Domperidone for Gastroparesis in Solid Organ Transplantation
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|ClinicalTrials.gov Identifier: NCT00552422|
Recruitment Status : Terminated (Lack of perceived need for domperidone in this population)
First Posted : November 1, 2007
Results First Posted : July 10, 2015
Last Update Posted : July 10, 2015
|Condition or disease||Intervention/treatment|
|Gastroparesis Gastroesophageal Reflux||Drug: domperidone|
After heart or lung transplantation, the stomach tends to empty much slower than normal. This slow emptying is called "gastroparesis." Gastroparesis is uncomfortable and often leads to nausea and vomiting. In addition to drastically impacting quality of life, severe nausea and vomiting can also lead to malnutrition and an inability to take oral medications, contributing to complications of transplantation. Treatments for gastroparesis include both medical and surgical therapies that work for some but not all patients.
Domperidone is a peripheral D2 antagonist that improves the emptying of the stomach in patients with gastroparesis. Domperidone is not FDA approved at this time. Some patients have developed lifethreatening abnormal heart rhythms after receiving domperidone intravenously. This problem has not been seen with domperidone given by mouth.
We propose to administer domperidone by mouth at standard doses to solid organ transplant patients who have gastroparesis that is not responsive to standard medical therapies or who experience adverse drug side effects. This study will not be blinded (open-label) and has a single treatment arm (no control or placebo group).
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||6 participants|
|Intervention Model:||Single Group Assignment|
|Masking:||None (Open Label)|
|Official Title:||Domperidone for Gastroparesis Associated With Solid Organ Transplantation|
|Study Start Date :||March 2007|
|Primary Completion Date :||September 2010|
|Study Completion Date :||September 2010|
Experimental: Domperidone Arm
Study subjects will self-administer oral domperidone 10mg four times a day. If symptoms persist for more than 7 days, the investigator may increase the dose to 20mg four times a day. 20mg four times a day will be the maximal dose. Subjects with signiﬁcant renal impairment will received a starting dose of 10mg twice a day. The maximal dose in subjects with signiﬁcant renal impairment will be 20mg twice a day.
10mg orally four times per day
- Symptomatic Improvement [ Time Frame: 2 months ]The primary endpoint of the study is the achievement of a symptom grade of less then or equal to 3.
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00552422
|United States, New York|
|Columbia University Medical Center|
|New York, New York, United States, 10032|
|Principal Investigator:||David J Lederer, M.D.||Columbia University|