERD and reports experiencing G...

Countries:United StatesCanada
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