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Study of LX1031 in Subjects With Non-Constipating Irritable Bowel Syndrome

Phase 2
Completed
Conditions
Irritable Bowel Syndrome
Interventions
Registration Number
NCT00813098
Lead Sponsor
Lexicon Pharmaceuticals
Brief Summary

The purpose of the study is to evaluate the safety, tolerability, and effectiveness of LX1031 versus a placebo control in subjects with non-constipating irritable bowel syndrome.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
155
Inclusion Criteria
  • Males and females aged 18-70 years old
  • Documented diagnosis of IBS (IBS-diarrhea or IBS-mixed) based upon Rome III criteria
  • Abdominal pain/discomfort at least 2 days per week during the screening and run-in periods
  • Normal structural evaluation of the colon within 5 years prior to screening
  • Ability to provide written informed consent
Exclusion Criteria
  • Inability to discontinue current drug therapy for IBS, except for bulking agents, through the duration of the study
  • Use of anticholinergic antidepressants, opioid pain medications, or any drugs that affect bowel motility
  • Lactose intolerance
  • Major psychological disorder
  • Significant nicotine or caffeine use (>10 cigarettes and/or six 8 ounce cups of coffee per day, respectively)

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
High doseLX1031 High DoseA high dose of LX1031; daily oral intake for 28 days
Low DoseLX1031 Low DoseA low dose of LX1031; daily oral intake for 28 days
PlaceboPlaceboMatching placebo dosing with daily oral intake
Primary Outcome Measures
NameTimeMethod
Subjects Who Experienced Relief of IBS Pain and Discomfort at Week 4Week 4

The primary efficacy endpoint was the proportion of subjects experiencing relief of IBS pain and discomfort at Week 4 as measured by the response to the question,"In the past 7 days have you had adequate relief of your irritable bowel syndrome pain and discomfort?"

Secondary Outcome Measures
NameTimeMethod
Change From Baseline at Week 4 in Proportion of Days Per Week When Experiencing Urgency to DefecateBaseline to Week 4

To assess sensation of urgency to defecate on a daily basis, subjects recorded in their daily diary a response to the following question,"Have you felt or experienced a sense of urgency to pass stool today?" The mean score (proportion of days per week when the subject experienced an urge to defecate) for Week 4 was subtracted from the baseline mean score to determine the mean change from baseline.

Change From Baseline at Week 4 in Stool Consistency ScoresBaseline to Week 4

Stool consistency was evaluated using the 7-point Bristol Stool Scale in which a score of 1 indicates separate hard lumps, 2 indicates sausage shaped but lumpy, 3 indicates sausage-like with cracks on the surface, 4 indicates sausage-like but smooth and soft, 5 indicates soft blobs with clear cut edges, 6 indicates fluffy pieces with ragged edges, and 7 indicates watery with no solid pieces. The mean score for Week 4 was subtracted from the baseline mean score to obtain the mean change from baseline.

Change From Baseline at Week 4 on the Severity of BloatingBaseline to Week 4

Subjects recorded in the daily diary the level of bloating they felt on a daily basis using a 100 mm visual analog scale (with 0 being "not at all" and 100 mm being "worst possible"). The mean score for Week 4 was subtracted from the baseline mean score to obtain the mean change from baseline in severity of bloating.

Change From Baseline at Week 4 on the Global Improvement Score.Baseline to Week 4

The IBS Global Improvement Scale (IBS-GAI) asks "Compared to the way you felt before you entered the study, have your IBS symptoms over the past 7 days been: 1-substantially worse, 2-moderately worse, 3-slightly worse, 4-no change, 5-slightly improved, 6-moderately improved, 7-substantially improved?" The mean score for Week 4 was subtracted from the mean baseline score to obtain the mean change from baseline on the Global Improvement Score.

Change From Baseline at Week 4 in Stool FrequencyBaseline to Week 4

Subjects recorded the number of times they passed stool on a daily basis in the daily diary. The mean for Week 4 was subtracted from the baseline mean to obtain the mean change from baseline in stool frequency.

Trial Locations

Locations (36)

Affiliated Clinical Research

🇺🇸

Las Vegas, Nevada, United States

Medoff Medical/Vital re:Search

🇺🇸

Greensboro, North Carolina, United States

Consultants for Clinical Research

🇺🇸

Cincinnati, Ohio, United States

Impact Clinical Trials

🇺🇸

Los Angeles, California, United States

Clinical Trials Management of Boca Raton, Inc.

🇺🇸

Boca Raton, Florida, United States

Long Island Clinical Research

🇺🇸

Great Neck, New York, United States

Cary Medical Research

🇺🇸

Cary, North Carolina, United States

Aurora Health Center - Waukesha

🇺🇸

Waukesha, Wisconsin, United States

Advanced Research Institute

🇺🇸

Ogden, Utah, United States

Oklahoma Foundation for Digestive Research

🇺🇸

Oklahoma City, Oklahoma, United States

Lynn Health Science Institute

🇺🇸

Oklahoma City, Oklahoma, United States

Utah Clinical Trials, LLC

🇺🇸

Salt Lake City, Utah, United States

Arkansas Gastroenterology

🇺🇸

Sherwood, Arkansas, United States

Advanced Clinical Research Institute

🇺🇸

Anaheim, California, United States

Genova Clinical Research

🇺🇸

Tucson, Arizona, United States

Edinger Medical Group Clinical Research Center

🇺🇸

Fountain Valley, California, United States

Medical Associates Research Group

🇺🇸

San Diego, California, United States

Research Consultants Group

🇺🇸

Hialeah, Florida, United States

Lynn Instiute of the Rockies

🇺🇸

Colorado Springs, Colorado, United States

Unifour Medical Research

🇺🇸

Hickory, North Carolina, United States

Gastroenterology Research Consultant of Greater Cincinnati

🇺🇸

Cincinnati, Ohio, United States

Houston Medical Research Associates

🇺🇸

Houston, Texas, United States

National Clinical Research Norfolk Inc.

🇺🇸

Norfolk, Virginia, United States

ClinSearch

🇺🇸

Chattanooga, Tennessee, United States

Northwest Clinical Trials

🇺🇸

Boise, Idaho, United States

Community Clinical Trials

🇺🇸

Orange, California, United States

AGMG - Orange

🇺🇸

Orange, California, United States

Mayo Clinic

🇺🇸

Rochester, Minnesota, United States

Consultants for Clinical Research of S. Florida

🇺🇸

Boynton Beach, Florida, United States

Accord Clinical Research, LLC

🇺🇸

Port Orange, Florida, United States

Clinical Research Atlanta

🇺🇸

Stockbridge, Georgia, United States

The UNC Center for Functional GI & Motility Disorders

🇺🇸

Chapel Hill, North Carolina, United States

ActivMed Practice and Research

🇺🇸

Haverhill, Massachusetts, United States

Piedmont Medical Associates

🇺🇸

Winston-Salem, North Carolina, United States

Coastal Carolina Research Center in Goose Creek

🇺🇸

Goose Creek, South Carolina, United States

Pioneer Research Solutions

🇺🇸

Houston, Texas, United States

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