Efficacy and Tolerability of α-galactosidase in Treating Gas-related Symptoms in Children
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Purpose
The aim of this study was to evaluate the efficacy and tolerability of α-galactosidase in pediatric patients with predominant gas-related symptoms.
| Condition | Intervention | Phase |
|---|---|---|
|
Gas Pain Related Intake |
Dietary Supplement: α-galactosidase Dietary Supplement: Placebo |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Investigator) Primary Purpose: Treatment |
| Official Title: | Efficacy and Tolerability of α-galactosidase in Treating Gas-related Symptoms in Children. A Randomized, Double-blind, Placebo-controlled Trial |
- Efficacy [ Time Frame: 5 weeks of observation ] [ Designated as safety issue: No ]Global distress associated with gas-related symptoms (bloating, flatulance, abdominal distension and abdominal spasm): data collected by parents or patients on a daily diary chart, 3 time/daily by using a validated visual score scale (Faces Pain Scale-Revised).
- Clinical tolerability [ Time Frame: treatment: 2 weeks ] [ Designated as safety issue: Yes ]Recording of all Adverse Events (AEs) occurred during the 2 weeks of treatment
- Efficacy [ Time Frame: 5 weeks of observation (baseline: 1 week; treatment: 2 weeks; follow-up: 2 weeks) ] [ Designated as safety issue: No ]
Frequency and intensity (6 point scale: 0=absent; 5=very severe)of bloating, flatulance, visible distension, spasms.
Data were collected by parents or patients on a daily diary chart.
- Efficacy [ Time Frame: 5 weeks of observation (baseline: 1 week; treatment: 2 weeks; follow-up: 2 weeks) ] [ Designated as safety issue: No ]Physician's overall evaluation: 4 point scale (from completed/marked improvement to worse).
| Enrollment: | 52 |
| Study Start Date: | June 2009 |
| Study Completion Date: | May 2010 |
| Primary Completion Date: | May 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Placebo Comparator: placebo |
Dietary Supplement: Placebo
Treatment was administered at the beginning of each meal (3 times a day) for 2 weeks: children < 20kg: 4 drops; children > 20kg and < 40kg: 8 drops; children > 40kg: 1 tablet. |
| Experimental: α-galactosidase |
Dietary Supplement: α-galactosidase
Treatment was administered at the beginning of each meal (3 times a day) for 2 weeks: children < 20kg: 4 drops; children > 20kg and < 40kg: 8 drops; children > 40kg: 1 tablet. Other Name: Sinaire
|
Detailed Description:
Most patients with functional gastrointestinal disorders complain of gas-related symptoms which can negatively affect quality of life, even in pediatric age.
Dietary and life-style changes, administration of simethicone, activated charcoal and probiotics may reduce intestinal gas but often results are unsatisfactory.
Literature shows that α-galactosidase is effective to reduce gas production and related symptoms in adults.
Eligibility| Ages Eligible for Study: | 4 Years to 18 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- pediatric out-patients with gas-related disturbances at least once per week over the last 12 weeks.
Exclusion Criteria:
- suspected episodes of hypersensitivity or allergy;
- chronic organic disorders (by clinical history, physical examination, laboratory tests);
- use of drug affecting the GI motility during the previous 4 weeks;
- inability of the parent to comprehend the full nature and purpose of the study and unwillingness to co-operate with the Investigator.
Contacts and Locations
More Information
No publications provided
| Responsible Party: | Giovanni Di Nardo, MD, Azienda Policlinico Umberto I |
| ClinicalTrials.gov Identifier: | NCT01595932 History of Changes |
| Other Study ID Numbers: | α-galactosidase |
| Study First Received: | May 9, 2012 |
| Last Updated: | May 9, 2012 |
| Health Authority: | Italy: Ethics Committee |
Keywords provided by Azienda Policlinico Umberto I:
|
irritable bowel syndrome (IBS) bloating abdominal distension flatulence α-Galactosidase |
ClinicalTrials.gov processed this record on June 17, 2013