Effects of Itopride on Gastric Motor and Sensory Functions in Healthy Volunteers
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Purpose
Itopride is a new compound that is already marketed in Japan and in some countries of Eastern Europe under the name of Ganaton. It is used to treat symptoms associated with gastroparesis. Do to inadequate gastric emptying, these patients often have symptoms of bloating, nausea and vomiting following ingestion of a meal. This is a randomized, parallel group, two dose double blind, placebo-controlled study evaluating the effects of itopride (100 mg and 200 mg tid) and placebo on gastric motor and sensory functions in healthy volunteers.
| Condition | Intervention | Phase |
|---|---|---|
|
Healthy |
Drug: Itopride Hydrochloride (prokinetic) |
Phase 1 Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double-Blind Primary Purpose: Treatment |
| Official Title: | A Double-Blind, Randomized, Placebo-Controlled, Single Center, Parallel Group Study to Evaluate the Effects of Itopride(100 mg and 200 mg t.i.d.) on Gastric Motor and Sensory Functions in Healthy Volunteers |
- Gastric emptying [ Time Frame: one week ] [ Designated as safety issue: No ]
- Small bowel transit [ Time Frame: one week ] [ Designated as safety issue: No ]
- Gastric accommodation [ Time Frame: one week ] [ Designated as safety issue: No ]
- Postprandial symptoms [ Time Frame: one week ] [ Designated as safety issue: No ]
| Enrollment: | 45 |
| Study Start Date: | August 2005 |
| Study Completion Date: | November 2005 |
| Primary Completion Date: | November 2005 (Final data collection date for primary outcome measure) |
In order to compare the effects of two itopride doses (100 mg and 200 mg tid) and placebo on gastric emptying and small bowel transit, gastric accommodation, and postprandial symptoms in female and male healthy volunteers, the following methods, which have been extensively used and validated in the laboratory, will be used:
Scintigraphic gastric emptying of solids and small bowel transit; single photon emission computed tomography to measure gastric accommodation; and the nutrient drink test to measure maximum tolerated volume and postprandial symptoms.
Based on data acquired using the same methods in the laboratory, the sample size of 15 subjects per group provides 80% power to detect an effect size of 16% in the primary endpoint of the study, that is a change in gastric volume (postprandial - fasting). This magnitude of change is considered clinically relevant.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
1.Non-pregnant, non-breastfeeding females
2.18 years of age or older
3.Body mass index between 20 and 32 kg/m2
4.No alarm indicators on clinical assessment (weight loss of more than 7kg, bleeding, recent recurrent vomiting, progressive dysphagia).
5.No history suggestive of small bowel obstruction
Exclusion Criteria:
- Patients who have any gastrointestinal symptoms. Do not fulfill the criteria for the irritable bowel syndrome or functional dyspepsia clinically
- Patients with a clinical diagnosis of gastroparesis or an alternative underlying disease that could be responsible for disturbed gastric function e.g. diabetes, post-vagotomy, post-fundoplication
- Abdominal surgery other than appendectomy, cholecystectomy, hysterectomy, caesarian section or tubal ligation
- Positive symptoms on an abridged bowel disease questionnaire
- Use of medications that may alter gastrointestinal motility including metoclopramide, domperidone, tegaserod; acetaminophen and ibuprofen will be allowed
- Current use of medications which may interact with the study medications
- Patients who have taken any investigational medications within the past 30 days
- Over the counter medication (except multivitamins) within 7 days of the study
- Chronic gastrointestinal illness or any systemic disease that could affect gastrointestinal motility for controls
- Known intolerance or allergy to eggs, milk and Ensure
- History of chronic diarrhea
Contacts and Locations| United States, Minnesota | |
| Mayo Clinic College of Medicine | |
| Rochester, Minnesota, United States, 55905 | |
| Principal Investigator: | Nicholas J. Talley, M.D., Ph.D. | Mayo Clinic College of Medicine |
More Information
No publications provided
| Responsible Party: | Dr. N. Talley, Mayo Clinic |
| ClinicalTrials.gov Identifier: | NCT00370110 History of Changes |
| Other Study ID Numbers: | ITODG04-02 |
| Study First Received: | August 28, 2006 |
| Last Updated: | March 18, 2008 |
| Health Authority: | United States: Food and Drug Administration |
ClinicalTrials.gov processed this record on May 21, 2013