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Efficacy and Safety of Plecanatide in Children 6 to <18 Years of Age With Irritable Bowel Syndrome With Constipation (IBS-C) ((IBS-C))

Primary Purpose

Irritable Bowel Syndrome With Constipation

Status
Recruiting
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Plecanatide
Matching placebo
Sponsored by
Bausch Health Americas, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Irritable Bowel Syndrome With Constipation

Eligibility Criteria

6 Years - 17 Years (Child)All SexesDoes not accept healthy volunteers

INCLUSION CRITERIA

A patient will be eligible for study participation if he or she meets all of the following criteria:

  1. Male or female child aged 6 to < 18;
  2. Meets ROME IV criteria for child/adolescent IBS-C
  3. Patient's parent/guardian/LAR is able to voluntarily provide written, signed, and dated consent and patient is able to voluntarily provide assent as per IRB guidance;
  4. Patient and patient's parent/guardian/LAR demonstrates an understanding, ability, and willingness to fully comply with study procedures

EXCLUSION CRITERIA

A patient will be excluded from the study if he or she meets any of the following criteria:

  1. The patient has a mental age <4 years in the investigator's opinion;
  2. The patient has previously been diagnosed with anorectal malformations, neurological deficits, or anatomical anomalies that would constitute a predisposition to constipation;
  3. The patient is pregnant or lactating;
  4. The patient's mobility or normal exercise tolerance is compromised in the investigator's opinion;
  5. The patient has been screened for or participated in another Synergy study in the past;
  6. The patient has a sibling that is currently participating or has participated in another Synergy study.

Sites / Locations

  • Synergy Research SiteRecruiting
  • Synergy Research SiteRecruiting
  • Synergy Research SiteRecruiting
  • Synergy Research SiteRecruiting
  • Synergy Research SiteRecruiting
  • Synergy Research SiteRecruiting
  • Synergy Research SiteRecruiting
  • Synergy Research SiteRecruiting
  • Synergy Research SiteRecruiting
  • Synergy Research SiteRecruiting
  • Synergy Research SiteRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

0.5 mg plecanatide

1.0 mg plecanatide

2.0 mg plecanatide

3.0 mg plecanatide

Matching placebo

Arm Description

Plecanatide 0.5 mg Taken orally once daily for 4 weeks Group A: 6 to 11 years old

Plecanatide 1.0 mg Taken orally daily for 4 weeks Group A: 6 to 11 years old Group B: 12 to < 18 years old

Plecanatide 2.0 mg Taken orally daily for 4 weeks Group B: 12 to < 18 years old

Plecanatide 3.0 mg Taken orally daily for 4 weeks Group B: 12 to < 18 years old

Matching placebo Taken orally daily for 4 weeks Group A: 6 to 11 years old Group B: 12 to < 18 years old

Outcomes

Primary Outcome Measures

Change from baseline in weekly SBM frequency over the 4 Week Treatment Period compared to placebo and across treatment groups

Secondary Outcome Measures

Change from baseline in frequency and severity of abdominal pain/discomfort
Change from baseline in frequency of BMs and CSBMs
Change from baseline in stool consistency (BSFS or mBSFS-C)

Full Information

First Posted
July 12, 2018
Last Updated
February 6, 2023
Sponsor
Bausch Health Americas, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT03596905
Brief Title
Efficacy and Safety of Plecanatide in Children 6 to <18 Years of Age With Irritable Bowel Syndrome With Constipation (IBS-C)
Acronym
(IBS-C)
Official Title
A Randomized, Double-blind, Placebo-Controlled, Dose Ranging, Parallel-Group Study of the Efficacy and Safety of Plecanatide in Children 6 to <18 Years of Age With Irritable Bowel Syndrome With Constipation (IBS-C)
Study Type
Interventional

2. Study Status

Record Verification Date
February 2023
Overall Recruitment Status
Recruiting
Study Start Date
June 30, 2018 (Actual)
Primary Completion Date
December 2023 (Anticipated)
Study Completion Date
December 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Bausch Health Americas, Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This study of the efficacy and safety of Plecanatide in children 6 to <18 Years of Age with Irritable Bowel Syndrome with Constipation (IBS-C)
Detailed Description
The purpose of this study is to evaluate the safety, efficacy and pharmacokinetic (PK) parameters of plecanatide of once daily oral 4 dose levels of plecanatide (0.5, 1.0, 2.0, or 3.0 mg) for 4 weeks as treatment in children 6 to <18 years of age with IBS-C. The study will include a 28-day Screening/Baseline Period, a 4 week treatment period, and a 2-week post-treatment follow-up period. Patients/caregivers will visit the clinic 4 times during the study.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Irritable Bowel Syndrome With Constipation

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
0.5 mg plecanatide
Arm Type
Experimental
Arm Description
Plecanatide 0.5 mg Taken orally once daily for 4 weeks Group A: 6 to 11 years old
Arm Title
1.0 mg plecanatide
Arm Type
Experimental
Arm Description
Plecanatide 1.0 mg Taken orally daily for 4 weeks Group A: 6 to 11 years old Group B: 12 to < 18 years old
Arm Title
2.0 mg plecanatide
Arm Type
Experimental
Arm Description
Plecanatide 2.0 mg Taken orally daily for 4 weeks Group B: 12 to < 18 years old
Arm Title
3.0 mg plecanatide
Arm Type
Experimental
Arm Description
Plecanatide 3.0 mg Taken orally daily for 4 weeks Group B: 12 to < 18 years old
Arm Title
Matching placebo
Arm Type
Placebo Comparator
Arm Description
Matching placebo Taken orally daily for 4 weeks Group A: 6 to 11 years old Group B: 12 to < 18 years old
Intervention Type
Drug
Intervention Name(s)
Plecanatide
Other Intervention Name(s)
Trulance
Intervention Description
Taken orally daily for 4 weeks
Intervention Type
Drug
Intervention Name(s)
Matching placebo
Other Intervention Name(s)
No other names
Intervention Description
Taken orally daily for 4 weeks
Primary Outcome Measure Information:
Title
Change from baseline in weekly SBM frequency over the 4 Week Treatment Period compared to placebo and across treatment groups
Time Frame
4 Week
Secondary Outcome Measure Information:
Title
Change from baseline in frequency and severity of abdominal pain/discomfort
Time Frame
4 Week
Title
Change from baseline in frequency of BMs and CSBMs
Time Frame
4 Week
Title
Change from baseline in stool consistency (BSFS or mBSFS-C)
Time Frame
4 Week

10. Eligibility

Sex
All
Minimum Age & Unit of Time
6 Years
Maximum Age & Unit of Time
17 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
INCLUSION CRITERIA A patient will be eligible for study participation if he or she meets all of the following criteria: Male or female child aged 6 to < 18; Meets ROME IV criteria for child/adolescent IBS-C Patient's parent/guardian/LAR is able to voluntarily provide written, signed, and dated consent and patient is able to voluntarily provide assent as per IRB guidance; Patient and patient's parent/guardian/LAR demonstrates an understanding, ability, and willingness to fully comply with study procedures EXCLUSION CRITERIA A patient will be excluded from the study if he or she meets any of the following criteria: The patient has a mental age <4 years in the investigator's opinion; The patient has previously been diagnosed with anorectal malformations, neurological deficits, or anatomical anomalies that would constitute a predisposition to constipation; The patient is pregnant or lactating; The patient's mobility or normal exercise tolerance is compromised in the investigator's opinion; The patient has been screened for or participated in another Synergy study in the past; The patient has a sibling that is currently participating or has participated in another Synergy study.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Susan Harris
Phone
908-300-9220
Email
susan.harris@bauschhealth.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
John Lahey
Organizational Affiliation
Bausch Health
Official's Role
Study Director
Facility Information:
Facility Name
Synergy Research Site
City
Corona
State/Province
California
ZIP/Postal Code
92879
Country
United States
Individual Site Status
Recruiting
Facility Name
Synergy Research Site
City
Doral
State/Province
Florida
ZIP/Postal Code
33122
Country
United States
Individual Site Status
Recruiting
Facility Name
Synergy Research Site
City
Hialeah
State/Province
Florida
ZIP/Postal Code
33012
Country
United States
Individual Site Status
Recruiting
Facility Name
Synergy Research Site
City
Miami
State/Province
Florida
ZIP/Postal Code
33134
Country
United States
Individual Site Status
Recruiting
Facility Name
Synergy Research Site
City
Miami
State/Province
Florida
ZIP/Postal Code
33136
Country
United States
Individual Site Status
Recruiting
Facility Name
Synergy Research Site
City
Miami
State/Province
Florida
ZIP/Postal Code
33155
Country
United States
Individual Site Status
Recruiting
Facility Name
Synergy Research Site
City
Tampa
State/Province
Florida
ZIP/Postal Code
33607
Country
United States
Individual Site Status
Recruiting
Facility Name
Synergy Research Site
City
Crowley
State/Province
Louisiana
ZIP/Postal Code
70526
Country
United States
Individual Site Status
Recruiting
Facility Name
Synergy Research Site
City
Houston
State/Province
Texas
ZIP/Postal Code
77061
Country
United States
Individual Site Status
Recruiting
Facility Name
Synergy Research Site
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78215
Country
United States
Individual Site Status
Recruiting
Facility Name
Synergy Research Site
City
Newport News
State/Province
Virginia
ZIP/Postal Code
23606
Country
United States
Individual Site Status
Recruiting

12. IPD Sharing Statement

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Efficacy and Safety of Plecanatide in Children 6 to <18 Years of Age With Irritable Bowel Syndrome With Constipation (IBS-C)

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