Clinical Trials
Multiple clinical trials have evaluated lubiprostone across conditions including chronic idiopathic constipation, constipation-predominant irritable bowel syndrome, general constipation, and colorectal carcinoma. Spanning Phase 1, combined Phase 2/Phase 3, Phase 3, and unclassified designs, these investigations were conducted by academic medical centers alongside industry partners such as Takeda Pharmaceuticals. Although most studies investigating topics such as alimentary transit times and bowel preparation have completed recruitment, a clinical trial was withdrawn.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT01469819 | Completed | Chronic Idiopathic Constipation |
Texas Tech University Health Sciences Center El Paso|Takeda Pharmaceuticals North America Inc. |
2012-06 | Phase 2|Phase 3 |
| NCT01324284 | Completed | Colorectal Carcinoma |
Asian Institute of Gastroenterology India |
2011-03 | Phase 3 |
| NCT00934479 | Completed | Other Constipation|Irritable Bowel Syndrome |
Mayo Clinic|Arizona State University|Takeda Pharmaceuticals North America Inc. |
2010-04 | Phase 1 |
| NCT01085643 | Completed | Constipation-predominant Irritable Bowel Syndrome |
Cedars-Sinai Medical Center|Takeda Pharmaceuticals North America Inc. |
2010-03 | Not Applicable |
| NCT00985569 | Withdrawn | Constipation |
Synergy Health Solutions |
2009-11 | -- |
(data from https://clinicaltrials.gov, updated on 2024-05-22)
Compliance for Clinical Use
Mechanism and Biochemical Profile
Appendix RUO and cGMP Quality Standards
| Quality Dimension | RUO (Research Use Only) | cGMP (Current Good Manufacturing Practice) |
|---|---|---|
| Clinical Applicability | Prohibited in human clinical trials or medical diagnostics. | Mandatory for human clinical trials (Phase I–III) and therapies. |
| Regulatory Status | Non-regulated grade; exempt from drug manufacturing laws. | Legally enforced by health authorities (e.g., FDA, EMA, NMPA). |
| Facility Environment | Unclassified analytical or research laboratories. | Validated Cleanrooms (ISO Class 5–8) with continuous monitoring. |
| Quality Control | Basic purity and activity testing. | Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma). |
| Process Validation | Basic equipment calibration; no process validation required. | Full qualification (IQ/OQ/PQ) and complete batch records. |
| Quality Assurance | Vendor self-declared without required formal QMS. | Mandatory QA/QC unit, Change Control, CAPA, and vendor audits. |
| Regulatory Impact | High risk of IND rejection if used as a critical raw material. | Required for IND/NDA filings, supported by Drug Master Files (DMF). |
Footnotes
Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).