Current partner codePEPTIDESDE
NCT05134584·Phase 4·INTERVENTIONAL

Efficacy of Linaclotide in Patients With Overlapping Functional Gastrointestinal Disorders

Status

Unknown

Phase

Phase 4

Enrollment

78

Locations

1

Results

Not posted

Publications

1

Study summary

What the protocol is testing.

This study aims to assess the efficacy and safety of linaclotide in patients with overlapping symptoms of both functional dyspepsia (FD) and constipation-predominant irritable bowel syndrome (IBS-C).

Full detailed description

After being informed about the content and risks of the research, all eligible patients giving written informed consent will be randomly allocated in a 2:1 ratio to linaclotide (290μg, once daily) or lactulose (20mL, once daily). Treatment will last consecutively for 4 weeks, and patients' symptoms will be assessed before and after four-week treatment.

Interventions

Treatment arms and agents.

DRUG

Linaclotide

290μg once daily, 4 weeks

DRUG

Lactulose

20mL once daily, 4 weeks

DRUG

Omeprazol

20mg twice daily for the first 10 days

DRUG

Itopride

50mg three times daily for the first 10 days

Timeline

From registration to results.

  1. First posted

    Nov 26, 2021

  2. Study start

    Jan 1, 2021

  3. Primary completion

    Dec 2021

  4. Study completion

    Feb 2022

  5. Results posted

    Not reported

  6. Registry updated

    Dec 13, 2021

Outcomes

What the study measures.

Primary outcomes

Treatment satisfaction assessed by the VAS

Time frame · Week 4

Treatment satisfaction will be assessed by the Visual Analogue Scale: score 0=not at all, 1=partial relief of general GI symptoms, 2=complete relief of general GI symptoms.

Secondary outcomes

Changes in stool frequency

Time frame · Baseline and Week 4

Stool frequency will be assessed using bowel movement (BM), spontaneous bowel movement (SBM), complete spontaneous bowel movement (CSBM) during the past 7 days. Change = (Week 4 Score - Baseline Score).

Changes in stool consistency

Time frame · Baseline and Week 4

Stool consistency will be assessed using Bristol Stool Form Scale (BSFS), which contains 7 types of stool consistency. Change = (Week 4 Score - Baseline Score).

Changes in defecation straining score

Time frame · Baseline and Week 4

Defecation straining score will be assessed using six-point scale (score 0 = effortless, 5 = extremely laborious). Change = (Week 4 Score - Baseline Score).

Changes in defecation time

Time frame · Baseline and Week 4

Defecation time will be assessed using approximate duration: less than 15 minutes, 15-30 minutes, more than 30 minutes.

Changes in sensation of complete evacuation

Time frame · Baseline and Week 4

Sensation of complete evacuation will be assessed using five-point scale (score 0 = not at all, 4 = complete totally). Change = (Week 4 Score - Baseline Score).

Changes in lower abdominal discomfort

Time frame · Baseline and Week 4

Lower abdominal discomfort will be assessed using six-point scale (score 0 = not at all, 5 = extremely severe). Change = (Week 4 Score - Baseline Score).

Changes in lower abdominal pain

Time frame · Baseline and Week 4

Lower abdominal pain will be assessed using six-point scale (score 0 = not at all, 5 = extremely severe). Change = (Week 4 Score - Baseline Score).

Changes in FD symptoms

Time frame · Baseline and Week 4

FD symptoms will be assessed using Patient Assessment of Gastrointestinal Disorders-Symptom Severity Index (PAGI-SYM). Change = (Week 4 Score - Baseline Score).

Changes in the anxiety status

Time frame · Baseline and Week 4

The anxiety status will be assessed using the Generalized Anxiety Disorder scale (GAD-7). Change = (Week 4 Score - Baseline Score).

Changes in the depression status

Time frame · Baseline and Week 4

The depression status will be assessed using the Patient Health Questionnaire (PHD-9). Change = (Week 4 Score - Baseline Score).

Eligibility

Who can take part.

Minimum age
18 Years
Maximum age
75 Years
Sex
ALL
Healthy volunteers
Yes

Inclusion Criteria: 1. Outpatients 2. Diagnosis of FD (including postprandial distress syndrome \[PDS\] with or without epigastric pain syndrome \[EPS\]) (Rome Ⅲ criteria) 3. Diagnosis of IBS-C (Rome Ⅲ criteria) Exclusion Criteria: 1. Helicobacter Pylori infection 2. GI symptoms caused by taking non-steroidal anti-inflammatory drugs or other agents 3. Pregnancy

Study locations

1 registered sites.

China. Showing up to 24 locations stored in the fast local snapshot.

RenJiH

Shanghai, Shanghai Municipality, China

Related trials

More studies on Linaclotide.

Related PeptideStat pages

Put the record in context.

Research pages describe evidence. Vendor pages, where available, describe independently tracked research-product listings and are not clinical recommendations.