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An Open Label Study to Examine the Effect of Coated Nifedipine Suppository on Anal Fissure Pain and Healing in Human Subjects

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ClinicalTrials.gov Identifier: NCT00972907
Recruitment Status : Completed
First Posted : September 9, 2009
Last Update Posted : February 16, 2011
Sponsor:
Information provided by:
RDD Pharma Ltd

Brief Summary:
This is an open label study. The study will consist of 1 treatment group: coated Nifedipine suppository containing 12 mg of Nifedipine, administered BID to subjects with chronic anal fissure.

Condition or disease Intervention/treatment Phase
Chronic Anal Fissure Drug: Nifedipine coated suppositories Phase 1 Phase 2

Detailed Description:
This is an open label study. The study will consist of 1 treatment group: coated Nifedipine suppository containing 12 mg of Nifedipine. Approximately 20 subjects will participate into this 8-week study. A screening visit will be used to determine subject suitability for inclusion in the trial. Within one week of the screening visit, subjects who meet all inclusion criteria and none of the exclusion criteria will receive Coated Nifedipine 12 mg Suppository X2 a day (BID) (24 mg/day total) for a period of 8 weeks. During this period, 4 study visits (at 0, 2, 5, and 8 weeks) will take place. Study medication will be administered BID (in the morning and in the evening). In addition to receiving study medication, subjects will be maintained on a standard treatment for Anal Fissure: sitz baths, high fiber diet.

Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 20 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: An Open Label Study to Examine the Effect of Coated Nifedipine Suppository on Anal Fissure Pain and Healing in Human Subjects
Study Start Date : December 2009
Actual Primary Completion Date : January 2011
Actual Study Completion Date : February 2011

Resource links provided by the National Library of Medicine

Drug Information available for: Nifedipine

Arm Intervention/treatment
Experimental: Treatment
Nifedipine coated suppositories BID.
Drug: Nifedipine coated suppositories
12 mg Nifedipine coated suppositories BID




Primary Outcome Measures :
  1. To examine the effect of coated Nifedipine suppository on Anal fissure pain. [ Time Frame: 8 weeks ]
  2. To examine the effect of coated Nifedipine suppository on Anal fissure healing. [ Time Frame: 8 weeks ]

Secondary Outcome Measures :
  1. To investigate the Safety and tolerability of coated Nifedipine suppositories in Anal Fissure patients. [ Time Frame: 8 weeks ]


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Ages Eligible for Study:   18 Years to 65 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Single anal fissure
  • Signed written informed consent
  • Male or female subjects 18 to 65 years of age
  • Has chronic anal fissure defined as history of anal pain at least three days a week for 30 days duration or more
  • Visible fibers of the internal sphincter were seen at the base of the fissure or if a sentinel pile was present
  • VAS of > 35 mm in screening visit
  • If female, is nonlactating, has a negative urine pregnancy test result, and does not plan on becoming pregnant during the study, or not of childbearing potential (hysterectomy or tubal ligation at least 6 months prior to entry to the study or post-menopausal for 1 year); if of childbearing potential (including peri-menopausal women who have had a menstrual period within one year) must practice or be willing to continue to practice appropriate birth control (such as implants, injectables, oral contraceptives, some intrauterine contraceptive devices, sexual abstinence, tubal ligation, or a vasectomized partner) during the entire study duration.

Exclusion Criteria:

  • Known allergy to Nifedipine, polyethylene-glycol, propylene Glycol or silicone
  • Fissure resulting from inflammatory bowel disease, venereal disease, perianal psoriasis, immunodeficiency syndrome
  • Anal abscess
  • Fixed anal stenosis
  • Active or past history of cardiovascular or cerebrovascular disease including unstable angina, myocardial infarction, transient ischemic attacks/stroke, clinically significant arrhythmia, moderate to severe congestive heart failure, or cardiac valve abnormalities
  • Type 1 diabetes mellitus
  • Insulin treated type 2 diabetes mellitus
  • History of Renal insufficiency
  • History of Liver insufficiency
  • Malignant disease within 5 years of screening
  • Has uncontrolled hypertension (sitting blood pressure <160/95 mmHg at screening)
  • History of chronic gastrointestinal disease
  • History of rectal surgery
  • History of gastrointestinal surgery
  • History of HIV, hepatitis B, hepatitis C
  • In need of chronic use of medication, with the exception of birth control medications
  • Currently uses medication for acute illness (other than medications for use of treatment/pain relief of anal fissure)
  • Has used, in the last four weeks, drugs that may affect blood coagulation, such as Aspirin at a dose higher than 500 mg/day , Warfarin, Sintrom, Enoxaparin, Nadroparin, Heparin, Clopidogrel, Ticlopidine
  • Is using drug that may affect rectal tone
  • Calcium Channel Blocker such as:

    • Nifedipine (Osmo-Adlat, Pressolat, Nifedipine -Teva, Nifedilong)
    • Amlodipine (Amlow, Norvasc, Amlodipine-Teva)
    • Lercadipine (Vasodip)
    • Verapamil (Ikacor, Ikapress, Verapress)
    • Felodipine (Penedil)
    • Diltiazem (Adizem, Dilatam)
  • Nitrate donors such as:

    • Glyceryl Trinitrate (Deponit)
    • Isosorbid dinitrate (Isoket, Isolong)
    • Isosrbid mononitrate (Monocord, Monolong, Mononit)
    • Nitroglycerine (Nitrocine, Nitroderm, Nitrolingual)
  • Has upon physical examination a rectal deformation or signs of rectal disease such as bleeding hemorrhoids, fistula., infection or space occupying lesion
  • Is an immediate family member of personnel directly affiliated with the study at the investigative site, or is personally directly affiliated with the study at the investigative site; or is employed by RDD Pharma Ltd

Information from the National Library of Medicine

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): NCT00972907


Locations
Israel
Sapir Medical Center
Kfar Saba, Israel
Macabi HMO
Tel Aviv, Israel
Sponsors and Collaborators
RDD Pharma Ltd

Responsible Party: Nir Barak MD, RDD Pharma LTD
ClinicalTrials.gov Identifier: NCT00972907     History of Changes
Other Study ID Numbers: RDD 104
First Posted: September 9, 2009    Key Record Dates
Last Update Posted: February 16, 2011
Last Verified: February 2011

Keywords provided by RDD Pharma Ltd:
anal fissure
pain
nifedipine

Additional relevant MeSH terms:
Fissure in Ano
Anus Diseases
Rectal Diseases
Intestinal Diseases
Gastrointestinal Diseases
Digestive System Diseases
Nifedipine
Calcium Channel Blockers
Membrane Transport Modulators
Molecular Mechanisms of Pharmacological Action
Vasodilator Agents
Tocolytic Agents
Reproductive Control Agents
Physiological Effects of Drugs