Effect of Secretin in Functional Dyspepsia and Healthy Subjects
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ClinicalTrials.gov Identifier: NCT03617861 |
Recruitment Status :
Completed
First Posted : August 7, 2018
Results First Posted : June 11, 2020
Last Update Posted : June 11, 2020
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Condition or disease | Intervention/treatment | Phase |
---|---|---|
Dyspepsia Healthy | Drug: Human Secretin Drug: Placebo | Phase 1 Phase 2 |
Study Type : | Interventional (Clinical Trial) |
Actual Enrollment : | 20 participants |
Allocation: | Randomized |
Intervention Model: | Crossover Assignment |
Masking: | Double (Participant, Investigator) |
Masking Description: | Blinded |
Primary Purpose: | Treatment |
Official Title: | Effect of Secretin on Gastric Accommodation, Emptying and Post-nutrient Challenge Symptoms in Functional Dyspepsia and Healthy Subjects |
Actual Study Start Date : | November 7, 2018 |
Actual Primary Completion Date : | July 1, 2019 |
Actual Study Completion Date : | August 1, 2019 |

Arm | Intervention/treatment |
---|---|
Experimental: Healthy Controls: Secretin Then Placebo
Healthy subjects first receive human Secretin 0.2 mcg/kg via IV over 1 min on Visit Day 1. After a 1 to 4 week washout period, they received the placebo treatment (normal saline, matching Secretin dose) via IV over 1 min on Visit Day 2.
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Drug: Human Secretin
Injected once over one minute
Other Name: ChiRhoStim Drug: Placebo Injected once over one minute
Other Name: Normal Saline |
Experimental: Healthy Controls: Placebo Then Secretin
Healthy subjects first receive placebo treatment (normal saline, matching Secretin dose) via IV over 1 min on Visit Day 1. After a 1 to 4 week washout period, they received the human Secretin 0.2 mcg/kg via IV over 1 min on Visit Day 2.
|
Drug: Human Secretin
Injected once over one minute
Other Name: ChiRhoStim Drug: Placebo Injected once over one minute
Other Name: Normal Saline |
Experimental: Functional Dyspepsia: Secretin Then Placebo
Functional Dyspepsia subjects first receive human Secretin 0.2 mcg/kg via IV over 1 min on Visit Day 1. After a 1 to 4 week washout period, they received the placebo treatment (normal saline, matching Secretin dose) via IV over 1 min on Visit Day 2.
|
Drug: Human Secretin
Injected once over one minute
Other Name: ChiRhoStim Drug: Placebo Injected once over one minute
Other Name: Normal Saline |
Experimental: Functional Dyspepsia: Placebo Then Secretin
Functional Dyspepsia subjects first receive placebo treatment (normal saline, matching Secretin dose) via IV over 1 min on Visit Day 1. After a 1 to 4 week washout period, they received the human Secretin 0.2 mcg/kg via IV over 1 min on Visit Day 2.
|
Drug: Human Secretin
Injected once over one minute
Other Name: ChiRhoStim Drug: Placebo Injected once over one minute
Other Name: Normal Saline |
- Maximum Satiation [ Time Frame: 60 minutes ]Thirty (30) minutes after ingesting the meal of 300 mL radio-labeled Ensure drink, an additional Ensure drink was ingested at a constant rate of 30 mL/min until maximum tolerated volume was reached.
- Fasting Gastric Volume [ Time Frame: Baseline ]Gastric fasting volume was measured prior to a meal of 300 mL standardized radio-labeled Ensure drink using an intravenous injection of Technetium Tc-99m pertechnetate and noninvasive single photon emission-computed tomography (SPECT).
- Postprandial Volume [ Time Frame: 15 minutes ]Postprandial volume was measured 15 minutes after ingestion of 300 mL standardized radio-labeled Ensure drink using an intravenous injection of Technetium Tc-99m pertechnetate and noninvasive single photon emission-computed tomography (SPECT).
- Change in Gastric Accommodation [ Time Frame: Baseline, 30 minutes ]The change in gastric accommodation was measured in mL using the difference between the fasting gastric volume and the postprandial volume.
- Gastric Emptying [ Time Frame: 30 minutes ]Gastric emptying was measured via scintigraphy 30 minutes after ingestion of 300 mL of radio-labeled Ensure drink and was reported as the percentage of the radio-labeled liquid meal emptied from the stomach.
- Change in Postprandial Symptoms [ Time Frame: Baseline, 30 minutes ]30 minutes after ingesting a meal of 300 mL of Ensure drink postprandial symptoms of fullness, nausea, bloating and pain were measured using a horizontal visual analog scales from 0 to 100, where 0 was 'none' and 100 was 'worst ever'.

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Ages Eligible for Study: | 18 Years to 65 Years (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | Yes |
Patients with FD and prior documentation of normal or accelerated gastric emptying and/or reduced gastric accommodation.
Inclusion criteria:
- Able to provide written informed consent prior to any study procedures and be willing and able to comply with study procedures
- No medical problems or chronic diseases, other than functional dyspepsia, for that group
- Body mass index of 18-35 kg/m2
- Female subjects must have negative urine pregnancy tests and must not be lactating prior to receiving study medication and radiation exposure. For females able to bear children, a hormonal (i.e., oral, implantable, or injectable) and single-barrier method, or a double-barrier method of birth control must be used throughout the study. Female subjects unable to bear children must have this documented in the medical record [i.e., tubal ligation, hysterectomy, or post-menopausal (defined as a minimum of one year since the last menstrual period)].
Exclusion criteria:
- Unable or unwilling to provide informed consent or to comply with study procedures
- Diagnosis of other gastrointestinal diseases besides functional dyspepsia
- Structural or metabolic diseases that affect the GI system
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Unable to avoid the following over-the-counter medications 48 hours prior to the baseline period and throughout the study:
- Medications that alter GI transit or motor function including laxatives, magnesium and aluminum containing antacids, prokinetics, erythromycin, buspirone, clonidine, tricyclic antidepressants, and secretin-norepinephrine reuptake inhibitors
- Analgesic drugs including NSAIDs and COX-2 inhibitors
- NOTE: Stable doses of thyroid replacement, estrogen replacement, low-dose aspirin for cardio-protection, low stable dose antidepressants of the SSRI class, and birth control (but with adequate backup contraception, as drug interactions with birth control have not been conducted) are permissible.
- History of recent surgery (within 60 days of screening)
- Acute or chronic illness or history of illness which in the opinion of the investigator could pose a threat or harm to the subject or obscure interpretation of laboratory test results or interpretation of study data, such as frequent angina, Class III or IV congestive heart failure, moderate impairment of renal or hepatic function, poorly controlled diabetes, etc.
- Any clinically significant abnormalities on physical examination or laboratory abnormalities identified in the medical record, as determined by the investigator
- Acute GI illness within 48 hours of initiation of the baseline period
- Females who are pregnant or breastfeeding
- History of excessive alcohol use or substance abuse
- Participation in an investigational study within the 30 days prior to dosing in the present study
- Any other reason, which in the opinion of the investigator, would confound proper interpretation of the study

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): NCT03617861
United States, Minnesota | |
Mayo Clinic in Rochester | |
Rochester, Minnesota, United States, 55905 |
Principal Investigator: | Michael Camilleri | Mayo Clinic |
Documents provided by Michael Camilleri, MD, Mayo Clinic:
Publications of Results:
Responsible Party: | Michael Camilleri, MD, Professor and Principal Investigator, Mayo Clinic |
ClinicalTrials.gov Identifier: | NCT03617861 |
Other Study ID Numbers: |
18-003744 R01DK115950 ( U.S. NIH Grant/Contract ) R01DK122280 ( U.S. NIH Grant/Contract ) UL1TR002377 ( U.S. NIH Grant/Contract ) |
First Posted: | August 7, 2018 Key Record Dates |
Results First Posted: | June 11, 2020 |
Last Update Posted: | June 11, 2020 |
Last Verified: | June 2020 |
Studies a U.S. FDA-regulated Drug Product: | Yes |
Studies a U.S. FDA-regulated Device Product: | No |
Dyspepsia Signs and Symptoms, Digestive Secretin Gastrointestinal Agents |
Hormones Hormones, Hormone Substitutes, and Hormone Antagonists Physiological Effects of Drugs |