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Linaclotide 290 micrograms

Phase 3

Chronic Constipation | Small molecule | Gastrointestinal |Ironwood Pharmaceuticals, Inc.|Last Updated: Apr 26, 2016

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials2
Total Enrollment1,120

FDA Designations

No designations recorded

Clinical trial landscape

Linaclotide 290 micrograms · 3 trials · 3 indications

Phase 3 3
NCT01642914Safety and Efficacy of Linaclotide in Patients With Chronic Constipation and Prominent Abdominal BloatingChronic Constipation
COMPLETED487 Analytics
NCT00948818Trial of Linaclotide Administered to Patients With Irritable Bowel Syndrome With ConstipationIrritable Bowel Syndrome Characterized by Constipation
COMPLETED803 Analytics
NCT00765882Phase III, Randomized, Double-Blind, Placebo-Controlled, Trial of Linaclotide Administered to Patients With Chronic ConstipationChronic Constipation
COMPLETED633 Analytics
PHASE3COMPLETED
Safety and Efficacy of Linaclotide in Patients With Chronic Constipation and Prominent Abdominal Bloating
Chronic ConstipationUnlock trial analytics
PHASE3COMPLETED
Trial of Linaclotide Administered to Patients With Irritable Bowel Syndrome With Constipation
Irritable Bowel Syndrome Characterized by ConstipationUnlock trial analytics
PHASE3COMPLETED
Phase III, Randomized, Double-Blind, Placebo-Controlled, Trial of Linaclotide Administered to Patients With Chronic Constipation
Chronic ConstipationUnlock trial analytics

Study Endpoints

Primary Endpoints

9/12 Week Complete Spontaneous Bowel Movement (CSBM) 3+1 Responder
12-week treatment period

A 9/12 Week CSBM 3+1 Responder is a patient who is a CSBM 3+1 Weekly Responder for at least 9 out of the 12 weeks of the Treatment Period. A CSBM 3+1 Weekly Responder is a patient who had a CSBM Weekly Frequency Rate that was 3 or greater and increased by 1 or more from baseline.

Abdominal Pain and Complete Spontaneous Bowel Movement (APC) Responder, 9 Out of 12 Weeks
Change from Baseline to Week 12

A patient is considered to be an APC responder if, for at least 9 out of the 12 weeks of the treatment period, the patient had at least 3 CSBMs, experienced an increase of at least 1 CSBM from baseline, and experienced a decrease of at least 30 percent in their Abdominal Pain (AP) score from baseline during a particular week. The AP score assesses the worst of a patient's AP in the past 24 hours using an 11-point scale (from 0-10), where 0 represents no AP and 10 represents very severe AP. A CSBM is defined as a spontaneous bowel movement, associated with a sense of complete evacuation.

Complete Spontaneous Bowel Movement (CSBM) 3+1 Responder, 9 Out of 12 Weeks
Change from Baseline to Week 12

A patient is considered to be a CSBM 3+1 responder if, for at least 9 out of the 12 weeks of the treatment period, the patient had at least 3 CSBMs and experienced an increase of at least 1 CSBM from baseline during a particular week. 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.

Abdominal Pain Responder, 9 Out of 12 Weeks
Change from Baseline to Week 12

A patient is considered to be an abdominal pain responder if, for at least 9 out of the 12 weeks of the treatment period, they experienced a decrease of at least 30 percent in the mean abdominal pain score from baseline during a particular week. The Abdominal Pain score assesses the worst of a patient's abdominal pain in the past 24 hours using an 11-point scale (from 0-10), where 0 represents no abdominal pain and 10 represents very severe abdominal pain.

Abdominal Pain and Complete Spontaneous Bowel Movement (APC) Responder, 6 Out of 12 Weeks.
Change from Baseline to Week 12

A patient is considered an APC responder if, for at least 6 of the 12 weeks of the treatment, the patient experienced an increase of at least 1 Complete Spontaneous Bowel Movement (CSBM) from baseline and experienced a decrease of at least 30 percent in their Abdominal Pain (AP)score during a particular week. The AP score assesses the worst of a patient's AP in the past 24 hours using an 11-point scale (from 0-10), where 0 represents no AP and 10 represents very severe AP. A CSBM was defined as a Spontaneous Bowel Movement (SBM) that was associated with a sense of complete evacuation.

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

A 12-week CSBM overall responders 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.

Secondary Endpoints

9/12 Week Complete Spontaneous Bowel Movement (CSBM) 3+1 Responder
12-week treatment period
Change From Baseline in 12-Week Abdominal Bloating
Baseline and 12-week treatment period
Percent Change From Baseline in 12-week Abdominal Bloating
Baseline and 12-week treatment period
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Linaclotide 290 microgramsEXPERIMENTALLinaclotide 290 micrograms
Linaclotide 145 MicrogramsEXPERIMENTALLinaclotide 145 micrograms
PlaceboPLACEBO_COMPARATORMatching placebo
LinaclotideEXPERIMENTALLinaclotide 290 micrograms
1EXPERIMENTALLinaclotide 290 micrograms
2EXPERIMENTALLinaclotide 145 micrograms
3PLACEBO_COMPARATORMatching placebo

Interventions

NameTypeDescription
Linaclotide 290 microgramsDRUGoral capsule, taken once daily each morning at least 30 minutes before breakfast
Linaclotide 145 microgramsDRUGoral capsule, taken once daily each morning at least 30 minutes before breakfast
Matching placeboDRUGoral capsule, taken once daily each morning at least 30 minutes before breakfast
PlaceboDRUGOral, once daily each morning at least 30 minutes before breakfast for the duration of the study
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersYes
Study Sites151

Inclusion Criteria: * Patient has completed a colonoscopy according to the American Gastroenterological Association criteria with no clinically significant findings * Patient has successfully completed protocol procedures (with no clinically significant findings) * Patient meets protocol criteria f...

Countries:United StatesCanada
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Frequently asked questions about Linaclotide 290 micrograms

What is Linaclotide 290 micrograms used for?

Linaclotide 290 micrograms is used for treating irritable bowel syndrome characterized by constipation and chronic constipation. It is a small molecule being developed by Ironwood Pharmaceuticals, Inc. for gastrointestinal conditions. The drug is currently in Phase 3 clinical development and is considered investigational.

What does Linaclotide 290 micrograms target?

Linaclotide 290 micrograms targets the guanylate cyclase-C receptor in the gastrointestinal tract. By activating this receptor, it helps increase fluid secretion and accelerate intestinal transit, which can relieve constipation. This mechanism is relevant for its use in chronic constipation and irritable bowel syndrome with constipation.

Who makes Linaclotide 290 micrograms?

Linaclotide 290 micrograms is developed by Ironwood Pharmaceuticals, Inc., a biopharmaceutical company. The company's stock ticker is IRWD. Ironwood is conducting clinical trials to evaluate the drug's safety and efficacy for gastrointestinal conditions.

What phase is Linaclotide 290 micrograms in?

Linaclotide 290 micrograms is in Phase 3 clinical development. It has completed two Phase 3 trials, with no active trials currently ongoing. The drug is investigational and has not been approved by regulatory authorities based on the available data.

What clinical trials is Linaclotide 290 micrograms in?

Linaclotide 290 micrograms has completed two Phase 3 trials. One trial, NCT00765882, enrolled 633 patients with chronic constipation. Another trial, NCT00948818, enrolled 803 patients with irritable bowel syndrome characterized by constipation. Both were randomized, double-blind, and placebo-controlled, conducted in the United States and Canada.

Is Linaclotide 290 micrograms the same as Linaclotide?

Linaclotide 290 micrograms is a specific dosage strength of the drug linaclotide. The clinical trials for this asset used the 290 microgram dose. Linaclotide is the active pharmaceutical ingredient, and 290 micrograms refers to the amount per dose administered in the studies.