New hope for toddlers with chronic constipation?
NCT ID NCT05652205
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested the drug linaclotide in children aged 2 to 5 years with functional constipation, a common condition with no approved treatments. In the first part, children received either linaclotide or a placebo for 12 weeks to see if it increased bowel movements. In the second part, all children received linaclotide for 24 weeks to check long-term safety. The goal is to find a safe and effective treatment for this age group.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Linaclotide
- What this could lead to
- If successful, this could provide a new, approved treatment option for young children with chronic constipation.
- What could go wrong
- This is a completed Phase 3 trial, but results are not yet published. The drug may not show significant benefit over placebo, and side effects like diarrhea are possible.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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123 people
The number who actually took part.
- Started
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Dec 2022
- Finished
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Sep 2025
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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2 to 5 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Caregiver/parent/guardian/legally authorized representative (LAR) is willing and able to comply with procedures required in this protocol, prior to the initiation of any screening or study-specific procedures. In addition, the caregiver/parent/guardian/LAR who will be completing the electronic diary (eDiary) must be able to read and understand the assessments in the eDiary device and undergo training. * Participant meets modified Rome IV criteria for FC: For at least 1 month before Screening (Visit 1), the participant has had 2 or fewer defecations (with each defecation occurring in the absence of any laxative, suppository, or enema use during the preceding 24 hours) per week. In addition, at least once per week, participant must meet 1 or more of the following: * History of retentive posturing or excessive volitional stool retention. * History of painful or hard bowel movements (BMs). * Presence of a large fecal mass in the rectum. * History of large diameter stools. * At least 1 episode of fecal incontinence per week after the acquisition of toileting skills, if applicable. Exclusion Criteria: * Participant history of: * Celiac disease, or positive serological test for celiac disease or the condition is suspected but has not been ruled out by endoscopic biopsy * Cystic fibrosis * Hypothyroidism that is untreated or treated with thyroid hormone at a dose that has not been stable for at least 3 months prior to Screening (Visit 1) * Down's syndrome or any other chromosomal disorder * Active anal fissure (i.e., participant reports having streaks of blood on the stool or on toilet paper and/or pain/crying with BM within 2 weeks prior to Screening). (Note: anal fissures that have resolved at least 2 weeks prior to screening would not be exclusionary.) However, if in the investigator's opinion, an anal fissure(s) may be the primary cause of participant's modified Rome IV FC criteria, the participant would not be eligible to participate in the study. * Anatomic malformations (e.g., imperforate anus, anal stenosis, anterior displaced anus) * Intestinal nerve or muscle disorders (e.g., Hirschprung disease, visceral myopathies, visceral neuropathies) * Neuropathic conditions (e.g., spinal cord abnormalities, neurofibromatosis, tethered cord, spinal cord trauma) * Lead toxicity, hypercalcemia * Inflammatory bowel disease * Childhood functional abdominal pain syndrome * Poorly treated or poorly controlled psychiatric disorders that might influence his or her ability to participate in the study * Lactose intolerance that is associated with symptoms which could confound the assessments in this study * History of cancer. (Note: participants with a history of cancer are allowed provided that the malignancy has been in a complete remission before Randomization (Visit 2). A complete remission is defined as the disappearance of all signs of cancer in response to treatment.) * Has conditions that could interfere with drug absorption including but not limited to short bowel syndrome.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Acibadem City Clinic Tokuda University Hospital EAD /ID# 251234
Sofia, 1407, Bulgaria
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Advanced Research Center /ID# 249412
Anaheim, California, 92805, United States
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Amphia Ziekenhuis /ID# 251698
Breda, North Brabant, 4818 CK, Netherlands
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Amsterdam UMC, locatie AMC /ID# 251295
Amsterdam, North Holland, 1105 AZ, Netherlands
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Applied Research Center of Arkansas /ID# 249764
Little Rock, Arkansas, 72212-4187, United States
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Carilion Medical Center /ID# 249790
Roanoke, Virginia, 24014, United States
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ClinPoint Trials /ID# 250448
Waxahachie, Texas, 75165-1430, United States
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Coastal Pediatric Research - Summerville /ID# 249423
Summerville, South Carolina, 29486, United States
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Coastal Pediatric Research - West Ashley B /ID# 249413
Charleston, South Carolina, 29414, United States
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Disc_Barts Health NHS Trust - The Royal London Hospital /ID# 251179
London, Greater London, E1 2ES, United Kingdom
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Doncaster Royal Infirmary /ID# 252080
Armthorpe Road, DN2 5LT, United Kingdom
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Frederick County Pediatrics /ID# 249483
New Market, Maryland, 21774-6154, United States
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Frontier Clinical Research - Kingwood /ID# 251154
Kingwood, West Virginia, 26537-9797, United States
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Frontier Clinical Research - Smithfield /ID# 250657
Smithfield, Pennsylvania, 15478, United States
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Frontier Clinical Research, LLC - Scottdale /ID# 250656
Scottdale, Pennsylvania, 15683, United States
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G & L Research, LLC /ID# 250658
Foley, Alabama, 36535, United States
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HealthStar Research of Hot Springs PLLC /ID# 249481
Hot Springs, Arkansas, 71913, United States
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Houston Clinical Research Associates /ID# 250779
Houston, Texas, 77090-2633, United States
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IPS Research Company /ID# 250822
Oklahoma City, Oklahoma, 73106, United States
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KIDZ Medical Services - Hollywood /ID# 250823
Hollywood, Florida, 33021-6030, United States
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Kindred Medical Institute - Corona /ID# 249485
Corona, California, 92879-3104, United States
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Kissimmee Clinical Research /ID# 252206
Kissimmee, Florida, 34741, United States
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MNGI Digestive Health, P. A. /ID# 249676
Minneapolis, Minnesota, 55413-2195, United States
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Medical Ctr for Clin Research /ID# 254386
San Diego, California, 92108, United States
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Michael W. Simon, MD, PSC /ID# 250664
Lexington, Kentucky, 40517, United States
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Michigan Center of Medical Research /ID# 251088
Farmington Hills, Michigan, 48334, United States
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Nemours Children's Health System /ID# 250881
Jacksonville, Florida, 32207, United States
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Northern Licolnshire and Goole NHS Foundation Trust /ID# 252007
Grimsby, DN33 2BA, United Kingdom
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Nova Clinic /ID# 250816
Varna, 9000, Bulgaria
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Palmetto Professional Research /ID# 250875
Miami, Florida, 33172, United States
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Prime Clinical Research - Mansfield - East Broad Street /ID# 266236
Mansfield, Texas, 76063, United States
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Prohealth Research Center /ID# 249420
Doral, Florida, 33166, United States
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Rophe Adult & Pediatric Medicine /ID# 250663
Union City, Georgia, 30291, United States
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Rutgers New Jersey Medical School Campus, Doctors Office Center /ID# 250876
Newark, New Jersey, 07103-2425, United States
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South Florida Research Ph I-IV /ID# 252350
Miami Springs, Florida, 33166-7225, United States
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South Miami Medical & Research Group Inc. /ID# 249418
Miami, Florida, 33155, United States
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Specialized Hospital For Active Treatment Of Children Diseases Prof. Ivan Mitev /ID# 251233
Sofia, 1606, Bulgaria
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Tribe Clinical Research LLC /ID# 255656
Greenville, South Carolina, 29607-4021, United States
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Tullahoma Pediatrics /ID# 250892
Tullahoma, Tennessee, 37388, United States
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UH Cleveland Medical Center /ID# 250893
Cleveland, Ohio, 44106, United States
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UMHAT Kanev /ID# 250815
Rousse, 7002, Bulgaria
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Univ NC Chapel Hill /ID# 252044
Chapel Hill, North Carolina, 27514-4220, United States
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University Hospital Plovdiv /ID# 250814
Tsentar, Plovdiv, 4001, Bulgaria
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Valencia Medical & Research Center /ID# 250452
Miami, Florida, 33165, United States
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Velocity Clinical Research - Lafayette /ID# 266751
Lafayette, Louisiana, 70508, United States
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Velocity Clinical Research - Phoenix /ID# 266280
Phoenix, Arizona, 85006, United States
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Velocity Clinical Research Macon /ID# 266516
Macon, Georgia, 31210-6583, United States
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Velocity Clinical Research- Hastings Nebraska /ID# 252132
Hastings, Nebraska, 68901-2640, United States
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Other studies related to the condition(s) this trial covers.
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