Constipation drug linaclotide tested for Long-Term safety in kids
NCT ID NCT04166058
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study looked at the long-term safety of the drug linaclotide in children aged 6 to 17 with functional constipation or irritable bowel syndrome with constipation (IBS-C). A total of 381 children who had already completed earlier studies took linaclotide for 24 or 52 weeks. The main goal was to track any side effects, not to measure how well the drug worked.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- linaclotide (oral capsule)
- What this could lead to
- If successful, this could confirm that linaclotide is safe for long-term use in children with chronic constipation or IBS-C, offering a reliable treatment option.
- What could go wrong
- This is a safety study, not designed to prove how well the drug works. Side effects are possible, and results may not apply to all children.
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
-
Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
-
381 people
The number who actually took part.
- Started
-
Nov 2019
- Finished
-
Jun 2025
- Lead sponsor
-
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
-
6 to 18 years
- Sex
-
Anyone
- Healthy volunteers
-
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: * Participant weighs ≥ 18 kg at the time the parent/guardian/LAR and/or caregiver has provided signed consent. * Female participants who have had their first menstrual period and are sexually active must agree to use a reliable form of contraception. * Participants must have completed study intervention in their lead-in study. Inclusion Criteria for Phase 2 LIN-MD-62 or Phase 2 LIN-MD-63 and Phase 3 LIN-MD-64 completers who enroll in LIN-MD-66 after \>28 days from last study intervention: \- Female participants of childbearing potential must have a negative serum pregnancy test at the Screening Visit (Visit 1) and negative urine pregnancy test prior to the first dose on the Day 1 Visit (Visit 2). Exclusion Criteria: * Participant has a known allergy or sensitivity to the study intervention or its components or other medications in the same drug class. * Participant received an investigational drug, other than linaclotide, during the 30 days before the Screening Visit (Visit 1) or is planning to receive an investigational drug (other than that administered during this study) or use an investigational device at any time during the study. * Female participants who are currently pregnant or nursing, or plan to become pregnant or nurse during the clinical study. * Participant has required manual disimpaction any time prior to study intervention or disimpaction during in-patient hospitalization within 1 year prior to study intervention. * Participant has any of the following conditions: * a) Down's syndrome or any other chromosomal disorder * b) Anatomic malformations (eg, imperforate anus, anal stenosis, anterior displaced anus) * c) Intestinal nerve or muscle disorders (eg, Hirschprung disease, visceral myopathies, visceral neuropathies) * d) Neuropathic conditions (eg, spinal cord abnormalities, neurofibromatosis, tethered cord, spinal cord trauma) * e) Neurodevelopmental disabilities (early-onset, chronic disorders that share the essential feature of a predominant disturbance in the acquisition of cognitive, motor, language, or social skills, which has a significant and continuing impact on the developmental progress of an individual) producing a cognitive delay that precludes comprehension by the participant. * Participant has a mechanical bowel obstruction or pseudo-obstruction. * Participant currently has both unexplained and clinically significant alarm symptoms (lower GI bleeding \[rectal bleeding or heme-positive stool\], iron-deficiency anemia, or any unexplained anemia, or weight loss) and systemic signs of infection or colitis, or any neoplastic process. * Participant has an active anal fissure (Note: history of anal fissure is not an exclusion). * Participant has had surgery that meets any of the following criteria: * a) Bariatric surgery for treatment of obesity, or surgery to remove a segment of the GI tract at any time before the Screening Visit (Visit 1). * b) Surgery of the abdomen, pelvis, or retroperitoneal structures during the 6 months before the Screening Visit (Visit 1) * c) An appendectomy or cholecystectomy during the 60 days before the Screening Visit * d) Other major surgery during the 30 days before the Screening Visit (Visit 1) * Participant is receiving enteral tube feeding * Participants who have positive urine drug screen results for cocaine, barbiturates, opiates, or cannabinoids will be excluded from study participation. Exclusion Criteria for LIN-MD-62, LIN-MD-63 and LIN-MD-64 Completers Who Enroll in LIN-MD-66 \> 28 Days From Last Study Intervention: * Participant has a history of nonretentive fecal incontinence * Participant has a history of drug or alcohol abuse * Participant has any of the following conditions: * a) Celiac disease, or positive serological test for celiac disease and the condition has not been ruled out by endoscopic biopsy * b) Cystic fibrosis * c) Hypothyroidism that is untreated or treated with thyroid hormone at a dose that has not been stable for at least 3 months prior to the Screening (Visit 1) * d) Lead toxicity, hypercalcemia * e) Inflammatory bowel disease * f) Childhood functional abdominal pain syndrome * g) Childhood functional abdominal pain * h) Poorly treated or poorly controlled psychiatric disorders that might influence his or her ability to participate in the study * i) Lactose intolerance that is associated with abdominal pain or discomfort and could confound the assessments in this study * j) History of cancer other than treated basal cell carcinoma of the skin. (Note: Participants with a history of cancer are allowed provided that the malignancy has been in a complete remission for at least 5 years before the Randomization Visit. A complete remission is defined as the disappearance of all signs of cancer in response to treatment.) * k) History of diabetic neuropathy * Participants who have positive urine drug screen results for cocaine, barbiturates, opiates, or cannabinoids.
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Functional constipation are added.
Genom att skicka in godkänner du våra Användarvillkor
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
-
AIM Trials /ID# 236364
Plano, Texas, 75093, United States
-
Accellacare of Knoxville /ID# 234462
Jefferson City, Tennessee, 37760, United States
-
Advanced Research Center /ID# 237960
Anaheim, California, 92805, United States
-
Advanced Research for Health Improvement /ID# 238253
Naples, Florida, 34102-5430, United States
-
Advantage Clinical Trials /ID# 237932
The Bronx, New York, 10468, United States
-
Amedica Research Institute Inc /ID# 234666
Hialeah, Florida, 33013, United States
-
Applied Research Center of Arkansas /ID# 238069
Little Rock, Arkansas, 72212-4187, United States
-
Bluewater Clinical Research Group Inc /ID# 234618
Sarnia, Ontario, N7T 4X3, Canada
-
Central Research Associates /ID# 237953
Birmingham, Alabama, 35205, United States
-
Children's Ctr Digestive, US /ID# 237574
Atlanta, Georgia, 30342, United States
-
Children's Healthcare of Atlanta - Ferry Rd /ID# 237005
Atlanta, Georgia, 30342-1605, United States
-
Childrens National Medical Center /ID# 234417
Washington D.C., District of Columbia, 20010-2916, United States
-
ClinPoint Trials /ID# 236615
Waxahachie, Texas, 75165-1430, United States
-
Clinical Research Institute /ID# 234702
Stockbridge, Georgia, 30281, United States
-
Clinical Research Partners, LLC /ID# 237158
Richmond, Virginia, 23220-4459, United States
-
Coastal Pediatric Research - Summerville /ID# 234674
Summerville, South Carolina, 29486, United States
-
Coastal Pediatric Research - West Ashley B /ID# 234678
Charleston, South Carolina, 29414, United States
-
Columbia University Irving Medical Center /ID# 235686
New York, New York, 10032, United States
-
Cook Children's Med. Center /ID# 237536
Fort Worth, Texas, 76104, United States
-
Cullen Research /ID# 234482
Houston, Texas, 77051, United States
-
David M. Headley, MD, P.A. /ID# 238216
Port Gibson, Mississippi, 39150-2024, United States
-
Dolphin Medical Research /ID# 234676
Doral, Florida, 33172, United States
-
Duplicate_Academisch Medisch Centrum /ID# 237116
Amsterdam, North Holland, 1105 AZ, Netherlands
-
Duplicate_Center for Clinical Trials LLC /ID# 234629
Paramount, California, 90723, United States
-
Duplicate_Chrysalis Clinical Research /ID# 234515
St. George, Utah, 84790, United States
-
Duplicate_Frontier Clinical Research /ID# 237923
Smithfield, Pennsylvania, 15478, United States
-
Duplicate_Multicare Institute for Research and Innovation /ID# 236979
Tacoma, Washington, 98405, United States
-
East Carolina University - Brody School of Medicine /ID# 237509
Greenville, North Carolina, 27834, United States
-
Elite Clinical Research /ID# 234651
Miami, Florida, 33144, United States
-
Frontier Clinical Research, LLC - Scottdale /ID# 238022
Scottdale, Pennsylvania, 15683, United States
-
G & L Research, LLC /ID# 238093
Foley, Alabama, 36535, United States
-
GI associates and Endoscopy Ce /ID# 237969
Flowood, Mississippi, 39232, United States
-
Hadassah Hebrew University Hospital - Ein Kerem /ID# 234735
Jerusalem, Jerusalem, 91120, Israel
-
Health Research of Hampton Roads, Inc. (HRHR) /ID# 237252
Newport News, Virginia, 23606, United States
-
HealthStar Research of Hot Springs PLLC /ID# 234608
Hot Springs, Arkansas, 71913, United States
-
IPS Research Company /ID# 237669
Oklahoma City, Oklahoma, 73106, United States
-
KU Wichita Center for Clinical Research /ID# 234500
Wichita, Kansas, 67214, United States
-
Kindred Medical Institute, LLC /ID# 237367
Corona, California, 92879, United States
-
London Health Sciences Center- University Hospital /ID# 234309
London, Ontario, N6A 5W9, Canada
-
Lynn Institute of Denver /ID# 238086
Aurora, Colorado, 80012, United States
-
MNGI Digestive Health, P. A. /ID# 234437
Minneapolis, Minnesota, 55413-2195, United States
-
Medclinical Research Partners LLC/ Foundation Pediatrics /ID# 234566
East Orange, New Jersey, 07018, United States
-
Medical Ctr for Clin Research /ID# 236911
San Diego, California, 92108, United States
-
Michael W. Simon, MD, PSC /ID# 236516
Lexington, Kentucky, 40517, United States
-
My Preferred Research LLC /ID# 237943
Miami, Florida, 33155, United States
-
Nemours Children's Hospital /ID# 234429
Orlando, Florida, 32827-7884, United States
-
Nemours Childrens Specialty Care /ID# 237991
Jacksonville, Florida, 32207, United States
-
Office of Maria Ona /ID# 234539
Franklin, Virginia, 23851, United States
-
Oviedo Medical Research /ID# 234692
Oviedo, Florida, 32765, United States
-
PMG Research of Piedmont Healthcare-Statesville /ID# 238257
Statesville, North Carolina, 28625, United States
-
Pediatric & Adult Research Center /ID# 234681
Orlando, Florida, 32825, United States
-
Pioneer Research Solutions - Houston /ID# 236935
Houston, Texas, 77099-4307, United States
-
Preferred Research Partners /ID# 237109
Little Rock, Arkansas, 72211, United States
-
Private Practice - Dr. Craig Spiegel /ID# 234545
Bridgeton, Missouri, 63044, United States
-
Prohealth Research Center /ID# 234659
Doral, Florida, 33166, United States
-
Rhode Island Hospital /ID# 237861
Providence, Rhode Island, 02903, United States
-
River Birch Research Alliance /ID# 237963
Blue Ridge, Georgia, 30513, United States
-
Sleep Care Research Institute d/b/a Clinical Research Institute /ID# 236342
Stockbridge, Georgia, 30281, United States
-
South Miami Medical & Research Group Inc. /ID# 234654
Miami, Florida, 33155, United States
-
Stouffville Medical Centre /ID# 234619
Stouffville, Ontario, L4A 1H2, Canada
-
Sun Research Institute /ID# 236932
San Antonio, Texas, 78215, United States
-
The Baruch Padeh Medical Center Poriya /ID# 234768
Tiberias, Northern District, 15208, Israel
-
The Center for Clinical Trials Inc. /ID# 234605
Saraland, Alabama, 36571, United States
-
The Chaim Sheba Medical Center /ID# 236760
Ramat Gan, Tel Aviv, 5265601, Israel
-
The Jackson Clinic, PA /ID# 236772
Jackson, Tennessee, 38305, United States
-
Treken Primary Care /ID# 234645
Atlanta, Georgia, 30315, United States
-
Univ Oklahoma HSC /ID# 237546
Oklahoma City, Oklahoma, 73104, United States
-
University of New Mexico /ID# 236983
Albuquerque, New Mexico, 87102-4517, United States
-
Valencia Medical & Research Center /ID# 234671
Miami, Florida, 33165, United States
-
Valley Institute of Research /ID# 234475
Harlingen, Texas, 78550, United States
-
Vilo Research Group Inc /ID# 238228
Houston, Texas, 77017-2337, United States
-
Virgo Carter Pediatrics /ID# 234518
Silver Spring, Maryland, 20910, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Pregnancy and constipation drug: does prucalopride pose risks to unborn babies?
- Core training and nutrition may ease constipation and stress in overweight women
- Could tai chi soothe stubborn gut troubles?
- Constipation in seniors may signal fall risk, new study suggests
- Could a probiotic ease tummy troubles in seniors?
- Pelvic floor exercises show promise for constipation relief