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CAMBRIDGE, Mass. & DUBLIN–(BUSINESS WIRE)–Ironwood Pharmaceuticals, Inc. (NASDAQ:IRWD) and Allergan plc (NYSE:AGN) appear today topline abstracts from a Phase IIb analytic balloon evaluating an investigational linaclotide colonic release-2 (CR2) conception in developed patients with annoyed bowel affection with ache (IBS-C). The abstracts showed that CR2, as intended, numerically bigger belly affliction and added belly symptoms, such as bloating and discomfort, about to placebo, with no credible aftereffect on bowel movement function. These allegation abutment added analysis of CR2 in specific GI break area patients acquaintance belly affliction but are not necessarily constipated, such as IBS-Mixed, IBS with diarrhea, ulcerative colitis and diverticulitis. The companies plan to appoint with the U.S. Food and Biologic Administration (FDA) to altercate abutting accomplish for advancing CR2 into a Phase IIb dose-ranging analytic balloon in patients with non-constipation subtypes of IBS.



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“There is accretion analysis into the mechanisms basal affliction and added belly affection in GI disorders, including IBS, as able-bodied as analysis highlighting the hypersensitivity of pain-sensing fretfulness in the lower GI amplitude in abounding patients adversity from these conditions,” said Brennan Spiegel, administrator of Bloom Services Analysis at Cedars-Sinai Bloom System. “We currently accept a bound cardinal of analysis options for these patients, and a anesthetic that could abode belly affliction afterwards impacting bowel action could represent a absolute beforehand in care.”



Linaclotide is currently FDA-approved and accessible in an absolute absolution (IR) formulation, LINZESS®, for the analysis of adults with IBS-C or abiding idiopathic ache (CIC). Linaclotide is anticipation to assignment in two ways, based on non-clinical studies: by abbreviating the action of pain-sensing fretfulness and by accretion aqueous beard into the intestine. Linaclotide CR2 is advised to accommodate targeted charge of linaclotide to the colon, area the majority of the belly affliction associated with IBS-C is believed to originate. This analytic balloon was advised to appraise whether CR2 could added abatement the action of key pain-sensing fretfulness in the colon with a basal aftereffect on aqueous secretion. Ironwood and Allergan additionally appear topline after-effects from the aforementioned Phase IIb balloon with a added formulation, linaclotide colonic release-1 (CR1), in a abstracted columnist absolution issued today.

The double-blind, placebo-controlled, dose-ranging Phase IIb balloon randomized 532 developed patients with IBS-C into one of eight accessible analysis arms. This balloon was basic in attributes and comparisons to placebo were evaluated application nominal p-values. In the trial, the boilerplate account change in Bristol Stool Form Calibration (BSFS) array and abundance of complete ad-lib bowel movements (CSBM) from baseline to anniversary 12 were commensurable for CR2 and placebo (BSFS: 1.0 – 1.15 for CR2 compared to 0.94 for placebo on a 7-point scale; CSBM: 0.87 – 1.28 for CR2 compared to 1.11 for placebo), advertence no credible aftereffect on bowel movement action in this study. In contrast, the boilerplate account change in belly affliction from baseline to anniversary 12 ranged from -1.63 to -1.83 beyond the CR2 dosage ambit advised against -1.37 for placebo, application an 11-point scale. Reduction from baseline at anniversary 12 in belly affliction was -33.8% to -36.6% for the CR2 doses compared to -26.2% for placebo. Together these abstracts beforehand the abeyant for CR2 to abate belly affliction in GI break not associated with constipation.



The best accepted adverse accident in CR2 patients in this balloon was high respiratory amplitude infection/nasopharyngitis, which was appear in 3% of CR2-treated patients and 4.5% of placebo-treated patients. The amount of diarrhea appear in the balloon ranged from 0%-3% for CR2-treated patients compared to 1.5% for placebo.

Added abstracts from the Phase IIb balloon are accepted to be aggregate at accessible accurate affairs and via peer-reviewed publications.

“With the linaclotide colonic absolution program, our absorbed was to punch up or bottomward the two apparatus of the linaclotide apparatus of action – the aftereffect on pain-sensing fretfulness and the aftereffect on aqueous beard – by capricious area the biologic is delivered,” said Mark Currie, Ph.D., arch accurate administrator and admiral of analysis and development at Ironwood. “These antecedent abstracts abutment our antecedent that charge in the adjacent ileum and colon could acquiesce us to bigger abstract linaclotide’s adeptness to abatement the action of pain-sensing fretfulness in the intestine, and we attending advanced to advancing CR2 from IBS-C into GI break area patients acquaintance belly affliction but not constipation.”

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“The linaclotide colonic absolution affairs is a attestation to the beat pharmacology assignment done by Mark Currie and the Ironwood team, which led to linaclotide actuality the aboriginal and alone FDA-approved guanylate cyclase-C agonist, and is now continuing to accession the bar for addition in this field,” said David Nicholson, Ph.D., arch R&D administrator at Allergan. “The auspicious abstracts from this abstraction accreditation added analysis of CR2 and its abeyant to account the added 20-25 actor patients estimated to ache from non-constipation subtypes of IBS.”

Ironwood and Allergan are advancing apparent aegis for CR1 and CR2 that, if issued, is accepted to accommodate apparent advantage into the mid-2030s.

Ironwood Appointment Alarm Today at 8:30 a.m. ET:

Ironwood will host a appointment alarm and webcast at 8:30 a.m. Eastern Time on Thursday, December 22, to altercate the after-effects of the linaclotide colonic absolution Phase IIb analytic trial. Individuals absorbed in accommodating in the alarm should punch (877) 643-7155 (U.S. and Canada) or (914) 495-8552 (international) application appointment ID cardinal 43363931. To admission the webcast, amuse appointment the Investors area of Ironwood’s website at www.ironwoodpharma.com at atomic 15 account above-mentioned to the alpha of the alarm to ensure able time for any software downloads that may be required. The alarm will be accessible for epitomize via blast starting at about 11:30 a.m. Eastern Time, on December 22, active through 11:59 p.m. Eastern Time on December 29, 2016. To accept to the replay, punch (855) 859-2056 (U.S. and Canada) or (404) 537-3406 (international) application appointment ID cardinal 43363931. The archived webcast will be accessible on Ironwood’s website for 14 canicule alpha about one hour afterwards the alarm has completed.

Abstraction Architecture

Patients in the double-blind, placebo-controlled, dose-ranging Phase IIb analytic balloon were randomized to one of eight groups: one accumulation accustomed placebo, one accumulation accustomed linaclotide 290 mcg (approved formulation), three groups accustomed assorted doses of linaclotide CR1 (30 mcg, 100 mcg or 300 mcg), and three groups accustomed assorted doses of linaclotide CR2 (30 mcg, 100 mcg or 300 mcg). The 290 mcg accustomed conception was included as a advertence accumulation for this study. The balloon was advised to appraise the assurance and ability of anniversary linaclotide colonic absolution dosage and conception about to placebo; the statistical ability was based on a beeline dosage response. Added objectives included assessing how the two colonic absolution formulations compared to anniversary added and to the accustomed 290 mcg conception of linaclotide. All doses were administered orally, already circadian for 12 weeks.

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About Linaclotide

Linaclotide is a guanylate cyclase‐C (GC‐C) agonist that is anticipation to assignment in two means based on nonclinical studies. Linaclotide binds to the GC-C receptor locally, aural the abdominal epithelium. Activation of GC-C after-effects in added abdominal aqueous beard and accelerated alteration and a abatement in the action of pain-sensing fretfulness in the intestine. The analytic appliance of the aftereffect on affliction fibers, which is based on nonclinical studies, has not been established. Linaclotide is marketed by Ironwood and Allergan in the United States as LINZESS® and is adumbrated for the analysis of adults with annoyed bowel affection with ache (IBS-C) or abiding idiopathic ache (CIC). Linaclotide is marketed by Allergan for the analysis of adults with abstinent to astringent IBS-C in Europe beneath the cast name CONSTELLA®. Ironwood’s accomplice Astellas accustomed approval of linaclotide in Japan beneath the cast name LINZESS® for the analysis of adults with IBS-C. Ironwood additionally has partnered with AstraZeneca for development and commercialization of linaclotide in China.

About Ironwood Pharmaceuticals

Ironwood Pharmaceuticals (NASDAQ: IRWD) is a bartering biotechnology aggregation focused on creating medicines that accomplish a aberration for patients, architecture amount for our adolescent shareholders, and allotment our amorous team. We are advancing a activity of avant-garde medicines in areas of cogent unmet need, including annoyed bowel affection with ache (IBS-C)/chronic idiopathic ache (CIC), amoral gout, adverse gastroesophageal abatement disease, and vascular and fibrotic diseases. We discovered, developed and are commercializing linaclotide, the U.S. branded decree bazaar baton in the IBS-C/CIC category, and we are applying our accurate R&D and bartering capabilities to beforehand assorted internally-developed and externally-accessed artefact opportunities. Ironwood was founded in 1998 and is headquartered in Cambridge, Mass. For added information, amuse visit www.ironwoodpharma.com or www.twitter.com/ironwoodpharma; advice that may be important to investors will be commonly acquaint in both these locations.

About Allergan plc

Allergan plc (NYSE: AGN), headquartered in Dublin, Ireland, is a bold, all-around biologic aggregation and a baton in a new industry archetypal – Advance Pharma. Allergan is focused on developing, accomplishment and commercializing branded pharmaceuticals, accessories and biologic articles for patients about the world.

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Allergan markets a portfolio of arch brands and best-in-class articles for the axial afraid system, eye care, medical aesthetics and dermatology, gastroenterology, women’s health, urology and anti-infective ameliorative categories.

Allergan is an industry baton in Open Science, the Company’s R&D model, which defines our access to anecdotic and developing game-changing account and addition for bigger accommodating care. This access has led to Allergan architecture one of the broadest development pipelines in the biologic industry with 65 mid-to-late date activity programs in development.

Our Company’s success is powered by our added than 16,000 all-around colleagues’ charge to actuality Adventurous for Life. Together, we body bridges, ability ideas, act fast and drive after-effects for our barter and patients about the apple by consistently accomplishing what is right.

With bartering operations in about 100 countries, Allergan is committed to alive with physicians, healthcare providers and patients to bear avant-garde and allusive treatments that advice bodies about the apple alive longer, convalescent lives.

For added information, visit Allergan’s website at www.Allergan.com.

Forward-Looking Account

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This columnist absolution contains advanced statements. Investors are cautioned not to abode disproportionate assurance on these advanced statements, including statements about the topline appraisal of the abstracts from the Phase IIb analytic balloon of CR2; the development and authoritative affairs for CR2, and the timing thereof, including further analysis and beforehand of CR2, agreeable with the FDA and advancing CR2 into a Phase IIb dose-ranging analytic trial; the architecture of the Phase IIb balloon and its appulse on the after-effects thereof; the timing of added Phase IIb data; the abeyant break for, and allowances of, CR2; the architecture and accessible allowances of CR2 and its abeyant as a analysis for patients; prevalence and unmet need; bazaar size, advance and opportunity, and abeyant appeal for CR2 in the U.S.; and the backbone of the bookish acreage aegis for linaclotide. Anniversary forward‐looking account is accountable to risks and uncertainties that could account absolute after-effects to alter materially from those bidding or adumbrated in such statement. Applicable risks and uncertainties accommodate those accompanying to preclinical and analytic development, accomplishment and conception development; the accident that approaching analytic studies charge to be discontinued for any reason, including safety, tolerability, enrollment, accomplishment or bread-and-butter reasons; the accident that allegation from our completed nonclinical and analytic studies may not be replicated in after studies; efficacy, assurance and tolerability of linaclotide; the accident that the ameliorative opportunities for the CR formulations are not as we expect; decisions by authoritative authorities; those risks accompanying to antagonism and approaching business decisions fabricated by us and our competitors or abeyant competitors; the accident that we may never get acceptable apparent aegis for linaclotide and our artefact candidates or that we are not able to auspiciously assure such patents; developments in the bookish acreage landscape; and the risks listed beneath the branch “Risk Factors” and abroad in Ironwood’s Quarterly Report on Form 10-Q for the division concluded September 30, 2016, Allergan’s Annual Report on Form 10-K for the year concluded December 31, 2015 and in the consecutive SEC filings of anniversary company. These advanced statements (except as contrarily noted) allege alone as of the date of this columnist release, and Ironwood and Allergan undertake no obligation to amend these advanced statements.

LINZESS and CONSTELLA are trademarks endemic by Ironwood Pharmaceuticals, Inc. Any added trademarks referred to in this columnist absolution are the acreage of their corresponding owners. All rights reserved.

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