Rebamipide for the Treatment of Xerostomia in sjögren Syndrome

This study is currently recruiting participants.
Verified December 2012 by Faculty of Medicine, University of Alexandria
Sponsor:
Information provided by (Responsible Party):
Anna Abou-Raya, Faculty of Medicine, University of Alexandria
ClinicalTrials.gov Identifier:
NCT01759108
First received: December 23, 2012
Last updated: NA
Last verified: December 2012
History: No changes posted
  Purpose

Xerostomia is a major distressing symptom in Sjőgren's syndrome(SS). Preclinical and clinical studies have demonstrated an increase in saliva volume following rebamipide administration.We thus hypothesize that rebamipide may be efficacious in the treatment of dry mouth symptoms related to Sjőgren's syndrome.We will recruit SS patients in a randomized placebo-controlled trial for 12 weeks. The main outcome measure that will concern us is patient-assessed improvement of dry mouth symptoms and increase in salivary secretion Safety and efficacy was assessed at each visit.


Condition Intervention
Improving Symptoms of Dry Mouth in Sjőgren's Syndrome
Drug: Rebamipide

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Single Group Assignment
Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor)
Primary Purpose: Treatment

Resource links provided by NLM:


Further study details as provided by Faculty of Medicine, University of Alexandria:

Primary Outcome Measures:
  • improvement of dry mouth symptoms [ Time Frame: 12 weeks ] [ Designated as safety issue: Yes ]
    Improvement of dry mouth symptoms and increase in salivary secretion will be evaluated by questionnaires including the visual analogue scale (VAS) for Sicca-syndrome VAS 0-100mm.


Estimated Enrollment: 55
Study Start Date: December 2012
Estimated Primary Completion Date: March 2013 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Rebamipide
Patients will be randomized 1:1 to receive 300mg/d (100mg x3/day) of rebamipide for 12 weeks together with their usual therapy
Drug: Rebamipide
Patients will be randomized 1:1 to receive either 300mg/d (100mg x3/day) of rebamipide or placebo for 12 weeks together with their usual therapy.
Other Name: Mucosta
Placebo Comparator: Placebo
Patients will be randomized 1:1 to receive 300mg/d (100mg x3/day) of placebo for 12 weeks together with their usual therapy.
Drug: Rebamipide
Patients will be randomized 1:1 to receive either 300mg/d (100mg x3/day) of rebamipide or placebo for 12 weeks together with their usual therapy.
Other Name: Mucosta

Detailed Description:

Xerostomia is a major distressing symptom in Sjőgren's syndrome (SS). Persistent dryness of the mouth causes oral pain, discomfort and significantly interferes with the quality of life. Rebamipide, in addition to its gastro-protective effect has displayed various anti-inflammatory actions including inhibition of neutrophilic leukocyte activation. Preclinical and clinical studies have demonstrated an increase in saliva volume following rebamipide administration.

The aim of the present study is to assess efficacy of rebamipide in the treatment of dry mouth symptoms related to Sjőgren's syndrome.

Methods: Fifty-five patients with American European Consensus Criteria Group (AECG)-based diagnosis of SS will participate in this randomized placebo-controlled trial. Inclusion criteria will include SS patients with dry mouth symptoms. Patients with dry mouth due to other conditions will be excluded. Patients will be randomized 1:1 to receive either 300mg/d (100mg x3/day) of rebamipide or placebo for 12 weeks together with their usual therapy. Outcome measures will include patient-assessed improvement of dry mouth symptoms and increase in salivary secretion (evaluation of unstimulated saliva; questionnaires including the visual analogue scale (VAS) for Sicca-syndrome VAS 0-100mm). Subjective and objective findings of dry mouth will be recorded at baseline, two, four, six, eight, ten and twelve weeks. Safety and efficacy will be assessed at each visit.

  Eligibility

Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • SS patients with dry mouth symptoms

Exclusion Criteria:

  • Patients with dry mouth due to other conditions
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01759108

Contacts
Contact: Anna Abou-Raya, MD PhD 5924601 annaaraya@yahoo.com

Locations
Egypt
Faculty of Medicine, University of Alexandria Recruiting
Alexandria, Egypt, 203
Contact: Anna Abou-Raya, MD PhD    5924601    annaaraya@yahoo.com   
Principal Investigator: Anna Abou-Raya, MD PhD         
Sponsors and Collaborators
Faculty of Medicine, University of Alexandria
Investigators
Principal Investigator: Anna Abou-Raya, MD PhD Faculty of Medicine, University of Alexandria
  More Information

No publications provided

Responsible Party: Anna Abou-Raya, Principal investigator, Faculty of Medicine, University of Alexandria
ClinicalTrials.gov Identifier: NCT01759108     History of Changes
Other Study ID Numbers: 116619963
Study First Received: December 23, 2012
Last Updated: December 23, 2012
Health Authority: Egypt: Institutional Review Board

Keywords provided by Faculty of Medicine, University of Alexandria:
xerostomia
rebamipide
efficacy
safety

Additional relevant MeSH terms:
Salivary Gland Diseases
Xerostomia
Sjogren's Syndrome
Mouth Diseases
Stomatognathic Diseases
Arthritis, Rheumatoid
Arthritis
Joint Diseases
Musculoskeletal Diseases
Rheumatic Diseases
Dry Eye Syndromes
Lacrimal Apparatus Diseases
Eye Diseases
Connective Tissue Diseases
Autoimmune Diseases
Immune System Diseases
Rebamipide
Anti-Ulcer Agents
Gastrointestinal Agents
Therapeutic Uses
Pharmacologic Actions
Antioxidants
Molecular Mechanisms of Pharmacological Action
Protective Agents
Physiological Effects of Drugs
Enzyme Inhibitors

ClinicalTrials.gov processed this record on April 17, 2014