Evidence map›Paper›PMID 39812493›Full record

Trial reportAlimentary pharmacology & therapeutics2025

Clinical Trial: Study to Investigate the Efficacy and Safety of the Alpha-2-Delta Ligand PD-217,014 in Patients With Irritable Bowel Syndrome.

Lesley A Houghton, Simiao Gao, Steven A Gilbert, Benoit Coffin, Magnus Simren, Jeremy D Gale, A4451007 study investigators

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Alimentary pharmacology & therapeutics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Review
  2. 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

7 authors.

Lesley A HoughtonDivision of Gastroenterology and Surgical Sciences, Leeds Institute of Medical Research, University of Leeds, Leeds, UK.ORCID https://orcid.org/0000-0002-5351-0229
Simiao GaoGlobal Biometrics and Data Management, Pfizer Inc, Cambridge, Massachusetts, USA.
Steven A GilbertGlobal Biometrics and Data Management, Pfizer Inc, Cambridge, Massachusetts, USA.
Benoit CoffinService d'Hépato-Gastro-Entérologie, Assistance Publique-Hôpitaux de Paris, Hôpital Louis Mourier, DMU ESPRIT-GHU AP-HP-Nord, Colombes, France.
Magnus SimrenDepartment of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Jeremy D GaleInflammation and Immunology Research Unit, Pfizer Inc, Cambridge, Massachusetts, USA.
A4451007 study investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDespite the emergence of drugs to treat irritable bowel syndrome (IBS), improving abdominal pain can still be challenging. α

aimTo study the efficacy of the α

methodsThis multi-centre, double-blind, randomised, placebo-controlled, parallel group study randomised participants with Rome II-defined IBS to 150 or 300 mg b.d. of PD-217,014 or placebo b.d. for 4 weeks. The primary efficacy endpoint was responder, defined as having adequate relief of abdominal pain/discomfort for ≥ 50% of the active treatment period. Key secondary endpoints were change from baseline in abdominal pain, bloating, stool frequency/consistency, and global assessment of IBS symptoms.

resultsWe randomised 330 participants [aged 19-73 years; 209 (65%) female] satisfying Rome II criteria, 322 (98%) were treated, and of whom 271 (84%) completed the study. In this study, 321 satisfied Rome IV criteria. Neither dose of PD-217,014 improved the percentage of participants reporting adequate relief of abdominal pain/discomfort compared with placebo, either using the Rome II-defined total cohort or Rome II and IV IBS bowel habit sub-types. There were similar observations for secondary endpoints, and no association between abdominal pain or anxiety levels at baseline with participant improvement. PD-217,014 was generally well tolerated.

conclusionThis first large, dose-ranging trial examining the efficacy of PD-217,014 showed no significant efficacy in participants with IBS or bowel habit sub-types, irrespective of their pain and anxiety levels.

Indexed as

Abdominal PainGastrointestinal AgentsIrritable Bowel SyndromeAdultAgedDouble-Blind MethodFemaleHumansMaleMiddle AgedTreatment OutcomeYoung AdultGastrointestinal Agentsalpha‐2‐delta ligandsirritable bowel syndromePD‐217,014

Identifiers

PMID39812493
PMCPMC11825930

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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.