Efficacy and Safety Study of the Effect of Dose-Titration of Prucalopride for The Treatment of Chronic Constipation

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00577018
Recruitment Status : Completed
First Posted : December 19, 2007
Last Update Posted : May 29, 2008
Information provided by:

December 17, 2007
December 19, 2007
May 29, 2008
August 1998
September 1999   (Final data collection date for primary outcome measure)
Proportion of patients with an average of ≥3 SCBM/week [ Time Frame: 4 weeks ]
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Complete list of historical versions of study NCT00577018 on Archive Site
Proportion of patients with an average increase of ≥1 SCBM/week [ Time Frame: 4 weeks ]
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Efficacy and Safety Study of the Effect of Dose-Titration of Prucalopride for The Treatment of Chronic Constipation
A Double-Blind, Placebo-Controlled Trial to Evaluate the Effect of Dose-Titration on the Safety and Efficacy and R108512 Tablets in Subjects With Chronic Constipation
The purpose of this study is to determine the safety profile of 4 mg prucalopride in the treatment of chronic constipation.
To evaluate the potential differences in the adverse event (safety) profile between 4 mg of prucalopride daily for 4 weeks; titration up to a 4-mg total daily dose of prucalopride by starting at 1 mg for 2 days, 2 mg for 2 days, to 4 mg thereafter; and placebo given as oral tablets once daily for 4 weeks in patients with chronic constipation
Phase 3
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Participant, Investigator)
Primary Purpose: Treatment
  • Drug: Prucalopride
    4 mg o.d.
    Other Name: Resolor
  • Drug: Prucalopride
    1 mg o.d. for 2 days, 2 mg o.d. for 2 days and 4 mg o.d. thereafter
    Other Name: Resolor
  • Other: Placebo
  • Active Comparator: 1
    Intervention: Drug: Prucalopride
  • Active Comparator: 2
    Intervention: Drug: Prucalopride
  • Placebo Comparator: 3
    Intervention: Other: Placebo
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*   Includes publications given by the data provider as well as publications identified by Identifier (NCT Number) in Medline.
Same as current
September 1999
September 1999   (Final data collection date for primary outcome measure)

Inclusion Criteria:

  • Male and non-pregnant, non-breast feeding female subjects at least 18 years of age (no upper age limit);
  • History of constipation. The subject reported having on average, 2 or fewer spontaneous bowel movements per week that resulted in a feeling or sensation of complete evacuation, as well as the occurrence of one or more of the following for at least 6 months before the selection visit: very hard (little balls) and/or hard stools for at least a quarter of the stools; sensation of incomplete evacuation following at least a quarter of the stools; or straining at defecation at least a quarter of the time. The above criteria only applied to spontaneous bowel movements, (i.e., not preceded within a period of 24 hours by the intake of a laxative or use of an enema). A subject who never had spontaneous bowel movements was considered to be constipated and therefore eligible for the trial;
  • Constipation that was functional (i.e., not secondary to other causes);
  • Willingness and ability to fill out own diary and questionnaires;
  • Written informed consent, signed by the subject or legally acceptable representative and by the investigator; and
  • Availability for follow-up during the trial period, as determined in the protocol.

Exclusion Criteria:

  • Subjects in whom constipation was thought to be drug-induced or who were using any disallowed medication;
  • Subjects suffering from secondary causes of chronic constipation. For example:

Endocrine disorders: insulin-dependent diabetes mellitus; hypopituitarism; hypothyroidism; hypercalcemia; pseudo-hypoparathyroidism; pheochromocytoma; or glucagon-producing tumors. Endocrine disorders controlled by appropriate medical therapy were not excluded, with the exception of insulin-dependent diabetes mellitus Metabolic disorders: porphyria; uremia; hypokalemia; or amyloid neuropathy. Metabolic disorders controlled by appropriate medical therapy were not excluded

• Exclusion criteria (cont'd): Neurologic disorders: Parkinson's disease; cerebral tumors; cerebrovascular accidents; multiple sclerosis; meningocele; aganglionosis; hypoganglionosis; hyperganglionosis; autonomic neuropathy; spinal cord injury; Chagas' disease; or major depression

  • Presence of megacolon/megarectum or a diagnosis of pseudo-obstruction;
  • Constipation as a result of surgery;
  • Known or suspected organic disorders of the large bowel (i.e., obstruction, carcinoma, or inflammatory bowel disease). Results of a barium enema with flexible sigmoidoscopy or of a colonoscopic examination performed within the last 12 months were needed to rule out organic disorders. An examination performed within the last 3 years was acceptable, if the examination had been performed for an evaluation of constipation, if there was no history or evidence of weight loss, anemia, or rectal bleeding, and if the subject had had three consecutively negative stool occult blood tests at screening. Subjects with polyps discovered by colonoscopy that were untreated (i.e., by polypectomy) were to be excluded;
  • Presence of severe and clinically uncontrolled cardiovascular, liver or lung disease, neurologic or psychiatric disorders (including active alcohol or drug abuse);
  • Clinically significant cancer within the past 5 years;
  • Known HIV-positive status or AIDS;
  • Impaired renal function;
  • Clinically significant abnormalities of hematology, urinalysis or blood chemistry;
  • Females of child-bearing potential without adequate contraceptive protection during the trial. Oral contraceptives, Depo-Provera®, or Norplant®) must have been used for at least 3 months prior to randomization. I.U.D.'s, sterilization, or a double-barrier method were other acceptable methods of birth control;
  • Treatment with an investigational drug in the 30 days preceding the run-in phase of the trial; and
  • Previous treatment with either R093877 (prucalopride hydrochloride) or R108512 (prucalopride succinate).
Sexes Eligible for Study: All
18 Years and older   (Adult, Senior)
Contact information is only displayed when the study is recruiting subjects
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Renate Specht Gryp, Movetis
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Principal Investigator: John F Johanson, MD, MSc Private Practice
December 2007

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