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Completed

NCT Number: NCT02340481

Efficacy and Safety Study of Loperamide Hydrochloride/Simethicone Chewable Tablet in Treatment of Acute Diarrhea With Abdominal Discomfort and Flatulence

The purpose of this study is to evaluate the efficacy and safety of combined loperamide hydrochloride and simethicone compared to loperamide hydrochloride monotherapy in treating acute diarrhea associated with abdominal discomfort caused by gastrointestinal gas accumulation.

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Key information

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

Beijing, China

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About this study

This is a randomized (the study drug is assigned by chance), double-blind (neither physician nor participant knows the treatment that the participant receives), parallel-group (each group of participants will be treated at the same time), multi-center (when more than one hospital or medical school team work on a medical research study) study. All eligible participants will be randomly assigned to receive either a combination of loperamide hydrochloride and simethicone or loperamide hydrochloride. The study includes Screening Visit (from -24 to 0 hours), Baseline Visit (at 0 hour) and Concluding Visit (within 48 to 96 hours following the start of the trial). The timing of each bowel movement, stool characteristics and the degree and duration of abdominal discomfort caused by gastrointestinal gas accumulation will be recorded for each participant for 48 hours after the first trial drug administration. Participants' safety will be monitored throughout the study.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Participant's symptoms of acute diarrhea must manifest within 48 hours prior to entering the trial
  • Participant must have experienced at least three incidences of unformed stool within 24 hours prior to entering the trial (referring to any instances of watery stool or soft stool as determined after placing the stool in a container)
  • Participant's most recently produced stool must be unformed stool
  • Participant must give a positive answer to the following question: "Have you felt any abdominal discomfort caused by gastrointestinal gas accumulation within the last hour"
  • Female participants must take effective contraceptive measures throughout the trial (including oral or injectable contraceptives, contraceptive tools, ligation) or be postmenopausal

Exclusion criteria

  • Participant hospitalized for treatment of severe acute diarrhea or otherwise requires intravenous fluids or antibiotics on an outpatient basis
  • Participant shows an axillary temperature greater than (>) 38.2 degrees Celsius (C) or an oral temperature > 38.6 degrees C
  • Participant shows clinical symptoms of bloody or purulent stool or erythrocytes or leukocytes are detected in the participant's stool at > 3 per high power field
  • Participant shows a sitting systolic blood pressure less than (<) 90 millimeter of mercury (mmHg) and/ or diastolic blood pressure < 60 mmHg
  • Participant is unable to take medication orally or tolerate oral rehydration

Treatment and study plan

Loperamide hydrochloride + simethicone chewable tablet

Drug

Each tablet contains 2 milligram (mg) of loperamide hydrochloride and 125 mg of simethicone.

Loperamide hydrochloride

Drug

Each capsule contains 2 mg of loperamide hydrochloride

Loperamide hydrochloride + simethicone chewable placebo tablet

Drug

Placebo matched to loperamide hydrochloride and simethicone chewable tablet.

Loperamide hydrochloride placebo capsule

Drug

Placebo matched to loperamide hydrochloride capsule.

Primary outcomes

  1. Time to Last Unformed Stool (TTLUS)

    Time frame: 48 hours

    The TTLUS is defined as the number of hours from the time the participant first took the trial drug to the last instance of unformed stool, after which the participant only reported formed stool or no stool at all. If no unformed stool was observed at any time during the trial, TTLUS shall be recorded as 0. For participants who withdraw from the trial due to reasons other than complete resolution of the symptoms of diarrhea, TTLUS is defined as the number of hours from the start of the trial to the time of withdrawal.

  2. Time to Complete Amelioration of Abdominal Discomfort

    Time frame: 48 hours

    The time over which abdominal discomfort caused by gastrointestinal gas accumulation is completely resolved.

Secondary outcomes

  1. Number of Participants With Complete Remission of Diarrhea

    Time frame: Up to 48 hours

    Participants who do not produce any unformed stool within 24 hours of producing their last unformed stool shall be regarded as completely resolved of any diarrhea symptoms.

  2. Number of Unformed Stools

    Time frame: Up to 48 hours

    Number of unformed stools produced from first drug administration to the end of treatment.

  3. Participant's Evaluation of Treatment Efficacy for Diarrhea at the end of Treatment

    Time frame: 48 hours

  4. Number of Participants With Complete Remission of Abdominal Discomfort

    Time frame: Up to 48 hours

  5. Severity of Abdominal Discomfort

    Time frame: Up to 48 hours

    Each participant will evaluate any abdominal bloating and/or abdominal pain and/or any other type of abdominal discomfort caused by gastrointestinal gas accumulation occurring within the last hour on a 5-point scale (0 = none, 1 = mild, 2 = moderate, 3 = relatively severe, 4 = severe).

  6. Participant's Evaluation of Treatment Efficacy for Abdominal Discomfort

    Time frame: 48 hours

  7. Participant and Investigator's Overall Evaluations of the Treatment

    Time frame: 48 hours

  8. Number of Participants With Adverse Events (AEs) or Serious Adverse Events (SAEs)

    Time frame: Up to 48 hours

    An AE is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An SAE is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly.

Sponsors and collaborators

Lead sponsor

Xian-Janssen Pharmaceutical Ltd.

Industry

Registry information

Official study title

A Multi-center, Randomized, Double-blind, Double-dummy, and Parallel Controlled Phase 3 Study to Evaluate the Efficacy and Safety of Loperamide Hydrochloride/Simethicone Chewable Tablet in the Treatment of Acute Diarrhea With Abdominal Discomfort and Flatulence

Important dates

Study start
2005
Primary completion
2006
Study completion
2006
First posted
Jan 16, 2015
Registry last updated
Jan 7, 2016

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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