Irritable Bowel Syndrome
Conditions
Interventions
Trade Name: Spasmomen
Product Name: Otilonium Bromide
Pharmaceutical Form: Tablet
Current Sponsor code: otilonium bromide
Concentration unit: mg milligram(s)
Concentration type: equal
Concentration nu
Sponsors
Menarini IFR – International Division
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: ? Positive diagnosis for IBS according to the following symptom-based criteria (Rome II): 12 weeks or more, which need not to be consecutive, in the last 12 months of abdominal pain/discomfort that has two of the following three features: (a) Relieved by defecation (b) Associated with a change in frequency of stool (c) Associated with a change in consistency of stool ? At least 2 episodes of abdominal pain for each week during the two weeks of run-in (at visit 2). Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: ? Pregnant and breast-feeding women ? Simultaneous participation in another clinical trial ? Inability to maintain the conditions of the trial ? Severe psychiatric disorders ? Severe neurological disorders ? Severe heart failure, severe ischemic heart disease and severe hypertension ? Lactose intolerance ? Any clinical condition capable of causing gastrointestinal malabsorption ? Previous intestinal surgery except appendicectomy ? History of organic gastro-intestinal disease, (e.g. inflammatory bowel disease, cancer, ectopic endometriosis) ? Parasitosis infection ? Bowel obstruction ? History of the following diseases in the previous 4 months: ? Clinically symptomatic severe anaemia ? Cholestasis ? Diabetes mellitus requiring treatment with oral antidiabetics or insulin ? Severe hepatic or renal functional abnormality according to investigator’s opinion ? Any chronic use (> 2 weeks continuously) in the previous month of concomitant medication that may affect gastro-intestinal motility and function and that cannot be stopped during the trial such as: anticholinergics, prokinetics, laxatives, antidiarrhoeals, analgesics, NSAIDs, opiates, antidepressants, probiotics and drugs adjusting the microbial state. An antithrombotic treatment with low dose of aspirin is permitted. ? Clinically relevant abnormal values in the laboratory tests ? Glaucoma ? Prostatic hypertrophy ? Pyloric stenosis ? Hypersensitivity to any ingredient of the study products (otilonium bromide and/or excipients).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Confirm efficacy of otilonium bromide for symptom control (frequency of abdominal pain in patients with irritable bowel syndrome (IBS) in a superiority trial versus placebo.;Secondary Objective: - Definition of the pattern of pharmacological effects of otilonium bromide on the other IBS symptoms - Assessment of the impact of treatment with otilonium bromide on the patients’ quality of life - Evaluate whether a long term treatment with otilonium bromide can have long term effects on IBS symptoms, thereby retarding symptom relapse following treatment discontinuation - Evaluate the economic impact of the therapy - Evaluate the safety of treatments ;Primary end point(s): Abdominal pain is the most frequent IBS symptom, and its frequency (independently of subjective perception of pain intensity) is easily assessable. Therefore the frequency of abdominal pain will be adopted as primary clinical endpoint. Our target will be its evaluation at the end of the treatment period versus baseline. Frequency of abdominal pain will be quantified by a 4-level score, based on the number of pain episodes: 0 = 0 to 1 episode during the week; this will be differentiated on the diary/CRF 1 = 2 to 3 episodes during the week 2 = 4 to 7 episodes during the week 3 = 8 or more episodes during the week. | — |
Countries
Belgium, Germany, Portugal, Spain
Outcome results
None listed