Ironwood Hits Phase III Endpoint In SBS-IF, But Shareholders Show Wariness

Looking to compete with Takeda’s Gattex in short bowel syndrome with intestinal failure, Ironwood succeeds in a Phase III trial, but investors may be concerned with misses on secondary endpoints.

Ironwood's Phase III trial will lead to an FDA filing in SBS-IF

Ironwood Pharmaceuticals, Inc. appears to have a clear difference of opinion with shareholders after reporting Phase III data for short bowel syndrome with intestinal failure (SBS-IF) candidate apraglutide on 29 February that were positive, but nevertheless resulted in the Boston-based firm’s stock price cratering by 38% to $9.43 per share.

In an interview, Ironwood chief medical officer Michael Shetzline said he thinks there is a basic misunderstanding about the results from the trial, which hit its primary endpoint and two key secondary endpoints, while missing a pair of secondary endpoints in a patient subset, those with colon-in-continuity (CIC)

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