Skip to main content
xMedica

NCT07382167ClinicalTrials.gov

A 26-Wk Study to Assess Safety & Efficacy of Tenapanor for T/t of Chronic Idiopathic Constipation in Adults

A 26-Week, Multi-Center, Randomized, Double-Blind, Placebo-Controlled Study to Assess the Safety and Efficacy of Tenapanor for the Treatment of Chronic Idiopathic Constipation (CIC) in Adults

RecruitingTaking participants now, according to the registry record.
Contact this study

In brief

This is a 26-week, multi-center, randomized, double-blind, placebo-controlled study with a 4-week treatment-free Safety Follow-up period to assess the safety and efficacy of tenapanor (5 mg, 25mg, and 50 mg) in adult patients with Chronic Idiopathic Constipation (CIC) when administered…

Phase 3692 participants sought109 sites1 country

Categories

Registered in 1 registry

One study can be registered in several registries. We show it once and link every record we hold.

Trial information is shown as published by the registry, in its original language.

Interested in this study?

Sign in or create an account to register your interest and follow this study.

How this study is set up

The points below are drawn from the public registry record for this study. Each one cites the field or sentence it came from. A dash (—) means the record does not state something — not that it is missing or wrong. Many well-run studies, especially small ones, leave some of these blank.

  • Not stated: Registered after enrolment began (about 20 days after the recorded start)First posted 2026-02-02; recorded start 2026-01-13
  • Present: Has a defined primary outcomeA primary outcome measure is listed in the record
  • Present: The primary outcome states a time frameThe primary outcome measure records a time frame
  • Present: Participants are randomly assignedAllocation is recorded as randomised
  • Present: Has a comparison groupThe record lists a placebo or comparator arm, or more than one study arm
  • Present: Uses blinding (masking)A masking level is recorded in the record
  • Not stated: An ethics committee is not stated in the registry recordThis registry's ingested record has no ethics-committee field
  • Not stated: Regulatory oversight (such as an IND or IDE) is not stated in the registry recordThis registry's ingested record has no regulatory-authorisation field
  • Not stated: A data monitoring committee is not stated in the registry recordThis registry's ingested record has no data-monitoring-committee fieldA data monitoring committee is not required for many smaller studies, and its absence here is not unusual.
  • Present: No cost to participants is mentioned in the recordChecked the summary, description and eligibility text; no cost-to-participant phrase found
  • Present: Sponsor has 3 other studies in this databaseCounted from the lead sponsor named in the record (Ardelyx)
  • Not stated: No posted results from this sponsor are in this database yetBased on the sponsor’s studies in this database
  • The record lists 1 condition.
  • Lead sponsor type recorded as: industry.
  • Intervention regulatory context: investigational, within a phased regulatory pathway.

Trial stature

Three independent measures of this study, described from its registry record — not a recommendation about it. A rigorous study by investigators nobody has heard of is better evidence than a weak study led by a famous one. How these are scored.

Methodological rigourSTRONG

A strong methodological design for a phase 3 study, judged from its ClinicalTrials.gov record.

How this score is built
  • Randomised allocation20/20

    Participants are randomly allocated between arms

  • Blinding20/20

    Quadruple-blind

  • Control arm13/15

    Placebo / sham control arm

  • Primary-outcome specificity10/10

    Named primary outcome with a defined time frame

  • Endpoint type3/10

    Surrogate or intermediate endpoint (conservative default)

  • Multi-centre8/8

    Multi-centre: 109 sites

  • Data monitoring committee0/7

    No data monitoring committee stated

  • Prospective registration3/5

    Registered within 30 days of the study start

  • Protocol / SAP posted0/5

    No protocol or SAP posted to the registry

ScaleMEDIUM

A medium-sized study: 692 participants (target), run at 109 sites.

How this score is built
  • Enrolment28/40

    692 participants (target)

  • Site count23/25

    109 sites

  • Country count0/15

    Single country

  • Planned duration6/10

    Planned over about 17 months

  • Sponsor scale2/10

    Ardelyx has led 4 trials in our corpus

Investigator standingUNKNOWN

We have no verifiable track record for the investigator named on this trial. That is common for early-career investigators and for records held outside ClinicalTrials.gov — it is not a negative signal.

How this score is built
  • Investigator standing0/100

    No investigator recorded in the registry for this trial

These describe the registry record only, and today we hold ClinicalTrials.gov data. Absent fields lower a score, and absence often reflects registration practice rather than study quality. A high-stature trial is not necessarily safer or a better choice for you — enrolling in a large definitive trial can mean a higher chance of receiving placebo, while a small early-phase study may be the only route to a new therapy.

Summary

This is a 26-week, multi-center, randomized, double-blind, placebo-controlled study with a 4-week treatment-free Safety Follow-up period to assess the safety and efficacy of tenapanor (5 mg, 25mg, and 50 mg) in adult patients with Chronic Idiopathic Constipation (CIC) when administered twice daily for 26 consecutive weeks.

This study consists of a 2-week Screening period, followed by a 26-week randomized treatment period (RTP), and a 4-week treatment-free Safety Follow-up period. After obtaining study informed consent from patients, the 2-week Screening period starts. Patients will be fully assessed for eligibility into the study. The assessments will include evaluation of inclusion/exclusion criteria, including medical histories, physical examination, vital signs, 12-lead electrocardiogram (ECG), and clinical laboratory tests. Patients will also self-report, on information about the status of their constipation symptoms and severity via an electronic diary (eDiary). Patient compliance with the eDiary will be monitored to determine eligibility at the end of screening. Eligible patients will be randomized (Visit 2) to receive tenapanor 5 mg BID (twice a day), 25 mg BID, 50 mg BID, or placebo for 26 consecutive weeks as the double-blind RTP. During this period, patients will continue recording daily assessments of constipation symptoms and weekly assessments of constipation severity in the eDiary. Patients will have return visits every two to six weeks at Weeks 2, 4, 8, 12, 16, 20 and 26(Visit 3-9) to undergo safety assessments. Upon completion of the 26-week RTP, patients will be monitored for AEs (adverse events) during the 4-week treatment-free Safety Follow-up period and complete the Follow-up visit (Visit 10) at the end of this period to undergo safety assessments.

Conditions

  • Chronic Idiopathic Constipation (CIC)

Eligibility

Eligibility
SexAll
Ages18 Years80 Years
Healthy volunteersNo

Eligibility as written in the registry

Inclusion Criteria: 1. Patients ≥18 to ≤80 years old at the Screening visit (Visit 1). 2. Meet the Rome IV Diagnostic Criteria for functional constipation. 3. Females of non-childbearing potential, or agree to the use of an acceptable means of contraception for up to 30 days following the last dose of study medication. 4. Males must agree to use an appropriate method of barrier contraception or have documented surgical sterilization. 5. Meets the entry criteria assessed during the Screening period. 6. Ability to understand and provide input on the assessments in the eDiary. 7. Provide written informed consent before the initiation of any study-specific procedures. 8. Must agree to have daily access to eDiary via a computer, tablet or smart phone Exclusion Criteria: 1. Loose or watery stool in the absence of any medication that is known to affect stool consistency for \>25% of bowel movements (BMs) during the 3 months prior to the Screening visit 2. Fecal impaction within 6 months prior to the Screening visit 3. Unexplained and clinically significant alarm symptoms. 4. Functional diarrhea as defined by Rome IV criteria 5. IBS with constipation (IBS-C), IBS with diarrhea (IBS-D), mixed IBS (IBS-M), or unsubtyped IBS as defined by Rome IV criteria 6. Diagnosis or treatment of any clinically symptomatic abnormality of the GI tract or active disease within 6 months prior to the Screening visit 7. Patient with central nervous system disorder 8. Use of prohibited medications defined by protocol 9. Patient has a history or current evidence of laxative abuse 10. Hepatic dysfunction 11. Positive HIV, hepatitis B or hepatitis C test at screening 12. Positive urinary drug test at Screening, with the exception of cannabis and cannabidiol (CBD) 13. Any evidence of or treatment of malignancy within 1 year prior to the Screening visit 14. Any surgery on the stomach, small intestine or colon; appendectomy or cholecystectomy are not excluded unless within 60 days prior to the Screening visit 15. Pregnant women or women planning to become pregnant during trial participation 16. A major psychiatric disorder that has required hospitalization in the last year prior to the Screening visit. 17. Alcohol or substance abuse within 1 year prior to the Screening visit 18. Participation in other clinical trials within 1 month prior to the Screening visit 19. Clinical evidence of significant disease that may interfere with the patient's successful completion of the trial

Eligibility in plain statements

This record's criteria have not been broken into separate statements yet. The registry text above is complete and is the authoritative version.

Study design

Study design
Study typeInterventional
PhasePhase 3
AllocationRandomised
Intervention modelPARALLEL
Primary purposeTREATMENT
MaskingQUADRUPLE (4)
Enrolment692 participants sought

Sponsor and collaborators

  • Ardelyx Sponsor

Arms and interventions

  • Tenapanor 5 mg BIDEXPERIMENTAL

    Patients will be randomized to receive 5 mg tenapanor twice daily.

  • Tenapanor 25 mg BIDEXPERIMENTAL

    Patients will be randomized to receive 25 mg tenapanor twice daily.

  • Tenapanor 50 mg BIDEXPERIMENTAL

    Patients will be randomized to receive 50 mg tenapanor twice daily.

  • Placebo ComparatorPLACEBO_COMPARATOR

    Patients will be randomized to receive matching placebo twice daily.

Interventions

  • Drug Placebo

    Patients will receive matching placebo BID

  • Drug Tenapanor 25 mg BID

    Patients will receive tenapanor 25 mg BID (total of 50 mg daily)

  • Drug Tenapanor 5 mg BID

    Patients will receive tenapanor 5 mg BID (total of 10 mg daily)

  • Drug Tenapanor 50 mg BID

    Patients will receive tenapanor 50 mg BID (total of 100 mg daily)

Outcome measures

  1. Primary outcome

    Durable complete spontaneous bowel movements (CSBM) response

    Durable complete spontaneous bowel movements (CSBM) response is defined as achieving the weekly CSBM response for ≥9 out of the first 12 weeks of the randomized treatment period and and for ≥3 of the last 4 weeks of the first 12 weeks of randomized treatment period

    Time frame 12 Weeks

  2. Secondary outcome

    9/12 week complete spontaneous bowel movements (CSBM) response

    9/12 week complete spontaneous bowel movements (CSBM) response defined as achieving the weekly CSBM response for ≥9 out of the first 12 weeks of the randomized treatment period.

    Time frame 12 Weeks

  3. Secondary outcome

    Change from baseline in complete spontaneous bowel movements (CSBM) frequency

    Change from baseline over the first 12 weeks of the randomized treatment period in complete spontaneous bowel movements (CSBM) frequency

    Time frame 12 Weeks

  4. Secondary outcome

    Change from baseline in spontaneous bowel movement (SBM) frequency

    Change from baseline over the first 12 weeks of the randomized treatment period in spontaneous bowel movement (SBM) frequency

    Time frame 12 Weeks

  5. Secondary outcome

    Change from baseline in stool consistency

    Change from baseline over the first 12 weeks of the randomized treatment period in stool consistency

    Time frame 12 Weeks

  6. Secondary outcome

    Change from baseline in stool straining

    Change from baseline over the first 12 weeks of the randomized treatment period in straining

    Time frame 12 Weeks

Dates

Dates
Start dateJanuary 13, 2026 (actual)
Primary completionFebruary 26, 2027 (estimated)
CompletionJune 4, 2027 (estimated)
First postedFebruary 2, 2026 (actual)
Last updatedJune 4, 2026
Results postedNot stated in the registry record
Status last verifiedJune 2026

Actual means the event happened. Estimated means the sponsor expects it. The two mean different things.

Locations

109 sites are recruiting

United States

United States
FacilityCityState or regionStatus
Albuquerque Clinical Trials (ACT)AlbuquerqueNew MexicoRecruiting
University of Michigan Health SystemAnn ArborMichiganRecruiting
Agile Clinical Research Trials, LLCAtlantaGeorgiaRecruiting
DelRicht Clinical Research - AtlantaAtlantaGeorgiaRecruiting
Elite Clinical Trials-IdahoBlackfootIdahoRecruiting
Treasure Valley Medical ResearchBoiseIdahoRecruiting
Accellacare of BristolBristolTennesseeRecruiting
NY ScientificBrooklynNew YorkRecruiting
Hope Clinical Research - Canoga ParkCanoga ParkCaliforniaRecruiting
Accellacare of CaryCaryNorth CarolinaRecruiting
Arizona Liver Health - ChandlerChandlerArizonaRecruiting
DelRicht Clinical Research - CharlestonCharlestonSouth CarolinaRecruiting
Delricht Clinical Research - BadmusCharlotteNorth CarolinaRecruiting
Charlottesville Medical Research Center, LLCCharlottesvilleVirginiaRecruiting
Erick H. Alayo Medical CorporationChula VistaCaliforniaRecruiting
GW Research Inc.Chula VistaCaliforniaRecruiting
Cleveland ClinicClevelandOhioRecruiting
Gastrointestinal Associates LLPColumbia FallsMontanaRecruiting
Centricity Research Columbus Ohio MultispecialtyColumbusOhioRecruiting
Remington Davis, Inc.ColumbusOhioRecruiting
Zenos Clinical ResearchDallasTexasRecruiting
EPIC Medical ResearchDeSotoTexasRecruiting
Advanced Research Institute - DenverDenverColoradoRecruiting
3A ResearchEl PasoTexasRecruiting
Lillestol Research, LLCFargoNorth DakotaRecruiting
Coastal Research Institute, LLCFayettevilleNorth CarolinaRecruiting
G & L Research, LLCFoleyAlabamaRecruiting
Proactive Clinical ResearchFort LauderdaleFloridaRecruiting
Woodholme GastroenterologyGlen BurnieMarylandRecruiting
GI Alliance - Glenview, ILGlenviewIllinoisRecruiting
DelRicht Clinical Research - GulfportGulfportMississippiRecruiting
Clinical Investigation Specialists, IncGurneeIllinoisRecruiting
Drug Trials AmericaHartsdaleNew YorkRecruiting
DelRicht Clinical Research - NashvilleHendersonvilleTennesseeRecruiting
Peters Medical ResearchHigh PointNorth CarolinaRecruiting
Tandem Clinical Research GI - HoumaHoumaLouisianaRecruiting
Hometown Urgent Care and Research - Huber HeightsHuber HeightsOhioRecruiting
DelRicht Clinical Research - IndianapolisIndianapolisIndianaRecruiting
310 Clinical ResearchInglewoodCaliforniaRecruiting
Allied Health Clinical Research Organization, LLC (AHCRO) - JacksonJacksonNew JerseyRecruiting
Kansas City Research InstituteKansas CityMissouriRecruiting
Accellacare of KnoxvilleKnoxvilleTennesseeRecruiting
New Phase Research & Development - KnoxvilleKnoxvilleTennesseeRecruiting
Rocky Mountain Gastroenterology (RMG) - LittletonLakewoodColoradoRecruiting
Om Research LLCLancasterCaliforniaRecruiting
Jubilee Clinical Research, Inc.Las VegasNevadaRecruiting
Excel Clinical ResearchLas VegasNevadaRecruiting
Digestive Disease SpecialistsLas VegasNevadaRecruiting
Clinical Trials ResearchLincolnCaliforniaRecruiting
Tekton Research - Longmont, COLongmontColoradoRecruiting

59 further sites are listed in the registry record.

Study documents

No documents are linked in this registry record.

Changes over time

No changes have been recorded since we first ingested this record.

A change is recorded each time the sponsor updates the registry record. Status, dates, enrolment and sites appear here as they move.