MedPath

Study of NPO-13 During Colonoscopy

Phase 2
Completed
Conditions
Bowel Disease
Registration Number
NCT04097574
Lead Sponsor
Nihon Pharmaceutical Co., Ltd
Brief Summary

This study will investigate the safety, efficacy and dose-response of NPO-13 in subjects with moderate to severe colonic spasm during colonoscopy. An intraluminal spraying of NPO-13 dosed up to twice into ascending or sigmoid colon. The colonic spasm will be assessed by an independent committee using recorded video images. The study consists of a screening visit window, 1-day treatment phase and 1-week follow-up phase.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
158
Inclusion Criteria
  1. Patients who are between 20 and 85 years at the time of consent
  2. Patients who need colonoscopy
Exclusion Criteria
  1. Patients with a history of abdominal surgical treatment (including the laparoscopic surgery) including the gynecology operation
  2. Patients with contraindication to colonoscopy including the paralytic ileus
  3. Patients with a history of shock or hypersensitivity to l-menthol or peppermint oil (mint oil)
  4. Patient with contraindication to bowel cleansing preparation
  5. Patient with contraindication to pain medicine and sedative medicine
  6. Patient with contraindication to butylscopolamine bromide and glucagon
  7. Patients on cancer treatment (chemotherapy or radiotherapy)
  8. Patient with active inflammatory bowel disease or infectious enteritis
  9. Patients who need sedative in colonoscopy
  10. Patients who receives a therapeutic colonoscopy
  11. Pregnant or lactating women, women of childbearing potential, or women who plan to become pregnant during the study
  12. Patients who have received other investigational drugs within four months before consent or who are participating in other clinical studies
  13. Patients otherwise ineligible for participation in the study in the investigator's or coinvestigator's opinion

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Proportion of No or Mild colonic spasm at the all sites of NPO-13 treatment3 minutes

The primary endpoint will be evaluated by third-party organization, using a four-grade scale: 1, No; 2, Mild; 3, Moderate; 4, Severe.

Secondary Outcome Measures
NameTimeMethod
Change in colonic spasm before and after treatment of NPO-13 treatment3 minutes

The evaluated colonic spasm grades will be converted into a numeric score, and difference between paired mean scores (before and after application, or 0.8% NPO-13, 1.6% NPO-13 and placebo) will be calculated.

Adverse events and Adverse drug reactions7 ± 3 days

The subjects will be observed for 7 days after colonoscopy, and all adverse events and adverse drug reactions will be recorded and compared with the placebo group.

Proportion of No or Mild colonic spasm at the each site of NPO-13 treatment3 minutes

The secondary endpoint will be evaluated by third-party organization, using a four-grade scale: 1, No; 2, Mild; 3, Moderate; 4, Severe.

Time to effect3 minutes

The onset of anti-spasmodic effect is the interval from the spray to the disappearance of the spasm.

Difficulty of endoscopic observation3 minutes

The proportion of subjects in whom intracolonic examination will be evaluated by the investigator to be "Very easy" or "Easy"., using a four-grade scale: 1, Very easy; 2, Easy; 3, Difficult; 4, Hard.

Trial Locations

Locations (13)

NPO-13 Trial Site 12

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Kurume, Fukuoka, Japan

NPO-13 Trial Site 1

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Shimotsuke, Tochigi, Japan

NPO-13 Trial Site 2

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Maebashi, Gunma, Japan

NPO-13 Trial Site 6

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Yokohama, Kanagawa, Japan

NPO-13 Trial Site 5

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Yokohama, Kanagawa, Japan

NPO-13 Trial Site 4

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Minato, Tokyo, Japan

NPO-13 Trial Site 3

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Shinjuku, Tokyo, Japan

NPO-13 Trial Site 9

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Hiroshima, Japan

NPO-13 Trial Site 10

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Kochi, Japan

NPO-13 Trial Site 8

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Osaka, Japan

NPO-13 Trial Site 7

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Osaka, Japan

NPO-13 Trial Site 13

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Kagoshima, Japan

NPO-13 Trial Site 11

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Kitakyushu, Fukuoka, Japan

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