Drugs / Linaclotide
last change Aug 2026 re-read 2 minutes ago

Linaclotide

Peptide targets GUCY2C via activation

Developed for
constipation disorder · irritable bowel syndrome · colorectal adenoma · colorectal cancer · colorectal carcinoma · dyspepsia · in situ carcinoma · opioid-induced constipation
+1 more · type 2 diabetes mellitus
Investigated by
Ironwood Pharmaceuticals, Inc. · Forest Laboratories · Astellas Pharma Inc · AbbVie · National Cancer Institute (NCI) · 900th Hospital of PLA Joint Logistic Support Force
+43 more · Affiliated Hospital of Qinghai University · Affiliated Hospital of Southwest Medical University · Affiliated Yueqing Hospital of Wenzhou Medical University · Allergan · Allergan Sales, LLC · AstraZeneca · Changhai Hospital · Daping Hospital of Army Medical University · Haifeng Lan · Huizhou Municipal Central Hospital · Jiangsu Hansoh Pharmaceutical Co., Ltd. · Jinling Hospital, China · Manchester University NHS Foundation Trust · Mayo Clinic · Md Mehedi Shahriar · Ningxia Medical University General Hospital · Qilu Hospital of Shandong University · RenJi Hospital · Ruijin Hospital · Second Affiliated Hospital of Xi'an Jiaotong University · Second Xiangya Hospital of Central South University · Seventh Medical Center of PLA Army General Hospital · Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine · Shanghai Zhongshan Hospital · Shanxi Provincial People's Hospital · Sidney Kimmel Comprehensive Cancer Center at Thomas Jefferson University · The Affiliated Hospital of Inner Mongolia Medical University · The Affiliated Hospital of Qingdao University · The First Affiliated Hospital of Nanchang University · The First Affiliated Hospital of Soochow University · The First Hospital of Jilin University · The First Hospital of Shihezi University · The First People's Hospital of Yunnan · The Second Affiliated Hospital of Air Force Military Medical University · The Second Affiliated Hospital of Dalian Medical University · The Second Hospital of Hebei Medical University · The Third Affiliated Hospital of Wenzhou Medical University · United States Department of Defense · University of Florida · University of Nottingham · University of Virginia · University of Wisconsin, Madison · Zunyi Medical College

Regulatory milestones approvals, filings & regulatory actions · 7 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Label expansions (5) US (FDA) LINZESS 2017-01-25 – 2026-05-21 fda.gov
Approved EU (EMA) Constella 2012-11-26 europa.eu
Approved US (FDA) LINZESS 2012-08-30 fda.gov

Trials 42 · a red edge is where a trial was stopped

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 01 trial
Phase 0 NCT07569419 Mar → Aug 2026 overdue cystic fibrosis University of Nottingham Recruiting No outcome recorded
Phase 15 trials
Phase 1 NCT05107219 Nov 2022 → Feb 2026 Barrett esophagus, digestive system cancer, gastroesophageal reflux disease University of Wisconsin, Madison Completed No outcome recorded
Phase 1 NCT02220348 Jul 2014 → May 2019 constipation disorder, irritable bowel syndrome Forest Laboratories Completed No outcome recorded
Phase 1 NCT01950403 Sep 2013 → Apr 2016 colorectal cancer Mayo Clinic Completed No outcome recorded
Phase 1 NCT01427387 Jun → Sep 2011 Astellas Pharma Inc Completed No outcome recorded
Phase 1 NCT01279915 Oct 2010 → Jan 2011 Astellas Pharma Inc Completed No outcome recorded
Phase 1/21 trial
Phase 1/2 NCT06692673 Dec 2025 → Apr 2026 overdue University of Florida Recruiting No outcome recorded
Phase 211 trials
Phase 2 NCT05760313 Apr 2023 → Jun 2025 constipation disorder AbbVie Completed No outcome recorded
Phase 2 NCT03796884 Oct 2019 → Jun 2026 overdue colorectal adenoma, colorectal carcinoma, in situ carcinoma Sidney Kimmel Comprehensive Cancer Center at Thomas Jefferson University Active not recruiting No outcome recorded
Phase 2 NCT04110145 Oct 2019 → Apr 2021 constipation disorder Allergan Completed No outcome recorded
Phase 2 NCT02559570 Nov 2015 → Apr 2018 constipation disorder Forest Laboratories Completed No outcome recorded
Phase 2 NCT02559817 Nov 2015 → Aug 2019 irritable bowel syndrome Forest Laboratories Terminated No outcome recorded
Phase 2 NCT02559206 Oct 2015 → Sep 2016 irritable bowel syndrome Ironwood Pharmaceuticals, Inc. Completed No outcome recorded
Phase 2 NCT02425722 Apr → Oct 2015 constipation disorder Astellas Pharma Inc Completed No outcome recorded
Phase 2 NCT02270983 Oct 2014 → Aug 2015 opioid-induced constipation Forest Laboratories Completed No outcome recorded
Phase 2 NCT01714843 Aug 2012 → Dec 2013 irritable bowel syndrome Astellas Pharma Inc Completed No outcome recorded
Phase 2 NCT00306748 Mar → Aug 2006 constipation disorder Ironwood Pharmaceuticals, Inc. Completed No outcome recorded
Phase 315 trials
Phase 3 NCT05652205 Dec 2022 → Sep 2025 constipation disorder AbbVie Completed No outcome recorded
Phase 3 NCT04804267 Mar 2021 → Aug 2022 constipation disorder Jiangsu Hansoh Pharmaceutical Co., Ltd. Unknown No outcome recorded
Phase 3 NCT04026113 Oct 2019 → May 2024 constipation disorder, irritable bowel syndrome AbbVie Completed No outcome recorded
Phase 3 NCT03573908 Jun 2018 → Mar 2019 irritable bowel syndrome Ironwood Pharmaceuticals, Inc. Completed No outcome recorded
Phase 3 NCT02809105 Jun → Nov 2016 constipation disorder Astellas Pharma Inc Completed No outcome recorded
Phase 3 NCT02316899 Oct 2014 → Sep 2015 irritable bowel syndrome Astellas Pharma Inc Completed No outcome recorded
Phase 3 NCT02291679 Oct 2014 → Aug 2015 constipation disorder Ironwood Pharmaceuticals, Inc. Completed No outcome recorded
Phase 3 NCT01880424 Jul 2013 → May 2015 irritable bowel syndrome AstraZeneca Completed No outcome recorded
Phase 3 NCT01642914 Aug 2012 → May 2013 constipation disorder Forest Laboratories Completed No outcome recorded
Phase 3 NCT00948818 Jul 2009 → Jul 2010 irritable bowel syndrome Forest Laboratories Completed No outcome recorded
Phase 46 trials
Phase 4 NCT07431957 Feb → Dec 2026 expected constipation disorder, irritable bowel syndrome Md Mehedi Shahriar Not yet recruiting No outcome recorded
Phase 4 NCT06748638 Sep 2024 → Oct 2025 overdue Haifeng Lan Enrolling by invitation No outcome recorded
Phase 4 NCT05134584 Jan → Dec 2021 dyspepsia, irritable bowel syndrome RenJi Hospital Unknown No outcome recorded
Phase 4 NCT02837783 Dec 2016 → Oct 2018 irritable bowel syndrome Ironwood Pharmaceuticals, Inc. Terminated No outcome recorded
Phase 4 NCT02590432 Nov 2015 → Feb 2018 constipation disorder, irritable bowel syndrome Forest Laboratories Completed No outcome recorded
Phase 4 NCT02465385 Feb 2015 → Jun 2016 Crohn disease, ulcerative colitis University of Virginia Completed No outcome recorded
Phase not applicable3 trials
NCT06091735 Aug 2023 → Feb 2024 Jinling Hospital, China Completed No outcome recorded
NCT05291325 May 2022 → Aug 2023 Changhai Hospital Completed No outcome recorded
NCT05137145 Sep 2021 → Mar 2022 Second Affiliated Hospital of Xi'an Jiaotong University Unknown No outcome recorded
Also used as a comparator or background therapy in 9 trials
PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 22 trials
Phase 2 NCT00460811 Comparator Apr 2007 → Feb 2008 irritable bowel syndrome Ironwood Pharmaceuticals, Inc. Completed No outcome recorded
Phase 2 NCT00402337 Comparator Nov 2006 → Dec 2007 constipation disorder Ironwood Pharmaceuticals, Inc. Completed No outcome recorded
Phase 31 trial
Phase 3 NCT04166058 Comparator Nov 2019 → Jun 2025 constipation disorder, irritable bowel syndrome AbbVie Completed No outcome recorded
Phase 42 trials
Phase 4 NCT03119584 Comparator Sep 2015 → Oct 2026 expected constipation disorder, type 2 diabetes mellitus Texas Tech University Health Sciences Center, El Paso Active not recruiting No outcome recorded
Phase 4 NCT06989268 Comparator Feb 2014 → Feb 2015 constipation disorder Universitaire Ziekenhuizen KU Leuven Completed No outcome recorded
Phase not applicable4 trials
NCT05379491 Comparator Aug 2022 → Jun 2023 Zhiguo Liu Completed No outcome recorded
NCT02360384 Comparator Nov 2015 → Dec 2016 irritable bowel syndrome Wingate Institute of Neurogastroenterology Unknown No outcome recorded
NCT02239510 Comparator Sep 2014 → Jun 2016 constipation disorder TriHealth Inc. Terminated No outcome recorded
NCT02078323 Comparator Feb 2014 → Oct 2017 irritable bowel syndrome Augusta University Completed No outcome recorded

Press releases naming this drug 1 release

DateIssuerRelease
2022-12-16 AbbVie AbbVie Submits Supplemental New Drug Application to U.S. FDA to Support New Indication of LINZESS® (linaclotide) for Functional Constipation in Children and Adolescents 6 to 17 Years of Age abbvie.com

Evidence & citations 16 cited values

Every value below carries the sentence it was read from. 55 sources stand behind the page.

FieldValueCited text
Known as linaclotide “The purpose of this study was to evaluate dose response of the safety and efficacy of linaclotide for the treatment of functional constipation (FC), in children age 6-17 years.” NCT02559570
44

“The observation group 1 was given Linaclotide(290 ug) in 1 day combined with 4L of Compound Polyethylene Glycol Electrolyte Powder to clear the intestine” NCT05137145

“Magnesium sulfate sodium potassium solution + linaclotide group: 3L sodium magnesium sulfate potassium oral concentrated solution + linaclotide 290μg.” NCT06091735

“Participants who received ≤ 145 μg linaclotide or placebo in study LIN-MD-63 at the time of completion will continue to receive 145 μg.” NCT04166058

NCT02316899

NCT02590432

NCT02360384

NCT06989268

NCT02559817

NCT00948818

NCT03119584

NCT00765999

NCT00765882

NCT05652205

NCT01714843

NCT04110145

NCT02837783

NCT03573908

NCT07569419

NCT00938717

NCT01950403

NCT06692673

NCT01642914

NCT02559206

NCT02809105

NCT05134584

NCT00460811

NCT04026113

NCT00730015

NCT02465385

NCT05379491

NCT02220348

NCT05291325

NCT00730171

NCT01880424

NCT02270983

NCT07431957

NCT04804267

NCT02291679

NCT05107219

NCT05760313

NCT02078323

NCT06748638

NCT03796884

NCT00402337

Known as ASP0456 ClinicalTrials.gov intervention name — accepted as the source's own label NCT01279915
2

NCT02425722

NCT01427387

Known as Constella ChEMBL registry synonym — accepted as the source's own label CHEMBL3301675
Known as lin “This study aimed to evaluate the bowel cleansing efficacy and safety of polyethylene glycol (PEG) combined with linaclotide (lin) for colonoscopy in patients with chronic...” PMID 38713137 Jun 2024
Known as Linaclotida ChEMBL registry synonym — accepted as the source's own label CHEMBL3301675
Known as linaclotide acetate “To assess the pharmacodynamic effect (PD) of linaclotide (linaclotide acetate) (single daily dose x 7 days, stage I cohort dose= 0.870 mg/day) on cyclic guanosine monophosphate...” NCT01950403
Known as Lingzeshu “Lactulose+ linaclotide 290μg (linaclotide capsule, Lingzeshu, 290ug/ capsule, 7 capsules/box) :” NCT06748638
Known as LINZESS LINZESS® Manufactured by Almac Pharma Services Limited Drug: Linaclotide 145μg orally once daily” NCT04804267
1

NCT02239510

Known as MD-1100 ClinicalTrials.gov intervention name — accepted as the source's own label NCT00258193
1

NCT00306748

Known as MD-1100 ACETATE ChEMBL registry synonym — accepted as the source's own label CHEMBL3301675
Known as MD-7246 (DELAYED RELEASE FORMULATION) ChEMBL registry synonym — accepted as the source's own label CHEMBL3301675
Known as MM-416775 ChEMBL registry synonym — accepted as the source's own label CHEMBL3301675
Action Activate “Linaclotide is a minimally absorbed peptide agonist of the guanylate cyclase-C receptor that stimulates intestinal fluid secretion and transit and reduces pain in animal models.” PMID 20045700 Jan 2010
1

“Heat-stable enterotoxin receptor agonist” CHEMBL3301675

Modality Peptide “Linaclotide, a minimally absorbed, 14-amino acid peptide agonist of guanylate cyclase-C” PMID 20801122 Aug 2010
Route Oral Oral MD-1100 Acetate Administered for 14 Days” NCT00306748
Target GUCY2C “Heat-stable enterotoxin receptor agonist” CHEMBL3301675