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CompletedNCT01177410Updated Nov 21, 2019Results posted

Mesalamine Granules for Irritable Bowel Syndrome (IBS) With Diarrhea

A Phase 2 interventional study of Placebo and Mesalamine Granules 750 mg in Irritable Bowel Syndrome With Diarrhea, sponsored by Bausch Health Americas, Inc.. Completed at 20 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-11-21.

Sponsored by Bausch Health Americas, Inc. · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
148
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to determine the daily dose of mesalamine granules that will provide adequate relief from symptoms of IBS with diarrhea.

02

Conditions studied

  • Irritable Bowel Syndrome With Diarrhea

Keywords

  • IBS
  • Diarrhea
  • IBS-D
  • Irritable Bowel Syndrome
  • Abdominal pain
  • Bloating
03

In context

Irritable Bowel Syndrome

1,062 studies on the registry are indexed under Irritable Bowel Syndrome; 190 are open to participants now.

This study's enrollment of 148 is above the median of 71 across 853 interventional studies indexed under Irritable Bowel Syndrome.

Browse Irritable Bowel Syndrome studies →

Lead sponsor

Bausch Health Americas, Inc. is the lead sponsor of 209 studies on the registry; 9 are open to participants now.

Of its 23 completed or terminated interventional studies of FDA-regulated products, 16 (70%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

Male or non-pregnant, non-lactating female subjects Diagnosed with IBS confirmed by the Rome III criteria

Meet the following IBS symptom scores in all categories during the diary eligibility period:

  • An average daily score of greater than or equal to 3 for abdominal pain
  • An average daily score of greater than or equal to 3 for bloating
  • An average daily score of 5 or greater for stool consistency using the Bristol Stool Scale
  • Does not have adequate relief of IBS symptoms (weekly reported) over the past 7 days on the first day of screening and on the day of randomization

Exclusion criteria

Exclusion Criteria:

  • Present with hard or lumpy stools (Type 1 or Type 2) on the Bristol Stool form Scale during the diary eligibility period
  • history of inflammatory bowel disease
  • has Type 1 or 2 diabetes
  • pregnant or lactating
  • history of HIV or hepatitis B or C
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
148 participants (actual)

Study arms

  • Placebo comparator
    Placebo

    Drug: Placebo

  • Experimental
    Mesalamine Granules 750 mg

    Drug: Mesalamine Granules 750 mg

  • Experimental
    Mesalamine Granules 1500 mg

    Drug: Mesalamine Granules 1500 mg

Interventions

  • DrugPlacebo

    placebo capsules once daily for 12 weeks

  • DrugMesalamine Granules 750 mg

    750 mg mesalamine granules once daily for 12 weeks

  • DrugMesalamine Granules 1500 mg

    1500 mg mesalamine granules once daily for 12 weeks

06

What researchers measure

Primary outcomes

  1. The Number of Months That Subjects Are Monthly Responders in Both IBS-related Abdominal Pain AND Stool Consistency During the Entire Three Months.

    A weekly responder in abdominal pain is defined as a ≥30% improvement from baseline in the weekly average abdominal pain score on a 10-point scale (0=no pain - 10= worst possible pain). A weekly responder in stool consistency is defined as ≥50% reduction in the number of days in a week with stool consistency of Type 6 or 7 compared with baseline using the Bristol Stool Scale. Monthly responders are subjects who are weekly responders in both abdominal pain and stool consistency for at least two out of four weeks.

    Time frame: 3 months

Secondary outcomes

  1. Proportion of Subjects Who Are Monthly Responders in Both Abdominal Pain and Stool Consistency for at Least 2 Months During the 3-month Treatment Period

    A weekly responder in abdominal pain is defined as a ≥30% improvement from baseline in the weekly average abdominal pain score on a 10-point scale (0=no pain - 10= worst possible pain). A weekly responder in stool consistency is defined as ≥50% reduction in the number of days in a week with stool consistency of Type 6 or 7 compared with baseline using the Bristol Stool Scale. Monthly responders are subjects who are weekly responders in both abdominal pain and stool consistency for at least two out of four weeks.

    Time frame: 3 months

07

Results

Posted Sep 27, 2012

Participant flow

Study Period: 09Aug2010 to 16Aug2011. 20 Study Sites; US Only. Study locations were a variety including: Gastrointestinal, Family Practice, Medical Centers and/or University setting

Participant flow — Overall Study
MilestoneMesalamine Granules 1500 mgMesalamine Granules 750 mgPlacebo
Started514750
Completed504045
Not completed175
Withdrew: Adverse event022
Withdrew: Withdrawal by subject143
Withdrew: Lost to follow-up010

Outcome measures

SecondaryProportion of Subjects Who Are Monthly Responders in Both Abdominal Pain and Stool Consistency for at Least 2 Months During the 3-month Treatment Period

A weekly responder in abdominal pain is defined as a ≥30% improvement from baseline in the weekly average abdominal pain score on a 10-point scale (0=no pain - 10= worst possible pain). A weekly responder in stool consistency is defined as ≥50% reduction in the number of days in a week with stool consistency of Type 6 or 7 compared with baseline using the Bristol Stool Scale. Monthly responders are subjects who are weekly responders in both abdominal pain and stool consistency for at least two out of four weeks.

Time frame:
3 months
Reported as:
Number · participants
Proportion of Subjects Who Are Monthly Responders in Both Abdominal Pain and Stool Consistency for at Least 2 Months During the 3-month Treatment Period
participantsMesalamine Granules 1500 mgMesalamine Granules 750 mgPlacebo
Proportion of Subjects Who Are Monthly Responders in Both Abdominal Pain and Stool Consistency for at Least 2 Months During the 3-month Treatment Period241514
Statistical analysis
  • Mesalamine Granules 1500 mg vs Mesalamine Granules 750 mg · Regression, Logistic · p = 0.0432 · Odds ratio (or): 2.369 · 95% CI 1.027 to 5.467
  • Mesalamine Granules 750 mg vs Placebo · Regression, Logistic · p = 0.6059 · Odds ratio (or): 1.267 · 95% CI 0.515 to 3.115
PrimaryThe Number of Months That Subjects Are Monthly Responders in Both IBS-related Abdominal Pain AND Stool Consistency During the Entire Three Months.

A weekly responder in abdominal pain is defined as a ≥30% improvement from baseline in the weekly average abdominal pain score on a 10-point scale (0=no pain - 10= worst possible pain). A weekly responder in stool consistency is defined as ≥50% reduction in the number of days in a week with stool consistency of Type 6 or 7 compared with baseline using the Bristol Stool Scale. Monthly responders are subjects who are weekly responders in both abdominal pain and stool consistency for at least two out of four weeks.

Time frame:
3 months
Reported as:
Number · participants
The Number of Months That Subjects Are Monthly Responders in Both IBS-related Abdominal Pain AND Stool Consistency During the Entire Three Months.
participantsMesalamine Granules 1500 mgMesalamine Granules 750 mgPlacebo
0 month182728
1 month958
2 months1356
3 months11108
Statistical analysis
  • Mesalamine Granules 1500 mg vs Placebo · Proportional Odds Model · p = 0.0327 · Odds ratio (or): 2.232 · 95% CI 1.068 to 4.664
  • Mesalamine Granules 750 mg vs Placebo · Proportional Odds Model · p = 0.7260 · Odds ratio (or): 1.148 · 95% CI 0.531 to 2.483

Adverse events

Collected over Study Duration; Reported adverse events (AEs) include AEs observed over the 48 weeks of treatment.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Mesalamine Granules 1500 mg—0/51 (0%)15/51 (29.4%)
Mesalamine Granules 750 mg—1/47 (2.1%)9/47 (19.1%)
Placebo—0/50 (0%)7/50 (14%)
Most frequent serious events
Most frequent serious events
EventMesalamine Granules 1500 mgMesalamine Granules 750 mgPlacebo
Incision Site AbscessInfections and infestations0/511/470/50
Intervertebral disc degenerationMusculoskeletal and connective tissue disorders0/511/470/50
Most frequent other events
Most frequent other events
EventMesalamine Granules 1500 mgMesalamine Granules 750 mgPlacebo
NauseaGastrointestinal disorders4/513/472/50
HeadacheNervous system disorders3/513/471/50
Abdominal distensionGastrointestinal disorders2/510/473/50
FlatulenceGastrointestinal disorders3/511/470/50
NasopharyngitisInfections and infestations3/512/471/50

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Mesalamine Granules 1500 mgMesalamine Granules 750 mgPlaceboTotal
<=18 years1001
Between 18 and 65 years484148137
>=65 years26210
Age, Continuous
Age, Continuous(years)Mesalamine Granules 1500 mgMesalamine Granules 750 mgPlaceboTotal
Mean42.5 ± 13.1744.4 ± 1644.6 ± 12.0443.8 ± 13.73
Sex: Female, Male
Sex: Female, Male(Participants)Mesalamine Granules 1500 mgMesalamine Granules 750 mgPlaceboTotal
Female32303092
Male19172056
Region of Enrollment
Region of Enrollment(participants)Mesalamine Granules 1500 mgMesalamine Granules 750 mgPlaceboTotal
United States514750148
08

Study locations

20 sites
  • Sherwood, Arkansas 72120, United States
  • Anaheim, California 92801, United States
  • Sacramento, California 95831, United States
  • San Diego, California 92108, United States
  • San Francisco, California 94115, United States
  • Bristol, Connecticut 06010, United States
  • Boynton Beach, Florida 33426, United States
  • Saint Petersburg, Florida 33709, United States
  • Macon, Georgia 31201, United States
  • Shreveport, Louisiana 71103, United States
  • Ann Arbor, Michigan 48109, United States
  • Wyoming, Michigan 49519, United States
  • Mexico, Missouri 65265, United States
  • Saint Louis, Missouri 63141, United States
  • Albuquerque, New Mexico 87102, United States
  • New York, New York 10016, United States
  • Greensboro, North Carolina 27408, United States
  • Plano, Texas 75075, United States
  • Ogden, Utah 84405, United States
  • Lynchburg, Virginia 24502, United States
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 21, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01177410
Lead sponsor
Bausch Health Americas, Inc.
Responsible party
Sponsor
First posted
Aug 9, 2010
Start date
Jul 2010
Primary completion
Aug 2011
Completion
Aug 2011
Results posted
Sep 27, 2012
Last update
Nov 21, 2019

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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