Efficacy, Safety, and Tolerability of 4-MUST, 128 mg Tablets in Chronic Cholecystitis and Biliary Dyskinesia
12. mai 2026 oppdatert av: Valenta Pharm JSC
Multicenter, Randomized, Double-Blind, Placebo-Controlled, Phase 3 Study to Evaluate the Efficacy, Safety, and Tolerability of 4-MUST, 128 mg Tablets in Patients With Chronic Cholecystitis and Biliary Tract Dyskinesia
The aim of the study is to evaluate the efficacy, safety, and tolerability of 4-MUST, 128 mg tablets compared to placebo in patients with chronic cholecystitis and biliary dyskinesia.
Studieoversikt
Status
Rekruttering
Forhold
Intervensjon / Behandling
Studietype
Intervensjonell
Registrering (Antatt)
300
Fase
- Fase 3
Kontakter og plasseringer
Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.
Studiesteder
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Moscow, Russland, 119571
- Rekruttering
- Unimed-C Jsc
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Ta kontakt med:
- Olga Orlova, MD
- Telefonnummer: +7 (919) 994-90-14
- E-post: orlelik@mail.ru
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Moscow, Russland, 117556
- Rekruttering
- State Budgetary Institution of Healthcare of Moscow "City Polyclinic No. 2 of the Moscow Department of Healthcare"
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Ta kontakt med:
- Margarita Dorofeeva, MD, PhD
- Telefonnummer: +7 (916) 128-99-78
- E-post: margaritadorofeeva@yandex.ru
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Moscow, Russland
- Rekruttering
- The State Budgetary Healthcare Institution of the Moscow Region "Moscow Regional Research Clinical Institute named after M.F. Vladimirsky"
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Ta kontakt med:
- Olga Kostyukevich, MD, PhD
- Telefonnummer: +7 (916) 247-22-12
- E-post: kostyukevich@mail.ru
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Novosibirsk, Russland
- Rekruttering
- Limited Liability Company "ErSi Medical"
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Ta kontakt med:
- Anna Kosheleva, MD
- Telefonnummer: +7-913-470-70-67
- E-post: annkosheleva86@gmail.com
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Perm, Russland, 614990
- Rekruttering
- Federal State Budgetary Educational Institution of Higher Education "Academician E.A. Wagner Perm State Medical University" of the Ministry of Healthcare of the Russian Federation
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Ta kontakt med:
- Natalia Osokina, MD, PhD
- Telefonnummer: +7 (950) 460-96-74
- E-post: kiselevanatalya8@mail.ru
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Saint Petersburg, Russland, 194358
- Rekruttering
- St. Petersburg State Budgetary Healthcare Institution "City Polyclinic No. 117"
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Ta kontakt med:
- Diana Alpenidze, MD,PhD
- Telefonnummer: +7 (911) 760-51-15
- E-post: d.alpenidze@mail.ru
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Saint Petersburg, Russland, 196143
- Rekruttering
- Limited Liability Company "Research Center Eco-Safety"
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Ta kontakt med:
- Vasiliy Vasilyuk, MD, PhD
- Telefonnummer: +7 (901) 304 4248
- E-post: vasilyuk_vb@ecosafety.ru
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Saint Petersburg, Russland, 196158
- Rekruttering
- Limited Liability Company "Clinic Zvezdnaya"
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Ta kontakt med:
- Dmitry Shkarbul, MD
- Telefonnummer: +7 (911) 218-10-55
- E-post: director@starsclinic.ru
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Saratov, Russland, 410071
- Rekruttering
- State Healthcare Institution "Saratov City Clinical Hospital No. 5"
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Ta kontakt med:
- Evgenii Orlikov, MD
- Telefonnummer: +7 (906) 307-29-00
- E-post: eorlikov@gmail.com
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Deltakelseskriterier
Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
- Voksen
- Eldre voksen
Tar imot friske frivillige
Nei
Beskrivelse
Inclusion Criteria:
- Males and females aged 18-70 years.
- Diagnosed with chronic cholecystitis (K81.1) and/or dyskinesia of the cystic duct or gallbladder (K82.8) prior to enrollment; diagnosis supported by clinical history of exacerbations and remissions and/or imaging/laboratory findings.
- Upper abdominal pain or discomfort attributable to gallbladder or biliary tract dysfunction (per investigator assessment), accompanied by ≥1 of the following: heartburn, belching, nausea, abdominal bloating, borborygmi (stomach rumbling), flatulence, constipation, or diarrhea.
- Maximum severity of pain/discomfort in the upper abdomen over the past week is 40 mm or more on the VAS (Visual Analog Scale).
- Severity of gastrointestinal symptoms according to the GSRS (Gastrointestinal Symptom Rating Scale) questionnaire is at least 30 points.
- The total bilirubin level does not exceed 2 times the upper limit of normal (no more than 42 μmol/L).
- Women who are either sexually abstinent or using effective contraception methods (e.g. intrauterine devices, contraceptive patches, long-acting injectable contraceptives, or double barrier methods) for at least 8 weeks before and 3 weeks after the end of the study, with a confirmed negative pregnancy test, as well as women with documented infertility or non-childbearing status (e.g. hysterectomy, tubal ligation, infertility or menopause for more than 1 year) or men using barrier contraceptives throughout the study and for 3 weeks after its completion, or men unable to conceive (documented conditions: vasectomy, infertility).
- Signed and dated informed consent from.
Non-inclusion Criteria:
- Gastric or duodenal ulcer, erosive gastroesophageal reflux disease (GERD), or other inflammatory/erosive gastrointestinal diseases in the acute stage, unless stable remission for ≥ 1 year since the last exacerbation.
- Indication for surgical or endoscopic intervention due to exacerbation of chronic cholecystitis or complications of biliary tract dyskinesia.
- Toxic megacolon.
- Paralytic ileus.
- Gilbert's syndrome.
- Choledocholithiasis (or a high risk of its development, as determined by the investigator);
- Impaired bile outflow due to adhesions in the abdominal cavity.Abdominal adhesion disease.
- Irritable bowel syndrome, non-specific ulcerative colitis, Crohn's disease.
- Gastrointestinal malignancy (including history of) or suspected gastrointestinal malignancy (e.g., blood in stool, unexplained weight loss, fever, anemia).
- Any other oncological diseases known at the time of screening, or suspicion thereof.
- History of gastrointestinal surgery, including cholecystectomy or endoscopic sphincterotomy (appendectomy excluded).
- Use of prohibited therapy medications within 3 days prior to randomization.
- History of mental illnesses.
- Chronic heart failure IIb-III stages and/or III-IV functional classes according to NYHA, angina pectoris III-IV functional classes.
- Chronic kidney disease stage IIIa-V (according to NKF/KDOQI, 2006).
- History of or current hepatic impairment; or liver test abnormalities: AST, ALT, ALP, or GGT >3 above the upper limit of normal (ULN); total bilirubin >2 ULN or clinical jaundice.
- HIV, syphilis, viral hepatitis B or C, including in history.
- Lactose intolerance, lactase deficiency, and glucose-galactose malabsorption syndrome.
- Liver cirrhosis.
- Hypersensitivity to the active ingridient or any of the excipients of the drug 4-MUST.
- Severe, decompensated, or unstable somatic conditions that are life-threatening, worsen prognosis, or preclude safe study participation.
- Diabetes mellitus in a state of subcompensation and decompensation.
- Systemic connective tissue diseases.
- Autoimmune diseases.
- Indication for hemodialysis procedures.
- Epilepsy or seizures of unclear etiology, including in history.
- Alcoholism, substance abuse or drug addiction, including in history.
- Uncorrected electrolyte disturbances.
- QTcF interval on a 12-lead electrocardiogram (ECG) ≥430 ms in men and ≥450 ms in women.
- Episodes of constipation during the last 3 months that required the prescription of drug therapy.
- History of surgery within 6 month prior to screening.
- Women during pregnancy or lactation; women planning to become pregnant within the next 6 months.
- Patients who require prohibited concomitant therapy within this study framework.
- Participation in another clinical trial within the last 3 months prior to the screening visit date.
- Unwillingness or inability to comply with study procedures and protocol requirements..
- Other conditions that, in the investigator's judgement, may preclude the patient's participation in the study.
Exclusion Criteria:
- Incorrect enrollment of a patient in the study (failure to meet inclusion/exclusion criteria at the time of randomization).
- Lack of Efficacy. Study treatment will be discontinued if no clinical improvement is observed by Visit 3 (Day 15 ± 1), defined as persistence or worsening of upper abdominal pain/discomfort (assessed by Visual Analog Scale [VAS]) compared to baseline. Upon discontinuation, alternative therapy will be initiated at the investigator's discretion.
- Patient non-compliance (a compliant patient is defined as one who has taken at least 202 and no more than 303 tablets).
- Requirement for prohibited concomitant therapy.
- Use of Duspatalin® (INN: mebeverine) for more than 3 consecutive days or for more than 5 days in total throughout the study.
- If the investigator judges that comtinued participation in the study would harm the patient.
- Pregnancy or the need for breastfeeding.
- Major protocol deviation by the subject with respect to procedures outlined in the Informed Consent Form (ICF).
- Withdrawal of informed consent by the subject (decision to discontinue study participation).
- Lost to follow-up: Inability to contact the subject after ≥3 documented attempts via mobile phone, landline (if applicable), and designated emergency contact.
- Emergence during the study of any diseases or conditions that worsen the patient's prognosis, making it impossible for the patient to continue participating in this clinical trial.
- Any other reasons, including administrative issues, that in the investigator's judgement may interfere with subject's ability to comlete the study.
Studieplan
Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Behandling
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Dobbelt
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
|---|---|
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Eksperimentell: 4-MUST
4-MUST: 384 mg (3 tablets), orally three times a day (TID), 30 min before meals.
Total daily dose - 1152 mg.
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128 mg Trimebutine 4-metylumbelliferylsulfat tablett.
Andre navn:
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Placebo komparator: Placebo
Placebo: 3 tablets, orally three times a day (TID), 30 min before meals.
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Placebo tablett.
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Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
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Mean reduction in the severity of pain/discomfort in the upper abdomen on the VAS by day 29 compared to baseline
Tidsramme: Day 29 ± 1
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Visual analogue scale (VAS) from 0 to 100 mm, where 0 is "no pain", and 100 is "the worst pain one can imagine"
|
Day 29 ± 1
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Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
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Sikkerhet og toleranse: Vital tegn - Systolisk blodtrykk (SBP)
Tidsramme: Screening, dag 1, dag 8 ± 1, dag 15 ± 1, dag 22 ± 1, dag 29 ± 1
|
SBP, MMHG
|
Screening, dag 1, dag 8 ± 1, dag 15 ± 1, dag 22 ± 1, dag 29 ± 1
|
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Sikkerhet og toleranse: Vital tegn - Diastolisk blodtrykk (DBP)
Tidsramme: Screening, dag 1, dag 8 ± 1, dag 15 ± 1, dag 22 ± 1, dag 29 ± 1
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DBP, MMHG
|
Screening, dag 1, dag 8 ± 1, dag 15 ± 1, dag 22 ± 1, dag 29 ± 1
|
|
Sikkerhet og toleranse: Vital tegn - Åndedrettsrate (RR)
Tidsramme: Screening, dag 1, dag 8 ± 1, dag 15 ± 1, dag 22 ± 1, dag 29 ± 1
|
RR, pust per minutt
|
Screening, dag 1, dag 8 ± 1, dag 15 ± 1, dag 22 ± 1, dag 29 ± 1
|
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Sikkerhet og toleranse: Vital tegn - hjertefrekvens (HR)
Tidsramme: Screening, dag 1, dag 8 ± 1, dag 15 ± 1, dag 22 ± 1, dag 29 ± 1
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HR, beats per minutt
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Screening, dag 1, dag 8 ± 1, dag 15 ± 1, dag 22 ± 1, dag 29 ± 1
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Sikkerhet og tolerabilitet: Vitale tegn - Kroppstemperatur
Tidsramme: Screening, dag 1, dag 8 ± 1, dag 15 ± 1, dag 22 ± 1, dag 29 ± 1
|
Kroppstemperatur, Celsius Scale
|
Screening, dag 1, dag 8 ± 1, dag 15 ± 1, dag 22 ± 1, dag 29 ± 1
|
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Resultater av fysisk undersøkelse: Kardiovaskulært system
Tidsramme: Screening, dag 1, dag 8 ± 1, dag 15 ± 1, dag 22 ± 1, dag 29 ± 1
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En vurdering av tilstanden til det kardiovaskulære systemet ved fysisk undersøkelse (normal tilstand eller liste over unormale forhold, hvis noen)
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Screening, dag 1, dag 8 ± 1, dag 15 ± 1, dag 22 ± 1, dag 29 ± 1
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Resultater av fysisk undersøkelse: fordøyelseskanalen
Tidsramme: Screening, dag 1, dag 8 ± 1, dag 15 ± 1, dag 22 ± 1, dag 29 ± 1
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En vurdering av tilstanden til fordøyelseskanalen ved fysisk undersøkelse (normal tilstand eller liste over unormale forhold, om noen)
|
Screening, dag 1, dag 8 ± 1, dag 15 ± 1, dag 22 ± 1, dag 29 ± 1
|
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Fysiske undersøkelsesresultater: Endokrin system
Tidsramme: Screening, dag 1, dag 8 ± 1, dag 15 ± 1, dag 22 ± 1, dag 29 ± 1
|
En vurdering av tilstanden til det endokrine systemet ved fysisk undersøkelse (normal tilstand eller liste over unormale forhold, om noen)
|
Screening, dag 1, dag 8 ± 1, dag 15 ± 1, dag 22 ± 1, dag 29 ± 1
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Resultater av fysisk undersøkelse: Muskel- og skjelettsystem
Tidsramme: Screening, dag 1, dag 8 ± 1, dag 15 ± 1, dag 22 ± 1, dag 29 ± 1
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En vurdering av tilstanden til muskel- og skjelettsystemet ved fysisk undersøkelse (normal tilstand eller liste over unormale forhold, om noen)
|
Screening, dag 1, dag 8 ± 1, dag 15 ± 1, dag 22 ± 1, dag 29 ± 1
|
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Resultater av fysisk undersøkelse: nervesystem
Tidsramme: Screening, dag 1, dag 8 ± 1, dag 15 ± 1, dag 22 ± 1, dag 29 ± 1
|
En vurdering av nervesystemets tilstand ved fysisk undersøkelse (normal tilstand eller liste over unormale forhold, om noen)
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Screening, dag 1, dag 8 ± 1, dag 15 ± 1, dag 22 ± 1, dag 29 ± 1
|
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Fysiske undersøkelsesresultater: Sensoriske systemer
Tidsramme: Screening, dag 1, dag 8 ± 1, dag 15 ± 1, dag 22 ± 1, dag 29 ± 1
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En vurdering av tilstanden til sensoriske systemer ved fysisk undersøkelse (normal tilstand eller liste over unormale forhold, om noen)
|
Screening, dag 1, dag 8 ± 1, dag 15 ± 1, dag 22 ± 1, dag 29 ± 1
|
|
Resultater av fysisk undersøkelse: Hud/synlige slimhembraner
Tidsramme: Screening, dag 1, dag 8 ± 1, dag 15 ± 1, dag 22 ± 1, dag 29 ± 1
|
En vurdering av tilstanden til huden/synlige slimhinner ved fysisk undersøkelse (normal tilstand eller liste over unormale forhold, hvis noen)
|
Screening, dag 1, dag 8 ± 1, dag 15 ± 1, dag 22 ± 1, dag 29 ± 1
|
|
Resultater av laboratorie- og instrumentelle undersøkelser: klinisk blodprøve - hemoglobin
Tidsramme: Screening, dag 15 ± 1, dag 29 ± 1
|
Hemoglobin (g/l)
|
Screening, dag 15 ± 1, dag 29 ± 1
|
|
Resultater av laboratorie- og instrumentelle undersøkelser: klinisk blodprøve - Hematokrit
Tidsramme: Screening, dag 15 ± 1, dag 29 ± 1
|
Hematokrit (%)
|
Screening, dag 15 ± 1, dag 29 ± 1
|
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Resultater av laboratorie- og instrumentalundersøkelser: Klinisk blodprøve - antall røde blodlegemer
Tidsramme: Screening, dag 15 ± 1, dag 29 ± 1
|
Røde blodlegemer (celler/l)
|
Screening, dag 15 ± 1, dag 29 ± 1
|
|
Resultater av laboratorie- og instrumentalundersøkelser: Klinisk blodprøve - Blodplatetall
Tidsramme: Screening, dag 15 ± 1, dag 29 ± 1
|
Blodplatetall (celler/l)
|
Screening, dag 15 ± 1, dag 29 ± 1
|
|
Resultater av laboratorie- og instrumentalundersøkelser: Klinisk blodprøve - Leukocyttantall
Tidsramme: Screening, dag 15 ± 1, dag 29 ± 1
|
Leukocyttantall (celler/l)
|
Screening, dag 15 ± 1, dag 29 ± 1
|
|
Resultater av laboratorie- og instrumentalundersøkelser: Klinisk blodprøve - Erythrocyt Sedimentation Rate
Tidsramme: Screening, dag 15 ± 1, dag 29 ± 1
|
Erythrocyte sedimentasjonshastighet (mm/t)
|
Screening, dag 15 ± 1, dag 29 ± 1
|
|
Resultater av laboratorie- og instrumentelle undersøkelser: klinisk blodprøve - myelocytter
Tidsramme: Screening, dag 15 ± 1, dag 29 ± 1
|
Leukocyttformel (myelocytter, %)
|
Screening, dag 15 ± 1, dag 29 ± 1
|
|
Resultater av laboratorie- og instrumentalundersøkelser: Klinisk blodprøve - Båndneutrofiler
Tidsramme: Screening, dag 15 ± 1, dag 29 ± 1
|
Leukocyttformel (båndneutrofiler, %)
|
Screening, dag 15 ± 1, dag 29 ± 1
|
|
Resultater av laboratorie- og instrumentelle undersøkelser: Klinisk blodprøve - segmenterte nøytrofiler
Tidsramme: Screening, dag 15 ± 1, dag 29 ± 1
|
Leukocyttformel (segmenterte nøytrofiler, %)
|
Screening, dag 15 ± 1, dag 29 ± 1
|
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Resultater av laboratorie- og instrumentelle undersøkelser: Klinisk blodprøve - Eosinofiler
Tidsramme: Screening, dag 15 ± 1, dag 29 ± 1
|
Leukocyttformel (eosinofiler, %)
|
Screening, dag 15 ± 1, dag 29 ± 1
|
|
Resultater av laboratorie- og instrumentelle undersøkelser: Klinisk blodprøve - Basofiler
Tidsramme: Screening, dag 15 ± 1, dag 29 ± 1
|
Leukocyttformel (basofiler, %)
|
Screening, dag 15 ± 1, dag 29 ± 1
|
|
Resultater av laboratorie- og instrumentelle undersøkelser: klinisk blodprøve - monocytter
Tidsramme: Screening, dag 15 ± 1, dag 29 ± 1
|
Leukocyttformel (monocytter, %)
|
Screening, dag 15 ± 1, dag 29 ± 1
|
|
Resultater av laboratorie- og instrumentelle undersøkelser: Klinisk blodprøve - Lymfocytter
Tidsramme: Screening, dag 15 ± 1, dag 29 ± 1
|
Leukocyttformel (lymfocytter, %)
|
Screening, dag 15 ± 1, dag 29 ± 1
|
|
Resultater av laboratorie- og instrumentelle undersøkelser: Blodkjemi - Glukose
Tidsramme: Screening, dag 15 ± 1, dag 29 ± 1
|
Glukosekonsentrasjon (mmol/l)
|
Screening, dag 15 ± 1, dag 29 ± 1
|
|
Resultater av laboratorie- og instrumentelle undersøkelser: Blodkjemi - Kolesterol
Tidsramme: Screening, dag 15 ± 1, dag 29 ± 1
|
Total kolesterolkonsentrasjon (mmol/l)
|
Screening, dag 15 ± 1, dag 29 ± 1
|
|
Resultater av laboratorie- og instrumentelle undersøkelser: Blodkjemi - Protein
Tidsramme: Screening, dag 15 ± 1, dag 29 ± 1
|
Total proteinkonsentrasjon (g/l)
|
Screening, dag 15 ± 1, dag 29 ± 1
|
|
Resultater av laboratorie- og instrumentelle undersøkelser: Blodkjemi - Bilirubin
Tidsramme: Screening, dag 15 ± 1, dag 29 ± 1
|
Total bilirubinkonsentrasjon (Micromol/L)
|
Screening, dag 15 ± 1, dag 29 ± 1
|
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Resultater av laboratorie- og instrumentelle undersøkelser: Blodkjemi - kreatinin
Tidsramme: Screening, dag 15 ± 1, dag 29 ± 1
|
Kreatininkonsentrasjon (mikromol/l)
|
Screening, dag 15 ± 1, dag 29 ± 1
|
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Resultater av laboratorie- og instrumentelle undersøkelser: Blodkjemi - Alkalisk fosfatase
Tidsramme: Screening, dag 15 ± 1, dag 29 ± 1
|
Alkalisk fosfataseaktivitet (U/L)
|
Screening, dag 15 ± 1, dag 29 ± 1
|
|
Resultater av laboratorie- og instrumentelle undersøkelser: Blodkjemi - Alanintransaminase
Tidsramme: Screening, dag 15 ± 1, dag 29 ± 1
|
Alanin transaminaseaktivitet (U/L)
|
Screening, dag 15 ± 1, dag 29 ± 1
|
|
Resultater av laboratorie- og instrumentelle undersøkelser: Blodkjemi - Aspartattransaminase
Tidsramme: Screening, dag 15 ± 1, dag 29 ± 1
|
Aspartattransaminaseaktivitet (U/L)
|
Screening, dag 15 ± 1, dag 29 ± 1
|
|
Resultater av laboratorie- og instrumentelle undersøkelser: Blodkjemi - Gamma -GTP
Tidsramme: Screening, dag 15 ± 1, dag 29 ± 1
|
Gamma-Glutaryl Transpeptidase Activity (U/L)
|
Screening, dag 15 ± 1, dag 29 ± 1
|
|
Resultater av laboratorie- og instrumentelle undersøkelser: Urinalyse - Spesifikk tyngdekraft
Tidsramme: Screening, dag 15 ± 1, dag 29 ± 1
|
Spesifikk tyngdekraft på urinen
|
Screening, dag 15 ± 1, dag 29 ± 1
|
|
Resultater av laboratorie- og instrumentelle undersøkelser: Urinalyse - PH
Tidsramme: Screening, dag 15 ± 1, dag 29 ± 1
|
pH i urinen
|
Screening, dag 15 ± 1, dag 29 ± 1
|
|
Resultater av laboratorie- og instrumentelle undersøkelser: urinalyse - protein
Tidsramme: Screening, dag 15 ± 1, dag 29 ± 1
|
Proteinkonsentrasjon (g/l)
|
Screening, dag 15 ± 1, dag 29 ± 1
|
|
Resultater av laboratorie- og instrumentelle undersøkelser: Urinalyse - glukose
Tidsramme: Screening, dag 15 ± 1, dag 29 ± 1
|
Glukosekonsentrasjon (mmol/l)
|
Screening, dag 15 ± 1, dag 29 ± 1
|
|
Resultater av laboratorie- og instrumentelle undersøkelser: Urinalyse - Røde blodlegemer
Tidsramme: Screening, dag 15 ± 1, dag 29 ± 1
|
Røde blodcelleinnhold (antall i sikte)
|
Screening, dag 15 ± 1, dag 29 ± 1
|
|
Resultater av laboratorie- og instrumentelle undersøkelser: Urinalyse - hvite blodlegemer
Tidsramme: Screening, dag 15 ± 1, dag 29 ± 1
|
Innhold av hvitt blodlegemer (antall i sikte)
|
Screening, dag 15 ± 1, dag 29 ± 1
|
|
Mean reduction in the severity of pain/discomfort in the upper abdomen according to VAS by days 2-28 from the start of therapy
Tidsramme: Day 2 - Day 28
|
Visual analogue scale (VAS) from 0 to 100 mm, where 0 is "no pain", and 100 is "the worst pain one can imagine"
|
Day 2 - Day 28
|
|
Frequency of response to therapy (proportion of patients in the group with a reduction in the severity of pain/discomfort in the upper abdomen according to VAS by 30% or more) by days 8, 15, 22, and 29 following treatment initiation.
Tidsramme: Day 8 ± 1, 15 ± 1, 22 ± 1, and 29 ± 1
|
Visual analogue scale (VAS) from 0 to 100 mm, where 0 is "no pain", and 100 is "the worst pain one can imagine"
|
Day 8 ± 1, 15 ± 1, 22 ± 1, and 29 ± 1
|
|
Frequency of response to therapy (proportion of patients in the group with a reduction in the severity of pain/discomfort in the upper abdomen according to VAS by 50% or more) by days 8, 15, 22, and 29 following treatment initiation.
Tidsramme: Day 8 ± 1, 15 ± 1, 22 ± 1, and 29 ± 1
|
Visual analogue scale (VAS) from 0 to 100 mm, where 0 is "no pain", and 100 is "the worst pain one can imagine"
|
Day 8 ± 1, 15 ± 1, 22 ± 1, and 29 ± 1
|
|
Time to therapeutic response (reduction in the severity of pain/discomfort in the upper abdomen according to VAS by 30% or more)
Tidsramme: Day 29 ± 1
|
Visual analogue scale (VAS) from 0 to 100 mm, where 0 is "no pain", and 100 is "the worst pain one can imagine"
|
Day 29 ± 1
|
|
Time to therapeutic response (reduction in the severity of pain/discomfort in the upper abdomen according to VAS by 50% or more)
Tidsramme: Day 29 ± 1
|
Visual analogue scale (VAS) from 0 to 100 mm, where 0 is "no pain", and 100 is "the worst pain one can imagine"
|
Day 29 ± 1
|
|
Frequency of clinical recovery (proportion of patients in the group with a reduction in the severity of pain/discomfort in the upper abdomen according to VAS to 10 mm or less) by days 8, 15, 22, and 29 following treatment initiation.
Tidsramme: Day 8 ± 1, 15 ± 1, 22 ± 1, and 29 ± 1
|
Visual analogue scale (VAS) from 0 to 100 mm, where 0 is "no pain", and 100 is "the worst pain one can imagine"
|
Day 8 ± 1, 15 ± 1, 22 ± 1, and 29 ± 1
|
|
Time to clinical recovery (reduction in the severity of pain/discomfort in the upper abdomen according to VAS to 10 mm or less)
Tidsramme: Day 29 ± 1
|
Visual analogue scale (VAS) from 0 to 100 mm, where 0 is "no pain", and 100 is "the worst pain one can imagine"
|
Day 29 ± 1
|
|
Change in the total score of gastroenterological symptom severity according to the GSRS questionnaire by days 8, 15, 22, and 29 following treatment initiation.
Tidsramme: Day 8 ± 1, 15 ± 1, 22 ± 1, and 29 ± 1
|
The Gastrointestinal Symptom Rating Scale (GSRS) is a self-administered questionnaire designed to assess gastrointestinal symptoms and their severity.
It consists of 15 items categorized into five domains: Abdominal pain (including stomach pain and nausea), Reflux (heartburn and acid reflux), Indigestion (bloating, burping, and flatulence), Constipation (hard stools and incomplete evacuation), Diarrhea (loose stools and urgency).
Respondents rate their symptoms on a 7-point Likert scale, where 1 indicates no discomfort and 7 indicates very severe discomfort.
|
Day 8 ± 1, 15 ± 1, 22 ± 1, and 29 ± 1
|
|
Change in dyspeptic symptom severity, as assessed by the GSRS, expressed as score changes from baseline in the Abdominal Pain, Reflux, Indigestion, Diarrhea, and Constipation syndrome subscales at Days 8, 15, 22, and 29 following treatment initiation.
Tidsramme: Day 8 ± 1, 15 ± 1, 22 ± 1, and 29 ± 1
|
The Gastrointestinal Symptom Rating Scale (GSRS) is a self-administered questionnaire designed to assess gastrointestinal symptoms and their severity.
It consists of 15 items categorized into five domains: Abdominal pain (including stomach pain and nausea), Reflux (heartburn and acid reflux), Indigestion (bloating, burping, and flatulence), Constipation (hard stools and incomplete evacuation), Diarrhea (loose stools and urgency).
Respondents rate their symptoms on a 7-point Likert scale, where 1 indicates no discomfort and 7 indicates very severe discomfort.
|
Day 8 ± 1, 15 ± 1, 22 ± 1, and 29 ± 1
|
|
Change in the severity of individual symptoms of dyspeptic disorders according to the GSRS questionnaire in points by days 8, 15, 22, and 29 following treatment initiation.
Tidsramme: Day 8 ± 1, 15 ± 1, 22 ± 1, and 29 ± 1
|
The Gastrointestinal Symptom Rating Scale (GSRS) is a self-administered questionnaire designed to assess gastrointestinal symptoms and their severity.
It consists of 15 items categorized into five domains: Abdominal pain (including stomach pain and nausea), Reflux (heartburn and acid reflux), Indigestion (bloating, burping, and flatulence), Constipation (hard stools and incomplete evacuation), Diarrhea (loose stools and urgency).
Respondents rate their symptoms on a 7-point Likert scale, where 1 indicates no discomfort and 7 indicates very severe discomfort.
|
Day 8 ± 1, 15 ± 1, 22 ± 1, and 29 ± 1
|
|
Change in quality of life according to the total score on the SF-36 questionnaire by day 29 from treatment initiation.
Tidsramme: Day 29 ± 1
|
SF-36 (Short Form 36 Health Survey) is a self-reported questionnaire.
It consists of 36 items that cover eight health domains: Physical functioning, Role limitations due to physical health, Role limitations due to emotional problems, Bodily pain, General health perceptions, Vitality (energy and fatigue), Social functioning, Mental health.
SF-36 produces a profile of scores for each domain, which can be summarized into two main components: the Physical Component Summary (PCS) and the Mental Component Summary (MCS).
Scores range from 0 to 100, where lower scores indicate greater disability and higher scores indicate better health.
|
Day 29 ± 1
|
|
Change in the total score on the PAGI-SYM questionnaire by days 15 and 29 from treatment initiation.
Tidsramme: Day 15 ± 1, and 29 ± 1
|
PAGI-SYM (Patient Assessment of Upper Gastrointestinal Disorders-Symptom Severity Index) is a patient-reported questionnaire designed to assess the severity of symptoms in upper gastrointestinal disorders (GERD, dyspepsia, and gastroparesis).
It consists of 20 items grouped into six subscales: Heartburn/Regurgitation, Fullness/Early Satiety, Nausea/Vomiting, Bloating, Upper Abdominal Pain, and Lower Abdominal Pain.
Each symptom is rated on a 6-point Likert scale from 0 (none) to 5 (very severe).
The questionnaire provides a profile of scores for each subscale, as well as a total score.
Higher scores indicate greater symptom severity.
|
Day 15 ± 1, and 29 ± 1
|
|
change in the total score on the Visceral Sensitivity Index questionnaire by days 15 and 29 from the start of therapy
Tidsramme: Day 15 ± 1, and 29 ± 1
|
VSI (Visceral Sensitivity Index) is a patient-reported questionnaire measuring gastrointestinal-specific anxiety (cognitive, affective, and behavioral responses to GI sensations).
It consists of 15 items rated on a 6-point scale, producing a total score from 0 to 75.
Higher scores indicate greater GI-specific anxiety.
Originally validated in IBS patients, it is now used across various GI disorders.
|
Day 15 ± 1, and 29 ± 1
|
|
Change in the total score on the Emotional Distress - Depression - Short Form 4a questionnaire by days 8, 15, 22, and 29 from the start of therapy
Tidsramme: Day 8 ± 1, 15 ± 1, 22 ± 1, and 29 ± 1
|
Emotional Distress - Depression - Short Form 4a (PROMIS Depression SF 4a) is a patient-reported questionnaire assessing depression symptoms over the past 7 days.
It consists of 4 items rated on a 5-point scale.
Raw scores (4-20) are converted to a standardized T-score (mean=50, SD=10).
Higher scores indicate greater depression severity.
|
Day 8 ± 1, 15 ± 1, 22 ± 1, and 29 ± 1
|
|
Safety and Tolerability: adverse event (AE) rate
Tidsramme: From screening (and signing informed consent form) to the end of the study (Day 36 ± 2)
|
Frequency of adverse events (AEs) or serious AEs (SAEs)
|
From screening (and signing informed consent form) to the end of the study (Day 36 ± 2)
|
|
Safety and Tolerability: adverse event (AE) number
Tidsramme: From screening (and signing informed consent form) to the end of the study (Day 36 ± 2)
|
Number of adverse events (AEs) or serious AEs (SAEs)
|
From screening (and signing informed consent form) to the end of the study (Day 36 ± 2)
|
|
Safety and Tolerability: AEs associated with the study drug
Tidsramme: From screening (and signing informed consent form) to the end of the study (Day 36 ± 2)
|
Number and frequency of AEs associated with the study drug
|
From screening (and signing informed consent form) to the end of the study (Day 36 ± 2)
|
|
Safety and Tolerability: SAEs associated with the study drug
Tidsramme: From screening (and signing informed consent form) to the end of the study (Day 36 ± 2)
|
Number and frequency of SAEs associated with the study drug
|
From screening (and signing informed consent form) to the end of the study (Day 36 ± 2)
|
|
Safety and Tolerability: treatment discontinuation
Tidsramme: From screening (and signing informed consent form) to the end of the study (Day 36 ± 2)
|
Percentage of patients who discontinued treatment due to the occurrence of AEs/SAEs
|
From screening (and signing informed consent form) to the end of the study (Day 36 ± 2)
|
|
Physical examination results: respiratory system
Tidsramme: Screening, day 1, day 8 ± 1, day 15 ± 1, day 22 ± 1, day 29 ± 1
|
An assessment of the condition of the respiratory system on physical examination (normal condition or list of abnormal conditions, if any)
|
Screening, day 1, day 8 ± 1, day 15 ± 1, day 22 ± 1, day 29 ± 1
|
|
Results of laboratory and instrumental examinations: blood chemistry - CRP
Tidsramme: Screening, day 15 ± 1, day 29 ± 1
|
C-reactive protein, CRP (mg/L)
|
Screening, day 15 ± 1, day 29 ± 1
|
|
Safety and Tolerability: 12-lead electrocardiogram (ECG) - heart rate
Tidsramme: Screening, day 1, day 29 ± 1
|
12-lead ECG (I, II, III, aVR-enhanced unipolar abduction from the right arm , aVL-enhanced unipolar abduction from the left arm, aVF - enhanced unipolar abduction from the left leg, V1-V6) taken while lying down: heart rate (beats per minute)
|
Screening, day 1, day 29 ± 1
|
|
Safety and Tolerability: 12-lead electrocardiogram (ECG) - PQ interval
Tidsramme: Screening, day 1, day 29 ± 1
|
12-lead ECG (I, II, III, aVR-enhanced unipolar abduction from the right arm , aVL-enhanced unipolar abduction from the left arm, aVF - enhanced unipolar abduction from the left leg, V1-V6) taken while lying down: PQ interval (is the period, measured in milliseconds, that extends from the beginning of the P wave (the onset of atrial depolarization) until the beginning of the QRS complex)
|
Screening, day 1, day 29 ± 1
|
|
Safety and Tolerability: 12-lead electrocardiogram (ECG) - QRS complex
Tidsramme: Screening, day 1, day 29 ± 1
|
12-lead ECG (I, II, III, aVR-enhanced unipolar abduction from the right arm , aVL-enhanced unipolar abduction from the left arm, aVF - enhanced unipolar abduction from the left leg, V1-V6) taken while lying down: QRS complex (the QRS complex is the combination of three of the graphical deflections seen on a typical electrocardiogram)
|
Screening, day 1, day 29 ± 1
|
|
Safety and Tolerability: 12-lead electrocardiogram (ECG) - corrected QT interval
Tidsramme: Screening, day 1, day 29 ± 1
|
12-lead ECG (I, II, III, aVR-enhanced unipolar abduction from the right arm , aVL-enhanced unipolar abduction from the left arm, aVF - enhanced unipolar abduction from the left leg, V1-V6) taken while lying down: corrected QT interval (distance from the beginning of the QRS complex to the end of the T wave) (Frederica correction)
|
Screening, day 1, day 29 ± 1
|
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Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.
Studer hoveddatoer
Studiestart (Faktiske)
12. desember 2025
Primær fullføring (Antatt)
31. desember 2027
Studiet fullført (Antatt)
31. desember 2027
Datoer for studieregistrering
Først innsendt
12. mai 2026
Først innsendt som oppfylte QC-kriteriene
12. mai 2026
Først lagt ut (Faktiske)
19. mai 2026
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
19. mai 2026
Siste oppdatering sendt inn som oppfylte QC-kriteriene
12. mai 2026
Sist bekreftet
1. mars 2026
Mer informasjon
Begreper knyttet til denne studien
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
- GIB-03-04-2025
Legemiddel- og utstyrsinformasjon, studiedokumenter
Studerer et amerikansk FDA-regulert medikamentprodukt
Nei
Studerer et amerikansk FDA-regulert enhetsprodukt
Nei
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