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CTRI Number  CTRI/2025/03/082417 [Registered on: 17/03/2025] Trial Registered Prospectively
Last Modified On: 18/02/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparing Lubiprostone and Prucalopride for Chronic Idiopathic constipation(constipation without a known cause)- Which one works better and is safer? 
Scientific Title of Study   A Comparative Evaluation Of The Effectiveness And Safety Of Lubiprostone And Prucalopride In Patients With Chronic Idiopathic Constipation: A Randomized Controlled Trial 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Shine Sadasivan  
Designation  MD DNB Gastroenterology 
Affiliation  Amrita Institute of Medical Sciences and Research Centre  
Address  Amrita Institute of Medical Sciences and Research Centre Ponekkara PO Kochi Kerala 682041

Ernakulam
KERALA
682041
India 
Phone  9497556339  
Fax    
Email  shines1560@aims.amrita.edu  
 
Details of Contact Person
Scientific Query
 
Name  Ms. Meenu Vijayan 
Designation  Assistant Professor, Department of Pharmacy Practice 
Affiliation  Amrita Institute of Medical Sciences and Research Centre  
Address  Amrita School of Pharmacy, Amrita Institute of Medical Sciences and Research Centre Ponekkara PO Kochi Kerala 682041

Ernakulam
KERALA
682041
India 
Phone  7907989335  
Fax    
Email  meenu.vijayan@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Shine Sadasivan  
Designation  MD DNB Gastroenterology 
Affiliation  Amrita Institute of Medical Sciences and Research Centre  
Address  Amrita Institute of Medical Sciences and Research Centre Ponekkara PO Kochi Kerala 682041


KERALA
682041
India 
Phone  9497556339  
Fax    
Email  shines1560@aims.amrita.edu  
 
Source of Monetary or Material Support  
Amrita School of Pharmacy Amrita Institute of Medical Sciences and Research Centre Ponekkara PO Kochi Kerala 
 
Primary Sponsor  
Name  Amrita School of Pharmacy 
Address  Amrita Institute of Medical Sciences and Research Centre Ponekkara PO Kochi Kerala 682041 
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
DR SHINE SADASIVAN  Amrita Institute of Medical Sciences and Research Centre  Amrita Institute of Medical Sciences and Research Centre Ponekkara PO Kochi Kerala 682041
Ernakulam
KERALA 
9497556339

shines1560@aims.amrita.edu 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institution Ethics Committee, Amrita Institute of Medical Sciences and Research Centre  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K590||Constipation,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  LUBIPROSTONE  Lubiprostone is a laxative medication that treats chronic constipation. It is a Chloride channel protein 2 (ClC-2) activator leading to increased fluid secretion and faster movement of stool through the small intestine and colon. Tab. Lubiprostone 24 mcg 1-0-0(once daily) for 3 weeks 
Intervention  PRUCALOPRIDE  Prucalopride acts as a selective stimulator of the 5-HT4 receptors.Prucalopride stimulates motility by interacting specifically with 5-HT4 receptors in the GI tract which causes a release of acetylcholine and further contraction of the muscle layer of the colon and relaxation of the circular muscle layer leading to the propulsion of luminal content. Commonly used for chronic constipation Tab. Prucalopride 2mg 1-0-0 (once daily) for 3 weeks 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  Patients with chronic idiopathic constipation
Patients between ages 18 to 80 years( male and female)
 
 
ExclusionCriteria 
Details  Patients with Mechanical bowel obstruction
Patients with Drug Induced Constipation
Secondary causes for constipation such as Hypothyroidism, Cardio vascular disease, Malignancies, etc.
Pregnant and Lactating women
Other bowel disease such as IBD. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Increase in Spontaneous Bowel Movement per week  Within 3 week of treatment 
 
Secondary Outcome  
Outcome  TimePoints 
To determine any ADR and its severity  Within 3 weeks of treatment 
 
Target Sample Size   Total Sample Size="20"
Sample Size from India="20" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 3/ Phase 4 
Date of First Enrollment (India)   17/03/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

A Randomized Controlled Trial in the department of Gastroenterology to evaluate Effectiveness and Safety of Lubiprostone Versus Prucalopride in Patient with Idiopathic Constipation.

All patient who satisfies the inclusion and exclusion criteria will be selected for the study.

Intervention (Prucalopride) and Comparator(Lubiprostone) treatment will be randomized and given to the patients, and data will be collected during follow up and via telecommunication

Data collection form will be completed

Data will be transferred to an excel sheet

Descriptive statistics will be used for analysis of the data. 


Statistical Details 

To test the statistically significant change in the frequency of spontaneous bowel movement per week, PAC-SYM score, Bristol Stool Scale, Naranjo’s causality assessment scale, Hartwig’s severity scale before and after between the two groups. Independent sample t-test for normal data or Mann- Whitney U test for skewed data will be applied

 
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