A Phase 2 interventional study of MD-7246 and Placebo in Irritable Bowel Syndrome With Diarrhea (IBS-D), sponsored by Ironwood Pharmaceuticals, Inc.. Completed at 80 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-03-12.
Sponsored by Ironwood Pharmaceuticals, Inc. · Phase 2, Interventional, and Treatment
To evaluate the safety and tolerability, treatment effect on abdominal pain, and dose response of MD-7246 administered orally to patients with diarrhea-predominant irritable bowel syndrome (IBS-D).
1,062 studies on the registry are indexed under Irritable Bowel Syndrome; 190 are open to participants now.
This study's enrollment of 515 is above the median of 71 across 853 interventional studies indexed under Irritable Bowel Syndrome.
Browse Irritable Bowel Syndrome studies →Ironwood Pharmaceuticals, Inc. is the lead sponsor of 24 studies on the registry; none are open to participants now.
Of its 9 completed or terminated interventional studies of FDA-regulated products, 8 (89%) have results posted.
Counted across the registry records on this site, refreshed daily.
Female patients of childbearing potential must agree to use one of the following methods of birth control:
Exclusion Criteria:
NOTE: Additional inclusion/exclusion criteria may apply
1 MD-7246 300-μg oral tablet and 3 matching placebo oral tablets
Drug: MD-7246 · Drug: Placebo
2 MD-7246 300-μg oral tablets and 2 matching placebo oral tablets
Drug: MD-7246 · Drug: Placebo
4 MD-7246 300-μg oral tablets
Drug: MD-7246
4 matching placebo oral tablets
Drug: Placebo
Oral tablet
Matching oral tablet
Change From Baseline in Abdominal Pain at Its Worst on a NRS Through the Treatment Period
Abdominal pain is measured daily in an eDiary, using an 11-point NRS, where 0 is anchored with "no abdominal pain" and 10 is anchored with "worst possible abdominal pain." The postbaseline weekly abdominal pain score is the average of the non-missing daily abdominal pain at its worst scores during a week (Weeks 1-12) if there are at least 4 daily scores entered into the eDiary during the week. Weekly change from baseline was calculated for each week as the weekly score minus the baseline score. Mixed model repeated measures (MMRM) results are based on a repeated measures analysis with treatment, analysis week, and treatment-by-week interaction as fixed effects and baseline as covariate. An unstructured covariance structure was used to model intra-subject correlation with subjects as a random effect. Baseline is derived from the eDiary data collected daily in the Pretreatment Period, specifically the period of time from 14 days before randomization up to the time of randomization.
Time frame: Baseline, up to Week 12 (end of the Treatment Period)
Percentage of Participants Who Were 6/12 Week Abdominal Pain 30% Change Responders
A 6/12 Week Abdominal Pain 30% Responder was a participant who had a decrease from baseline of ≥30% in the weekly abdominal pain score for that week for at least 6 out of the 12 weeks of the Treatment Period; for any week, a participant with \< 4 daily abdominal pain scores available was considered a non-responder for that week. Abdominal pain is measured daily in an eDiary, using an 11-point NRS, where 0 is anchored with "no abdominal pain" and 10 is anchored with "worst possible abdominal pain." The postbaseline weekly abdominal pain score is the average of the non-missing daily abdominal pain at its worst scores during a week (Weeks 1-12) if there are at least 4 daily scores entered into the eDiary during the week.
Time frame: Baseline through Week 12
| Milestone | Placebo | MD-7246 300 μg | MD-7246 600 μg | MD-7246 1200 μg |
|---|---|---|---|---|
| Started | 97 | 97 | 97 | 97 |
| Completed | 92 | 90 | 84 | 86 |
| Not completed | 5 | 7 | 13 | 11 |
| Withdrew: Lost to follow-up | 4 | 1 | 4 | 3 |
| Withdrew: Adverse event | 1 | 0 | 3 | 4 |
| Withdrew: Protocol violation | 0 | 1 | 0 | 0 |
| Withdrew: Noncompliance with study drug | 0 | 1 | 0 | 0 |
| Withdrew: Other not specified | 0 | 2 | 2 | 2 |
| Withdrew: Withdrawal by subject | 0 | 2 | 4 | 1 |
| Withdrew: Pregnancy | 0 | 0 | 0 | 1 |
Abdominal pain is measured daily in an eDiary, using an 11-point NRS, where 0 is anchored with "no abdominal pain" and 10 is anchored with "worst possible abdominal pain." The postbaseline weekly abdominal pain score is the average of the non-missing daily abdominal pain at its worst scores during a week (Weeks 1-12) if there are at least 4 daily scores entered into the eDiary during the week. Weekly change from baseline was calculated for each week as the weekly score minus the baseline score. Mixed model repeated measures (MMRM) results are based on a repeated measures analysis with treatment, analysis week, and treatment-by-week interaction as fixed effects and baseline as covariate. An unstructured covariance structure was used to model intra-subject correlation with subjects as a random effect. Baseline is derived from the eDiary data collected daily in the Pretreatment Period, specifically the period of time from 14 days before randomization up to the time of randomization.
| units on a scale | Placebo | MD-7246 300 μg | MD-7246 600 μg | MD-7246 1200 μg |
|---|---|---|---|---|
| Change From Baseline in Abdominal Pain at Its Worst on a NRS Through the Treatment Period | -2.01 ± 0.179 | -1.93 ± 0.179 | -1.58 ± 0.182 | -1.95 ± 0.180 |
A 6/12 Week Abdominal Pain 30% Responder was a participant who had a decrease from baseline of ≥30% in the weekly abdominal pain score for that week for at least 6 out of the 12 weeks of the Treatment Period; for any week, a participant with \< 4 daily abdominal pain scores available was considered a non-responder for that week. Abdominal pain is measured daily in an eDiary, using an 11-point NRS, where 0 is anchored with "no abdominal pain" and 10 is anchored with "worst possible abdominal pain." The postbaseline weekly abdominal pain score is the average of the non-missing daily abdominal pain at its worst scores during a week (Weeks 1-12) if there are at least 4 daily scores entered into the eDiary during the week.
| percentage of participants | Placebo | MD-7246 300 μg | MD-7246 600 μg | MD-7246 1200 μg |
|---|---|---|---|---|
| Percentage of Participants Who Were 6/12 Week Abdominal Pain 30% Change Responders | 55.7 | 56.7 | 44.3 | 48.5 |
Collected over From the first dose of double-blind study drug and within 1 day of the date of last dose of double-blind study drug in the treatment period (up to Week 12 / Day 85). Mean treatment duration was 82.8, 77.3, and 80.8 days in the MD-7246 300, 600, and 1200 μg groups, respectively, and 83.3 days in the placebo group.. Non-serious events are listed at a 2% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Placebo | 0/97 (0%) | 0/97 (0%) | 27/97 (27.8%) |
| MD-7246 300 μg | 0/97 (0%) | 0/97 (0%) | 28/97 (28.9%) |
| MD-7246 600 μg | 0/97 (0%) | 0/97 (0%) | 42/97 (43.3%) |
| MD-7246 1200 μg | 0/97 (0%) | 1/97 (1%) | 52/97 (53.6%) |
| Event | Placebo | MD-7246 300 μg | MD-7246 600 μg | MD-7246 1200 μg |
|---|---|---|---|---|
| Ectopic pregnancyPregnancy, puerperium and perinatal conditions | — | — | — | 1/97 |
| Event | Placebo | MD-7246 300 μg | MD-7246 600 μg | MD-7246 1200 μg |
|---|---|---|---|---|
| Upper respiratory tract infectionInfections and infestations | 7/97 | 1/97 | 3/97 | 5/97 |
| NasopharyngitisInfections and infestations | 4/97 | 5/97 | 5/97 | 3/97 |
| InfluenzaInfections and infestations | 1/97 | 1/97 | 1/97 | 5/97 |
| HeadacheNervous system disorders | 2/97 | 4/97 | 4/97 | 4/97 |
| NauseaGastrointestinal disorders | 1/97 | 3/97 | 3/97 | 4/97 |
| Abdominal pain upperGastrointestinal disorders | 0/97 | 0/97 | 4/97 | 1/97 |
| SinusitisInfections and infestations | 1/97 | 1/97 | 0/97 | 4/97 |
| ConstipationGastrointestinal disorders | 2/97 | 1/97 | 3/97 | 2/97 |
| DizzinessNervous system disorders | 0/97 | 0/97 | 1/97 | 3/97 |
| Urinary tract infectionInfections and infestations | 3/97 | 1/97 | 2/97 | 1/97 |
Safety Population: all participants who received at least one dose of study drug
| Age, Continuous(years) | Placebo | MD-7246 300 μg | MD-7246 600 μg | MD-7246 1200 μg | Total |
|---|---|---|---|---|---|
| Mean | 43.4 ± 13.12 | 45.0 ± 14.04 | 42.2 ± 14.38 | 45.1 ± 14.58 | 43.9 ± 14.04 |
| Sex: Female, Male(Participants) | Placebo | MD-7246 300 μg | MD-7246 600 μg | MD-7246 1200 μg | Total |
|---|---|---|---|---|---|
| Female | 66 | 63 | 67 | 68 | 264 |
| Male | 31 | 34 | 30 | 29 | 124 |
| Ethnicity (NIH/OMB)(Participants) | Placebo | MD-7246 300 μg | MD-7246 600 μg | MD-7246 1200 μg | Total |
|---|---|---|---|---|---|
| Hispanic or Latino | 24 | 23 | 29 | 13 | 89 |
| Not Hispanic or Latino | 73 | 74 | 68 | 84 | 299 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 | 0 |
| Race/Ethnicity, Customized(Participants) | Placebo | MD-7246 300 μg | MD-7246 600 μg | MD-7246 1200 μg | Total |
|---|---|---|---|---|---|
| Caucasian | 72 | 69 | 75 | 67 | 283 |
| Black or African American | 11 | 14 | 12 | 14 | 51 |
| Asian | 13 | 14 | 9 | 14 | 50 |
| Multiple Races | 0 | 0 | 1 | 2 | 3 |
| American Indian or Alaska Native | 1 | 0 | 0 | 0 | 1 |
| Abdominal Pain at Its Worst at Each Week on a Numerical Rating Scale (NRS)(units on a scale) | Placebo | MD-7246 300 μg | MD-7246 600 μg | MD-7246 1200 μg | Total |
|---|---|---|---|---|---|
| Mean | 6.22 ± 1.236 | 6.05 ± 1.112 | 5.95 ± 1.129 | 6.24 ± 1.169 | 6.12 ± 1.164 |
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Ironwood Pharmaceuticals, Inc.