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Study to Evaluate the Efficacy and Safety of Hyoscine Butylbromide Tablets for the Treatment of Occasional or Recurrent Episodes of Gastric or Intestinal Spasm-like Pain or Discomfort

A Randomized, Double-blind, Double-dummy, Active-controlled, Parallel-group, Multi-center Trial, in Contrast With Hyoscine Butylbromide Capsule 10mg, to Evaluate the Efficacy and Safety of Hyoscine Butylbromide Tablets 10 mg (20mg, 3 Times Daily, Orally) Over a Period of 3 Days for the Treatment of Occasional or Recurrent Episodes of Self-reported Gastric or Intestinal Spasm-like Pain

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02242305
Enrollment
302
Registered
2014-09-17
Start date
2008-11-01
Completion date
2009-07-20
Last updated
2017-07-27

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

Conditions

Abdominal Pain

Brief summary

In contrast with Hyoscine Butylbromide Capsule 10mg, Study is to evaluate the efficacy and safety of Hyoscine Butylbromide tablets 10 mg (20mg, 3 times daily, orally) over a period of 3 days for the treatment of occasional or recurrent episodes of self-reported gastric or intestinal spasm-like pain or discomfort

Interventions

DRUGHyoscine Butylbromide - Tablet
DRUGHyoscine Butylbromide - Capsule
DRUGPlacebo

Sponsors

Boehringer Ingelheim
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No

Inclusion criteria

1. Written Informed Consent given by the patient 2. Male and female patients aging from 18 to 70 3. Subjects with occasional or recurrent episodes of gastric or intestinal spasm-like pain, or discomfort, such as occur e.g. in irritable bowel syndrome, which has been present for at least 3 months 4. The pain intensity score upon screening is at least 4 cm in VAS score

Exclusion criteria

1. Patients with the following concomitant disease were not eligible for enrolment * Painful gastric or intestinal spasm of organic origin such as Crohn's disease, ulcerative colitis, lactose intolerance, gastritis, ulcer. Exception: diverticulitis and mild gastritis if dominant symptom was cramp pain, but ineligible if heartburn or reflux were dominant symptoms * Pain related with malignancy * Patients with other severe pain states of organic origin * Mechanical stenosis of the gastrointestinal tract, megacolon * Urinary retention associated with mechanical stenosis of urinary tract * Narrow-angled glaucoma * Tachyarrhythmia * Myasthenia gravis * Meulengracht-Gilbert syndrome * Known depression or known mental illness, anxiety disturbance 2. Frequent vomiting that might have prevented adequate absorption of the active ingredient after the film-coated tablet was taken 3. Patients taking the following concomitant medication are not eligible for enrolment * Analgesics * Spasmolytics * Anticholinergics * Affecting gastrointestinal motility, such as propantheline metoclopramide, cisapride, loperamide, diphenoxylate, opioid analgesics, antacids and other ulcer treatment * Regular administration of laxatives * Narcotics * Antidepressant treatment or treatment with psychoactive drugs 4. Pregnancy and/or lactation or planned pregnancy 5. Known hypersensitivity to N-butylscopolammonium bromide 6. Alcohol or drug abuse 7. Simultaneous participating in another clinical trial, or discontinuing from another clinical trial before randomization (administration of study medication); moreover, in the case of screening failure or premature discontinuing from the trial, repeated enrolment is forbidden 8. Unwilling to or unable to complete the entire trial procedure according to the protocol 9. In investigator's opinion, the patient was not proper for the trial

Design outcomes

Primary

MeasureTime frameDescription
Change of the Mean Pain Intensity Score Measured on a Visual Analogue Scale (VAS) Within 3 Days (and Within 1 Day) - ANCOVA3 days (1 day)The endpoint presents change of the mean Visual Analogue Scale (VAS) of pain intensity score, recorded daily by the patient in the evening in his/her patient diary describing pain intensity during the previous 24 hours, from the baseline pain intensity. The baseline pain intensity was the pain intensity of first episode on Day 1 after randomization before taking study medication. The mean VAS pain intensity score was calculated for the 3-day treatment period. A VAS for describing the pain intensity was used (VAS: maximum score of 10 cm, the score from 0 - 10 cm reaching from no pain to the most severe pain imaginable).

Secondary

MeasureTime frameDescription
Global Assessment of Efficacy by Patient on 4-point ScalePost 3 days of treatment.The endpoint presents global assessment of efficacy: by the patient after 3 days of treatment using a 4-point rating scale (good, satisfactory, not satisfactory, and bad).
Number of Patients With Adverse EventsUp to 3 days.The endpoint presents number of patients with Adverse Events (AEs). Subjects were required to report spontaneously any AEs as well as the time of onset, end and intensity of these events. Specific questions were asked wherever required or useful to more precisely describe an AE. An Adverse Event was termed serious when one of the following applied: death, directly lifethreatening, continuous or severe impairment, in-patient treatment or prolonging of hospitalization, congenital deformity and other similar medical criteria.
Change of the Pain Frequency Assessed on 4-stage Verbal Rating Scale (VRS)Up to 3 days.The endpoint presents frequency improvement, change of the pain frequency from baseline pain frequency for each of Day 1 - 3. Baseline pain frequency meant the pain frequency before randomization on visit 1. VRS score of Day 3 change from baseline was calculated. A retrospective assessment was entered by the patient in the patient diary, again once daily in the evening, of the pain frequency over the preceding 24 hour period. This was based on a 4-stage Verbal Rating Scale (VRS) with the following scores to the question: How many times have the spasm-like pains occurred today? 0 = not at all, 1 = 1-2 times, 2 = 3-5 times, 3 = more than 5 times.
Number of Subjects With Clinical Relevant Abnormalities for Laboratory, Vital Signs, ElectroCardioGram (ECG) and Physical ExaminationUp to 3 days.Number of patients with findings in clinical relevant abnormalities for laboratory, vital signs, ElectroCardioGram (ECG) and physical examination. Relevant findings or worsening of baseline conditions were reported as Adverse Events (AEs).
Percentage of Event for Time to Therapeutic EffectFrom time of the first dose to the time that the first VAS reduction occurred, up to 180 minutes after the first dose on Day 1.This outcome measure presents percentage of event for time to therapeutic effect defined as the time that the first VAS reduction occurred.
Global Assessment of Tolerability by Investigator on a 4-point ScaleDay 3.The endpoint presents global assessment of tolerability by subject on a 4-point scale. Global assessment of tolerability regarding all episodes treated by the subject after 3 days of treatment (good, satisfactory, not satisfactory, bad).

Participant flow

Participants by arm

ArmCount
Hyoscine Butylbromide - Tablet
The subjects administered Hyoscine Butylbromide (10 mg), (Brand name: Buscopan) sugar coated tablet 20 mg orally, 3 times daily for 3 days.
146
Hyoscine Butylbromide - Capsule
The subjects administered Hyoscine Butylbromide (10 mg), (Brand name: Jie Jing Ning) sugar coated capsule 20 mg orally, 3 times daily for 3 days.
142
Total288

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event10
Overall StudyLost to Follow-up20
Overall StudyNon-compliance dosing regimen or visit22
Overall StudySubject withdraws inform consent04
Overall StudyWithout spasm-like pain during 3 weeks14

Baseline characteristics

CharacteristicHyoscine Butylbromide - TabletHyoscine Butylbromide - CapsuleTotal
Age, Continuous43.2 Years
STANDARD_DEVIATION 12.49
41.9 Years
STANDARD_DEVIATION 12.05
42.6 Years
STANDARD_DEVIATION 12.27
Sex: Female, Male
Female
89 Participants84 Participants173 Participants
Sex: Female, Male
Male
57 Participants58 Participants115 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
0 / 1460 / 142
serious
Total, serious adverse events
0 / 1460 / 142

Outcome results

Primary

Change of the Mean Pain Intensity Score Measured on a Visual Analogue Scale (VAS) Within 3 Days (and Within 1 Day) - ANCOVA

The endpoint presents change of the mean Visual Analogue Scale (VAS) of pain intensity score, recorded daily by the patient in the evening in his/her patient diary describing pain intensity during the previous 24 hours, from the baseline pain intensity. The baseline pain intensity was the pain intensity of first episode on Day 1 after randomization before taking study medication. The mean VAS pain intensity score was calculated for the 3-day treatment period. A VAS for describing the pain intensity was used (VAS: maximum score of 10 cm, the score from 0 - 10 cm reaching from no pain to the most severe pain imaginable).

Time frame: 3 days (1 day)

Population: Per-Protocol Set (PPS): All randomized subjects in FAS without any major protocol violation were included into the per protocol set, including those subjects who had good treatment compliance (80% to 120%), who did not take any restriction medications during the study period and whose Case Report Form (CRF) was complete as requested.

ArmMeasureGroupValue (NUMBER)Dispersion
Hyoscine Butylbromide - TabletChange of the Mean Pain Intensity Score Measured on a Visual Analogue Scale (VAS) Within 3 Days (and Within 1 Day) - ANCOVAWithin 3 days-2.48 Units on a scale 1.968
Hyoscine Butylbromide - TabletChange of the Mean Pain Intensity Score Measured on a Visual Analogue Scale (VAS) Within 3 Days (and Within 1 Day) - ANCOVAWithin 1 day-2.36 Units on a scale 1.984
Hyoscine Butylbromide - CapsuleChange of the Mean Pain Intensity Score Measured on a Visual Analogue Scale (VAS) Within 3 Days (and Within 1 Day) - ANCOVAWithin 3 days-2.45 Units on a scale 1.879
Hyoscine Butylbromide - CapsuleChange of the Mean Pain Intensity Score Measured on a Visual Analogue Scale (VAS) Within 3 Days (and Within 1 Day) - ANCOVAWithin 1 day-2.31 Units on a scale 1.914
p-value: 0.80990% CI: [-0.33, 0.27]ANCOVA
p-value: 0.80995% CI: [-0.39, 0.33]ANCOVA
Secondary

Change of the Pain Frequency Assessed on 4-stage Verbal Rating Scale (VRS)

The endpoint presents frequency improvement, change of the pain frequency from baseline pain frequency for each of Day 1 - 3. Baseline pain frequency meant the pain frequency before randomization on visit 1. VRS score of Day 3 change from baseline was calculated. A retrospective assessment was entered by the patient in the patient diary, again once daily in the evening, of the pain frequency over the preceding 24 hour period. This was based on a 4-stage Verbal Rating Scale (VRS) with the following scores to the question: How many times have the spasm-like pains occurred today? 0 = not at all, 1 = 1-2 times, 2 = 3-5 times, 3 = more than 5 times.

Time frame: Up to 3 days.

Population: Per-Protocol Set (PPS): All randomized subjects in FAS without any major protocol violation were included into the per protocol set, including those subjects who had good treatment compliance (80% to 120%), who did not take any restriction medications during the study period and whose Case Report Form (CRF) was complete as requested.

ArmMeasureGroupValue (MEAN)Dispersion
Hyoscine Butylbromide - TabletChange of the Pain Frequency Assessed on 4-stage Verbal Rating Scale (VRS)Day 1-Baseline-0.4 Units on a scaleStandard Deviation 0.77
Hyoscine Butylbromide - TabletChange of the Pain Frequency Assessed on 4-stage Verbal Rating Scale (VRS)Day 3-Baseline-1.0 Units on a scaleStandard Deviation 0.94
Hyoscine Butylbromide - CapsuleChange of the Pain Frequency Assessed on 4-stage Verbal Rating Scale (VRS)Day 1-Baseline-0.2 Units on a scaleStandard Deviation 0.73
Hyoscine Butylbromide - CapsuleChange of the Pain Frequency Assessed on 4-stage Verbal Rating Scale (VRS)Day 3-Baseline-0.8 Units on a scaleStandard Deviation 0.94
p-value: 0.079ANCOVA
Secondary

Global Assessment of Efficacy by Patient on 4-point Scale

The endpoint presents global assessment of efficacy: by the patient after 3 days of treatment using a 4-point rating scale (good, satisfactory, not satisfactory, and bad).

Time frame: Post 3 days of treatment.

Population: Full Analysis Set (FAS): According to the Intent-to-Treat (ITT) principle, all randomized subjects who took at least one dose of study medication and who provided any data for the primary efficacy endpoint were used in FAS.

ArmMeasureGroupValue (NUMBER)
Hyoscine Butylbromide - TabletGlobal Assessment of Efficacy by Patient on 4-point ScaleGood35 Participants
Hyoscine Butylbromide - TabletGlobal Assessment of Efficacy by Patient on 4-point ScaleSatisfactory69 Participants
Hyoscine Butylbromide - TabletGlobal Assessment of Efficacy by Patient on 4-point ScaleNot satisfactory37 Participants
Hyoscine Butylbromide - TabletGlobal Assessment of Efficacy by Patient on 4-point ScaleBad2 Participants
Hyoscine Butylbromide - CapsuleGlobal Assessment of Efficacy by Patient on 4-point ScaleBad0 Participants
Hyoscine Butylbromide - CapsuleGlobal Assessment of Efficacy by Patient on 4-point ScaleGood35 Participants
Hyoscine Butylbromide - CapsuleGlobal Assessment of Efficacy by Patient on 4-point ScaleNot satisfactory30 Participants
Hyoscine Butylbromide - CapsuleGlobal Assessment of Efficacy by Patient on 4-point ScaleSatisfactory76 Participants
Secondary

Global Assessment of Tolerability by Investigator on a 4-point Scale

The endpoint presents global assessment of tolerability by subject on a 4-point scale. Global assessment of tolerability regarding all episodes treated by the subject after 3 days of treatment (good, satisfactory, not satisfactory, bad).

Time frame: Day 3.

Population: Safety Set (SFS): All randomized subjects who took at least one dose of study medication.

ArmMeasureGroupValue (NUMBER)
Hyoscine Butylbromide - TabletGlobal Assessment of Tolerability by Investigator on a 4-point ScaleGood51 Participants
Hyoscine Butylbromide - TabletGlobal Assessment of Tolerability by Investigator on a 4-point ScaleSatisfactory72 Participants
Hyoscine Butylbromide - TabletGlobal Assessment of Tolerability by Investigator on a 4-point ScaleNot satisfactory21 Participants
Hyoscine Butylbromide - TabletGlobal Assessment of Tolerability by Investigator on a 4-point ScaleBad1 Participants
Hyoscine Butylbromide - CapsuleGlobal Assessment of Tolerability by Investigator on a 4-point ScaleBad0 Participants
Hyoscine Butylbromide - CapsuleGlobal Assessment of Tolerability by Investigator on a 4-point ScaleGood47 Participants
Hyoscine Butylbromide - CapsuleGlobal Assessment of Tolerability by Investigator on a 4-point ScaleNot satisfactory22 Participants
Hyoscine Butylbromide - CapsuleGlobal Assessment of Tolerability by Investigator on a 4-point ScaleSatisfactory72 Participants
Secondary

Number of Patients With Adverse Events

The endpoint presents number of patients with Adverse Events (AEs). Subjects were required to report spontaneously any AEs as well as the time of onset, end and intensity of these events. Specific questions were asked wherever required or useful to more precisely describe an AE. An Adverse Event was termed serious when one of the following applied: death, directly lifethreatening, continuous or severe impairment, in-patient treatment or prolonging of hospitalization, congenital deformity and other similar medical criteria.

Time frame: Up to 3 days.

Population: Safety Set (SFS): All randomized subjects who took at least one dose of study medication.

ArmMeasureGroupValue (NUMBER)
Hyoscine Butylbromide - TabletNumber of Patients With Adverse EventsSubjects with Serious Adverse Event (SAE)0 Participants
Hyoscine Butylbromide - TabletNumber of Patients With Adverse EventsSubjects with AE: Mild10 Participants
Hyoscine Butylbromide - TabletNumber of Patients With Adverse EventsSubjects with treatment related AE5 Participants
Hyoscine Butylbromide - TabletNumber of Patients With Adverse EventsSubjects with AE: Moderate0 Participants
Hyoscine Butylbromide - TabletNumber of Patients With Adverse EventsAE leading to discontinuation from treatment1 Participants
Hyoscine Butylbromide - TabletNumber of Patients With Adverse EventsSubjects with AE: Severe0 Participants
Hyoscine Butylbromide - TabletNumber of Patients With Adverse EventsSubjects with AE10 Participants
Hyoscine Butylbromide - CapsuleNumber of Patients With Adverse EventsSubjects with AE: Severe0 Participants
Hyoscine Butylbromide - CapsuleNumber of Patients With Adverse EventsSubjects with AE10 Participants
Hyoscine Butylbromide - CapsuleNumber of Patients With Adverse EventsSubjects with treatment related AE5 Participants
Hyoscine Butylbromide - CapsuleNumber of Patients With Adverse EventsSubjects with Serious Adverse Event (SAE)0 Participants
Hyoscine Butylbromide - CapsuleNumber of Patients With Adverse EventsAE leading to discontinuation from treatment0 Participants
Hyoscine Butylbromide - CapsuleNumber of Patients With Adverse EventsSubjects with AE: Mild10 Participants
Hyoscine Butylbromide - CapsuleNumber of Patients With Adverse EventsSubjects with AE: Moderate0 Participants
Secondary

Number of Subjects With Clinical Relevant Abnormalities for Laboratory, Vital Signs, ElectroCardioGram (ECG) and Physical Examination

Number of patients with findings in clinical relevant abnormalities for laboratory, vital signs, ElectroCardioGram (ECG) and physical examination. Relevant findings or worsening of baseline conditions were reported as Adverse Events (AEs).

Time frame: Up to 3 days.

Population: Safety Set (SFS): All randomized subjects who took at least one dose of study medication.

ArmMeasureGroupValue (NUMBER)
Hyoscine Butylbromide - TabletNumber of Subjects With Clinical Relevant Abnormalities for Laboratory, Vital Signs, ElectroCardioGram (ECG) and Physical ExaminationUrinary Red Blood Cell count abnormalities2 Participants
Hyoscine Butylbromide - TabletNumber of Subjects With Clinical Relevant Abnormalities for Laboratory, Vital Signs, ElectroCardioGram (ECG) and Physical ExaminationWhite Blood Cell count abnormalities0 Participants
Hyoscine Butylbromide - TabletNumber of Subjects With Clinical Relevant Abnormalities for Laboratory, Vital Signs, ElectroCardioGram (ECG) and Physical ExaminationUrinary albumin abnormalities1 Participants
Hyoscine Butylbromide - TabletNumber of Subjects With Clinical Relevant Abnormalities for Laboratory, Vital Signs, ElectroCardioGram (ECG) and Physical ExaminationPlatelet count abnormalities0 Participants
Hyoscine Butylbromide - TabletNumber of Subjects With Clinical Relevant Abnormalities for Laboratory, Vital Signs, ElectroCardioGram (ECG) and Physical ExaminationUrinary White Bllood Cell count abnormalities4 Participants
Hyoscine Butylbromide - CapsuleNumber of Subjects With Clinical Relevant Abnormalities for Laboratory, Vital Signs, ElectroCardioGram (ECG) and Physical ExaminationPlatelet count abnormalities1 Participants
Hyoscine Butylbromide - CapsuleNumber of Subjects With Clinical Relevant Abnormalities for Laboratory, Vital Signs, ElectroCardioGram (ECG) and Physical ExaminationUrinary White Bllood Cell count abnormalities2 Participants
Hyoscine Butylbromide - CapsuleNumber of Subjects With Clinical Relevant Abnormalities for Laboratory, Vital Signs, ElectroCardioGram (ECG) and Physical ExaminationUrinary Red Blood Cell count abnormalities1 Participants
Hyoscine Butylbromide - CapsuleNumber of Subjects With Clinical Relevant Abnormalities for Laboratory, Vital Signs, ElectroCardioGram (ECG) and Physical ExaminationUrinary albumin abnormalities1 Participants
Hyoscine Butylbromide - CapsuleNumber of Subjects With Clinical Relevant Abnormalities for Laboratory, Vital Signs, ElectroCardioGram (ECG) and Physical ExaminationWhite Blood Cell count abnormalities1 Participants
Secondary

Percentage of Event for Time to Therapeutic Effect

This outcome measure presents percentage of event for time to therapeutic effect defined as the time that the first VAS reduction occurred.

Time frame: From time of the first dose to the time that the first VAS reduction occurred, up to 180 minutes after the first dose on Day 1.

Population: Per-Protocol Set (PPS): All randomized subjects in FAS without any major protocol violation were included into the per protocol set, including those subjects who had good treatment compliance (80% to 120%), who did not take any restriction medications during the study period and whose Case Report Form (CRF) was complete as requested.

ArmMeasureValue (NUMBER)
Hyoscine Butylbromide - TabletPercentage of Event for Time to Therapeutic Effect93.6 Percentage of event
Hyoscine Butylbromide - CapsulePercentage of Event for Time to Therapeutic Effect92.1 Percentage of event
p-value: 0.531ANCOVA

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026