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A Study to Evaluate the Effect of ASP0456 in Patients With Constipation Predominant Irritable Bowel Syndrome

Primary Purpose

Constipation-predominant Irritable Bowel Syndrome (IBS-C)

Status
Completed
Phase
Phase 2
Locations
Japan
Study Type
Interventional
Intervention
linaclotide
placebo
Sponsored by
Astellas Pharma Inc
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Constipation-predominant Irritable Bowel Syndrome (IBS-C) focused on measuring irritable bowel syndrome (IBS), linaclotide, constipation, ASP0456

Eligibility Criteria

20 Years - 64 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Patients who had abdominal pain or discomfort repeatedly for at least 3 days per month during the 3 months before screening examination associated with at least 2 out of the following 3 conditions: (1) Improvement with defecation; (2) Onset associated with a change in frequency of stool; and (3) Onset associated with a change in form (appearance) of stool, and had the above symptom (IBS symptom) 6 months or more before the screening examination period.
  • Patients with ≥25% of stools hard or lumpy (with each bowel movement occurring without antidiarrheal, laxative, suppository or enema) and <25% of them loose (mushy) or watery during the 3 months before the screening examination.
  • Patients who had pancolonoscopy or contrast enema (or sigmoidoscopy) after the onset of IBS symptom and had no organic changes.

Exclusion Criteria:

  • Patients with a history of surgical resection of the stomach, gallbladder, small intestine or large intestine
  • Patients with other concurrent diseases that may affect the digestive tract passage or large intestinal function
  • Patients with other concurrent diseases that may affect the assessment of abdominal pain/discomfort
  • Patients with blood pressure, pulse rate, clinical laboratory test, or 12-lead ECG at the time of screening examination that was rated as Grade 2 or greater on the "Severity Criteria for Drug Adverse Reaction" and judged to be clinically significant

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

ASP0456 lowest dose group

ASP0456 low dose group

ASP0456 middle dose group

ASP0456 high dose group

placebo group

Arm Description

oral

oral

oral

oral

oral

Outcomes

Primary Outcome Measures

Global assessment of relief of IBS symptoms Responder

Secondary Outcome Measures

SBM (Spontaneous Bowel Movement) Responder
CSBM (Complete SBM) Responder
Abnormal bowel habits improvement Responder
Abdominal pain/discomfort relief Responder
Changes in weekly average of SBM frequency
Changes in weekly average of CSBM frequency
Changes in weekly average of stool form scores
Changes in weekly average of abdominal pain/discomfort severity
Changes in weekly average of straining severity
Changes in IBS-QOL-J scores (entire scores or scores on the sub-scales)
Safety assessed by the incidence of adverse events, vital signs, clinical laboratory tests and 12-lead ECGs

Full Information

First Posted
October 22, 2012
Last Updated
January 9, 2020
Sponsor
Astellas Pharma Inc
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1. Study Identification

Unique Protocol Identification Number
NCT01714843
Brief Title
A Study to Evaluate the Effect of ASP0456 in Patients With Constipation Predominant Irritable Bowel Syndrome
Official Title
Phase II Study of ASP0456 - A Double-blind, Placebo-controlled, Parallel-group, Comparative Study in Patients With Constipation-predominant Irritable Bowel Syndrome
Study Type
Interventional

2. Study Status

Record Verification Date
January 2020
Overall Recruitment Status
Completed
Study Start Date
August 10, 2012 (Actual)
Primary Completion Date
December 7, 2013 (Actual)
Study Completion Date
December 7, 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Astellas Pharma Inc

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study is to investigate the efficacy, safety, and plasma concentration change of ASP0456 in patients with constipation-predominant irritable bowel syndrome.
Detailed Description
This study is a multicenter, double-blind, placebo-controlled, parallel-group, comparative study to investigate dose-responses of efficacy, safety, and pharmacokinetics of ASP0456 in patients with constipation-predominant irritable bowel syndrome (IBS-C) according to the Rome III Diagnostic Criteria (2006 revised edition, established by the Rome III Committee) after oral administration of ASP0456.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Constipation-predominant Irritable Bowel Syndrome (IBS-C)
Keywords
irritable bowel syndrome (IBS), linaclotide, constipation, ASP0456

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
559 (Actual)

8. Arms, Groups, and Interventions

Arm Title
ASP0456 lowest dose group
Arm Type
Experimental
Arm Description
oral
Arm Title
ASP0456 low dose group
Arm Type
Experimental
Arm Description
oral
Arm Title
ASP0456 middle dose group
Arm Type
Experimental
Arm Description
oral
Arm Title
ASP0456 high dose group
Arm Type
Experimental
Arm Description
oral
Arm Title
placebo group
Arm Type
Placebo Comparator
Arm Description
oral
Intervention Type
Drug
Intervention Name(s)
linaclotide
Other Intervention Name(s)
ASP0456
Intervention Description
oral
Intervention Type
Drug
Intervention Name(s)
placebo
Intervention Description
oral
Primary Outcome Measure Information:
Title
Global assessment of relief of IBS symptoms Responder
Time Frame
Weekly for 12 weeks
Secondary Outcome Measure Information:
Title
SBM (Spontaneous Bowel Movement) Responder
Time Frame
Weekly for 12 weeks
Title
CSBM (Complete SBM) Responder
Time Frame
Weekly for 12 weeks
Title
Abnormal bowel habits improvement Responder
Time Frame
Weekly for 12 weeks
Title
Abdominal pain/discomfort relief Responder
Time Frame
Weekly for 12 weeks
Title
Changes in weekly average of SBM frequency
Time Frame
Weekly for 12 weeks
Title
Changes in weekly average of CSBM frequency
Time Frame
Weekly for 12 weeks
Title
Changes in weekly average of stool form scores
Time Frame
Weekly for 12 weeks
Title
Changes in weekly average of abdominal pain/discomfort severity
Time Frame
Weekly for 12 weeks
Title
Changes in weekly average of straining severity
Time Frame
Weekly for 12 weeks
Title
Changes in IBS-QOL-J scores (entire scores or scores on the sub-scales)
Time Frame
Weekly for 12 weeks
Title
Safety assessed by the incidence of adverse events, vital signs, clinical laboratory tests and 12-lead ECGs
Time Frame
for 12 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
64 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients who had abdominal pain or discomfort repeatedly for at least 3 days per month during the 3 months before screening examination associated with at least 2 out of the following 3 conditions: (1) Improvement with defecation; (2) Onset associated with a change in frequency of stool; and (3) Onset associated with a change in form (appearance) of stool, and had the above symptom (IBS symptom) 6 months or more before the screening examination period. Patients with ≥25% of stools hard or lumpy (with each bowel movement occurring without antidiarrheal, laxative, suppository or enema) and <25% of them loose (mushy) or watery during the 3 months before the screening examination. Patients who had pancolonoscopy or contrast enema (or sigmoidoscopy) after the onset of IBS symptom and had no organic changes. Exclusion Criteria: Patients with a history of surgical resection of the stomach, gallbladder, small intestine or large intestine Patients with other concurrent diseases that may affect the digestive tract passage or large intestinal function Patients with other concurrent diseases that may affect the assessment of abdominal pain/discomfort Patients with blood pressure, pulse rate, clinical laboratory test, or 12-lead ECG at the time of screening examination that was rated as Grade 2 or greater on the "Severity Criteria for Drug Adverse Reaction" and judged to be clinically significant
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Medical Director
Organizational Affiliation
Astellas Pharma Inc
Official's Role
Study Director
Facility Information:
City
Hokkaido
Country
Japan
City
Kansai
Country
Japan
City
Kantou
Country
Japan
City
Kyusyu
Country
Japan

12. IPD Sharing Statement

Plan to Share IPD
No
IPD Sharing Plan Description
Access to anonymized individual participant level data will not be provided for this trial as it meets one or more of the exceptions described on www.clinicalstudydatarequest.com under "Sponsor Specific Details for Astellas."
Links:
URL
https://astellasclinicalstudyresults.com/study.aspx?ID=206
Description
Link to results on Astellas Clinical Study Results website

Learn more about this trial

A Study to Evaluate the Effect of ASP0456 in Patients With Constipation Predominant Irritable Bowel Syndrome

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