- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02136693
Psyllium Fiber Versus Placebo in Early Treatment After STARR for Obstructed Defecation: a Double-blind RCT
Efficacia Della Fibra di Psyllium Versus Placebo Nella Gestione Dell'Alvo in Pazienti Sottoposti ad Intervento Chirurgico Per Ostruita Defecazione
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
After obtaining written informed consent and collecting baseline scores (T0), each patient was randomly assigned to one of the two groups and began taking sachets containing Psyllium fiber 3.5 g / day for Active group (A) and inert compound for Placebo group (P).
Sachet content was assigned by software randomization, written on a list and sealed in an envelope, which was opened only after the study was completed.
Post-operative instructions for both groups included only analgesic therapy (Ketorolac 10 to 30 mg b.m. if needed). Patients were also asked to stop any former laxative and to continue on a normal diet.
Each patient was re-evaluated at 7 ± 3 (T1), 60 ± 5 (T2) and 180 ± 15 (T3) days after surgery (Table 2).
A fluoroscopic colpocystodefecography (with patient sitting upright) was obtained before surgery and between 60-180 days postoperatively in order to assess comparability of the two groups and exclude negative organic outcomes that could affect functional results.
Medical events were investigated while checking each patient, with special regard to defecation urgency. From the data collected on concomitant medications, we extrapolated those related to laxative intake.
The treatment was considered accomplished in patients who had taken at least 70% of the product during each interval of follow-up.
Statistical analysis was performed using the SPSS - PASW Statistics 18.0.0 (IBM ©, 2009).
For the general and defecographic characteristics, the data are expressed in the form of mean ± standard deviation for continuous variables and absolute frequency (frequency percentages) for categorical variables. The differences between the two groups were calculated by two-tailed t-test or chi-square when appropriate.
Scores for the assessment of clinical data are expressed as mean ± standard deviation and analysis of the differences in the two groups was performed using the two-tailed t-test. The analysis of not normally distributed variables was conducted using a non-parametric test (Wilcoxon-Mann-Whitney).
Analyses related to defecation urgency and use of laxatives were carried out using chi-square test and the data are expressed as absolute frequency (frequency percentage).
For all tests, a value of p <0.05 was considered significant.
Study Type
Enrollment (Actual)
Phase
- Phase 4
Contacts and Locations
Study Locations
-
-
MB
-
Monza, MB, Italy, 20052
- Istituti Clinici Zucchi
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Written informed consent
- Age over 18
- Diagnosis of Obstructed Defecation Syndrome according to ODS and CCS Score
- STARR performed when ODS score >10
- STARR performed 48-72 hours before
Exclusion Criteria:
- Puborectalis or sphincter dyssynergia, evaluated by defecography and / or anorectal manometry
- Concomitant diseases (fissure, abscess, fistula, IBD, diverticular disease)
- Prolapse of other pelvic floor organs
- Proctological surgery before STARR
- Pregnancy or breast-feeding
- Ongoing treatment with oral anticoagulants or steroid therapy
- Conditions that do not allow patients to understand the nature and the purpose of the study
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Placebo Comparator: Placebo
3.5 g /day of inert compound for 180 days after STARR
|
3.5 g /day of inert compound for 180 days after STARR
Other Names:
|
Experimental: Psyllium fiber
3.5 g /day of pure Psyllium fiber for 180 days after STARR
|
3.5 g /day of pure Psyllium fiber for 180 days after STARR
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
residual constipation
Time Frame: 180 days after STARR
|
ODS score and CCS score
|
180 days after STARR
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Post-operative pain
Time Frame: 180 days after STARR
|
VAS
|
180 days after STARR
|
revertence to laxative use
Time Frame: 180 days after STARR
|
frequency percentage of patients that reverted to laxative use after surgery
|
180 days after STARR
|
change in fecal incontinence from baseline
Time Frame: 180 days after STARR
|
Wexner Incontinence score
|
180 days after STARR
|
post-operative defecation urgency
Time Frame: 180 days after STARR
|
defecation urgency incidence
|
180 days after STARR
|
Collaborators and Investigators
Sponsor
Investigators
- Study Chair: Francesco Gabrielli, Prof., Università degli studi Milano Bicocca
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- psyllium_STARR
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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