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A Study to Evaluate Dose Responses of Efficacy and Safety of ASP0456 in Patient With Chronic Constipation

Phase 2
Completed
Conditions
Chronic Constipation
Interventions
Drug: Placebo
Registration Number
NCT02425722
Lead Sponsor
Astellas Pharma Inc
Brief Summary

The objective of this study is to investigate dose-responses of efficacy and safety of ASP0456 in patients with chronic constipation (diagnosed by Rome III criteria of functional constipation (FC), not including constipation due to organic diseases) compared to placebo and to find the appropriate dose for P3 study.

Detailed Description

To determine optimum dose of ASP0456 for the patients with chronic constipation (not including constipation due to organic diseases) in Japan based on its efficacy and safety, multicentered, placebo-controlled, double-blind, parallel group comparative study will be conducted.

After two-week observation period, the patient who meets the primary registration criteria will be randomized to the one from five groups and will start treatment period. The patients will take once daily orally before the breakfast for two weeks.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
383
Inclusion Criteria
  • Patient who had SBM* (Spontaneous bowel movement) less than 3 times per week, more than six months prior to the provisional registration

    • *Defecation without procedure of laxative, suppository, enema, or stool extraction on the day or preceding day of the defecation
  • Patient who was affected with one or more following symptoms before more than six months of provisional registration:

    • Straining during at least 25% of defecations
    • Lumpy or hard stools in at least 25% of defecations
    • Sensation of incomplete evacuation for at least 25% of defecations
  • Loose stools are rarely present without the use of laxatives more than six months prior to the provisional registration.

  • Patients who had pancolonoscopy or contrast enema (or sigmoidoscopy) after the onset of chronic constipation symptom and had no organic changes

Exclusion Criteria
  • Patient who has met IBS-C diagnostic criteria from Rome III more than six months prior to provisional registration. Meaning that patient who had recurrent abdominal pain or discomfort at least 3 days/month in last 3 months associated with two or more of the following, and patient who was affected with following IBS symptoms more than six months prior to the provisional registration:

    • Improvement with defecation
    • Onset associated with a change in frequency of stool
    • Onset associated with a change in form (appearance) of stool
  • 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 evidence of inflammatory bowel disease (Crohn's disease or ulcerative colitis)

  • Patient with history or current evidence of ischemic colitis

  • Patient currently affected by infectious enteritis

  • Patient currently affected by hyperthyroidism or hypothyroidism

  • Patient with apparent mechanical obstruction (i.e. patient with ileus caused by hernia)

  • Patient with mega colon or mega rectum

  • Patient currently affected by constipation due to anorectal dysfunction

  • Patient currently affected by drug induced constipation.

  • Patient with constipation due to other organic disease

  • Patient currently affected by active peptic ulcer

  • In the case of a female, 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 (however, patient who used or underwent restricted drug/therapy according to Protocol may be enrolled provisionally)

  • Patient with history or current evidence of malignant tumor

  • Patient currently affected by serious cardiovascular disease, respiratory disease, kidney disease, hepatic disease, gastrointestinal disease (excluding CC), hemorrhagic disease, or neural/mental disease

  • Patient with history of drug allergy

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
ASP0456 0.5mgASP0456oral
Placebo groupPlacebooral
ASP0456 0.0625mgASP0456oral
ASP0456 0.125mgASP0456oral
ASP0456 0.25mgASP0456oral
Primary Outcome Measures
NameTimeMethod
Change in weekly average of SBM frequencyFrom baseline to week 1

SBM: Spontaneous Bowel Movement. SBM means the defecation without procedure of laxative, suppository, enema, or stool extraction on the day or preceding day of the defecation. SBM frequency is calculated as follows: (the week total number of SBM )/ (the total number of days on which the frequency of SBM is evaluable) x7

Secondary Outcome Measures
NameTimeMethod
Weekly responder rate for CSBMup to 2 weeks

The weekly average 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 the abdominal bowel habits improvement in chronic constipation.up to 2 weeks

Score of abdominal bowel habits improvement effect (7 scores: 1-7) is 1 or 2

Weekly responder rate of abdominal symptom relief of chronic constipation.up to 2 weeks

Score of abdominal symptom improvement effect (7 scores: 1-7) is 1 or 2

Score of the global assessment of relief of chronic constipationup to 2 weeks

Scores will be measured using a seven-point ordinal score

Changes in weekly average of straining severity scoresFrom baseline to every week until 2 weeks

Straining severity will be measured using a five-point ordinal score

Proportion of subjects with CSBM within 24 hours after the start of initial treatmentup to 24 hours
Weekly responder rate of the global assessment of relief of chronic constipation.up to 2 weeks

The weekly responder of the evaluation items shall be the subject satisfying the following at the time of evaluation in each week: Score of Global assessment of relief of chronic constipation symptoms (7 scores: 1-7) is 1 or 2

Changes in IBS-QOL-J scores (entire scores or scores on the sub-scales)Week 0, and 2

IBS-QOL-J: Irritable bowel syndrome quality of life Japanese version

Weekly responder rate for SBMup to 2 weeks

The weekly average 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

Changes in weekly average of abdominal bloating severity scoresFrom baseline to every week until 2 weeks

Abdominal bloating severity will be measured using a five-point ordinal score

Change in weekly average of CSBM frequencyFrom baseline to week 1
Score of the abdominal symptom relief of chronic constipationup to 2 weeks

Scores will be measured using a seven-point ordinal score

Safety assessed by development of incidence of adverse events, vital signs, clinical laboratory tests and body weightup to 2 weeks
Changes in weekly average of SBM frequencyFrom baseline to every week until 2 weeks

SBM: Spontaneous Bowel Movement

Changes in weekly average of CSBM frequencyFrom baseline to every week until 2 weeks

CSBM: Complete Spontaneous Bowel Movement

Score of the abdominal bowel habits improvement in chronic constipationup to 2 weeks

Scores will be measured using a seven-point ordinal score

Changes in weekly average of abdominal pain/discomfort severity scoresFrom baseline to every week until 2 weeks

Abdominal pain/discomfort severity will be measured using a five-point ordinal score

Percentage of subjects with SBM within 24 hours after the start of initial treatmentup to 24 hours
Changes in weekly average of stool formFrom baseline to every week until 2 weeks

Stool form will be measured using seven-point Bristol Stool Form Scale

Trial Locations

Locations (50)

Site: 28

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Chiba, Japan

Site: 36

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Aichi, Japan

Site: 29

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Chiba, Japan

Site: 30

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Chiba, Japan

Site: 2

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Hokkaido, Japan

Site: 11

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Tokyo, Japan

Site: 18

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Tokyo, Japan

Site: 46

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Hyogo, Japan

Site: 47

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Hyogo, Japan

Site: 42

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Osaka, Japan

Site: 35

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Aichi, Japan

Site: 27

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Chiba, Japan

Site: 48

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Fukuoka, Japan

Site: 49

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Fukuoka, Japan

Site: 50

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Fukuoka, Japan

Site: 1

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Hokkaido, Japan

Site: 45

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Hyogo, Japan

Site: 22

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Kanagawa, Japan

Site: 25

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Kanagawa, Japan

Site: 44

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Kyoto, Japan

Site: 23

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Kanagawa, Japan

Site: 24

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Kanagawa, Japan

Site: 26

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Kanagawa, Japan

Site: 38

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Osaka, Japan

Site: 37

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Osaka, Japan

Site: 40

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Osaka, Japan

Site: 41

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Osaka, Japan

Site: 39

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Osaka, Japan

Site: 43

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Osaka, Japan

Site: 32

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Saitama, Japan

Site: 33

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Saitama, Japan

Site: 34

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Saitama, Japan

Site: 31

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Saitama, Japan

Site: 10

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Tokyo, Japan

Site: 12

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Tokyo, Japan

Site: 13

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Tokyo, Japan

Site: 15

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Tokyo, Japan

Site: 14

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Tokyo, Japan

Site: 16

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Tokyo, Japan

Site: 20

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Tokyo, Japan

Site: 19

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Tokyo, Japan

Site: 17

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Tokyo, Japan

Site: 21

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Tokyo, Japan

Site: 3

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Tokyo, Japan

Site: 5

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Tokyo, Japan

Site: 4

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Tokyo, Japan

Site: 6

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Tokyo, Japan

Site: 8

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Tokyo, Japan

Site: 7

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Tokyo, Japan

Site: 9

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Tokyo, Japan

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