Linaclotide

Also known as: Linzess · Constella · MD-1100

FDA-approved

Last verified: October 30, 2026

At a glance

FDA approval FDA-approved 4 applications
Randomized controlled trials 45 of 482 publications on PubMed
Registered clinical trials 60 7 active
Adverse event reports 27,759 10,214 classified as serious
  • Linaclotide is an FDA-approved drug, marketed as Linzess, Linaclotide (first approval: August 30, 2012).
  • PubMed lists 482 publications mentioning it, including 45 randomized controlled trials and 16 animal-only studies.
  • ClinicalTrials.gov lists 60 registered studies testing it (7 active).
  • FDA's adverse event system (FAERS) holds 27,759 reports mentioning it; 10,214 classified as serious. Reports do not prove causation.

Research topics

  • Constipation 85
  • Irritable Bowel Syndrome 45
  • Polyethylene Glycols 30
  • Gastrointestinal Agents 27
  • Guanylyl Cyclase C Agonists 27
  • Laxatives 26
  • Quality of Life 23
  • Colonoscopy 21
  • Lubiprostone 21
  • Cathartics 20

Most frequent MeSH subject headings in the latest PubMed records (English, as indexed).

Regulatory status

Drugs@FDA applications

Application Product Status First approval Sponsor
NDA202811 LINZESS Approved, marketed August 30, 2012 ABBVIE
ANDA209564 LINACLOTIDE Approved, discontinued February 9, 2021 MYLAN
ANDA209611 LINACLOTIDE Approved, discontinued February 7, 2023 AUROBINDO PHARMA
ANDA211255 LINACLOTIDE Approved, marketed September 24, 2026 ACTAVIS LABS FL

Source: Drugs@FDA (openFDA) · verified October 30, 2026 · API query

FDA compounding safety list

Not on FDA's list of bulk drug substances that may present significant safety risks in compounding.

Source: FDA.gov — Category 2 bulk drug substances · verified October 30, 2026

Removal of a substance from a regulatory list does not mean it has been approved. A "research use only" label does not make a product safe or legal for human use.

Scientific publications

  • All publications 482
  • Human (MeSH) 340
  • Animal only 16
  • Clinical trials 53
  • Randomized controlled trials 45
  • Systematic reviews & meta-analyses 35
  • Case reports 6
  • Retracted 1

Counts are PubMed records that mention the peptide in the title or abstract. Categories overlap, and a mention is not the same as testing the peptide as a treatment. Each number opens the exact PubMed search. Effects seen in laboratory or animal studies may not occur in humans. A registered clinical trial does not show that a substance is effective or safe.

Latest publications

Source: PubMed (NCBI) · verified October 30, 2026

Clinical trials

Registered
60
Active
7
With posted results
24

Conditions studied

  • Chronic Constipation 11
  • Irritable Bowel Syndrome With Constipation 10
  • Chronic Idiopathic Constipation 5
  • Irritable Bowel Syndrome 5
  • Functional Constipation 4
  • Irritable Bowel Syndrome With Constipation (IBS-C) 4
  • Constipation 4
  • Bowel Preparation 3
  • Irritable Bowel Syndrome Characterized by Constipation 3
  • Cystic Fibrosis (CF) 2
  • Constipation-predominant Irritable Bowel Syndrome 2
  • Healthy 2
Study Status Phase Start
MRI Parameters as Biomarkers in Cystic Fibrosis (FEMPTO)
NCT07780344 University of Nottingham
Not yet recruiting N/A Sep 2026
Proof of Principle Study for an Efficacy Trial of Linaclotide for Cystic Fibrosis
NCT07569419 University of Nottingham
Recruiting Early phase 1 March 9, 2026
"Efficacy and Safety of Linaclotide in Chronic Constipation"
NCT07431957 Md Mehedi Shahriar
Not yet recruiting Phase 4 February 20, 2026
Linaclotide for Colonoscopy Bowel Prep
NCT06692673 University of Florida
Recruiting Phase 1, Phase 2 December 1, 2025
A Study of Virtual Reality and Linaclotide for IBS-C
NCT05796388 Mayo Clinic
Recruiting N/A May 31, 2024
Linaclotide in Treating Patients With Stages 0-3 Colorectal Cancer
NCT03796884 Sidney Kimmel Comprehensive Cancer Center at Thomas Jefferson University
Active, not recruiting Phase 2 October 30, 2019
Efficacy of Linaclotide in Type II Diabetics With Chronic Constipation
NCT03119584 Texas Tech University Health Sciences Center, El Paso
Active, not recruiting Phase 4 September 1, 2015
Clinical Study on the Application of Lactulose Combined with Linaclotide in Bowel Preparation for Colonoscopy
NCT06748638 Haifeng Lan
Unknown status Phase 4 September 1, 2024
Clinical Study of Bowel Preparation Before Colonoscopy
NCT06091735 Jinling Hospital, China
Completed N/A August 1, 2023
A Study to Assess Adverse Events and Change in Disease Activity in Pediatric Participants (Age 6 Months to <2 Years) With Functional Constipation Who Are Treated With Linaclotide
NCT05760313 AbbVie Results posted
Completed Phase 2 April 27, 2023
Show 40 more studies
Study Status Phase Start
A Study to Assess Adverse Events and Change in Symptoms With Linaclotide Versus Placebo in Pediatric Subjects, Ages 2 to 5 Years, With Functional Constipation
NCT05652205 AbbVie Results posted
Completed Phase 3 December 29, 2022
GCC Agonist Signal in the Small Intestine
NCT05107219 University of Wisconsin, Madison
Completed Phase 1 November 30, 2022
Application of Linaclotide Capsule in Bowel Preparation for Patients at High Risk of Inadequate Bowel Preparation
NCT05379491 Zhiguo Liu
Completed N/A August 1, 2022
Application of Linaclotide Capsule in Bowel Preparation for Colonoscopy
NCT05291325 Changhai Hospital
Completed N/A May 25, 2022
Effect and Safety of Polyethylene Glycol Combined With Linaclotide on Colon Cleansing for Patients With Chronic Constipation
NCT05137145 Second Affiliated Hospital of Xi'an Jiaotong University
Unknown status N/A September 1, 2021
HygiRelief Procedure and HygiSample Evaluation for Functional Constipation
NCT04532879 HyGIeaCare, Inc.
Withdrawn N/A Sep 2021
Evaluation of Clinical Equivalence Between Two Linaclotide Products in the Treatment of Chronic Idiopathic Constipation
NCT04804267 Jiangsu Hansoh Pharmaceutical Co., Ltd.
Unknown status Phase 3 March 5, 2021
Efficacy of Linaclotide in Patients With Overlapping Functional Gastrointestinal Disorders
NCT05134584 RenJi Hospital
Unknown status Phase 4 January 1, 2021
Evaluate the Safety of Linaclotide in IBS-C Patients in China
NCT04462900 AstraZeneca
Completed — September 18, 2020
Long-term Safety of Linaclotide in Pediatric Participants With FC or IBS-C
NCT04166058 AbbVie Results posted
Completed Phase 3 November 19, 2019
Linaclotide Safety and Efficacy in 2 to 5-Year-Old Participants With Functional Constipation
NCT04110145 Allergan Results posted
Completed Phase 2 October 14, 2019
Linaclotide Safety and Efficacy in Pediatric Participants, 6 to 17 Years of Age, With Irritable Bowel Syndrome With Constipation (IBS-C) or Functional Constipation (FC)
NCT04026113 AbbVie Results posted
Completed Phase 3 October 1, 2019
A Trial of Linaclotide 290 μg in Patients With Irritable Bowel Syndrome With Constipation (IBS-C)
NCT03573908 Ironwood Pharmaceuticals, Inc. Results posted
Completed Phase 3 June 20, 2018
Assessment of Responsiveness to Treatment by Experience Sampling Method
NCT03336034 Maastricht University Medical Center
Terminated — January 1, 2018
Post-marketing Surveillance of Linaclotide Tablet in Patients With Irritable Bowel Syndrome With Constipation or Chronic Constipation (Excluding Constipation Due to Organic Diseases)
NCT03471728 Astellas Pharma Inc
Completed — October 2, 2017
A Comparison of Three Different Treatment Options for Irritable Bowel Syndrome
NCT02970591 Sahlgrenska University Hospital
Completed N/A Jan 2017
A Study of the Effect of Linaclotide on Abdominal Girth in Participants With Irritable Bowel Syndrome With Constipation (IBS-C)
NCT02837783 Ironwood Pharmaceuticals, Inc. Results posted
Terminated Phase 4 December 21, 2016
A Study of Oral Dosing of ASP0456 in Patients With Chronic Constipation
NCT02809105 Astellas Pharma Inc
Completed Phase 3 June 24, 2016
Efficacy of Prucalopride Plus Polyethylene Glycol in Bowel Preparation for Colonoscopy
NCT02781493 Shandong University
Unknown status Phase 4 Jun 2016
Cognitive and Psychiatric Effects of Linaclotide on Patients With Constipation
NCT03342287 McMaster University
Withdrawn — Mar 2016
A Safety and Efficacy Study of a Range of Linaclotide Doses Administered Orally to Children Ages 6-17 Years Who Fulfill Modified Rome III Criteria for Child/Adolescent Functional Constipation (FC)
NCT02559570 Forest Laboratories Results posted
Completed Phase 2 November 3, 2015
A Safety and Efficacy Study of a Range of Linaclotide Doses Administered Orally to Children Ages 7-17 Years, With Irritable Bowel Syndrome With Constipation
NCT02559817 Forest Laboratories Results posted
Terminated Phase 2 November 1, 2015
An Open-Label, Long-term Study to Assess the Immunogenicity of LINZESS® (Linaclotide) Administered Orally to Adult Participants With Irritable Bowel Syndrome With Constipation or Chronic Idiopathic Constipation
NCT02590432 Forest Laboratories Results posted
Completed Phase 4 November 1, 2015
Caecal pH as a Biomarker for Irritable Bowel Syndrome
NCT02360384 Wingate Institute of Neurogastroenterology
Unknown status N/A Nov 2015
Trial of Linaclotide in Patients With Irritable Bowel Syndrome With Constipation (IBS-C)
NCT02559206 Ironwood Pharmaceuticals, Inc. Results posted
Completed Phase 2 October 22, 2015
A Study to Evaluate Dose Responses of Efficacy and Safety of ASP0456 in Patient With Chronic Constipation
NCT02425722 Astellas Pharma Inc
Completed Phase 2 April 13, 2015
Single-dose Linaclotide for Capsule Endoscopy Preparation
NCT02465385 University of Virginia
Completed Phase 4 Feb 2015
Phase 2 Randomized, Double-Blind, Placebo-Controlled, Parallel Group Trial of Linaclotide Administered to Patients With Opioid-Induced Constipation Receiving Chronic Opioid Treatment for Non-Cancer Pain
NCT02270983 Forest Laboratories Results posted
Completed Phase 2 October 31, 2014
Phase III Study to Evaluate the Efficacy and Safety of ASP0456 in Patients With Constipation Predominant Irritable Bowel Syndrome
NCT02316899 Astellas Pharma Inc
Completed Phase 3 October 21, 2014
Trial of Linaclotide in Patients With Chronic Idiopathic Constipation
NCT02291679 Ironwood Pharmaceuticals, Inc. Results posted
Completed Phase 3 Oct 2014
Efficacy of Linaclotide to Senna for CIC
NCT02239510 TriHealth Inc. Results posted
Terminated N/A Sep 2014
A Lactation Study in Women Who Are Breastfeeding or Pumping and Are Receiving Linaclotide Therapeutically
NCT02220348 Forest Laboratories
Completed Phase 1 July 31, 2014
Effect to Linaclotide on Colonic Motility
NCT06989268 Universitaire Ziekenhuizen KU Leuven
Completed Phase 4 February 10, 2014
Investigation of Linaclotide's Effect on the Bi-directional Brain and Gut Axis in IBS-C Patients
NCT02078323 Augusta University
Completed N/A Feb 2014
Linaclotide Acetate in Preventing Colorectal Cancer in Healthy Volunteers
NCT01950403 Mayo Clinic
Completed Phase 1 Sep 2013
A Phase 3, International, Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel-group Efficacy and Safety Trial of Linaclotide Administered Orally for 12 Weeks to Patients With Irritable Bowel Syndrome With Constipation (IBS-C)
NCT01880424 AstraZeneca Results posted
Completed Phase 3 Jul 2013
A Study to Evaluate the Effect of ASP0456 in Patients With Constipation Predominant Irritable Bowel Syndrome
NCT01714843 Astellas Pharma Inc
Completed Phase 2 August 10, 2012
Safety and Efficacy of Linaclotide in Patients With Chronic Constipation and Prominent Abdominal Bloating
NCT01642914 Forest Laboratories Results posted
Completed Phase 3 Aug 2012
A Study to Evaluate Safety of Multiple Dose of ASP0456 in Healthy Subjects
NCT01427387 Astellas Pharma Inc
Completed Phase 1 Jun 2011
A Safety and Pharmacokinetics Study of ASP0456 in Healthy Subjects
NCT01279915 Astellas Pharma Inc
Completed Phase 1 Oct 2010

All 60 studies on ClinicalTrials.gov ↗

Source: ClinicalTrials.gov · verified October 30, 2026

Adverse event reports

Reports
27,759
Serious
10,214
With death outcome
1,126

Most reported reactions

  • Diarrhoea 5,093
  • Drug ineffective 4,656
  • Off label use 3,442
  • Constipation 2,053
  • Nausea 1,536
  • Abdominal distension 1,243
  • Fatigue 1,223
  • Abdominal pain 1,169
  • Headache 1,103
  • Pain 1,003
  • Abdominal pain upper 994
  • Dizziness 907

Adverse event reports do not prove that the substance caused these effects. Side effects not listed here may still occur. Reaction terms are MedDRA terms as reported to FAERS.

Source: FDA FAERS (FAERS data as of July 30, 2026) · verified October 30, 2026 · API query

Change history

No changes since monitoring began on October 30, 2026.