Constipation Predominant Irritable Bowel Syndrome
Conditions
Brief summary
This is a multi-center, Phase 2, randomized, double-blind, placebo controlled study of RDX5791 in subjects with IBS-C. Patients who are 18 to 75 years old, meeting the definition of IBS-C as defined by the Rome III Criteria for the Diagnosis of IBS will undergo a battery of screening procedures to determine eligibility for the trial. The study will consist of a 2-week treatment-free screening period, a 4-week blinded treatment period, and a 2-week treatment-free follow-up period.
Interventions
Capsule, QD
Sponsors
Study design
Eligibility
Inclusion criteria
* Subject meets Rome III criteria for IBS-C * If \> 50 years old, colonoscopy evaluation within 10 years * All ages, negative colonoscopy if any warning symptoms * Active disease during 2-week screening period * Compliant with IVRS
Exclusion criteria
* Subjects has IBS-D, IBS-M or un-subtyped IBS according to Rome III criteria * Diagnosis or treatment of any clinically symptomatic biochemical or structural abnormality of the GI tract * Use of medications that are known to affect stool consistency * Subject has any protocol-excluded or clinically significant medical or surgical history that could confound the study assessments or prevent completion of study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Complete Spontaneous Bowel Movement (CSBM) Frequency Change From Baseline | Baseline and Week 4 | Patients complete a phone diary daily. They are asked how many bowel movements have you had today? they are then asked for each spontaneous bowel movement (unaided with laxative use) wether there was its was a complete evacuation. if it was then it is a complete spontaneous bowel movement. All CSBMs are added and adjusted for a mean compete sponteneous bowel movement. |
Secondary
| Measure | Time frame |
|---|---|
| Spontaneous Bowel Movement (SBM) Frequency Change From Baseline | baseline and week 4 |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Placebo RDX5791: Capsule, QD | 47 |
| Low Dose RDX5791: Capsule, QD | 46 |
| Mid Dose RDX5791: Capsule, QD | 47 |
| High Dose RDX5791: Capsule, QD | 46 |
| Total | 186 |
Baseline characteristics
| Characteristic | Placebo | Low Dose | Mid Dose | High Dose | Total |
|---|---|---|---|---|---|
| Age, Continuous | 47.9 years STANDARD_DEVIATION 11.97 | 44.4 years STANDARD_DEVIATION 14.15 | 46.5 years STANDARD_DEVIATION 9.49 | 43.5 years STANDARD_DEVIATION 12.31 | 45.6 years STANDARD_DEVIATION 12.11 |
| Body Mass Index (BMI) | 28.02 kg/m^2 STANDARD_DEVIATION 5.56 | 27.40 kg/m^2 STANDARD_DEVIATION 6.97 | 28.58 kg/m^2 STANDARD_DEVIATION 6.1 | 28.10 kg/m^2 STANDARD_DEVIATION 4.14 | 28.03 kg/m^2 STANDARD_DEVIATION 5.74 |
| Ethnicity (NIH/OMB) Hispanic or Latino | 3 Participants | 6 Participants | 5 Participants | 8 Participants | 22 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 44 Participants | 40 Participants | 42 Participants | 38 Participants | 164 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Asian | 1 Participants | 2 Participants | 0 Participants | 0 Participants | 3 Participants |
| Race (NIH/OMB) Black or African American | 12 Participants | 5 Participants | 9 Participants | 10 Participants | 36 Participants |
| Race (NIH/OMB) More than one race | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) White | 34 Participants | 39 Participants | 38 Participants | 36 Participants | 147 Participants |
| Sex: Female, Male Female | 39 Participants | 42 Participants | 39 Participants | 37 Participants | 157 Participants |
| Sex: Female, Male Male | 8 Participants | 4 Participants | 8 Participants | 9 Participants | 29 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk | EG003 affected / at risk |
|---|---|---|---|---|
| deaths Total, all-cause mortality | 0 / 47 | 0 / 46 | 0 / 47 | 0 / 46 |
| other Total, other adverse events | 0 / 47 | 0 / 46 | 0 / 47 | 0 / 46 |
| serious Total, serious adverse events | 0 / 47 | 2 / 46 | 0 / 47 | 0 / 46 |
Outcome results
Complete Spontaneous Bowel Movement (CSBM) Frequency Change From Baseline
Patients complete a phone diary daily. They are asked how many bowel movements have you had today? they are then asked for each spontaneous bowel movement (unaided with laxative use) wether there was its was a complete evacuation. if it was then it is a complete spontaneous bowel movement. All CSBMs are added and adjusted for a mean compete sponteneous bowel movement.
Time frame: Baseline and Week 4
Population: All patients randomized who received at least one dose of drug
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Placebo | Complete Spontaneous Bowel Movement (CSBM) Frequency Change From Baseline | 1.01 number of bowel movements/week | Standard Deviation 2.03 |
| Low Dose | Complete Spontaneous Bowel Movement (CSBM) Frequency Change From Baseline | 1.50 number of bowel movements/week | Standard Deviation 2.09 |
| Mid Dose | Complete Spontaneous Bowel Movement (CSBM) Frequency Change From Baseline | 1.54 number of bowel movements/week | Standard Deviation 2.1 |
| High Dose | Complete Spontaneous Bowel Movement (CSBM) Frequency Change From Baseline | 1.57 number of bowel movements/week | Standard Deviation 2.5 |
Spontaneous Bowel Movement (SBM) Frequency Change From Baseline
Time frame: baseline and week 4
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Placebo | Spontaneous Bowel Movement (SBM) Frequency Change From Baseline | 1.58 change in number of bowel movements | Standard Deviation 2.51 |
| Low Dose | Spontaneous Bowel Movement (SBM) Frequency Change From Baseline | 2.37 change in number of bowel movements | Standard Deviation 2.27 |
| Mid Dose | Spontaneous Bowel Movement (SBM) Frequency Change From Baseline | 2.97 change in number of bowel movements | Standard Deviation 3.13 |
| High Dose | Spontaneous Bowel Movement (SBM) Frequency Change From Baseline | 2.81 change in number of bowel movements | Standard Deviation 3.14 |