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HygiRelief Procedure and HygiSample Evaluation for Functional Constipation

Primary Purpose

Rome IV Functional Constipation

Status
Withdrawn
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
HygiPrep (HyGIeaCare System)
Sponsored by
HyGIeaCare, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Rome IV Functional Constipation

Eligibility Criteria

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

Inclusion Criteria:

  1. Patient's age is between 18 and 80 years old
  2. Patient diagnosed with Rome IV Functional Constipation (Attachment C2)
  3. Patient is currently managed with Linzess and willing to stop taking it for study duration

Exclusion Criteria:

  1. Patient has functional bowel disorders characterized by alternating bowel habits (diarrhea/constipation)
  2. Patient has any other condition that, in the opinion of the investigator, may adversely affect the compliance or safety of the patient or would limit the patient's ability to complete the study
  3. Patient has any of the contraindications listed below:

    1. Cardiac: Congestive heart failure (NYHA class III or IV or EF <50%)
    2. GI: Intestinal perforation, carcinoma of the rectum, fissures or fistula, severe hemorrhoids, abdominal hernia, recent colon, rectal, or abdominal surgery
    3. GU: Renal insufficiency (CC < 60 ml/min/173m2), cirrhosis with ascites
    4. Abdominal surgery within the last 6 months
    5. Pregnancy
  4. Patient took antibiotics within two months of starting the study

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    All patients enrolled

    Arm Description

    Bowel habits before and after the HygiRelief procedure will be assessed. Samples will be sent for microbiome evaluation.

    Outcomes

    Primary Outcome Measures

    Assess change in bowel movements PRE and POST HygiRelief procedure
    Evaluate the clinical effectiveness of the HygiRelief procedure to relieve functional constipation in patients previously managed with a stable dose of Lizess

    Secondary Outcome Measures

    Assess colon effluent samples (HygiSample) collected during the HygiRelief procedure
    Samples will be evaluated for their microbiological and biochemical content, as well as to identify microbiome changes throughout the colon

    Full Information

    First Posted
    August 20, 2020
    Last Updated
    September 10, 2021
    Sponsor
    HyGIeaCare, Inc.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT04532879
    Brief Title
    HygiRelief Procedure and HygiSample Evaluation for Functional Constipation
    Official Title
    HygiRelief Procedure and HygiSample Evaluation for Patients Diagnosed With Rome IV Functional Constipation Previously Managed With Linzess
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    September 2021
    Overall Recruitment Status
    Withdrawn
    Why Stopped
    decided not to do the study due to Covid staffing restrictions
    Study Start Date
    September 2021 (Anticipated)
    Primary Completion Date
    March 2022 (Anticipated)
    Study Completion Date
    June 2022 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    HyGIeaCare, Inc.

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    Yes
    Product Manufactured in and Exported from the U.S.
    Yes
    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    This study has a single center, prospective, open label design. The population will include patients diagnosed with Rome IV Functional Constipation who are at the time of study enrollment being managed with a stable dose of Linzess. They will stop taking their Linzess, undergo monitoring of bowel habits for 2 weeks, have a HygiRelief procedure and then undergo an additional 2 weeks of bowel habit monitoring.
    Detailed Description
    After undergoing a 5-7 day Linzess washout period, patients will record their bowel habits in a daily diary for 2 weeks. Patients will have the HygiRelief procedure with a HygiSample evaluation, then they will record their bowel habits in a daily diary for 2 weeks following the HygiRelief procedure. HygiSamples (stool samples) will be collected throughout the HygiRelief procedure and the samples will be sent for microbiome evaluation. Patients will complete multiple questionnaires - Happiness Scale, Hospital Anxiety and Depression Scale (HADS), and a personal assessment which includes the Constipation Symptom Score and Adverse Event Screening. These will be completed at Baseline, after the 2 week PRE-HygiRelief period, and after the 2 week POST-HygiRelief period.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Rome IV Functional Constipation

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Single Group Assignment
    Model Description
    Prospective, single center, open label. Patients will serve as their own control by comparing their bowel habits using a specific diary 2 weeks after the Linzess washout period to the 2 weeks after their HygiRelief procedure.
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    0 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    All patients enrolled
    Arm Type
    Experimental
    Arm Description
    Bowel habits before and after the HygiRelief procedure will be assessed. Samples will be sent for microbiome evaluation.
    Intervention Type
    Device
    Intervention Name(s)
    HygiPrep (HyGIeaCare System)
    Other Intervention Name(s)
    HygiSample (stool collection for microbiome evaluation)
    Intervention Description
    Controlled gravity-based high-volume colon irrigation
    Primary Outcome Measure Information:
    Title
    Assess change in bowel movements PRE and POST HygiRelief procedure
    Description
    Evaluate the clinical effectiveness of the HygiRelief procedure to relieve functional constipation in patients previously managed with a stable dose of Lizess
    Time Frame
    12 months
    Secondary Outcome Measure Information:
    Title
    Assess colon effluent samples (HygiSample) collected during the HygiRelief procedure
    Description
    Samples will be evaluated for their microbiological and biochemical content, as well as to identify microbiome changes throughout the colon
    Time Frame
    12 months

    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: Patient's age is between 18 and 80 years old Patient diagnosed with Rome IV Functional Constipation (Attachment C2) Patient is currently managed with Linzess and willing to stop taking it for study duration Exclusion Criteria: Patient has functional bowel disorders characterized by alternating bowel habits (diarrhea/constipation) Patient has any other condition that, in the opinion of the investigator, may adversely affect the compliance or safety of the patient or would limit the patient's ability to complete the study Patient has any of the contraindications listed below: Cardiac: Congestive heart failure (NYHA class III or IV or EF <50%) GI: Intestinal perforation, carcinoma of the rectum, fissures or fistula, severe hemorrhoids, abdominal hernia, recent colon, rectal, or abdominal surgery GU: Renal insufficiency (CC < 60 ml/min/173m2), cirrhosis with ascites Abdominal surgery within the last 6 months Pregnancy Patient took antibiotics within two months of starting the study

    12. IPD Sharing Statement

    Plan to Share IPD
    No

    Learn more about this trial

    HygiRelief Procedure and HygiSample Evaluation for Functional Constipation

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