Constipation predominant Irritable Bowel Syndrome
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Diagnosis of IBS-C according to Rome IV criteria; negative colonoscopy in the past 5 years prior to inclusion; age between 18 and 75 years; treatment in primary care unsuccessful for 12 months; ability to understand, read and speak the Dutch language; ability to understand how to utilize the MEASuRE app on a smartphone.
Exclusion criteria
Exclusion criteria: Appendectomy or cholecystectomy within 2 months or other abdominal surgeries within 6 months before entry into the study; history of laxative abuse; current use of drugs that could initiate constipation (e.g. narcotics), use of any IBS-related drugs possibly causing constipation (e.g. tricyclic antidepressants) are a reason for exclusion, unless usage is on a stable dose for at least 30 days before inclusion and there is no plan to change the dose during the study period.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary study outcomes are the proportion of overall responders to linaclotide treatment after 4 and 12 weeks assessed using the ESM-PROM and the conventional end-of-day diary. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secundary endpoints are symptom scores as reported using the ESM-PROM, concerning abdominal pain, bloating, abdominal fullness, fecal urgency, stool consistency, straining, CSBM frequency and SBM frequency. Additionally, other factors measured using the ESM-PROM, i.e. non-GI physical symptoms, psychological status at the moment of symptom assessment, contextual information regarding the moment of symptom assessment as well as information on food and substance intake. | — |
Countries
Netherlands