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Atment); (ii) the IBS-QoL and eQ-5D instruments; (iii) Other symptoms
Atment); (ii) the IBS-QoL and eQ-5D instruments; (iii) Other symptoms tool frequency, stool consistency, severity of straining and abdominal bloating (i) 12-week abdominal pain/discomfort responders: linaclotide vs placebo, Trial 31: 54.eight vs 41.8 ; Trial 302: 54.1 vs 38.5 ; P , 0.001 (ii) 12-week IBS degree-of-relief responders, Trial 31: 37.0 vs 18.5 ; Trial 302: 39.4 vs 16.6 ; P , 0.0001 Details reported in Rao 2012 and Chey 2012 (n =1607). Linaclotide vs placebo: general Ae RORĪ± Compound incidence: 56 vs 53 . Diarrhea: Trial 31: 19.5 vs three.five ; Trial 302: 19.7 vs 2.5 (Discontinued therapy because of diarrhea 5.7 vs 0.3 and four.5 vs 0.2 , respectively). SAes: ,two in each groups (none associated to diarrhea). Depending on information from Chey 2012, Rao 2012, but this pooled analysis reported eMA endpointssecondary endpoints Efficacy (key endpoints) Adverse events (Ae) noteModified Rome II PAK2 MedChemExpress criteria, 12 weeks in the year with abdominal discomfort or abdominal discomfort that had 2 of 3 predefined attributes, and ,3 SBMs per week, 1 additional bowel symptom, and NRS 3 for every day abdominal discomfort at its worst, with average ,three CSBMs per week and #5 SBMs per week for the duration of the 14 days just before randomization linaclotide 290 g od (n =405) vs placebo (n =395) for 12 weeks; followed by a 4-week randomized withdrawal (Rw) period Modified Rome II criteria, 12 weeks of your year with abdominal pain or abdominal discomfort that had 2 of three predefined capabilities, and ,three SBMs Trial 302, NCTAuthors study designcountry, study periodQuigleyPooled data of two Phase III doubleblind RCTs (Trial 31, NCT00948818 and Trial 302, NCT00938717)United states and Canada, multicentre, July 2009 eptemberRaoPhase III double-blind RCT118 centers (111 within the Usa, 7 in Canada) from July 2009 ulyClinical Medicine Insights: Gastroenterology 2013:CheyPhase III double-blind RCT102 centers within the United states of america, July 2009 eptemberperweek, 1 more bowel symptom, and NRS 3 for each day abdominal discomfort at its worst, with average ,3 CSBMs per week and #5 SBMs per week9/12, at weeks 16, (ii) 30 reduce in typical every day worst abdominal pain 36.9 vs 17.4 , NNT five.1 (3.9, 7.4); (iii) 3 CSBMs and an increase of 1 CSBM,15.7 vs three.5 , NNT eight.2 (six.two, 12.1); (iv) combined responder 12.0 vs two.5 , NNT ten.five (7.7, 16.8), P , 0.0001 in all evaluation linaclotide 75 g (n =79), 150 g (n =82), 300 g (n =84) or 600 g (n =89) od vs placebo (n =85) for 12 weeks Raise in weekly CSBM in the course of the 12-week therapy period from baseline “75 CSBM responder” (a patient for 75 from the treatment weeks, had a weekly CSBM three and a rise 1); increased in SBM, Everyday bowel movement and abdominal symptoms assessment; weekly assessments of adequate relief of IBS symptoms, international relief of IBS, IBS symptom severity, and constipation severity; at the end of trial, IBSSSS and IBS-QOL, all round satisfaction with all the study medication to relieve IBS had been assessed Linaclotide 75, 150, 300, 600 g vs placebo: Improve in weekly CSBM: two.90, two.49, 3.61, and two.68 vs 1.01 (p , 0.01). Linaclotide 75, 150, 300, 600 g vs placebo: (N =420): Diarrhea 11.4 , 12.2 , 16.5 , 18.0 vs 1.2 . Discontinued treatment on account of diarrhea: 2, 4, 1, 6 vs 0; discontinued therapy because of Ae: four, 6, three, ten vs 2. SAe: one in linaclotide 300 g (fecal impaction) NCTtreatment as a consequence of diarrhea: four.five vs 0.two ); Discontinued remedy as a consequence of Ae ten.2 vs two.5 ; SAe: 1.0 (rotator cuff syndrome, appendicitis, cystopexy, and Hodgkin’s disease, 1 every) vs 1.7 . SAe: none.Clin.

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