Effect Of Itopride On Gastric Emptying And Accommodation In Patients With Functional Dyspepsia (EIGEAPFD)
Pathogenesis of functional dyspepsia is poorly understood. Gastrointestinal motor abnormalities, Helicobacter pylori infection, impaired gastric accommodation to a meal, hypersensitivity of the afferent nerves of the gut, psychological disturbances and central nervous system dysfunction have been proposed.
Pharmacological treatments for patients with functional dyspepsia remain unsatisfactory. Only small benefits relative to placebo have been found with histamine H2 receptor antagonists, proton pump inhibitor and Helicobacter pylori eradication.
Itopride is a dopamine antagonist with acetylcholinesterase inhibitory actions. This agent is currently indicated for patients with various upper GI symptoms.
This study is aimed to evaluate the effect of Itopride on gastric emptying(by 13-C Octanoic acid breath Test), accommodation (by Gastric Scintigraphy SPECT and slow nutrient drinking test)and symptoms in FD patients
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Shahab Abid, MD
- Phone Number: 4656 +92 21 4864656
- Email: shahab.abid@aku.edu
Study Contact Backup
- Name: Wasim Jafri, MD
- Phone Number: 4659 +92 21 4864659
- Email: wasim.jafri@aku.edu
Study Locations
-
-
Sindh
-
Karachi, Sindh, Pakistan, 74800
- Recruiting
- Aga Khan University
-
Principal Investigator:
- Shahab Abid, MD
-
Sub-Investigator:
- Wasim Jafri, MD
-
Sub-Investigator:
- Maseeh Uzzaman, MD
-
Sub-Investigator:
- Rakhshanda Bilal
-
Sub-Investigator:
- Soobia Siddiqui, MD
-
Sub-Investigator:
- Greger Lindberg, MD,PhD
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- All adult male or non-pregnant female patients who are diagnosed as functional dyspepsia and fulfilling Rome III criteria (1) will be considered
- Patients should be negative for H. pylori on gastric biopsy and Urea Breath Test.
- duodenal biopsy in these patients should be negative for giardiasis or celiac disease or any other established organic pathology
- A normal upper abdominal ultrasound
- Willing to participate and give consent for participation in the study.
Exclusion Criteria:
- Age <18 years
- Helicobacter Pylori positive on gastric biopsy and / or UBT.
Taking other medications that alter gastric motility like macrolide
- anti-emetics and antibiotics .
- Pregnant or breast-feeding females.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: 1.Itopride Group
The itopride group will receive itopride 150mg per day(50mg TDS)for four weeks
|
Itopride,50 mg capsules,thrice a day,for Four weeks
Other Names:
|
|
Placebo Comparator: 2.Control placebo group
The control group will receive placebo tablets for four weeks
|
placebo capsules,thrice a day for four weeks
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
To assess the effect of Itopride on Gastric Emptying,accommodation and capacity of tolerating a nutrient drink in patients with Functional Dyspepsia
Time Frame: 18 months
|
18 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
To assess the effect of Itopride on symptom improvement in patient with Functional Dyspepsia
Time Frame: 18 months
|
18 months
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Shahab Abid, MD, Aga Khan University
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Anticipated)
Primary Completion
Study Completion (Anticipated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 965-Med/ERC-08
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