Evidence map›Paper›PMID 39985701›Full record

Trial reportIndian journal of gastroenterology : official journal of the Indian Society of Gastroenterology2025

Efficacy and safety of elobixibat in patients with chronic constipation-A randomized, multicenter, double-blind, placebo-controlled, parallel-group study from India.

Piyush Agarwal, Brajesh Kumar Jha, Jaganmohan Somagoni, Srinivas Shenoy B, Vipul Modh, Sanketh Kumar Chakilam, Vinay Kumar, Mukewar Shrikant Vasantrao, Mukesh Kalla, Anumula Kavitha and 2 more

Abstract readRandomized Controlled TrialMulticenter StudyClinical Trial, Phase III
In one paragraph

Trial report in Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. The mechanisms and management of fecal incontinence in geriatric neurological diseases.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2026
    Review
  3. Review
  4. Ileal bile acid transporter inhibitors for chronic constipation in the elderly.World journal of gastrointestinal pharmacology and therapeutics · 2026
    Article
  5. Elobixibat Improves Stool/Gas Distribution and Fecal Bile Acids in Older Adults With Chronic Constipation.JGH open : an open access journal of gastroenterology and hepatology · 2025
    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

12 authors.

Piyush AgarwalGlobal Clinical Management, Dr. Reddy's Laboratories Pvt. Ltd, Hyderabad, 500 016, India. piyushagarwal@drreddys.com.ORCID 0000-0001-5078-6054
Brajesh Kumar JhaGlobal Clinical Management, Dr. Reddy's Laboratories Pvt. Ltd, Hyderabad, 500 016, India.
Jaganmohan SomagoniGlobal Clinical Management, Dr. Reddy's Laboratories Pvt. Ltd, Hyderabad, 500 016, India.
Srinivas Shenoy BGlobal Clinical Management, Dr. Reddy's Laboratories Pvt. Ltd, Hyderabad, 500 016, India.
Vipul ModhGlobal Clinical Management, Dr. Reddy's Laboratories Pvt. Ltd, Hyderabad, 500 016, India.
Sanketh Kumar ChakilamGlobal Clinical Management, Dr. Reddy's Laboratories Pvt. Ltd, Hyderabad, 500 016, India.
Vinay KumarGSVM Medical College, Kanpur, 208 002, India.
Mukewar Shrikant VasantraoMidas Multispecialty Hospital Pvt. Ltd, Nagpur, 440 010, India.
Mukesh KallaS.R. Kalla Memorial Gastro and General Hospital, Jaipur, 302 006, India.
Anumula KavithaGovernment General Hospital, Guntur, 522 001, India.
Omesh GoyalDayanand Medical College and Hospital, Ludhiana, 141 001, India.
Ashima BhatiaGlobal Clinical Management, Dr. Reddy's Laboratories Pvt. Ltd, Hyderabad, 500 016, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundElobixibat is a locally acting ileal bile acid transporter (IBAT) inhibitor that relieves functional constipation in patients by accelerating colonic transit. In this study, we aimed at determining the efficacy and safety of elobixibat for short-term treatment (two weeks) of chronic constipation in Indian patients.

methodsThe present study was a randomized, double-blind, parallel-group, placebo-controlled, phase III study to evaluate efficacy and safety of elobixibat. The study planned to enroll patients with chronic constipation of at least six months' duration, satisfying Rome IV criteria for functional constipation. Following a run-in of approximately 14 days to confirm eligibility and determine baseline frequency of spontaneous bowel movements (SBMs), eligible patients were randomized 1:1 either to elobixibat or to placebo groups. The change in weekly frequency of spontaneous bowel movements (SBMs) at the end of treatment (week two) over baseline was the primary efficacy endpoint in this trial. Primary efficacy analyses were based on the modified intention-to-treat (mITT) population. This trial is registered at CTRI (Clinical Trial Registry of India).

resultsBetween April 2023 and December 2023, 150 patients were randomized into the two-week trial. In mITT population (n = 146 [elobixibat = 75 and placebo = 71]), the least square mean (LSM) difference between elobixibat (3.83) and placebo (2.68) was 1.15 (95% CI, 0.31, 1.99) demonstrating a statistically significant improvement (p = 0.008) in weekly frequency of SBMs (week two over baseline) with the use of elobixibat. The proportions of patients with a complete spontaneous bowel movement (CSBM) "response" was significantly higher with elobixibat (49.33%) compared to the placebo (26.76%) treatment (difference 22.57% [95% CI, 8.36%, 36.78%] [p = 0.005]). The most common adverse event (AE) was abdominal pain (elobixibat = 6 patients [7.89%] vs. placebo = 3 patients [4.05%]).

conclusionsElobixibat was well tolerated and improved bowel movement frequency within two weeks of treatment in Indian patient population with chronic constipation. CLINICAL TRIAL REGISTRY NUMBER: CTRI/2022/10/046690.

Indexed as

CitratesConstipationGastrointestinal AgentsThiazepinesAdultChronic DiseaseDefecationDipeptidesDouble-Blind MethodFemaleHumansIndiaMaleMiddle AgedTreatment OutcomeYoung AdultCitratesDipeptideselobixibatGastrointestinal AgentsThiazepinesBile acid binding proteinConstipationDefecationElobixibatIntention to treat analysis

Identifiers

PMID39985701
PMCPMC12141165

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Registered trials

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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.