Étude pour explorer l'effet thérapeutique de l'eluxadoline dans le traitement du syndrome du côlon irritable avec diarrhée chez les enfants
Étude de phase 2, randomisée, en double aveugle, contrôlée par placebo, à groupes parallèles et à dose variable pour évaluer l'innocuité et l'efficacité de l'éluxadoline chez les participants pédiatriques (âgés de 6 à 17 ans) atteints du syndrome du côlon irritable avec diarrhée (IBS-D)
The primary objectives of this study are to explore the therapeutic effect of eluxadoline in treating irritable bowel syndrome with diarrhea (IBS-D) in pediatric participants 6-17 years of age, to evaluate the pharmacokinetics of eluxadoline in pediatric participants with IBS-D, and to evaluate the safety and tolerability of eluxadoline in pediatric participants with IBS-D. Enrollment of 12-17 years old age group is closed, enrollment of the 6-11 years old age group will continue.
Aperçu de l'étude
Statut
Statut
Les conditions
Les conditions
Intervention / Traitement
Intervention / Traitement
Type d'étude
Type d'étude
Inscription (Réel)
Inscription
Phase
Phase
- Phase 2
Contacts et emplacements
Lieux d'étude
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Wuppertal, Allemagne, 42283
- HELIOS Klinikum Wuppertal /ID# 237322
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Kozloduy, Bulgarie, 3320
- MHATSv.Ivan Rilski /ID# 235399
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Plovdiv, Bulgarie, 4001
- University Hospital Plovdiv /ID# 235450
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Gabrovo
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Sevlievo, Gabrovo, Bulgarie, 5400
- Medical center 1 Sevlievo /ID# 237473
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Edmonton, Canada, T6G 1C9
- Duplicate_Edmonton Clinic Health Academy (ECHA) /ID# 234917
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Winnepeg, Canada, R3E 3P4
- Manitoba Institute of Child Health /ID# 235448
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Valencia, Espagne, 46017
- Hospital Universitario Dr. Peset /ID# 236755
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Budapest, Hongrie, 1125
- Eszak-Kozep-budai Centrum, Uj Szent Janos Korhaz /ID# 236993
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Sopron, Hongrie, 9400
- Soproni Erzsebet Oktato Korhaz es Rehabilitacios Intezet /ID# 237341
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Székesfehérvár, Hongrie, 8000
- Vita Verum Medical Bt. /ID# 234321
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North Holland
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Amsterdam, North Holland, Pays-Bas, 1105 AZ
- Duplicate_Academisch Medisch Centrum /ID# 237117
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Lesser Poland Voivodeship
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Krakow, Lesser Poland Voivodeship, Pologne, 30-539
- Specjalistyczne Gabinety Sp. z o.o. /ID# 236347
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Masovian Voivodeship
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Warsaw, Masovian Voivodeship, Pologne, 00-189
- Centrum Zdrowia MDM /ID# 237269
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Warsaw, Masovian Voivodeship, Pologne, 04-730
- Duplicate_Instytut Pomnik - Centrum Zdrowia Dziecka /ID# 234311
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Podkarpackie Voivodeship
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Rzeszów, Podkarpackie Voivodeship, Pologne, 35-302
- Korczowski Bartosz Gabinet Lekarski /ID# 234683
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Pomeranian Voivodeship
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Gdansk, Pomeranian Voivodeship, Pologne, 80-803
- Copertnicus Podmiot Leczniczy Sp. z o.o. /ID# 235656
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Łódź Voivodeship
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Lodz, Łódź Voivodeship, Pologne, 93-338
- Instytut Centrum Zdrowia Matki Polki /ID# 237438
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Blackpool, Royaume-Uni, FY3 8NR
- Blackpool Teaching Hospitals NHS Foundation Trust /ID# 237273
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Greater London
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London, Greater London, Royaume-Uni, SE5 9RS
- Kings College Hospital NHS Foundation Trust /ID# 236305
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Lancashire
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Manchester, Lancashire, Royaume-Uni, M13 9WL
- Duplicate_Manchester University NHS Foundation Trust /ID# 234663
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Arkansas
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Hot Springs, Arkansas, États-Unis, 71913
- HealthStar Research of Hot Springs PLLC /ID# 234609
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Little Rock, Arkansas, États-Unis, 72212-4187
- Applied Research Center of Arkansas /ID# 238070
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California
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Corona, California, États-Unis, 92879
- Kindred Medical Institute, LLC /ID# 237368
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Garden Grove, California, États-Unis, 92845
- Duplicate_VVCRD Research /ID# 234606
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Paramount, California, États-Unis, 90723
- Duplicate_Center for Clinical Trials LLC /ID# 234630
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Florida
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Miami, Florida, États-Unis, 33130
- Sunrise Research Institute /ID# 237382
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Miami, Florida, États-Unis, 33155
- South Miami Medical & Research Group Inc. /ID# 234655
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Miami, Florida, États-Unis, 33165
- Valencia Medical & Research Center /ID# 234672
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Miami, Florida, États-Unis, 33174
- Florida Research Center, Inc. /ID# 236514
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Miami Lakes, Florida, États-Unis, 33016
- Duplicate_Wellness Clinical Research /ID# 237401
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Georgia
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Atlanta, Georgia, États-Unis, 30315
- Global Research Associates /ID# 234646
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Atlanta, Georgia, États-Unis, 30342
- Children's Ctr Digestive, US /ID# 237575
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Stockbridge, Georgia, États-Unis, 30281
- Sleep Care Research Institute d/b/a Clinical Research Institute /ID# 236343
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Illinois
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Park Ridge, Illinois, États-Unis, 60068
- Advocate Children's Hospital-Park Ridge /ID# 235388
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Indiana
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Indianapolis, Indiana, États-Unis, 46202
- Indiana University Health Riley Hospital for Children /ID# 235400
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Kentucky
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Lexington, Kentucky, États-Unis, 40517
- Michael W. Simon, MD, PSC /ID# 236517
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Maryland
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New Market, Maryland, États-Unis, 21774-6154
- Frederick County Pediatrics /ID# 234519
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Minnesota
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Minneapolis, Minnesota, États-Unis, 55413-2195
- MNGI Digestive Health, P. A. /ID# 238057
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New Jersey
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Marlton, New Jersey, États-Unis, 08053
- Celen Medical Group Corp - Marlton /ID# 234922
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Oklahoma
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Oklahoma City, Oklahoma, États-Unis, 73106
- IPS Research Company /ID# 237672
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Pennsylvania
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Philadelphia, Pennsylvania, États-Unis, 19104-4319
- Children's Hospital of Philadelphia - Main /ID# 234313
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Pittsburgh, Pennsylvania, États-Unis, 15236
- Preferred Primary Care Physicians, Inc. /ID# 236436
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Texas
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Fort Worth, Texas, États-Unis, 76104
- Cook Children's Med. Center /ID# 237537
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Houston, Texas, États-Unis, 77030-2608
- Texas Children's Hospital /ID# 238304
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San Antonio, Texas, États-Unis, 78215
- Sun Research Institute /ID# 236933
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West Virginia
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Morgantown, West Virginia, États-Unis, 26506
- West Virginia University Hospitals /ID# 256841
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Critères de participation
Critère d'éligibilité
Critère d'éligibilité
Âges éligibles pour étudier
Accepte les volontaires sains
Sexes éligibles pour l'étude
La description
Inclusion Criteria:
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Participant must provide written or verbal informed assent and the parent/guardian/LAR must provide written informed consent before the initiation of any study-specific procedures.
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Participant is a male or female outpatient, 6 to 17 years of age inclusive, at the time the participant provides assent for the study and parent/guardian/LAR has provided signed consent.
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Participant is able to read and understand the assessments in the eDiary. If the participant is 6 to 11 years of age and does not meet this criterion, the interviewer-administered version of the eDiary must be used and the parent/guardian/LAR or caregiver who will be administering the interviewer-administered version of the eDiary must be able to read and understand the assessments in the eDiary and must undergo training.
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Female participants must not be pregnant, breastfeeding, or considering becoming pregnant during the study or for approximately 30 days after the last dose of study drug. Female participants of childbearing potential must have a negative serum pregnancy test at Visit 1 (screening) and a negative urine pregnancy test at Visit 3 (randomization) prior to dosing.
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Female participants of childbearing potential must practice at least 1 protocol-specified method of birth control, that is effective from Study Day 1 through at least 30 days after the last dose of study drug. Local practices may require 2 methods of birth control. Female participants of non-childbearing potential do not need to use birth control.
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Participant has a diagnosis of IBS-D as defined by the modified Rome IV child/adolescent criteria: Must include all of the following:
-- Abdominal pain at least 4 days per month over at least 2 months associated with one or more of the following:
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Related to defecation
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A change in frequency of stool
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A change in form (appearance) of stool
- After appropriate evaluation, the symptoms cannot be fully explained by another medical condition.
- Participant has predominantly diarrheal stool symptoms defined as Bristol stool types 6 or 7 for more than 25% of bowel movements and Bristol stool types 1 or 2 for less than 25% of bowel movements that occur in the absence of laxative.
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Participant may be newly diagnosed with IBS-D by the investigator at Visit 1. All criteria for diagnosis must be fulfilled for at least 2 months prior to Visit 1 (screening).
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Participant has been compliant with the eDiary by completing both the morning and evening assessments for at least 8 out of the 14 days immediately preceding Visit 3 (randomization).
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Participant has an average daytime abdominal pain score greater than or equal to 1.0 over the 2 weeks prior to randomization.
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Participant has at least 1 daytime bowel movement with a consistency of Type 6 or Type 7 on the pediatric Bristol Stool Form Scale (p-BSFS) on at least 2 days per week during the 2 weeks immediately prior to randomization and that occurs in the absence of laxatives.
Exclusion Criteria:
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Participant has no gallbladder, (ie, agenesis of the gallbladder or cholecystectomy).
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Participant has had any of the following surgeries:
- Any abdominal surgery within the 3 months prior to Screening; or
- A history of major gastric, hepatic, pancreatic, or intestinal surgery. (Note: appendectomy, hemorrhoidectomy, or polypectomy greater than 3 months post-surgery are allowed. For the purposes of this study, laparoscopic surgeries without complication are considered minor and non-exclusionary, provided the condition for which the surgery was performed was not exclusionary.)
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Participant has a history of chronic or severe constipation or sequelae from constipation, or known or suspected mechanical GI obstruction or pseudo obstruction.
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Participant has a history or current diagnosis of constipation with encopresis.
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Participant meets the child/adolescent Rome IV criteria of IBS with constipation, IBS with constipation and diarrhea (mixed), unspecified IBS, or functional constipation.
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Participant has a history of intestinal obstruction, stricture, toxic megacolon, GI perforation, fecal impaction, gastric banding, bariatric surgery, adhesions, ischemic colitis, or impaired intestinal circulation.
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Participant has a documented history of hepatic impairment as defined by Child-Pugh Classification Grade A, B or C.
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Participant has a history or current diagnosis of inflammatory or immune-mediated lower GI disorders including inflammatory bowel disease (eg, Crohn's disease, ulcerative colitis, microscopic colitis). Crohn's disease affecting the upper GI tract would also be exclusionary.
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Participant has celiac disease, or a positive serological test for celiac disease and the condition has not been ruled out by endoscopic biopsy.
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Participant has any congenital and/or acquired malabsorption syndrome (eg, Shwachman-Diamond syndrome).
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Participant has a history of a microbiologically documented (ie, stool culture or medical history) GI infection within 3 months prior to Screening.
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Participant has a known lactose or fructose intolerance that is associated with diarrhea, abdominal pain or discomfort, and that could confound assessments in the study.
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Participant has a history of diverticulitis within 3 months prior to Screening.
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Traitement
- Répartition: Randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Tripler
Nombre de bras
Armes et Interventions
Groupe de participants / BrasGroupe de participants / Bras |
Intervention / TraitementIntervention / Traitement |
|---|---|
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Expérimental: Eluxadoline 25mg
Eluxadoline 25mg, oral administration, twice daily |
Oral tablets
Autres noms:
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Expérimental: Eluxadoline 50mg
Eluxadoline 50mg, oral administration, twice daily |
Oral tablets
Autres noms:
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Expérimental: Eluxadoline 100mg
Eluxadoline 100mg, oral administration, twice daily |
Oral tablets
Autres noms:
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Expérimental: Placebo
Dose-matched placebo, oral administration, twice daily |
Oral tablets |
Que mesure l'étude ?
Principaux critères de jugement
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
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Change from baseline in stool consistency averaged over the 4-week Treatment Period
Délai: Baseline (2 Weeks prior to randomization) to Week 4
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Stool consistency will be assessed using the Pediatric Bristol Stool Form Scale (p-BSFS) on a range from 1 (Hard Lumps) to 7 (Watery). |
Baseline (2 Weeks prior to randomization) to Week 4
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Mesures de résultats secondaires
Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Change from baseline in stool consistency for daily daytime and nighttime stool consistency scores
Délai: Baseline (2 Weeks prior to randomization) to Week 4
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Stool consistency will be assessed using the Pediatric Bristol Stool Form Scale (p-BSFS) on a range from 1 (Hard Lumps) to 7 (Watery). |
Baseline (2 Weeks prior to randomization) to Week 4
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Change from baseline for daytime, nighttime, and 24-hour abdominal pain scores
Délai: Baseline (2 Weeks prior to randomization) to Week 4
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Abdominal Pain is scored on a five-point ordinal scale, with 0 meaning no pain, and 4 meaning a lot of pain. |
Baseline (2 Weeks prior to randomization) to Week 4
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Change from baseline for daytime, nighttime, and 24-hour bowel movement frequency
Délai: Baseline (2 Weeks prior to randomization) to Week 4
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Change from baseline in the number of bowel movements. |
Baseline (2 Weeks prior to randomization) to Week 4
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Change from baseline for daytime, nighttime, and 24 hour urgency-free days
Délai: Baseline (2 Weeks prior to randomization) to Week 4
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Change from baseline in the number of urgency free days in a week. |
Baseline (2 Weeks prior to randomization) to Week 4
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Change from baseline for daytime, nighttime, and 24 hour number of fecal incontinence-free days
Délai: Baseline (2 Weeks prior to randomization) to Week 4
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Change from baseline in the number of fecal incontinence-free days in a week. |
Baseline (2 Weeks prior to randomization) to Week 4
|
Collaborateurs et enquêteurs
Parrainer
Parrainer
Les enquêteurs
Les enquêteurs
- Directeur d'études: ABBVIE INC., AbbVie
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Réel)
Début de l'étude
Achèvement primaire (Réel)
Achèvement primaire
Achèvement de l'étude (Réel)
Achèvement de l'étude
Dates d'inscription aux études
Première soumission
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première soumission répondant aux critères de contrôle qualité
Première publication (Réel)
Première publication
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour publiée
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Dernière vérification
Plus d'information
Termes liés à cette étude
Mots clés
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
Autres numéros d'identification d'étude
- 3030-202-002
- 2017 (Subvention/contrat des NIH des États-Unis)
- 2017-003770-14 (Numéro EudraCT)
Plan pour les données individuelles des participants (IPD)
Prévoyez-vous de partager les données individuelles des participants (DPI) ?
Description du régime IPD
AbbVie is committed to responsible clinical trial data sharing. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information.
Délai de partage IPD
For details on when studies are available for sharing visit https://vivli.org/ourmember/abbvie/
Critères d'accès au partage IPD
To learn more about the process, or to submit a request, visit the following link https://www.abbvieclinicaltrials.com/hcp/data-sharing/
Type d'informations de prise en charge du partage d'IPD
- PROTOCOLE D'ÉTUDE
- SÈVE
- RSE
Informations sur les médicaments et les dispositifs, documents d'étude
Étudie un produit pharmaceutique réglementé par la FDA américaine
Étudie un produit d'appareil réglementé par la FDA américaine
produit fabriqué et exporté des États-Unis.
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