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Lubiprostone

Phase 3

Chronic Idiopathic Constipation | Small molecule | Gastrointestinal |Takeda Pharmaceutical Company Limited|Last Updated: Dec 31, 2018

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 Trials2
Total Enrollment193
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02695719Lubiprostone for Treatment of Chronic Idiopathic ConstipationPHASE3 COMPLETED 156Apr 14, 2016Feb 24, 2017Dec 31, 20185 South Korea
NCT01469819Lubiprostone Effect on Gastrointestinal Tract Transit Times Measured by Smartpill in Patients With Chronic ConstipationPHASE2 COMPLETED 37Jun 1, 2012Feb 1, 2015Jun 9, 20171 United States
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Study Endpoints
Primary Endpoints
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.

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.

Secondary Endpoints
SBM Frequency at Weeks 2, 3 and 4
Weeks 2, 3 and 4
Percentage of Participants Who Had a SBM Within 24 Hours After the First Dose of Study Medication
Up to 24 hours after the first dose of study medication
Mean Degree of Straining Score
Weeks 1, 2, 3 and 4
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Lubiprostone 24 μgEXPERIMENTALLubiprostone 24 μg, capsules, orally, twice daily, under fed conditions, for 4 weeks.
PlaceboPLACEBO_COMPARATORLubiprostone placebo-matching capsules, orally, twice daily, under fed conditions, for 4 weeks.
LubiprostoneEXPERIMENTALLubiprostone 24 mcg by mouth twice a day (BID) for 2 weeks.
Interventions
NameTypeDescription
PlaceboDRUGLubiprostone placebo-matching capsules
LubiprostoneDRUGLubiprostone capsules
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Eligibility Criteria
Age Range19 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites5

Inclusion Criteria: 1. In the opinion of the investigator, the participant is capable of understanding and complying with protocol requirements. 2. The participant or, when applicable, the participant's legally acceptable representative signs and dates a written, informed consent form and any requi...

Countries:South KoreaUnited States
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