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Trial · NCT04026113

Linaclotide Safety and Efficacy in Pediatric Participants, 6 to 17 Years of Age, With Irritable Bowel Syndrome With Constipation (IBS-C) or Functional Constipation (FC)

NCT04026113, Phase 3, Completed, AbbVie; results first posted 2024-11-26

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Linaclotide Safety and Efficacy in Pediatric Participants, 6 to 17 Years of Age, With Irritable Bowel Syndrome With Constipation (IBS-C) or Functional Constipation (FC). Trials, record NCT04026113. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04026113

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Linaclotide Safety and Efficacy in Pediatric Participants, 6 to 17 Years of Age, With Irritable Bowel Syndrome With Constipation (IBS-C) or Functional Constipation (FC)
NCT number
NCT04026113
Status
Completed
Phases
Phase 3
Enrollment
438 participants, actual
Lead sponsor
AbbVie
Conditions
Functional Constipation, Irritable Bowel Syndrome With Constipation
Interventions
Linaclotide, Placebo
First posted
2019-07-19
Last updated
2024-11-26
Other registries' IDs
eudract:2019-001500-38
Results first posted
2024-11-26

Source ClinicalTrials.gov

Registered outcomes8

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryFunctional Constipation (FC) Participants: Change From Baseline in 12-week SBM (Spontaneous Bowel Movement) Frequency Rate (SBMs/Week) During the Study Intervention PeriodBaseline, up to 12 weeks
An SBM is defined as a BM that occurs in the absence of laxative, enema, or suppository use on the calendar day of the bowel movement (BM) or the calendar day before the BM. Assessments of BM characteristics that determine occurrences of SBM (ie, BM frequency and rescue medication use) were measured by using the eDiary completed twice daily (morning and evening) on the eDiary (Electronic Diary) device.
PrimaryIrritable Bowel Syndrome With Constipation (IBS-C) Participants: 6/12 Weeks APS (Abdominal Pain and SBM) + 2 Responder Rate12 Weeks
6/12 weeks APS + 2 responder=participant who meets the weekly APS + 2 responder criteria ≥6 of the 12 weeks of the intervention period. Weekly APS +2 responder=participant who has an increase of ≥2 in the SBM weekly rate from baseline, AND a decrease of ≥30% in mean abdominal pain score from baseline, during that study intervention week. Assessments of abdominal pain and BM characteristics that determine occurrences of SBMs were measured by using an eDiary completed twice daily (AM and PM). Assessments of abdominal pain were measured using a 5-point scale where 0=none and 4=a lot. A participant's abdominal pain score=mean of the non-missing abdominal pain scores during the specified period. Responder rate=percentage of participants who were 6/12 weeks APS + 2 responders. A participant had to have ≥4 completed diary days in the analysis week to be considered a responder for that week and was otherwise considered a non-responder for that week.
SecondaryFunctional Constipation (FC) Participants: Change From Baseline in 12-week Stool Consistency During the Study Intervention PeriodBaseline, up to 12 weeks
Stool consistency was measured twice daily, once in the morning and once in the evening eDiary, using the 7-point ordinal pediatric Bristol Stool Form Scale (p-BSFS): Type 1: Looks like small hard lumps or balls, like pebbles; Type 2: Looks like fat sausage shape but lumpy and hard; Type 3: Looks like a sausage but with cracks on it; Type 4: Looks like a sausage or snake, smooth and soft; Type 5: Looks like chicken nuggets, soft smooth blobs; Type 6: Looks like oatmeal, fluffy mushy pieces; Type 7: Looks like a milkshake, watery. A participant's p-BSFS score for the study intervention period was the average of the non-missing p-BSFS scores from the SBMs reported by the participant during the 12-week study intervention period.
SecondaryIrritable Bowel Syndrome With Constipation (IBS-C) Participants: Change From Baseline in 12-week SBM Frequency Rate (SBMs/Week) During the Study Intervention PeriodBaseline, up to 12 Weeks
An SBM is defined as a BM that occurs in the absence of laxative, enema, or suppository use on the calendar day of the BM or the calendar day before the BM. Assessments of BM characteristics that determine occurrences of SBM (ie, BM frequency and rescue medication use) were measured by using the eDiary completed twice daily (morning and evening) on the eDiary (Electronic Diary) device. A participant's SBMs/week for the study intervention period was the average of the non-missing SBMs/week reported by the participant during the 12-week study intervention period.
SecondaryIrritable Bowel Syndrome With Constipation (IBS-C) Participants: Change From Baseline in 12-week Abdominal Pain During the Study Intervention PeriodBaseline, up to 12 weeks
Assessments of abdominal pain were measured twice daily, once in the morning and once in the evening eDiary, using a 5-point scale where a score of 0 indicates no abdominal pain scores and a score of 4 indicates a lot of abdominal pain. Assessments of abdominal pain were measured using a 5-point scale where '0' indicates no abdominal pain and '4' indicates a lot of abdominal pain. The participant's abdominal pain score was derived as the mean of the non-missing morning and evening abdominal pain scores during the specified period.
SecondaryIrritable Bowel Syndrome With Constipation (IBS-C) Participants: Change From Baseline in 12-week Stool Consistency During the Study Intervention PeriodBaseline, up to 12 weeks
Stool consistency was measured twice daily, once in the morning and once in the evening eDiary, using the 7-point ordinal p-BSFS (pediatric Bristol Stool Form Scale: Type 1: Looks like small hard lumps or balls, like pebbles Type 2: Looks like fat sausage shape but lumpy and hard Type 3: Looks like a sausage but with cracks on it Type 4: Looks like a sausage or snake, smooth and soft Type 5: Looks like chicken nuggets, soft smooth blobs Type 6: Looks like oatmeal, fluffy mushy pieces Type 7: Looks like a milkshake, watery. A participant's p-BSFS score for the study intervention period was the average of the non-missing p-BSFS scores from the SBMs reported by the participant during the 12-week study intervention period.
SecondaryIrritable Bowel Syndrome With Constipation (IBS-C) Participants: 6/12 Weeks SBM + 2 Responder Rate12 weeks
A 6/12 weeks SBM + 2 responder is a participant that meets the weekly SBM + 2 responder criteria for at least 6 out of the 12 weeks of the intervention period. A weekly SBM +2 responder is a participant who has an increase of at least 2 in the SBM weekly rate from baseline, Assessments of BM characteristics that determine occurrences of SBMs (ie, BM frequency and rescue medication use) were measured by using an eDiary completed twice daily (morning and evening). Responder rate is presented as the percentage of participants who were 6/12 weeks SBM + 2 responders.
SecondaryIrritable Bowel Syndrome With Constipation (IBS-C) Participants: 6/12 Weeks Abdominal Pain Responder12 Weeks
A 6/12 weeks abdominal pain responder is a participant that meets the weekly abdominal pain responder criteria for at least 6 out of the 12 weeks of the intervention period. A weekly abdominal pain responder is a participant who has a decrease of at least 30% in the mean abdominal pain score from baseline, during that study intervention week. Assessments of abdominal pain were measured by using an eDiary completed twice daily (morning and evening) and were measured using a 5-point scale where '0' indicates no abdominal pain and '4' indicates a lot of abdominal pain. The participant's abdominal pain score was derived as the mean of the non-missing abdominal pain scores during the specified period. Responder rate is presented as the percentage of participants who were 6/12 weeks abdominal pain responders.

Outcomes8

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYFunctional Constipation (FC) Participants: Change From Baseline in 12-week SBM (Spontaneous Bowel Movement) Frequency Rate (SBMs/Week) During the Study Intervention PeriodBaseline, up to 12 weeks
Modified Intent-to-Treat Population: all randomized participants who received at least 1 dose of double-blind study intervention. Participants with analysis values at both baseline and postbaseline during the specified time period.
SBMsLEAST_SQUARES_MEAN
PRIMARYIrritable Bowel Syndrome With Constipation (IBS-C) Participants: 6/12 Weeks APS (Abdominal Pain and SBM) + 2 Responder Rate12 Weeks
Modified Intent-to-Treat Population: all randomized participants who received at least 1 dose of double-blind study intervention. Participants with analysis values at both baseline and postbaseline during the specified time period.
percentage of participantsNUMBER
SECONDARYFunctional Constipation (FC) Participants: Change From Baseline in 12-week Stool Consistency During the Study Intervention PeriodBaseline, up to 12 weeks
Modified Intent-to-Treat Population: all randomized participants who received at least 1 dose of double-blind study intervention. Participants with analysis values at both baseline and postbaseline during the specified time period.
units on a scaleLEAST_SQUARES_MEAN
SECONDARYIrritable Bowel Syndrome With Constipation (IBS-C) Participants: Change From Baseline in 12-week SBM Frequency Rate (SBMs/Week) During the Study Intervention PeriodBaseline, up to 12 Weeks
Modified Intent-to-Treat Population: all randomized participants who received at least 1 dose of double-blind study intervention. Participants with analysis values at both baseline and postbaseline during the specified time period.
SBMs/weekMEAN
SECONDARYIrritable Bowel Syndrome With Constipation (IBS-C) Participants: Change From Baseline in 12-week Abdominal Pain During the Study Intervention PeriodBaseline, up to 12 weeks
Modified Intent-to-Treat Population: all randomized participants who received at least 1 dose of double-blind study intervention. Participants with analysis values at both baseline and postbaseline during the specified time period.
units on a scaleMEAN
SECONDARYIrritable Bowel Syndrome With Constipation (IBS-C) Participants: Change From Baseline in 12-week Stool Consistency During the Study Intervention PeriodBaseline, up to 12 weeks
Modified Intent-to-Treat Population: all randomized participants who received at least 1 dose of double-blind study intervention. Participants with analysis values at both baseline and postbaseline during the specified time period.
units on a scaleMEAN
SECONDARYIrritable Bowel Syndrome With Constipation (IBS-C) Participants: 6/12 Weeks SBM + 2 Responder Rate12 weeks
Modified Intent-to-Treat Population: all randomized participants who received at least 1 dose of double-blind study intervention. Participants with analysis values at both baseline and postbaseline during the specified time period.
percentage of participantsNUMBER
SECONDARYIrritable Bowel Syndrome With Constipation (IBS-C) Participants: 6/12 Weeks Abdominal Pain Responder12 Weeks
Modified Intent-to-Treat Population: all randomized participants who received at least 1 dose of double-blind study intervention. Participants with analysis values at both baseline and postbaseline during the specified time period.
percentage of participantsNUMBER

Results by group16

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Functional Constipation (FC) Participants: Change From Baseline in 12-week SBM (Spontaneous Bowel Movement) Frequency Rate (SBMs/Week) During the Study Intervention PeriodFC Participants: Placebo1.050Standard Error 0.187SBMs
Functional Constipation (FC) Participants: Change From Baseline in 12-week SBM (Spontaneous Bowel Movement) Frequency Rate (SBMs/Week) During the Study Intervention PeriodFC Participants: Linaclotide 72 μg2.220Standard Error 0.187SBMs
Irritable Bowel Syndrome With Constipation (IBS-C) Participants: 6/12 Weeks APS (Abdominal Pain and SBM) + 2 Responder RateIBS-C Participants: Linaclotide 145 μg22.6percentage of participants
Irritable Bowel Syndrome With Constipation (IBS-C) Participants: 6/12 Weeks APS (Abdominal Pain and SBM) + 2 Responder RateIBS-C Participants: Linaclotide 290 μg23.4percentage of participants
Functional Constipation (FC) Participants: Change From Baseline in 12-week Stool Consistency During the Study Intervention PeriodFC Participants: Placebo0.685Standard Error 0.078units on a scale
Functional Constipation (FC) Participants: Change From Baseline in 12-week Stool Consistency During the Study Intervention PeriodFC Participants: Linaclotide 72 μg1.108Standard Error 0.077units on a scale
Irritable Bowel Syndrome With Constipation (IBS-C) Participants: Change From Baseline in 12-week SBM Frequency Rate (SBMs/Week) During the Study Intervention PeriodIBS-C Participants: Linaclotide 145 μg2.347Standard Deviation 3.3335SBMs/week
Irritable Bowel Syndrome With Constipation (IBS-C) Participants: Change From Baseline in 12-week SBM Frequency Rate (SBMs/Week) During the Study Intervention PeriodIBS-C Participants: Linaclotide 290 μg2.747Standard Deviation 2.8861SBMs/week
Irritable Bowel Syndrome With Constipation (IBS-C) Participants: Change From Baseline in 12-week Abdominal Pain During the Study Intervention PeriodIBS-C Participants: Linaclotide 145 μg-0.837Standard Deviation 0.9313units on a scale
Irritable Bowel Syndrome With Constipation (IBS-C) Participants: Change From Baseline in 12-week Abdominal Pain During the Study Intervention PeriodIBS-C Participants: Linaclotide 290 μg-0.837Standard Deviation 0.8809units on a scale

Participant flow28

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Double-Blind Treatment Period (12 Weeks)STARTEDFC Participants: Placebo164
Double-Blind Treatment Period (12 Weeks)STARTEDFC Participants: Linaclotide 72 μg166
Double-Blind Treatment Period (12 Weeks)STARTEDIBS-C Participants: Linaclotide 145 μg55
Double-Blind Treatment Period (12 Weeks)STARTEDIBS-C Participants: Linaclotide 290 μg53
Double-Blind Treatment Period (12 Weeks)Randomized and TreatedFC Participants: Placebo164
Double-Blind Treatment Period (12 Weeks)Randomized and TreatedFC Participants: Linaclotide 72 μg164
Double-Blind Treatment Period (12 Weeks)Randomized and TreatedIBS-C Participants: Linaclotide 145 μg55
Double-Blind Treatment Period (12 Weeks)Randomized and TreatedIBS-C Participants: Linaclotide 290 μg53
Double-Blind Treatment Period (12 Weeks)COMPLETEDFC Participants: Placebo145
Double-Blind Treatment Period (12 Weeks)COMPLETEDFC Participants: Linaclotide 72 μg148

Adverse events32

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherABDOMINAL PAINGastrointestinal disordersFC Participants: Linaclotide 72 μg11661
otherABDOMINAL PAINGastrointestinal disordersFC Participants: Placebo21642
otherABDOMINAL PAINGastrointestinal disordersIBS-C Participants: Linaclotide 145 μg2552
otherABDOMINAL PAINGastrointestinal disordersIBS-C Participants: Linaclotide 290 μg0530
otherCONSTIPATIONGastrointestinal disordersFC Participants: Linaclotide 72 μg11661
otherCONSTIPATIONGastrointestinal disordersFC Participants: Placebo01640
otherCONSTIPATIONGastrointestinal disordersIBS-C Participants: Linaclotide 145 μg2552
otherCONSTIPATIONGastrointestinal disordersIBS-C Participants: Linaclotide 290 μg0530
otherDIARRHOEAGastrointestinal disordersFC Participants: Linaclotide 72 μg61666
otherDIARRHOEAGastrointestinal disordersFC Participants: Placebo31643

Adverse event totals12

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityFC Participants: Linaclotide 72 μg0166
Total, all-cause mortalityFC Participants: Placebo0164
Total, all-cause mortalityIBS-C Participants: Linaclotide 145 μg055
Total, all-cause mortalityIBS-C Participants: Linaclotide 290 μg053
Total, other adverse eventsFC Participants: Linaclotide 72 μg11166
Total, other adverse eventsFC Participants: Placebo10164
Total, other adverse eventsIBS-C Participants: Linaclotide 145 μg755
Total, other adverse eventsIBS-C Participants: Linaclotide 290 μg453
Total, serious adverse eventsFC Participants: Linaclotide 72 μg2166
Total, serious adverse eventsFC Participants: Placebo2164

Papers2

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
38211604DERIVEDPubMed
41913506DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT04026113

GET https://conductscience.org/api/trials/v1/NCT04026113/flow?page=2