Additional trial findings

Patients suffering from Irritable Bowel Syndrome with Constipation (IBS-C) and Chronic Idiopathic Constipation (CIC) don’t want to wait for relief. LINZESS is a once-daily treatment that can allow patients to proactively manage their symptoms.1

IBS-C Trials 1 and 2: time to maximum
CSBM frequency and abdominal pain
improvement with LINZESS treatment1
  • This illustrative “line of best fit” graph depicts the time to maximum CSBM frequency and maximum abdominal pain improvement in trials evaluating LINZESS in adults with IBS-C (Trials 1 and 2)
  • In each IBS-C trial, maximum effect on CSBM frequency was reached within the first week of treatment with LINZESS and was maintained until the end of the trial
  • In each IBS-C trial, for change from baseline in the 11-point abdominal pain scale, LINZESS began to separate from placebo in the first week; maximum effect on abdominal pain was seen at weeks 6–9 of treatment with LINZESS and was maintained until the end of the study

In clinical trials, patients experienced reduced abdominal pain and more frequent complete spontaneous bowel movements over the 12-week treatment period. During the 4-week randomized withdrawal period of Trial 1, LINZESS-treated patients re-randomized to placebo experienced a return in abdominal pain severity toward baseline within 1 week.1

IBS-C Trial 1: change in abdominal pain observed during the 4-week randomized withdrawal (RW) period1
  • This illustrative “line of best fit” graph depicts abdominal pain levels during the 4-week randomized withdrawal period in one trial evaluating LINZESS in adults with IBS-C (Trial 1)
  • During the 4-week randomized withdrawal period, patients who received LINZESS during the 12-week treatment period were re-randomized to receive placebo or continue treatment on LINZESS 290 mcg
  • DE: Patients on placebo who were allocated to LINZESS had decreases in abdominal pain levels that were similar to the levels observed in patients taking LINZESS during the treatment period
  • AB: Patients who continued on LINZESS maintained their response to therapy over the additional 4 weeks
  • AC: In LINZESS-treated patients re-randomized to placebo, abdominal pain levels returned to baseline within 1 week and did not result in worsening compared to baseline

LINZESS-treated patients re-randomized to placebo experienced a decrease of CSBM frequency toward baseline within 1 week, while patients who continued on LINZESS maintained their response for the additional 4 weeks of the study.1

IBS-C Trial 1: change in CSBM frequency observed during the 4-week randomized withdrawal (RW) period1
  • This illustrative “line of best fit” graph depicts change in CSBM frequency during the 4-week randomized withdrawal period in one trial evaluating LINZESS in adults with IBS-C (Trial 1)
  • During the 4-week randomized withdrawal period, patients who received LINZESS during the 12-week treatment period were re-randomized to receive placebo or continue treatment on LINZESS 290 mcg
  • AB: Patients who continued on LINZESS maintained their response over the additional 4 weeks
  • DE: Patients on placebo who were allocated to LINZESS had increases in CSBM frequency that were similar to the levels observed in patients taking LINZESS during the treatment period
  • AC: In LINZESS-treated patients re-randomized to placebo, CSBM frequency returned to baseline within 1 week and did not result in worsening compared to baseline

As this study shows, LINZESS is a treatment that patients with IBS-C can use to help them proactively manage their symptoms.1 LINZESS is now the #1 prescribed brand by healthcare professionals for adults with IBS-C and CIC.1,2

Next: Mechanism of Action

Important Safety Information

WARNING: RISK OF SERIOUS DEHYDRATION IN PEDIATRIC PATIENTS

LINZESS is contraindicated in patients less than 6 years of age. In nonclinical studies in neonatal mice, administration of a single, clinically relevant adult oral dose of linaclotide caused deaths due to dehydration. Use of LINZESS should be avoided in patients 6 years to less than 18 years of age. The safety and effectiveness of LINZESS has not been established in patients less than 18 years of age.

Contraindications
  • LINZESS is contraindicated in patients less than 6 years of age due to the risk of serious dehydration.
  • LINZESS is contraindicated in patients with known or suspected mechanical gastrointestinal obstruction.
Warnings and Precautions
Pediatric Risk
  • LINZESS is contraindicated in patients less than 6 years of age. The safety and effectiveness of LINZESS in patients less than 18 years of age have not been established. In neonatal mice, linaclotide increased fluid secretion as a consequence of GC-C agonism resulting in mortality within the first 24 hours due to dehydration. Due to increased intestinal expression of GC-C, patients less than 6 years of age may be more likely than patients 6 years of age and older to develop severe diarrhea and its potentially serious consequences.
  • Use of LINZESS should be avoided in pediatric patients 6 to less than 18 years of age. Although there were no deaths in older juvenile mice, given the deaths in young juvenile mice and the lack of clinical safety and efficacy data in pediatric patients, use of LINZESS should be avoided in pediatric patients 6 years to less than 18 years of age.
Diarrhea
  • Diarrhea was the most common adverse reaction in LINZESS-treated patients in the pooled IBS-C and CIC double-blind placebo-controlled trials. The incidence of diarrhea was similar in the IBS-C and CIC populations. Severe diarrhea was reported in 2% of 145 mcg and 290 mcg LINZESS-treated patients, and in <1% of 72 mcg LINZESS-treated CIC patients. If severe diarrhea occurs, dosing should be suspended and the patient rehydrated.
Common Adverse Reactions (incidence ≥2% and greater than placebo)
  • In IBS-C clinical trials: diarrhea (20% vs 3% placebo), abdominal pain (7% vs 5%), flatulence (4% vs 2%), headache (4% vs 3%), viral gastroenteritis (3% vs 1%) and abdominal distension (2% vs 1%).
  • In CIC trials of a 145 mcg dose: diarrhea (16% vs 5% placebo), abdominal pain (7% vs 6%), flatulence (6% vs 5%), upper respiratory tract infection (5% vs 4%), sinusitis (3% vs 2%) and abdominal distension (3% vs 2%). In a CIC clinical trial of a 72 mcg dose: diarrhea (19% vs 7% placebo) and abdominal distention (2% vs <1%).

LINZESS® (linaclotide) is indicated in adults for the treatment of both irritable bowel syndrome with constipation (IBS‑C) and chronic idiopathic constipation (CIC).

If you are a patient, and have any questions, please discuss them with your doctor or healthcare professional. For additional information about LINZESS, call Allergan Customer Relations and Medical Affairs at 1-800-678-1605.

Please see below and full Prescribing Information for LINZESS.

Show
Important Safety Information

WARNING: RISK OF SERIOUS DEHYDRATION IN PEDIATRIC PATIENTS

LINZESS is contraindicated in patients less than 6 years of age. In nonclinical studies in neonatal mice, administration of a single, clinically relevant adult oral dose of linaclotide caused deaths due to dehydration. Use of LINZESS should be avoided in patients 6 years to less than 18 years of age. The safety and effectiveness of LINZESS has not been established in patients less than 18 years of age.

Contraindications
  • LINZESS is contraindicated in patients less than 6 years of age due to the risk of serious dehydration.
  • LINZESS is contraindicated in patients with known or suspected mechanical gastrointestinal obstruction.
Warnings and Precautions
Pediatric Risk
  • LINZESS is contraindicated in patients less than 6 years of age. The safety and effectiveness of LINZESS in patients less than 18 years of age have not been established. In neonatal mice, linaclotide increased fluid secretion as a consequence of GC-C agonism resulting in mortality within the first 24 hours due to dehydration. Due to increased intestinal expression of GC-C, patients less than 6 years of age may be more likely than patients 6 years of age and older to develop severe diarrhea and its potentially serious consequences.
  • Use of LINZESS should be avoided in pediatric patients 6 to less than 18 years of age. Although there were no deaths in older juvenile mice, given the deaths in young juvenile mice and the lack of clinical safety and efficacy data in pediatric patients, use of LINZESS should be avoided in pediatric patients 6 years to less than 18 years of age.
Diarrhea
  • Diarrhea was the most common adverse reaction in LINZESS-treated patients in the pooled IBS-C and CIC double-blind placebo-controlled trials. The incidence of diarrhea was similar in the IBS-C and CIC populations. Severe diarrhea was reported in 2% of 145 mcg and 290 mcg LINZESS-treated patients, and in <1% of 72 mcg LINZESS-treated CIC patients. If severe diarrhea occurs, dosing should be suspended and the patient rehydrated.
Common Adverse Reactions (incidence ≥2% and greater than placebo)
  • In IBS-C clinical trials: diarrhea (20% vs 3% placebo), abdominal pain (7% vs 5%), flatulence (4% vs 2%), headache (4% vs 3%), viral gastroenteritis (3% vs 1%) and abdominal distension (2% vs 1%).
  • In CIC trials of a 145 mcg dose: diarrhea (16% vs 5% placebo), abdominal pain (7% vs 6%), flatulence (6% vs 5%), upper respiratory tract infection (5% vs 4%), sinusitis (3% vs 2%) and abdominal distension (3% vs 2%). In a CIC clinical trial of a 72 mcg dose: diarrhea (19% vs 7% placebo) and abdominal distention (2% vs <1%).

LINZESS® (linaclotide) is indicated in adults for the treatment of both irritable bowel syndrome with constipation (IBS‑C) and chronic idiopathic constipation (CIC).

If you are a patient, and have any questions, please discuss them with your doctor or healthcare professional. For additional information about LINZESS, call Allergan Customer Relations and Medical Affairs at 1-800-678-1605.

Please see below and full Prescribing Information for LINZESS.