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Linaclotide 145 micrograms

Phase 2

Opioid-Induced Constipation | Small molecule | Gastrointestinal |Ironwood Pharmaceuticals, Inc.|Last Updated: Apr 8, 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-BlindCONTROLLEDBiomarker
Total Trials1
Total Enrollment254
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02270983Phase 2 Randomized, Double-Blind, Placebo-Controlled, Parallel Group Trial of Linaclotide Administered to Patients With Opioid-Induced Constipation Receiving Chronic Opioid Treatment for Non-Cancer PainPHASE2 COMPLETED 254Oct 31, 2014Oct 31, 2015Apr 8, 201977 United States
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Study Endpoints
Primary Endpoints
Change From Baseline in 8-Week SBM Frequency Rate (SBMs/Week)
Baseline (Week 0) to Week 8

Change from baseline in 8-Week SBM frequency rate (SBMs/week) during the Treatment Period.

Secondary Endpoints
Time to First SBM After the First Dose of Investigational Product
Baseline (Day 0) up to 8 weeks
Percentage of Participants Meeting 6/8 Week Spontaneous Bowel Movement (SBM) 3 + 1 Responder Criteria
8-week treatment period
Change From Baseline in 8-Week Stool Consistency
Baseline (Week 0) to Week 8
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Linaclotide 145 microgramsEXPERIMENTALOral capsule, taken once daily each morning at least 30 minutes before breakfast, with the exception of the first Treatment Period dose which will be taken at the study center after at least a 2-hour fast.
Linaclotide 290 microgramsEXPERIMENTALOral capsule, taken once daily each morning at least 30 minutes before breakfast, with the exception of the first Treatment Period dose which will be taken at the study center after at least a 2-hour fast.
PlaceboEXPERIMENTALOral capsule, taken once daily each morning at least 30 minutes before breakfast, with the exception of the first Treatment Period dose which will be taken at the study center after at least a 2-hour fast.
Interventions
NameTypeDescription
Linaclotide 145 microgramsDRUG -
Linaclotide 290 microgramsDRUG -
PlaceboDRUGMatching placebo
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites77

Inclusion Criteria: * Patient has chronic non-cancer pain that has been present for a minimum of 3 months * Patient has been receiving a stable oral dose of a full-opioid agonist for at least 4 days per week during the 8 consecutive weeks * Patient meets protocol criteria for Opioid-Induced Constip...

Countries:United States
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