A prospective, interventional, randomized, double-blind, parallel, multi-arm, controlled clinical study to evaluate the efficacy and safety of Bacillus coagulans LBSC in the treatment of drug-induced constipation associated with functional gastrointestinal disorder (FGID) symptoms
试验速览
- 阶段
- 2 期
- 状态
- 尚未招募
- 发起方
- 入组人数
- 168
- 试验地点
- 5
- 主要终点
- 1.Change in constipation symptoms based on
研究概览
简要总结
The current study is designed as a prospective, interventional, randomized, double-blind, parallel, multi-arm, controlled clinical study. This study involves a screening phase, run-in phase, randomization and treatment phase, and follow-up phase as mentioned below:
1.Screening phase (Visit 1): Day -14 to -1
2.Baseline assessment, enrolment and run-in period initiation (Treatment continuation with drug inducing constipation; Visit 2): Day 1
3.Run-in period completion, baseline assessment and day of randomization (Visit 3): Day 14 ±1 day
4.Initiation of treatment with test product or its matching placebo: Day 15
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Interim follow up 1 (Visit 4): Day 22 ±2 days
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Interim follow up 2 (Visit 5): Day 36 ±2 days
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End of treatment (Visit 6): Day 50 ±2 days
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End of study (telephonic safety call): Day 60 ±2 days
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Treatment phase with IPs: 35 Days
研究设计
- 研究类型
- Interventional
- 分配方式
- Computer generated randomization
- 盲法
- Participant and Investigator Blinded
入排标准
- 年龄范围
- 18.00 Year(s) 至 65.00 Year(s)(—)
- 性别
- All
入选标准
- •Willing and able to provide written informed consent prior to any study-related activities being performed.
- •Able and willing to comply with the protocol, including availability for all scheduled study visits.
- •Male and Female patients aged 18 to 65 years (both inclusive).
- •Patients diagnosed with ï‚§Chronic functional constipation induced by selected classes of drugs followed by Rome IV criteria (refer Appendix 1) [following the International Classification of Diseases, 10th Ed. (ICD-10-CM) Medical Diagnosis Code K59.
- •ï‚§The constipation is accompanied with FGID symptoms as per Rome III criteria.
- •ï‚§Are under treatment with constipation causing drugs for at least 3 months prior to screening.
- •Women of child bearing potential, (defined as women physiologically capable of becoming pregnant, unless they are using effective method of contraception during dosing of the investigational product) practicing any two acceptable methods of contraception.
- •Acceptable methods of contraception are: ï‚§Oral or parenteral (injection, patch or implant) hormonal contraception which has been used continuously for at least one month prior to the first dose of study medication ï‚§Intrauterine device or intrauterine system ï‚§Double barrier method of contraception (Condom and occlusive cap or condom and spermicidal agent) ï‚§Male sterilization (at least 6 months prior to the screening, should be the sole male partner for that patient) ï‚§Female sterilization (surgical bilateral oophorectomy) or tubal ligation at least 6 weeks prior to study participation ï‚§Total abstinence, partial abstinence is not acceptable.
- •Female patients with negative urine pregnancy test (only for female who has not completed 1 year after menopause & have not gone through hysterectomy or bilateral tubal ligation).
排除标准
- •Known hypersensitivity to contents of drug product or related class of drugs or to any of the excipients of the formulation.
- •Addicted alcoholics and/or drug abusers.
- •History or presence of coronary, renal, pulmonary and thyroid disease.
- •Active or a history of inflammatory bowel disease.
- •Has undergone any abdominal surgery, except for hernia repair or appendectomy.
- •Has had active treatment with prescription medication for any of the FGID symptoms within 4 weeks prior to screening.
- •Has been diagnosed with infectious gastroenteritis within 6 weeks prior to screening.
- •Has undergone treatment with probiotics within 6 weeks prior to screening.
- •Has used antibiotics within 14 days prior to screening.
- •Has used antipsychotic medications within 3 months prior to screening.
- •Has used systemic steroids within 1 month prior to screening.
- •Has suffered from a major psychiatric disorder within the past 2 years from screening.
- •AST and ALT more than 5 times ULN; Serum bilirubin more than ULN and Platelet Count <95,000/microleter.
- •Difficulty in swallowing and retaining oral formulation.
- •Known HBsAg positive, Anti HCV and HIV positive.
- •Patient has condition or is in a situation which, in the investigator’s opinion, may have put the patient at a significant risk, may have confounded study results, or may have interfered significantly with the patient’s participation in the study.
- •Participation in any other clinical study within 30 days before the first dose of Investigational Product.
- •Pregnant or Lactating female patient.
结局指标
主要结局
1.Change in constipation symptoms based on
时间窗: 1.From baseline Day 14 to Day 49 | 2.From baseline Day 14 to Day 49
occurrence of constipation in %
时间窗: 1.From baseline Day 14 to Day 49 | 2.From baseline Day 14 to Day 49
2.Change in constipation symptoms based on
时间窗: 1.From baseline Day 14 to Day 49 | 2.From baseline Day 14 to Day 49
•Degree of constipation on 4-point likert scale
时间窗: 1.From baseline Day 14 to Day 49 | 2.From baseline Day 14 to Day 49
•Occurrence of hard stools in %
时间窗: 1.From baseline Day 14 to Day 49 | 2.From baseline Day 14 to Day 49
•Degree of stool expulsion on 3-point scale
时间窗: 1.From baseline Day 14 to Day 49 | 2.From baseline Day 14 to Day 49
•Defecation frequency (Times/day/person and times/week/person)
时间窗: 1.From baseline Day 14 to Day 49 | 2.From baseline Day 14 to Day 49
•Change in Constipation Scoring System
时间窗: 1.From baseline Day 14 to Day 49 | 2.From baseline Day 14 to Day 49
•Change in FGIDs symptoms based on 4-point Likert scale
时间窗: 1.From baseline Day 14 to Day 49 | 2.From baseline Day 14 to Day 49
•Degree of stool consistency
时间窗: 1.From baseline Day 14 to Day 49 | 2.From baseline Day 14 to Day 49
次要结局
- 1.Mean change in vital signs(2.Mean change in Laboratory parameters)
- Safety Outcome:Number and types of adverse events (AEs) and serious adverse events (SAEs)(Post randomization to Day 60)
