Drugs / Linaclotide
last change 10 days ago re-read 9 days 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 · 15 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Filed chronic duodenal ileus 1 milestone
Filed US (FDA) — chronic duodenal ileus 2016-06-09

“FDA has accepted for review the supplemental New Drug Application (sNDA) for the 72 mcg dose of linaclotide” ironwoodpharma.com ↗

Filed irritable bowel syndrome 6 milestones
Filed China (NMPA) — irritable bowel syndrome 2016-05-09

“filed for approval with the China Food and Drug Administration to market linaclotide in China for the treatment of adult patients with IBS-C” ironwoodpharma.com ↗

Filed Japan (PMDA) — irritable bowel syndrome 2016-02-24

“NDA seeking approval of linaclotide for the treatment of adults with irritable bowel syndrome with constipation (IBS-C) in Japan was filed” ironwoodpharma.com ↗

Filed China (NMPA) — irritable bowel syndrome 2016-02-18

“Ironwood and AstraZeneca AB filed for approval with the China Food and Drug Administration to market linaclotide in China for IBS-C.” ironwoodpharma.com ↗

Filed US (FDA) — irritable bowel syndrome 2012-02-08

“Ironwood and Forest submitted the NDA for linaclotide for the treatment of IBS-C and CC” ironwoodpharma.com ↗

Filed EU (EMA) — irritable bowel syndrome 2011-09-29

“Application (MAA) to the European Medicines Agency (EMA) for linaclotide, a guanylate cyclase type-C (GC-C) agonist” ironwoodpharma.com ↗

“submitted a Market Authorization Application (MAA) for linaclotide to the European Medicines Agency (EMA)” ironwoodpharma.com ↗

“as well as the MAA submission in Europe for the IBS-C indication.” ironwoodpharma.com ↗

Filed US (FDA) — irritable bowel syndrome 2011-08-09

“recently submitted a New Drug Application (NDA) to the U.S. Food and Drug Administration (FDA) for linaclotide” ironwoodpharma.com ↗

Filed outlet dysfunction constipation 1 milestone
Filed US (FDA) LINZESS outlet dysfunction constipation 2022-12-16

“FDA accepted and granted priority review of a supplemental New Drug Application (sNDA) for LINZESS for the treatment of functional constipation (FC)” ironwoodpharma.com ↗

“submitted a supplemental New Drug Application (sNDA) for linaclotide (LINZESS®) to the U.S. Food and Drug Administration (FDA)” abbvie.com ↗

Approved Indication not stated 3 milestones
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

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 · 2 met primary · 1 missed
Phase 2 NCT05760313 Apr 2023 → Jun 2025 constipation disorder AbbVie Completed No outcome recorded
Phase 2 NCT03796884 Oct 2019 → Nov 2026 expected 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 Missed primary
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 Mixed
Phase 2 NCT02425722 Apr → Oct 2015 constipation disorder Astellas Pharma Inc Completed Met primary
Phase 2 NCT02270983 Oct 2014 → Aug 2015 opioid-induced constipation Forest Laboratories Completed Met primary
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 · 10 met primary · 1 missed
Phase 3 NCT05652205 Dec 2022 → Sep 2025 constipation disorder AbbVie Completed Missed primary
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 Met primary
Phase 3 NCT03573908 Jun 2018 → Mar 2019 irritable bowel syndrome Ironwood Pharmaceuticals, Inc. Completed Met primary
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 Met primary
Phase 3 NCT02291679 Oct 2014 → Aug 2015 constipation disorder Ironwood Pharmaceuticals, Inc. Completed Met primary
Phase 3 NCT01880424 Jul 2013 → May 2015 irritable bowel syndrome AstraZeneca Completed Met primary
Phase 3 NCT01642914 Aug 2012 → May 2013 constipation disorder Forest Laboratories Completed Met primary
Phase 3 NCT00938717 Jul 2009 → Sep 2010 irritable bowel syndrome Ironwood Pharmaceuticals, Inc. Completed Met primary
Phase 46 trials · 1 met primary · 1 missed
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 Met primary
Phase 4 NCT02837783 Dec 2016 → Oct 2018 irritable bowel syndrome Ironwood Pharmaceuticals, Inc. Terminated Missed primary Stop: Enrollment
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 · 2 met primary
— NCT06091735 Aug 2023 → Feb 2024 — Jinling Hospital, China Completed No outcome recorded
— NCT05291325 May 2022 → Aug 2023 — Changhai Hospital Completed Met primary
— NCT05137145 Sep 2021 → Mar 2022 — Second Affiliated Hospital of Xi'an Jiaotong University Unknown Met primary
Comparator or background therapy9 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 3 NCT04166058 Comparator Nov 2019 → Jun 2025 constipation disorder, irritable bowel syndrome AbbVie Completed No outcome recorded
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

News releases announcing trial results or a regulatory action · 49

DateIssuerRelease
2026-05-27 Ironwood Pharmaceuticals, Inc. Regulatory FDA Approves Use of LINZESS® (linaclotide) in Pediatric Patients Two Years of Age and Older with Functional Constipation (FC) ironwoodpharma.com ↗
today announced that the U.S. Food and Drug Administration (FDA) has approved the use of LINZESS ® (linaclotide) in pediatric patients 2 years of age and older with functional constipation (FC).
2024-05-21 Ironwood Pharmaceuticals, Inc. Results Ironwood Late-Breaker Oral Presentation at Digestive Disease Week® Reinforces Potential of Once-Weekly Apraglutide for Adults with Short Bowel Syndrome with Intestinal Failure (SBS-IF) ironwoodpharma.com ↗
Treatment-emergent adverse events were similar in both age groups and were consistent with the known safety profile of linaclotide in patients with IBS-C.
2024-01-08 Ironwood Pharmaceuticals, Inc. Results Ironwood Announces Publication in The Lancet Gastroenterology & Hepatology of New Linaclotide Phase III Data in Children and Adolescents Aged 6-17 Years with Functional Constipation ironwoodpharma.com ↗
A greater percentage of patients in the linaclotide treatment group were weekly SBM responders (patients who had an increase ≥2 in the SBM weekly rate from baseline for that week) compared with the placebo group at weeks 1, 3, 4, 6, 7, 11, and 12 (p < 0·05).
2023-10-23 Ironwood Pharmaceuticals, Inc. Results Ironwood Releases New IBS-C and CIC Data at the American College of Gastroenterology 2023 Annual Scientific Meeting ironwoodpharma.com ↗
These data provide further insight into the impact of linaclotide on symptoms of irritable bowel syndrome with constipation (IBS-C) and chronic idiopathic constipation (CIC), as well as the burden of these disorders on patients.
2023-10-05 Ironwood Pharmaceuticals, Inc. Results Ironwood to Present New Data at NASPGHAN Annual Meeting Reinforcing Impact of Linaclotide on Functional Constipation in Children and Adolescents Ages 6-17 Years-Old ironwoodpharma.com ↗
The post-hoc analysis demonstrated that in pediatric patients with functional constipation, diarrhea occurred in 7.4 percent of the linaclotide-treated population and 1.5 percent of those receiving placebo.
2023-06-12 Ironwood Pharmaceuticals, Inc. Regulatory Ironwood Pharmaceuticals Announces FDA Approval of New Indication for LINZESS® (linaclotide) for the Treatment of Functional Constipation in Pediatric Patients Ages 6-17 Years-Old ironwoodpharma.com ↗
Ironwood Pharmaceuticals, Inc. (Nasdaq: IRWD), a GI-focused healthcare company, today announced that the U.S. Food and Drug Administration (FDA) has approved LINZESS® (linaclotide) as a once-daily treatment for pediatric patients ages 6-17 years-old with functional constipation.
2023-05-08 Ironwood Pharmaceuticals, Inc. Results Ironwood Presents New Data on Potential of Linaclotide for Functional Constipation in Children and Adolescents Ages 6-17 Years-Old at Digestive Disease Week® 2023 ironwoodpharma.com ↗
Linaclotide was generally well-tolerated and exhibited a safety profile consistent with a prior pediatric Phase II study in functional constipation.
2023-02-13 Ironwood Pharmaceuticals, Inc. Regulatory Ironwood Pharmaceuticals Announces FDA Filing Acceptance and Priority Review of Supplemental New Drug Application for LINZESS® (linaclotide) for Functional Constipation in Children and Adolescents Ages 6-17 Years-Old ironwoodpharma.com ↗
Ironwood Pharmaceuticals, Inc. (Nasdaq: IRWD), a GI-focused healthcare company, today announced that the U.S. Food and Drug Administration (FDA) has granted Priority Review to the supplemental New Drug Application (sNDA) for LINZESS ® (linaclotide) for the treatment of children and adolescents ages 6-17 years-old with functional constipation (FC).
2022-12-16 AbbVie Regulatory 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 ↗
AbbVie (NYSE: ABBV) today announced that it has submitted a supplemental New Drug Application (sNDA) for linaclotide (LINZESS®) to the U.S. Food and Drug Administration (FDA) for the treatment of children and adolescents 6 to 17 years of age with functional constipation (FC).
2022-09-06 Ironwood Pharmaceuticals, Inc. Results Ironwood Pharmaceuticals Reports Positive Topline Data from Phase III Trial of LINZESS® (linaclotide) in Pediatric Patients Aged 6-17 with Functional Constipation ironwoodpharma.com ↗
Ironwood Pharmaceuticals, Inc. (Nasdaq: IRWD), today announced positive topline data from a Phase III clinical trial evaluating LINZESS (linaclotide) 72 mcg in pediatric patients aged 6-17 with functional constipation (FC).
2021-08-26 Ironwood Pharmaceuticals, Inc. Regulatory Ironwood Pharmaceuticals Announces FDA Approval of Revised LINZESS® (linaclotide) Label ironwoodpharma.com ↗
Ironwood Pharmaceuticals, Inc. (NASDAQ: IRWD), a GI-focused healthcare company, today announced that the U.S. Food and Drug Administration (FDA) approved a revised label for LINZESS ® (linaclotide) based on clinical safety data that has been generated thus far in pediatric studies.
2021-06-16 Ironwood Pharmaceuticals, Inc. Results Ironwood Pharmaceuticals Announces That The American Journal of Gastroenterology Publishes Full Results from Positive LINZESS® (linaclotide) Phase IIIb Trial in Adults with Irritable Bowel Syndrome with Constipation (IBS-C) ironwoodpharma.com ↗
The results, which can be viewed here , demonstrated that linaclotide 290 mcg administered orally once daily to adult IBS-C patients was associated with a statistically significant and clinically meaningful improvement in overall change in abdominal score compared to placebo.

All press releases naming this drug 102 releases

DateIssuerRelease
Show all 102 releases opens the full record — a long page

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 ↗

NCT04026113 ↗

NCT02837783 ↗

NCT05107219 ↗

NCT01714843 ↗

NCT05379491 ↗

NCT00730015 ↗

NCT01950403 ↗

Show 34 more sources

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

NCT01427387 ↗

NCT02425722 ↗

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 NCT00306748 ↗
1

NCT00258193 ↗

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 ↗