Efficacy, Safety, and Tolerability of JNJ-27018966 (Eluxadoline) in the Treatment of Irritable Bowel Syndrome With Diarrhea

Sponsor
Furiex Pharmaceuticals, Inc (Industry)
Overall Status
Completed
CT.gov ID
NCT01130272
Collaborator
(none)
807
288
5
14.5
2.8
0.2

Study Details

Study Description

Brief Summary

The purpose of this study is to determine the efficacy, safety, and tolerability of different doses of JNJ-27018966 (eluxadoline) compared with placebo in the treatment of patients with irritable bowel syndrome with diarrhea (IBS-d).

Condition or Disease Intervention/Treatment Phase
Phase 2

Study Design

Study Type:
Interventional
Actual Enrollment :
807 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
A Randomized, Double-blind, Placebo-controlled, Parallel Group, Dose Ranging, Multicenter Study to Evaluate the Efficacy, Safety, and Tolerability of JNJ-27018966 in the Treatment of Patients With Irritable Bowel Syndrome With Diarrhea
Actual Study Start Date :
Apr 28, 2010
Actual Primary Completion Date :
Jul 14, 2011
Actual Study Completion Date :
Jul 14, 2011

Arms and Interventions

Arm Intervention/Treatment
Experimental: Eluxadoline 5 mg

Eluxadoline 5 mg tablets, orally, twice daily for up to 12 weeks.

Drug: Eluxadoline
Tablets, orally, twice daily.
Other Names:
  • JNJ-27018966
  • Experimental: Eluxadoline 25 mg

    Eluxadoline 25 mg tablets, orally, twice daily for up to 12 weeks. .

    Drug: Eluxadoline
    Tablets, orally, twice daily.
    Other Names:
  • JNJ-27018966
  • Experimental: Eluxadoline 100 mg

    Eluxadoline 100 mg tablets, orally, twice daily for up to 12 weeks.

    Drug: Eluxadoline
    Tablets, orally, twice daily.
    Other Names:
  • JNJ-27018966
  • Experimental: Eluxadoline 200 mg

    Eluxadoline 200 mg tablets, orally, twice daily for up to 12 weeks.

    Drug: Eluxadoline
    Tablets, orally, twice daily.
    Other Names:
  • JNJ-27018966
  • Placebo Comparator: Placebo

    Eluxadoline placebo matching tablets, orally, twice daily for up to 12 weeks.

    Drug: Placebo
    Matching placebo oral tablets twice daily.

    Outcome Measures

    Primary Outcome Measures

    1. Percentage of Participants Who Were Composite Responders Based on Improvements From Baseline in Daily Worst Abdominal Pain and Daily Stool Consistency Scores at Week 4 [Baseline (Week prior to Randomization) to Week 4]

      Composite responders were defined as participants who completed at least 5 out of 7 days with diary entries during the interval of interest and met both of the following criteria: 1) Average daily pain response scores over the past week improved by ≥30% and at least 2 points as compared with the baseline average pain score (average of daily worst abdominal pain the week prior to randomization), 2) Bristol Stool Scale (BSS) score of 3 or 4 on 66% of reported days in the past week. Abdominal pain was assessed on an 11-point scale where: 0=no pain to 10=worst pain imaginable. Stool consistency was assessed using the BSS 7-point scale where: 1=separate hard lumps, 2=sausage shaped but lumpy, 3=sausage-like with cracks on the surface, 4=sausage-like but smooth and soft, 5=soft blobs with clear cut edges, 6=fluffy pieces with ragged edges, and 7=watery with no solid pieces.

    2. Percentage of Participants Who Were Composite Responders Based on Improvements From Baseline in Daily Worst Abdominal Pain and Daily Stool Consistency Scores at Week 12 [Baseline (Week prior to Randomization) to Week 12]

      Composite responders were defined as participants who completed at least 5 out of 7 days with diary entries during the interval of interest and met both of the following criteria: 1) Average daily pain response scores over the past week improved by ≥30% and at least 2 points as compared with the baseline average pain score (average of daily worst abdominal pain the week prior to randomization), 2) Bristol Stool Scale (BSS) score of 3 or 4 on 66% of reported days in the past week. The participant recorded their abdominal pain in a daily diary using an 11-point scale where: 0=no pain to 10=worst pain imaginable. The participant recorded stool consistency in a daily diary using the BSS 7-point scale where: 1=separate hard lumps, 2=sausage shaped but lumpy, 3=sausage-like with cracks on the surface, 4=sausage-like but smooth and soft, 5=soft blobs with clear cut edges, 6=fluffy pieces with ragged edges, and 7=watery with no solid pieces.

    Secondary Outcome Measures

    1. Change From Baseline in the Weekly Pain Scores [Baseline (Week Prior to Randomization) to Weeks 4, 8, and 12]

      The participant recorded their worst daily pain score in a diary using an 11-point scale where: 0=no pain to 10=worst pain imaginable. The daily scores over the previous week were averaged. A negative change from Baseline indicates improvement.

    2. Change From Baseline in Weekly BSS Scores [Baseline (Week prior to Randomization) to Weeks 4, 8, and 12]

      The patient recorded stool consistency in a daily diary using the BSS 7-point scale where: 1=hard stool to 7=watery diarrhea. The daily scores over the previous week were averaged. A negative change from Baseline indicates improvement.

    3. Change From Baseline in the Number of Daily Bowel Movements [Baseline (Week prior to Randomization) to Weeks 4, 8, and 12]

      Participants recorded the number of bowel movements in a daily diary at the same time each day. The number of daily bowel movements over the previous week were averaged. A negative change from Baseline indicates improvement.

    4. Percentage of Participants With Response Based on Participants Achieving Prespecified Improvement in Symptoms for at Least 50% of the Time [Baseline (Week Prior to Randomization) to Weeks 1-12]

      Responders were participants that met both of the following criteria on the same week for at least 50% of time on study: 1) average of daily pain scores over the past week improved by ≥30% compared with baseline average in pain score, 2) ≥50% reduction in the number of days over the past week with a BSS score ≥5 compared with Baseline. Participants must also have had at least 5/7 days diary entry to be considered a responder for that week. Abdominal pain was assessed on an 11-point scale where a score of 0=no pain to 10=worst pain imaginable. Stool consistency was assessed using the BSS 7-point scale where: 1=separate hard lumps to 7=watery with no solid pieces. Response rates (percentage of participants) are based on model estimates from the logistic regression.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years to 65 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Key Inclusion Criteria:
    • Patient has a diagnosis of IBS by Rome III criteria with a subtype of diarrhea

    • Female patients must be:

    • postmenopausal, defined as amenorrhea for at least 2 years at Prescreening,

    • surgically sterile (have had a hysterectomy or bilateral oophorectomy, tubal ligation, or otherwise be incapable of pregnancy),

    • abstinent, or

    • if sexually active, be practicing an effective method of birth control.

    Key Exclusion Criteria:
    • Patient has a diagnosis of IBS by Rome III criteria with a subtype of constipation, mixed IBS, or unsubtyped IBS

    • Patient has a history of inflammatory or immune-mediated gastrointestinal (GI) disorders including inflammatory bowel disease (ie, Crohn's disease, ulcerative colitis) and celiac disease

    • Patient has a history of diverticulitis within 6 months prior to Prescreening

    • Patient has a history of intestinal obstruction, stricture, toxic megacolon, GI perforation, fecal impaction, gastric banding, bariatric surgery, adhesions, ischemic colitis, impaired intestinal circulation (eg, aortoiliac disease), thrombophlebitis of a major vein, or hypercoagulable states.

    Other protocol-specific eligibility criteria may apply.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Furiex Research Site Anniston Alabama United States 36207
    2 Furiex Research Site Birmingham Alabama United States 35216
    3 Furiex Research Site Birmingham Alabama United States 35235
    4 Furiex Research Site Dothan Alabama United States 36305
    5 Furiex Research Site Huntsville Alabama United States 35801
    6 Furiex Research Site Huntsville Alabama United States 35802
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    201 Furiex Research Site Cleveland Ohio United States 44122
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    203 Furiex Research Site Columbus Ohio United States 43215
    204 Furiex Research Site Dayton Ohio United States 45432
    205 Furiex Research Site Franklin Ohio United States 45005
    206 Furiex Research Site Mentor Ohio United States 44060
    207 Furiex Research Site Miamisburg Ohio United States 45342-3705
    208 Furiex Research Site Springfield Ohio United States 45504
    209 Furiex Research Site Wadsworth Ohio United States 44281
    210 Furiex Research Site Norman Oklahoma United States 73069
    211 Furiex Research Site Norman Oklahoma United States 73071
    212 Furiex Research Site Oklahoma City Oklahoma United States 73104
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    214 Furiex Research Site Yukon Oklahoma United States 73099
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    216 Furiex Research Site Hermitage Pennsylvania United States 16148
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    218 Furiex Research Site Lancaster Pennsylvania United States 17604
    219 Furiex Research Site Lansdale Pennsylvania United States 19446
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    222 Furiex Research Site Uniontown Pennsylvania United States 15401
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    224 Furiex Research Site Cumberland Rhode Island United States 02864
    225 Furiex Research Site East Providence Rhode Island United States 02914
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    227 Furiex Research Site Anderson South Carolina United States 29621
    228 Furiex Research Site Columbia South Carolina United States 29201
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    230 Furiex Research Site Greer South Carolina United States 29651
    231 Furiex Research Site Mount Pleasant South Carolina United States 29464
    232 Furiex Research Site Rapid City South Dakota United States 57702
    233 Furiex Research Site Bristol Tennessee United States 37620
    234 Furiex Research Site Chattanooga Tennessee United States 37404
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    236 Furiex Research Site Germantown Tennessee United States 38138
    237 Furiex Research Site Jackson Tennessee United States 38301
    238 Furiex Research Site Johnson City Tennessee United States 37604
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    242 Furiex Research Site Austin Texas United States 78705
    243 Furiex Research Site Bedford Texas United States 76022
    244 Furiex Research Site Colleyville Texas United States 76034
    245 Furiex Research Site El Paso Texas United States 79902
    246 Furiex Research Site Fort Worth Texas United States 76107
    247 Furiex Research Site Fort Worth Texas United States 76108
    248 Furiex Research Site Grand Prairie Texas United States 75052
    249 Furiex Research Site Grapevine Texas United States 76051
    250 Furiex Research Site Houston Texas United States 77005
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    252 Furiex Research Site Houston Texas United States 77030
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    254 Furiex Research Site Houston Texas United States 77074
    255 Furiex Research Site Houston Texas United States 77081
    256 Furiex Research Site Houston Texas United States 77090
    257 Furiex Research Site Houston Texas United States 77505
    258 Furiex Research Site Hurst Texas United States 76054
    259 Furiex Research Site Irving Texas United States 75061
    260 Furiex Research Site Lake Jackson Texas United States 77566
    261 Furiex Research Site Marshall Texas United States 75670
    262 Furiex Research Site North Richland Hills Texas United States 76180
    263 Furiex Research Site Odessa Texas United States 79761
    264 Furiex Research Site Plano Texas United States 75074
    265 Furiex Research Site San Antonio Texas United States 78209
    266 Furiex Research Site San Antonio Texas United States 78212
    267 Furiex Research Site San Antonio Texas United States 78215
    268 Furiex Research Site San Antonio Texas United States 78229
    269 Furiex Research Site San Antonio Texas United States 78258
    270 Furiex Research Site Sugar Land Texas United States 77478
    271 Furiex Research Site Sugar Land Texas United States 77479
    272 Furiex Research Site Webster Texas United States 77598
    273 Furiex Research Site Logan Utah United States 84341
    274 Furiex Research Site Ogden Utah United States 84405
    275 Furiex Research Site Salt Lake City Utah United States 84109
    276 Furiex Research Site Salt Lake City Utah United States 84121
    277 Furiex Research Site South Jordan Utah United States 84095
    278 Furiex Research Site West Jordan Utah United States 84088
    279 Furiex Research Site West Valley City Utah United States 84120
    280 Furiex Research Site Alexandria Virginia United States 22304
    281 Furiex Research Site Chesapeake Virginia United States 23320
    282 Furiex Research Site Christiansburg Virginia United States 24073
    283 Furiex Research Site Danville Virginia United States 24541
    284 Furiex Research Site Fairfax Virginia United States 22031
    285 Furiex Research Site Virginia Beach Virginia United States 23455
    286 Furiex Research Site Mill Creek Washington United States 98012-6316
    287 Furiex Research Site Madison Wisconsin United States 53715
    288 Furiex Research Site Milwaukee Wisconsin United States 53226

    Sponsors and Collaborators

    • Furiex Pharmaceuticals, Inc

    Investigators

    None specified.

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Furiex Pharmaceuticals, Inc
    ClinicalTrials.gov Identifier:
    NCT01130272
    Other Study ID Numbers:
    • 27018966IBS2001
    First Posted:
    May 25, 2010
    Last Update Posted:
    Oct 22, 2019
    Last Verified:
    Sep 1, 2019

    Study Results

    Participant Flow

    Recruitment Details 9 patients were randomized more than once, enrolling at a second (or third) site after discontinuation from the first site. Safety data was analyzed according to the highest dose received. Safety Analysis Set: Highest Dose Level in the Participant Flow reflects the reassignment of patients randomized more than once to the highest dose level arm.
    Pre-assignment Detail 807 patients were randomized in the trial. 18 of these patients were enrolled at a site terminated by Furiex, reported to the FDA for potential scientific misconduct, and were excluded from all datasets. All Randomized Patients=789 patients.
    Arm/Group Title Eluxadoline 5 mg Eluxadoline 25 mg Eluxadoline 100 mg Eluxadoline 200 mg Placebo
    Arm/Group Description Eluxadoline 5 mg tablets, orally, twice daily for up to 12 weeks. Eluxadoline 25 mg tablets, orally, twice daily for up to 12 weeks. Eluxadoline 100 mg tablets, orally, twice daily for up to 12 weeks. Eluxadoline 200 mg tablets, orally, twice daily for up to 12 weeks. Eluxadoline placebo matching tablets, orally, twice daily for up to 12 weeks.
    Period Title: Overall Study
    STARTED 107 173 169 171 169
    Safety Analysis Set: as Randomized 105 171 166 167 162
    Safety Analysis Set: Highest Dose Level 105 170 165 172 159
    COMPLETED 48 131 121 103 117
    NOT COMPLETED 59 42 48 68 52

    Baseline Characteristics

    Arm/Group Title Eluxadoline 5 mg Eluxadoline 25 mg Eluxadoline 100 mg Eluxadoline 200 mg Placebo Total
    Arm/Group Description Eluxadoline 5 mg tablets, orally, twice daily for up to 12 weeks. Eluxadoline 25 mg tablets, orally, twice daily for up to 12 weeks. Eluxadoline 100 mg tablets, orally, twice daily for up to 12 weeks. Eluxadoline 200 mg tablets, orally, twice daily for up to 12 weeks. Eluxadoline placebo matching tablets, orally, twice daily for up to 12 weeks. Total of all reporting groups
    Overall Participants 107 173 169 171 169 789
    Age (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    45.4
    (13.00)
    45.5
    (11.91)
    43.6
    (10.89)
    45.0
    (11.65)
    44.5
    (12.31)
    44.8
    (11.88)
    Age, Customized (Number) [Number]
    18 to 25 years
    13
    12.1%
    11
    6.4%
    11
    6.5%
    10
    5.8%
    11
    6.5%
    56
    7.1%
    26 to 35 years
    14
    13.1%
    33
    19.1%
    31
    18.3%
    32
    18.7%
    35
    20.7%
    145
    18.4%
    36 to 45 years
    21
    19.6%
    33
    19.1%
    45
    26.6%
    37
    21.6%
    33
    19.5%
    169
    21.4%
    46 to 55 years
    29
    27.1%
    54
    31.2%
    58
    34.3%
    60
    35.1%
    52
    30.8%
    253
    32.1%
    56 to 65 years
    30
    28%
    42
    24.3%
    24
    14.2%
    32
    18.7%
    38
    22.5%
    166
    21%
    Sex: Female, Male (Count of Participants)
    Female
    76
    71%
    120
    69.4%
    117
    69.2%
    119
    69.6%
    118
    69.8%
    550
    69.7%
    Male
    31
    29%
    53
    30.6%
    52
    30.8%
    52
    30.4%
    51
    30.2%
    239
    30.3%
    Race/Ethnicity, Customized (Number) [Number]
    White
    90
    84.1%
    144
    83.2%
    145
    85.8%
    147
    86%
    150
    88.8%
    676
    85.7%
    Black or African American
    12
    11.2%
    21
    12.1%
    18
    10.7%
    18
    10.5%
    17
    10.1%
    86
    10.9%
    Asian
    3
    2.8%
    4
    2.3%
    3
    1.8%
    4
    2.3%
    2
    1.2%
    16
    2%
    American Indian or Alaska Native
    1
    0.9%
    2
    1.2%
    0
    0%
    0
    0%
    0
    0%
    3
    0.4%
    Native Hawaiian or Other Pacific Islander
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Other
    1
    0.9%
    2
    1.2%
    3
    1.8%
    2
    1.2%
    0
    0%
    8
    1%
    Race/Ethnicity, Customized (Number) [Number]
    Hispanic or Latino
    13
    12.1%
    31
    17.9%
    32
    18.9%
    22
    12.9%
    24
    14.2%
    122
    15.5%
    Not Hispanic or Latino
    94
    87.9%
    142
    82.1%
    137
    81.1%
    149
    87.1%
    145
    85.8%
    667
    84.5%
    Height (cm) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [cm]
    167.05
    (9.807)
    166.26
    (9.523)
    168.38
    (9.941)
    167.82
    (9.201)
    167.40
    (9.725)
    167.40
    (9.632)
    Weight (kg) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [kg]
    89.10
    (23.027)
    83.95
    (23.657)
    86.04
    (23.796)
    86.53
    (21.584)
    86.28
    (21.246)
    86.15
    (22.671)
    Body Mass Index (BMI) (kg/m^2) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [kg/m^2]
    31.88
    (7.739)
    30.41
    (8.398)
    30.16
    (7.059)
    30.71
    (7.290)
    30.81
    (7.443)
    30.71
    (7.595)

    Outcome Measures

    1. Primary Outcome
    Title Percentage of Participants Who Were Composite Responders Based on Improvements From Baseline in Daily Worst Abdominal Pain and Daily Stool Consistency Scores at Week 4
    Description Composite responders were defined as participants who completed at least 5 out of 7 days with diary entries during the interval of interest and met both of the following criteria: 1) Average daily pain response scores over the past week improved by ≥30% and at least 2 points as compared with the baseline average pain score (average of daily worst abdominal pain the week prior to randomization), 2) Bristol Stool Scale (BSS) score of 3 or 4 on 66% of reported days in the past week. Abdominal pain was assessed on an 11-point scale where: 0=no pain to 10=worst pain imaginable. Stool consistency was assessed using the BSS 7-point scale where: 1=separate hard lumps, 2=sausage shaped but lumpy, 3=sausage-like with cracks on the surface, 4=sausage-like but smooth and soft, 5=soft blobs with clear cut edges, 6=fluffy pieces with ragged edges, and 7=watery with no solid pieces.
    Time Frame Baseline (Week prior to Randomization) to Week 4

    Outcome Measure Data

    Analysis Population Description
    Intent to treat (ITT) set was defined as the 754 participants that received at least 1 dose of study drug and had baseline and at least 1 postrandomization daily pain rating and 1 postrandomization Bristol Stool Scale (BSS) rating.
    Arm/Group Title Eluxadoline 5 mg Eluxadoline 25 mg Eluxadoline 100 mg Eluxadoline 200 mg Placebo
    Arm/Group Description Eluxadoline 5 mg tablets, orally, twice daily for up to 12 weeks. Eluxadoline 25 mg tablets, orally, twice daily for up to 12 weeks. Eluxadoline 100 mg tablets, orally, twice daily for up to 12 weeks. Eluxadoline 200 mg tablets, orally, twice daily for up to 12 weeks. Eluxadoline placebo matching tablets, orally, twice daily for up to 12 weeks.
    Measure Participants 105 167 163 160 159
    Number [percentage of participants]
    12.4
    11.6%
    12.0
    6.9%
    11.0
    6.5%
    13.8
    8.1%
    5.7
    3.4%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Eluxadoline 5 mg
    Comments
    Type of Statistical Test Superiority or Other (legacy)
    Comments
    Statistical Test of Hypothesis p-Value 0.052
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter Odds Ratio (OR)
    Estimated Value 2.457
    Confidence Interval (2-Sided) 95%
    0.994 to 6.077
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Eluxadoline 25 mg
    Comments
    Type of Statistical Test Superiority or Other (legacy)
    Comments
    Statistical Test of Hypothesis p-Value 0.041
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter Odds Ratio (OR)
    Estimated Value 2.383
    Confidence Interval (2-Sided) 95%
    1.036 to 5.478
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Eluxadoline 100 mg
    Comments
    Type of Statistical Test Superiority or Other (legacy)
    Comments
    Statistical Test of Hypothesis p-Value 0.090
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter Odds Ratio (OR)
    Estimated Value 2.079
    Confidence Interval (2-Sided) 95%
    0.893 to 4.842
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Eluxadoline 200 mg
    Comments
    Type of Statistical Test Superiority or Other (legacy)
    Comments
    Statistical Test of Hypothesis p-Value 0.015
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter Odds Ratio (OR)
    Estimated Value 2.797
    Confidence Interval (2-Sided) 95%
    1.227 to 6.376
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    2. Primary Outcome
    Title Percentage of Participants Who Were Composite Responders Based on Improvements From Baseline in Daily Worst Abdominal Pain and Daily Stool Consistency Scores at Week 12
    Description Composite responders were defined as participants who completed at least 5 out of 7 days with diary entries during the interval of interest and met both of the following criteria: 1) Average daily pain response scores over the past week improved by ≥30% and at least 2 points as compared with the baseline average pain score (average of daily worst abdominal pain the week prior to randomization), 2) Bristol Stool Scale (BSS) score of 3 or 4 on 66% of reported days in the past week. The participant recorded their abdominal pain in a daily diary using an 11-point scale where: 0=no pain to 10=worst pain imaginable. The participant recorded stool consistency in a daily diary using the BSS 7-point scale where: 1=separate hard lumps, 2=sausage shaped but lumpy, 3=sausage-like with cracks on the surface, 4=sausage-like but smooth and soft, 5=soft blobs with clear cut edges, 6=fluffy pieces with ragged edges, and 7=watery with no solid pieces.
    Time Frame Baseline (Week prior to Randomization) to Week 12

    Outcome Measure Data

    Analysis Population Description
    ITT analysis set was defined as the 754 participants that received at least 1 dose of study drug and had baseline and at least 1 postrandomization daily pain rating and 1 postrandomization Bristol Stool Scale (BSS) rating.
    Arm/Group Title Eluxadoline 5 mg Eluxadoline 25 mg Eluxadoline 100 mg Eluxadoline 200 mg Placebo
    Arm/Group Description Eluxadoline 5 mg tablets, orally, twice daily for up to 12 weeks. Eluxadoline 25 mg tablets, orally, twice daily for up to 12 weeks. Eluxadoline 100 mg tablets, orally, twice daily for up to 12 weeks. Eluxadoline 200 mg tablets, orally, twice daily for up to 12 weeks. Eluxadoline placebo matching tablets, orally, twice daily for up to 12 weeks.
    Measure Participants 105 167 163 160 159
    Number [percentage of participants]
    8.6
    8%
    13.2
    7.6%
    20.2
    12%
    15.0
    8.8%
    11.3
    6.7%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Eluxadoline 5 mg
    Comments
    Type of Statistical Test Superiority or Other (legacy)
    Comments
    Statistical Test of Hypothesis p-Value 0.449
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter Odds Ratio (OR)
    Estimated Value 0.719
    Confidence Interval (2-Sided) 95%
    0.306 to 1.689
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Eluxadoline 25 mg
    Comments
    Type of Statistical Test Superiority or Other (legacy)
    Comments
    Statistical Test of Hypothesis p-Value 0.583
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter Odds Ratio (OR)
    Estimated Value 1.208
    Confidence Interval (2-Sided) 95%
    0.615 to 2.373
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Eluxadoline 100 mg
    Comments
    Type of Statistical Test Superiority or Other (legacy)
    Comments
    Statistical Test of Hypothesis p-Value 0.030
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter Odds Ratio (OR)
    Estimated Value 2.014
    Confidence Interval (2-Sided) 95%
    1.069 to 3.795
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Eluxadoline 200 mg
    Comments
    Type of Statistical Test Superiority or Other (legacy)
    Comments
    Statistical Test of Hypothesis p-Value 0.326
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter Odds Ratio (OR)
    Estimated Value 1.395
    Confidence Interval (2-Sided) 95%
    0.717 to 2.716
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    3. Secondary Outcome
    Title Change From Baseline in the Weekly Pain Scores
    Description The participant recorded their worst daily pain score in a diary using an 11-point scale where: 0=no pain to 10=worst pain imaginable. The daily scores over the previous week were averaged. A negative change from Baseline indicates improvement.
    Time Frame Baseline (Week Prior to Randomization) to Weeks 4, 8, and 12

    Outcome Measure Data

    Analysis Population Description
    ITT analysis set was defined as the 754 participants that received at least 1 dose of study drug and had baseline and at least 1 postrandomization daily pain rating and 1 postrandomization Bristol Stool Scale (BSS) rating. Number analyzed is the number of participants with data available at the given time-point.
    Arm/Group Title Eluxadoline 5 mg Eluxadoline 25 mg Eluxadoline 100 mg Eluxadoline 200 mg Placebo
    Arm/Group Description Eluxadoline 5 mg tablets, orally, twice daily for up to 12 weeks. Eluxadoline 25 mg tablets, orally, twice daily for up to 12 weeks. Eluxadoline 100 mg tablets, orally, twice daily for up to 12 weeks. Eluxadoline 200 mg tablets, orally, twice daily for up to 12 weeks. Eluxadoline placebo matching tablets, orally, twice daily for up to 12 weeks.
    Measure Participants 105 167 163 160 159
    Baseline
    5.75
    (1.541)
    5.91
    (1.699)
    6.11
    (1.723)
    5.78
    (1.477)
    5.87
    (1.671)
    Change from Baseline to Week 4
    -1.76
    (1.964)
    -2.11
    (1.922)
    -2.33
    (1.945)
    -2.20
    (1.874)
    -2.09
    (2.085)
    Change from Baseline to Week 8
    -2.35
    (2.105)
    -2.54
    (2.200)
    -2.81
    (1.973)
    -2.58
    (2.099)
    -2.54
    (2.330)
    Change from Baseline to Week 12
    -2.50
    (1.979)
    -2.57
    (2.220)
    -3.25
    (2.115)
    -2.96
    (2.138)
    -2.65
    (2.339)
    4. Secondary Outcome
    Title Change From Baseline in Weekly BSS Scores
    Description The patient recorded stool consistency in a daily diary using the BSS 7-point scale where: 1=hard stool to 7=watery diarrhea. The daily scores over the previous week were averaged. A negative change from Baseline indicates improvement.
    Time Frame Baseline (Week prior to Randomization) to Weeks 4, 8, and 12

    Outcome Measure Data

    Analysis Population Description
    ITT analysis set was defined as the 754 participants that received at least 1 dose of study drug and had baseline and at least 1 postrandomization daily pain rating and 1 postrandomization Bristol Stool Scale (BSS) rating. Number analyzed is the number of participants with data available at the given time-point.
    Arm/Group Title Eluxadoline 5 mg Eluxadoline 25 mg Eluxadoline 100 mg Eluxadoline 200 mg Placebo
    Arm/Group Description Eluxadoline 5 mg tablets, orally, twice daily for up to 12 weeks. Eluxadoline 25 mg tablets, orally, twice daily for up to 12 weeks. Eluxadoline 100 mg tablets, orally, twice daily for up to 12 weeks. Eluxadoline 200 mg tablets, orally, twice daily for up to 12 weeks. Eluxadoline placebo matching tablets, orally, twice daily for up to 12 weeks.
    Measure Participants 105 167 163 160 159
    Baseline
    6.19
    (0.445)
    6.24
    (0.404)
    6.22
    (0.429)
    6.23
    (0.420)
    6.20
    (0.439)
    Change from Baseline to Week 4
    -1.09
    (1.095)
    -1.17
    (1.116)
    -1.48
    (1.326)
    -1.66
    (1.266)
    -0.99
    (1.179)
    Change from Baseline to Week 8
    -1.19
    (1.125)
    -1.39
    (1.193)
    -1.64
    (1.331)
    -1.71
    (1.373)
    -1.19
    (1.185)
    Change from Baseline to Week 12
    -1.37
    (1.206)
    -1.41
    (1.225)
    -1.68
    (1.296)
    -1.89
    (1.317)
    -1.27
    (1.281)
    5. Secondary Outcome
    Title Change From Baseline in the Number of Daily Bowel Movements
    Description Participants recorded the number of bowel movements in a daily diary at the same time each day. The number of daily bowel movements over the previous week were averaged. A negative change from Baseline indicates improvement.
    Time Frame Baseline (Week prior to Randomization) to Weeks 4, 8, and 12

    Outcome Measure Data

    Analysis Population Description
    ITT analysis set was defined as the 754 participants that received at least 1 dose of study drug and had baseline and at least 1 postrandomization daily pain rating and 1 postrandomization Bristol Stool Scale (BSS) rating. Number analyzed is the number of participants with data available at the given time-point.
    Arm/Group Title Eluxadoline 5 mg Eluxadoline 25 mg Eluxadoline 100 mg Eluxadoline 200 mg Placebo
    Arm/Group Description Eluxadoline 5 mg tablets, orally, twice daily for up to 12 weeks. Eluxadoline 25 mg tablets, orally, twice daily for up to 12 weeks. Eluxadoline 100 mg tablets, orally, twice daily for up to 12 weeks. Eluxadoline 200 mg tablets, orally, twice daily for up to 12 weeks. Eluxadoline placebo matching tablets, orally, twice daily for up to 12 weeks.
    Measure Participants 105 167 163 160 159
    Baseline
    4.55
    (2.474)
    4.43
    (3.155)
    5.13
    (3.590)
    4.99
    (3.206)
    4.91
    (3.567)
    Change from Baseline to Week 4
    -1.14
    (1.702)
    -1.19
    (1.673)
    -1.71
    (1.989)
    -2.03
    (2.519)
    -1.39
    (3.096)
    Change from Baseline to Week 8
    -1.40
    (2.093)
    -1.31
    (1.607)
    -1.85
    (1.944)
    -2.20
    (2.927)
    -1.65
    (3.423)
    Change from Baseline to Week 12
    -1.59
    (2.413)
    -1.38
    (1.727)
    -2.13
    (2.139)
    -2.29
    (2.857)
    -1.71
    (3.599)
    6. Secondary Outcome
    Title Percentage of Participants With Response Based on Participants Achieving Prespecified Improvement in Symptoms for at Least 50% of the Time
    Description Responders were participants that met both of the following criteria on the same week for at least 50% of time on study: 1) average of daily pain scores over the past week improved by ≥30% compared with baseline average in pain score, 2) ≥50% reduction in the number of days over the past week with a BSS score ≥5 compared with Baseline. Participants must also have had at least 5/7 days diary entry to be considered a responder for that week. Abdominal pain was assessed on an 11-point scale where a score of 0=no pain to 10=worst pain imaginable. Stool consistency was assessed using the BSS 7-point scale where: 1=separate hard lumps to 7=watery with no solid pieces. Response rates (percentage of participants) are based on model estimates from the logistic regression.
    Time Frame Baseline (Week Prior to Randomization) to Weeks 1-12

    Outcome Measure Data

    Analysis Population Description
    ITT Analysis Set; Subjects were included in the interval of Weeks 1-4, Weeks 5-8, or Weeks 9-12 if they received at least 1 dose of study medication within that interval.
    Arm/Group Title Eluxadoline 5 mg Eluxadoline 25 mg Eluxadoline 100 mg Eluxadoline 200 mg Placebo
    Arm/Group Description Eluxadoline 5 mg tablets, orally, twice daily for up to 12 weeks. Eluxadoline 25 mg tablets, orally, twice daily for up to 12 weeks. Eluxadoline 100 mg tablets, orally, twice daily for up to 12 weeks. Eluxadoline 200 mg tablets, orally, twice daily for up to 12 weeks. Eluxadoline placebo matching tablets, orally, twice daily for up to 12 weeks.
    Measure Participants 105 167 163 160 159
    Weeks 1-12
    16.5
    15.4%
    20.2
    11.7%
    29.7
    17.6%
    30.6
    17.9%
    19.0
    11.2%
    Weeks 1-4
    18.0
    16.8%
    21.0
    12.1%
    24.9
    14.7%
    32.7
    19.1%
    20.0
    11.8%
    Weeks 5-8
    29.3
    27.4%
    34.4
    19.9%
    43.0
    25.4%
    39.3
    23%
    30.3
    17.9%
    Weeks 9-12
    29.7
    27.8%
    34.4
    19.9%
    49.1
    29.1%
    50.7
    29.6%
    31.0
    18.3%

    Adverse Events

    Time Frame First dose of study drug and up to and including 7 days after date of the last dose of study drug (Up to 114 days)
    Adverse Event Reporting Description Safety population: all patients enrolled who received at least 1 dose of study drug. Nine patients were identified as having been randomized more than once in the study, enrolling at a second (or third) site after discontinuation from the first site. All available data for each patient was included in the Safety Analysis Set and was analyzed according to the highest dose level of treatment received.
    Arm/Group Title Placebo Eluxadoline 5 mg Eluxadoline 25 mg Eluxadoline 100 mg Eluxadoline 200 mg
    Arm/Group Description Eluxadoline placebo matching tablets, orally, twice daily for up to 12 weeks. Eluxadoline 5 mg tablets, orally, twice daily for up to 12 weeks. Eluxadoline 25 mg tablets, orally, twice daily for up to 12 weeks. Eluxadoline 100 mg tablets, orally, twice daily for up to 12 weeks. Eluxadoline 200 mg tablets, orally, twice daily for up to 12 weeks.
    All Cause Mortality
    Placebo Eluxadoline 5 mg Eluxadoline 25 mg Eluxadoline 100 mg Eluxadoline 200 mg
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total / (NaN) / (NaN) / (NaN) / (NaN) / (NaN)
    Serious Adverse Events
    Placebo Eluxadoline 5 mg Eluxadoline 25 mg Eluxadoline 100 mg Eluxadoline 200 mg
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 1/159 (0.6%) 1/105 (1%) 3/170 (1.8%) 1/165 (0.6%) 3/172 (1.7%)
    Gastrointestinal disorders
    Pancreatitis 0/159 (0%) 0/105 (0%) 1/170 (0.6%) 0/165 (0%) 0/172 (0%)
    Alcoholic pancreatitis 0/159 (0%) 0/105 (0%) 0/170 (0%) 0/165 (0%) 1/172 (0.6%)
    Pancreatitis acute 0/159 (0%) 0/105 (0%) 0/170 (0%) 1/165 (0.6%) 1/172 (0.6%)
    Appendicitis perforated 0/159 (0%) 0/105 (0%) 0/170 (0%) 0/165 (0%) 1/172 (0.6%)
    General disorders
    Noncardiac chest pain 0/159 (0%) 1/105 (1%) 0/170 (0%) 0/165 (0%) 0/172 (0%)
    Infections and infestations
    Pneumonia 0/159 (0%) 0/105 (0%) 1/170 (0.6%) 0/165 (0%) 0/172 (0%)
    Psychiatric disorders
    Anxiety 1/159 (0.6%) 0/105 (0%) 0/170 (0%) 0/165 (0%) 0/172 (0%)
    Depression 1/159 (0.6%) 0/105 (0%) 0/170 (0%) 0/165 (0%) 0/172 (0%)
    Major depression 0/159 (0%) 0/105 (0%) 1/170 (0.6%) 0/165 (0%) 0/172 (0%)
    Affective disorder 0/159 (0%) 0/105 (0%) 1/170 (0.6%) 0/165 (0%) 0/172 (0%)
    Other (Not Including Serious) Adverse Events
    Placebo Eluxadoline 5 mg Eluxadoline 25 mg Eluxadoline 100 mg Eluxadoline 200 mg
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 25/159 (15.7%) 20/105 (19%) 34/170 (20%) 27/165 (16.4%) 43/172 (25%)
    Gastrointestinal disorders
    Nausea 7/159 (4.4%) 6/105 (5.7%) 11/170 (6.5%) 9/165 (5.5%) 18/172 (10.5%)
    Abdominal pain 3/159 (1.9%) 3/105 (2.9%) 6/170 (3.5%) 4/165 (2.4%) 13/172 (7.6%)
    Vomiting 1/159 (0.6%) 1/105 (1%) 7/170 (4.1%) 7/165 (4.2%) 12/172 (7%)
    Constipation 4/159 (2.5%) 2/105 (1.9%) 5/170 (2.9%) 10/165 (6.1%) 6/172 (3.5%)
    Infections and infestations
    Sinusitis 9/159 (5.7%) 5/105 (4.8%) 4/170 (2.4%) 3/165 (1.8%) 1/172 (0.6%)
    Nervous system disorders
    Dizziness 4/159 (2.5%) 4/105 (3.8%) 4/170 (2.4%) 5/165 (3%) 11/172 (6.4%)
    Headache 6/159 (3.8%) 3/105 (2.9%) 12/170 (7.1%) 5/165 (3%) 7/172 (4.1%)

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

    Principal Investigators are NOT employed by the organization sponsoring the study.

    All data generated in this study will be the property of Forest Research Institute, Inc. An integrated clinical and statistical report will be prepared at the completion of the study. Publication of the results by the Investigator will be subject to mutual agreement between the Investigator and Forest Research Institute, Inc.

    Results Point of Contact

    Name/Title Therapeutic Area Head
    Organization Allergan
    Phone 714-246-4500
    Email clinicaltrials@allergan.com
    Responsible Party:
    Furiex Pharmaceuticals, Inc
    ClinicalTrials.gov Identifier:
    NCT01130272
    Other Study ID Numbers:
    • 27018966IBS2001
    First Posted:
    May 25, 2010
    Last Update Posted:
    Oct 22, 2019
    Last Verified:
    Sep 1, 2019