A Phase 2 interventional study of Linaclotide and Placebo in Functional Constipation, sponsored by Allergan. Completed at 18 sites in United States. Open to participants aged 2 Years to 5 Years. Per ClinicalTrials.gov, last updated 2022-04-26.
Sponsored by Allergan (part of AbbVie) · Phase 2, Interventional, and Treatment
The purpose of this study is to evaluate the dose response, safety, and efficacy of linaclotide when compared with placebo in pediatric participants, 2 to 5 years of age, with Functional Constipation.
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.
In addition, at least once per week, participant must meet 1 or more of the following:
At least one episode of fecal incontinence per week after the acquisition of toileting skills
Exclusion Criteria:
For participants aged ≥ 4 years old: Participant meets Rome III criteria for Child/Adolescent IBS: At least once per week for at least 2 months before Screening (Visit 1), the participant has experienced abdominal discomfort (an uncomfortable sensation not described as pain) or pain associated with 2 or more of the following at least 25% of the time:
Participant has had surgery that meets any of the following criteria:
Participant has any of the following conditions:
Participants with a history of cancer are allowed provided that the malignancy has been in a complete remission before the Randomization Visit. A complete remission is defined as the disappearance of all signs of cancer in response to treatment.)
Linaclotide 18 microgram (μg), capsules, mixed with water and administered orally, once daily in fasted state (30 minutes before any meal) for the 4-week Study Intervention Period.
Drug: Linaclotide
Linaclotide 36 μg, capsules, mixed with water and administered orally, once daily in fasted state (30 minutes before any meal) for the 4-week Study Intervention Period.
Drug: Linaclotide
Linaclotide 72 μg, capsules, mixed with water and administered orally, once daily in fasted state (30 minutes before any meal) for the 4-week Study Intervention Period.
Drug: Linaclotide
Linaclotide at the highest dose tested/determined to be safe (72 μg), capsules, mixed with water and administered orally, once daily in fasted state (30 minutes before any meal) for the 4-week Study Intervention Period.
Drug: Linaclotide
Matching placebo, orally, once daily in fasted state (30 minutes before any meal) for the 4-week Study Intervention Period pooled from Cohorts 1, 2, 3, and Final Cohort.
Drug: Placebo
Linaclotide, capsules, mixed with water and administered orally, once daily in fasted state.
Matching placebo, capsules, mixed with water and administered orally, once daily in fasted state
Change From Baseline in 4-week Overall Spontaneous Bowel Movement (SBM) Frequency Rate (SBMs/Week) During the Study Intervention Period of Each Cohort
A SBM was defined as a bowel movement (BM) that occurred in the absence of laxative, suppository, or enema use on the calendar day of the BM or the calendar day before the BM. Each day the caregiver recorded the number of SBMs in the last 24 hours in an electronic diary (eDiary). The SBM frequency rate (SBMs/week) during the analysis period for each participant was calculated as \[(total number of SBMs in the analysis period/number of days in the analysis period)\*7\]. Baseline value was based on values collected 14 days before randomization up to randomization. Change from Baseline was calculated as the SBM frequency rate during the 4-week treatment period - SBM frequency rate at Baseline. A positive change from Baseline indicates improvement.
Time frame: Baseline (14 days prior to randomization) to Day 29
Change From Baseline in 4-week Stool Consistency Reported by the Caregiver During the Study Intervention Period of Each Cohort
The caregiver rated and recorded in an eDiary the consistency of the stool for each bowel movement using the Bristol Stool Form 7-point scale where: 1=Separate hard lumps, like nuts (hard to pass); 2=Sausage-shaped, but lumpy; 3=Like a sausage but with cracks on its surface; 4=Like a sausage or snake, smooth and soft; 5=Soft blobs with clear cut edges (easy to pass); 6=Fluffy pieces with ragged edges, a mushy stool; 7=Watery, no solid pieces. Entirely liquid. Baseline value was based on values collected 14 days before randomization up to randomization. A participant's stool consistency score for the treatment period was the average of the nonmissing consistency scores from the BMs recorded by the caregiver during the 4-week treatment period.
Time frame: Baseline (14 days prior to randomization) to Day 29
Change From Baseline in 4-week Straining Reported by the Caregiver During the Study Intervention Period of Each Cohort
The caregiver rated and recorded in an eDiary the amount of straining they observed when the child passed the BM (1=Not at all; 2=Yes a little; 3=Yes a lot; I don't know). Baseline value was based on values collected 14 days before randomization up to randomization. A participant's straining score for the treatment period was the average of the nonmissing straining scores from the BMs recorded by the caregiver during the 4-week treatment period. A negative change from Baseline indicates improvement.
Time frame: Baseline (14 days prior to randomization) to Day 29
Percentage of Days With Fecal Incontinence During the Study Intervention Period (for Participants Who Have Acquired Toileting Skills During the Daytime and Nighttime or Acquired Toileting Skills During Daytime Only) Within Each Cohort
Each day the caregiver recorded in an eDiary if the child had a bowel movement accident (Yes; No; I don't know). The percentage of days with fecal incontinence for the treatment period was the average of the nonmissing incidences of fecal incontinence recorded by the caregiver during the 4-week treatment period.
Time frame: 29 Days
Percentage of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs)
An Adverse Event (AE) is any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this study intervention. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease. A Serious Adverse Event (SAE) is defined as any untoward medical occurrence that: results in death, is immediately life-threatening, requires in-patient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, and/or causes a congenital anomaly/birth defect. A TEAE is an AE that begins or worsens after receiving study drug. Safety Population included all participants in the Randomized Population who received at least 1 dose of double-blind study intervention.
Time frame: First dose of study drug intervention to within 1 week of last dose (Up to 45 days)
| Milestone | Cohort 1 (Linaclotide 18 μg) | Cohort 2 (Linaclotide 36 μg) | Cohort 3 (Linaclotide 72 μg) | Final Cohort (Linaclotide 72 μg) | Placebo Pooled |
|---|---|---|---|---|---|
| Started | 7 | 7 | 6 | 7 | 8 |
| Completed | 7 | 7 | 6 | 6 | 8 |
| Not completed | 0 | 0 | 0 | 1 | 0 |
| Withdrew: Site terminated by the sponsor | 0 | 0 | 0 | 1 | 0 |
| Milestone | Cohort 1 (Linaclotide 18 μg) | Cohort 2 (Linaclotide 36 μg) | Cohort 3 (Linaclotide 72 μg) | Final Cohort (Linaclotide 72 μg) | Placebo Pooled |
|---|---|---|---|---|---|
| Started | 7 | 7 | 5 | 6 | 8 |
| Completed | 7 | 7 | 5 | 6 | 8 |
| Not completed | 0 | 0 | 0 | 0 | 0 |
A SBM was defined as a bowel movement (BM) that occurred in the absence of laxative, suppository, or enema use on the calendar day of the BM or the calendar day before the BM. Each day the caregiver recorded the number of SBMs in the last 24 hours in an electronic diary (eDiary). The SBM frequency rate (SBMs/week) during the analysis period for each participant was calculated as \[(total number of SBMs in the analysis period/number of days in the analysis period)\*7\]. Baseline value was based on values collected 14 days before randomization up to randomization. Change from Baseline was calculated as the SBM frequency rate during the 4-week treatment period - SBM frequency rate at Baseline. A positive change from Baseline indicates improvement.
| SBMs per week | Cohort 1 (Linaclotide 18 μg) | Cohort 2 (Linaclotide 36 μg) | Cohort 3 (Linaclotide 72 μg) | Final Cohort (Linaclotide 72 μg) | Placebo Pooled |
|---|---|---|---|---|---|
| Baseline | 1.379 ± 1.095 | 0.621 ± 0.365 | 0.724 ± 0.953 | 1.034 ± 0.809 | 1.267 ± 1.062 |
| Change from Baseline to Day 29 | 3.100 ± 5.251 | 0.032 ± 0.508 | 3.603 ± 2.867 | 1.574 ± 1.933 | 0.482 ± 0.773 |
The caregiver rated and recorded in an eDiary the consistency of the stool for each bowel movement using the Bristol Stool Form 7-point scale where: 1=Separate hard lumps, like nuts (hard to pass); 2=Sausage-shaped, but lumpy; 3=Like a sausage but with cracks on its surface; 4=Like a sausage or snake, smooth and soft; 5=Soft blobs with clear cut edges (easy to pass); 6=Fluffy pieces with ragged edges, a mushy stool; 7=Watery, no solid pieces. Entirely liquid. Baseline value was based on values collected 14 days before randomization up to randomization. A participant's stool consistency score for the treatment period was the average of the nonmissing consistency scores from the BMs recorded by the caregiver during the 4-week treatment period.
| score on a scale | Cohort 1 (Linaclotide 18 μg) | Cohort 2 (Linaclotide 36 μg) | Cohort 3 (Linaclotide 72 μg) | Final Cohort (Linaclotide 72 μg) | Placebo Pooled |
|---|---|---|---|---|---|
| Baseline | 1.633 ± 0.461 | 1.700 ± 0.447 | 2.733 ± 1.079 | 2.021 ± 0.793 | 2.024 ± 0.641 |
| Change from Baseline to Day 29 | 0.917 ± 1.360 | 1.600 ± 1.294 | 1.687 ± 2.779 | 1.716 ± 1.689 | 0.596 ± 0.937 |
The caregiver rated and recorded in an eDiary the amount of straining they observed when the child passed the BM (1=Not at all; 2=Yes a little; 3=Yes a lot; I don't know). Baseline value was based on values collected 14 days before randomization up to randomization. A participant's straining score for the treatment period was the average of the nonmissing straining scores from the BMs recorded by the caregiver during the 4-week treatment period. A negative change from Baseline indicates improvement.
| straining score | Cohort 1 (Linaclotide 18 μg) | Cohort 2 (Linaclotide 36 μg) | Cohort 3 (Linaclotide 72 μg) | Final Cohort (Linaclotide 72 μg) | Placebo Pooled |
|---|---|---|---|---|---|
| Baseline | 2.310 ± 0.410 | 2.600 ± 0.379 | 2.600 ± 0.361 | 2.571 ± 0.426 | 2.548 ± 0.658 |
| Change from Baseline to Day 29 | -0.370 ± 0.631 | -0.320 ± 0.325 | -0.769 ± 0.884 | -0.996 ± 0.759 | -0.334 ± 0.360 |
Each day the caregiver recorded in an eDiary if the child had a bowel movement accident (Yes; No; I don't know). The percentage of days with fecal incontinence for the treatment period was the average of the nonmissing incidences of fecal incontinence recorded by the caregiver during the 4-week treatment period.
| percentage of days | Cohort 1 (Linaclotide 18 μg) | Cohort 2 (Linaclotide 36 μg) | Cohort 3 (Linaclotide 72 μg) | Final Cohort (Linaclotide 72 μg) | Placebo Pooled |
|---|---|---|---|---|---|
| Percentage of Days With Fecal Incontinence During the Study Intervention Period (for Participants Who Have Acquired Toileting Skills During the Daytime and Nighttime or Acquired Toileting Skills During Daytime Only) Within Each Cohort | 0.007 ± 0.016 | 0.065 ± 0.107 | 0.091 ± 0.063 | 0.009 ± 0.019 | 0.000 ± 0.000 |
An Adverse Event (AE) is any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this study intervention. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease. A Serious Adverse Event (SAE) is defined as any untoward medical occurrence that: results in death, is immediately life-threatening, requires in-patient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, and/or causes a congenital anomaly/birth defect. A TEAE is an AE that begins or worsens after receiving study drug. Safety Population included all participants in the Randomized Population who received at least 1 dose of double-blind study intervention.
| percentage of participants | Cohort 1 (Linaclotide 18 μg) | Cohort 2 (Linaclotide 36 μg) | Cohort 3 (Linaclotide 72 μg) | Final Cohort (Linaclotide 72 μg) | Placebo Pooled |
|---|---|---|---|---|---|
| TEAEs | 28.6 | 0.0 | 0.0 | 28.6 | 12.5 |
| TESAE | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 |
Collected over First dose of study drug intervention to within 1 week of last dose (Up to 45 days). Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Cohort 1 (Linaclotide 18 μg) | 0/7 (0%) | 0/7 (0%) | 2/7 (28.6%) |
| Cohort 2 (Linaclotide 36 μg) | 0/7 (0%) | 0/7 (0%) | 0/7 (0%) |
| Cohort 3 (Linaclotide 72 μg) | 0/6 (0%) | 0/6 (0%) | 0/6 (0%) |
| Final Cohort (Linaclotide 72 μg) | 0/7 (0%) | 0/7 (0%) | 2/7 (28.6%) |
| Placebo Pooled | 0/8 (0%) | 0/8 (0%) | 1/8 (12.5%) |
| Event | Cohort 1 (Linaclotide 18 μg) | Cohort 2 (Linaclotide 36 μg) | Cohort 3 (Linaclotide 72 μg) | Final Cohort (Linaclotide 72 μg) | Placebo Pooled |
|---|---|---|---|---|---|
| Otitis mediaInfections and infestations | 1/7 | 0/7 | 0/6 | 0/7 | 0/8 |
| Blood creatinine increasedInvestigations | 1/7 | 0/7 | 0/6 | 0/7 | 0/8 |
| CoughRespiratory, thoracic and mediastinal disorders | 1/7 | 0/7 | 0/6 | 0/7 | 0/8 |
| Abdominal pain upperGastrointestinal disorders | 0/7 | 0/7 | 0/6 | 1/7 | 0/8 |
| DiarrhoeaGastrointestinal disorders | 0/7 | 0/7 | 0/6 | 1/7 | 0/8 |
| Ear infectionInfections and infestations | 0/7 | 0/7 | 0/6 | 1/7 | 0/8 |
| Developmental delayGeneral disorders | 0/7 | 0/7 | 0/6 | 0/7 | 1/8 |
Modified Intent-to-Treat Population (mITT) included all Randomized Population who received at least 1 dose of double-blind study intervention and who had at least 1 postbaseline entry on bowel movement (BM) characteristic assessments that determine occurrences of spontaneous bowel movements (SBMs).
| Age, Continuous(years) | Cohort 1 (Linaclotide 18 μg) | Cohort 2 (Linaclotide 36 μg) | Cohort 3 (Linaclotide 72 μg) | Final Cohort (Linaclotide 72 μg) | Placebo Pooled | Total |
|---|---|---|---|---|---|---|
| Mean | 3.6 (2 to 5) | 3.3 (2 to 5) | 4.0 (3 to 5) | 3.6 (2 to 5) | 3.5 (3 to 4) | 3.6 (2 to 5) |
| Sex: Female, Male(Participants) | Cohort 1 (Linaclotide 18 μg) | Cohort 2 (Linaclotide 36 μg) | Cohort 3 (Linaclotide 72 μg) | Final Cohort (Linaclotide 72 μg) | Placebo Pooled | Total |
|---|---|---|---|---|---|---|
| Female | 4 | 3 | 5 | 0 | 4 | 16 |
| Male | 3 | 4 | 1 | 7 | 4 | 19 |
| Ethnicity (NIH/OMB)(Participants) | Cohort 1 (Linaclotide 18 μg) | Cohort 2 (Linaclotide 36 μg) | Cohort 3 (Linaclotide 72 μg) | Final Cohort (Linaclotide 72 μg) | Placebo Pooled | Total |
|---|---|---|---|---|---|---|
| Hispanic or Latino | 1 | 2 | 4 | 4 | 3 | 14 |
| Not Hispanic or Latino | 6 | 5 | 2 | 3 | 5 | 21 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 | 0 | 0 |
| Race (NIH/OMB)(Participants) | Cohort 1 (Linaclotide 18 μg) | Cohort 2 (Linaclotide 36 μg) | Cohort 3 (Linaclotide 72 μg) | Final Cohort (Linaclotide 72 μg) | Placebo Pooled | Total |
|---|---|---|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 | 0 | 0 | 0 |
| Asian | 0 | 0 | 0 | 0 | 0 | 0 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 | 0 | 0 | 0 |
| Black or African American | 5 | 4 | 2 | 2 | 3 | 16 |
| White | 2 | 3 | 4 | 5 | 5 | 19 |
| More than one race | 0 | 0 | 0 | 0 | 0 | 0 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 | 0 | 0 |
Documents are hosted by the registry — open the source record to download them.
Plan to share: Yes — Allergan will share de-identified patient-level data and study-level data including protocols and clinical study reports for phase 2 - 4 trials completed after 2008 that are registered to ClinicalTrials.gov or EudraCT, have received regulatory approval in the United States and/or the European Union in a given indication and the primary manuscript from the trial has been published. To request access to the data, the researcher must sign a data use agreement and any shared data is to be used for non-commercial purposes. More information can be found on http://www.allerganclinicaltrials.com/.
Supporting information: Study protocol, Clinical study report
Time frame: After having received regulatory approval in the United States and/or the European Union in a given indication and the primary manuscript from the trial has been published.
Access criteria: To request access to the data, the researcher must sign a data use agreement and any shared data is to be used for non-commercial purposes.
Data sharing details ↗ · www.allerganclinicaltrials.com
Ran from Oct 2019 to primary completion in Apr 2021, 18 months.
Results were first posted in Apr 2022, 1 year after primary completion.
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Studies of the drug tested here: Linaclotide