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Clinical Trials of N-acetyl Glucosamine Capsule for IBS-D Treatment

Primary Purpose

Irritable Bowel Syndrome

Status
Unknown status
Phase
Phase 3
Locations
China
Study Type
Interventional
Intervention
Starch Placebo
N-acetyl-D-glucosamine
Sponsored by
Third Military Medical University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Irritable Bowel Syndrome focused on measuring diarrhea, abdominal pain

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Voluntarily signed the informed consent form.
  • Man or woman, aged 18 to 65 years, inclusive.
  • Based on the Roman III diagnostic criteria for diagnosis of IBS-D subjects, recurrent abdominal pain accompanied with abdominal discomfort or not, monthly attack within the past 3months at least 3 days. With two or more of the following three kinds of symptoms:

At least a portion of the time abdominal pain or defecate increase when discomfort.

At least a portion of the time abdominal pain or the row of loose stools when discomfort.

At least a portion of the time abdominal pain or discomfort improved after defecation.

Symptoms for at least 6 months before diagnosis.

  • Screening/import period pain intensity scores of the NRS week mean value are 3.0 plus and the days which at least more than one time a stool type are 6 or 7 type over 2 days per week.
  • During the screening period,patients should answer the questions of electronic log completely following the requirements for 10days or more.
  • Patients are willing to stop drugs for abdominal symptoms or diarrhea which are in violation of the scheme, and take medicine prescribed in the scheme.
  • Patients agree to not change the lifestyle significantly that may affect the symptoms of IBS-D from signing up the Informed Consent Form to the last experiment.
  • The illness recured after a normal colonoscopy report within one year that was provided by this hospital or a grade first class teaching hospital, include polyp of colon (less than 3mm,the number of less than 5) patients who taked therapeutic endoscopy and recurrenced within one year; or those that get a normal colonoscopy report in this hospital or a grade first class teaching hospital before screening but have a history of bowel preparation, should be chosen when next attack.

Exclusion Criteria:

  • History of organic gastrointestinal diseases: Chronic pancreatitis (cp), inflammatory bowel disease, intestinal tuberculosis, malabsorption syndrome, celiac disease, gastrointestinal tumor, or other organic diseases etc.
  • History of abdominal and pelvic surgery ( not including appendectomy and intestinal polyposis (<3mm) after treatment within one year ).
  • The non-intestinal disease of digestive system such as Peptic ulcer, tuberculous peritonitis, cirrhosis etc.
  • Heart, lung, kidney and other important organs have severe lesions, immune regulatory disease, metabolic disease (diabetes, thyroid disease) or malignant tumor, reproductive system diseases such as ovarian cysts, endometriosis, etc.
  • Laboratory tests or Electrocardiogram were significantly abnormal, and judging by the researchers may damage the patient safety or successful completion of the clinical research:

Male hemoglobin <120g/L, female hemoglobin <100g/L;

Male serum creatinine≥133umol/L, female serum creatinine≥124umol/L; or creatinine clearance rate≤60ml/min;

Chronic liver disease and/or abnormal liver function, defined as AST (aspartate aminotransferase) > 1.5 x ULN (Upper Limit Of Normal) and/or ALT (alanine aminotransferase) > 1.5 x ULN and/or total bilirubin > 1.5x ULN;

  • Serious psychiatric patients( Hamilton Depression Scale scores>20).
  • History of drug abuse or alcohol abuse.
  • Allergic to this study drug.
  • Concomitant medication is unable to stop or use continuously for more than a week but affect the gastrointestinal movement and function in the experiment, such as antibiotic drugs, the drugs of regulating the intestinal microecology, parasympathetic inhibitors, muscle relaxants, antidiarrheal, opiates, etc.
  • Do not fill in the electronic log of one week before entering the group (-1 week) completely.
  • Pregnant or lactating women
  • Is participating in clinical trials or have finished it less than 3 months.
  • Other researchers think not suitable for the list.

Sites / Locations

  • Union Hospital of Tongji Medical College, Huazhong University of Science and TechnologyRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Placebo Comparator

Experimental

Arm Label

Starch capsule

N-acetyl-D-glucosamine

Arm Description

During the 12- weeks treatment phase of the study, the daily dose of 3 tablets will be taken 30 minutes after breakfast, lunch and supper.

During the 12- weeks treatment phase of the study, the daily dose of 100mg*3 (3 tablets) will be taken 30 minutes after breakfast, lunch and supper.

Outcomes

Primary Outcome Measures

Abdominal Pain Intensity
As measured by numerical rating scale
Stool Consistency
As measured by Bristol ' s scale

Secondary Outcome Measures

General symptoms feel grading
As measure by patient reported outcome measures
defecation frequency
As measure by patient reported outcome measures
abdominal distension
As measure by patient reported outcome measures
Defecation urgency
As measure by patient reported outcome measures
life quality parameters
As measure by healthy survey, SF-36

Full Information

First Posted
July 16, 2015
Last Updated
July 17, 2015
Sponsor
Third Military Medical University
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1. Study Identification

Unique Protocol Identification Number
NCT02504060
Brief Title
Clinical Trials of N-acetyl Glucosamine Capsule for IBS-D Treatment
Official Title
Multicenter Randomized Double-blind Placebo-controlled Clinical Trials to Evaluate the Clinical Efficacy and Safety of N-acetyl Glucosamine Capsule for Irritable Bowel Syndrome With Diarrhea (IBS-D) Treatment
Study Type
Interventional

2. Study Status

Record Verification Date
July 2015
Overall Recruitment Status
Unknown status
Study Start Date
June 2015 (undefined)
Primary Completion Date
December 2016 (Anticipated)
Study Completion Date
July 2017 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Third Military Medical University

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This study is a randomized double-blind placebo-controlled clinical trail to evaluate the clinical efficacy and safety of 1.1 chemical drugs N-acetyl-D-glucosamine on Chinese IBS-D patients coming from thirty- six centers in Chinese. 720 IBS-D patients (360 for treatment group, 360 for placebo group) in this research are accord with the Rome III diagnostic criteria, screening/import period pain intensity scores of the NRS(numerical rating scale) week mean value are 3.0 plus and the days which at least more than one time a stool type are 6 or 7 type over 2 days/week. Test cycle includes screening/import period (2 weeks), open treatment period (12 weeks), follow-up period (2 weeks). The main outcome measures are pain intensity (NRS score 11 point scale) and stool type ( Bristol type), and secondary endpoints included overall symptoms sensory scores, defecation frequency, abdominal distension, defecation urgency and quality of life parameters (IBS-QOL scale).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Irritable Bowel Syndrome
Keywords
diarrhea, abdominal pain

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
720 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Starch capsule
Arm Type
Placebo Comparator
Arm Description
During the 12- weeks treatment phase of the study, the daily dose of 3 tablets will be taken 30 minutes after breakfast, lunch and supper.
Arm Title
N-acetyl-D-glucosamine
Arm Type
Experimental
Arm Description
During the 12- weeks treatment phase of the study, the daily dose of 100mg*3 (3 tablets) will be taken 30 minutes after breakfast, lunch and supper.
Intervention Type
Drug
Intervention Name(s)
Starch Placebo
Intervention Type
Drug
Intervention Name(s)
N-acetyl-D-glucosamine
Other Intervention Name(s)
Atysamine(ATSM)
Primary Outcome Measure Information:
Title
Abdominal Pain Intensity
Description
As measured by numerical rating scale
Time Frame
one and a half years
Title
Stool Consistency
Description
As measured by Bristol ' s scale
Time Frame
one and a half years
Secondary Outcome Measure Information:
Title
General symptoms feel grading
Description
As measure by patient reported outcome measures
Time Frame
one and a half years
Title
defecation frequency
Description
As measure by patient reported outcome measures
Time Frame
one and a half years
Title
abdominal distension
Description
As measure by patient reported outcome measures
Time Frame
one and a half years
Title
Defecation urgency
Description
As measure by patient reported outcome measures
Time Frame
one and a half years
Title
life quality parameters
Description
As measure by healthy survey, SF-36
Time Frame
one and a half years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Voluntarily signed the informed consent form. Man or woman, aged 18 to 65 years, inclusive. Based on the Roman III diagnostic criteria for diagnosis of IBS-D subjects, recurrent abdominal pain accompanied with abdominal discomfort or not, monthly attack within the past 3months at least 3 days. With two or more of the following three kinds of symptoms: At least a portion of the time abdominal pain or defecate increase when discomfort. At least a portion of the time abdominal pain or the row of loose stools when discomfort. At least a portion of the time abdominal pain or discomfort improved after defecation. Symptoms for at least 6 months before diagnosis. Screening/import period pain intensity scores of the NRS week mean value are 3.0 plus and the days which at least more than one time a stool type are 6 or 7 type over 2 days per week. During the screening period,patients should answer the questions of electronic log completely following the requirements for 10days or more. Patients are willing to stop drugs for abdominal symptoms or diarrhea which are in violation of the scheme, and take medicine prescribed in the scheme. Patients agree to not change the lifestyle significantly that may affect the symptoms of IBS-D from signing up the Informed Consent Form to the last experiment. The illness recured after a normal colonoscopy report within one year that was provided by this hospital or a grade first class teaching hospital, include polyp of colon (less than 3mm,the number of less than 5) patients who taked therapeutic endoscopy and recurrenced within one year; or those that get a normal colonoscopy report in this hospital or a grade first class teaching hospital before screening but have a history of bowel preparation, should be chosen when next attack. Exclusion Criteria: History of organic gastrointestinal diseases: Chronic pancreatitis (cp), inflammatory bowel disease, intestinal tuberculosis, malabsorption syndrome, celiac disease, gastrointestinal tumor, or other organic diseases etc. History of abdominal and pelvic surgery ( not including appendectomy and intestinal polyposis (<3mm) after treatment within one year ). The non-intestinal disease of digestive system such as Peptic ulcer, tuberculous peritonitis, cirrhosis etc. Heart, lung, kidney and other important organs have severe lesions, immune regulatory disease, metabolic disease (diabetes, thyroid disease) or malignant tumor, reproductive system diseases such as ovarian cysts, endometriosis, etc. Laboratory tests or Electrocardiogram were significantly abnormal, and judging by the researchers may damage the patient safety or successful completion of the clinical research: Male hemoglobin <120g/L, female hemoglobin <100g/L; Male serum creatinine≥133umol/L, female serum creatinine≥124umol/L; or creatinine clearance rate≤60ml/min; Chronic liver disease and/or abnormal liver function, defined as AST (aspartate aminotransferase) > 1.5 x ULN (Upper Limit Of Normal) and/or ALT (alanine aminotransferase) > 1.5 x ULN and/or total bilirubin > 1.5x ULN; Serious psychiatric patients( Hamilton Depression Scale scores>20). History of drug abuse or alcohol abuse. Allergic to this study drug. Concomitant medication is unable to stop or use continuously for more than a week but affect the gastrointestinal movement and function in the experiment, such as antibiotic drugs, the drugs of regulating the intestinal microecology, parasympathetic inhibitors, muscle relaxants, antidiarrheal, opiates, etc. Do not fill in the electronic log of one week before entering the group (-1 week) completely. Pregnant or lactating women Is participating in clinical trials or have finished it less than 3 months. Other researchers think not suitable for the list.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Junkang Liu, Doctor
Phone
+86-023-68752191
Email
liujunkang@163.com
First Name & Middle Initial & Last Name or Official Title & Degree
Yanxia Liu, Master
Phone
+86-023-68752372
Email
liuyibin_04@163.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Junkang Liu, Doctor
Organizational Affiliation
Third MMU
Official's Role
Study Chair
Facility Information:
Facility Name
Union Hospital of Tongji Medical College, Huazhong University of Science and Technology
City
Wuhan
State/Province
Hubei
ZIP/Postal Code
430022
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Xiaohua Hou, Doctor
Phone
13035143646
Email
yejin8688@sina.com

12. IPD Sharing Statement

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Clinical Trials of N-acetyl Glucosamine Capsule for IBS-D Treatment

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