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Clinical Trial Assessing 5-HT3 Receptor Antagonist (Ramosetron) for the Treatment of Anterior Resection Syndrome

Early Phase 1
Conditions
Anterior Resection Syndrome
Interventions
Registration Number
NCT02869984
Lead Sponsor
Seoul National University Hospital
Brief Summary

Poor functional outcomes has been reported inevitably, and up to 90% of the patients have experienced bowel habit changes after sphincter-saving surgery for rectal cancer. But, currently there has been no specific treatment for ARS and symptom based empirical management is tried Recently, 5-HT3 receptor antagonists can be used for treatment of IBS-D, and has been revealed to be slowing the bowel movement and improving stool consistency and urgency.

We performed the clinical trial with using ramosetron (Irribow®) for the treatment of ARS

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
Male
Target Recruitment
100
Inclusion Criteria
  • The patients who undergo sphincter saving surgery for rectal cancer
Exclusion Criteria
  • recurred rectal cancer
  • rectal cancer with distant metastasis
  • permanent stoma formation
  • postoperative concurrent chemoradiotherapy
  • uncontrolled medical disease
  • inflammatory bowel disease
  • uncontrolled constipation
  • preoperative incontinence (LARS score, more than 20)
  • allergic to intervention drug

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
TreatmentRamosetronramosetron treatment for 4 weeks from 1mo after anterior resection for rectal cancer
Primary Outcome Measures
NameTimeMethod
low anterior resection syndrome score4 weeks

questionnaire with comparison of frequency or urgency

Secondary Outcome Measures
NameTimeMethod
Quality of Life score4 weeks

EORTC QLQ C30 (Korean version, validated)

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