Ironwood Pharmaceuticals to Present New IW-3300 and Linaclotide Data at Digestive Disease Week® 2022
Ironwood Pharmaceuticals (Nasdaq: IRWD) will showcase eight studies, including two oral presentations, at the Digestive Disease Week 2022 conference in San Diego from May 21 to May 24. One key study focuses on IW-3300's effect on chronic pelvic pain, while another analyzes linaclotide's impact on abdominal symptoms in IBS-C patients. CEO Tom McCourt will receive the ASGE President’s Award for his contributions to gastrointestinal endoscopy, highlighting Ironwood's ongoing commitment to GI health advancements.
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– Data to be featured in two oral presentations and six posters –
– CEO
One oral presentation will discuss the impact of novel guanylate cyclase-C agonist IW-3300 on comorbid chronic pelvic and somatic pain in a preclinical model of stress-induced visceral hypersensitivity. Ironwood is focused on advancing the science and understanding of visceral pain and is currently developing IW-3300 for the potential treatment of chronic visceral pain conditions, such as interstitial cystitis/bladder pain syndrome (IC/BPS) and endometriosis. The second oral presentation will summarize results of a post-hoc analysis of linaclotide studies focused on further understanding its treatment effect on abdominal symptoms in patients with Irritable Bowel Syndrome with Constipation (IBS-C). Other studies include preclinical data on the impact of linaclotide on visceral hypersensitivity, data on the impact of linaclotide on pediatric functional constipation (FC) and studies on disease burden of IBS-C and chronic idiopathic constipation (CIC).
At the meeting, Ironwood’s Chief Executive Officer,
“DDW is always an invigorating meeting for scientific minds in the GI community, and we’re thrilled to share findings from eight insightful studies in person this year,” said
In addition to two oral presentations, four additional topics will be presented and two ePosters will be available by Ironwood as well. An overview of all eight presentations is provided below.
IW-3300
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Colon-Targeted Delivery Of Guanylate Cyclase-C Agonist IW-3300 Relieves Comorbid Chronic Pelvic And Somatic Pain In A Rat Model Of Early Life Stress-Induced Colonic Hypersensitivity (oral presentation; presentation number 240), by
Casey Ligon , Ph.D., TheUniversity of Oklahoma Health Sciences Center ,Oklahoma City, OK , will be presented onSaturday, May 21 ,4:45 p.m. to 5:00 p.m. PT in room 24
Linaclotide
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Patient-Derived Meaningful Change Thresholds In The Novel Abdominal Score Outcome Measure In Irritable Bowel Syndrome With Constipation (oral presentation; presentation number 179), by
Jan Tack , M.D., Ph.D.,University of Leuven , Leuven,Belgium , will be presented onSaturday, May 21 ,3:00 p.m. to 3:15 p.m. PT in Room 28ABC -
Undiagnosed Irritable Bowel Syndrome with Constipation (IBS-C) and Chronic Idiopathic Constipation (CIC): More Common than we Thought? (presentation number Mo1084), by
Brian E. Lacy , M.D., Ph.D., The Mayo Clinic,Jacksonville, FL , will be presented onMonday, May 23 ,12:30 p.m. to 1:30 p.m. PT -
Chronic Idiopathic Constipation Sufferers And Treatment Satisfaction: Prescription Vs. Over-The-Counter Medication (presentation number Tu1339), by
Brian E. Lacy , M.D., Ph.D., The Mayo Clinic,Jacksonville, FL , onTuesday, May 24 ,12:30 p.m. to 1:30 p.m. PT -
Race-Related Comparisons Of Irritable Bowel Syndrome With Constipation Symptoms, Treatment Response, And Quality Of Life: Results Of A Pooled Analysis Of Linaclotide Clinical Trials (presentation number Tu1364), by
Linda Nguyen , M.D.,Stanford Health Care ,Redwood City, CA , onTuesday, May 24 ,12:30 p.m. to 1:30 p.m. PT -
Safety and Efficacy of Linaclotide in Children Aged 2-5 years With Functional Constipation; Results From a Randomized, Double-blind, Placebo-controlled, Multidose Study (presentation number Tu1390), by
Carlo Di Lorenzo , M.D., Nationwide Children’s Hospital,Columbus, OH , onTuesday, May 24 ,12:30 p.m. to 1:30 p.m. PDT -
Colorectal Nociceptive Processing In Ascending Pain Relaying Caudal Ventrolateral Medulla And The Lateral Parabrachial Nuclei Is Increased In A Mouse Model Of Chronic Visceral Hypersensitivity And Is Reversed By Chronic Linaclotide Treatment (ePoster presentation number EP1238), by
Andrea Harrington , Ph.D.,Flinders University ,Adelaide ,South Australia -
Descending Pain Modulation Of Colorectal Nociceptive Processing In The Spinal Cord Is Imbalanced In A Mouse Model Of Post-Colitis Chronic Visceral Hypersensitivity And Is Reduced By Chronic Oral Linaclotide Treatment (ePoster presentation number EP1239), by
Andrea Harrington , Ph.D.,Flinders University ,Adelaide ,South Australia
About Linaclotide
Linaclotide is a guanylate cyclase-C (GC-C) agonist that is thought to work in two ways based on nonclinical studies. Linaclotide binds to the GC-C receptor locally, within the intestinal epithelium. Activation of GC-C results in increased intestinal fluid secretion and accelerated transit and a decrease in the activity of pain-sensing nerves in the intestine. The clinical relevance of the effect on pain fibers, which is based on nonclinical studies, has not been established. In
LINZESS Important Safety Information
INDICATIONS AND USAGE
LINZESS (linaclotide) is indicated in adults for the treatment of both irritable bowel syndrome with constipation (IBS-C) and chronic idiopathic constipation (CIC).
IMPORTANT SAFETY INFORMATION
WARNING: RISK OF SERIOUS DEHYDRATION IN PEDIATRIC PATIENTS LESS THAN 2 YEARS OF AGE |
LINZESS is contraindicated in patients less than 2 years of age. In nonclinical studies in neonatal mice, administration of a single, clinically relevant adult oral dose of linaclotide caused deaths due to dehydration. |
Contraindications
- LINZESS is contraindicated in patients less than 2 years of age due to the risk of serious dehydration.
- LINZESS is contraindicated in patients with known or suspected mechanical gastrointestinal obstruction.
Warnings and Precautions
Pediatric Risk
- LINZESS is contraindicated in patients less than 2 years of age. In neonatal mice, linaclotide increased fluid secretion as a consequence of age-dependent elevated GC-C agonism resulting in mortality within the first 24 hours due to dehydration. There was no age-dependent trend in GC-C intestinal expression in a clinical study of children 2 to less than 18 years of age; however, there are insufficient data available on GC-C intestinal expression in children less than 2 years of age to assess the risk of developing diarrhea and its potentially serious consequences in these patients. The safety and effectiveness of LINZESS in patients less than 18 years of age have not been established.
Diarrhea
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Diarrhea was the most common adverse reaction in LINZESS-treated patients in the pooled IBS-C and CIC double-blind placebo-controlled trials. The incidence of diarrhea was similar in the IBS-C and CIC populations. Severe diarrhea was reported in
2% of 145 mcg and 290 mcg LINZESS-treated patients, and in <1% of 72 mcg LINZESS-treated CIC patients. If severe diarrhea occurs, dosing should be suspended, and the patient rehydrated.
Common Adverse Reactions (incidence ≥
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In IBS-C clinical trials: diarrhea (
20% vs3% placebo), abdominal pain (7% vs5% ), flatulence (4% vs2% ), headache (4% vs3% ), viral gastroenteritis (3% vs1% ) and abdominal distension (2% vs1% ). -
In CIC trials of a 145 mcg dose: diarrhea (
16% vs5% placebo), abdominal pain (7% vs6% ), flatulence (6% vs5% ), upper respiratory tract infection (5% vs4% ), sinusitis (3% vs2% ) and abdominal distension (3% vs2% ). In a CIC trial of a 72 mcg dose: diarrhea (19% vs7% placebo) and abdominal distension (2% vs <1% ).
Please see full Prescribing Information including Boxed Warning: http://www.allergan.com/assets/pdf/linzess_pi
About IW-3300
Ironwood is currently advancing IW-3300, a guanylate cyclase-C agonist being developed for the potential treatment of visceral pain conditions, such as interstitial cystitis / bladder pain syndrome (IC/BPS) and endometriosis. IC/BPS affects an estimated 4 to 12 million Americans, according to the
About
Founded in 1998,
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Forward-Looking Statements
This press release contains forward-looking statements. Investors are cautioned not to place undue reliance on these forward-looking statements, including statements about the advancement of our linaclotide pediatrics development program in pediatric patients with functional constipation; the potential impact of linaclotide on pediatric functional constipation and studies on disease burden of IBS-C and CIC; the development of IW-3300 as a potential first in class treatment for visceral pain conditions; and linaclotide’s treatment effect in patients with IBS-C . These forward-looking statements speak only as of the date of this press release, and Ironwood undertakes no obligation to update these forward-looking statements. Each forward-looking statement is subject to risks and uncertainties that could cause actual results to differ materially from those expressed or implied in such statement. Applicable risks and uncertainties include those related to the effectiveness of development and commercialization efforts by us and our partners; preclinical and clinical development, manufacturing and formulation development of linaclotide, CNP-104 and our product candidates; the risk that clinical programs and studies may not progress or develop as anticipated, including that studies are delayed or discontinued for any reason, such as safety, tolerability, enrollment, manufacturing, economic or other reasons; the risk that findings from our completed nonclinical and clinical studies may not be replicated in later studies; the risk that we or our partners are unable to obtain, maintain or manufacture sufficient LINZESS or our product candidates, or otherwise experience difficulties with respect to supply or manufacturing; the efficacy, safety and tolerability of linaclotide and our product candidates; the risk that the therapeutic opportunities for LINZESS or our product candidates are not as we expect; decisions by regulatory and judicial authorities; the risk we may never get additional patent protection for linaclotide and other product candidates, that patents for linaclotide or other products may not provide adequate protection from competition, or that we are not able to successfully protect such patents; the risk that we are unable to manage our expenses or cash use, or are unable to commercialize our products as expected; the risk that we may elect to not exercise our option to acquire the exclusive license for CNP-104; the risk that the development of either CNP-104 and/or IW-3300 is not successful or that any of our product candidates is not successfully commercialized; outcomes in legal proceedings to protect or enforce the patents relating to our products and product candidates, including abbreviated new drug application litigation; the risk that financial and operating results may differ from our projections; developments in the intellectual property landscape; challenges from and rights of competitors or potential competitors; the risk that our planned investments do not have the anticipated effect on our company revenues; developments in accounting guidance or practice; Ironwood’s or AbbVie’s accounting practices, including reporting and settlement practices as between Ironwood and AbbVie; the risk that we are unable to manage our expenses or cash use, or are unable to commercialize our products as expected; the impact of the COVID-19 pandemic; and the risks listed under the heading “Risk Factors” and elsewhere in our Annual Report on Form 10-K for the fiscal year ended
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