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Lubiprostone

Phase 3

Chronic Idiopathic Constipation | Small molecule | Gastrointestinal |Takeda Pharmaceutical Company Limited|Last Updated: Dec 13, 2019

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials3
Total Enrollment357

FDA Designations

No designations recorded

Clinical trial landscape

Lubiprostone · 8 trials · 5 indications

Phase 3 5Phase 2 1Phase 1 2
NCT00380250Efficacy and Safety of Lubiprostone in Patients With Irritable Bowel Syndrome With ConstipationIrritable Bowel Syndrome With Constipation
COMPLETED590 Analytics
NCT02729909Lubiprostone for Chronic Idiopathic Constipation TreatmentConstipation
COMPLETED211 Analytics
NCT02695719Lubiprostone for Treatment of Chronic Idiopathic ConstipationChronic Idiopathic Constipation
COMPLETED156 Analytics
NCT02651155Lubiprostone for the Treatment of Chronic Idiopathic ConstipationConstipation
COMPLETED204 Analytics
NCT01993875Pharmacodynamic, Pharmacokinetic, and Tolerability Study of a Liquid Form of Lubiprostone in Adult Subjects With Chronic Idiopathic ConstipationChronic Idiopathic Constipation
COMPLETED164 Analytics
PHASE3COMPLETED
Efficacy and Safety of Lubiprostone in Patients With Irritable Bowel Syndrome With Constipation
Irritable Bowel Syndrome With ConstipationUnlock trial analytics
PHASE3COMPLETED
Lubiprostone for Chronic Idiopathic Constipation Treatment
ConstipationUnlock trial analytics
PHASE3COMPLETED
Lubiprostone for Treatment of Chronic Idiopathic Constipation
Chronic Idiopathic ConstipationUnlock trial analytics
PHASE3COMPLETED
Lubiprostone for the Treatment of Chronic Idiopathic Constipation
ConstipationUnlock trial analytics
PHASE3COMPLETED
Pharmacodynamic, Pharmacokinetic, and Tolerability Study of a Liquid Form of Lubiprostone in Adult Subjects With Chronic Idiopathic Constipation
Chronic Idiopathic ConstipationUnlock trial analytics

Study Endpoints

Primary Endpoints

Overall Responder Rate
12 weeks

Monthly responder: \>=Moderately relieved symptoms 4 weeks/month or Significantly relieved \>= 2 weeks/month IF: Rescue med use did not increase during the month; AND did not discontinue during the month for lack of efficacy; AND no Moderately worse or Significantly worse response in month. Overall responder: responder for at least 2/3 months

Spontaneous Bowel Movement (SBM) Frequency at Week 1 of Administration
Week 1

A SBM is defined as any bowel movement (BM) that does not occur within 24 hours after rescue medication use (laxative, suppository, or enema). Participants were given a diary to complete at home where they have recorded all details of each SBM including the consistency of the stool and the difficulty they have in passing it.

Spontaneous Bowel Movement (SBM) Frequency at Week 1
Week 1

A SBM was defined as any bowel movement (BM) that does not occur within 24 hours after rescue medication use (laxative, suppository, or enema). Participants will be given a diary to complete at home where they will record all details of each SBM including the consistency of the stool and the difficulty they have in passing it.

Number of Spontaneous Bowel Movements (SBMs) Within 1 Week
within 1 week

SBM is defined as any bowel movement (BM) that did not occur within the 24-hour period following use of a rescue medication.

Time Reduction (Hours and Minutes) of Gastric Emptying (GE), Small Bowel (SB), Large Bowel (LB) and Whole Gut (WG) Transits Measured by SmartPill in Chronically Constipated Patients Before and After 2 Weeks of Therapy With Lubiprostone 24mcg Twice a Day.
Measured at baseline and 2 weeks after baseline.

The change in transit time (TT), in hours and minutes, of gastric emptying (GE), small bowel (SB), large bowel (LB) and whole gut (WG) measured by SmartPill in 29 patients with chronic constipation after taking lubiprostone 24 micrograms twice a day (BID) for 2 weeks.

Change in Methane Production
Baseline and 1 month

Change in the mean area under the curve of the breath hydrogen and methane gas profiles in parts per million, from time 0 to 120 minutes, between baseline versus mean area under the curve at the end of study.

Pain threshold
2 weeks

Secondary Endpoints

Month 1 Spontaneous Bowel Movement (SBM) Frequency Rates Change From Baseline
Change from baseline for month 1
Month 1 Stool Consistency Change From Baseline
Change from baseline for month 1
Month 1 Bowel Straining Change From Baseline
Change from baseline for month 1
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
LubiprostoneEXPERIMENTAL8 mcg capsule twice daily (BID)
PlaceboPLACEBO_COMPARATORMatching placebo capsule twice daily (BID)
Lubiprostone 24 μgEXPERIMENTALLubiprostone 24 μg, capsules, orally, twice daily, under fed conditions, for 4 weeks.

Interventions

NameTypeDescription
LubiprostoneDRUG -
PlaceboDRUG -
Lubiprostone ControlDRUGColonic transit study performed and stool/symptom diaries will be reviewed. Eligible subjects will be given a lactulose breath test and randomized to Lubiprostone or placebo. Treatment group receives 24 mcg Lubiprostone twice daily and placebo group receives pills (identical in appearance to the study drug) for one month. Subjects will be asked to maintain a daily stool/symptom diary for duration of the study. In the middle of the study a research coordinator will call the subjects to take questions/concerns and record adverse events. Lactulose breath test will be repeated, constipation questionnaire filled out, colon transit study performed.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo

Inclusion Criteria: * 18 years of age and older * Stable fiber therapy * Normal colonoscopy/sigmoidoscopy * Able to refrain from use of medications known to treat or associated with constipation symptoms * Experiences abdominal discomfort/pain associated with bowel movements * Reports decreased bow...

Countries:MexicoSouth KoreaRussiaUnited States
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Frequently asked questions about Lubiprostone

What is Lubiprostone used for?

Lubiprostone is a small molecule being studied for gastrointestinal conditions including constipation, chronic constipation, methanogenesis, chronic idiopathic constipation, irritable bowel syndrome, and irritable bowel syndrome with constipation. It is developed by Takeda Pharmaceutical Company Limited and is currently in clinical development.

What does Lubiprostone target?

Lubiprostone is a small molecule that activates chloride channels in the gastrointestinal tract, increasing fluid secretion to soften stool and promote bowel movements. It is being investigated for conditions like chronic idiopathic constipation and irritable bowel syndrome with constipation.

Who makes Lubiprostone?

Lubiprostone is developed by Takeda Pharmaceutical Company Limited, which trades under the ticker TAK. The company is conducting clinical trials to evaluate the drug for various gastrointestinal conditions.

What phase is Lubiprostone in?

Lubiprostone is in Phase 1 clinical development for gastrointestinal conditions. It has completed three trials, including Phase 1 and Phase 3 studies, but is not yet approved and remains investigational.

What clinical trials is Lubiprostone in?

Lubiprostone has completed three clinical trials: NCT01166789, a Phase 1 study on visceral pain sensitivity in irritable bowel syndrome; NCT01190020, a Phase 1 study on methanogenesis and bowel function in chronic constipation; and NCT02651155, a Phase 3 study for chronic idiopathic constipation.

Is Lubiprostone the same as Amitiza?

Lubiprostone is also known by the brand name Amitiza. It is being studied for chronic constipation and irritable bowel syndrome with constipation, and is developed by Takeda Pharmaceutical Company Limited.