Comparison of TCM and Laxatives for Adults With Chronic Constipation

This study has been completed.
Sponsor:
Information provided by:
National Taiwan University Hospital
ClinicalTrials.gov Identifier:
NCT00745147
First received: August 31, 2008
Last updated: May 3, 2010
Last verified: April 2010

August 31, 2008
May 3, 2010
July 2008
October 2009   (final data collection date for primary outcome measure)
frequency of spontaneous bowel movement [ Time Frame: every week ] [ Designated as safety issue: No ]
Same as current
Complete list of historical versions of study NCT00745147 on ClinicalTrials.gov Archive Site
  • amount of rescue laxative use [ Time Frame: every week ] [ Designated as safety issue: No ]
  • stool consistency [ Time Frame: every week ] [ Designated as safety issue: No ]
  • stool amount [ Time Frame: every week ] [ Designated as safety issue: No ]
  • global assessment of efficacy [ Time Frame: 2 months ] [ Designated as safety issue: No ]
  • safety evaluation [ Time Frame: every week ] [ Designated as safety issue: Yes ]
  • frequency of enema/suppository use/digital maneuver [ Time Frame: every week ] [ Designated as safety issue: No ]
  • medical cost per spontaneous bowel movement [ Time Frame: every week ] [ Designated as safety issue: No ]
  • amount of rescue laxative use [ Time Frame: every week ] [ Designated as safety issue: No ]
  • stool consistency [ Time Frame: every week ] [ Designated as safety issue: No ]
  • stool amount [ Time Frame: every week ] [ Designated as safety issue: No ]
  • global assessment of efficacy [ Time Frame: 2 months ] [ Designated as safety issue: No ]
  • safety evaluation [ Time Frame: every week ] [ Designated as safety issue: Yes ]
Not Provided
Not Provided
 
Comparison of TCM and Laxatives for Adults With Chronic Constipation
Comparison of Chinese Herbal Formula and Lactulose for Adults With Chronic Constipation-a Randomized ,Double-Blind, Controlled Trial

The purpose of the study is to compare the therapeutic efficacy, safety, cost-effectiveness and maintenance effect between Chinese herbal formula and lactulose on chronic constipation in long-term care.

Although many people regard regular defecation as important factor to maintain healthy, constipation is still a common problem in general population. According to some surveys, constipation affects approximately 50% to 73% of nursing home residents. Because the symptoms cause serious impairment of life quality, laxatives are commonly prescribed for people and over-prescribing of laxatives is also common. Despite the large sums spent on laxatives, there have been few advances in laxative treatment in the last 50 years and there have been minimal research addressing the problem. Therefore constipation was labeled as "the neglected symptoms".

There is unsatisfactory effect by currently pharmacologic therapies and preventive strategies for constipation. Contrarily, they had abundant clinical experiences and medical records for constipation in traditional Chinese medicine. So we follow the worldly trend to do the research of integrative Chinese medicine and Western medicine since WHO launched the first global strategy on traditional and complementary/alternative medicine (TM/CAM) to assist countries to create a stronger evidence base of the TM/CAM products and practices.

The study will be performed under randomized, double-blind, placebo controlled, parallel design. The object of this study is the residents in nursing homes. After intake of Chinese herb, improving constipation and care quality, decreasing the need of enema or digital maneuver, minimizing the dosage of rescue laxatives and saving the medical expenditure will be expected.

Interventional
Phase 3
Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Caregiver)
Primary Purpose: Treatment
Chronic Constipation
  • Drug: Chinese herbal formula (CCH1)
    initial dose of 1.5/3.0/4.5gm herbal powder with 15/30/45ml placebo of duphalac, respectively, per day for mild/moderate/severe constipation, then titrated
    Other Name: TCM
  • Drug: Duphalac
    initial dose of 15/30/45ml duphalac with 1.5/3.0/4.5gm placebo of herbal powder, respectively, per day for mild/moderate/severe constipation, then titrated
    Other Name: Laxative
  • Experimental: A
    Chinese herbal formula + Placebo of duphalac
    Intervention: Drug: Chinese herbal formula (CCH1)
  • Active Comparator: B
    Duphalac + Placebo of Chinese herbal formula
    Intervention: Drug: Duphalac
Lembo A, Camilleri M. Chronic constipation. N Engl J Med. 2003 Oct 2;349(14):1360-8. Review. No abstract available.

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
93
April 2010
October 2009   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • men and non-pregnant women who are at least 20 years of age
  • patients who have been adequately informed of the nature and risks of the study and who have given written informed consent prior to receiving study medication
  • the one who meet any one of the following three criteria: 1.RomeIII criteria; 2.at least once a week of enema/suppository use/digital maneuver in past three months; 3.laxative use in more than half time of last three months

Exclusion Criteria:

  • known severe renal or hepatic insufficiency,
  • known colorectal cancer, anal abscess, anal fistula, anal fissure, rectocele, inflammatory bowel diseases, or gastrointestinal obstruction;
  • unknown cause of gastrointestinal bleeding or acute infection
  • neuromuscular dystrophy or spinal cord injury induced constipation
  • history of drug abuser
  • unstable psychiatric disorders
  • women who are pregnant, as determined by a urine pregnancy test
  • use of an investigational drug (within 30days prior to enrolled)
  • known allergies to the component of study medication
Both
20 Years and older
No
Contact information is only displayed when the study is recruiting subjects
Taiwan
 
NCT00745147
200803029M
Yes
Chien-Hsun Huang, National Taiwan University Hospital
National Taiwan University Hospital
Not Provided
Principal Investigator: Chien-Hsun Huang, MD, MSc National Taiwan University Hospital, Yun-Lin Branch
National Taiwan University Hospital
April 2010

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