Effect of TU-100 in Patients With Functional Constipation
Primary Purpose
Functional Constipation
Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
DAIKENCHUTO (TU-100)
Placebo
Sponsored by
About this trial
This is an interventional treatment trial for Functional Constipation focused on measuring Gastric Emptying
Eligibility Criteria
Inclusion Criteria:
- Have severity of constipation in CSI score of 25 to 74 points.
- Have the ability to orally ingest study medication, TU-100, and the SmartPill capsule.
- Be male or female aged between 18 and 80 years old, inclusive.
- Provide written informed consent before participation in the study after full explanations of the study purpose and procedures.
If a female is of childbearing potential and sexually active:
- She must agree to practice a highly effective method of birth control, including hormonal prescription oral contraceptives, contraceptive injections, contraceptive patch, intrauterine device, during their participation in the trial and for 4 weeks after receiving the last dose of study drug
- She must have a negative serum pregnancy test before randomization.
If a male is sexually active with a female of childbearing potential:
- He must agree to use a double barrier of birth control during the study and for 4 weeks after receiving the last dose of study drug.
- He must not donate sperm during the study and for 4 weeks after receiving the last dose of study drug.
Exclusion Criteria:
- Presence of strictures, fistulas, or physiological or mechanical bowel obstruction.
- Presence of implanted or portable electro-mechanical medical devices.
- History of gastric bezoar or swallowing disorders.
- History of gastrointestinal surgery within 3 months of screening.
- History of bowel resection.
- Current pregnancy or lactation.
- History of clinically significant alcohol or drug abuse within a year of screening.
- Have any other condition that might adversely affect capacity to participate in this study, including liver disorders (with serum alanine aminotransferase [ALT] and/or aspartate aminotransferase [AST] levels exceeding 2.5 times the upper limit of normal [ULN]), kidney disorders, heart failure, blood disorders, or metabolic disorders.
- Be diagnosed with cancer, ulcerative colitis, Crohn's disease, diverticulitis, scleroderma, Hirschsprung's disease, Chagas' disease, multiple sclerosis, Parkinson's disease, stroke, paraplegia, quadriplegia, insulin-dependent diabetes mellitus, untreated hypothyroidism, or any other systemic or psychiatric disorder which may, in the opinion of the investigator, interfere with the evaluation of TU-100.
- Be taking any medication as follows: anticholinergic agents/medications with anticholinergic effect (list of prohibited drugs attached in Appendix G; antidepressants are permissible if the patient's symptoms are stable, and the doses are NOT changed during the course of the study), warfarin, prokinetics (i.e., Domperidone, Metoclopramide), narcotic analgesics, or any agent that might interfere with the evaluation of TU-100 in the opinion of the investigator.
- Have a history of allergic reaction or hypersensitivity to ginseng, ginger, and Sichuan pepper.
- Have severe dysphagia to food or pills.
- Have participated in any other clinical study within 30 days before enrolling in this study.
- Be unsuitable for participation in this trial for any reason, according to the investigator.
Sites / Locations
- Colon and Rectal Surgery Associates
Arms of the Study
Arm 1
Arm 2
Arm Type
Placebo Comparator
Experimental
Arm Label
Placebo
DAIKENCHUTO (TU-100) 15 g/day
Arm Description
Placebo TID
TU-100 5g TID
Outcomes
Primary Outcome Measures
Change from baseline to Day 28 in CSI total score
Secondary Outcome Measures
Change from baseline in GI transit time measured by SmartPill capsule.
Change from baseline to Day 28 in CRQOL total score.
Changes from baseline in stool frequency, stool consistency, severity of straining, and completeness of evacuation determined from entries in the bowel pattern diary.
Change from baseline to Day 28 in CSI subscale scores.
Change from baseline to Day 28 in CRQOL subscale scores.
Full Information
NCT ID
NCT01348152
First Posted
May 3, 2011
Last Updated
September 9, 2013
Sponsor
Tsumura USA
Collaborators
Cato Research
1. Study Identification
Unique Protocol Identification Number
NCT01348152
Brief Title
Effect of TU-100 in Patients With Functional Constipation
Official Title
A Randomized, Double-Blinded, Placebo-Controlled Exploratory Study of Daikenchuto (TU-100) in Patients With Functional Constipation
Study Type
Interventional
2. Study Status
Record Verification Date
September 2013
Overall Recruitment Status
Completed
Study Start Date
September 2011 (undefined)
Primary Completion Date
July 2013 (Actual)
Study Completion Date
July 2013 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Tsumura USA
Collaborators
Cato Research
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The primary objective of this study is to evaluate the improvement in the severity of constipation (from Baseline to Day 28), determined by the constipation severity instrument (CSI) score [1], compared to placebo, following a total daily oral dose of 15 g TU-100 administered for 28 consecutive days in adult subjects with functional constipation.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Functional Constipation
Keywords
Gastric Emptying
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
50 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo TID
Arm Title
DAIKENCHUTO (TU-100) 15 g/day
Arm Type
Experimental
Arm Description
TU-100 5g TID
Intervention Type
Drug
Intervention Name(s)
DAIKENCHUTO (TU-100)
Intervention Description
Subjects will be randomized to 15 g/day of TU-100. Dosage is granule. Subjects will ingest two 2.5 g doses of TU-100 three times daily for 34 consecutive days.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Subjects will be randomized to 15 g/day of placebo. Dosage is granule. Subjects will ingest two 2.5 g doses of placebo three times daily for 34 consecutive days.
Primary Outcome Measure Information:
Title
Change from baseline to Day 28 in CSI total score
Time Frame
Up to 10 weeks
Secondary Outcome Measure Information:
Title
Change from baseline in GI transit time measured by SmartPill capsule.
Time Frame
Up to 10 weeks
Title
Change from baseline to Day 28 in CRQOL total score.
Time Frame
Up to 10 weeks
Title
Changes from baseline in stool frequency, stool consistency, severity of straining, and completeness of evacuation determined from entries in the bowel pattern diary.
Time Frame
Up to 10 weeks
Title
Change from baseline to Day 28 in CSI subscale scores.
Time Frame
Up to 10 weeks
Title
Change from baseline to Day 28 in CRQOL subscale scores.
Time Frame
Up to 10 weeks
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:
Have severity of constipation in CSI score of 25 to 74 points.
Have the ability to orally ingest study medication, TU-100, and the SmartPill capsule.
Be male or female aged between 18 and 80 years old, inclusive.
Provide written informed consent before participation in the study after full explanations of the study purpose and procedures.
If a female is of childbearing potential and sexually active:
She must agree to practice a highly effective method of birth control, including hormonal prescription oral contraceptives, contraceptive injections, contraceptive patch, intrauterine device, during their participation in the trial and for 4 weeks after receiving the last dose of study drug
She must have a negative serum pregnancy test before randomization.
If a male is sexually active with a female of childbearing potential:
He must agree to use a double barrier of birth control during the study and for 4 weeks after receiving the last dose of study drug.
He must not donate sperm during the study and for 4 weeks after receiving the last dose of study drug.
Exclusion Criteria:
Presence of strictures, fistulas, or physiological or mechanical bowel obstruction.
Presence of implanted or portable electro-mechanical medical devices.
History of gastric bezoar or swallowing disorders.
History of gastrointestinal surgery within 3 months of screening.
History of bowel resection.
Current pregnancy or lactation.
History of clinically significant alcohol or drug abuse within a year of screening.
Have any other condition that might adversely affect capacity to participate in this study, including liver disorders (with serum alanine aminotransferase [ALT] and/or aspartate aminotransferase [AST] levels exceeding 2.5 times the upper limit of normal [ULN]), kidney disorders, heart failure, blood disorders, or metabolic disorders.
Be diagnosed with cancer, ulcerative colitis, Crohn's disease, diverticulitis, scleroderma, Hirschsprung's disease, Chagas' disease, multiple sclerosis, Parkinson's disease, stroke, paraplegia, quadriplegia, insulin-dependent diabetes mellitus, untreated hypothyroidism, or any other systemic or psychiatric disorder which may, in the opinion of the investigator, interfere with the evaluation of TU-100.
Be taking any medication as follows: anticholinergic agents/medications with anticholinergic effect (list of prohibited drugs attached in Appendix G; antidepressants are permissible if the patient's symptoms are stable, and the doses are NOT changed during the course of the study), warfarin, prokinetics (i.e., Domperidone, Metoclopramide), narcotic analgesics, or any agent that might interfere with the evaluation of TU-100 in the opinion of the investigator.
Have a history of allergic reaction or hypersensitivity to ginseng, ginger, and Sichuan pepper.
Have severe dysphagia to food or pills.
Have participated in any other clinical study within 30 days before enrolling in this study.
Be unsuitable for participation in this trial for any reason, according to the investigator.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Anders F Mellgren, MD, PhD
Organizational Affiliation
Colon and Rectal Surgery Associates
Official's Role
Principal Investigator
Facility Information:
Facility Name
Colon and Rectal Surgery Associates
City
Minneapolis
State/Province
Minnesota
ZIP/Postal Code
55407
Country
United States
12. IPD Sharing Statement
Learn more about this trial
Effect of TU-100 in Patients With Functional Constipation
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