A Phase 3 interventional study of Lubiprostone and Placebo in Irritable Bowel Syndrome and Constipation, sponsored by Sucampo Pharma Americas, LLC. Completed. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-12-17.
Sponsored by Sucampo Pharma Americas, LLC · Phase 3, Interventional, and Treatment
The primary purpose of this study is to evaluate the efficacy and safety of administration of lubiprostone in patients with irritable bowel syndrome with constipation.
1,062 studies on the registry are indexed under Irritable Bowel Syndrome; 190 are open to participants now.
This study's enrollment of 581 is above the median of 71 across 853 interventional studies indexed under Irritable Bowel Syndrome.
Browse Irritable Bowel Syndrome studies →Sucampo Pharma Americas, LLC is the lead sponsor of 17 studies on the registry; none are open to participants now.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Overall Responder Status
Overall responder: monthly responder for at least 2 out of 3 months Monthly responder: \>=Moderately relieved symptoms 4 weeks/month or Significantly relieved \>= 2 weeks/month IF: Rescue med use did not increase; AND patient did not discontinue during the month for lack of efficacy; AND no Moderately worse or Significantly worse response in month.
Time frame: 12 weeks
Month 1 Spontaneous Bowel Movement Rates Change From Baseline
Any bowel movement not associated with rescue medication use
Time frame: 28 days
Month 1 Stool Consistency Change From Baseline
0 = Very loose (watery), 1 = Loose, 2 = Normal, 3 = Hard, 4 = Very hard (little balls)
Time frame: 28 days
Month 1 Bowel Straining Change From Baseline
0 = Absent,1 = Mild, 2 = Moderate, 3 = Severe, and 4 = Very Severe
Time frame: 28 days
Month 1 Constipation Severity Change From Baseline
0 = Absent, 1 = Mild, 2 = Moderate, 3 = Severe, and 4 = Very Severe
Time frame: 28 days
Month 1 Symptom Relief
* 3 = Significantly worse, -2 = Moderately worse, * 1 = A little bit worse, 0 = Unchanged, 1 = A little bit relieved, 2 = Moderately relieved, 3 = Significantly relieved
Time frame: 28 days
Month 1 Responder Rate
Monthly responder: \>=Moderately relieved symptoms 4 weeks/month or Significantly relieved \>= 2 weeks/month IF: Rescue med use did not increase; AND patient did not discontinue during the month for lack of efficacy; AND no Moderately worse or Significantly worse response in month.
Time frame: 28 days
Month 2 Responder Rate
Monthly responder: \>=Moderately relieved symptoms 4 weeks/month or Significantly relieved \>= 2 weeks/month IF: Rescue med use did not increase; AND patient did not discontinue during the month for lack of efficacy; AND no Moderately worse or Significantly worse response in month.
Time frame: 28 days
Month 3 Responder Rate
Monthly responder: \>=Moderately relieved symptoms 4 weeks/month or Significantly relieved \>= 2 weeks/month IF: Rescue med use did not increase; AND patient did not discontinue during the month for lack of efficacy; AND no Moderately worse or Significantly worse response in month.
Time frame: 28 days
Month 1 Abdominal Pain Change From Baseline
0 = Absent, 1 = Mild, 2 = Moderate, 3 = Severe, and 4 = Very Severe
Time frame: 28 days
Month 2 Abdominal Pain Change From Baseline
0 = Absent, 1 = Mild, 2 = Moderate, 3 = Severe, and 4 = Very Severe
Time frame: 28 days
Month 3 Abdominal Pain Change From Baseline
0 = Absent, 1 = Mild, 2 = Moderate, 3 = Severe, and 4 = Very Severe
Time frame: 28 days
Month 1 Abdominal Bloating Change From Baseline
0 = Absent, 1 = Mild, 2 = Moderate, 3 = Severe, and 4 = Very Severe
Time frame: 28 days
Month 2 Abdominal Bloating Change From Baseline
0 = Absent, 1 = Mild, 2 = Moderate, 3 = Severe, and 4 = Very Severe
Time frame: 28 days
Month 3 Abdominal Bloating Change From Baseline
0 = Absent, 1 = Mild, 2 = Moderate, 3 = Severe, and 4 = Very Severe
Time frame: 28 days
Month 2 Spontaneous Bowel Movement Rates Change From Baseline
Any bowel movement not associated with rescue medication use
Time frame: 28 days
Month 3 Spontaneous Bowel Movement Rates Change From Baseline
Any bowel movement not associated with rescue medication use
Time frame: 28 days
Month 2 Stool Consistency Change From Baseline
0 = Very loose (watery), 1 = Loose, 2 = Normal, 3 = Hard, 4 = Very hard (little balls)
Time frame: 28 days
Month 3 Stool Consistency Change From Baseline
0 = Very loose (watery), 1 = Loose, 2 = Normal, 3 = Hard, 4 = Very hard (little balls)
Time frame: 28 days
Month 2 Bowel Straining Change From Baseline
0 = Absent,1 = Mild, 2 = Moderate, 3 = Severe, and 4 = Very Severe
Time frame: 28 days
Month 3 Bowel Straining Change From Baseline
0 = Absent,1 = Mild, 2 = Moderate, 3 = Severe, and 4 = Very Severe
Time frame: 28 days
Month 2 Constipation Severity Change From Baseline
0 = Absent, 1 = Mild, 2 = Moderate, 3 = Severe, and 4 = Very Severe
Time frame: 28 days
Month 3 Constipation Severity Change From Baseline
0 = Absent, 1 = Mild, 2 = Moderate, 3 = Severe, and 4 = Very Severe
Time frame: 28 days
Month 2 Symptom Relief
* 3 = Significantly worse, -2 = Moderately worse, * 1 = A little bit worse, 0 = Unchanged, 1 = A little bit relieved, 2 = Moderately relieved, 3 = Significantly relieved
Time frame: 28 days
Month 3 Symptom Relief
* 3 = Significantly worse, -2 = Moderately worse, * 1 = A little bit worse, 0 = Unchanged, 1 = A little bit relieved, 2 = Moderately relieved, 3 = Significantly relieved
Time frame: 28 days
Month 3 Quality of Life Change From Baseline
IBS-QOL questionnaire included 34 questions with 5 possible responses yielding the following sub-categories: dysphoria, interference with activity, body image, health worry, food avoidance, social reaction, sexual, and relationship Results range from 34 (low) to 100 (high); meaningful clinical improvement=14 point increase
Time frame: 12 weeks
Month 1 Bowel Movement Rates Change From Baseline
Time frame: 28 days
Month 2 Bowel Movement Rates Change From Baseline
Time frame: 28 days
Month 3 Bowel Movement Rates Change From Baseline
Time frame: 28 days
First subject enrolled 05/19/05; last subject observed 08/02/06, at 65 centers across the US
| Milestone | Lubiprostone | Placebo |
|---|---|---|
| Started | 387 | 194 |
| Completed | 303 | 151 |
| Not completed | 84 | 43 |
| Withdrew: Adverse event | 18 | 15 |
| Withdrew: Protocol violation | 13 | 3 |
| Withdrew: Withdrawal by subject | 28 | 10 |
| Withdrew: Lack of efficacy | 18 | 8 |
| Withdrew: Lost to follow-up | 6 | 6 |
| Withdrew: Other | 1 | 0 |
| Withdrew: Physician decision | 0 | 1 |
Overall responder: monthly responder for at least 2 out of 3 months Monthly responder: \>=Moderately relieved symptoms 4 weeks/month or Significantly relieved \>= 2 weeks/month IF: Rescue med use did not increase; AND patient did not discontinue during the month for lack of efficacy; AND no Moderately worse or Significantly worse response in month.
| percentage of participants | Lubiprostone | Placebo |
|---|---|---|
| Overall Responder Status | 12.1 | 5.7 |
Any bowel movement not associated with rescue medication use
| spontaneous bowel movements (SBMs)/week | Lubiprostone | Placebo |
|---|---|---|
| Month 1 Spontaneous Bowel Movement Rates Change From Baseline | 1.55 ± 3.071 | 1.29 ± 2.934 |
0 = Very loose (watery), 1 = Loose, 2 = Normal, 3 = Hard, 4 = Very hard (little balls)
| units on a scale | Lubiprostone | Placebo |
|---|---|---|
| Month 1 Stool Consistency Change From Baseline | -0.47 ± 0.673 | -0.37 ± 0.582 |
0 = Absent,1 = Mild, 2 = Moderate, 3 = Severe, and 4 = Very Severe
| units on a scale | Lubiprostone | Placebo |
|---|---|---|
| Month 1 Bowel Straining Change From Baseline | -0.54 ± 0.719 | -0.42 ± 0.628 |
0 = Absent, 1 = Mild, 2 = Moderate, 3 = Severe, and 4 = Very Severe
| units on a scale | Lubiprostone | Placebo |
|---|---|---|
| Month 1 Constipation Severity Change From Baseline | -0.41 ± 0.606 | -0.33 ± 0.495 |
* 3 = Significantly worse, -2 = Moderately worse, * 1 = A little bit worse, 0 = Unchanged, 1 = A little bit relieved, 2 = Moderately relieved, 3 = Significantly relieved
| units on a scale | Lubiprostone | Placebo |
|---|---|---|
| Month 1 Symptom Relief | 0.69 ± 1.058 | 0.60 ± 1.043 |
Monthly responder: \>=Moderately relieved symptoms 4 weeks/month or Significantly relieved \>= 2 weeks/month IF: Rescue med use did not increase; AND patient did not discontinue during the month for lack of efficacy; AND no Moderately worse or Significantly worse response in month.
| percentage of participants | Lubiprostone | Placebo |
|---|---|---|
| Month 1 Responder Rate | 9.8 | 6.8 |
Monthly responder: \>=Moderately relieved symptoms 4 weeks/month or Significantly relieved \>= 2 weeks/month IF: Rescue med use did not increase; AND patient did not discontinue during the month for lack of efficacy; AND no Moderately worse or Significantly worse response in month.
| percentage of participants | Lubiprostone | Placebo |
|---|---|---|
| Month 2 Responder Rate | 16.1 | 9.9 |
Monthly responder: \>=Moderately relieved symptoms 4 weeks/month or Significantly relieved \>= 2 weeks/month IF: Rescue med use did not increase; AND patient did not discontinue during the month for lack of efficacy; AND no Moderately worse or Significantly worse response in month.
| percentage of participants | Lubiprostone | Placebo |
|---|---|---|
| Month 3 Responder Rate | 13.5 | 5.7 |
0 = Absent, 1 = Mild, 2 = Moderate, 3 = Severe, and 4 = Very Severe
| units on a scale | Lubiprostone | Placebo |
|---|---|---|
| Month 1 Abdominal Pain Change From Baseline | -0.32 ± 0.600 | -0.29 ± 0.450 |
0 = Absent, 1 = Mild, 2 = Moderate, 3 = Severe, and 4 = Very Severe
| units on a scale | Lubiprostone | Placebo |
|---|---|---|
| Month 2 Abdominal Pain Change From Baseline | -0.44 ± 0.707 | -0.33 ± 0.601 |
0 = Absent, 1 = Mild, 2 = Moderate, 3 = Severe, and 4 = Very Severe
| units on a scale | Lubiprostone | Placebo |
|---|---|---|
| Month 3 Abdominal Pain Change From Baseline | -0.47 ± 0.746 | -0.35 ± 0.619 |
0 = Absent, 1 = Mild, 2 = Moderate, 3 = Severe, and 4 = Very Severe
| units on a scale | Lubiprostone | Placebo |
|---|---|---|
| Month 1 Abdominal Bloating Change From Baseline | -0.31 ± 0.614 | -0.28 ± 0.430 |
0 = Absent, 1 = Mild, 2 = Moderate, 3 = Severe, and 4 = Very Severe
| units on a scale | Lubiprostone | Placebo |
|---|---|---|
| Month 2 Abdominal Bloating Change From Baseline | -0.43 ± 0.741 | -0.33 ± 0.611 |
0 = Absent, 1 = Mild, 2 = Moderate, 3 = Severe, and 4 = Very Severe
| units on a scale | Lubiprostone | Placebo |
|---|---|---|
| Month 3 Abdominal Bloating Change From Baseline | -0.45 ± 0.760 | -0.35 ± 0.641 |
Any bowel movement not associated with rescue medication use
| SBMs/week | Lubiprostone | Placebo |
|---|---|---|
| Month 2 Spontaneous Bowel Movement Rates Change From Baseline | 1.61 ± 3.191 | 1.39 ± 3.495 |
Any bowel movement not associated with rescue medication use
| SBMs/week | Lubiprostone | Placebo |
|---|---|---|
| Month 3 Spontaneous Bowel Movement Rates Change From Baseline | 1.43 ± 3.061 | 1.42 ± 3.584 |
0 = Very loose (watery), 1 = Loose, 2 = Normal, 3 = Hard, 4 = Very hard (little balls)
| units on a scale | Lubiprostone | Placebo |
|---|---|---|
| Month 2 Stool Consistency Change From Baseline | -0.50 ± 0.700 | -0.41 ± 0.724 |
0 = Very loose (watery), 1 = Loose, 2 = Normal, 3 = Hard, 4 = Very hard (little balls)
| units on a scale | Lubiprostone | Placebo |
|---|---|---|
| Month 3 Stool Consistency Change From Baseline | -0.49 ± 0.686 | -0.39 ± 0.748 |
0 = Absent,1 = Mild, 2 = Moderate, 3 = Severe, and 4 = Very Severe
| units on a scale | Lubiprostone | Placebo |
|---|---|---|
| Month 2 Bowel Straining Change From Baseline | -0.62 ± 0.817 | -0.50 ± 0.745 |
0 = Absent,1 = Mild, 2 = Moderate, 3 = Severe, and 4 = Very Severe
| units on a scale | Lubiprostone | Placebo |
|---|---|---|
| Month 3 Bowel Straining Change From Baseline | -0.63 ± 0.813 | -0.50 ± 0.803 |
0 = Absent, 1 = Mild, 2 = Moderate, 3 = Severe, and 4 = Very Severe
| units on a scale | Lubiprostone | Placebo |
|---|---|---|
| Month 2 Constipation Severity Change From Baseline | -0.51 ± 0.732 | -0.42 ± 0.664 |
0 = Absent, 1 = Mild, 2 = Moderate, 3 = Severe, and 4 = Very Severe
| units on a scale | Lubiprostone | Placebo |
|---|---|---|
| Month 3 Constipation Severity Change From Baseline | -0.53 ± 0.760 | -0.42 ± 0.679 |
* 3 = Significantly worse, -2 = Moderately worse, * 1 = A little bit worse, 0 = Unchanged, 1 = A little bit relieved, 2 = Moderately relieved, 3 = Significantly relieved
| units on a scale | Lubiprostone | Placebo |
|---|---|---|
| Month 2 Symptom Relief | 0.79 ± 1.140 | 0.55 ± 1.256 |
* 3 = Significantly worse, -2 = Moderately worse, * 1 = A little bit worse, 0 = Unchanged, 1 = A little bit relieved, 2 = Moderately relieved, 3 = Significantly relieved
| units on a scale | Lubiprostone | Placebo |
|---|---|---|
| Month 3 Symptom Relief | 0.75 ± 1.249 | 0.56 ± 1.222 |
IBS-QOL questionnaire included 34 questions with 5 possible responses yielding the following sub-categories: dysphoria, interference with activity, body image, health worry, food avoidance, social reaction, sexual, and relationship Results range from 34 (low) to 100 (high); meaningful clinical improvement=14 point increase
| units on a scale | Lubiprostone | Placebo |
|---|---|---|
| Month 3 Quality of Life Change From Baseline | 17.3 ± 17.46 | 13.4 ± 16.26 |
| bowel movements (BMs)/week | Lubiprostone | Placebo |
|---|---|---|
| Month 1 Bowel Movement Rates Change From Baseline | 1.30 ± 2.787 | 0.87 ± 3.104 |
| BMs/week | Lubiprostone | Placebo |
|---|---|---|
| Month 2 Bowel Movement Rates Change From Baseline | 1.29 ± 2.875 | 0.95 ± 3.444 |
| BMs/week | Lubiprostone | Placebo |
|---|---|---|
| Month 3 Bowel Movement Rates Change From Baseline | 1.17 ± 2.757 | 0.97 ± 3.309 |
Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Lubiprostone | — | — | — |
| Placebo | — | — | — |
| Event | Lubiprostone | Placebo |
|---|---|---|
| Breast cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 0/384 | 1/195 |
| Small intestine gangreneGastrointestinal disorders | 0/384 | 1/195 |
| Small intestinal obstructionGastrointestinal disorders | 0/384 | 1/195 |
| Abdominal adhesionsGastrointestinal disorders | 0/384 | 1/195 |
| CholecystitisHepatobiliary disorders | 1/384 | 0/195 |
| Non-cardiac chest painGeneral disorders | 1/384 | 0/195 |
| Event | Lubiprostone | Placebo |
|---|---|---|
| NauseaGastrointestinal disorders | 34/384 | 11/195 |
| DiarrhoeaGastrointestinal disorders | 23/384 | 10/195 |
| HeadacheNervous system disorders | 16/384 | 11/195 |
| Age, Continuous(years) | Lubiprostone | Placebo | Total |
|---|---|---|---|
| Mean | 45.5 ± 12.93 | 47.3 ± 13.34 | 46.1 ± 13.08 |
| Sex: Female, Male(Participants) | Lubiprostone | Placebo | Total |
|---|---|---|---|
| Female | 343 | 179 | 522 |
| Male | 36 | 13 | 49 |
| Height(inches) | Lubiprostone | Placebo | Total |
|---|---|---|---|
| Mean | 64.7 ± 3.15 | 65.0 ± 3.34 | 64.8 ± 3.21 |
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Sucampo Pharma Americas, LLC