A Phase 4 interventional study of Eluxadoline in Irritable Bowel Syndrome With Diarrhea, sponsored by Allergan. Completed at 1 site in United States. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2021-05-19.
Sponsored by Allergan (part of AbbVie) · Phase 4, Interventional, and Treatment
This study will evaluate the possibility of a differential effect of eluxadoline on altered bowel function in Irritable Bowel Syndrome with Diarrhea (IBS-D) participants with and without evidence of Bile Acid Malabsorption (BAM).
877 studies on the registry are indexed under Diarrhea; 76 are open to participants now.
This study's enrollment of 24 is below the median of 137 across 738 interventional studies indexed under Diarrhea.
Browse Diarrhea studies →Allergan is the lead sponsor of 505 studies on the registry; none are open to participants now.
Of its 93 completed or terminated interventional studies of FDA-regulated products, 91 (98%) have results posted.
First submitted before Allergan became part of AbbVie.
Counted across the registry records on this site, refreshed daily.
Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.
Exclusion Criteria:
Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).
Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.
Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.
Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.
Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.
You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.
A score of how well the liver works in people with liver disease such as cirrhosis: class A is mild, B moderate and C severe.
An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.
Childbearing potential
Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).
Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Contraception
Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.
Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Informed consent
Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.
You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Child-Pugh class
A score of how well the liver works in people with liver disease such as cirrhosis: class A is mild, B moderate and C severe.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Hypersensitivity
An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
IBS-D participants with evidence of Bile Acid Malabsorption (BAM) treated with eluxadoline 100 mg oral tablets twice daily (BID) with food for 4 weeks.
Drug: Eluxadoline
IBS-D participants without evidence of BAM treated with eluxadoline 100 mg oral tablets BID with food for 4 weeks.
Drug: Eluxadoline
Eluxadoline 100 mg oral tablets BID with food.
Change From Baseline in Average Bristol Stool Form Scale (BSFS) Score Over 4 Weeks of Treatment Period
Stool consistency was assessed using the BSFS where: 1=Separate hard lumps like nuts to 7=Watery. The score was recorded by the participant in an electronic diary (e-diary). The score for each day was averaged over the 4-week period. A negative change from Baseline indicates improvement.
Time frame: Baseline (Day 1) to Week 4
Percentage of Participants With Treatment-Emergent Adverse Events (TEAEs)
An adverse event (AE) is any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. An AE can therefore be any unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product. A TEAE is an AE that occurs or worsens after receiving investigational study drug.
Time frame: Baseline (Day 1) to Week 4
Number of Participants Who Experienced Potentially Clinically Significant Change in Laboratory Tests
Laboratory tests included tests of Clinical Chemistry, Hematology, and Urinalysis. The investigator determined if the result was potentially clinically significant.
Time frame: Baseline (Day 1) to Week 4
Number of Participants Who Experienced Potentially Clinically Significant Change in Vital Signs
Vital signs assessments included: pulse, respiratory rate, and blood pressure (systolic and diastolic). The investigator determined if the result was potentially clinically significant.
Time frame: Baseline (Day 1) to Week 4
Number of Participants Who Experienced Clinically Significant Change From Baseline in General Physical Condition as Measured Through General Physical Exam
General Physical Examination consisted of a full review of body systems excluding pelvic and rectal exams. The investigator determined if the result was clinically significant.
Time frame: Baseline (Day 1) to Week 4
Change From Baseline in the 4-week Average of Daily Bowel Movement Frequency During the Treatment Period
Bowel movements were recorded by the participant in an electronic diary (e-diary). The number of bowel movements per day was averaged over the 4-week period. A negative change from Baseline indicates improvement.
Time frame: Baseline (Day 1) to Week 4
Change From Baseline in the 4-week Average of Daily Worst Abdominal Pain Scores During the Treatment Period
The participant recorded their worst abdominal pain score in the past 24 hours each day in an e-diary where: 0=no pain to 10=worst imaginable pain. The score each day was averaged over the 4-week period. A negative change from Baseline indicates improvement.
Time frame: Baseline (Day 1) to Week 4
Change From Baseline in the 4-week Average of Daily Bloating Scores During the Treatment Period
The participant recorded their bloating score in the past 24 hours each day in an e-diary where: 0=no bloating to 10=worst imaginable bloating. The score each day was averaged over the 4-week period. A negative change from Baseline indicates improvement.
Time frame: Baseline (Day 1) to Week 4
Change From Baseline in the 4-week Average Number of Daily Urgent Bowel Movements During the Treatment Period
The participant recorded the number of urgent bowel movements in the past 24 hours each day in an e-diary. The number of urgent bowel movements per day was averaged over the 4-week period. A negative change from Baseline indicates improvement.
Time frame: Baseline (Day 1) to Week 4
Percentage of Participants With Any Fecal Incontinence During the Treatment Period
The participant recorded the number of fecal incontinences in the past 24 hours each day in an e-diary. Fecal incontinence is the inability to control the passage of gas or stools. The number of fecal incontinences per day was averaged over the 4-week period. A negative change from Baseline indicates improvement.
Time frame: Baseline (Day 1) to Week 4
Change From Baseline in Irritable Bowel Syndrome Quality of Life (IBS-QOL) Total Score at the End of the Treatment Period
IBS-QOL is composed of 34 items about how the symptoms of IBS are impacting the participant's life scored on a 1 to 5 scale, where lower item scores indicate greater quality of life. The individual responses to the answered items were summed and standardized for a total score and then transformed to a 0 to 100-point scale (0=worst; 100=better) for ease of interpretation. A positive change from Baseline indicates improved quality of life.
Time frame: Baseline (Day1) to End of Treatment (Up to Week 4)
Change From Baseline in Fasting Serum 7α-hydroxy-4-cholesten-3-one (7αC4) Levels at the End of the Treatment Period
Participants fasted for at least 8 hours prior to the test. Fasting serum 7αC4 level was measured at Baseline and End of Treatment to determine whether any changes occurred following treatment with eluxadoline. The negative change from Baseline indicates improvement.
Time frame: Baseline (Day 1) to End of Treatment (Up to Week 4)
Cmax: Maximum Concentration for Eluxadoline
Time frame: Predose and at the intervals 1-2, 3-4 and 5-8 hours postdose at Week 2
Cmin: Minimum Concentration for Eluxadoline
Time frame: Predose and at the intervals 1-2, 3-4 and 5-8 hours postdose at Week 2
AUC: Area Under the Concentration-time Curve During the Dosing Interval for Eluxadoline
Time frame: Predose and at the intervals 1-2, 3-4 and 5-8 hours postdose at Week 2
Tmax: Time to Cmax for Eluxadoline
Time frame: Predose and at the intervals 1-2, 3-4 and 5-8 hours postdose at Week 2
t1/2: Half-Life for Eluxadoline
Time frame: Predose and at the intervals 1-2, 3-4 and 5-8 hours postdose at Week 2
CL/F: Apparent Total Clearance of the Drug From Plasma After Oral Administration for Eluxadoline
Time frame: Predose and at the intervals 1-2, 3-4 and 5-8 hours postdose at Week 2
Vc/F: Apparent Volume of Distribution for Eluxadoline
Time frame: Predose and at the intervals 1-2, 3-4 and 5-8 hours postdose at Week 2
| Milestone | Eluxadoline 100 mg With BAM | Eluxadoline 100 mg Without BAM |
|---|---|---|
| Started | 12 | 12 |
| Completed | 12 | 12 |
| Not completed | 0 | 0 |
Stool consistency was assessed using the BSFS where: 1=Separate hard lumps like nuts to 7=Watery. The score was recorded by the participant in an electronic diary (e-diary). The score for each day was averaged over the 4-week period. A negative change from Baseline indicates improvement.
| score on a scale | Eluxadoline 100 mg With BAM | Eluxadoline 100 mg Without BAM |
|---|---|---|
| Baseline | 5.89 ± 0.639 | 5.34 ± 0.777 |
| Change From Baseline at Week 4 | -1.25 ± 0.914 | -1.09 ± 0.902 |
An adverse event (AE) is any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. An AE can therefore be any unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product. A TEAE is an AE that occurs or worsens after receiving investigational study drug.
| percentage of participants | Eluxadoline 100 mg With BAM | Eluxadoline 100 mg Without BAM |
|---|---|---|
| Percentage of Participants With Treatment-Emergent Adverse Events (TEAEs) | 91.7 | 58.3 |
Laboratory tests included tests of Clinical Chemistry, Hematology, and Urinalysis. The investigator determined if the result was potentially clinically significant.
| Participants | Eluxadoline 100 mg With BAM | Eluxadoline 100 mg Without BAM |
|---|---|---|
| Number of Participants Who Experienced Potentially Clinically Significant Change in Laboratory Tests | 0 | 2 |
Vital signs assessments included: pulse, respiratory rate, and blood pressure (systolic and diastolic). The investigator determined if the result was potentially clinically significant.
| Participants | Eluxadoline 100 mg With BAM | Eluxadoline 100 mg Without BAM |
|---|---|---|
| Number of Participants Who Experienced Potentially Clinically Significant Change in Vital Signs | 0 | 1 |
General Physical Examination consisted of a full review of body systems excluding pelvic and rectal exams. The investigator determined if the result was clinically significant.
| Participants | Eluxadoline 100 mg With BAM | Eluxadoline 100 mg Without BAM |
|---|---|---|
| Number of Participants Who Experienced Clinically Significant Change From Baseline in General Physical Condition as Measured Through General Physical Exam | 0 | 0 |
Bowel movements were recorded by the participant in an electronic diary (e-diary). The number of bowel movements per day was averaged over the 4-week period. A negative change from Baseline indicates improvement.
| bowel movements per day | Eluxadoline 100 mg With BAM | Eluxadoline 100 mg Without BAM |
|---|---|---|
| Baseline | 4.18 ± 2.792 | 2.86 ± 1.071 |
| Change from Baseline at Week 4 | -1.48 ± 1.509 | -0.79 ± 0.420 |
The participant recorded their worst abdominal pain score in the past 24 hours each day in an e-diary where: 0=no pain to 10=worst imaginable pain. The score each day was averaged over the 4-week period. A negative change from Baseline indicates improvement.
| score on a scale | Eluxadoline 100 mg With BAM | Eluxadoline 100 mg Without BAM |
|---|---|---|
| Baseline | 1.77 ± 1.510 | 3.13 ± 1.755 |
| Change from Baseline at Week 4 | -0.12 ± 0.769 | -1.28 ± 1.004 |
The participant recorded their bloating score in the past 24 hours each day in an e-diary where: 0=no bloating to 10=worst imaginable bloating. The score each day was averaged over the 4-week period. A negative change from Baseline indicates improvement.
| score on a scale | Eluxadoline 100 mg With BAM | Eluxadoline 100 mg Without BAM |
|---|---|---|
| Baseline | 2.31 ± 2.291 | 4.07 ± 2.496 |
| Change from Baseline at Week 4 | -0.47 ± 1.572 | -1.46 ± 1.297 |
The participant recorded the number of urgent bowel movements in the past 24 hours each day in an e-diary. The number of urgent bowel movements per day was averaged over the 4-week period. A negative change from Baseline indicates improvement.
| urgent bowel movements per day | Eluxadoline 100 mg With BAM | Eluxadoline 100 mg Without BAM |
|---|---|---|
| Baseline | 1.67 ± 1.179 | 1.22 ± 0.652 |
| Change from Baseline at Week 4 | -0.52 ± 0.736 | -0.80 ± 0.651 |
The participant recorded the number of fecal incontinences in the past 24 hours each day in an e-diary. Fecal incontinence is the inability to control the passage of gas or stools. The number of fecal incontinences per day was averaged over the 4-week period. A negative change from Baseline indicates improvement.
| percentage of participants | Eluxadoline 100 mg With BAM | Eluxadoline 100 mg Without BAM |
|---|---|---|
| Percentage of Participants With Any Fecal Incontinence During the Treatment Period | 33.3 | 33.3 |
IBS-QOL is composed of 34 items about how the symptoms of IBS are impacting the participant's life scored on a 1 to 5 scale, where lower item scores indicate greater quality of life. The individual responses to the answered items were summed and standardized for a total score and then transformed to a 0 to 100-point scale (0=worst; 100=better) for ease of interpretation. A positive change from Baseline indicates improved quality of life.
| score on a scale | Eluxadoline 100 mg With BAM | Eluxadoline 100 mg Without BAM |
|---|---|---|
| Baseline | 75.1 ± 14.43 | 71.4 ± 13.42 |
| Change from Baseline at Week 4 | 8.8 ± 11.70 | 13.2 ± 10.63 |
Participants fasted for at least 8 hours prior to the test. Fasting serum 7αC4 level was measured at Baseline and End of Treatment to determine whether any changes occurred following treatment with eluxadoline. The negative change from Baseline indicates improvement.
| nanogram/milliliter (ng/mL) | Eluxadoline 100 mg With BAM | Eluxadoline 100 mg Without BAM |
|---|---|---|
| Baseline | 42.95 ± 27.259 | 30.58 ± 17.248 |
| Change from Baseline at End of Treatment | -5.59 ± 32.841 | -8.78 ± 12.050 |
| ng/mL | Eluxadoline 100 mg With BAM | Eluxadoline 100 mg Without BAM |
|---|---|---|
| Cmax: Maximum Concentration for Eluxadoline | 1.40 ± 1.34 | 0.91 ± 0.80 |
| ng/mL | Eluxadoline 100 mg With BAM | Eluxadoline 100 mg Without BAM |
|---|---|---|
| Cmin: Minimum Concentration for Eluxadoline | 0.39 ± 0.44 | 0.42 ± 0.59 |
| nanogram* hour/milliliter (ng*h/mL) | Eluxadoline 100 mg With BAM | Eluxadoline 100 mg Without BAM |
|---|---|---|
| AUC: Area Under the Concentration-time Curve During the Dosing Interval for Eluxadoline | 9.22 ± 8.46 | 7.75 ± 8.48 |
| hours (h) | Eluxadoline 100 mg With BAM | Eluxadoline 100 mg Without BAM |
|---|---|---|
| Tmax: Time to Cmax for Eluxadoline | 1.5 (1.0 to 2.5) | 2.0 (1.0 to 3.0) |
| h | Eluxadoline 100 mg With BAM | Eluxadoline 100 mg Without BAM |
|---|---|---|
| t1/2: Half-Life for Eluxadoline | 30.5 (24.7 to 58.1) | 35.2 (24.7 to 88.6) |
| liter/hour (L/h) | Eluxadoline 100 mg With BAM | Eluxadoline 100 mg Without BAM |
|---|---|---|
| CL/F: Apparent Total Clearance of the Drug From Plasma After Oral Administration for Eluxadoline | 20236 ± 13280 | 21901 ± 11921 |
| L | Eluxadoline 100 mg With BAM | Eluxadoline 100 mg Without BAM |
|---|---|---|
| Vc/F: Apparent Volume of Distribution for Eluxadoline | 29432 ± 11000 | 39799 ± 10637 |
Collected over Up to 6 weeks. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Eluxadoline 100 mg With BAM | 0/12 (0%) | 0/12 (0%) | 11/12 (91.7%) |
| Eluxadoline 100 mg Without BAM | 0/12 (0%) | 0/12 (0%) | 7/12 (58.3%) |
| Event | Eluxadoline 100 mg With BAM | Eluxadoline 100 mg Without BAM |
|---|---|---|
| Abdominal painGastrointestinal disorders | 6/12 | 1/12 |
| FlatulenceGastrointestinal disorders | 2/12 | 4/12 |
| NauseaGastrointestinal disorders | 4/12 | 1/12 |
| Abdominal distensionGastrointestinal disorders | 2/12 | 3/12 |
| ConstipationGastrointestinal disorders | 1/12 | 2/12 |
| Abdominal discomfortGastrointestinal disorders | 2/12 | 0/12 |
| DiarrhoeaGastrointestinal disorders | 2/12 | 0/12 |
| Dry mouthGastrointestinal disorders | 2/12 | 0/12 |
| DyspepsiaGastrointestinal disorders | 2/12 | 0/12 |
| DizzinessNervous system disorders | 2/12 | 0/12 |
Safety Population included of all participants who received ≥ 1 dose of study treatment.
| Age, Continuous(years) | Eluxadoline 100 mg With BAM | Eluxadoline 100 mg Without BAM | Total |
|---|---|---|---|
| Mean | 41.6 ± 6.07 | 40.2 ± 13.72 | 40.9 ± 10.40 |
| Sex: Female, Male(Participants) | Eluxadoline 100 mg With BAM | Eluxadoline 100 mg Without BAM | Total |
|---|---|---|---|
| Female | 7 | 9 | 16 |
| Male | 5 | 3 | 8 |
| Ethnicity (NIH/OMB)(Participants) | Eluxadoline 100 mg With BAM | Eluxadoline 100 mg Without BAM | Total |
|---|---|---|---|
| Hispanic or Latino | 0 | 1 | 1 |
| Not Hispanic or Latino | 12 | 11 | 23 |
| Unknown or Not Reported | 0 | 0 | 0 |
| Race (NIH/OMB)(Participants) | Eluxadoline 100 mg With BAM | Eluxadoline 100 mg Without BAM | Total |
|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 |
| Asian | 0 | 0 | 0 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 |
| Black or African American | 0 | 1 | 1 |
| White | 12 | 11 | 23 |
| More than one race | 0 | 0 | 0 |
| Unknown or Not Reported | 0 | 0 | 0 |
PDFs hosted by the registry, ClinicalTrials.gov.
Plan to share: No
Ran from Feb 2018 to primary completion in Apr 2020, 26 months.
Results were first posted in May 2021, 1 year after primary completion.
Of 37 phase 4 interventional studies under Diarrhea, half reached primary completion within 32 months of starting (the median), counting those still running; a quarter within 14 and three quarters within 46. This study's 26 months is below that.
How these figures are worked out, and which studies are left out of them.
This study is completed, as verified in Apr 2021. You cannot join it, but the record below documents what was studied.
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Studies of the drug tested here: Eluxadoline