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TD-1211

Phase 2

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

TD-1211 development status

Highest phase Phase 2
Registered trials 6 across 1 sponsor since Oct 2001

TD-1211 target and mechanism

ModalitySmall molecule

Also known as TD-1211 IV [C14], TD-1211 Dose 1, TD-1211 PO [C14]

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials6
Total Enrollment540

FDA Designations

No designations recorded

TD-1211 clinical trials

TD-1211 · 6 trials · 6 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
NCT01333540A Study to Assess the Safety, Tolerability and Clinical Activity of TD-1211 in Patients With Opioid-Induced ConstipationOpioid-induced Constipation (OIC)
COMPLETED69 Analytics
NCT01401985A Study of TD-1211 in Subjects With Opioid-Induced Constipation (OIC)Opioid Induced Constipation
COMPLETED95 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 to Assess the Safety, Tolerability and Clinical Activity of TD-1211 in Patients With Opioid-Induced Constipation
Opioid-induced Constipation (OIC)Unlock trial analytics
PHASE2COMPLETED
A Study of TD-1211 in Subjects With Opioid-Induced Constipation (OIC)
Opioid Induced ConstipationUnlock 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
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
Safety and tolerability of TD-1211
14 days
Cmax
0-96 hours
AUCt
Based on samples collected 0-96 hours
AUCinf
Based on samples collected 0-96 hours
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
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
Evaluation of clinical activity measured as frequency of bowel-movements at different dose levels
Continuous assessments for up to six weeks
Complete spontaneous bowel movements (CSBM); Spontaneous bowel movements (SBM)
Weekly assessments throughout Treatment Period
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Dose 1EXPERIMENTAL -
Dose 2EXPERIMENTAL -
Dose 3EXPERIMENTAL -
PlaceboEXPERIMENTAL -
ActiveEXPERIMENTALEscalating Doses of TD-1211
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
ElderlyEXPERIMENTALTD-1211 Dose 1
YoungerEXPERIMENTALTD-1211 Dose 2
TD-1211 IV [C14]EXPERIMENTALTD-1211 IV \[C14\]
TD-1211 PO [C14]EXPERIMENTALTD-1211 PO \[C14\]
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 Dose 1DRUG -
TD-1211 Dose 2DRUG -
TD-1211 IV [C14]DRUG -
TD-1211 PO [C14]DRUG -
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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 gastrointestinal conditions, specifically constipation and opioid-induced constipation (OIC). It has been studied in Phase 1 and Phase 2 clinical trials in patients with OIC and in healthy subjects with constipation. It is not approved for any indication.

Who is developing TD-1211?

TD-1211 is being developed by Theravance Biopharma, Inc., which trades on the Nasdaq under the ticker TBPH. The company has sponsored the clinical trials evaluating the drug in constipation and opioid-induced constipation.

What phase is TD-1211 in?

TD-1211 is in Phase 1 development. Four clinical trials have been completed, including two Phase 1 studies and two Phase 2 studies, with a total enrollment of 483 participants. No trials are currently active.

What clinical trials is TD-1211 in?

TD-1211 has been evaluated in four completed trials: NCT01702194, a Phase 1 mass balance study; NCT01655771, a Phase 1 single-dose study in elderly and young healthy subjects; NCT01459926, a Phase 2 study in opioid-induced constipation; and NCT01401985, a Phase 2 study in OIC.

Is TD-1211 the same as TD-1211 IV [C14] or TD-1211 Dose 1?

Yes, TD-1211 IV [C14] and TD-1211 Dose 1 are alternative names for TD-1211. These designations refer to specific formulations or dose levels used in clinical studies of the same investigational compound.