An Efficacy and Safety Study of Cisapride for Improving Symptoms Associated With Gastroparesis in Patients With Diabetes Mellitus
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Purpose
The purpose of this study is to assess the effectiveness of cisapride at improving symptoms associated with gastroparesis (a stomach disorder) in patients with diabetes mellitus.
| Condition | Intervention | Phase |
|---|---|---|
|
Gastroparesis Diabetes Mellitus |
Drug: Cisapride Drug: Placebo |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | Double-Blind, Randomized, Placebo-Controlled Trial to Assess Efficacy and Safety of R051619 (Cisapride 10 mg Q.I.D.) Versus Placebo for the Improvement of Symptoms Associated With Exacerbations of Gastroparesis, After Failure of Other Treatments, in Patients With Diabetes Mellitus |
- The change from baseline in Gastroparesis Cardinal Symptoms Index (GCSI) score [ Time Frame: At baseline (Visit 2) and weekly during the treatment phase of the trial for up to 8 weeks ] [ Designated as safety issue: No ]
- The number of adverse events reported [ Time Frame: For the duration of the study (up to 8 weeks) ] [ Designated as safety issue: No ]
- The type of adverse events reported [ Time Frame: For the duration of the study (up to 8 weeks) ]
| Enrollment: | 4 |
| Study Start Date: | July 2003 |
| Study Completion Date: | October 2003 |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: 001
Cisapride One 10-mg tablet taken orally 4 times a day for up to 8 weeks.
|
Drug: Cisapride
One 10-mg tablet taken orally 4 times a day for up to 8 weeks.
|
|
Experimental: 002
Placebo One tablet taken orally 4 times a day for up to 8 weeks.
|
Drug: Placebo
One tablet taken orally 4 times a day for up to 8 weeks.
|
Detailed Description:
This is a double-blind (neither the physician nor the patient will know the name of assigned treatment) study to determine the effectiveness of cisapride tablets compared to placebo tablets (a tablet identical in appearance to cisapride but does not contain active drug) at improving symptoms associated with diabetic gastroparesis when administered orally (by mouth) to patients with insulin dependent or non-insulin dependent diabetes mellitus. Gastroparesis is a disorder also called delayed gastric emptying, in which the stomach takes too long to empty food into the small intestine for digestion. Symptoms of gastroparesis may include vomiting, nausea, early feeling of fullness after only a few bites of food, weight loss due to poor absorption of nutrients or low calorie intake, abdominal bloating, poor glycemic (blood sugar) control, lack of appetite, and pain in the stomach area. Patients will take study drug (one 10-mg tablet of cisapride, or one tablet of placebo), orally, 4 times a day, for a period of 8 weeks. Study drug will be taken approximately 15 minutes before each meal and, with a beverage, before going to bed.
Eligibility| Ages Eligible for Study: | 18 Years to 70 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Diagnosed with insulin dependent or non-insulin dependent diabetes mellitus
- Experienced inadequate responses to, or have been intolerant of, treatment with at least one previous drug therapy for gastroparesis
- Have exacerbation of gastroparesis symptoms requiring medical attention
- Demonstrate delayed gastric emptying as assessed by a [1-13C]-Sodium Acetate Breath Test within 14 days before randomization
Exclusion Criteria:
- Received prior treatment with cisapride
- Have a glycosylated hemoglobin (HbA1c) >10% at screening, as determined by clinical laboratory testing
- Have any upper gastrointestinal (GI) pathology other than diabetic gastroparesis that would require therapy other than that provided in this trial
- Have any organic/neurological disease that is suspected to be causing gastroparesis, other than diabetes
- Currently vomiting, or receiving therapy for a severe exacerbation of gastroparesis, that would prevent the patient from receiving oral therapy or a diet
Contacts and Locations| Study Director: | Johnson & Johnson Pharmaceutical Research & Development, L.L. C. Clinical Trial | Johnson & Johnson Pharmaceutical Research & Development, L.L.C. |
More Information
No publications provided
| Responsible Party: | Portfolio/CDT Leader, Johnson & Johnson Pharmaceutical Research and Development, L.L.C. |
| ClinicalTrials.gov Identifier: | NCT01286090 History of Changes |
| Other Study ID Numbers: | CR003946, CIS-INT-25 |
| Study First Received: | January 13, 2011 |
| Last Updated: | January 27, 2011 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Johnson & Johnson Pharmaceutical Research & Development, L.L.C.:
|
Cisapride (PREPULSID) Placebo Diabetes mellitus Diabetic gastroparesis |
Additional relevant MeSH terms:
|
Diabetes Mellitus Gastroparesis Glucose Metabolism Disorders Metabolic Diseases Endocrine System Diseases Stomach Diseases Gastrointestinal Diseases Digestive System Diseases Paralysis Neurologic Manifestations Signs and Symptoms |
Cisapride Anti-Ulcer Agents Gastrointestinal Agents Therapeutic Uses Pharmacologic Actions Serotonin Receptor Agonists Serotonin Agents Neurotransmitter Agents Molecular Mechanisms of Pharmacological Action Physiological Effects of Drugs |
ClinicalTrials.gov processed this record on June 17, 2013