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DyspepsiaPhase 4NCT03119766

Clinical Trial of Efficacy and Safety of Kolofort in Functional Dyspepsia Patients

A Phase 4 study testing Kolofort in people with Dyspepsia, run by Materia Medica Holding at 32 sites in Russia.

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

Purpose of the study: To obtain additional data on efficacy and safety of Kolofort in the treatment of patients with functional dyspepsia. Read more about this study

Who is it for?
Ages 18 to 45 years
Conditions the study is for
Dyspepsia
What is being tested?
Kolofort
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
370 participants
Where
32 sitesRussia
Study dates
28 Jun 2017to 11 Jan 2020
Phase
Phase 4
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 to 45 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Patients of both genders aged 18-45 years old.
  • Diagnosis of functional dyspepsia established according to Rome-IV criteria (2016).
  • Severity of symptoms of dyspepsia ≥ 6 on the GIS scale.
  • Negative test result for H. pylori infection .
  • Availability of signed patient information sheet and informed consent form for participation in the clinical trial.
  • Patients who gave their consent to use reliable contraception during the study

Who cannot join

  • Organic diseases of the gastrointestinal tract (gastroesophageal reflux disease (GERD), peptic ulcer, chronic pancreatitis, cholelithiasis, hepatosis, hepatitis, hepatic cirrhosis, etc.)
  • Verified diagnosis of other functional GI diseases, i.e. biliary dyskinesia, irritable bowel syndrome, etc.
  • Discontinuation of proton pump inhibitors, prokinetics, antispasmodics, antacids, bismuth preparations less than 7 days before randomization.
  • H. pylori eradication within 2 months prior to enrollment.
  • Intestinal infection within 2 months prior to enrollment.
  • History/suspicion of oncology of any location.
Show all 17Show fewer
  • Previously diagnosed cardiovascular diseases with functional class IV (according to the classification of the New-York Heart Association, 1964), hypothyroidism, diabetes mellitus, chronic renal disease С3-5, hepatic diseases with portal hypertension and/or signs of severe decompensation of function (> 6 points according to the Child-Pugh classification).
  • Any other severe comorbidity that, in the opinion of the investigator, may affect patient participation in the clinical trial.
  • Allergy/intolerance intolerances to any of the components of the study drugs.
  • Pregnancy, breast-feeding.
  • Patients who, from the investigator's point of view, will not comply with the observation requirements of the study or adhere to study drug dosing regimens.
  • Scheduled hospitalization during the study for any diagnostic or therapeutic procedures.
  • Use of drugs or alcohol (more than 2 alcohol units daily), presence of mental diseases.
  • Use of any medications specified in the "Prohibited Concomitant Treatment" within 1 month prior to inclusion in the study.
  • Participation in other clinical trials in the previous 3 months.
  • Patients who are related to any of the on-site research personnel directly involved in the conduct of the trial or are an immediate relative of the study investigator. 'Immediate relative' means husband, wife, parent, son, daughter, brother, or sister (regardless of whether they are natural or adopted).
  • Patients who work for MATERIA MEDICA HOLDING (i.e. the company's employees, temporary contract workers, appointed officials responsible for carrying out the research or immediate relatives of the aforementioned).

Trial locations and contacts

32 sites in 1 country.

32 sites in 1 country

Russia32 sites
  • South Ural State University

    Chelyabinsk, 454092

  • Ivanovo Clinical Hospital named after Kuvaev

    Ivanovo, 153025

  • State budget institution of health care of the Moscow region "Krasnogorsk city hospital №1"

    Krasnogorsk, 143408

  • The State Budgetary Healthcare Institution of Moscow The Moscow Clinical Scientific and Practical Center of the Moscow City Health Department

    Moscow, 111123

  • Federal State Budgetary Institution Federal Research and Clinical Center for Specialized Medical Assistance and Medical Technologies of the Federal Medical Biological Agency of Russia

    Moscow, 115682

  • The Federal State Budgetary Healthcare Institution The Central Clinical Hospital of the Russian Academy of Sciences

    Moscow, 117593

  • The State Budget Educational institution of High Professional Training I.M. Sechenov First Moscow State Medical University of Ministry of Health Care of the Russian Federation

    Moscow, 119991

  • The State Budget Educational institution of High Professional Training I.M. Sechenov First Moscow State Medical University of Ministry of Health Care of the Russian Federation

    Moscow, 119992

  • National Medical Research Center for Rehabilitation and Health Resort

    Moscow, 121099

  • State Budgetary Healthcare Institution of Moscow "City Clinical Hospital No. 51 of the Moscow City Health Department"

    Moscow, 121309

  • Federal State Budgetary Educational Institution of the Higher Education "A.I. Yevdokimov Moscow State University of Medicine and Dentistry" of the Ministry of Healthcare of the Russian Federation

    Moscow, 127473

  • Federal State Budgetary Institution "Polyclinic No. 3" of the Administration of the President of the Russian Federation

    Moscow, 129090

  • Private Healthcare Institution "The Road Clinical Hospital at the Nizhny Novgorod station of the open joint-stock company" Russian Railways "

    Nizhny Novgorod, 603140

  • Novosibirsk State Medical University

    Novosibirsk, 630091

  • State budgetary healthcare institution of the Moscow region "Podolsk City Clinical Hospital No. 3"

    Podol’sk, 142105

  • State Autonomous Healthcare Institution of the Moscow Region "Central City Clinical Hospital in Reutov"

    Reutov, 143964

  • St. Petersburg State Budgetary Healthcare Institution "City Polyclinic №38"

    Saint Petersburg, 191015

  • State budget institution of higher education "North-Western State Medical University named after I.I Mechnikov" under the Ministry of Public Health of the Russian Federation

    Saint Petersburg, 191015

  • City Mariinsky Hospital

    Saint Petersburg, 194014

  • Federal state budget military educational institution of higher professional education "Military Medical Academy named after S.Kirov" of the Ministry of Defense of the Russian Federation

    Saint Petersburg, 194044

  • St. Petersburg State Budgetary Healthcare Institution "City Hospital of the Holy Martyr Elizabeth"

    Saint Petersburg, 195257

  • St. Petersburg State Budgetary Healthcare Institution "City Hospital No. 26"

    Saint Petersburg, 196247

  • Limited Liability Company Gastroenterologichesky Center Expert

    Saint Petersburg, 197110

  • Samara City Hospital #4

    Samara, 443056

  • LLC Medical company "Hepatologist"

    Samara, 443063

  • Saratov State Medical University named after V. I. Razumovsky

    Saratov, 410054

  • Saratov City Clinical Hospital #5

    Saratov, 410071

  • St. Petersburg State Budgetary Institution "City Hospital No. 40 in the Kurortny District"

    Sestroretsk, 197706

  • Stavropol Regional Clinical Consultative and Diagnostic Center

    Stavropol, 355017

  • State Healthcare Institution Ulyanovsk Regional Clinical Hospital

    Ulyanovsk, 432063

  • State Autonomous Healthcare Institution of the Yaroslavl Region "N.V. Clinical Emergency Hospital Solovyov "

    Yaroslavl, 150003

  • Municipal Budgetary Institution "Central City Hospital No. 7"

    Yekaterinburg, 620137

Other trials in Russia

About this study

Official title: Multicenter Double-blind Placebo-controlled Randomized Clinical Trial of Efficacy and Safety of Kolofort in the Treatment of Patients With Functional Dyspepsia

Purpose of the study:

To obtain additional data on efficacy and safety of Kolofort in the treatment of patients with functional dyspepsia.

Read the detailed description

Design: a multicenter double-blind placebo-controlled randomized clinical trial to evaluate the efficacy and safety of the study treatment.

The study will enroll the patients of both genders aged 18-45 years old with verified diagnosis of "functional dyspepsia" according to Rome-IV criteria and intensity of dyspeptic symptoms ≥ 6 according to GIS (Gastrointestinal symptom score).

At the screening visit 1 (Visit 1, from -14 to -1 days), after signing patient information sheet (informed consent form) to participate in the clinical trial, complaints and medical history are collected, an objective examination is performed. The investigator evaluates intensity of dyspeptic symptoms according to GIS. The patient undergoes an abdomen ultrasound examination, esophagogastroduodenoscopy (EGDS) , and diagnostic tests for Helicobacter pylori (H. pylori) infection. In case of the previous use of proton pump inhibitors, prokinetics, antispasmodics, antacids, bismuth drugs the investigator evaluates the possibility of canceling these drugs at least 7 days before the patient is randomized. For women of reproductive age, a pregnancy test is performed.

On the day of randomization (Visit 2, Day 0) collection of complaints and objective examination are carried out. The investigator evaluates the results of laboratory and instrumental research methods, the severity of dyspepsia symptoms on the GIS scale, registers changes in concomitant therapy.

If a patient meets all inclusion criteria and does not have any exclusion criteria, he/she is randomized into one of two groups: patients in Group 1 receive Kolofort for 8 weeks; patients in Group 2 - Placebo on the study drug regimen. The patient completes the Nepean Dyspepsia Index (NDI) and Quality of Life (SF-36) questionnaires.

The patient's treatment lasts for 8 weeks, during which 3 visits to the research center are carried out. At Visit 3 (Week 2 ± 3 days), complaints are collected, an objective examination of the patient is performed. The investigator monitors the prescribed and concomitant therapy, evaluates the safety of therapy and the degree of adherence to treatment (compliance). At visit 4 (week 4±3 days) and 5 (week 8±3 days) the investigator collects complaints, registers the physical examination data, monitors the prescribed and concomitant therapy, assesses the safety of the treatment and compliance. Questionnaires GIS, NDI are filled in.

Additionally, at Visit 5 the patient fills out the SF-36 scale, the investigator fills out the Clinical Global Impression-Efficacy Index (CGI-EI).

The patients will be allowed to take symptomatic therapy and medications for their co-morbidities during the study, except for the medicines listed in "Prohibited Concomitant Treatment".

Conditions
Dyspepsia
Being tested
Kolofort, Placebo
Medical subject headings
Dyspepsia

What participants receive

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

  • KolofortDrug

    Oral administration

  • PlaceboDrug

    Oral administration

Study groups in NCT03119766
Study groupRoleWhat they receive
KolofortExperimentalTablet for oral use. Dose per administration: 2 tablets. 2 tablets twice daily (4 tablets per day). The tablets should be held in the mouth until complete dissolution, without meal.
Receives: Drug: Kolofort
PlaceboPlacebo comparatorTablet for oral use. Dose per administration: 2 tablets. 2 tablets twice daily (4 tablets per day). The tablets should be held in the mouth until complete dissolution, without meal.
Receives: Drug: Placebo

What is being measured

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

  1. Changes in Severity of Functional Dyspepsia Symptoms

    Changes in severity of functional dyspepsia symptoms due to GIS score (Gastrointestinal symptom score) at week 8 from the start of study therapy. The GIS scale includes 10 subscales (symptoms), the severity of each one was evaluated from 0 to 4 points (by Lickert scale).For example, the absence of the mentioned symptom is classified as "0". The most severe is classified as "4".

    The all 10 subscales were combined to compute a total score. So the total range is a sum of all subscales.The total score is in range from 0 till 40. So the minimum value is 0, the maximum is 40.

    Measured: On baseline, after 4 and 8 weeks of the treatment

Secondary outcomes (5)
  1. Percentage of Patients With a Decrease in the Severity of FD Symptoms

    Percentage of patients with a decrease in the severity of FD symptoms on the GIS scale after 8 weeks from the start of study therapy. The GIS scale is composed of 10 points evaluating the extent of manifestation of a wide range of gastroenterological symptoms. The intensity of clinical symptoms will be evaluated based on a 5-point Likert scale from 0 to 4 where 0 = no, 1 = mild, 2 = moderate, 3 = severe and 4 = very severe).

    Measured: After 8 weeks of the treatment

  2. Change in the Severity of the Functional Dyspepsia Index NDI (Nepean Dyspepsia Index)

    Change in the severity of the functional dyspepsia index NDI (Nepean dyspepsia index) after 8 weeks from the start of the study therapy. The NDI questionnaire involves the patient's self-assessment of various manifestations of the disease and how much FD affects his life. The range of possible fluctuations in the total score of the Nepean dyspepsia index is from 10 to 50.

    The scale consists of 10 questions. Each section corresponds to 5 answer options (the lower score is 1, the highest is 5), reflecting the gradation of the severity of the symptom and coded according to the increase in the severity of the symptom or the loss of the ability to perform a certain task in the framework of daily activities. The minimum value is 10, the maximum value is 50. The higher score represents the worst outcome.

    Measured: On baseline, after 4 and 8 weeks of the treatment

  3. Changes in the Quality of Life of Patients on the SF-36 (Short Form-36) Health Survey Scale

    The scale reflects the general well-being of a person, which is affected by the state of health, and consists of 11 questions. In the composition of the SF-36 dedicated 8 sections:1. Physical functioning,2. Role (physical) functioning 3. Pain.4. General health.5. Vitality.6. Social functioning.7. Emotional functioning. 8. Psychological health.The sections of the scale are combined into 2 total dimensions - the physical component of health (1-4 questions) and mental (5-8 questions). Subscales (questions 1-4) were summed to provide the information about the physical component, subscales (questions 5-8) - about the mental component. Each scale ranges from 0 to 100 so that the lowest and highest possible scores are 0 and 100, respectively. Scores represent the percentage of total possible score achieved.

    Measured: On baseline and after 8 weeks of the treatment

  4. Percentage of Patients Terminating the Study Early

    Percentage of patients terminating the study early due to lack of efficacy of the study therapy. Lack of efficacy of the study therapy is defined as retention or progression of the symptoms of functional dyspepsia resulting in prescription of the products for FD therapy (proton pump inhibitors, prokinetics, spasmolytics).

    Measured: in 8 weeks of the treatment

  5. Indicators of Therapeutic and Side Effects, Efficacy Index on CGI-EI (Clinical Global Impression-Efficacy Index) Scale

    Indicators of therapeutic and side effects, efficacy index on the scale of the general clinical impression CGI-EI (Clinical Global Impression Scale - Efficacy Index) after 8 weeks from the start of study therapy. Clinical Global Impression Efficacy Index (CGI-EI) will be filled by the investigator at the final Visit 5 (Week 8±3 days). Evaluation of the response to treatment should take into account both therapeutic efficacy and treatment-related side effects. Side effects value from 1 to 4. Therapeutic effect value as 0,4,8 or 12 points. The efficacy index is a sum. The minimum value is 1, the maximum value is 16. A lower score on the scales is the best outcome.

    Measured: After 8 weeks of the treatment

Timeline

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

  1. First posted19 Apr 2017
  2. Study start28 Jun 2017
  3. Primary completion11 Jan 2020
  4. Study completion11 Jan 2020

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 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
370 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03119766
Sponsor's protocol ID
MMH-KOL-003
Status last verified
Jun 2019
First submitted
4 Apr 2017
Last updated
7 Jun 2022
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Kolofort in people with Dyspepsia, run by Materia Medica Holding at 32 sites in Russia.

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 6 inclusion and 17 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 7 Jun 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 32 sites in Russia. Whether a site is taking part right now should be confirmed with that site. See every site.

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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

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

Are results available for this study?

Yes. Results are posted in the registry (first posted 7 Jun 2022). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Changes in Severity of Functional Dyspepsia Symptoms (time frame: On baseline, after 4 and 8 weeks of the 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 7 Jun 2022.

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