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Constipation Associated With Irritable Bowel Syndrome (IBS-C)

Primary Purpose

Constipation

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
MOVICOL
Sugar Pill
Sponsored by
Norgine
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Constipation focused on measuring Constipation, Irritable Bowel Syndrome

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Male and females aged 18 to 80 years inclusive.
  • Written informed consent obtained.
  • Females of child-bearing potential must employ an adequate method of contraception and must undergo a pregnancy test at Randomisation Visit.
  • Willing, able and competent to complete the entire study and comply with study instructions.
  • Patients > 50 years old have to have undergone a colonoscopy or computerised tomography (CT) after the onset of their IBS-C symptoms or within the last 5 years.
  • Patient has diagnosed IBS-C using Rome III criteria for the last 3 months, with symptom onset at least 6 months prior to diagnosis.

Exclusion Criteria:

  • History or evidence of organic disease in the large bowel, intestinal perforation or obstruction due to structural or functional disorder of the gut wall, ileus, severe inflammatory conditions of the intestinal tract such as Crohn's disease, complicated diverticulitis, ulcerative colitis, toxic megacolon and occlusive or subocclusive syndrome.
  • Abdominal pain of unknown cause, not related to IBS.
  • Previous major abdominal surgery.
  • IBS subtype other than IBS-C.
  • Known allergy to polyethylene glycol (PEG) 3350 or known hypersensitivity to any of the active substances.
  • Laxative, drug or alcohol abuse (recent history or within previous 12 months).
  • Pregnant or lactating females.
  • Severe or acute disease within 2 weeks prior to the start of the study.
  • Patients with type I or II diabetes.
  • Use of other investigational drugs, prescribed or OTC medications affecting gastrointestinal function such as anticholinergics, prokinetics, drugs affecting motility, anthraquinones, opioids,ondansetron or other 5-HT3 antagonists.
  • Incomplete Patient Diary Card during the run-in period.
  • The occurrence of diarrhoea* during the run-in period.
  • Patients with abnormal laboratory tests, proctoscopy /abdominal ultrasound, colonoscopy, sigmoidoscopy or CT that requires further investigation.
  • Patients with any condition, which, in the Investigator's may put the patient at significant risk, may confound the study results, or may interfere significantly with the results of the study.
  • Participation in another clinical study of drugs or devices parallel to or less than 1 month before study entry, or previous participation in this study.
  • Employees of the Investigator or study site with direct involvement in the proposed study or other studies under the direction of that Investigator or study site, as well as family members of the employees or the Investigator.

Sites / Locations

  • Gastroenterologie s.r.o.
  • EGK.s.r.o, Sanatorium sv. Anny
  • Orlickoustecká Nemocnice a.s.
  • Hôpital Hotel Dieu
  • Hôpital Archet II
  • Hôpital Charles Nicolles
  • Martin-Luther-Krankenhaus-Betriebs-GmbH
  • Gastroenterologische Gemeinschaftspraxis
  • Facharztpraxis für Innere Medizin
  • Policlinico S. Orsola Malpighi
  • Università degli Studi di Genova
  • Università degli Studi di Palermo
  • Università La Sapienza
  • Slaskie Centrum Osteoporozy
  • Centrum Onkologii ul.Rentgena 5
  • Prosen SMO
  • Katedra i Klinika Gastroenterologii i Hepatologii
  • Sodra Alvsborgs Hospital (SAS)
  • Karolinska University Hospital Solna
  • St Marks Hospital
  • John Radcliffe Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

NRL920

Placebo

Arm Description

Outcomes

Primary Outcome Measures

To evaluate the efficacy and safety of Movicol® versus placebo in the relief of constipation associated with IBS.

Secondary Outcome Measures

To evaluate the effect of treatment on other symptoms of IBS.
To evaluate the effect of treatment on patient's Quality Of Life (QOL).

Full Information

First Posted
November 21, 2008
Last Updated
February 15, 2010
Sponsor
Norgine
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1. Study Identification

Unique Protocol Identification Number
NCT00796354
Brief Title
Constipation Associated With Irritable Bowel Syndrome (IBS-C)
Official Title
A Phase IIIb/IV, Multi-centre, Double-blind, Randomised, Placebo-controlled Parallel Group Study to Compare the Efficacy and Safety of Movicol® With Placebo in Patients With Constipation Associated With Irritable Bowel Syndrome (IBS)
Study Type
Interventional

2. Study Status

Record Verification Date
February 2010
Overall Recruitment Status
Completed
Study Start Date
November 2008 (undefined)
Primary Completion Date
February 2010 (Actual)
Study Completion Date
February 2010 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Norgine

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Multi-centre, double-blind, randomised, placebo-controlled, parallel group study.
Detailed Description
Patients will be treated for 28 days, with clinical assessments carried out over 2 visits. Follow-up will be performed via telephone at a specific interval during the study to determine the outcome of unresolved AEs, any new drug-related AEs or any pregnancies. During the run-in period and the treatment phase, patients are prohibited from taking prescription or over the counter (OTC) laxative medication or constipating medications. Prescription and OTC medications not related to constipation are permitted and must be fully documented, but any changes (e.g., dosage, regimen) are to be limited as much as possible.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
210 (Actual)

8. Arms, Groups, and Interventions

Arm Title
NRL920
Arm Type
Active Comparator
Arm Title
Placebo
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
MOVICOL
Other Intervention Name(s)
Macrogol (PEG) 3350, sodium chloride, sodium bicarbonate, potassium chloride, acesulfame potassium, lemon-lime flavouring
Intervention Description
sealed laminated sachet, 1 - 3 sachets daily for 4 weeks
Intervention Type
Drug
Intervention Name(s)
Sugar Pill
Other Intervention Name(s)
Sucrose, lemon and lime flavour
Intervention Description
sealed laminated sachet, 1 - 3 sachets daily for 4 weeks
Primary Outcome Measure Information:
Title
To evaluate the efficacy and safety of Movicol® versus placebo in the relief of constipation associated with IBS.
Time Frame
April 2009
Secondary Outcome Measure Information:
Title
To evaluate the effect of treatment on other symptoms of IBS.
Time Frame
April 2009
Title
To evaluate the effect of treatment on patient's Quality Of Life (QOL).
Time Frame
April 2009

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male and females aged 18 to 80 years inclusive. Written informed consent obtained. Females of child-bearing potential must employ an adequate method of contraception and must undergo a pregnancy test at Randomisation Visit. Willing, able and competent to complete the entire study and comply with study instructions. Patients > 50 years old have to have undergone a colonoscopy or computerised tomography (CT) after the onset of their IBS-C symptoms or within the last 5 years. Patient has diagnosed IBS-C using Rome III criteria for the last 3 months, with symptom onset at least 6 months prior to diagnosis. Exclusion Criteria: History or evidence of organic disease in the large bowel, intestinal perforation or obstruction due to structural or functional disorder of the gut wall, ileus, severe inflammatory conditions of the intestinal tract such as Crohn's disease, complicated diverticulitis, ulcerative colitis, toxic megacolon and occlusive or subocclusive syndrome. Abdominal pain of unknown cause, not related to IBS. Previous major abdominal surgery. IBS subtype other than IBS-C. Known allergy to polyethylene glycol (PEG) 3350 or known hypersensitivity to any of the active substances. Laxative, drug or alcohol abuse (recent history or within previous 12 months). Pregnant or lactating females. Severe or acute disease within 2 weeks prior to the start of the study. Patients with type I or II diabetes. Use of other investigational drugs, prescribed or OTC medications affecting gastrointestinal function such as anticholinergics, prokinetics, drugs affecting motility, anthraquinones, opioids,ondansetron or other 5-HT3 antagonists. Incomplete Patient Diary Card during the run-in period. The occurrence of diarrhoea* during the run-in period. Patients with abnormal laboratory tests, proctoscopy /abdominal ultrasound, colonoscopy, sigmoidoscopy or CT that requires further investigation. Patients with any condition, which, in the Investigator's may put the patient at significant risk, may confound the study results, or may interfere significantly with the results of the study. Participation in another clinical study of drugs or devices parallel to or less than 1 month before study entry, or previous participation in this study. Employees of the Investigator or study site with direct involvement in the proposed study or other studies under the direction of that Investigator or study site, as well as family members of the employees or the Investigator.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Roger Chapman, MD
Organizational Affiliation
Oxford University Hospitals NHS Trust
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Mike Geraint, MD
Organizational Affiliation
Norgine Pharmaceuticals Ltd
Official's Role
Study Director
Facility Information:
Facility Name
Gastroenterologie s.r.o.
City
Hradec Králové
ZIP/Postal Code
500 02
Country
Czech Republic
Facility Name
EGK.s.r.o, Sanatorium sv. Anny
City
Praha
ZIP/Postal Code
130 00
Country
Czech Republic
Facility Name
Orlickoustecká Nemocnice a.s.
City
Ústi Nad Orlicí
ZIP/Postal Code
562 18
Country
Czech Republic
Facility Name
Hôpital Hotel Dieu
City
Clermont-Ferrand
ZIP/Postal Code
63058
Country
France
Facility Name
Hôpital Archet II
City
Nice
ZIP/Postal Code
06200
Country
France
Facility Name
Hôpital Charles Nicolles
City
Rouen
ZIP/Postal Code
76031
Country
France
Facility Name
Martin-Luther-Krankenhaus-Betriebs-GmbH
City
Berlin
ZIP/Postal Code
14193
Country
Germany
Facility Name
Gastroenterologische Gemeinschaftspraxis
City
Münster
ZIP/Postal Code
48159
Country
Germany
Facility Name
Facharztpraxis für Innere Medizin
City
Wiesbaden
ZIP/Postal Code
65185
Country
Germany
Facility Name
Policlinico S. Orsola Malpighi
City
Bologna
ZIP/Postal Code
40138
Country
Italy
Facility Name
Università degli Studi di Genova
City
Genova
ZIP/Postal Code
6 - 16132
Country
Italy
Facility Name
Università degli Studi di Palermo
City
Palermo
ZIP/Postal Code
129 - 90127
Country
Italy
Facility Name
Università La Sapienza
City
Roma
ZIP/Postal Code
00162
Country
Italy
Facility Name
Slaskie Centrum Osteoporozy
City
Katowice
ZIP/Postal Code
40-084
Country
Poland
Facility Name
Centrum Onkologii ul.Rentgena 5
City
Warsaw
ZIP/Postal Code
02-781
Country
Poland
Facility Name
Prosen SMO
City
Warszawa
ZIP/Postal Code
01-231
Country
Poland
Facility Name
Katedra i Klinika Gastroenterologii i Hepatologii
City
Wroclaw
ZIP/Postal Code
50-556
Country
Poland
Facility Name
Sodra Alvsborgs Hospital (SAS)
City
Borås
ZIP/Postal Code
SE-176-65
Country
Sweden
Facility Name
Karolinska University Hospital Solna
City
Stockholm
ZIP/Postal Code
SE-171-76
Country
Sweden
Facility Name
St Marks Hospital
City
Harrow
ZIP/Postal Code
HA1 3UJ
Country
United Kingdom
Facility Name
John Radcliffe Hospital
City
Oxford
ZIP/Postal Code
OX3 9DU
Country
United Kingdom

12. IPD Sharing Statement

Citations:
PubMed Identifier
9895382
Citation
Attar A, Lemann M, Ferguson A, Halphen M, Boutron MC, Flourie B, Alix E, Salmeron M, Guillemot F, Chaussade S, Menard AM, Moreau J, Naudin G, Barthet M. Comparison of a low dose polyethylene glycol electrolyte solution with lactulose for treatment of chronic constipation. Gut. 1999 Feb;44(2):226-30. doi: 10.1136/gut.44.2.226.
Results Reference
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Constipation Associated With Irritable Bowel Syndrome (IBS-C)

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