Phase 3, 12-Week, Multicenter, Double-Blind, Randomized, Efficacy and Safety Study of Lubiprostone for the Treatment of Irritable Bowel Syndrome With Constipation
Overview
- Phase
- Phase 3
- Intervention
- Lubiprostone
- Conditions
- Irritable Bowel Syndrome With Constipation
- Sponsor
- Sucampo Pharma Americas, LLC
- Enrollment
- 590
- Primary Endpoint
- Overall Responder Rate
- Status
- Completed
- Last Updated
- 6 years ago
Overview
Brief Summary
The primary purpose of this study is to evaluate the efficacy and safety of administration of lubiprostone in patients with irritable bowel syndrome with constipation.
Investigators
Eligibility Criteria
Inclusion Criteria
- •18 years of age and older
- •Stable fiber therapy
- •Normal colonoscopy/sigmoidoscopy
- •Able to refrain from use of medications known to treat or associated with constipation symptoms
- •Experiences abdominal discomfort/pain associated with bowel movements
- •Reports decreased bowel movement frequency and/or other symptoms associated with constipation
Exclusion Criteria
- •Diarrhea-predominant or alternating (diarrhea and constipation cycling) irritable bowel syndrome (IBS), or constipation other than that associated with IBS
- •Open gastrointestinal or abdominal surgery prior to IBS onset
- •Organic bowel disorder, mechanical bowel obstruction, pseudo-obstruction, unexplained weight loss or rectal bleeding
- •Uncontrolled cardiovascular, liver or lung disease, neurologic or psychiatric disorder, other systemic disease, or abnormal laboratory tests per investigator discretion
- •If female, is currently pregnant or nursing, or plans to become pregnant or nurse during the clinical study
Arms & Interventions
Lubiprostone
8 mcg capsule twice daily (BID)
Intervention: Lubiprostone
Placebo
Matching placebo capsule twice daily (BID)
Intervention: Placebo
Outcomes
Primary Outcomes
Overall Responder Rate
Time Frame: 12 weeks
Monthly responder: \>=Moderately relieved symptoms 4 weeks/month or Significantly relieved \>= 2 weeks/month IF: Rescue med use did not increase during the month; AND did not discontinue during the month for lack of efficacy; AND no Moderately worse or Significantly worse response in month. Overall responder: responder for at least 2/3 months
Secondary Outcomes
- Month 1 Spontaneous Bowel Movement (SBM) Frequency Rates Change From Baseline(Change from baseline for month 1)
- Quality of Life Change From Baseline(Change from baseline at 12 weeks)
- Month 3 Bowel Straining Change From Baseline(Change from baseline for month 3)
- Month 1 Constipation Severity Change From Baseline(Change from baseline at 28 days)
- Month 1 Symptom Relief(Change from baseline for month 1)
- Month 2 Stool Consistency Change From Baseline(Change from baseline for month 2)
- Month 3 Responder Rate(month 3 (28 days))
- Month 3 Abdominal Bloating Change From Baseline(Change from baseline for month 3)
- Month 2 Spontaneous Bowel Movement Frequency Rates Change From Baseline(Change from baseline for month 2)
- Month 3 Spontaneous Bowel Movement Frequency Rates Change From Baseline(Change from baseline for month 3)
- Month 1 Bowel Straining Change From Baseline(Change from baseline for month 1)
- Month 2 Responder Rate(month 2 (28 days))
- Month 2 Abdominal Bloating Change From Baseline(Change from baseline for month 2)
- Month 3 Constipation Severity Change From Baseline(Change from baseline for month 3)
- Month 1 Stool Consistency Change From Baseline(Change from baseline for month 1)
- Month 1 Responder Rate(month 1 (28 days))
- Month 3 Stool Consistency Change From Baseline(Change from baseline for month 3)
- Month 2 Bowel Straining Change From Baseline(Change from baseline for month 2)
- Month 3 Symptom Relief(Change from baseline for month 3)
- Month 1 Bowel Movement Frequency Rates Change From Baseline(Change from baseline for month 1)
- Month 1 Abdominal Pain Change From Baseline(Change from baseline for month 1)
- Month 2 Abdominal Pain Change From Baseline(Change from baseline for month 2)
- Month 2 Constipation Severity Change From Baseline(Change from baseline for month 2)
- Month 2 Symptom Relief(Change from baseline for month 2)
- Month 1 Abdominal Bloating Change From Baseline(Change from baseline for month 1)
- Month 2 Bowel Movement Frequency Rates Change From Baseline(Change from baseline for month 2)
- Month 3 Bowel Movement Frequency Rates Change From Baseline(Change from baseline for month 3)
- Month 3 Abdominal Pain Change From Baseline(Change from baseline for month 3)