Constipation
Conditions
Brief summary
The objective of this study is to evaluate the safety and efficacy of BLI400 laxative in constipated adolescent subjects.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Male or female subjects at between 12-17 years of age * Weight more than 40 kg (88 lbs.). * Constipated, defined by the following criteria 1. Fewer than 3 spontaneous defecations per week and at least one of the following symptoms for at least 12 weeks (which need not be consecutive) in the preceding 12 months: 1. Straining during \> 25% of defecations 2. Lumpy or hard stools in \> 25% of defecations 3. Sensation of incomplete evacuation for \> 25% of defecations 2. Loose stools are rarely present without the use of laxatives 3. There are insufficient criteria for irritable bowel syndrome - loose (mushy) or watery stool in the absence of laxative use for more than 25% of bowel movements Criteria A, B and C must be fulfilled for the last 12 weeks with symptom onset at least 6 months prior to diagnosis. * Otherwise in good health, as determined by physical exam and medical history * If female, and of child-bearing potential, is using an acceptable form of birth control (hormonal birth control, intrauterine device, double-barrier method, depot contraceptive, sterilized, or abstinence) * Negative urine pregnancy test at screening, if applicable * In the Investigator's judgment, subject is mentally competent to provide informed consent to participate in the study
Exclusion criteria
* Subjects with known or suspected ileus, gastrointestinal obstruction, gastric retention, bowel perforation, toxic colitis, toxic megacolon * Subjects who have had major surgery 30 days before Visit 1; appendectomy or cholecystectomy 60 days before Visit 1; abdominal, pelvic, or retroperitoneal surgery 6 months before Visit 1; bariatric surgery or surgery to remove a segment of the GI tract at any time before Visit 1 * Subjects with hypothyroidism that is being treated and for which the dose of thyroid hormone has not been stable for at least 6 weeks at the time of Visit 1 * Subjects taking laxatives, enemas or prokinetic agents that refuse to discontinue these treatments from Visit 1 until after completion of Visit 3 * Subjects who are pregnant or lactating, or intend to become pregnant during the study * Subjects of childbearing potential who refuse a pregnancy test * Subjects who are allergic to the study medication * Subjects taking narcotic analgesics or other medications known to cause constipation * Subjects who, in the opinion of the Investigator, should not be included in the study for any reason, including inability to follow study procedures * Subjects who have participated in an investigational clinical, surgical, drug, or device study within the past 30 days * Subjects with an active history of drug or alcohol abuse * Subjects have been hospitalized for a psychiatric condition or have made a suicide attempt during the 2 years before Visit 1 * Subjects who withdraw consent at any time prior to completion of Visit 1 procedures
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Treatment Response | 4 weeks | Overall treatment response is defined as weekly response in at least 2 out of 4 weeks. Weekly response is defined as greater than or equal to 3 spontaneous bowel movements during a week. |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| BLI400 BLI400 Laxative
BLI400 Laxative | 33 |
| Total | 33 |
Baseline characteristics
| Characteristic | BLI400 |
|---|---|
| Age, Continuous | 15.4 years STANDARD_DEVIATION 1.6 |
| Ethnicity (NIH/OMB) Hispanic or Latino | 29 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 4 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants |
| Race (NIH/OMB) Asian | 1 Participants |
| Race (NIH/OMB) Black or African American | 1 Participants |
| Race (NIH/OMB) More than one race | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 1 Participants |
| Race (NIH/OMB) White | 30 Participants |
| Region of Enrollment United States | 33 participants |
| Sex: Female, Male Female | 14 Participants |
| Sex: Female, Male Male | 19 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 0 / 33 |
| other Total, other adverse events | 1 / 33 |
| serious Total, serious adverse events | 0 / 33 |
Outcome results
Treatment Response
Overall treatment response is defined as weekly response in at least 2 out of 4 weeks. Weekly response is defined as greater than or equal to 3 spontaneous bowel movements during a week.
Time frame: 4 weeks
Population: Intent to Treat Population
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| BLI400 | Treatment Response | 32 Participants |