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ColicPhase 2NCT02242292

Study to Evaluate Efficacy and Safety of Oral Doses of Hyoscine Butylbromide for the Treatment of Occasional Abdominal Pain, Cramping, and Discomfort

A Phase 2 study testing Hyoscine butylbromide in people with Colic, run by Boehringer Ingelheim.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Study to determine whether hyoscine butylbromide can provide adequate symptomatic relief of a single episode - defined as lasting not longer than 1 day - and multiple episodes of abdominal pain or discomfort associated with cramping when used as needed Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Colic
What is being tested?
Hyoscine butylbromide
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
527 participants
Where
No sites listed yet
Study dates
Apr 2006to Jan 2007
Phase
Phase 2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Adult males and females 18 years of age and older
  • Have at least a 3-month self-reported history of recurrent episodic symptoms, usually lasting for 1 hour or more, of self-described abdominal pain or discomfort associated with cramping, which they routinely either have not treated or treated using Over-the-counter (OTC) medications, in which subjects suffered these symptoms at a frequency of at least twice monthly to several times weekly, but not on a daily basis. The episodes of abdominal pain or discomfort may have been associated with other symptoms of GI dysfunction, such as diarrhea, constipation, and bloating
  • Symptoms typically have a moderate or greater severity (moderate, severe, very severe) and are sufficiently bothersome to require treatment or intervention
  • Symptoms are not associated with abdominal tenderness, swelling, fever, weight loss, or passage of blood per rectum. The onset of symptoms may or may not have been associated with ingestion of food or beverages
  • The episodes of abdominal pain or discomfort may have been associated with other symptoms of GI dysfunction, such as diarrhea, cramping, constipation, and bloating
  • Subjects are required to be able to comprehend and participate in the activities required for participation in the trial, to have the ability to attend required site visits, and to be available and have the facility to participate in a daily telephone call or computer entry (using a touch-tone phone or computer IVRS entry), which served as the mechanism for diary entry, during the 6-week course of the study. Subjects were required to successfully complete an Interactive voice response system (IVRS) training session prior to entry into the study
  • All subjects completed and signed an informed consent form

Who cannot join

  • Subjects who reported having these symptoms for the first time, particularly if they were 50 years or older, as this may have been a sign of a more serious organic disease
  • Subjects with a known hypersensitivity or allergy to hyoscine butylbromide or any of the inactive ingredients
  • Subjects who are currently under a physician's care for abdominal symptoms and/or not using medication or using prescription or OTC medications prescribed by a physician to treat symptoms of abdominal pain, cramping and discomfort or taking prescription medication(s) for the treatment of Irritable bowel syndrome (IBS) (Bentyl® or other antispasmodics, Zelnorm® [tegaserod], Lotronex® [alosetron], prokinetic agents). Current physician's care was defined as the subject presently following clinician advice regarding treatment and management of the abdominal pain or discomfort associated with the cramping symptom
  • Subjects who are having symptoms of abdominal swelling, fever associated with symptoms of abdominal pain or discomfort associated with cramping, and/or experiencing passage of blood per rectum associated with symptoms of abdominal pain or discomfort associated with cramping, or who have any evidence of abdominal tenderness (or any other evidence of an acute abdomen), abdominal masses, organomegaly or any other abnormality on abdominal examination
  • Subjects with a history of colon or other GI cancer or malignancy, inflammatory bowel disease, or Crohn's disease
  • Subjects with chronic constipation
Show all 18Show fewer
  • Subjects with myasthenia gravis or megacolon
  • Subjects who have undergone abdominal surgery within the past 2 years, having GI surgery resulting in removal of all or part of the colon, small intestine, or stomach, or having a history of GI by-pass surgery for weight reduction
  • Prior history of gallbladder removal, appendectomy, and/or surgery for peptic ulcer disease or gastroesophageal reflux disease (GERD), was not exclusionary.
  • Subjects whose major symptoms were retrosternal burning, acid reflux, acid regurgitation, or heartburn are excluded
  • Subjects using prescription anticholinergic medications or medications for the treatment of myasthenia gravis, glaucoma, or ocular hypertension are excluded
  • Subjects who were currently participating in other trials or who participated in a clinical trial within the prior 30 days are excluded
  • Women who reported being pregnant, are nursing, or who are of child-bearing potential and not using an adequate method of birth control (medication, device, abstinence, sterilization for either partner) for 30 days before enrollment and did not agree to continue using an adequate method of birth control for 30 days after completion of the trial are excluded
  • Any women of childbearing potential who have a positive serum pregnancy test are excluded
  • Post-menopausal women who have been post-menopausal for a duration of less than 2 years and did not have a hysterectomy or tubal ligation procedure are excluded
  • Subjects who have tachyarrhythmia (defined as any disturbance of the heart's rhythm, regular or irregular, resulting in a rate over 100 beats per minute) during a physical examination are excluded
  • Subjects who have been previously diagnosed with benign prostatic hyperplasia (BPH) or subjects who experienced urinary retention are excluded
  • Subjects with clinically significant cardiovascular disease in the opinion of the investigator (including hypotension, hypertension, severe coronary artery disease, congestive heart failure, angina pectoris) are excluded

About this study

Official title: A Double-blind, Placebo-controlled, Randomized, Parallel Group Study of the Efficacy and Safety of Oral Doses of 20 mg Hyoscine Butylbromide When Used On-demand up to 7 Episodes Over a Period of 6 Weeks for the Treatment of Occasional Episodes of Self-reported Abdominal Pain, Cramping, and Discomfort Associated With Cramping in an OTC-like Study Population

Study to determine whether hyoscine butylbromide can provide adequate symptomatic relief of a single episode - defined as lasting not longer than 1 day - and multiple episodes of abdominal pain or discomfort associated with cramping when used as needed

Conditions
Colic
Being tested
Hyoscine butylbromide, Placebo
Medical subject headings
Colic

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Hyoscine butylbromideDrug

  • PlaceboDrug

Study groups in NCT02242292
Study groupRoleWhat they receive
Hyoscine butylbromideExperimental5 tablets taken in a 24-hour period/each episode: * for up to 7 episodes, or * over a period of up to 6 weeks
Receives: Drug: Hyoscine butylbromide
PlaceboPlacebo comparatorNot described
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Response rate in treating the first episode of abdominal pain or discomfort associated with cramping

    (Response was defined as achieving adequate relief of symptoms, as measured on a subject's diary using a dichotomized response to the question)

    Measured: within 24 hours after starting treatment

Secondary outcomes (17)
  1. Response rate to trial medication

    responders were those who obtained adequate relief for 50% or more of all treated episodes

    Measured: up to day 41

  2. Assessment of Average symptom relief rated on 4-point scale

    based on the "Symptom Relief Index''

    Measured: up to day 41

  3. Time to onset of any effect after the first tablet taken assessed on 5-point scale

    Measured: within 24 hours after starting treatment

  4. Time to onset of any effect assessed on 5-point scale

    Measured: up to day 41

  5. Time to obtain adequate relief after the first tablet taken assessed on 5-point scale

    Measured: within 24 hours after starting treatment

  6. Time to obtain adequate relief assessed on 5-point scale

    Measured: up to day 41

  7. Average time to obtain adequate relief per subject assessed on 5-point scale

    Measured: up to day 41

  8. Average number of tablets taken to treat episodes per subject

    measured for each treated episode by the subject's response to the question on the number of tablets taken for each treated episode or 24-hour period

    Measured: up to day 41

  9. Percentage of episodes of diarrhea

    Measured: up to day 41

  10. Percentage of bloating episodes

    Measured: up to day 41

  11. Percentage of constipation episodes

    Measured: up to day 41

  12. Percentage of episodes in relief of abdominal pain or discomfort associated with cramping

    Measured: up to day 41

  13. Global Assessment of efficacy by subject on 4-point scale

    Measured: Day 42

  14. Global Assessment of tolerability by subject on a 4-point scale

    Measured: Day 42

  15. Global assessment of tolerability by investigator on a 4- point scale

    Measured: Day 42

  16. Number of patients with adverse events

    Measured: up to 42 days

  17. Number of patients with abnormal changes in laboratory parameters

    Measured: up to 42 days

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted17 Sep 2014 (estimated)
  2. Study startApr 2006
  3. Primary completionJan 2007

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Enrolment
527 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02242292
Sponsor's protocol ID
202.832
Status last verified
Dec 2017
First submitted
16 Sep 2014
Last updated
28 Dec 2017
Results posted
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Hyoscine butylbromide in people with Colic, run by Boehringer Ingelheim.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 18 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 28 Dec 2017. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Response rate in treating the first episode of abdominal pain or discomfort associated with cramping (time frame: within 24 hours after starting treatment). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Dec 2017; AzTrials last refreshed its copy on 7 Nov 2026.

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