Evidence map›Paper›PMID 36387985›Full record

ArticleContemporary clinical trials communications2022

Exploratory, multicenter, open-label study to evaluate the effects of linaclotide in patients with chronic constipation with an insufficient response to magnesium oxide: A study protocol.

Tsutomu Yoshihara, Takaomi Kessoku, Tomohiro Takatsu, Noboru Misawa, Keiichi Ashikari, Akiko Fuyuki, Hidenori Ohkubo, Takuma Higurashi, Michihiro Iwaki, Takeo Kurihashi and 5 more

Open access · goldAbstract read
In one paragraph

Article in Contemporary clinical trials communications, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 35% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 5 institutions in 1 country.

Tsutomu YoshiharaDepartment of Gastroenterology and Hepatology, Yokohama City University School of Medicine, Yokohama, Kanagawa, 236-0004, Japan.
Takaomi KessokuDepartment of Gastroenterology and Hepatology, Yokohama City University School of Medicine, Yokohama, Kanagawa, 236-0004, Japan.
Tomohiro TakatsuDepartment of Gastroenterology and Hepatology, Yokohama City University School of Medicine, Yokohama, Kanagawa, 236-0004, Japan.
Noboru MisawaDepartment of Gastroenterology and Hepatology, Yokohama City University School of Medicine, Yokohama, Kanagawa, 236-0004, Japan.
Keiichi AshikariDepartment of Gastroenterology and Hepatology, Yokohama City University School of Medicine, Yokohama, Kanagawa, 236-0004, Japan.
Akiko FuyukiDepartment of Gastroenterology and Hepatology, Yokohama City University School of Medicine, Yokohama, Kanagawa, 236-0004, Japan.
Hidenori OhkuboDepartment of Gastroenterology and Hepatology, Yokohama City University School of Medicine, Yokohama, Kanagawa, 236-0004, Japan.
Takuma HigurashiDepartment of Gastroenterology and Hepatology, Yokohama City University School of Medicine, Yokohama, Kanagawa, 236-0004, Japan.
Michihiro IwakiDepartment of Gastroenterology and Hepatology, Yokohama City University School of Medicine, Yokohama, Kanagawa, 236-0004, Japan.
Takeo KurihashiDepartment of Internal Medicine, Kanagawa Dental University Yokohama Clinic, Yokohama, Kanagawa, 221-0835, Japan.
Machiko NakatogawaDepartment of Internal Medicine, NamikiKoiso-medical Clinic, Yokohama, Kanagawa, 236-0005, Japan.
Koji YamamotoDepartment of Data Science, Yokohama City University School of Medicine, Yokohama, Kanagawa, 236-0004, Japan.
Izuru TeradaOperational Excellence, Medical Affairs, Astellas Pharma Inc., Tokyo, 103-8411, Japan.
Yusuke TanakaData Science, Development, Astellas Pharma Inc., Tokyo, 103-8411, Japan.
Atsushi NakajimaDepartment of Gastroenterology and Hepatology, Yokohama City University School of Medicine, Yokohama, Kanagawa, 236-0004, Japan.
Yokohama City University · JPYokohama City University Hospital · JPAstellas Pharma (Japan) · JPKanagawa Dental University · JPTokyo Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Chronic constipation leads to poor quality of life, and treatment remains unsatisfactory for patients. In Japan, magnesium oxide has been commonly used as the first choice of treatment for constipation; however, there are some cases of low satisfaction with magnesium oxide treatment. Linaclotide has recently been used to treat chronic constipation. In this study, we will examine whether linaclotide improves symptoms and quality of life in patients showing insufficient response to magnesium oxide. Methods: This is an exploratory multicenter open-label study. The target number of patients is 64: 32 patients with and 32 without abdominal symptoms. Patients with chronic idiopathic constipation or irritate bowel syndrome with constipation diagnosed according to the Rome-IV criteria are eligible. Patients prescribed 0.99-2 g/day of magnesium oxide for at least 4 weeks will be included. Those who consent to the study will continue taking magnesium oxide for 2-4 weeks, and defecation will be documented. Patients who meet the criteria will be prescribed linaclotide (0.5 mg) daily for 12 weeks. The primary endpoint is a change in the Japanese version of the Patient Assessment of Constipation Quality of Life (JPAC-QOL) score after 12 weeks of treatment. Conclusion: This is the first study to investigate the usefulness of linaclotide as a second-line treatment for chronic constipation. We will test the efficacy of treatment of constipation in patients with inadequate response to magnesium oxide. Trial registration: This study is registered with the Japan Registry of Clinical Trials (jRCT, jRCTs031200048).

Indexed as

Chronic constipationIBS-CJPAC-QOLLinaclotideMagnesium oxide

Identifiers

PMID36387985
PMCPMC9647338
OpenAlexW4307460246

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.