Clinical Trial of Anusol Ointment for Symptom Relief in Patients With Haemorrhoids
Primary Purpose
Hemorrhoids
Status
Completed
Phase
Phase 3
Locations
Armenia
Study Type
Interventional
Intervention
Anusol
Relief [Name]
Placebo
Sponsored by
About this trial
This is an interventional treatment trial for Hemorrhoids
Eligibility Criteria
Inclusion Criteria:
- Male or female, 18-75 years old.
- Subjects with a diagnosis of symptomatic internal and/or external haemorrhoids, confirmed by Investigator as Grade I-III.*
- Has at least two of the following haemorrhoid symptoms for at least two consecutive days immediately prior to screening: pain, discomfort, itching, irritation, burning, inflammation, swelling, bleeding, or defecation discomfort/difficulty.
- Has at least two of the following haemorrhoid symptoms with at least moderate intensity (>4 reported by subject) at the baseline/screening: pain, discomfort, itching, irritation, burning, inflammation, swelling, bleeding or defecation discomfort/difficulty.
- Non-pregnant, non-lactating female. Females should be able to distinguish rectal bleeding from menstrual vaginal bleeding.
- In the case of a female of childbearing potential (CBP), using an acceptable form of birth control (oral/implant/injectable/transdermal contraceptives, intrauterine device (IUD), condom with spermicide, diaphragm with spermicide, partner's vasectomy, bilateral tubal ligation). Abstinence or vasectomies are acceptable, but if the female subject's lifestyle or partner changes then she will agree to implement one of the other acceptable methods of birth control.
- In the case of a female of child-bearing potential, has a negative urine pregnancy dipstick test (UPT) at Visit 1 prior to randomization and are willing to submit to a UPT at Visit 2 and at the end of study (EOS),
- In the case of a female of non-childbearing potential, has had a hysterectomy or is postmenopausal (at least 1 year with no menses prior to enrollment).
- Agrees not to participate in any clinical study from Visit 1 through end of study.
- Read, understand and sign an informed consent.
- Willing not to change their shampoo, soap or body washing products during the study.
- Willing and able to comply with study instructions.
Exclusion Criteria:
- Has anorectal condition(s) such as malignant tumors of the anus or rectum, fistula-in-ano or chronic sepsis, fissure-in-ano, incontinence, condylomata and Grade IV haemorrhoids.
- History of previous proctological surgery.
- Diagnosis of Inflammatory Bowel Disease (IBD).
- Evidence or history of fecal incontinence.
- Current diagnosis or history of an uncorrected coagulation defect or concurrently uses anticoagulants (except low dose aspirin or non-steroidals).
- Is using medication which, in the opinion of the Investigator, will interfere with the study results.
- Has known hypersensitivity or previous allergic reaction to any of the active or inactive components of the study products.
- Use of stool softeners, but not on a stable regimen during the past 28 days prior to enrolling in the study.
- Receiving treatment labeled or intended for haemorrhoids during the past 7 days prior to start of the study.
- Receiving treatment labeled or intended for haemorrhoids throughout the study, other than the assigned product.
- Use of local analgesics and/or anti-inflammatories during the past 14 days prior to the start of the study.
- Receiving Monoamine oxidase inhibitors (MAOI) within the past 14 days prior to enrolling and during the study.
- Has severe arterial hypertension, tachysystolic cardiac rhythm disturbance, decompensated heart failure, cardiac conduction disorders, severe hepatic failure, severe renal failure, thyrotoxicosis, acute pancreatitis, recurrent thromboembolism, granulocytopenia, or other clinically significant co-morbid condition, which, in PI's opinion, may affect the patient safety and/or affect participation in the study.
- Female subjects who are lactating and/or pregnant or planning to become pregnant during the study.
- Is currently participating in any clinical testing.
- Has received any investigational drug(s) within 28 days before start of the study.
Sites / Locations
- Erebouni Medical Center
- Izmirlyan Medical Center
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Experimental
Active Comparator
Placebo Comparator
Arm Label
Anusol ointment
Benchmark
Placebo
Arm Description
Anusol ointment (Zinc oxide [10.75g], Bismuth subgallate [2.25 g], Balsam peru [1.875 g], Bismuth oxide [0.875 g] in each 100g of ointment).
RELIEF® rectal ointment (phenylephrine hydrochloride 2.5mg/g), marketed
Anusol ointment after the removal of the active ingredients
Outcomes
Primary Outcome Measures
Subject reported severity of heamorrhoid symptoms
Subject will grade severity of each hemorrhoid symptom (pain, itching, swelling, bleeding, discomfort, burning, inflammation, overall Irritation, defecation discomfort/difficulty) in 10 cm VAS, from 0 (None) to 10 (Most severe).
Subject reported severity of heamorrhoid symptoms
Subject will grade severity of each hemorrhoid symptom (pain, itching, swelling, bleeding, discomfort, burning, inflammation, overall Irritation, defecation discomfort/difficulty) in 10 cm VAS, from 0 (None) to 10 (Most severe).
Subject reported improvement of heamorrhoid symptoms
Subject will grade improvement of each haemorrhoid symptom (pain, itching, swelling, bleeding, discomfort, burning, inflammation, overall Irritation, defecation discomfort/difficulty) compared to Day 0 in 10 cm VAS from 0 (None) to 10 (Complete improvement).
Subject reported improvement of heamorrhoid symptoms
Subject will grade improvement of each haemorrhoid symptom (pain, itching, swelling, bleeding, discomfort, burning, inflammation, overall Irritation, defecation discomfort/difficulty) compared to Day 0 in 10 cm VAS from 0 (None) to 10 (Complete improvement).
Subject reported overall improvement of haemorrhoid symptoms
Subject will rate overall improvement of haemorrhoid symptoms compared to Day 0 in 10 cm VAS from 0 (None) to 10 (Complete Improvement).
Subject reported overall improvement of haemorrhoid symptoms
Subject will rate overall improvement of haemorrhoid symptoms compared to Day 0 in 10 cm VAS from 0 (None) to 10 (Complete Improvement).
Subject reported overall shrinkage of haemorrhoids
Subject will rate overall shrinkage of haemorrhoids compared to Day 0 in 10 cm VAS from 0 (None) to 10 (Complete Improvement).
Subject reported overall shrinkage of haemorrhoids
Subject will rate overall shrinkage of haemorrhoids compared to Day 0 in 10 cm VAS from 0 (None) to 10 (Complete Improvement).
Investigator reported severity of haemorrhoid symptoms and signs
Investigator will rate each haemorrhoid symptom and sign (erythema, swelling/edema, inflammation,dryness, overall irritation, haemorrhoid severity) in six-point scale from 0 (none) to 5 (very severe).
Investigator reported severity of haemorrhoid symptoms and signs
Investigator will rate each haemorrhoid symptom and sign (erythema, swelling/edema, inflammation,dryness, overall irritation, haemorrhoid severity) in six-point scale from 0 (none) to 5 (very severe).
Investigator reported overall improvement of haemorrhoid symptoms
Investigator will rate overall improvement of haemorrhoid symptoms compared to Day 0 in six-point scale from 0 (none) to 5 (complete improvement)
Investigator reported overall improvement of haemorrhoid symptoms
Investigator will rate overall improvement of haemorrhoid symptoms compared to Day 0 in six-point scale from 0 (none) to 5 (complete improvement)
Investigator reported overall shrinkage of haemorrhoids
Investigator will rate overall shrinkage of haemorrhoids compared to Day 0 in six-point scale from 0 (none) to 5 (complete improvement).
Investigator reported overall shrinkage of haemorrhoids
Investigator will rate overall shrinkage of haemorrhoids compared to Day 0 in six-point scale from 0 (none) to 5 (complete improvement).
Secondary Outcome Measures
Full Information
NCT ID
NCT05157711
First Posted
May 10, 2021
Last Updated
August 12, 2022
Sponsor
Church & Dwight Company, Inc.
1. Study Identification
Unique Protocol Identification Number
NCT05157711
Brief Title
Clinical Trial of Anusol Ointment for Symptom Relief in Patients With Haemorrhoids
Official Title
A Randomized, Placebo- and Benchmark-controlled, Double-blind Clinical Trial of Anusol Topical Ointment to Evaluate Symptom Relief in Patients With Haemorrhoids
Study Type
Interventional
2. Study Status
Record Verification Date
November 2021
Overall Recruitment Status
Completed
Study Start Date
November 25, 2021 (Actual)
Primary Completion Date
March 31, 2022 (Actual)
Study Completion Date
March 31, 2022 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Church & Dwight Company, Inc.
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
The purpose of this study is to assess the efficacy and safety of Anusol topical ointment for the relief of internal and external haemorrhoid symptoms in people with Grades I-III haemorrhoids compared to a placebo (the study medication without the active ingredients) and a benchmark product.
Detailed Description
Adult patients with haemorrhoids meeting all the eligibility criteria will be allocated in three study arms: test, placebo and benchmark. Approximately twenty-two subjects per group will be enrolled to assure that approximately 20 subjects in each group complete the study. The study will be conducted in Armenia.The study will last approximately 2 weeks for each subject and will consist of 3 visits. The first subject first visit is planned for June 2021, and the study will continue until the target sample size is reached.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hemorrhoids
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
66 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Anusol ointment
Arm Type
Experimental
Arm Description
Anusol ointment (Zinc oxide [10.75g], Bismuth subgallate [2.25 g], Balsam peru [1.875 g], Bismuth oxide [0.875 g] in each 100g of ointment).
Arm Title
Benchmark
Arm Type
Active Comparator
Arm Description
RELIEF® rectal ointment (phenylephrine hydrochloride 2.5mg/g), marketed
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Anusol ointment after the removal of the active ingredients
Intervention Type
Drug
Intervention Name(s)
Anusol
Other Intervention Name(s)
Anusol Ointment (Zinc oxide, Bismuth subgallate, Balsam peru), Bismuth oxide)
Intervention Description
Daily at night and in the morning and after each bowel movement for two weeks
Intervention Type
Drug
Intervention Name(s)
Relief [Name]
Other Intervention Name(s)
RELIEF rectal ointment (phenylephrine hydrochloride)
Intervention Description
Daily at night and in the morning and after each bowel movement for two weeks
Intervention Type
Drug
Intervention Name(s)
Placebo
Other Intervention Name(s)
Placebo ointment (Anusol ointment without active ingredients)
Intervention Description
Daily at night and in the morning and after each bowel movement for two weeks
Primary Outcome Measure Information:
Title
Subject reported severity of heamorrhoid symptoms
Description
Subject will grade severity of each hemorrhoid symptom (pain, itching, swelling, bleeding, discomfort, burning, inflammation, overall Irritation, defecation discomfort/difficulty) in 10 cm VAS, from 0 (None) to 10 (Most severe).
Time Frame
Day 7
Title
Subject reported severity of heamorrhoid symptoms
Description
Subject will grade severity of each hemorrhoid symptom (pain, itching, swelling, bleeding, discomfort, burning, inflammation, overall Irritation, defecation discomfort/difficulty) in 10 cm VAS, from 0 (None) to 10 (Most severe).
Time Frame
Day 14
Title
Subject reported improvement of heamorrhoid symptoms
Description
Subject will grade improvement of each haemorrhoid symptom (pain, itching, swelling, bleeding, discomfort, burning, inflammation, overall Irritation, defecation discomfort/difficulty) compared to Day 0 in 10 cm VAS from 0 (None) to 10 (Complete improvement).
Time Frame
Day 7
Title
Subject reported improvement of heamorrhoid symptoms
Description
Subject will grade improvement of each haemorrhoid symptom (pain, itching, swelling, bleeding, discomfort, burning, inflammation, overall Irritation, defecation discomfort/difficulty) compared to Day 0 in 10 cm VAS from 0 (None) to 10 (Complete improvement).
Time Frame
Day 14
Title
Subject reported overall improvement of haemorrhoid symptoms
Description
Subject will rate overall improvement of haemorrhoid symptoms compared to Day 0 in 10 cm VAS from 0 (None) to 10 (Complete Improvement).
Time Frame
Day 7
Title
Subject reported overall improvement of haemorrhoid symptoms
Description
Subject will rate overall improvement of haemorrhoid symptoms compared to Day 0 in 10 cm VAS from 0 (None) to 10 (Complete Improvement).
Time Frame
Day 14
Title
Subject reported overall shrinkage of haemorrhoids
Description
Subject will rate overall shrinkage of haemorrhoids compared to Day 0 in 10 cm VAS from 0 (None) to 10 (Complete Improvement).
Time Frame
Day 7
Title
Subject reported overall shrinkage of haemorrhoids
Description
Subject will rate overall shrinkage of haemorrhoids compared to Day 0 in 10 cm VAS from 0 (None) to 10 (Complete Improvement).
Time Frame
Day 14
Title
Investigator reported severity of haemorrhoid symptoms and signs
Description
Investigator will rate each haemorrhoid symptom and sign (erythema, swelling/edema, inflammation,dryness, overall irritation, haemorrhoid severity) in six-point scale from 0 (none) to 5 (very severe).
Time Frame
Day 7
Title
Investigator reported severity of haemorrhoid symptoms and signs
Description
Investigator will rate each haemorrhoid symptom and sign (erythema, swelling/edema, inflammation,dryness, overall irritation, haemorrhoid severity) in six-point scale from 0 (none) to 5 (very severe).
Time Frame
Day 14
Title
Investigator reported overall improvement of haemorrhoid symptoms
Description
Investigator will rate overall improvement of haemorrhoid symptoms compared to Day 0 in six-point scale from 0 (none) to 5 (complete improvement)
Time Frame
Day 7
Title
Investigator reported overall improvement of haemorrhoid symptoms
Description
Investigator will rate overall improvement of haemorrhoid symptoms compared to Day 0 in six-point scale from 0 (none) to 5 (complete improvement)
Time Frame
Day 14
Title
Investigator reported overall shrinkage of haemorrhoids
Description
Investigator will rate overall shrinkage of haemorrhoids compared to Day 0 in six-point scale from 0 (none) to 5 (complete improvement).
Time Frame
Day 7
Title
Investigator reported overall shrinkage of haemorrhoids
Description
Investigator will rate overall shrinkage of haemorrhoids compared to Day 0 in six-point scale from 0 (none) to 5 (complete improvement).
Time Frame
Day 14
Other Pre-specified Outcome Measures:
Title
Overall product performance
Description
Subjects who complete the study per protocol will complete an overall product performance questionnaire.
Time Frame
Day 14
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Male or female, 18-75 years old.
Subjects with a diagnosis of symptomatic internal and/or external haemorrhoids, confirmed by Investigator as Grade I-III.*
Has at least two of the following haemorrhoid symptoms for at least two consecutive days immediately prior to screening: pain, discomfort, itching, irritation, burning, inflammation, swelling, bleeding, or defecation discomfort/difficulty.
Has at least two of the following haemorrhoid symptoms with at least moderate intensity (>4 reported by subject) at the baseline/screening: pain, discomfort, itching, irritation, burning, inflammation, swelling, bleeding or defecation discomfort/difficulty.
Non-pregnant, non-lactating female. Females should be able to distinguish rectal bleeding from menstrual vaginal bleeding.
In the case of a female of childbearing potential (CBP), using an acceptable form of birth control (oral/implant/injectable/transdermal contraceptives, intrauterine device (IUD), condom with spermicide, diaphragm with spermicide, partner's vasectomy, bilateral tubal ligation). Abstinence or vasectomies are acceptable, but if the female subject's lifestyle or partner changes then she will agree to implement one of the other acceptable methods of birth control.
In the case of a female of child-bearing potential, has a negative urine pregnancy dipstick test (UPT) at Visit 1 prior to randomization and are willing to submit to a UPT at Visit 2 and at the end of study (EOS),
In the case of a female of non-childbearing potential, has had a hysterectomy or is postmenopausal (at least 1 year with no menses prior to enrollment).
Agrees not to participate in any clinical study from Visit 1 through end of study.
Read, understand and sign an informed consent.
Willing not to change their shampoo, soap or body washing products during the study.
Willing and able to comply with study instructions.
Exclusion Criteria:
Has anorectal condition(s) such as malignant tumors of the anus or rectum, fistula-in-ano or chronic sepsis, fissure-in-ano, incontinence, condylomata and Grade IV haemorrhoids.
History of previous proctological surgery.
Diagnosis of Inflammatory Bowel Disease (IBD).
Evidence or history of fecal incontinence.
Current diagnosis or history of an uncorrected coagulation defect or concurrently uses anticoagulants (except low dose aspirin or non-steroidals).
Is using medication which, in the opinion of the Investigator, will interfere with the study results.
Has known hypersensitivity or previous allergic reaction to any of the active or inactive components of the study products.
Use of stool softeners, but not on a stable regimen during the past 28 days prior to enrolling in the study.
Receiving treatment labeled or intended for haemorrhoids during the past 7 days prior to start of the study.
Receiving treatment labeled or intended for haemorrhoids throughout the study, other than the assigned product.
Use of local analgesics and/or anti-inflammatories during the past 14 days prior to the start of the study.
Receiving Monoamine oxidase inhibitors (MAOI) within the past 14 days prior to enrolling and during the study.
Has severe arterial hypertension, tachysystolic cardiac rhythm disturbance, decompensated heart failure, cardiac conduction disorders, severe hepatic failure, severe renal failure, thyrotoxicosis, acute pancreatitis, recurrent thromboembolism, granulocytopenia, or other clinically significant co-morbid condition, which, in PI's opinion, may affect the patient safety and/or affect participation in the study.
Female subjects who are lactating and/or pregnant or planning to become pregnant during the study.
Is currently participating in any clinical testing.
Has received any investigational drug(s) within 28 days before start of the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Annahita Ghassemi, PhD
Organizational Affiliation
Director, Global Product Safety & Clinical Affairs Church & Dwight Co., Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Erebouni Medical Center
City
Yerevan
Country
Armenia
Facility Name
Izmirlyan Medical Center
City
Yerevan
Country
Armenia
12. IPD Sharing Statement
Learn more about this trial
Clinical Trial of Anusol Ointment for Symptom Relief in Patients With Haemorrhoids
We'll reach out to this number within 24 hrs