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TD-1211

Phase 2

Opioid Induced Constipation | Small molecule | Gastrointestinal |Theravance Biopharma, Inc.|Last Updated: May 25, 2021

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLED
Total Trials2
Total Enrollment312

FDA Designations

No designations recorded

Clinical trial landscape

TD-1211 · 6 trials · 5 indications

Phase 2 3Phase 1 3
NCT01459926A Double-Blind, Randomized, Placebo-Controlled, Parallel-Group Study to Assess the Safety and Efficacy of TD-1211 in Subjects With Opioid-Induced ConstipationOpioid Induced Constipation
COMPLETED217 Analytics
NCT01401985A Study of TD-1211 in Subjects With Opioid-Induced Constipation (OIC)Opioid Induced Constipation
COMPLETED95 Analytics
NCT01333540A Study to Assess the Safety, Tolerability and Clinical Activity of TD-1211 in Patients With Opioid-Induced ConstipationOpioid-induced Constipation (OIC)
COMPLETED69 Analytics
PHASE2COMPLETED
A Double-Blind, Randomized, Placebo-Controlled, Parallel-Group Study to Assess the Safety and Efficacy of TD-1211 in Subjects With Opioid-Induced Constipation
Opioid Induced ConstipationUnlock trial analytics
PHASE2COMPLETED
A Study of TD-1211 in Subjects With Opioid-Induced Constipation (OIC)
Opioid Induced ConstipationUnlock trial analytics
PHASE2COMPLETED
A Study to Assess the Safety, Tolerability and Clinical Activity of TD-1211 in Patients With Opioid-Induced Constipation
Opioid-induced Constipation (OIC)Unlock trial analytics

Study Endpoints

Primary Endpoints

Change from baseline in the weekly average CSBMs over Weeks 2 to 5 of treatment
Between weeks 2 and 5
Safety and tolerability of TD-1211
14 days
Frequency and Severity of Treatment Emergent Adverse Events in Subjects with Opioid-Induced Constipation Treated with TD-1211
Daily doses, safety assessments and activity of TD-1211 as compared to placebo for up to six weeks
Area under the plasma concentration versus time curve (AUC)
0 to 168 hours postdose
Peak plasma concentration (Cmax)
0 to 168 hours postdose
Time to peak plasma concentration (Tmax)
0 to 168 hours postdose
Half-life (T 1/2)
0 to 168 hours postdose
Percent total recovery of radioactivity in blood, urine, and feces
0 to 312 hours postdose
Differences in pk parameters
96 hours

Assess the effect of CYP3A4 and P gp inhibition with itraconazole on the PK disposition of a single oral dose of TD-1211 Endpoints included plasma PK parameters for TD-1211: * AUC * Cmax * Tmax * t1/2 * CL/F * Vz/F

Safety and tolerability in healthy subjects and activity in subjects with opioid-induced constipation
Daily pre and post dose assessments throughout the duration of the study period

Secondary Endpoints

Change from baseline in the weekly SBM frequency in the last week of treatment
baseline and 5 weeks
Complete spontaneous bowel movements (CSBM); Spontaneous bowel movements (SBM)
Weekly assessments throughout Treatment Period
Evaluation of clinical activity measured as frequency of bowel-movements at different dose levels
Continuous assessments for up to six weeks
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Dose 1EXPERIMENTAL -
Dose 2EXPERIMENTAL -
Dose 3EXPERIMENTAL -
PlaceboEXPERIMENTAL -
Cohort 1EXPERIMENTAL5 mg TD-1211 once daily for 4 days followed by 10 mg for 14 days
Cohort 2EXPERIMENTAL5 mg TD-1211 once daily for 4 days followed by 15 mg for 14 days
Cohort 3EXPERIMENTAL5 mg TD-1211 once daily for 2 days followed by 10 mg for 14 days
Cohort 4EXPERIMENTAL5 mg TD-1211 once daily for 2 days followed by 15 mg for 14 days
Cohort 5EXPERIMENTAL2 mg TD-1211 once daily for 14 days
Cohort 6EXPERIMENTAL2.5 mg TD-1211 every 6 hours for 14 days
ActiveEXPERIMENTALEscalating Doses of TD-1211
TD-1211 IV [C14]EXPERIMENTALTD-1211 IV \[C14\]
TD-1211 PO [C14]EXPERIMENTALTD-1211 PO \[C14\]
TD-1211ACTIVE_COMPARATOR -
TD-1211+ itraconazoleACTIVE_COMPARATOR -
TD-1211 dose level 1EXPERIMENTALAscending doses
TD-1211 dose level 2EXPERIMENTALAscending doses
TD-1211 dose level 3EXPERIMENTALAscending doses
TD-1211 dose level 4EXPERIMENTALAscending doses
TD-1211 OIC dose level 1EXPERIMENTALAscending doses
TD-1211 OIC dose level 2EXPERIMENTALAscending doses
TD-1211 OIC dose level 3EXPERIMENTALAscending doses
TD-1211 OIC dose level 4EXPERIMENTALAscending doses
TD-1211 OIC dose level 5EXPERIMENTALAscending doses

Interventions

NameTypeDescription
TD-1211DRUGonce daily
PlaceboDRUGOnce daily
TD-1211 IV [C14]DRUG -
TD-1211 PO [C14]DRUG -
TD-1211+ itraconazoleDRUGPeriod 2
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Eligibility Criteria

Age Range18 Years to 65 Years
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * History of constipation with onset after initiation of opioid therapy * Self-reported OIC of approximately 3 spontaneous bowel movements (SBMs) per week or less for each week over at least the previous two week period * Have used chronic opioids with a total daily dose ≥30 mg ...

Countries:United States
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Frequently asked questions about TD-1211

What is TD-1211 used for?

TD-1211 is an investigational small molecule being developed for opioid-induced constipation (OIC). It has been studied in patients with OIC and in healthy volunteers. The drug is not approved and remains in clinical development.

Who makes TD-1211?

TD-1211 is being developed by Theravance Biopharma, Inc., a biopharmaceutical company. The company's stock trades under the ticker symbol TBPH.

What phase is TD-1211 in?

TD-1211 has completed Phase 1 and Phase 2 clinical trials. It is an investigational drug and has not received FDA approval. All trials listed for TD-1211 are completed, with no active trials currently ongoing.

What clinical trials is TD-1211 in?

TD-1211 has been studied in several completed trials, including NCT01040637, a Phase 1 multiple-dose study in healthy volunteers and OIC patients; NCT01333540 and NCT01401985, both Phase 2 studies in OIC patients; and NCT01568411, a Phase 1 drug-drug interaction study in healthy volunteers.

Is TD-1211 the same as other drugs?

TD-1211 is the primary name used in clinical trials. No alternative names have been reported for this investigational drug. It is a small molecule being evaluated specifically for opioid-induced constipation.