CTRI Number |
CTRI/2017/07/009173 [Registered on: 31/07/2017] Trial Registered Prospectively |
Last Modified On: |
27/09/2018 |
Post Graduate Thesis |
No |
Type of Trial |
Interventional |
Type of Study
|
Drug |
Study Design |
Randomized, Parallel Group, Placebo Controlled Trial |
Public Title of Study
|
To compare the effects of two drugs named Acotiamide and Domperidon on the gastrointestinal symptom profile of patients with diabetes. |
Scientific Title of Study
|
to compare the effects of acotiamide on symptom profile and gastric emptying time with domperidone in diabetic gastroparesis: a double blind randomised control trial’ |
Trial Acronym |
PGI GASTRO STUDY |
Secondary IDs if Any
|
Secondary ID |
Identifier |
NIL |
NIL |
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
Name |
DRUSHA DUTTA |
Designation |
Professor ,Adult Gastroenterology |
Affiliation |
PGIMER,CHANDIGARH |
Address |
Home Address:
121-A, Sector 24-A, PGI type V Quarters, Chandigarh,India
Chandigarh CHANDIGARH 160023 India |
Phone |
0172-2756610 |
Fax |
|
Email |
ushadutta@gmail.com |
|
Details of Contact Person Scientific Query
|
Name |
DRUSHA DUTTA |
Designation |
Professor ,Adult Gastroenterology,PGIMER ,CHANDIGARH |
Affiliation |
PGIMER,CHANDIGARH |
Address |
Home Address:
121-A, Sector 24-A, PGI type V Quarters, Chandigarh,India
Chandigarh CHANDIGARH 160023 India |
Phone |
0172-2756610 |
Fax |
|
Email |
ushadutta@gmail.com |
|
Details of Contact Person Public Query
|
Name |
DRUSHA DUTTA |
Designation |
Professor ,Adult Gastroenterology,PGIMER ,CHANDIGARH |
Affiliation |
PGIMER,CHANDIGARH |
Address |
Home Address:
121-A, Sector 24-A, PGI type V Quarters, Chandigarh,India
Chandigarh CHANDIGARH 160023 India |
Phone |
0172-2756610 |
Fax |
|
Email |
ushadutta@gmail.com |
|
Source of Monetary or Material Support
|
|
Primary Sponsor
|
Name |
DRUSHA DUTTA |
Address |
121-A, Sector 24-A, PGI type V Quarters, Chandigarh,India 160023 |
Type of Sponsor |
Research institution and hospital |
|
Details of Secondary Sponsor
|
|
Countries of Recruitment
|
India |
Sites of Study
|
No of Sites = 1 |
Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
DRUSHA DUTTA |
PGIMER CHANDIGARH |
ROOM NO.08 ,LEVEL 1,NEHRU HOPITAL ,F BLOCK, DEPTT OF GASTROENTEROLOGY
Chandigarh CHANDIGARH |
01722756610 01722756610 ushadutta@gmail.com |
|
Details of Ethics Committee
Modification(s)
|
No of Ethics Committees= 2 |
Name of Committee |
Approval Status |
INSTITUTIONAL ETHICS COMMITTEEE |
Approved |
Institutional Ethics Committiee |
Approved |
|
Regulatory Clearance Status from DCGI
|
|
Health Condition / Problems Studied
|
Health Type |
Condition |
Patients |
Type 2 diabetic patients with minimum 5 year duration with symptoms of diabetic gastroparesis , |
|
Intervention / Comparator Agent
|
Type |
Name |
Details |
Comparator Agent |
Tab. Domperidon 10mg tds 30mins before meals |
Consecutive adult patients with diabetes mellitus with cardinal symptoms of gastroparesis attending the Gastroenterology services of our institution, PGIMER, Chandigarh from july-2017 to July 2018 will be prospectively evaluated for enrolment into the study. Those fulfilling the study criteria will be recruited after a written informed consent. The study will be conducted in full compliance with the guidelines of good clinical practice of the World Medical Assembly declaration of Helsinki and the Indian Council of Medical Research guidelines. The study has been approved by the Institute’s Ethics Committee |
Comparator Agent |
Tab.Acotiamide 100mg tds 30mins before meals |
Consecutive adult patients with diabetes mellitus with cardinal symptoms of gastroparesis attending the Gastroenterology services of our institution, PGIMER, Chandigarh from july-2017 to July 2018 will be prospectively evaluated for enrolment into the study. Those fulfilling the study criteria will be recruited after a written informed consent. The study will be conducted in full compliance with the guidelines of good clinical practice of the World Medical Assembly declaration of Helsinki and the Indian Council of Medical Research guidelines. The study has been approved by the Institute’s Ethics Committee
|
Intervention |
Tab.Domperidon 10mg tds or Tab.Acotiamide 100mg tds for diabetic gastroparesis |
Consecutive adult patients with diabetes mellitus with cardinal symptoms of gastroparesis attending the Gastroenterology services of our institution, PGIMER, Chandigarh from july-2017 to July 2018 will be prospectively evaluated for enrolment into the study. Those fulfilling the study criteria will be recruited after a written informed consent. The study will be conducted in full compliance with the guidelines of good clinical practice of the World Medical Assembly declaration of Helsinki and the Indian Council of Medical Research guidelines. The study has been approved by the Institute’s Ethics Committee.In this double blind double dummy trial patient will be given either domperidon or acotiamide |
|
Inclusion Criteria
|
Age From |
18.00 Year(s) |
Age To |
65.00 Year(s) |
Gender |
Both |
Details |
•Age above 18 years and below 65 years.
•Documented history of diabetes mellitus (type 2) for a duration of minimum 5 years.
•HbA1c 7-9gm%
•Clinical evidence of gatroparesis with symptoms of post prandial fullness, early satiety, abdominal bloating, nausea, retching, vomiting of undigested food
|
|
ExclusionCriteria |
Details |
Inability to obtain informed consent
Pregnant or lactating women
Patient with thyroid dydsfunction,renal failure ,parkinsons disease ,scleroderma
Drug or alcohol abuse
UGIE showing any mechanical obstruction
Patient on GLP 1 analogues and pramlintides
|
|
Method of Generating Random Sequence
|
Computer generated randomization |
Method of Concealment
|
Pre-numbered or coded identical Containers |
Blinding/Masking
|
Double Blind Double Dummy |
Primary Outcome
|
Outcome |
TimePoints |
to compare the effects of Tablet Acotiamide on Gastric emptying time in patients with diabetic gastroparesis |
4week drug duration |
|
Secondary Outcome
|
Outcome |
TimePoints |
Gatric antral volume bu USG of gastric antrum and gall bladder ejection fraction will be calculated
|
after 4weeks of treatment |
|
Target Sample Size
|
Total Sample Size="60" Sample Size from India="60"
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
|
N/A |
Date of First Enrollment (India)
|
31/07/2017 |
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="10" Days="0" |
Recruitment Status of Trial (Global)
Modification(s)
|
Not Applicable |
Recruitment Status of Trial (India) |
Closed to Recruitment of Participants |
Publication Details
|
NONE YET |
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
|
Brief Summary
|
Treatment with either drug is going to improve blood sugar levels and quality of life in diabetic patients Patients will be regularly followed up during their one month therapy with either drug. Appearance of any untoward side effect will be taken into serious consideration. Patients will have the liberty to withdraw from the trial at any time. At the end of one month therapy with either drug, patients will have to undergo repeat evaluation of gastric emptying time, small bowel transit time, gastric antral volume, gall bladder ejection fraction by the same aforementioned methods for comparison of the effects of the drugs. Previous literature has shown the efficacy of Domperidone in diabetic gastroparesis without any serious side effect. On the other hand, randomized control trials involving Acotiamide have shown promising results in functional dyspepsia without any significant side effect. Adequate trials in diabetic gastroparesis are awaited. Assessment and treatment of diabetic patient for gastroparesis is going to improve there quality of life and blood glucose control, So gastroparesis requires pharmaceutical interventions for improvement of symptom profile and quality of life Drugs available for gastroparesis have limited efficacy ,tachyphylaxis (decreasing response with continued use ) ,and high rate of side effect profile .So there is urgent need of some novel drug bypassing all these limitations . So, if results of Acotiamide are found to be significantly beneficial in our trial, then it can be subjected to further analysis and it may be favourable for the population at large. |