A Multi-center, Open-labeled Study of the Safety, Efficacy, and Pharmacokinetics of Lubiprostone in Pediatric Patients With Constipation
Trial Snapshot
- Phase
- Phase 4
- Status
- Completed
- Sponsor
- Sucampo Pharma Americas, LLC
- Enrollment
- 127
- Locations
- 19
- Primary Endpoint
- Frequency of Spontaneous Bowel Movements
Study Overview
Brief Summary
The primary purpose of this study is to evaluate the safety and efficacy of lubiprostone in a pediatric population with constipation, including the pharmacokinetics of lubiprostone, in a subset of patients.
Study Design
- Study Type
- Interventional
- Allocation
- Non Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 2 Years to 17 Years (Child)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Less than 18 years of age
- •Weight of at least 12 kg and capable of swallowing a capsule
- •Able to refrain from use of medications known to treat or associated with constipation symptoms
- •Stable fiber therapy or ADHD therapy if using such medications
- •Patient/Caregiver able to complete daily diary
- •Patient able to use recommended rectal and/or oral rescue medications if needed
Exclusion Criteria
- •Constipation is associated with some medical, anatomic, physical, organic, or other condition
- •Hirschsprung's Disease or Nonretentive Fecal Incontinence
- •Untreated fecal impactions or impactions requiring digital manipulation
- •Open gastrointestinal/abdominal surgery or laparoscopic surgery at the investigator discretion
- •Organic bowel disorder, mechanical bowel obstruction, pseudo-obstruction, or unexplained weight loss
- •Uncontrolled cardiovascular, liver or lung disease, neurologic or psychiatric disorder, other systemic disease, or abnormal laboratory tests at the investigator discretion
- •If female, is currently pregnant or nursing, or plans to become pregnant or nurse during the clinical study
- •Sexually active males and females must utilize acceptable birth control methods
- •Prior use of lubiprostone, Amitiza, SPI-0211, or RU-0211
Arms & Interventions
Lubiprostone 12 mcg QD
Children (6-11 years of age) who are at least 12 kg, but less than 24 kg, body weight, and young children (<6 years of age and able to swallow capsules) who are at least 12 kg body weight
Intervention: Lubiprostone (Drug)
Lubiprostone 12 mcg BID
Up to 24 adolescents (12-17 years of age) and all children (6-11 years of age) who are at least 24 kg, but less than 36 kg, body weight
Intervention: Lubiprostone (Drug)
Lubiprostone 24 mcg BID
Adolescents (12-17 years of age)and children (6-11 years of age) who are ≥36 kg body weight
Intervention: Lubiprostone (Drug)
Outcomes
Primary Outcomes
Frequency of Spontaneous Bowel Movements
Time Frame: Week 1
Gathered as part of the daily electronic diary questions.
Secondary Outcomes
- Frequency of Spontaneous Bowel Movements(Weeks 2, 3, and 4)
- Constipation Severity(Weekly, up to 4 weeks)
- Treatment Effectiveness(Weekly, up to 4 weeks)
- Frequency of Fecal Incontinence(Weekly, up to 4 weeks)
- Straining Associated With SBMs(Weekly, up to 4 weeks)
- Stool Consistency of SBMs(Weekly, up to 4 weeks)
- Abdominal Bloating(Weekly, up to 4 weeks)
- Abdominal Discomfort(Weekly, up to 4 weeks)
- Pain Associated With SBMs(Weekly, up to 4 weeks)
