Irritable Bowel Syndrome Characterized by Constipation
Conditions
Keywords
childhod constipation
Brief summary
The primary objective is to assess the efficacy and safety of the Food Supplement Physiomanna® Baby in pediatric patients with a history of functional constipation The secondary objective of the trial is to evaluate the adherence to product's administration in the enrolled children.
Detailed description
This is an interventional, non-controlled, multicenter trial with a prospective design in one cohort of patients. This clinical investigation will be performed in 3 centers in Romania. The tested hypothesis is that Physiomanna® Baby administration for 3 weeks, increases the SBM to be more than 2 times per week.
Interventions
Dosage 1g/kg body, 2 cycles (if applicable)
Sponsors
Study design
Eligibility
Inclusion criteria
* Male or female outpatients between the ages of 0 to 8 years; * Functional constipation according to ROME III criteria (Annex 2); * Two or fewer SBM during the previous week; SBM is defined as BM not preceded after a 24 h administration with a laxative or enema; * To be otherwise in good health, as judged by a physical examination; * Mentally competent parent or tutor to sign an informed consent
Exclusion criteria
* Known history of organic cause for the constipation; * Congenital malformations that produce constipation (Hirschsprung's disease, imperforate anus, children with cerebral palsy or other neurologic abnormalities, or systemic diseases); * Fecal Occult Blood Test (FOBT) positive in the 4 previous weeks; * Fecal impaction at baseline, or during the trial period, as indicated by the physical examination; * Known or suspected perforation or obstruction other than fecal impaction; * History of gastric retention, inflammatory bowel disease, bowel resection, or colostomy; * Use of concomitant medications that cause constipation in the previous 3 months; * Concomitant use of herbs and other dietary supplements, such as: stimulant laxative herbs and/or potassium depleting herbs; * Concomitant use of cardiac glycosides(e.g. Digoxin); * Patients who, according to the investigator, should not be included in the study for any reason, including the parent's inability to follow the study procedures; * Patients with known allergy to Fraxinus Manna, mannitole, fennel, lemon balm or chamomile; * Patients with clinically significant elevations of TSH or abnormal plasma electrolytes in the 4 previous weeks; * Patients who, within the past 30 days have participated in an investigational clinical study;
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of Spontaneous Bowel Movements (SBM) per week | 2-3 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Safety: Adverse Events (AE) check; Investigator and Patient Global Assessment | 2-3 weeks |
Other
| Measure | Time frame |
|---|---|
| Analysis of product's administration adherence by diary cards | 2-3 weeks |
| Investigator and Patient Global Assessment for Efficacy | 2-3 weeks |
Countries
Romania