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CompletedNCT03931785Updated Mar 12, 2021Results posted

A Study of MD-7246 to Treat Abdominal Pain in Patients With Diarrhea-predominant Irritable Bowel Syndrome

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

Phase
Phase 2
Study type
Interventional
Enrollment
515
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

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).

02

Conditions studied

  • Irritable Bowel Syndrome With Diarrhea (IBS-D)

Keywords

  • Abdominal pain
  • Diarrhea
  • Irritable Bowel Syndrome
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 515 is above the median of 71 across 853 interventional studies indexed under Irritable Bowel Syndrome.

Browse Irritable Bowel Syndrome studies →

Lead sponsor

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.

04

Who can participate

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

Inclusion criteria

  • Patient meets the Rome IV criteria for diagnosis of IBS-D
  • Patient maintains a minimum level of compliance with daily diary
  • Female patients of childbearing potential must agree to use one of the following methods of birth control:

    1. Hormonal contraception
    2. Double-barrier method
    3. Maintenance of a monogamous relationship with a male partner who has been surgically sterilized by vasectomy

Exclusion criteria

Exclusion Criteria:

  • Patient has clinically significant findings on a physical examination and/or clinical laboratory tests
  • Patient has symptoms of or been diagnosed with a medical condition that may contribute to abdominal pain
  • Patient has a structural abnormality of the gastrointestinal (GI) tract or a disease or condition that can affect GI motility
  • Patient has any protocol-excluded or clinically significant medical or surgical history that could confound the study assessments

NOTE: Additional inclusion/exclusion criteria may apply

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
515 participants (actual)

Study arms

  • Experimental
    MD-7246 300 μg

    1 MD-7246 300-μg oral tablet and 3 matching placebo oral tablets

    Drug: MD-7246 · Drug: Placebo

  • Experimental
    MD-7246 600 μg

    2 MD-7246 300-μg oral tablets and 2 matching placebo oral tablets

    Drug: MD-7246 · Drug: Placebo

  • Experimental
    MD-7246 1200 μg

    4 MD-7246 300-μg oral tablets

    Drug: MD-7246

  • Placebo comparator
    Placebo

    4 matching placebo oral tablets

    Drug: Placebo

Interventions

  • DrugMD-7246

    Oral tablet

  • DrugPlacebo

    Matching oral tablet

06

What researchers measure

Primary outcomes

  1. 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)

  2. 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

07

Results

Posted Mar 12, 2021

Participant flow

Participant flow — Overall Study
MilestonePlaceboMD-7246 300 μgMD-7246 600 μgMD-7246 1200 μg
Started97979797
Completed92908486
Not completed571311
Withdrew: Lost to follow-up4143
Withdrew: Adverse event1034
Withdrew: Protocol violation0100
Withdrew: Noncompliance with study drug0100
Withdrew: Other not specified0222
Withdrew: Withdrawal by subject0241
Withdrew: Pregnancy0001

Outcome measures

PrimaryChange 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)
Reported as:
Least squares mean · units on a scale
Change From Baseline in Abdominal Pain at Its Worst on a NRS Through the Treatment Period
units on a scalePlaceboMD-7246 300 μgMD-7246 600 μgMD-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
Statistical analysis
  • Placebo vs MD-7246 300 μg · MMRM · p = 0.7467 · Least squares (ls) mean difference: 0.08 · 95% CI -0.42 to 0.58MD-7246 minus placebo
  • Placebo vs MD-7246 600 μg · MMRM · p = 0.0941 · Ls mean difference: 0.43 · 95% CI -0.07 to 0.93MD-7246 minus placebo
  • Placebo vs MD-7246 1200 μg · MMRM · p = 0.8098 · Ls mean difference: 0.06 · 95% CI -0.44 to 0.56MD-7246 minus placebo
PrimaryPercentage 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
Reported as:
Number · percentage of participants
Percentage of Participants Who Were 6/12 Week Abdominal Pain 30% Change Responders
percentage of participantsPlaceboMD-7246 300 μgMD-7246 600 μgMD-7246 1200 μg
Percentage of Participants Who Were 6/12 Week Abdominal Pain 30% Change Responders55.756.744.348.5
Statistical analysis
  • Placebo vs MD-7246 300 μg · Difference in responder rate: 1.0 · 95% CI -12.9 to 15.0Difference in responder rate (MD-7246 - placebo). 95% confidence intervals (CIs) for differences in responder rates were obtained using the normal approximation to the binomial distribution.
  • Placebo vs MD-7246 600 μg · Difference in responder rate: -11.3 · 95% CI -25.3 to 2.6Difference in responder rate (MD-7246 - placebo). 95% CIs for differences in responder rates were obtained using the normal approximation to the binomial distribution.
  • Placebo vs MD-7246 1200 μg · Difference in responder rate: -7.2 · 95% CI -21.2 to 6.8Difference in responder rate (MD-7246 - placebo). 95% CIs for differences in responder rates were obtained using the normal approximation to the binomial distribution.
  • Placebo vs MD-7246 300 μg · Cochran-Mantel-Haenszel · p = 0.8852 · Odds ratio (or): 1.043 · 95% CI 0.591 to 1.839Odds ratio for response (MD-7246 : placebo)
  • Placebo vs MD-7246 600 μg · Cochran-Mantel-Haenszel · p = 0.1152 · Odds ratio (or): 0.634 · 95% CI 0.360 to 1.117Odds ratio for response (MD-7246 : placebo)
  • Placebo vs MD-7246 1200 μg · Cochran-Mantel-Haenszel · p = 0.3157 · Odds ratio (or): 0.749 · 95% CI 0.425 to 1.317Odds ratio for response (MD-7246 : placebo)

Adverse events

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.

Adverse event summary by group
GroupDeathsSeriousOther
Placebo0/97 (0%)0/97 (0%)27/97 (27.8%)
MD-7246 300 μg0/97 (0%)0/97 (0%)28/97 (28.9%)
MD-7246 600 μg0/97 (0%)0/97 (0%)42/97 (43.3%)
MD-7246 1200 μg0/97 (0%)1/97 (1%)52/97 (53.6%)
Most frequent serious events
Most frequent serious events
EventPlaceboMD-7246 300 μgMD-7246 600 μgMD-7246 1200 μg
Ectopic pregnancyPregnancy, puerperium and perinatal conditions———1/97
Most frequent other events
Showing 10 of 26
Most frequent other events
EventPlaceboMD-7246 300 μgMD-7246 600 μgMD-7246 1200 μg
Upper respiratory tract infectionInfections and infestations7/971/973/975/97
NasopharyngitisInfections and infestations4/975/975/973/97
InfluenzaInfections and infestations1/971/971/975/97
HeadacheNervous system disorders2/974/974/974/97
NauseaGastrointestinal disorders1/973/973/974/97
Abdominal pain upperGastrointestinal disorders0/970/974/971/97
SinusitisInfections and infestations1/971/970/974/97
ConstipationGastrointestinal disorders2/971/973/972/97
DizzinessNervous system disorders0/970/971/973/97
Urinary tract infectionInfections and infestations3/971/972/971/97

Baseline characteristics

Safety Population: all participants who received at least one dose of study drug

Age, Continuous
Age, Continuous(years)PlaceboMD-7246 300 μgMD-7246 600 μgMD-7246 1200 μgTotal
Mean43.4 ± 13.1245.0 ± 14.0442.2 ± 14.3845.1 ± 14.5843.9 ± 14.04
Sex: Female, Male
Sex: Female, Male(Participants)PlaceboMD-7246 300 μgMD-7246 600 μgMD-7246 1200 μgTotal
Female66636768264
Male31343029124
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)PlaceboMD-7246 300 μgMD-7246 600 μgMD-7246 1200 μgTotal
Hispanic or Latino2423291389
Not Hispanic or Latino73746884299
Unknown or Not Reported00000
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)PlaceboMD-7246 300 μgMD-7246 600 μgMD-7246 1200 μgTotal
Caucasian72697567283
Black or African American1114121451
Asian131491450
Multiple Races00123
American Indian or Alaska Native10001
Abdominal Pain at Its Worst at Each Week on a Numerical Rating Scale (NRS)
Abdominal Pain at Its Worst at Each Week on a Numerical Rating Scale (NRS)(units on a scale)PlaceboMD-7246 300 μgMD-7246 600 μgMD-7246 1200 μgTotal
Mean6.22 ± 1.2366.05 ± 1.1125.95 ± 1.1296.24 ± 1.1696.12 ± 1.164
08

Study locations

80 sites
  • Clinical Research Associates
    Huntsville, Alabama 35801, United States
  • Elite Clinical Studies
    Phoenix, Arizona 85018, United States
  • Arkansas Gastroenterology
    North Little Rock, Arkansas 72117, United States
  • GW Research, Inc.
    Chula Vista, California 91910, United States
  • Kindred Medical Institute for Clinical Trials, LLC
    Corona, California 92879, United States
  • Diagnamics Inc.
    Encinitas, California 92024, United States
  • St. Joseph Heritage Healthcare
    Fullerton, California 92835, United States
  • Paragon Rx Clinical
    Garden Grove, California 92840, United States
  • Grossmont Center For Clinical Research
    La Mesa, California 91942, United States
  • Facey Medical Foundation
    Mission Hills, California 91345, United States
  • Providence Clinical Research
    North Hollywood, California 91606, United States
  • Precision Research Institute
    San Diego, California 92114, United States
  • Paragon Rx Clinical, Inc. - Santa Ana
    Santa Ana, California 92703, United States
  • UNISON Clinical Trials
    Sherman Oaks, California 91403, United States
  • Millennium Clinical Trials
    Thousand Oaks, California 91360, United States
  • Advanced Rx Clinical Research
    Westminster, California 92683, United States
  • Peak Gastroenterology Associates
    Colorado Springs, Colorado 80907, United States
  • Connecticut Clinical Research Institute
    Bristol, Connecticut 06010, United States
  • Chase Medical Research of Greater New Haven LLC
    Hamden, Connecticut 06517, United States
  • The Chappel Group Research, LLC
    Kissimmee, Florida 34744, United States
  • San Marcus Research Clinic Inc
    Miami Lakes, Florida 33014, United States
  • Well Pharma Medical Research Corporation
    Miami, Florida 33143, United States
  • New Horizon Research Center
    Miami, Florida 33175, United States
  • Ormond Medical Arts Pharmaceutical Research Center
    Ormond Beach, Florida 32174, United States
  • Meridien Research
    Saint Petersburg, Florida 33709, United States
  • Palm Beach Research Center
    West Palm Beach, Florida 33409, United States
  • Research Institute of Central Florida, LLC
    Winter Park, Florida 32792, United States
  • Mount Vernon Clinical Research, LLC
    Sandy Springs, Georgia 30328, United States
  • Rockford Gastroenterology Associates LTD
    Rockford, Illinois 61107, United States
  • Clinical Trials Management LLC
    Metairie, Louisiana 70006, United States
  • Clinical Trials of America -- LA LLC
    West Monroe, Louisiana 71291, United States
  • Meritus Center For Clinical Research
    Hagerstown, Maryland 21742, United States
  • Meridian Clinical Research
    Rockville, Maryland 20854, United States
  • Boston Clinical Trials Inc
    Boston, Massachusetts 02131, United States
  • Beth Israel Deaconess Medical Center
    Boston, Massachusetts 02215, United States
  • New England Center For Clinical Research Inc PrimaCare Research, LLC
    Fall River, Massachusetts 02721, United States
  • MedVadis Research Corporation
    Watertown, Massachusetts 02472, United States
  • Galen Research
    Chesterfield, Missouri 63005, United States
  • Bozeman Health Deaconess Hospital
    Bozeman, Montana 59718, United States
  • Barrett Clinic, P.C. - BTC - PPDS
    La Vista, Nebraska 68128, United States
  • Meridian Clinical Research
    Omaha, Nebraska 68134, United States
  • Clinical Research of South Nevada
    Las Vegas, Nevada 89121, United States
  • Advanced Biomedical Research of America
    Las Vegas, Nevada 89123, United States
  • Healthwise Medical Associates
    Brooklyn, New York 11206, United States
  • Long Island Gastrointestinal Research Group LLP
    Great Neck, New York 11023, United States
  • Rochester Clinical Research, Inc
    Rochester, New York 14609, United States
  • Carolina Digestive Health Associates
    Charlotte, North Carolina 28210, United States
  • Carolina Digestive Health Associates
    Concord, North Carolina 28025, United States
  • Peters Medical Research, LLC
    High Point, North Carolina 27262, United States
  • Clinical Trials of America-NC, LLC
    Mount Airy, North Carolina 27030, United States
  • M3 Wake Research, Inc
    Raleigh, North Carolina 43212, United States
  • PMG Research of Wilmington
    Wilmington, North Carolina 28401, United States
  • Lyndhurst Clinical Research
    Winston-Salem, North Carolina 27103, United States
  • PMG Research of Winston-Salem
    Winston-Salem, North Carolina 27103, United States
  • Progressive Medicine of the Triad, LLC
    Winston-Salem, North Carolina 27103, United States
  • Lillestol Research
    Fargo, North Dakota 58104, United States
  • Hometown Urgent Care and Research
    Cincinnati, Ohio 45215, United States
  • Hightop Medical Research Center
    Cincinnati, Ohio 45224, United States
  • New Horizons Clinical Research
    Cincinnati, Ohio 45242, United States
  • Hometown Urgent Care and Research
    Columbus, Ohio 42314, United States
  • Remington Davis Inc
    Columbus, Ohio 43215, United States
  • Hometown Urgent Care and Research
    Dayton, Ohio 45424, United States
  • Central Sooner Research
    Norman, Oklahoma 73071, United States
  • IPS Research Company
    Oklahoma City, Oklahoma 73106, United States
  • Digestive Disease Specialists, Inc.
    Oklahoma City, Oklahoma 73112, United States
  • Oregon Center For Clinical Investigations Inc
    Salem, Oregon 97301, United States
  • Partners In Clinical Research
    Cumberland, Rhode Island 02864, United States
  • Ocean State Clinical Research Partners
    Lincoln, Rhode Island 02865, United States
  • Mountain View Clinical Research Inc
    Greer, South Carolina 29651, United States
  • WR-ClinSearch, LLC
    Chattanooga, Tennessee 37421, United States
  • New Phase Research & Development
    Knoxville, Tennessee 37909, United States
  • MW Clinical Research Center
    Beaumont, Texas 77701, United States
  • Texas Tech University Health Sciences Center
    El Paso, Texas 79905-2709, United States
  • Southwest Clinical Trials
    Houston, Texas 77074, United States
  • Southwest Clinical Trials
    Houston, Texas 77081, United States
  • Quality Research Inc
    San Antonio, Texas 78209, United States
  • Diagnostics Research Group
    San Antonio, Texas 78229, United States
  • DCT - Stone Oak, LLC dba Discovery Clinical Trials
    San Antonio, Texas 78258, United States
  • Advanced Research Institute
    Ogden, Utah 84405, United States
  • New River Valley Research Institute
    Christiansburg, Virginia 24073, United States
09

References and documents

Study documents

  • Study protocol · Jan 29, 2019
  • Statistical analysis plan · Apr 14, 2020

Documents are hosted by the registry — open the source record to download them.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 12, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03931785
Lead sponsor
Ironwood Pharmaceuticals, Inc.
Collaborators
Allergan Sales, LLC
Responsible party
Sponsor
First posted
Apr 30, 2019
Start date
May 1, 2019
Primary completion
Feb 26, 2020
Completion
Mar 11, 2020
Results posted
Mar 12, 2021
Last update
Mar 12, 2021

Study contacts

Wilmin Bartolini, PhD
study chair · Ironwood Pharmaceuticals, Inc.

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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