Complete Spontaneous Bowel Movement Frequency

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Efficacy “Japanese Phase 3 Study”6,29

[Secondary endpoints]
Changes in complete spontaneous bowel movement frequency (Week 2 of the observation period vs. Weeks 1 and 2 of the treatment period) (FAS)

The change (mean ± SD) in the complete spontaneous bowel movement frequency from Week 2 of the observation period to Week 1 of the treatment period was 0.62 ± 1.44 times in the placebo group and 3.39 ± 3.86 times in the GOOFICE® group. The change in the complete spontaneous bowel movement frequency from Week 2 of the observation period to Week 2 of the treatment period was 0.86 ± 1.45 times in the placebo group and 2.98 ± 3.10 times in the GOOFICE® group. In the GOOFICE® group, the change in the complete spontaneous bowel movement frequency significantly increased as compared with the placebo group at both Week 1 and Week 2 of the treatment period (p < 0.0001 at both Week 1 and Week 2 of the treatment period, analysis of covariance).


Change in CSBM Frequencies
(Observation period 2nd week vs. Administration period 1st and 2nd weeks)
Bar chart comparing changes in Complete Spontaneous Bowel Movement (CSBM) frequencies between placebo and Elobixibat 10 mg groups during the 1st and 2nd weeks of the administration period, relative to the 2nd week of the observation period. In Week 1, the placebo group (n=63) shows a mean change of 0.62/week, while the Elobixibat group (n=67) shows a significant increase to 3.39/week (p<0.0001). In Week 2, the placebo group (n=63) shows a change of 0.86/week, and the Elobixibat group (n=65) increases to 2.98/week (p<0.0001). Data are presented as mean ± SD and analyzed using ANCOVA with baseline CSBM frequency as covariate.

CSBM frequency (Week 2 of the observation period, Weeks 1 and 2 of the administration period)
Bar chart showing Complete Spontaneous Bowel Movement (CSBM) frequency in times per week for placebo and Goofice® 10 mg groups across three timepoints: Week 2 of the observation period, Week 1 of the administration period, and Week 2 of the administration period. In the observation period, CSBM frequency was 0.48/week (placebo, n=63) and 0.55/week (Goofice®, n=69). In Week 1 of administration, frequencies increased to 1.10/week (placebo, n=63) and 3.96/week (Goofice®, n=67). In Week 2, frequencies were 1.33/week (placebo, n=63) and 3.57/week (Goofice®, n=65). Error bars indicate mean ± SD.
6)EA Pharma Co., Ltd.: In-house data (investigation of efficacy and safety in patients with chronic constipation) <Data submitted for review for approval>
29)Nakajima A, et al.:Lancet Gastroenterol Hepatol 2018;3(8):537-547
(The authors include those who have received an advisory fee from EA Pharma Co., Ltd.
This study was supported by EA Pharma Co., Ltd. and Mochida Pharmaceutical Co., Ltd.)

Efficacy “Japanese Long-term Administration Study”7,29

Changes from Week 2 of the observation period and time course of bowel movement
frequency (spontaneous bowel movement/complete spontaneous bowel movement)

A comparative test was conducted to examine the changes in the spontaneous bowel movement frequency and the complete spontaneous bowel movement frequency between Week 2 of the observation period and Weeks 4, 12, 24, 36, and 52 of the treatment period. At all time points, significant increases were observed as compared with Week 2 of the observation period (p < 0.0001 for all, one-sample t-test).
The spontaneous bowel movement frequency and the complete spontaneous bowel movement frequency per week increased from Week 1 of the treatment period and remained as follows up to Week 52.


Amount of changes of SBM frequency from the 2nd week of observation period
Line graph showing changes in spontaneous bowel movement (SBM) and complete spontaneous bowel movement (CSBM) frequency over a 52-week treatment period with Elobixibat in 340 participants. The x-axis spans weeks 1 to 52, and the y-axis shows frequency changes (0–10 times/week). Orange dots represent weekly mean values with error bars (Mean ± SD). Asterisks indicate statistically significant increases (p < 0.0001) compared to Week 2 of the observation period. Both SBM and CSBM frequencies increased from Week 1 and remained elevated through Week 52.

Amount of change of CSBM frequency from the 2nd week of observation period
Bar graph showing the amount of change in complete spontaneous bowel movement (CSBM) frequency from Week 2 of the observation period in 340 participants treated with Elobixibat. Each bar represents the mean change at specific time points during the 52-week treatment period, with error bars indicating standard deviation (Mean ± SD). Asterisks denote statistically significant increases (p < 0.0001) compared to Week 2 of the observation period, based on a one-sample t-test.

Changes in SBM Frequency and CSBM Frequency
Line graph showing changes in spontaneous bowel movement (SBM) and complete spontaneous bowel movement (CSBM) frequency over a 52-week treatment period in 340 participants receiving Goofice® 10 mg. The x-axis spans weeks 0 to 52, and the y-axis shows bowel movement frequency (0–10 times/week). The orange line represents SBM frequency and the brown line represents CSBM frequency. Both lines show an initial increase followed by sustained levels throughout the treatment period. Error bars indicate mean ± standard deviation.
7)EA Pharma Co., Ltd.: In-house data (investigation of safety and efficacy of long-term administration in patients with chronic constipation) <Data submitted for review for approval>
29)Nakajima A, et al.:Lancet Gastroenterol Hepatol 2018;3(8):537-547
(The authors include those who have received an advisory fee from EA Pharma Co., Ltd.
This study was supported by EA Pharma Co., Ltd. and Mochida Pharmaceutical Co., Ltd.)

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