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AzTrials

Clinical StudyNCT06408883

Effect of Vibration Capsule on Different Subtypes of Functional Constipation

An observational study of Clinical Study and Chronic Functional Constipation, run by Changhai Hospital at 1 site in China.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

This study is a multi-center prospective cohort study, which plans to include 600 patients with chronic functional constipation to treat with Vibrabot capsules and patients will be grouped according to subtypes. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Vibrabot capsule
How many people
600 participants
Where
1 siteChina
Study dates
1 Jun 2024to 1 Jul 2026
How long will I take part?
4 Weeks
Phase
Observational
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

Study population: This study is a multi-center clinical trial. Patients are considered eligible for this study if they meet the inclusion criteria and do not meet any of the exclusion criteria. This study plans to include 600 patients with chronic functional constipation to treat with Vibrabot capsules for at least 6 weeks.

Who may be able to join

  • Patients who can be diagnosed with functional constipation according to the Rome IV criteria.
  • Patients who consent to participate in this trial and voluntarily sign the informed consent form (ICF).

Who cannot join

  • People who are not eligible for surgery or refuse to undergo any abdominal surgery; People with known or suspected gastrointestinal obstruction, stenosis, diverticulum, bleeding, malformation, and fistula.
  • People allergic to polymeric materials; People implanted with cardiac pacemakers and using gastrointestinal pacemakers; People with abdominal aortic aneurysms, gastrointestinal vascular lesions, ulcers, and lesions with bleeding tendencies.
  • People with dysphagia; Pregnant women; People with severe depression and anxiety and severe acute gastrointestinal lesions.
  • People with other conditions, so the investigator considers them not eligible for this study.

Trial locations and contacts

1 site in 1 country.

China1 site
  • Changhai hospital

    Shanghai

    Zhuan Liao, MD, 86-21-31161004, drfionachien@163.com

Other trials in China

About this study

Official title: A Prospective Cohort Study On the Efficacy of Vibrating Capsule For Different Subtypes of Chronic Functional Constipation

This study is a multi-center prospective cohort study, which plans to include 600 patients with chronic functional constipation to treat with Vibrabot capsules and patients will be grouped according to subtypes.

During the study, the patients' basic information, baseline constipation status and treatment information, capsule intake during treatment, and concomitant medication will be collected. During the treatment phase, patients follow the doctor's advice to receive Vibrabot capsule treatment and maintain stable dietary intake and exercise according to the constipation diagnosis and treatment guidelines.

During the study, patients need to fill in the relevant information during the treatment in the electronic questionnaire in a timely and truthful manner. The treatment effect of the patients is evaluated by assessing the number of occurrences of spontaneous bowel movements (SBM) and complete spontaneous bowel movements (CSBM).

Read the detailed description

Constipation is characterized by a decrease in bowel movements, dry and hard stools, and difficulty in defecation. With changes in diet, faster pace of life, and social psychological factors, the prevalence of chronic constipation is on the rise. The global incidence of chronic constipation is 14%, while the prevalence of chronic constipation in adults in China is 4.0% to 10.0%. The prevalence of functional constipation in China is 6%. The high-risk groups for constipation include the elderly, women, diabetics, those taking opiates, antipsychotic drugs, or bedridden patients. Occupation, lifestyle, dietary habits, mental health, family history of constipation, and BMI are factors related to constipation.

Constipation affects patients' quality of life, and some patients abuse laxatives or repeatedly seek medical treatment, increasing medical costs. The main treatments for constipation are adjusting lifestyle, medication, psychotherapy, biofeedback, and surgery. However, these methods often have side effects, and patient satisfaction is still relatively low. A new approach needs to be explored to address this clinical problem.

The Disposable Gastrointestinal Vibrating Capsule System (Vibrabot capsule) (NMPA Device Approval No. 20223090282) is the world's first approved and marketed product for treating constipation through purely physical means. It can provide intermittent comfortable massages to the digestive tract, activate the intestinal neural network, awaken intestinal motility, and help alleviate constipation issues. Clinical study results show that the product is safe to use and can increase the frequency of bowel movements in patients with chronic functional constipation.However, it remains unknown whether there are differences in treatment outcomes for patients with different subtypes of functional constipation.

In this study, we conducted a clinical study on patients with different subtypes of functional constipation to compare their therapeutic effects in patients with different subtypes.

Patients will be divided into groups according to the results of colonic transit test, balloon push-out test, defecography and anorectal manometry.

  1. Inclusion Criteria Patients who can be diagnosed with functional constipation according to the Rome IV criteria. Patients who consent to participate in this trial and voluntarily sign the informed consent form (ICF).
  2. Exclusion Criteria

People who are not eligible for surgery or refuse to undergo any abdominal surgery; People with known or suspected gastrointestinal obstruction, stenosis, diverticulum, bleeding, malformation, and fistula.

People allergic to polymeric materials; People implanted with cardiac pacemakers and using gastrointestinal pacemakers; People with abdominal aortic aneurysms, gastrointestinal vascular lesions, ulcers, and lesions with bleeding tendencies.

People with dysphagia; Pregnant women; People with severe depression and anxiety and severe acute gastrointestinal lesions.

People with other conditions, so the investigator considers them not eligible for this study.

Each patient will undergo a series of study visits, including screening, treatment visit, and follow-up visit. The visit process is briefly described as follows:

Visit 1 (0 ~ 1 day) - Baseline/Screening Period:

This visit includes:

The patient will sign an informed consent form; Set the inclusion/exclusion criteria; Guide patients to fill out the questionnaire using the Official Account and complete the Baseline Period Questionnaire in the Official Account.

Prescription Vibrabot capsule treatment or other treatment options.

Visit 2 (Week 2 ±3 days) - Treatment Period 1:

This visit includes:

Fill out the Daily Bowel Movement Questionnaire in the WeChat Official Account every day, take Vibrabot capsules on time or opt for other treatment plans; Fill out the Constipation Symptom Self-Assessment Scale and Assessment Scale for Quality of Life with Constipation in the Official Account every 2 treatment weeks.

Record adverse events and concomitant treatments; Prescription Vibrabot capsules or other treatment options. Visit 3 (Week 4±3 days) - Treatment Period 2

This visit includes:

Fill out the Daily Bowel Movement Questionnaire in the WeChat Official Account every day, take Vibrabot capsules on time or opt for other treatment plans; Fill out the Constipation Symptom Self-Assessment Scale and Assessment Scale for Quality of Life with Constipation in the Official Account every 2 treatment weeks.

Record adverse events and concomitant treatments; Prescription Vibrabot capsules or other treatment options. Visit 4 (Week 6 ±3 days) - Treatment Period 3

This visit includes:

Fill out the Daily Bowel Movement Questionnaire in the WeChat Official Account every day, take Vibrabot capsules on time or opt for other treatment plans; Fill out the Constipation Symptom Self-Assessment Scale and Assessment Scale for Quality of Life with Constipation in the Official Account every 2 treatment weeks.

Record adverse events and concomitant treatments.

Visit 5 (Week 10±3 days) - Follow-up Period:

This visit includes:

Fill out the Daily Bowel Movement Questionnaire in the WeChat Official Account every day; Fill out the Constipation Symptom Self-Assessment Scale and Assessment Scale for Quality of Life with Constipation in the Official Account every 2 treatment weeks; Record adverse events and concomitant treatments.

Being tested
Vibrabot capsule
Keywords
Vibrating Capsule, cohort study, Chronic Functional Constipation

What participants receive

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

  • Vibrabot capsuleDevice

    Main parameters of Vibrabot capsule: nominal diameter: 11.8±1mm; nominal length: 26.7±1mm; nominal weight: 4.5±1g.

    After the patient swallows the Vibrabot capsule, the capsule runs through the stomach → duodenum → jejunum and ileum → colon. According to the clinical data and configuration settings, the capsule will reach the colon and vibrate 8 hours after activation for ≥ 180 minutes in a cycle at low, medium, and high frequencies sequentially. The capsule relieves and treats constipation by massaging the colon wall through motor vibration to relieve colon muscle spasms and promote colonic peristalsis.

    The VC well be taken between 21:00 and 22:00 every day, and the frequency of administration is determined based on the patient's individual situation.

Study groups in NCT06408883
Study groupRoleWhat they receive
normal transit constipation groupPatients with confirmed normal transit constipation.
Receives: Device: Vibrabot capsule
dyssynergic defecation groupPatients with confirmed dyssynergic defecation.(abnormal balloon expulsion test and/or high anal sphincter pressure and/or failure of the anorectal angle to open)
Receives: Device: Vibrabot capsule
slow-transit constipation groupPatients with confirmed slow-transit constipation.(diagnosed by colon transit scintigraphy)
Receives: Device: Vibrabot capsule
slow-transit constipation + dyssynergic defecationPatients with confirmed slow-transit constipation and dyssynergic defecation.
Receives: Device: Vibrabot capsule

What is being measured

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

  1. After treatment, whether the response rate of patients using the Vibrabot vibrating capsules alone reaches 50%.

    The definition of the responder is a patient with an average weekly increase of ≥1 complete spontaneous bowel movement (CSBM) compared to the baseline.

    Measured: At the end of the sixth week of treatment

Secondary outcomes (10)
  1. Proportion of constipated patients who use/do not use other constipation treatment methods

    Collect relevant data through daily defecation questionnaires.

    Measured: At the end of the sixth week of treatment

  2. Proportion of constipated patients who use/do not use other constipation treatment methods

    Collect relevant data through daily defecation questionnaires.

    Measured: at the end of the 4-week follow-up

  3. Proportion of patients with an average increase of ≥1 CSBMs per week compared to the baseline period

    Collect relevant data through daily defecation questionnaires,CSBM refers to spontaneous defecation without anal obstruction and without taking laxatives within 24 hours before defecation.

    Measured: At the end of the sixth week of treatment

  4. Proportion of respondents with an average of ≥3 SBMs per week during the treatment period

    Collect relevant data through daily defecation questionnaires, SBM refers to spontaneous defecation without taking laxatives within 24 hours before defecation.

    Measured: At the end of the sixth week of treatment

  5. Proportion of subjects with ≥3 SBMs per week and an increase of ≥1 CSBMs during at least 4 weeks of treatment compared to baseline

    Collect relevant data through daily defecation questionnaires, SBM refers to spontaneous defecation without taking laxatives within 24 hours before defecation.CSBM refers to spontaneous defecation without anal obstruction and without taking laxatives within 24 hours before defecation.

    Measured: At the end of the sixth week of treatment

  6. Proportion of patients with an average increase of ≥1 CSBMs per week during the follow-up phase compared to the baseline period;

    Collect relevant data through daily defecation questionnaires.

    Measured: At the end of the sixth week of treatment

  7. Proportion of patients with an average of ≥3 SBMs per week during the follow-up phase

    Collect relevant data through daily defecation questionnaires.

    Measured: at the end of the 4-week follow-up

  8. Proportion of patients with a reduction of ≥1 point in total PAC-QOL and PAC-SYM scores after treatment compared to the baseline period

    Collect relevant data through daily defecation questionnaires.

    Measured: At the end of the sixth week of treatment

  9. Time of first use of laxative or enema after a course of vibrating capsule treatment (6 weeks)

    Collect relevant data through daily defecation questionnaires.

    Measured: After the end of the sixth week of treatment

  10. Population Distribution by Subtypes

    Proportion of different subtypes in the population

    Measured: After the end of the sixth week of treatment

Timeline

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

  1. First posted10 May 2024
  2. Study start1 Jun 2024 (estimated)
  3. Primary completion31 Dec 2025 (estimated)
  4. Study completion1 Jul 2026 (estimated)

Resources

More details

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

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
600 participants (estimated)
Target duration
4 Weeks
IDs, dates and publications
ClinicalTrials.gov ID
NCT06408883
Sponsor's protocol ID
ANKONYX20231212
Status last verified
May 2024
First submitted
7 May 2024
Last updated
10 May 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Scott SM, Simren M, Farmer AD, Dinning PG, Carrington EV, Benninga MA, Burgell RE, Dimidi E, Fikree A, Ford AC, Fox M, Hoad CL, Knowles CH, Krogh K, Nugent K, Remes-Troche JM, Whelan K, Corsetti M. Chronic constipation in adults: Contemporary perspectives and clinical challenges. 1: Epidemiology, diagnosis, clinical associations, pathophysiology and investigation. Neurogastroenterol Motil. 2021 Jun;33(6):e14050. doi: 10.1111/nmo.14050. Epub 2020 Dec 2.

    PubMed 33263938
  • Zhu JH, Qian YY, Pan J, He C, Lan Y, Chen WN, Wang BM, Zhao W, Li JN, Li XQ, Lv B, Fan YH, Zuo XL, Li Z, Zou DW, Li ZS, Liao Z. Efficacy and safety of vibrating capsule for functional constipation (VICONS): A randomised, double-blind, placebo-controlled, multicenter trial. EClinicalMedicine. 2022 Apr 25;47:101407. doi: 10.1016/j.eclinm.2022.101407. eCollection 2022 May.

    PubMed 35518121
  • Camilleri M, Kerstens R, Rykx A, Vandeplassche L. A placebo-controlled trial of prucalopride for severe chronic constipation. N Engl J Med. 2008 May 29;358(22):2344-54. doi: 10.1056/NEJMoa0800670.

    PubMed 18509121

Questions about this trial

What is this clinical trial studying?

An observational study of Clinical Study and Chronic Functional Constipation, run by Changhai Hospital at 1 site in China.

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 2 inclusion and 4 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: status not confirmed, as of the sponsor's last update on 10 May 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. 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. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

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

Contact Yangyang Qian (+86 13818040017, drfionachien@163.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

After treatment, whether the response rate of patients using the Vibrabot vibrating capsules alone reaches 50%. (time frame: At the end of the sixth week of treatment). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06408883, which also lists 3 linked publications.

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 10 May 2024.

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