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CTRI Number  CTRI/2010/091/001106 [Registered on: 06/08/2010]
Last Modified On: 21/03/2013
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study
Modification(s)  
Drug 
Study Design  Single Arm Study 
Public Title of Study   An Open label Prospective Non Comparative Phase III Study for Efficacy and Safety of FDC of Ispaghula Husk IP 3.5g and Lactitol Monohydrate BP 10g Granules, in the treatment of Acute Idiopathic Constipation.  
Scientific Title of Study   Open label Prospective, Non Comparative, Phase III Study for Efficacy and Safety of FDC of Ispaghula Husk and Lactitol Monohydrate Granules,in the treatment of Acute Idiopathic Constipation. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NEX/AKUM/CTIII-101/05/10  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Deepak Bhambe  
Designation   
Affiliation   
Address  NARENDRA PRAKASH HEALTH CARE CENTER,
DA-3/A, MAIN SHAKAR PUR,LAXMINAGAR,
New Delhi
DELHI
110 092
India 
Phone  +919654807949  
Fax    
Email  drdeepakdhambe@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Amit Bhatt  
Designation   
Affiliation  Nexus Clinical Research Pvt Ltd  
Address  Anuj, Plot No. 45, Ist Floor,
Mumbai-Pune Highway, Near D. Y. Patil Stadium, Sector-13, Nerul (E),
Mumbai
MAHARASHTRA
400 706
India 
Phone  +91-22-27714204  
Fax  ext 108  
Email  dramit.bhatt@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Mr R. Prasad  
Designation   
Affiliation   
Address  General Manager, Akums Drugs and Pharmaceuticals Ltd
304, Mohan Place, LSC, Block ? C, Saraswati Vihar
New Delhi
DELHI
110 034
India 
Phone  091 11 47511000   
Fax  091 11 27023256  
Email  prasad@akums.net  
 
Source of Monetary or Material Support  
Akums Drugs & Pharmaceuticals Ltd  
 
Primary Sponsor
Modification(s)  
Name  Akums Drugs Pharmaceuticals Limited 
Address  304 Mohan Place LSC Block C Saraswati Vihar Delhi 110034 India 
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
NILL   
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 6  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Mohan Pai   Managalore heart Centre   No.8 City point, ,Kodiabail-575003
Bangalore
KARNATAKA 
09845083135

mohanpai@rediff.com 
3) DR. DEEPAK BHAMBE  NARENDRA PRAKASH HEALTH CARE CENTER  DA-3/A, ,MAIN SHAKAR PUR-110 092
New Delhi
DELHI 
09654807946

drdeepakbhambe@gmail.com 
DR. SAURABH SINGH  RAMAKRISNA MOTHER AND CHILD CLINIC  C-2/96,,NEW KONDLI-110 096
New Delhi
DELHI 
09711112080

docsaurabh76@rediffmail.com 
5) DR. PRAKASH REGE  Rege Clinic  B-1, 56/57/58, SUBHASH NAGAR,TEEN DONGRI, M.G.ROAD, GOREGAON (W)-400 062
Mumbai
MAHARASHTRA 
09223477294

p_p_rege@yahoo.co.in 
1) DR. TANURAJ SIROHI   SIROHI CLINIC  CHIPPI TANK,-250 001
Meerut
UTTAR PRADESH 
09917000583

trsirohi@yahoo.com 
Dr Satish Gupta   SOMDATT POLY CLINIC  S-524,SCHOOL BLOCK, LAXMI NAGAR,-110 092
New Delhi
DELHI 
09811212494

kumar6511@gmail.com  
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 7  
Name of Committee  Approval Status 
The Central Independent Ethics Committee- Clinical Research (India)  Approved 
The Central Independent Ethics Committee- Clinical Research (India)  Approved 
The Central Independent Ethics Committee- Clinical Research (India)  Approved 
The Central Independent Ethics Committee- Clinical Research (India)  Approved 
The Central Independent Ethics Committee- Clinical Research (India)  Approved 
The Central Independent Ethics Committee- Clinical Research (India)  Approved 
The Central Independent Ethics Committee- Clinical Research (India)  Approved 
 
Regulatory Clearance Status from DCGI
Modification(s)  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied
Modification(s)  
Health Type  Condition 
Patients  Acute Idiopathic Constipation,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  FDC Of Ispaghula Husk IP 3.5g And Lactitol Monohydrate BP 10g Granules  Seven Days Twice A day  
Comparator Agent  NIL  NIL 
 
Inclusion Criteria
Modification(s)  
Age From  18.00 Year(s)
Age To  50.00 Year(s)
Gender  Both 
Details  Subjects of both sexes , aged between 18-50 years

Subjects with acute idiopathic constipation(defined as presence of less than three stools per week and/or straining at stool for at least three months) who have one or more of the following symptoms associated with at least 25% of bowel movements (BMs) for at least 3 months prior to the baseline visit: very hard (little balls) and/or hard stools, a sensation of incomplete evacuation, or straining at defecation.
 
 
ExclusionCriteria 
Details  Documented mechanical obstruction, megacolon/megarectum or a diagnosis of pseudoobstruction

Hypersensitivity to lactitol, Ispaghula Husk or any other constituents of the investigational product.

Known or suspected organic disorders of the large or small intestine.

Secondary causes of constipation.

Hospitalization for any gastrointestinal or abdominal surgical procedure during the 3 months before the start of the study.

Prior bowel resection.

Clinically significant cardiovascular, liver, lung, or other systemic disease; neurologic or psychiatric disorders.

Cancer within the past 5 yr

Women of childbearing potential who cannot use oral or implanted contraceptives or to have used a double-barrier method during the trial.

Breast feeding women.

Any other illness which could seriously effect the safety of subjects and /or the integrity of the study

Subjects who, within the past 30 days have participated in an investigational clinical study.

Subjects currently taking, or planning to take any of the following medications that are known to effect bowel habits:
Antidiarrheals
Antacids containing magnesium or aluminum salts
Anticholinergics
Antispasmodic agents
Erythromycin and other macrolides
Opiods/narcotic analgesics
Prokinetics
Serotonin re-uptake inhibitors or tricyclic antidepressants
Calcium antagonists. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
To evaluate the efficacy of fixed dose combination of Ispaghula Husk IP 3.5g and Lactitol Monohydrate BP 10g Granules in the treatment of Acute Idiopathic Constipation.  day 4  
 
Secondary Outcome  
Outcome  TimePoints 
To evaluate the safety of fixed dose combination of Ispaghula Husk IP 3.5g and Lactitol Monohydrate BP 10g Granules in the treatment of Acute Idiopathic Constipation.  day 7  
Proportion of subjects with full response to treatment at the end of follow up phase. 2. The frequency of SBMs during 1st week of treatment; Time-to-first SBM   proportion of subjects with a SBM within 24 and 48 h of first study drug administration 
 
Target Sample Size
Modification(s)  
Total Sample Size="200"
Sample Size from India="200" 
Final Enrollment numbers achieved (Total)= ""
Final Enrollment numbers achieved (India)="" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   Date Missing 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  12/07/2010 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="3"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Completed 
Recruitment Status of Trial (India)  Completed 
Publication Details    
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary   The study will be conducted after obtaining written informed consent from 200 subjects with Acute Idiopathic Constipation who will be enrolled and complete the protocol therapy of 7 days. The subjects will undergo medical screening during pre-study visit (Visit 1). Screening will include complete clinical evaluation (medical history, physical examination, record of height, weight and vital signs). Female subjects of child bearing capability will be subjected to a urine pregnancy test. Enrolled subjects will receive the medication for 7 days (Visit 2). At visit 3 (day 7) end of therapy efficacy, safety, tolerability and ADR monitoring will be done. Subjects are allowed to visit to investigator at any time point during the study. this study is open An Open label Prospective Non Comparative Phase III Study for Efficacy and Safety of FDC of Ispaghula Husk IP 3.5g and Lactitol Monohydrate BP 10g Granules, in the treatment of Acute Idiopathic Constipation. This study is done for the DCGI marketing approval and the product will be marketed in India after the clearance form the regulatory authorities  
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