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linaclotide

Phase 3

Chronic Constipation | Small molecule | Gastrointestinal |Ironwood Pharmaceuticals, Inc.|Last Updated: Feb 15, 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 Enrollment2,512
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00765999An Open-Label, Long-Term Safety Study of Linaclotide in Patients With Chronic Constipation or Irritable Bowel Syndrome With ConstipationPHASE3 COMPLETED 1,559Oct 31, 2008Jan 31, 2012Feb 15, 2019118 United States, Canada
NCT00730015Trial of Linaclotide in Patients With Chronic ConstipationPHASE3 COMPLETED 643Aug 1, 2008Oct 1, 2009Jan 30, 2013105 United States
NCT00402337Dose-range-finding, Phase 2 Trial of Oral Linaclotide Acetate Administered to Patients With Chronic ConstipationPHASE2 COMPLETED 310Nov 1, 2006Feb 1, 2008Mar 5, 201360 United States
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Study Endpoints
Primary Endpoints
Number of Participants With at Least One Treatment-Emergent Adverse Events (TEAEs)
Up to 78 weeks for AEs; within 30 days of last dose of study drug (up to 82 weeks) for serious AEs.

An AE is any untoward medical occurrence in a clinical study participant administered study drug. An AE could, therefore, be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of the study drug, whether or not related to the medicinal product. An AE that occurred during the treatment period was defined as a TEAE if the AE was either not present at, or before, the day of the first dose of open-label study medication in this study or was present at, or before, the day of the first dose of open-label study medication in this study and increased in severity during the treatment period. AEs included abnormal clinically significant findings for clinical laboratory tests, physical examination findings, vital sign measurements and electrocardiograms (ECGs).

Complete Spontaneous Bowel Movement (CSBM) Overall Responder
Change from Baseline to Week 12

A 12-week CSBM Overall Responder was defined as a patient who for at least 9 of the 12 weeks of the treatment period had a CSBM weekly frequency rate that was 3 or greater and increased by 1 or more from baseline. A CSBM was defined as a spontaneous bowel movement (SBM) that was associated with a sense of complete evacuation. An SBM was defined as a bowel movement (BM) that occurred in the absence of laxative, enema, or suppository use on either the calendar day of the BM or the calendar day before the BM.

Change From Pretreatment in Weekly Normalized Spontaneous Bowel Movement (SBM) Frequency
Change from Baseline to Week 4

Change in SBM frequency during Weeks 1 through 4 of the treatment period from the weekly SBM rate obtained during the pretreatment period.

Secondary Endpoints
12-Week Complete Spontaneous Bowel Movement (CSBM) Frequency
Change from Baseline to Week 12
12-Week Spontaneous Bowl Movement (SBM) Frequency
Change from Baseline to Week 12
12-week Change in Stool Consistency
Change from Baseline to Week 12
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
LinaclotideEXPERIMENTALLinaclotide 290 μg/day capsules, administered orally once daily for up to 78 weeks in participants with either CC or IBS-C. Dose reduction to 145 μg/day was permitted at the discretion of the Investigator if a participant experienced AEs intolerable enough to prompt consideration of study withdrawal. After a temporary suspension of dosing, participants may have received either 145 μg/day or 290 μg/day of linaclotide, at the discretion of the Investigator. Subsequent dose adjustments (increases or decreases between 290 μg/day and 145 μg/day) were permitted also at the Investigator's discretion.
145 μg linaclotideEXPERIMENTAL -
290 μg linaclotideEXPERIMENTAL -
Matching PlaceboPLACEBO_COMPARATOR -
72 ug linaclotide acetateACTIVE_COMPARATOR -
145 ug linaclotide acetateACTIVE_COMPARATOR -
290 ug linaclotide acetateACTIVE_COMPARATOR -
579 ug linaclotide acetateACTIVE_COMPARATOR -
Interventions
NameTypeDescription
LinaclotideDRUGLinaclotide capsules, oral, once daily each morning at least 30 minutes before breakfast for the duration of the study.
Matching PlaceboDRUGOral, once daily
linaclotide acetateDRUGoral, once daily.
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites118

Inclusion Criteria: * Patients must have * entered study LIN-MD 01\[NCT00765882\] or LIN-MD-31 \[NCT00948818\] and at minimum completed the pre-treatment period or * completed one of the following studies: MCP-103-004 \[NCT00306748\], MCP-103-005 \[NCT00258193\], MCP-103-201 \[NCT00402337\], M...

Countries:United StatesCanada
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