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Phase III Study to Evaluate the Efficacy and Safety of ASP0456 in Patients With Constipation Predominant Irritable Bowel Syndrome

Primary Purpose

Irritable Bowel Syndrome With Constipation (IBS-C)

Status
Completed
Phase
Phase 3
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 Irritable Bowel Syndrome With Constipation (IBS-C) focused on measuring ASP0456, constipation, linaclotide, irritable bowel syndrome (IBS)

Eligibility Criteria

20 Years - 79 Years (Adult, Older 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:

  • Patient with history of surgical resection of stomach, gallbladder, small intestine, or large intestine (excluding resection of appendicitis and benign polyp)
  • Patient with history or current affection of inflammatory bowel disease (Crohn's disease or ulcerative colitis)
  • Patient with history or current affection of ischemic colitis
  • Patient currently affected by infectious enteritis
  • Patient currently affected by hyperthyroidism or hypothyroidism
  • Patient currently affected by active peptic ulcer
  • In the case of a female patient, the one currently affected by endometriosis or uterine adenomyosis
  • Patient with high depression or anxiety considered to influence drug evaluation
  • Patient with history of abuse of drug or alcohol within a year before consent acquisition, or with current abuse
  • Patient who used or underwent or will use or undergo drug/therapy/test prohibited to combine 3 days before the start of bowel habit observation period (Day -17) or thereafter
  • Patient with history or current affection of malignant tumor
  • Patient currently affected by serious cardiovascular disease, respiratory disease, kidney disease, hepatic disease, gastrointestinal disease (excluding IBS), hemorrhagic disease, or neural/mental disease
  • Patient with history of drug allergy

Sites / Locations

  • Site JP00004
  • Site JP00048
  • Site JP00049
  • Site JP00038
  • Site JP00039
  • Site JP00040
  • Site JP00041
  • Site JP00042
  • Site JP00002
  • Site JP00060
  • Site JP00061
  • Site JP00001
  • Site JP00006
  • Site JP00007
  • Site JP00057
  • Site JP00058
  • Site JP00059
  • Site JP00030
  • Site JP00031
  • Site JP00032
  • Site JP00033
  • Site JP00034
  • Site JP00035
  • Site JP00036
  • Site JP00037
  • Site JP00056
  • Site JP00003
  • Site JP00050
  • Site JP00051
  • Site JP00052
  • Site JP00053
  • Site JP00054
  • Site JP00055
  • Site JP00043
  • Site JP00044
  • Site JP00045
  • Site JP00046
  • Site JP00047
  • Site JP00005
  • Site JP00008
  • Site JP00009
  • Site JP00010
  • Site JP00011
  • Site JP00012
  • Site JP00013
  • Site JP00014
  • Site JP00015
  • Site JP00016
  • Site JP00017
  • Site JP00018
  • Site JP00019
  • Site JP00020
  • Site JP00021
  • Site JP00022
  • Site JP00023
  • Site JP00024
  • Site JP00025
  • Site JP00026
  • Site JP00027
  • Site JP00028
  • Site JP00029

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Placebo Comparator

Experimental

Arm Label

ASP0456 (Period I)

Placebo (Period I)

ASP0456 (Period II)

Arm Description

Up to 12 weeks

Up to 12 weeks

From 12 weeks to 52 weeks

Outcomes

Primary Outcome Measures

Responder rate of Global assessment of relief of IBS symptoms during 12 weeks.
The responder of the evaluation items during the 12 weeks shall be the subject satisfying weekly responder of the evaluation items for over 6 weeks of the 12 weeks.
Responder rate of CSBM during 12 weeks
CSBM: Complete Spontaneous Bowel Movement. The responder of the evaluation items during the 12 weeks shall be the subject satisfying weekly responder of the evaluation items for over 6 weeks of the 12 weeks.

Secondary Outcome Measures

Responder rate of SBM during 12 weeks
SBM: Spontaneous Bowel Movement
Responder rate of Abnormal bowel habits improvement during 12 weeks
Responder rate of Abdominal pain/discomfort relief during 12 weeks
Weekly responder rate of Global assessment of relief of IBS symptoms
The weekly responder of the evaluation items shall be the subject satisfying the followings at the time of evaluation in each week.Score of Global assessment of relief of IBS symptoms (7 scores: 1-7) is 1 or 2
Weekly responder rate of CSBM
Weekly responder of CSBM: The weekly mean value of CSBM frequency is more than 3 and over 1 more than the weekly mean value of CSBM frequency in the bowel habit observation period
Weekly responder rate of SBM
Weekly responder of SBM: The weekly mean value of SBM frequency is more than 3 and over 1 more than the weekly mean value of SBM frequency in the bowel habit observation period
Weekly responder rate of Abnormal bowel habits improvement
Score of abdominal bowel habits improvement effect (7 scores: 1-7) is 1 or 2
Weekly responder rate of Abdominal pain/discomfort relief
Score of abdominal pain/discomfort improvement effect (7 scores: 1-7) is 1 or 2.
Changes in weekly average of SBM frequency, CSBM frequency, stool form scores, abdominal pain/discomfort severity, abdominal bloating severity, and straining severity.
Changes in IBS-QOL-J scores (entire scores or scores on the sub-scales)
IBS-QOL-J: Irritable bowel syndrome quality of life Japanese version
Percentage of subjects with SBM within 24 hours after start of the initial administration
Percentage of subjects with CSBM within 24 hours after start of the initial administration
Safety assessed by development of incidence of adverse events, vital signs, and clinical laboratory tests

Full Information

First Posted
December 4, 2014
Last Updated
December 16, 2019
Sponsor
Astellas Pharma Inc
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1. Study Identification

Unique Protocol Identification Number
NCT02316899
Brief Title
Phase III Study to Evaluate the Efficacy and Safety of ASP0456 in Patients With Constipation Predominant Irritable Bowel Syndrome
Official Title
Phase III Study of ASP0456 - A Double-blind, Placebo-controlled, Parallel-group, Comparative Study and Long-term Study in Patients With Irritable Bowel Syndrome With Constipation (IBS-C)
Study Type
Interventional

2. Study Status

Record Verification Date
December 2019
Overall Recruitment Status
Completed
Study Start Date
October 21, 2014 (Actual)
Primary Completion Date
September 19, 2015 (Actual)
Study Completion Date
March 29, 2016 (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
The objective of this study is to evaluate the efficacy and safety of ASP0456 in patients with constipation predominant irritable bowel syndrome (IBS-C).
Detailed Description
<Period I (double-blind period)> A multicenter, collaborative, double-blind, parallel comparative study is conducted using IBS-C patients as subjects to verify efficacy of ASP0456 and examine the safety. After the 2-week bowel habit observation period, subjects satisfying the primary enrollment criteria are randomly allocated to either ASP0456 group or placebo group, and orally administered the drug or placebo once daily before breakfast for 12 weeks. <Period II (non-blind period)> A multicenter, collaborative, non-blind, non-controlled study is conducted to examine safety and efficacy of ASP0456 in long-term administration in IBS-C patients. After Period I, subjects satisfying the transfer criteria are orally administered ASP0456 once daily before breakfast for 40 weeks.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
500 (Actual)

8. Arms, Groups, and Interventions

Arm Title
ASP0456 (Period I)
Arm Type
Experimental
Arm Description
Up to 12 weeks
Arm Title
Placebo (Period I)
Arm Type
Placebo Comparator
Arm Description
Up to 12 weeks
Arm Title
ASP0456 (Period II)
Arm Type
Experimental
Arm Description
From 12 weeks to 52 weeks
Intervention Type
Drug
Intervention Name(s)
linaclotide
Other Intervention Name(s)
ASP0456
Intervention Description
Oral administration once daily
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Oral administration once daily
Primary Outcome Measure Information:
Title
Responder rate of Global assessment of relief of IBS symptoms during 12 weeks.
Description
The responder of the evaluation items during the 12 weeks shall be the subject satisfying weekly responder of the evaluation items for over 6 weeks of the 12 weeks.
Time Frame
During 12 weeks
Title
Responder rate of CSBM during 12 weeks
Description
CSBM: Complete Spontaneous Bowel Movement. The responder of the evaluation items during the 12 weeks shall be the subject satisfying weekly responder of the evaluation items for over 6 weeks of the 12 weeks.
Time Frame
During 12 weeks
Secondary Outcome Measure Information:
Title
Responder rate of SBM during 12 weeks
Description
SBM: Spontaneous Bowel Movement
Time Frame
During 12 weeks
Title
Responder rate of Abnormal bowel habits improvement during 12 weeks
Time Frame
During 12 weeks
Title
Responder rate of Abdominal pain/discomfort relief during 12 weeks
Time Frame
During 12 weeks
Title
Weekly responder rate of Global assessment of relief of IBS symptoms
Description
The weekly responder of the evaluation items shall be the subject satisfying the followings at the time of evaluation in each week.Score of Global assessment of relief of IBS symptoms (7 scores: 1-7) is 1 or 2
Time Frame
Up to 52 weeks
Title
Weekly responder rate of CSBM
Description
Weekly responder of CSBM: The weekly mean value of CSBM frequency is more than 3 and over 1 more than the weekly mean value of CSBM frequency in the bowel habit observation period
Time Frame
Up to 52 weeks
Title
Weekly responder rate of SBM
Description
Weekly responder of SBM: The weekly mean value of SBM frequency is more than 3 and over 1 more than the weekly mean value of SBM frequency in the bowel habit observation period
Time Frame
Up to 52 weeks
Title
Weekly responder rate of Abnormal bowel habits improvement
Description
Score of abdominal bowel habits improvement effect (7 scores: 1-7) is 1 or 2
Time Frame
Up to 52 weeks
Title
Weekly responder rate of Abdominal pain/discomfort relief
Description
Score of abdominal pain/discomfort improvement effect (7 scores: 1-7) is 1 or 2.
Time Frame
Up to 52 weeks
Title
Changes in weekly average of SBM frequency, CSBM frequency, stool form scores, abdominal pain/discomfort severity, abdominal bloating severity, and straining severity.
Time Frame
From baseline to every week until 52 weeks
Title
Changes in IBS-QOL-J scores (entire scores or scores on the sub-scales)
Description
IBS-QOL-J: Irritable bowel syndrome quality of life Japanese version
Time Frame
Weeks 0, 4, 8, 12, 16, 20, 24, 28, 40, 52
Title
Percentage of subjects with SBM within 24 hours after start of the initial administration
Time Frame
Up to 24 hours
Title
Percentage of subjects with CSBM within 24 hours after start of the initial administration
Time Frame
Up to 24 hours
Title
Safety assessed by development of incidence of adverse events, vital signs, and clinical laboratory tests
Time Frame
Up to 52 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
79 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: Patient with history of surgical resection of stomach, gallbladder, small intestine, or large intestine (excluding resection of appendicitis and benign polyp) Patient with history or current affection of inflammatory bowel disease (Crohn's disease or ulcerative colitis) Patient with history or current affection of ischemic colitis Patient currently affected by infectious enteritis Patient currently affected by hyperthyroidism or hypothyroidism Patient currently affected by active peptic ulcer In the case of a female patient, the one currently affected by endometriosis or uterine adenomyosis Patient with high depression or anxiety considered to influence drug evaluation Patient with history of abuse of drug or alcohol within a year before consent acquisition, or with current abuse Patient who used or underwent or will use or undergo drug/therapy/test prohibited to combine 3 days before the start of bowel habit observation period (Day -17) or thereafter Patient with history or current affection of malignant tumor Patient currently affected by serious cardiovascular disease, respiratory disease, kidney disease, hepatic disease, gastrointestinal disease (excluding IBS), hemorrhagic disease, or neural/mental disease Patient with history of drug allergy
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Medical Director
Organizational Affiliation
Astellas Pharma Inc
Official's Role
Study Director
Facility Information:
Facility Name
Site JP00004
City
Aichi
Country
Japan
Facility Name
Site JP00048
City
Aichi
Country
Japan
Facility Name
Site JP00049
City
Aichi
Country
Japan
Facility Name
Site JP00038
City
Chiba
Country
Japan
Facility Name
Site JP00039
City
Chiba
Country
Japan
Facility Name
Site JP00040
City
Chiba
Country
Japan
Facility Name
Site JP00041
City
Chiba
Country
Japan
Facility Name
Site JP00042
City
Chiba
Country
Japan
Facility Name
Site JP00002
City
Fukuoka
Country
Japan
Facility Name
Site JP00060
City
Fukuoka
Country
Japan
Facility Name
Site JP00061
City
Fukuoka
Country
Japan
Facility Name
Site JP00001
City
Hokkaido
Country
Japan
Facility Name
Site JP00006
City
Hokkaido
Country
Japan
Facility Name
Site JP00007
City
Hokkaido
Country
Japan
Facility Name
Site JP00057
City
Hyogo
Country
Japan
Facility Name
Site JP00058
City
Hyogo
Country
Japan
Facility Name
Site JP00059
City
Hyogo
Country
Japan
Facility Name
Site JP00030
City
Kanagawa
Country
Japan
Facility Name
Site JP00031
City
Kanagawa
Country
Japan
Facility Name
Site JP00032
City
Kanagawa
Country
Japan
Facility Name
Site JP00033
City
Kanagawa
Country
Japan
Facility Name
Site JP00034
City
Kanagawa
Country
Japan
Facility Name
Site JP00035
City
Kanagawa
Country
Japan
Facility Name
Site JP00036
City
Kanagawa
Country
Japan
Facility Name
Site JP00037
City
Kanagawa
Country
Japan
Facility Name
Site JP00056
City
Kyoto
Country
Japan
Facility Name
Site JP00003
City
Osaka
Country
Japan
Facility Name
Site JP00050
City
Osaka
Country
Japan
Facility Name
Site JP00051
City
Osaka
Country
Japan
Facility Name
Site JP00052
City
Osaka
Country
Japan
Facility Name
Site JP00053
City
Osaka
Country
Japan
Facility Name
Site JP00054
City
Osaka
Country
Japan
Facility Name
Site JP00055
City
Osaka
Country
Japan
Facility Name
Site JP00043
City
Saitama
Country
Japan
Facility Name
Site JP00044
City
Saitama
Country
Japan
Facility Name
Site JP00045
City
Saitama
Country
Japan
Facility Name
Site JP00046
City
Saitama
Country
Japan
Facility Name
Site JP00047
City
Saitama
Country
Japan
Facility Name
Site JP00005
City
Tokyo
Country
Japan
Facility Name
Site JP00008
City
Tokyo
Country
Japan
Facility Name
Site JP00009
City
Tokyo
Country
Japan
Facility Name
Site JP00010
City
Tokyo
Country
Japan
Facility Name
Site JP00011
City
Tokyo
Country
Japan
Facility Name
Site JP00012
City
Tokyo
Country
Japan
Facility Name
Site JP00013
City
Tokyo
Country
Japan
Facility Name
Site JP00014
City
Tokyo
Country
Japan
Facility Name
Site JP00015
City
Tokyo
Country
Japan
Facility Name
Site JP00016
City
Tokyo
Country
Japan
Facility Name
Site JP00017
City
Tokyo
Country
Japan
Facility Name
Site JP00018
City
Tokyo
Country
Japan
Facility Name
Site JP00019
City
Tokyo
Country
Japan
Facility Name
Site JP00020
City
Tokyo
Country
Japan
Facility Name
Site JP00021
City
Tokyo
Country
Japan
Facility Name
Site JP00022
City
Tokyo
Country
Japan
Facility Name
Site JP00023
City
Tokyo
Country
Japan
Facility Name
Site JP00024
City
Tokyo
Country
Japan
Facility Name
Site JP00025
City
Tokyo
Country
Japan
Facility Name
Site JP00026
City
Tokyo
Country
Japan
Facility Name
Site JP00027
City
Tokyo
Country
Japan
Facility Name
Site JP00028
City
Tokyo
Country
Japan
Facility Name
Site JP00029
City
Tokyo
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."
Citations:
PubMed Identifier
30136447
Citation
Fukudo S, Miwa H, Nakajima A, Haruma K, Kosako M, Nakagawa A, Akiho H, Yamaguchi Y, Johnston JM, Currie M, Kinoshita Y. A randomized controlled and long-term linaclotide study of irritable bowel syndrome with constipation patients in Japan. Neurogastroenterol Motil. 2018 Dec;30(12):e13444. doi: 10.1111/nmo.13444. Epub 2018 Aug 22.
Results Reference
derived
Links:
URL
https://astellasclinicalstudyresults.com/study.aspx?ID=207
Description
Link to results on Astellas Clinical Study Results website

Learn more about this trial

Phase III Study to Evaluate the Efficacy and Safety of ASP0456 in Patients With Constipation Predominant Irritable Bowel Syndrome

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