Efficacy and Safety of Polyethylene Glycol 3350 (PEG 3350) for Relief of Constipation (MK-8114-005)
Primary Purpose
Constipation
Status
Withdrawn
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
Polyethylene Glycol 3350 Powder for Solution (PEG 3350)
Polyethylene Glycol 4000 Powder for Solution (PEG 4000)
Sponsored by
About this trial
This is an interventional treatment trial for Constipation
Eligibility Criteria
Inclusion Criteria:
- meets diagnostic criteria for functional constipation. This includes loose stools that are rarely present without the use of laxatives and 2 or more of the following: straining during at least 25% of defecations; lumpy or hard stools in at least 25% of defecations; sensation of incomplete evacuation for at least 25% of defecations; sensation of anorectal obstruction/blockage for at least 25% of defecations; manual maneuvers to facilitate at least 25% of defecations [e.g., digital evacuation, support of the pelvic floor]; and fewer than 3 defecations per week. Criteria for functional constipation must be fulfilled for last 3 months, with symptom onset at least 6 months prior to diagnosis.
- willing to use study drug for up to 7 days as directed, and must agree to record bowel movements (frequency, consistency, etc.) accurately and consistently in a daily diary, and make 3 clinic visits.
- except for constipation, must be otherwise in good health, as determined by physical exam and medical history.
- agrees not to use any other products (drug, herbal, dietary supplements including fiber, etc.) to treat their constipation during the course of the study.
- agrees not to use any medication known to cause constipation during the course of the study.
- agree to maintain a similar diet from the week prior to randomization through the end of the study.
- females must be either surgically sterile, 2 years post-menopausal, or attest that they are using an acceptable method of contraception (including hormonal birth control, intrauterine device [IUD], double barrier methods, or vasectomized partner).
- females of childbearing potential must have urine pregnancy test (human chorionic gonadotropin [HCG]) that is negative at Baseline.
- must be able to read the diaries in Russian.
Exclusion Criteria: - currently under a doctor's care and treatment for constipation.
- have current constipation episode for more than one week prior to randomization.
- history of chronic constipation due to any underlying cause (inflammatory bowel disease, etc.).
- history of more than 3 months of constipation in the past year.
- have severe abdominal pain as the predominant constipation symptom.
- had with bowel movement in 48 hours prior to randomization.
- have celiac disease or known gluten sensitivity.
- history of colorectal cancer, anal abscess, anal fistula, anal fissure, anal stenosis, gastric retention or obstruction, bowel resection, rectocele, or colostomy.
- have known renal or hepatic insufficiency.
- have gastrointestinal bleeding or acute infection.
- history of alcohol or drug abuse.
- history of psychiatric disorders.
- history of significant ongoing medical problems, including kidney disease, or are scheduled for surgical procedures.
- currently taking or have taken within 7 days of randomization a concomitant medication that causes constipation, including opiates, antidepressants, selective serotonin reuptake inhibitors (SSRIs), antimotility agents, and anticholinergics, etc.
- plan to use laxatives during the treatment period other than the study medication.
- have participated in an investigational clinical, surgical, drug or device study within the past 30 days. (Concurrent skin patch testing of cosmetic or suncare products is allowed.)
- pregnant or lactating.
- allergic to polyethylene glycol or maltodextrin.
- employed or have immediate family members employed by a company that manufactures laxative products.
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
PEG 3350
PEG 4000
Arm Description
Participants will receive a 17 g oral dose of 1 sachet of PEG 3350 mixed in 120 to 240 mL of water, once a day, for 7 days.
Participants will receive a 10 to 20 g oral dose of 1 to 2 sachets of PEG 4000 mixed in 120 to 140 mL of water, once a day, for 7 days.
Outcomes
Primary Outcome Measures
Number of bowel movements per week
Secondary Outcome Measures
Time to first bowel movement
Number of participants who experience changes in straining and hard or lumpy stools
Number of participants who experience changes in stool consistency
Number of participants who experience changes in the sensation of stool evacuation
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT02292459
Brief Title
Efficacy and Safety of Polyethylene Glycol 3350 (PEG 3350) for Relief of Constipation (MK-8114-005)
Official Title
A Multicenter, Open Label, Non-controlled Phase 3 Clinical Trial of the Efficacy and the Safety for the Relief of Constipation of Polyethylene Glycol 3350
Study Type
Interventional
2. Study Status
Record Verification Date
July 2015
Overall Recruitment Status
Withdrawn
Study Start Date
December 2015 (undefined)
Primary Completion Date
December 2015 (Anticipated)
Study Completion Date
December 2015 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Bayer
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The purpose of this study is to evaluate the complete resolution of constipation in participants taking PEG 3350 compared to those taking PEG 4000, based on analysis of the number of bowel movements from self-reported bowel movement (BM) data. The complete resolution of constipation is defined as the elimination of straining or of hard/lumpy stools.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Constipation
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
0 (Actual)
8. Arms, Groups, and Interventions
Arm Title
PEG 3350
Arm Type
Experimental
Arm Description
Participants will receive a 17 g oral dose of 1 sachet of PEG 3350 mixed in 120 to 240 mL of water, once a day, for 7 days.
Arm Title
PEG 4000
Arm Type
Active Comparator
Arm Description
Participants will receive a 10 to 20 g oral dose of 1 to 2 sachets of PEG 4000 mixed in 120 to 140 mL of water, once a day, for 7 days.
Intervention Type
Drug
Intervention Name(s)
Polyethylene Glycol 3350 Powder for Solution (PEG 3350)
Other Intervention Name(s)
VivaLAX
Intervention Type
Drug
Intervention Name(s)
Polyethylene Glycol 4000 Powder for Solution (PEG 4000)
Other Intervention Name(s)
Forlax
Primary Outcome Measure Information:
Title
Number of bowel movements per week
Time Frame
Up to 7 days after start of treatment
Secondary Outcome Measure Information:
Title
Time to first bowel movement
Time Frame
Up to 7 days after start of treatment
Title
Number of participants who experience changes in straining and hard or lumpy stools
Time Frame
Up to 7 days after start of treatment
Title
Number of participants who experience changes in stool consistency
Time Frame
Up to 7 days after start of treatment
Title
Number of participants who experience changes in the sensation of stool evacuation
Time Frame
Up to 7 days after start of treatment
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
meets diagnostic criteria for functional constipation. This includes loose stools that are rarely present without the use of laxatives and 2 or more of the following: straining during at least 25% of defecations; lumpy or hard stools in at least 25% of defecations; sensation of incomplete evacuation for at least 25% of defecations; sensation of anorectal obstruction/blockage for at least 25% of defecations; manual maneuvers to facilitate at least 25% of defecations [e.g., digital evacuation, support of the pelvic floor]; and fewer than 3 defecations per week. Criteria for functional constipation must be fulfilled for last 3 months, with symptom onset at least 6 months prior to diagnosis.
willing to use study drug for up to 7 days as directed, and must agree to record bowel movements (frequency, consistency, etc.) accurately and consistently in a daily diary, and make 3 clinic visits.
except for constipation, must be otherwise in good health, as determined by physical exam and medical history.
agrees not to use any other products (drug, herbal, dietary supplements including fiber, etc.) to treat their constipation during the course of the study.
agrees not to use any medication known to cause constipation during the course of the study.
agree to maintain a similar diet from the week prior to randomization through the end of the study.
females must be either surgically sterile, 2 years post-menopausal, or attest that they are using an acceptable method of contraception (including hormonal birth control, intrauterine device [IUD], double barrier methods, or vasectomized partner).
females of childbearing potential must have urine pregnancy test (human chorionic gonadotropin [HCG]) that is negative at Baseline.
must be able to read the diaries in Russian.
Exclusion Criteria: - currently under a doctor's care and treatment for constipation.
have current constipation episode for more than one week prior to randomization.
history of chronic constipation due to any underlying cause (inflammatory bowel disease, etc.).
history of more than 3 months of constipation in the past year.
have severe abdominal pain as the predominant constipation symptom.
had with bowel movement in 48 hours prior to randomization.
have celiac disease or known gluten sensitivity.
history of colorectal cancer, anal abscess, anal fistula, anal fissure, anal stenosis, gastric retention or obstruction, bowel resection, rectocele, or colostomy.
have known renal or hepatic insufficiency.
have gastrointestinal bleeding or acute infection.
history of alcohol or drug abuse.
history of psychiatric disorders.
history of significant ongoing medical problems, including kidney disease, or are scheduled for surgical procedures.
currently taking or have taken within 7 days of randomization a concomitant medication that causes constipation, including opiates, antidepressants, selective serotonin reuptake inhibitors (SSRIs), antimotility agents, and anticholinergics, etc.
plan to use laxatives during the treatment period other than the study medication.
have participated in an investigational clinical, surgical, drug or device study within the past 30 days. (Concurrent skin patch testing of cosmetic or suncare products is allowed.)
pregnant or lactating.
allergic to polyethylene glycol or maltodextrin.
employed or have immediate family members employed by a company that manufactures laxative products.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Medical Director
Organizational Affiliation
Merck Sharp & Dohme LLC
Official's Role
Study Director
12. IPD Sharing Statement
Learn more about this trial
Efficacy and Safety of Polyethylene Glycol 3350 (PEG 3350) for Relief of Constipation (MK-8114-005)
We'll reach out to this number within 24 hrs