Study to Investigate Prucalopride vs. Polyethylene Glycol 3350 on Colon Activity
An Open-label, Randomized, Crossover, Reader-blinded Study to Investigate the Effect of Prucalopride and Polyethylene Glycol 3350 on Colon Motility With Intramural Manometry in Subjects With Chronic Constipation
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 4
Contacts and Locations
Study Locations
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Leuven, Belgium, 3000
- UNIVERSITY OF LEUVEN, UNVERSITY HOSPITAL, Gasthuisberg
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London
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Whitechapel, London, United Kingdom, E1 1BB
- Barts Health Nhs Trust
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Oklahoma
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Oklahoma City, Oklahoma, United States, 73104
- Oklahoma Foundation for Digestive Research
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Chronic constipation
- Male or female ages 18-75 years
- Non-pregnant, non-lactating female
Exclusion Criteria:
- Drug-induced constipation
- Subjects suffering from secondary causes of chronic constipation, such as:
- Endocrine disorders, e.g. hypopituitarism, hypothyroidism, hypercalcemia, pseudohypoparathyroidism, pheochromocytoma or glucagon-producing tumors, unless these are controlled by appropriate medical therapy.
- Metabolic disorders, e.g. porphyria, uremia, hypokalemia or amyloid neuropathy, unless these are controlled by appropriate medical therapy
- Neurological disorders, e.g. Parkinson's disease, cerebral tumors, cerebrovascular accidents, multiple sclerosis, meningocele, aganglionosis, hypoganglionosis, hyperganglionosis, autonomic neuropathy or neuropathy due to chemotherapy, spinal cord injury, Chaga's disease, or major depression
- Surgery.
- Subjects with insulin-dependent diabetes mellitus
- Rectal evacuation disorder/outlet obstruction
- Subjects with intestinal perforation or obstruction
- Severe renal impairment
- Subjects with a history of alcohol or drug abuse
- Subjects with lactose intolerance
- Subjects with clinically significant cardiac, vascular, liver, pulmonary, endocrine, neurological or psychiatric disorders
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: CROSSOVER
- Masking: NONE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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EXPERIMENTAL: Prucalopride
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One 2 mg tablet orally administered on Day 1
Other Names:
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ACTIVE_COMPARATOR: PEG 3350
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13.8g polyethylene glycol (PEG) 3350 with sodium bicarbonate, sodium chloride, and potassium chloride as a solution in water.
Administered twice orally on Day 1(once in the morning and once prior to lunch).
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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The Number of High-Amplitude Propagating Contractions (HAPC)
Time Frame: over 12 hours post-dose
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Manometry recordings were read by an experienced gastroenterologist who was blinded to the treatment each subject received.
The tracings were analyzed using computer-based validated software.
HAPC and manometry data were available for every sensor as well as average values for each HAPC and manometry time point.
The primary outcome analysis of HAPC data used the following threshold: Mean amplitude ≥100mmHg and extension ≥20cm (9 sensors).
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over 12 hours post-dose
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Area Under the Concentration Curve (AUC) of All HAPCs
Time Frame: over 12 hours post-dose
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The AUC of all HAPCs during the first 12 hours after treatment was calculated as the sum of the AUC at all sensors of each HAPC at the ≥100mmHg and ≥20cm threshold.
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over 12 hours post-dose
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The Mean Amplitude of HAPC
Time Frame: over 12 hours post-dose
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The mean amplitude of all HAPCs was calculated as the sum of the mean amplitude for each HAPC divided by the number of HAPCs.
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over 12 hours post-dose
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Time to First HAPC
Time Frame: over 12 hours post-dose
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The median (95% CI) time to first HAPC after administration of investigational product with amplitude ≥100mmHg and extension ≥20cm.
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over 12 hours post-dose
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Propagation Velocity of HAPC
Time Frame: over 12 hours post-dose
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Propagation velocity was calculated as the extension divided by the duration for each HAPC.
Mean propagation velocity is the sum of the propagation velocities divided by the number of HAPCs.
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over 12 hours post-dose
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Duration of HAPC
Time Frame: over 12 hours post-dose
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The mean duration of all HAPCs was calculated as the sum of the duration of each HAPC divided by the number of HAPCs.
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over 12 hours post-dose
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Motility Index
Time Frame: over 12 hours post-dose
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Motility index (mmHg) was summarized for the following 3 time points: pre-dose, 0-5 hours post-dose, and 5-12 hours post-dose.
The motility index is defined as the natural logarithm of all peak amplitudes of every contraction +1.
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over 12 hours post-dose
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Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
Study record dates
Study Major Dates
Study Start (ACTUAL)
Study Start
Primary Completion (ACTUAL)
Primary Completion
Study Completion (ACTUAL)
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 (ACTUAL)
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
- SPD555-403
- 2012-002495-13 (EUDRACT_NUMBER)
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