U.S. label record. The cited DailyMed label identifies Linaclotide and contains the product's official indications and warnings. This profile links to the label without restating it as medical guidance.↗
Review source snapshots checked September 15, 2026 · Integrity checked September 15, 2026.
Two publications report adult chronic-constipation trials and a pediatric functional-constipation trial. They do not cover the full irritable-bowel-syndrome program or every currently labeled age group.↗↗
What the reviewed sources report
Randomized trials reported improved bowel-movement measures over 12 weeks. Diarrhea is an important adverse effect; the pediatric trial included a serious dehydration event related to severe diarrhea.↗↗
What remains unresolved?
What additional trials address irritable bowel syndrome and other age groups?↗↗
How do current regulatory labels and longer follow-up refine the safety assessment?↗↗
The June 2026 label distinguishes IBS with constipation in adults and children aged seven years and older, chronic idiopathic constipation in adults, and functional constipation in children aged two years and older. Label: 1 ↗
Which safety limits matter?
The boxed warning concerns serious dehydration in children younger than two, for whom the product is contraindicated. The label also lists known or suspected mechanical gastrointestinal obstruction as a contraindication and describes potentially severe diarrhea. Label: 1, 4, 5, boxed warning ↗
Label edition and source pins
U.S. product labeling hosted by the National Library of Medicine. This account concerns this product and label edition; other formulations and jurisdictions require their own records.
Label ZIP SHA-256: 77c54fc2bf053002e1fd77970d745d4088919827b5a4a74d5d139cf8df320a54. Extracted XML SHA-256: 0e36407b126e3d4b3c616c030ed28362be4484ad305e337e12c319145523082a.
Reviews summarize selected studies; their scope and limitations are shown above.
European medicine records · 1 products or applications
EMA medicine metadata checked 2026-09-15. These are product-specific centralized records; national European authorizations and full product-information assessments require separate coverage.
Active substance as listed: linaclotide. EMA record ↗
Marketing authorisation: 2012-11-26. EMA metadata last updated 2026-06-25. EMA metadata ↗
Application withdrawal and refusal are distinct from marketing authorization. A withdrawal status alone does not establish why it occurred. These metadata entries do not substitute for indication, population or safety details in the relevant product information.
Search and screening record checked 2026-09-15. Counts describe records, not independent trials. Full-text appraisal is separate from an abstract review.
Identity/name search without publication-type filtering; primary human reports, extensions, combinations and other reports require separate eligibility decisions. Known selected reports were recovered.
477 retrieved · 2 included · 0 excluded · 475 awaiting a decision · 0 full-text appraisals
Search terms, record decisions and remaining work
"linaclotide"[Title/Abstract] OR "Linzess"[Title/Abstract] OR "Constella"[Title/Abstract]
Full-text appraisal and screening of unassessed records remain open.
Registry comparison, additional aliases and references, and regulator reconciliation require separate checks.
Showing 25 of 477 record decisions, with included studies and unresolved records first. The versioned data inventory retains every record and study-family link.
PubMed 38211604 — include: Selected human report; abstract and record metadata reviewed. Study families: NCT04026113.
PubMed 21830967 — include: Selected human report; abstract and record metadata reviewed. Study families: NCT00730015; NCT00765882.
PubMed 42319080 — not screened: Retrieved identity/name match; clinical eligibility has not yet been adjudicated.
PubMed 42695347 — not screened: Retrieved identity/name match; clinical eligibility has not yet been adjudicated.
PubMed 42702764 — not screened: Retrieved identity/name match; clinical eligibility has not yet been adjudicated.
PubMed 42694017 — not screened: Retrieved identity/name match; clinical eligibility has not yet been adjudicated.
PubMed 42283961 — not screened: Retrieved identity/name match; clinical eligibility has not yet been adjudicated.
PubMed 42242129 — not screened: Retrieved identity/name match; clinical eligibility has not yet been adjudicated.
PubMed 42681900 — not screened: Retrieved identity/name match; clinical eligibility has not yet been adjudicated.
PubMed 42676398 — not screened: Retrieved identity/name match; clinical eligibility has not yet been adjudicated.
PubMed 42569232 — not screened: Retrieved identity/name match; clinical eligibility has not yet been adjudicated.
PubMed 42425925 — not screened: Retrieved identity/name match; clinical eligibility has not yet been adjudicated.
PubMed 42612545 — not screened: Retrieved identity/name match; clinical eligibility has not yet been adjudicated.
PubMed 42523615 — not screened: Retrieved identity/name match; clinical eligibility has not yet been adjudicated.
PubMed 42482900 — not screened: Retrieved identity/name match; clinical eligibility has not yet been adjudicated.
PubMed 42465095 — not screened: Retrieved identity/name match; clinical eligibility has not yet been adjudicated.
PubMed 41913506 — not screened: Retrieved identity/name match; clinical eligibility has not yet been adjudicated.
PubMed 39950440 — not screened: Retrieved identity/name match; clinical eligibility has not yet been adjudicated.
PubMed 42278633 — not screened: Retrieved identity/name match; clinical eligibility has not yet been adjudicated.
PubMed 41692643 — not screened: Retrieved identity/name match; clinical eligibility has not yet been adjudicated.
PubMed 41987372 — not screened: Retrieved identity/name match; clinical eligibility has not yet been adjudicated.
PubMed 42083746 — not screened: Retrieved identity/name match; clinical eligibility has not yet been adjudicated.
PubMed 42066057 — not screened: Retrieved identity/name match; clinical eligibility has not yet been adjudicated.
PubMed 41413756 — not screened: Retrieved identity/name match; clinical eligibility has not yet been adjudicated.
PubMed 41123247 — not screened: Retrieved identity/name match; clinical eligibility has not yet been adjudicated.
FDA search
Active-ingredient name query in openFDA Drugs@FDA. Returned application identities include salt forms and combination products; exact indications, approval conditions, supplements and marketing status require document-level review.
4 retrieved · 4 included · 0 excluded · 0 awaiting a decision · 0 full-text appraisals
Zero results describe this query response only, not absence of FDA approval or worldwide nonapproval.
This endpoint does not inventory every label, advisory proceeding, safety communication or regulatory document. Application inclusion does not establish current marketing or approval of every use.
Showing 4 of 4 record decisions, with included studies and unresolved records first. The versioned data inventory retains every record and study-family link.
FDA NDA202811 — include: Retrieved application lists a matching ingredient or its salt; document and product review remain separate. Listed ingredients: LINACLOTIDE.
FDA ANDA209564 — include: Retrieved application lists a matching ingredient or its salt; document and product review remain separate. Listed ingredients: LINACLOTIDE.
FDA ANDA211255 — include: Retrieved application lists a matching ingredient or its salt; document and product review remain separate. Listed ingredients: LINACLOTIDE.
FDA ANDA209611 — include: Retrieved application lists a matching ingredient or its salt; document and product review remain separate. Listed ingredients: LINACLOTIDE.
EMA search
Local matching in the pinned EMA medicines feed; document matches also use identified EMA product numbers. This is not every national European record.
1 retrieved · 1 included · 0 excluded · 0 awaiting a decision · 0 full-text appraisals
Document appraisal and national European sources remain open.
Zero matches apply only to these feed fields and terms; orphan designation is not approval.
Showing 1 of 1 record decisions, with included studies and unresolved records first. The versioned data inventory retains every record and study-family link.
EMA EMEA/H/C/002490 — include: EMA feed product Constella; reported status: Authorised. Exact indication and decision documents remain unappraised.
EMA search
Local matching in the pinned EMA documents feed; document matches also use identified EMA product numbers. This is not every national European record.
22 retrieved · 16 included · 0 excluded · 6 awaiting a decision · 0 full-text appraisals
Document appraisal and national European sources remain open.
Zero matches apply only to these feed fields and terms; orphan designation is not approval.
Showing 22 of 22 record decisions, with included studies and unresolved records first. The versioned data inventory retains every record and study-family link.
EMA 9966 — include: Document linked by EMA product number; content unappraised. Constella-H-C-2490-PSUV-09 : EPAR - Scientific conclusions and grounds recommending the variation to the terms of the marketing authorisation
EMA 28212 — include: Document linked by EMA product number; content unappraised. Constella-H-C-PSUSA-00010025-201508 : EPAR - Scientific conclusions and grounds for the variation to the terms of the marketing authorisation
EMA 30350 — include: Document linked by EMA product number; content unappraised. Constella : EPAR - All Authorised presentations
EMA 35371 — include: Document linked by EMA product number; content unappraised. Constella : EPAR - Summary for the public
EMA 40909 — include: Document linked by EMA product number; content unappraised. Constella : EPAR - Public assessment report
EMA 45239 — include: Document linked by EMA product number; content unappraised. Constella-H-C-2490-P46-013 : EPAR - Assessment report
EMA 47891 — include: Document linked by EMA product number; content unappraised. Constella-H-C-PSUSA-00010025-201908 : EPAR - Scientific conclusions and grounds for the variation to the terms of the marketing authorisation
EMA 55862 — include: Document linked by EMA product number; content unappraised. Constella-H-C-2490-P46-017 : EPAR - Assessment report
EMA 58685 — include: Document linked by EMA product number; content unappraised. Constella-H-C-2490-P46-019 : EPAR - Assessment report
EMA 58766 — include: Document linked by EMA product number; content unappraised. Constella-H-C-2490-P46-018 : EPAR - Assessment report
EMA 63724 — include: Document linked by EMA product number; content unappraised. Constella : EPAR - Risk management plan
EMA 69064 — include: Document linked by EMA product number; content unappraised. Constella-H-C-002490-P46-020 : EPAR - Assessment report
EMA 33744 — include: Document linked by EMA product number; content unappraised. Constella : EPAR - Procedural steps taken and scientific information after authorisation (archive)
EMA 72289 — include: Document linked by EMA product number; content unappraised. Constella : EPAR - Procedural steps taken and scientific information after authorisation
EMA 74280 — include: Document linked by EMA product number; content unappraised. Constella-PSUSA-00010025-202508 : EPAR - Scientific conclusions and grounds for the variation to the terms of the marketing authorisation
EMA 13191 — include: Document linked by EMA product number; content unappraised. Constella : EPAR - Product Information
EMA 60891 — not screened: Title-name match awaiting identity and document review. P/0529/2022: EMA decision of 30 December 2022 on the acceptance of a modification of an agreed paediatric investigation plan for linaclotide (Constella), (EMEA-000927-PIP01-10-M07)
EMA 50429 — not screened: Title-name match awaiting identity and document review. P/0216/2021 : EMA decision of 8 June 2021 on the acceptance of a modification of an agreed paediatric investigation plan for linaclotide (Constella) (EMEA-000927-PIP01-10-M06)
EMA 5926 — not screened: Title-name match awaiting identity and document review. P/0252/2016: EMA decision of 26 September 2016 on the acceptance of a modification of an agreed paediatric investigation plan for linaclotide
(Constella), (EMEA-000927-PIP01-10-M03)
EMA 32832 — not screened: Title-name match awaiting identity and document review. P/110/2011: EMA decision of 6 May 2011 on the agreement of a paediatric investigation plan and on the granting of a deferral and on the
granting of a waiver for linaclotide (EMEA-000927-PIP01-10)
EMA 37470 — not screened: Title-name match awaiting identity and document review. P/0106/2013: EMA decision of 30 April 2013 on the acceptance of a modification of an agreed paediatric investigation plan for linaclotide (Constella), (EMEA-000927-PIP01-10-M01)
EMA 68951 — not screened: Title-name match awaiting identity and document review. P/0207/2024: EMA decision of 14 June 2024 on the acceptance of a modification of an agreed paediatric investigation plan for linaclotide (Constella) (EMEA-000927-PIP01-10-M08)
EMA search
Local matching in the pinned EMA orphans feed; document matches also use identified EMA product numbers. This is not every national European record.
0 retrieved · 0 included · 0 excluded · 0 awaiting a decision · 0 full-text appraisals
Document appraisal and national European sources remain open.
Zero matches apply only to these feed fields and terms; orphan designation is not approval.
Showing 0 of 0 record decisions, with included studies and unresolved records first. The versioned data inventory retains every record and study-family link.
ClinicalTrials.gov search
ClinicalTrials.gov name/alias discovery, including cited product names. Matches may concern combinations, background references or different formulations; identity and outcomes need screening.
63 retrieved · 0 included · 0 excluded · 63 awaiting a decision · 0 full-text appraisals
Registration is not evidence that a study succeeded, that results were published, or that a use is approved.
Other registries, unregistered studies and additional aliases remain outside this query.
Showing 25 of 63 record decisions, with included studies and unresolved records first. The versioned data inventory retains every record and study-family link.
ClinicalTrials.gov NCT01427387 — not screened: Registry name-query match awaiting intervention identity, study-family linkage and results appraisal.
ClinicalTrials.gov NCT03336034 — not screened: Registry name-query match awaiting intervention identity, study-family linkage and results appraisal.
ClinicalTrials.gov NCT00306748 — not screened: Registry name-query match awaiting intervention identity, study-family linkage and results appraisal.
ClinicalTrials.gov NCT02270983 — not screened: Registry name-query match awaiting intervention identity, study-family linkage and results appraisal.
ClinicalTrials.gov NCT00460811 — not screened: Registry name-query match awaiting intervention identity, study-family linkage and results appraisal.
ClinicalTrials.gov NCT00948818 — not screened: Registry name-query match awaiting intervention identity, study-family linkage and results appraisal.
ClinicalTrials.gov NCT03224494 — not screened: Registry name-query match awaiting intervention identity, study-family linkage and results appraisal.
ClinicalTrials.gov NCT00765882 — not screened: Registry name-query match awaiting intervention identity, study-family linkage and results appraisal.
ClinicalTrials.gov NCT07569419 — not screened: Registry name-query match awaiting intervention identity, study-family linkage and results appraisal.
ClinicalTrials.gov NCT00339690 — not screened: Registry name-query match awaiting intervention identity, study-family linkage and results appraisal.
ClinicalTrials.gov NCT02465385 — not screened: Registry name-query match awaiting intervention identity, study-family linkage and results appraisal.
ClinicalTrials.gov NCT00730171 — not screened: Registry name-query match awaiting intervention identity, study-family linkage and results appraisal.
ClinicalTrials.gov NCT06692673 — not screened: Registry name-query match awaiting intervention identity, study-family linkage and results appraisal.
ClinicalTrials.gov NCT00402337 — not screened: Registry name-query match awaiting intervention identity, study-family linkage and results appraisal.
ClinicalTrials.gov NCT05796388 — not screened: Registry name-query match awaiting intervention identity, study-family linkage and results appraisal.
ClinicalTrials.gov NCT02837783 — not screened: Registry name-query match awaiting intervention identity, study-family linkage and results appraisal.
ClinicalTrials.gov NCT01880424 — not screened: Registry name-query match awaiting intervention identity, study-family linkage and results appraisal.
ClinicalTrials.gov NCT02590432 — not screened: Registry name-query match awaiting intervention identity, study-family linkage and results appraisal.
ClinicalTrials.gov NCT02291679 — not screened: Registry name-query match awaiting intervention identity, study-family linkage and results appraisal.
ClinicalTrials.gov NCT06989268 — not screened: Registry name-query match awaiting intervention identity, study-family linkage and results appraisal.
ClinicalTrials.gov NCT04532879 — not screened: Registry name-query match awaiting intervention identity, study-family linkage and results appraisal.
ClinicalTrials.gov NCT04110145 — not screened: Registry name-query match awaiting intervention identity, study-family linkage and results appraisal.
ClinicalTrials.gov NCT02809105 — not screened: Registry name-query match awaiting intervention identity, study-family linkage and results appraisal.
ClinicalTrials.gov NCT02316899 — not screened: Registry name-query match awaiting intervention identity, study-family linkage and results appraisal.
ClinicalTrials.gov NCT03796884 — not screened: Registry name-query match awaiting intervention identity, study-family linkage and results appraisal.
Read the full Human Evidence Review
Supervised synthesis
What do selected human studies report about Linaclotide?
Two publications report adult chronic-constipation trials and a pediatric functional-constipation trial. They do not cover the full irritable-bowel-syndrome program or every currently labeled age group.12
Bottom line from this bounded source set
Randomized trials reported improved bowel-movement measures over 12 weeks. Diarrhea is an important adverse effect; the pediatric trial included a serious dehydration event related to severe diarrhea.12
Reviewed study record
Adult chronic constipation: two trials
Design
Two randomized, double-blind, placebo-controlled 12-week trials tested two active groups.1
Population
1,276 adults with chronic constipation participated across the trials.1
Outcomes reported
The prespecified bowel-response endpoint was reached by approximately 16–21% of active-group participants versus 3–6% with placebo. Diarrhea led to discontinuation in 4.2% of active-group participants.1
Limitations
One publication contains two trials. Short follow-up cannot establish long-term benefit or uncommon harms, and the results do not automatically extend to other diagnoses or ages.1
330 children aged 6–17 years were randomized; 328 received treatment and 293 completed.2
Outcomes reported
The adjusted between-group difference was 1.17 additional spontaneous bowel movements per week. Diarrhea occurred in seven of 164 active-group and three of 164 placebo participants; one active-group participant required hospitalization for dehydration.2
Limitations
The trial addresses functional constipation in the enrolled age range. Its findings cannot establish safety in younger children or replace age-specific label warnings.2
No registered Crossref update in the reviewed snapshotChecked September 15, 2026 for DOI 10.1056/nejmoa1010863. This bounded result is not proof that the publication has never been corrected or retracted. Open the pinned Crossref work endpoint ↗
No registered Crossref update in the reviewed snapshotChecked September 15, 2026 for DOI 10.1016/s2468-1253(23)00398-9. This bounded result is not proof that the publication has never been corrected or retracted. Open the pinned Crossref work endpoint ↗
Explore status sources, recent additions, and coverage gaps
Living status brief
What is the current status of Linaclotide?
U.S. label record. The cited DailyMed label identifies Linaclotide and contains the product's official indications and warnings. This profile links to the label without restating it as medical guidance.↗
The cited status sources were checked through July 22, 2026. This answer changes only through the profile’s visible version and correction history.
All four evidence lanes appear in this selected collection, but their presence does not establish completeness, agreement, research quality, safety, effectiveness, approval, availability, or suitability.
PeptideScanner does not infer an answer where the cited records do not provide one. Open the source-linked records below to inspect their scope and limits.
This map describes PeptideScanner’s selected, source-linked collection. It is not an evidence grade and does not establish research quality, safety, effectiveness, or medical relevance.
Bibliography fields unavailable here for 24 selected records; the records remain visible as metadata observations.
Regulatory and publication surfaces
What is structurally connected?
Drugs@FDA applications
3
FDA Federal Register documents
4
DailyMed SPL versions
28
Canonical profile
Published
Profile structured data
Published
Linked dated records
100
Application counts reflect exact reviewed ingredient connections; Federal Register counts reflect exact reviewed peptide-name matches; DailyMed counts reflect listed SPL versions with retained ZIP receipts. “Published” describes this page’s indexing surface, not the state of scientific evidence.
PeptideScanner retained ClinicalTrials.gov record NCT03573908 at 2026-07-30T20:18:37.978Z. Its registry update date was 2020-12-01, and PeptideScanner's reviewed identity mapping was linaclotide.
PeptideScanner retained ClinicalTrials.gov record NCT05760313 at 2026-07-30T16:25:18.002Z. Its registry update date was 2026-01-06, and PeptideScanner's reviewed identity mapping was linaclotide.
PubMed lists PMID 36565004 in Alimentary pharmacology & therapeutics as Editorial, Comment, with publication-date metadata of 2023-01 (month precision). PeptideScanner associated the retained record with the identity slug linaclotide. These fields reproduce attributed bibliographic metadata and do not summarize or endorse the article's findings.
Counts and links describe PeptideScanner’s selected records. They are not rankings and do not establish research quality, safety, effectiveness, or medical relevance.
These links are based only on overlapping years and evidence lanes in PeptideScanner’s selected records. They do not imply that the peptides are medically or scientifically similar.
These dates come from selected source records and PubMed metadata. They are not a complete or continuous timeline of research, safety, approval, or effectiveness.
Evidence summary
What the cited records say
The cited DailyMed label identifies Linaclotide and contains the product's official indications and warnings. This profile links to the label without restating it as medical guidance.↗
This is a source summary, not a medical recommendation. Status may differ by jurisdiction and product.
PeptideScanner retained PubMed bibliographic metadata for PMID 41692643 at 2026-08-10T10:49:08.765Z. PubMed recorded a metadata revision date of 2026-08-03 and an Entrez history date of 2026-02-15. PeptideScanner associated this retained record with the identity slug linaclotide. These dates describe PubMed metadata history, not the article's original publication date.↗
PeptideScanner retained PubMed bibliographic metadata for PMID 42425925 at 2026-08-10T10:49:10.758Z. PubMed recorded a metadata revision date of 2026-08-03 and an Entrez history date of 2026-07-09. PeptideScanner associated this retained record with the identity slug linaclotide. These dates describe PubMed metadata history, not the article's original publication date.↗
PeptideScanner retained ClinicalTrials.gov record NCT05796388 at 2026-08-10T18:10:03.859Z. Its registry update date was 2026-07-29, and PeptideScanner's reviewed identity mapping was linaclotide.↗
PeptideScanner retained PubMed bibliographic metadata for PMID 42523615 at 2026-08-10T18:13:56.783Z. PubMed recorded a metadata revision date of 2026-07-29 and an Entrez history date of 2026-07-29. PeptideScanner associated this retained record with the identity slug linaclotide. These dates describe PubMed metadata history, not the article's original publication date.↗
PeptideScanner retained PubMed bibliographic metadata for PMID 41913506 at 2026-08-10T18:13:46.784Z. PubMed recorded a metadata revision date of 2026-07-28 and an Entrez history date of 2026-03-31. PeptideScanner associated this retained record with the identity slug linaclotide. These dates describe PubMed metadata history, not the article's original publication date.↗
PeptideScanner retained PubMed bibliographic metadata for PMID 42009975 at 2026-08-10T18:13:48.763Z. PubMed recorded a metadata revision date of 2026-07-26 and an Entrez history date of 2026-04-20. PeptideScanner associated this retained record with the identity slug linaclotide. These dates describe PubMed metadata history, not the article's original publication date.↗
PeptideScanner retained PubMed bibliographic metadata for PMID 38962910 at 2026-08-10T18:13:32.376Z. PubMed recorded a metadata revision date of 2026-07-23 and an Entrez history date of 2024-07-04. PeptideScanner associated this retained record with the identity slug linaclotide. These dates describe PubMed metadata history, not the article's original publication date.↗
PeptideScanner retained ClinicalTrials.gov record NCT03796884 at 2026-08-10T18:10:04.224Z. Its registry update date was 2026-07-22, and PeptideScanner's reviewed identity mapping was linaclotide.↗
PeptideScanner retained PubMed bibliographic metadata for PMID 42482900 at 2026-08-10T18:13:56.703Z. PubMed recorded a metadata revision date of 2026-07-22 and an Entrez history date of 2026-07-22. PeptideScanner associated this retained record with the identity slug linaclotide. These dates describe PubMed metadata history, not the article's original publication date.↗
PeptideScanner retained PubMed bibliographic metadata for PMID 42465095 at 2026-08-10T18:13:55.292Z. PubMed recorded a metadata revision date of 2026-07-17 and an Entrez history date of 2026-07-17. PeptideScanner associated this retained record with the identity slug linaclotide. These dates describe PubMed metadata history, not the article's original publication date.↗
PeptideScanner retained PubMed bibliographic metadata for PMID 42083746 at 2026-08-10T18:13:48.845Z. PubMed recorded a metadata revision date of 2026-07-16 and an Entrez history date of 2026-05-05. PeptideScanner associated this retained record with the identity slug linaclotide. These dates describe PubMed metadata history, not the article's original publication date.↗
PeptideScanner retained PubMed bibliographic metadata for PMID 39370607 at 2026-07-30T16:11:44.834Z. PubMed recorded a metadata revision date of 2026-07-01 and an Entrez history date of 2024-10-07. PeptideScanner associated this retained record with the identity slug linaclotide. These dates describe PubMed metadata history, not the article's original publication date.↗