Science: IBS Acute Pain Treatment: Fast-Acting Relief for IBS Pain
ROSE-010, a novel short-acting GLP-1 receptor agonist, has demonstrated significant pain relief in IBS patients in clinical studies.
- Clinical Trial Results: In a placebo-controlled study evaluating two doses of ROSE-010, patients were classified as ‘responders’ if they experienced at least 50% pain reduction, averaged over the full hour post-treatment. Twice as many patients met this strict responder definition with ROSE-010 compared to placebo, meaning pain relief had to be sustained across the hour—not just at a single time point.
- Subgroup Analysis: Further investigation revealed ROSE-010 was most effective in IBS-C and IBS-M patients and particularly in women.
- Action: ROSE-010 targets GLP-1 receptors in the gut, which play a role in gut sensitivity, pain perception, and smooth muscle relaxation.
- Planned Studies: A Phase IIb placebo-controlled study will evaluate ROSE-010 in IBS-C and IBS-M patients, with participants self-injecting and recording pain levels. This will be followed by a Phase III trial.
GI Transit Study
Impact on Gut Motility
ROSE-010’s effects on gastrointestinal transit were studied in women with IBS-C, showing key benefits for motility symptoms:
- Findings: ROSE-010 delayed small intestine transit time while increasing colon transit time, indicating potential relief for IBS-C patients experiencing constipation.
- Clinical Implication: This supports the idea that ROSE-010 not only relieves pain but may also help to normalize gut motility in IBS-C.
The Science Behind ROSE-010: A New Approach to IBS Pain Relief
GLP-1 is a small peptide hormone naturally produced in the small intestine in response to food. It plays a key role in:
- Gut motility & digestion (slowing gastric emptying)
- Regulating appetite & glucose metabolism
- Perception of visceral pain
The IBS-GLP-1 Connection:
IBS patients (especially IBS-C) have lower GLP-1 levels & receptor expression. This deficiency is linked to increased pain severity.
How ROSE-010 Works in IBS: Targeted, On-Demand Pain Relief
ROSE-010 mimics natural GLP-1 with an optimized, short-acting profile:
- Fast-acting – ( Begins working in 20 minutes )
- Short duration ( Clears in a few hours )
- Use only when needed during acute episodes for pain resolution
Clinical Validation: Proven IBS Pain Relief
In Phase 2a Trial Results (Hellström et al.), ROSE-010
- 166 patients with IBS pain (placebo-controlled study)
- Twice as many patients responded to ROSE-010 vs. placebo
- Most effective in IBS-C & IBS-M patients
- Well-tolerated with no major side effects
Phase 2a results
ROSE-010’s Effect on IBS Motility
GI Transit Study (Camilleri et al.) Findings:
- Small intestine transit time increased
- Colonic transit time decreased → Potential to improve IBS-C & IBS -M symptoms
What’s Next? The Future of ROSE-010 in IBS
Upcoming Phase 2b Trial:
- Focus on IBS-C & IBS-M (most responsive groups)
- Patients will self-inject during pain attacks
- Pain measured using standardized numeric pain scale