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Food Supplement Physiomanna® Baby in Pediatric Patients

Primary Purpose

Irritable Bowel Syndrome Characterized by Constipation

Status
Completed
Phase
Not Applicable
Locations
Romania
Study Type
Interventional
Intervention
Physiomanna® Baby
Sponsored by
Iuppa Industriale Srl
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional screening trial for Irritable Bowel Syndrome Characterized by Constipation focused on measuring childhod constipation

Eligibility Criteria

1 Week - 8 Years (Child)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Male or female outpatients between the ages of 0 to 8 years;
  • Functional constipation according to ROME III criteria (Annex 2);
  • Two or fewer SBM during the previous week; SBM is defined as BM not preceded after a 24 h administration with a laxative or enema;
  • To be otherwise in good health, as judged by a physical examination;
  • Mentally competent parent or tutor to sign an informed consent

Exclusion Criteria:

  • Known history of organic cause for the constipation;
  • Congenital malformations that produce constipation (Hirschsprung's disease, imperforate anus, children with cerebral palsy or other neurologic abnormalities, or systemic diseases);
  • Fecal Occult Blood Test (FOBT) positive in the 4 previous weeks;
  • Fecal impaction at baseline, or during the trial period, as indicated by the physical examination;
  • Known or suspected perforation or obstruction other than fecal impaction;
  • History of gastric retention, inflammatory bowel disease, bowel resection, or colostomy;
  • Use of concomitant medications that cause constipation in the previous 3 months;
  • Concomitant use of herbs and other dietary supplements, such as: stimulant laxative herbs and/or potassium depleting herbs;
  • Concomitant use of cardiac glycosides(e.g. Digoxin);
  • Patients who, according to the investigator, should not be included in the study for any reason, including the parent's inability to follow the study procedures;
  • Patients with known allergy to Fraxinus Manna, mannitole, fennel, lemon balm or chamomile;
  • Patients with clinically significant elevations of TSH or abnormal plasma electrolytes in the 4 previous weeks;
  • Patients who, within the past 30 days have participated in an investigational clinical study;

Sites / Locations

  • Opera Contract Research Organization SRL

Arms of the Study

Arm 1

Arm Type

Other

Arm Label

Food Supplement Physiomanna® Baby

Arm Description

Dosage: 1g/kg body

Outcomes

Primary Outcome Measures

Number of Spontaneous Bowel Movements (SBM) per week

Secondary Outcome Measures

Safety: Adverse Events (AE) check; Investigator and Patient Global Assessment

Full Information

First Posted
March 31, 2016
Last Updated
October 22, 2019
Sponsor
Iuppa Industriale Srl
Collaborators
Opera CRO, a TIGERMED Group Company
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1. Study Identification

Unique Protocol Identification Number
NCT02732743
Brief Title
Food Supplement Physiomanna® Baby in Pediatric Patients
Official Title
An Open Label, Non-comparative Pilot Study to Assess the Efficacy and Safety of the Food Supplement Physiomanna® Baby in Pediatric Patients With a History of Functional Constipation
Study Type
Interventional

2. Study Status

Record Verification Date
March 2017
Overall Recruitment Status
Completed
Study Start Date
February 2016 (undefined)
Primary Completion Date
April 2016 (Actual)
Study Completion Date
April 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Iuppa Industriale Srl
Collaborators
Opera CRO, a TIGERMED Group Company

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The primary objective is to assess the efficacy and safety of the Food Supplement Physiomanna® Baby in pediatric patients with a history of functional constipation The secondary objective of the trial is to evaluate the adherence to product's administration in the enrolled children.
Detailed Description
This is an interventional, non-controlled, multicenter trial with a prospective design in one cohort of patients. This clinical investigation will be performed in 3 centers in Romania. The tested hypothesis is that Physiomanna® Baby administration for 3 weeks, increases the SBM to be more than 2 times per week.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Screening
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
45 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Food Supplement Physiomanna® Baby
Arm Type
Other
Arm Description
Dosage: 1g/kg body
Intervention Type
Dietary Supplement
Intervention Name(s)
Physiomanna® Baby
Intervention Description
Dosage 1g/kg body, 2 cycles (if applicable)
Primary Outcome Measure Information:
Title
Number of Spontaneous Bowel Movements (SBM) per week
Time Frame
2-3 weeks
Secondary Outcome Measure Information:
Title
Safety: Adverse Events (AE) check; Investigator and Patient Global Assessment
Time Frame
2-3 weeks
Other Pre-specified Outcome Measures:
Title
Investigator and Patient Global Assessment for Efficacy
Time Frame
2-3 weeks
Title
Analysis of product's administration adherence by diary cards
Time Frame
2-3 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
1 Week
Maximum Age & Unit of Time
8 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female outpatients between the ages of 0 to 8 years; Functional constipation according to ROME III criteria (Annex 2); Two or fewer SBM during the previous week; SBM is defined as BM not preceded after a 24 h administration with a laxative or enema; To be otherwise in good health, as judged by a physical examination; Mentally competent parent or tutor to sign an informed consent Exclusion Criteria: Known history of organic cause for the constipation; Congenital malformations that produce constipation (Hirschsprung's disease, imperforate anus, children with cerebral palsy or other neurologic abnormalities, or systemic diseases); Fecal Occult Blood Test (FOBT) positive in the 4 previous weeks; Fecal impaction at baseline, or during the trial period, as indicated by the physical examination; Known or suspected perforation or obstruction other than fecal impaction; History of gastric retention, inflammatory bowel disease, bowel resection, or colostomy; Use of concomitant medications that cause constipation in the previous 3 months; Concomitant use of herbs and other dietary supplements, such as: stimulant laxative herbs and/or potassium depleting herbs; Concomitant use of cardiac glycosides(e.g. Digoxin); Patients who, according to the investigator, should not be included in the study for any reason, including the parent's inability to follow the study procedures; Patients with known allergy to Fraxinus Manna, mannitole, fennel, lemon balm or chamomile; Patients with clinically significant elevations of TSH or abnormal plasma electrolytes in the 4 previous weeks; Patients who, within the past 30 days have participated in an investigational clinical study;
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Barattini Dionisio, MD
Organizational Affiliation
Opera CRO
Official's Role
Study Director
Facility Information:
Facility Name
Opera Contract Research Organization SRL
City
Timisoara
State/Province
Timis
ZIP/Postal Code
300209
Country
Romania

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
21701812
Citation
Tabbers MM, Boluyt N, Berger MY, Benninga MA. Clinical practice : diagnosis and treatment of functional constipation. Eur J Pediatr. 2011 Aug;170(8):955-63. doi: 10.1007/s00431-011-1515-5. Epub 2011 Jun 24.
Results Reference
background
PubMed Identifier
21949142
Citation
Tabbers MM, Boluyt N, Berger MY, Benninga MA. Nonpharmacologic treatments for childhood constipation: systematic review. Pediatrics. 2011 Oct;128(4):753-61. doi: 10.1542/peds.2011-0179. Epub 2011 Sep 26.
Results Reference
background
PubMed Identifier
14993586
Citation
Loening-Baucke V, Miele E, Staiano A. Fiber (glucomannan) is beneficial in the treatment of childhood constipation. Pediatrics. 2004 Mar;113(3 Pt 1):e259-64. doi: 10.1542/peds.113.3.e259.
Results Reference
background
PubMed Identifier
19087388
Citation
Livesey G. Health potential of polyols as sugar replacers, with emphasis on low glycaemic properties. Nutr Res Rev. 2003 Dec;16(2):163-91. doi: 10.1079/NRR200371.
Results Reference
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PubMed Identifier
23850543
Citation
Caligiani A, Tonelli L, Palla G, Marseglia A, Rossi D, Bruni R. Looking beyond sugars: phytochemical profiling and standardization of manna exudates from Sicilian Fraxinus excelsior L. Fitoterapia. 2013 Oct;90:65-72. doi: 10.1016/j.fitote.2013.07.002. Epub 2013 Jul 10.
Results Reference
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PubMed Identifier
8591845
Citation
Kountouras J, Magoula I, Tsapas G, Liatsis I. The effect of mannitol and secretin on the biliary transport of urate in humans. Hepatology. 1996 Feb;23(2):229-33. doi: 10.1053/jhep.1996.v23.pm0008591845.
Results Reference
background
PubMed Identifier
19196035
Citation
Taylor SN, Basile LA, Ebeling M, Wagner CL. Intestinal permeability in preterm infants by feeding type: mother's milk versus formula. Breastfeed Med. 2009 Mar;4(1):11-5. doi: 10.1089/bfm.2008.0114.
Results Reference
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Food Supplement Physiomanna® Baby in Pediatric Patients

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