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Evaluation of S-Adenosyl Methionine (SAM-e) for Recurrent Abdominal Pain in Children
This study is currently recruiting participants.
Study NCT00694564   Information provided by Huang, Jeannie, M.D.
First Received: June 6, 2008   Last Updated: June 9, 2008   History of Changes

June 6, 2008
June 9, 2008
June 2007
June 2010   (final data collection date for primary outcome measure)
Abdominal Pain Scale [ Time Frame: 0, 0.5, 1, 2 months ] [ Designated as safety issue: No ]
Same as current
Complete list of historical versions of study NCT00694564 on ClinicalTrials.gov Archive Site
Safety [ Time Frame: 0, 0.5, 1, 2 ] [ Designated as safety issue: Yes ]
Same as current
 
Evaluation of S-Adenosyl Methionine (SAM-e) for Recurrent Abdominal Pain in Children
A Pilot Open-Labeled Trial of S-Adenosyl Methionine (SAM-e) for Recurrent Abdominal Pain in Children

This pilot study will investigate the efficacy of SAM-e for the treatment of recurrent abdominal pain in a total of 30 children. This will be an open-labeled study and all participants will receive SAM-e therapy. Given that SAM-e has been demonstrated to improve symptoms of depression and pain with minimal side effects as compared to other antidepressant therapy, we hypothesize that SAM-e will reduce pain symptoms among children with recurrent abdominal pain.

 
Phase I, Phase II
Interventional
Treatment, Non-Randomized, Open Label, Single Group Assignment, Safety/Efficacy Study
Abdominal Pain
Drug: S-adenosyl methionine
Experimental: This an open-labeled study. All participants will receive SAM-e.
 

*   Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
 
Recruiting
30
December 2010
June 2010   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • 8 to 18 years old
  • Diagnosed with RAP as verified by a physician, and having at least every other day episodes of abdominal pain which cause the patient to withdraw from normal activities.
  • At least one month trial on a high fiber diet without resolution of abdominal pain.
  • Ambulatory

Exclusion Criteria:

  • Focal abdominal pain by history or physical exam, unless a negative (including endoscopic) evaluation has been performed
  • Current diagnosis of inflammatory bowel disease, pancreatitis (acute or recurrent), peptic ulcer disease, gastrointestinal infection (unresolved), or ongoing gastrointestinal inflammation.
  • Current or recent (within the past year) pregnancy and/or current breastfeeding.
  • Current diagnosis of nephropathy or genitourinary disease.
  • Blood in stools or emesis (EXCEPTION: blood in the stool secondary to hemorrhoids is not an exclusion criterion).
  • Unintentional loss of over 10% body weight over the past 3 months or weight < 100% ideal body weight.
  • Recurrent fevers (T>100F) at least once a week or with abdominal pain episodes.
  • Recurrent dehydration with abdominal pain episodes requiring intravenous rehydration.
  • Current personal diagnosis of depression or report of suicidality, mania or bipolar disorder.
  • Family history of mania or bipolar disorder.
  • Current use of opiates or other prescription pain medications and/or refusal to remain off opiate/prescription pain medications during the study period.
  • Currently receiving additional therapies besides diet for recurrent abdominal pain and/or refusal to remain off such therapies during the study period, including but not limited to anticholinergic medications, antidepressant medications, biofeedback therapy, cognitive behavioral therapy.
  • Hypersensitivity to SAM-e.
  • Inability of child to provide assent and/or inability of parent/custodian to give consent.
Both
8 Years to 18 Years
No
Contact: Jeannie Huang, MD, MPH 619-543-7544 jshuang@ucsd.edu
Contact: Lillian Choi, MD 619-543-7544 ljchoi@ucsd.edu
United States
 
NCT00694564
Jeannie Huang, MD, MPH, University of California, San Diego
UCSD060705, IND 75,404
Huang, Jeannie, M.D.
Pharmavite
Principal Investigator: Jeannie Huang, MD, MPH University of California, San Diego
Huang, Jeannie, M.D.
June 2008

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP