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A Randomized, Placebo-Controlled, Double-Blind, Crossover Comparative Study of the Effect of Acotiamide on Gastrointestinal Symptoms in Patients with Myasthenia Gravis

A Randomized, Placebo-Controlled, Double-Blind, Crossover Comparative Study of the Effect of Acotiamide on Gastrointestinal Symptoms in Patients with Myasthenia Gravis - ACTMG

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
JPRN
Registry ID
JPRN-UMIN000053000
Enrollment
40
Registered
2023-12-05
Start date
2024-09-01
Completion date
Unknown
Last updated
2026-06-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Myasthenia Gravis

Interventions

Acotiamide should be administered orally, one 100 mg tablet three times a day before meals. Placebo will be administered in the same manner. The dosing period will consist of 28 consecutive days of a

Sponsors

Division of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: Patients diagnosed with myasthenia gravis Patients with one or more symptoms of dysphagia, postprandial bloating, early satiety, upper abdominal pain, or upper abdominal discomfort for at least 6 months prior to obtaining consent Patients who have undergone upper gastrointestinal endoscopy within 6 months of obtaining consent and no lesions causing gastrointestinal symptoms were found. Patients who have not used acotiamide within 3 months of obtaining consent Patients who are at least 18 years old and able to understand and consent to the study by themselves.

Exclusion criteria

Exclusion criteria: Patients under 18 years of age at the start of treatment Patients with obvious organic disease as a possible cause of dysphagia, postprandial bloating, early satiety, epigastric pain, or epigastric discomfort. Patients with acothiaminergic allergies Patients who are allergic to acotiamide. Other patients whose inclusion in the study is deemed inappropriate by the investigator.

Design outcomes

Primary

MeasureTime frame
Superiority of the rate of improvement of dyspepsia symptoms with acotiamide over placebo during the first 4 weeks of oral administration

Secondary

MeasureTime frame
Superiority of the rate of improvement of dyspepsia symptoms with acotiamide over placebo at weeks 1, 2, and 3 after initiation of oral therapy. Incidence of adverse effects and change in MG symptoms with acofide (MG-ADL, MG-QOL, MG composite)

Countries

Japan

Contacts

Public ContactHideki Mori

Keio University School of Medicine Division of Gastroenterology and Hepatology, Department of Internal Medicine

koyamaru2002@yahoo.co.jp0333531211

Outcome results

None listed

Source: JPRN (via WHO ICTRP) · Data processed: Jul 3, 2026