A Safety and Efficacy Study of Daikenchuto (TU-100) to Relieve Abdominal Bloating in Female Subjects With Irritable Bowel Syndrome
Primary Purpose
Irritable Bowel Syndrome in Females
Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
TU-100
Placebo
Sponsored by
About this trial
This is an interventional treatment trial for Irritable Bowel Syndrome in Females focused on measuring Irritable Bowel Syndrome, Rome III criteria, abdominal bloating, natural, herbal, Kampo, Adult ages 18 to 65, Female subjects
Eligibility Criteria
Inclusion Criteria:
- Meet Rome III criteria for IBS (any subtype)
- Female aged 18 to 65 years, inclusive
- If of childbearing potential, prepared to use suitable forms of contraception throughout the study and for 30 days after the last dose i.e., hormonal contraceptives (such as oral contraceptives, Depo-Provera, NuvaRing, Essure), condoms used with a spermicide, an intrauterine device, or abstinence. Females are not considered to be of childbearing potential if they are naturally postmenopausal (no menses for at least 1 year and, if < 55 years of age, have a documented follicle-stimulating hormone [FSH] level of ≥ 35 mIU/mL) or have documentation of surgical sterility
- Have a BMI between 18 and 30 kg/m2, inclusive
- Have a negative pregnancy urine screening at Visit 1, if of childbearing potential
- Able to provide written consent
- Able to take oral administration of the testing medications
- Have a self-reported average abdominal bloating rating (>3 daily ratings over the preceding 7 days) equal or greater than 4 on a numerical scale of 0 to 20.
Exclusion Criteria:
- Have a structural or metabolic disease or condition that affects the GI system, excluding asymptomatic gallstones or uncomplicated gastroesophageal reflux disease, or any medical condition that may be a cause of constipation or diarrhea (e.g., hypothyroid status, poorly controlled diabetes, diabetic neuropathy or autonomic neuropathy)
- Be taking any medication that, in the opinion of the Principle Investigator (PI), has potential to alter GI transit. A full list of prohibited medications is provided in the protocol. Have history or presence of any chronic lung disease
- Have presence of hepatic dysfunction, jaundice, or abnormal serum alanine aminotransferase (ALT) or aspartate aminotransferase (AST) values exceeding 2.5 x upper limit of normal
- Currently pregnant or lactating
- Have a positive urine drug test at screening (subjects who initially test positive will be allowed one retest)
- Be a known substance abuser or be considered to be an alcoholic not in remission
- Have participated in another clinical study in the past 30 days
- Use of supplemental ginger, ginseng, or Zanthoxylum fruit for 2 weeks prior to randomization and throughout the course of the study.
- Have a history of allergic reaction to ginseng, ginger or Zanthoxylum fruit
- Be clinically lactose-intolerant
- Have any other condition that, in the opinion of the PI, causes the subject to be unsuitable to participate
- Have taken antibiotics in the last 3 months
- Have had gastroenteritis ("stomach flu") in the last 3 months
- Have taken probiotics in the last 3 months (over-the-counter [OTC] products or supplements only; food products such as yogurts are permitted).
Sites / Locations
- Oppenheimer Family Center for Neurobiology of Stress Division of Digestive Diseases David Geffen School of Medicine at UCLA
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Placebo Comparator
Arm Label
TU-100
Matching placebo
Arm Description
15g TU-100 (oral, daily) for 4 consecutive weeks (administered as 5g three times daily)
Matching placebo given 5g three times daily orally for 4 consecutive weeks
Outcomes
Primary Outcome Measures
Abdominal bloating rating
Change in abdominal bloating rating, through comparison of the change in average ratings from the 7 days prior to baseline (Visit 2) to the last 7 days of the 4 week treatment period (Visit 4), between TU-100 15 g and placebo.
Secondary Outcome Measures
AUC for abdominal bloating ratings using lactulose challenge
Change in area under the curve (AUC) for abdominal bloating ratings obtained during the lactulose challenge at Visit 2 (baseline) and at Visit 4 (4 weeks). The data are collected at -0.5, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 7, 8 hours after taking test meal (lactulose).
Abdominal bloating ratings
Change in the average of abdominal bloating ratings from the 7 days prior to baseline to the 7 days prior to Visit 3 (2 weeks) and to Visit 5 (8 weeks)
Overall IBS Severity
Change in Irritable Bowel Syndrome Severity Scoring System (IBS-SSS) total score from baseline to Visits 3, 4, and 5
GI symptom ratings
Change in the average of GI symptom ratings from the 7 days prior to baseline to the 7 days prior to Visit 3 and to Visit 5
Quality of Life effect
Change in IBS-QOL score from baseline to Visits 3, 4, and 5
Mood symptom ratings
Change in the average of mood symptom ratings from the 7 days prior to baseline to the 7 days prior to Visit 3 and to Visit 5
Full Information
NCT ID
NCT02074579
First Posted
February 24, 2014
Last Updated
April 28, 2017
Sponsor
Tsumura USA
Collaborators
ICON Clinical Research
1. Study Identification
Unique Protocol Identification Number
NCT02074579
Brief Title
A Safety and Efficacy Study of Daikenchuto (TU-100) to Relieve Abdominal Bloating in Female Subjects With Irritable Bowel Syndrome
Official Title
A Phase 2, Single-center, Randomized, Double-Blinded, Placebo-Controlled Study on the Efficacy of Daikenchuto (TU 100) to Relieve Abdominal Bloating in Female Subjects With Irritable Bowel Syndrome
Study Type
Interventional
2. Study Status
Record Verification Date
April 2017
Overall Recruitment Status
Completed
Study Start Date
July 2014 (undefined)
Primary Completion Date
April 2016 (Actual)
Study Completion Date
April 2016 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Tsumura USA
Collaborators
ICON Clinical Research
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The aim of this study is to assess the effect of orally administered TU-100 (5 g three times daily [TID]) as compared to placebo on abdominal bloating rating in female IBS patients.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Irritable Bowel Syndrome in Females
Keywords
Irritable Bowel Syndrome, Rome III criteria, abdominal bloating, natural, herbal, Kampo, Adult ages 18 to 65, Female subjects
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
101 (Actual)
8. Arms, Groups, and Interventions
Arm Title
TU-100
Arm Type
Experimental
Arm Description
15g TU-100 (oral, daily) for 4 consecutive weeks (administered as 5g three times daily)
Arm Title
Matching placebo
Arm Type
Placebo Comparator
Arm Description
Matching placebo given 5g three times daily orally for 4 consecutive weeks
Intervention Type
Drug
Intervention Name(s)
TU-100
Other Intervention Name(s)
Daikenchuto
Intervention Description
15g daily, orally as 5g three times daily for 4 consecutive weeks
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Matching placebo given 5g three times daily orally for 4 consecutive weeks
Primary Outcome Measure Information:
Title
Abdominal bloating rating
Description
Change in abdominal bloating rating, through comparison of the change in average ratings from the 7 days prior to baseline (Visit 2) to the last 7 days of the 4 week treatment period (Visit 4), between TU-100 15 g and placebo.
Time Frame
4 weeks
Secondary Outcome Measure Information:
Title
AUC for abdominal bloating ratings using lactulose challenge
Description
Change in area under the curve (AUC) for abdominal bloating ratings obtained during the lactulose challenge at Visit 2 (baseline) and at Visit 4 (4 weeks). The data are collected at -0.5, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 7, 8 hours after taking test meal (lactulose).
Time Frame
Baseline and 4 weeks
Title
Abdominal bloating ratings
Description
Change in the average of abdominal bloating ratings from the 7 days prior to baseline to the 7 days prior to Visit 3 (2 weeks) and to Visit 5 (8 weeks)
Time Frame
4 weeks
Title
Overall IBS Severity
Description
Change in Irritable Bowel Syndrome Severity Scoring System (IBS-SSS) total score from baseline to Visits 3, 4, and 5
Time Frame
4 weeks
Title
GI symptom ratings
Description
Change in the average of GI symptom ratings from the 7 days prior to baseline to the 7 days prior to Visit 3 and to Visit 5
Time Frame
4 week
Title
Quality of Life effect
Description
Change in IBS-QOL score from baseline to Visits 3, 4, and 5
Time Frame
4 weeks
Title
Mood symptom ratings
Description
Change in the average of mood symptom ratings from the 7 days prior to baseline to the 7 days prior to Visit 3 and to Visit 5
Time Frame
4 weeks
Other Pre-specified Outcome Measures:
Title
Physical Examination
Description
Physical examination at Visits 1, 2 and 4
Time Frame
4 weeks
Title
Vital Signs
Description
2. Vital signs (pulse, blood pressure, temperature, and respiration rate) at Visits 1, 2 and 4
Time Frame
4 weeks
Title
Adverse Events and Concomitant Medications
Description
Interview for adverse events (AEs) and concomitant medications at Visits 3, 4 and 5
Time Frame
8 weeks
Title
Laboratory safety tests
Description
Laboratory safety tests including hematology, chemistry, and urinalysis at Visits 1, 2 and 4. Pregnancy test for subjects of childbearing potential at Visits 1, 2, 3, 4 and 5.
Time Frame
8 weeks
10. Eligibility
Sex
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Meet Rome III criteria for IBS (any subtype)
Female aged 18 to 65 years, inclusive
If of childbearing potential, prepared to use suitable forms of contraception throughout the study and for 30 days after the last dose i.e., hormonal contraceptives (such as oral contraceptives, Depo-Provera, NuvaRing, Essure), condoms used with a spermicide, an intrauterine device, or abstinence. Females are not considered to be of childbearing potential if they are naturally postmenopausal (no menses for at least 1 year and, if < 55 years of age, have a documented follicle-stimulating hormone [FSH] level of ≥ 35 mIU/mL) or have documentation of surgical sterility
Have a BMI between 18 and 30 kg/m2, inclusive
Have a negative pregnancy urine screening at Visit 1, if of childbearing potential
Able to provide written consent
Able to take oral administration of the testing medications
Have a self-reported average abdominal bloating rating (>3 daily ratings over the preceding 7 days) equal or greater than 4 on a numerical scale of 0 to 20.
Exclusion Criteria:
Have a structural or metabolic disease or condition that affects the GI system, excluding asymptomatic gallstones or uncomplicated gastroesophageal reflux disease, or any medical condition that may be a cause of constipation or diarrhea (e.g., hypothyroid status, poorly controlled diabetes, diabetic neuropathy or autonomic neuropathy)
Be taking any medication that, in the opinion of the Principle Investigator (PI), has potential to alter GI transit. A full list of prohibited medications is provided in the protocol. Have history or presence of any chronic lung disease
Have presence of hepatic dysfunction, jaundice, or abnormal serum alanine aminotransferase (ALT) or aspartate aminotransferase (AST) values exceeding 2.5 x upper limit of normal
Currently pregnant or lactating
Have a positive urine drug test at screening (subjects who initially test positive will be allowed one retest)
Be a known substance abuser or be considered to be an alcoholic not in remission
Have participated in another clinical study in the past 30 days
Use of supplemental ginger, ginseng, or Zanthoxylum fruit for 2 weeks prior to randomization and throughout the course of the study.
Have a history of allergic reaction to ginseng, ginger or Zanthoxylum fruit
Be clinically lactose-intolerant
Have any other condition that, in the opinion of the PI, causes the subject to be unsuitable to participate
Have taken antibiotics in the last 3 months
Have had gastroenteritis ("stomach flu") in the last 3 months
Have taken probiotics in the last 3 months (over-the-counter [OTC] products or supplements only; food products such as yogurts are permitted).
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Kirsten Tillisch, MD
Organizational Affiliation
Oppenheimer Family Center of Neurobiology of Stress, UCLA
Official's Role
Principal Investigator
Facility Information:
Facility Name
Oppenheimer Family Center for Neurobiology of Stress Division of Digestive Diseases David Geffen School of Medicine at UCLA
City
Los Angeles
State/Province
California
ZIP/Postal Code
90095
Country
United States
12. IPD Sharing Statement
Learn more about this trial
A Safety and Efficacy Study of Daikenchuto (TU-100) to Relieve Abdominal Bloating in Female Subjects With Irritable Bowel Syndrome
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