A Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel-group, Safety and Efficacy Study of a Range of Linaclotide Doses Administered Orally to Children, Ages 6 to 17 Years, Who Fulfill Modified Rome III Criteria for Child/Adolescent Functional Constipation (FC)
Sponsor study identifier
interventional
173
2 countries
62
Study Start
November 3, 2015
Actual (reported)Primary Completion
April 20, 2018
Actual (reported)Study Completion
May 29, 2018
Actual (reported)The purpose of this study was to evaluate dose response of the safety and efficacy of linaclotide for the treatment of functional constipation (FC), in children age 6-17 years. This study includes up to a 4-week Screening Period, and a 2 to 3-week Pretreatment Period. Participants age 6-11 years will receive oral liquid formulation and participants 12-17 years will receive solid oral capsule or liquid oral solution. Children ages 6-11 years meeting the entry criteria will be randomized to 1 of 3 doses of linaclotide or placebo for 4 weeks. Children ages 12-17 years meeting the entry criteria will be randomized to 1 of 4 doses of linaclotide or placebo for 4 weeks. This 4-week study will assess the effects of linaclotide on bowel movement frequency, as well as other bowel symptoms of FC.
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
May 29, 2018
Actual (reported)Click on a node to explore related trials.
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
September 23, 2015
Actual (reported)September 24, 2015
Actual (reported)November 3, 2015
Actual (reported)April 20, 2018
Actual (reported)May 29, 2018
Actual (reported)May 14, 2019
Actual (reported)Change From Baseline (CFB) in 4-week Overall Spontaneous Bowel Movement (SBM) Frequency Rate During the Treatment Period
SBM was defined as a BM that occurred in the absence of laxative, suppository, or enema use on the calendar day of the BM or the calendar day before the BM. SBM rate was defined as SBMs/week during the 4-week Treatment period. Participants recorded the occurrence of BMs and use of rescue medication, morning and evening, daily in an eDiary since pretreatment period. The SBM frequency rate (SBMs/week) during the analysis period for each participant were calculated as \[(total number of SBMs in the analysis period/number of days in the analysis period)\*7\]. Baseline value was based on values collected 14 days before randomization up to randomization. Change from Baseline was calculated as the SBM frequency rate during the 4-week treatment period - SBM frequency rate at baseline. A positive change from Baseline indicates improvement. Least squares mean (LSM) and standard error (SE) were calculated using analysis of covariance (ANCOVA) method.
Baseline (14-day prior to randomization and up to randomization) to Week 4
Change From Baseline (CFB) in 4-week Daytime Abdominal Pain
Baseline (14-day prior to randomization) to Week 4
Change From Baseline (CFB) in 4-week Stool Consistency
Baseline (14-day prior to randomization and up to randomization) to Week 4
Change From Baseline (CFB) in 4-week of Severity of Straining
Baseline (14-day prior to randomization and up to randomization) to Week 4
Change From Baseline (CFB) in 4-week Abdominal Bloating Daytime Symptoms Based on Evening Assessment
Baseline (14-day prior to randomization) to Week 4
Change From Baseline (CFB) in 4-week Overall Complete Spontaneous Bowel Movement Frequency Rate (CSBM/Week) During the Treatment Period
Baseline (14-day prior to randomization and up to randomization) to Week 4
Participants aged 6 to 11 or 12 to 17 years received matching placebo linaclotide (LIN), 30 minutes before evening meal, once daily for 4 weeks. Administered as liquid oral solution for participants 6 to 11 years of age and solid oral capsule or liquid oral solution for participants 12 to 17 years of age.
Participants aged 6 to 11 years with weight 18 to \<35 kg received LIN 9 ug, oral solution, 30 minutes before evening meal, once daily for 4 weeks. Participants aged 6 to 11 years with weight ≥35 kg received LIN 18 ug, oral solution, 30 minutes before evening meal, once daily for 4 weeks. Participants aged 12 to 17 years received LIN 18 ug, oral solution or solid capsules, 30 minutes before evening meal, once daily for 4 weeks.
Participants received matching placebo LIN liquid solution or solid capsules, orally, 30 minutes before evening meal, once daily for 4 weeks.
Participants received LIN 9 or 18 ug liquid solution or solid capsules, orally, 30 minutes before evening meal, once daily for 4 weeks.
HealthStar Research, LLC
Hot Springs, Arkansas, 71913, United States
Applied Research Center of Arkansas
Little Rock, Arkansas, 72212, United States
Advanced Research Center
Anaheim, California, 92805, United States
Kindred Medical Institute for Clinical Trials, LLC
Corona, California, 92879, United States
WCCT Global, LLC
Costa Mesa, California, 92626, United States
Ark Clinical Research
Long Beach, California, 90806, United States
ACTCA, Inc
Los Angeles, California, 90017, United States
Taryn Weissman
Allergan, LLC
173 participants (actual enrollment reported by the registry).
First Submitted
September 23, 2015
First Posted
September 24, 2015
Study Start
November 3, 2015
Actual (reported)Participants aged 6 to 11 years with weight 18 to \<35 kg received LIN 18 ug, oral solution, 30 minutes before evening meal, once daily for 4 weeks. Participants aged 6 to 11 years with weight ≥35 kg received LIN 36 ug, oral solution, 30 minutes before evening meal, once daily for 4 weeks. Participants aged 12 to 17 years received LIN 36 ug, oral solution or solid capsules, 30 minutes before evening meal, once daily for 4 weeks.
Participants aged 6 to 11 years with weight 18 to \<35 kg received LIN 36 ug, oral solution, 30 minutes before evening meal, once daily for 4 weeks. Participants aged 6 to 11 years with weight ≥35 kg received LIN 72 ug, oral solution, 30 minutes before evening meal, once daily for 4 weeks. Participants aged 12 to 17 years received LIN 72 ug, oral solution or solid capsules, 30 minutes before evening meal, once daily for 4 weeks.
Participants aged 12 to 17 years received LIN 145 ug, oral solution or solid capsules, 30 minutes before evening meal, once daily for 4 weeks.
Participants received LIN 18 or 36 ug liquid solution or solid capsules, orally, 30 minutes before evening meal, once daily for 4 weeks.
Participants received LIN 36 or 72 ug liquid solution or solid capsules, orally, 30 minutes before evening meal, once daily for 4 weeks.
Participants received LIN 145 µg, liquid solution or solid capsules, 30 minutes before evening meal, once daily for 4 weeks.
Contact the study team to confirm eligibility.
Children's Hospital Los Angeles
Los Angeles, California, 90017, United States
Orange County Research Institute
Ontario, California, 91762, United States
Center for Clinical Trials, LLC
Paramount, California, 90723, United States
UCSD Rady Children's Hospital
San Diego, California, 92123, United States
University of California at San Francisco
San Francisco, California, 94143, United States
Ventura Clinical Trials
Ventura, California, 93003, United States
Colorado Springs Health Partners, HCP-Clinical Research, LLC
Colorado Springs, Colorado, 80922, United States
Nova Southeastern University
Fort Lauderdale, Florida, 33314, United States
Homestead Research Institute
Homestead, Florida, 33030, United States
RM Medical Research
Homestead, Florida, 33030, United States
Advanced Medical Research Center
Miami, Florida, 33135, United States
SCORE Physician Alliance, LLC
St. Petersburg, Florida, 33710, United States
Children's Center for Digestive Health Care LLC
Atlanta, Georgia, 30342, United States
Sleepcare Clinical Research Institute
Stockbridge, Georgia, 30281, United States
Riley Hospital for Children at Indiana University Health
Indianapolis, Indiana, 46202, United States
Heartland Research Associates, LLC
Wichita, Kansas, 67205, United States
Kentucky Pediatric/ Adult Research
Bardstown, Kentucky, 40004, United States
Kosair Children's Hospital - Pediatric Clinical Research Unit
Louisville, Kentucky, 40202, United States
Michael W. Simon, MD, PSC
Nicholasville, Kentucky, 40356, United States
Willis-Knighton Physician Network
Shreveport, Louisiana, 71118, United States
University of Maryland Children's Hospital
Baltimore, Maryland, 21201, United States
Massachusetts General Hospital
Boston, Massachusetts, 02114, United States
University Of Minnesota
Minneapolis, Minnesota, 55455, United States
GI Associates and Endoscopy Center
Jackson, Mississippi, 39232, United States
Craig A. Speigel, MD
Bridgeton, Missouri, 63044, United States
Midwest Children Health Research Institute
Lincoln, Nebraska, 68505, United States
Midwest Children Health Research Institute
Lincoln, Nebraska, 68516, United States
Goryeb Children's Hospital
Morristown, New Jersey, 07962, United States
Columbia University Medical Center and Morgan Stanley
New York, New York, 10032, United States
Asheboro Research Associates
Asheboro, North Carolina, 27203, United States
University of North Carolina at Chapel Hill
Chapel Hill, North Carolina, 27599, United States
Capital Pediatrics and Adolescent Center PLLC
Raleigh, North Carolina, 27609, United States
Ohio Pediatric Research Association
Dayton, Ohio, 45414, United States
IPS Research Company
Oklahoma City, Oklahoma, 73103, United States
Pediatric Care Specialists
Johnstown, Pennsylvania, 15904, United States
St. Christopher's Hospital for Children
Philadelphia, Pennsylvania, 19134, United States
Children's Hospital of Pittsburgh of UPMC
Pittsburgh, Pennsylvania, 15224, United States
Preferred Primary Care Physicians, Inc.
Pittsburgh, Pennsylvania, 15236, United States
Frontier Clinical Research, LLC
Scottdale, Pennsylvania, 15683, United States
Montgomery Medical Inc.
Smithfield, Pennsylvania, 15478, United States
Rhode Island Hospital
Providence, Rhode Island, 02903, United States
Coastal Pediatric Research
Charleston, South Carolina, 29414, United States
Coastal Pediatrics Associates
Mt. Pleasant, South Carolina, 29464, United States
Cook Children's Medical Center
Fort Worth, Texas, 76104, United States
Texas Children's Hospital/Baylor College Medicine
Houston, Texas, 77030, United States
Houston Clinical Research Associates
Houston, Texas, 77090, United States
Sun Research Institute
San Antonio, Texas, 78215, United States
Southwest Children's Research Associates, P.A.
San Antonio, Texas, 78229, United States
ClinPoint Trials
Waxahachie, Texas, 75165, United States
Foothill Family Clinic South / J. Lewis Research, Inc.
Salt Lake City, Utah, 84121, United States
Pediatric Specialists of Virginia
Fairfax, Virginia, 22031, United States
Virginia Tech Carilion School of Medicine Pediatric
Roanoke, Virginia, 24013, United States
Seattle Children's Hospital
Seattle, Washington, 98105, United States
Stollery Children's Hospital
Edmonton, Alberta, T6G 2B7, Canada
Children's Hospital of Western Ontario
London, Ontario, N6A 4G5, Canada
Primary Completion
April 20, 2018
Actual (reported)Study Completion
May 29, 2018
Actual (reported)Last Updated
June 19, 2019
Results First Posted
May 14, 2019
Record last verified: 2019-06
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