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Last Updated: January 17, 2025

CLINICAL TRIALS PROFILE FOR PLECANATIDE


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All Clinical Trials for Plecanatide

Trial ID Title Status Sponsor Phase Start Date Summary
NCT01429987 ↗ The Plecanatide Chronic Idiopathic Constipation (CIC) Study Completed Parexel Phase 2/Phase 3 2011-10-01 This is a randomized, double-blind, placebo controlled, 12 week repeat oral dose, dose ranging study to determine the efficacy and safety of 3 doses of plecanatide compared to placebo in patients with Chronic Idiopathic Constipation (CIC).
NCT01429987 ↗ The Plecanatide Chronic Idiopathic Constipation (CIC) Study Completed Bausch Health Americas, Inc. Phase 2/Phase 3 2011-10-01 This is a randomized, double-blind, placebo controlled, 12 week repeat oral dose, dose ranging study to determine the efficacy and safety of 3 doses of plecanatide compared to placebo in patients with Chronic Idiopathic Constipation (CIC).
NCT01429987 ↗ The Plecanatide Chronic Idiopathic Constipation (CIC) Study Completed Synergy Pharmaceuticals Inc. Phase 2/Phase 3 2011-10-01 This is a randomized, double-blind, placebo controlled, 12 week repeat oral dose, dose ranging study to determine the efficacy and safety of 3 doses of plecanatide compared to placebo in patients with Chronic Idiopathic Constipation (CIC).
NCT01722318 ↗ The Plecanatide Irritable Bowel Syndrome With Constipation Study (IBS-C) Completed Bausch Health Americas, Inc. Phase 2 2012-11-01 This is a randomized, 12-week, double-blind, placebo-controlled, dose-ranging study in patients with IBS-C.
NCT01722318 ↗ The Plecanatide Irritable Bowel Syndrome With Constipation Study (IBS-C) Completed Synergy Pharmaceuticals Inc. Phase 2 2012-11-01 This is a randomized, 12-week, double-blind, placebo-controlled, dose-ranging study in patients with IBS-C.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for Plecanatide

Condition Name

Condition Name for Plecanatide
Intervention Trials
Chronic Idiopathic Constipation 5
Irritable Bowel Syndrome Characterized by Constipation 3
Irritable Bowel Syndrome With Constipation 2
Abdominal Pain 1
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Condition MeSH

Condition MeSH for Plecanatide
Intervention Trials
Constipation 10
Irritable Bowel Syndrome 6
Syndrome 5
Gastroesophageal Reflux 1
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Clinical Trial Locations for Plecanatide

Trials by Country

Trials by Country for Plecanatide
Location Trials
United States 301
Canada 8
China 1
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Trials by US State

Trials by US State for Plecanatide
Location Trials
Florida 10
California 10
Virginia 10
Texas 10
Louisiana 10
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Clinical Trial Progress for Plecanatide

Clinical Trial Phase

Clinical Trial Phase for Plecanatide
Clinical Trial Phase Trials
Phase 3 7
Phase 2/Phase 3 1
Phase 2 3
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Clinical Trial Status

Clinical Trial Status for Plecanatide
Clinical Trial Phase Trials
Completed 9
Not yet recruiting 2
Recruiting 1
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Clinical Trial Sponsors for Plecanatide

Sponsor Name

Sponsor Name for Plecanatide
Sponsor Trials
Bausch Health Americas, Inc. 10
Synergy Pharmaceuticals Inc. 10
Parexel 1
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Sponsor Type

Sponsor Type for Plecanatide
Sponsor Trials
Industry 22
Other 2
NIH 1
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Plecanatide: Clinical Trials, Market Analysis, and Projections

Introduction to Plecanatide

Plecanatide is a uroguanylin analog that has been approved for the treatment of chronic idiopathic constipation (CIC) and other functional gastrointestinal disorders. It is the first uroguanylin analog to receive such approval and has shown significant efficacy in clinical trials.

Clinical Trials Overview

Phase III Clinical Trials

The Phase III clinical trials for plecanatide were pivotal in establishing its efficacy and safety. These trials involved patients with CIC and were conducted over a 12-week treatment period. Patients were randomized into three treatment groups: plecanatide 3 mg, plecanatide 6 mg, and placebo. The trials used stringent criteria, including the durable overall complete spontaneous bowel movement (CSBM) responder rate, which requires a clinical response in at least 3 of the 4 last weeks of treatment and 9 out of 12 weeks overall[1].

Key findings from these trials include:

  • Significant improvement in constipation symptoms and related quality of life measures, as measured by the PAC-SYM and PAC-QoL questionnaires.
  • Rapid onset of efficacy, with improvements observed within the first week of treatment.
  • Low rate of adverse events, with the majority being mild to moderate in severity.
  • Only 1.1% of patients experienced serious adverse events, with comparable rates across treatment groups[1].

Additional Clinical Studies

Plecanatide is also being evaluated for its potential in treating irritable bowel syndrome with constipation (IBS-C). The Phase III development program for IBS-C includes two pivotal clinical trials that will assess the efficacy and safety of plecanatide at dosages of 3 mg/day and 6 mg/day over a 12-week treatment period[3].

Market Analysis

Current Market Size and Growth

The global market for oral proteins and peptides, which includes plecanatide, is experiencing significant growth. In 2023, this market generated a revenue of approximately $2 billion and is projected to reach $3.1 billion by 2033, growing at a CAGR of 10.1%[2].

Market Segmentation

The oral proteins and peptides market is segmented by product type, application, drug type, and end-user.

  • Product Type: While plecanatide is part of this broader market, the segment is dominated by other products such as iron sucrose and ferric carboxyl maltose.
  • Application: Plecanatide falls under the gastric and digestive disorders segment, which is a significant part of the market. However, diabetes holds the largest share with 40.7% of the market[2].
  • Drug Type: Plecanatide is one of the drugs in this segment, but insulin dominates with a 38.5% revenue share.
  • End-user: Hospitals are the leading end-users, accounting for 52.3% of the market revenue due to the increasing demand for advanced protein and peptide therapies[2].

Regional Analysis

North America currently leads the market with a 38.2% share, driven by significant healthcare investments and a strong focus on biotechnology research. However, the Asia Pacific region is expected to experience the highest CAGR during the forecast period due to the increasing prevalence of chronic diseases and improvements in healthcare infrastructure[2].

Market Projections for Plecanatide

Sales Forecast

While specific sales forecasts for plecanatide are not detailed in the broader market reports, the drug's success in clinical trials and its approval for CIC treatment suggest a positive growth trajectory. Sales forecasts for plecanatide in the context of IBS-C treatment have been outlined in specific reports, indicating potential growth as the drug expands its therapeutic indications[3].

Competitive Landscape

The plecanatide market involves several key players, including Teva API, Chunghwa Chemical Synthesis & Biotech, Chinese Peptide Company, and Hangzhou ThinHeal Pharma-Tech. These companies are involved in the production and distribution of plecanatide, contributing to its market presence[5].

Key Takeaways

  • Clinical Efficacy: Plecanatide has demonstrated significant efficacy in treating CIC with a low rate of adverse events.
  • Market Growth: The oral proteins and peptides market, which includes plecanatide, is expected to grow at a CAGR of 10.1% from 2023 to 2033.
  • Regional Trends: North America currently leads the market, but the Asia Pacific region is expected to grow at the highest CAGR.
  • Competitive Landscape: Key players in the plecanatide market include Teva API, Chunghwa Chemical Synthesis & Biotech, and others.

FAQs

What is plecanatide used for?

Plecanatide is used for the treatment of chronic idiopathic constipation (CIC) and is being evaluated for irritable bowel syndrome with constipation (IBS-C).

What were the key findings of the Phase III clinical trials for plecanatide?

The Phase III trials showed significant improvement in constipation symptoms, rapid onset of efficacy, and a low rate of adverse events.

How is the market for oral proteins and peptides expected to grow?

The market is expected to grow from $2 billion in 2023 to $3.1 billion by 2033, at a CAGR of 10.1%.

Which region is expected to have the highest CAGR for the oral proteins and peptides market?

The Asia Pacific region is expected to experience the highest CAGR during the forecast period.

Who are the main players in the plecanatide market?

Key players include Teva API, Chunghwa Chemical Synthesis & Biotech, Chinese Peptide Company, and Hangzhou ThinHeal Pharma-Tech.

Sources

  1. A Randomized Phase III Clinical Trial of Plecanatide, a Uroguanylin Analog, in Patients With Chronic Idiopathic Constipation. American Journal of Gastroenterology, 2017.
  2. Oral Proteins and Peptides Market Size Analysis | CAGR of 10.1%. Market.us.
  3. Plecanatide (Irritable Bowel Syndrome) - Forecast and Market Analysis to 2023. PR Newswire.
  4. Clinical Trials Using Plecanatide. National Cancer Institute.
  5. Global Plecanatide Market Research Report 2024. Valuates Reports.

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