Chronic CholecystitisPhase 2NCT06842966
Efficacy, Safety, and Tolerability of 4-MUST Tablets in Chronic Cholecystitis and Biliary Dyskinesia
A Phase 2 study testing 4-MUST in people with Chronic Cholecystitis and Biliary Dyskinesia, run by Valenta Pharm JSC at 17 sites in Russia.
Trial summary
This study aims to evaluate the efficacy, safety, and tolerability of the drug 4-MUST at various doses compared to placebo in patients with chronic cholecystitis and biliary dyskinesia Read more about this study
- Who is it for?
- Ages 18 to 70 years
- Conditions the study is for
- Chronic Cholecystitis, Biliary Dyskinesia
- What is being tested?
- 4-MUST
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 300 participants
- Where
- 17 sitesRussia
- Study dates
- 17 Oct 2024to 31 Dec 2026
- Phase
- Phase 2
- Are there results?
- Not yet: the study is under way
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 70 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Males and females aged 18-70 years.
- Presence of established gastrointestinal diseases: Chronic cholecystitis (K81.1); Dyskinesia of the bile duct or gallbladder (K82.8).
- Presence of pain/discomfort in the upper abdomen combined with at least one of the following symptoms: Heartburn; Belching; Nausea; Abdominal bloating; Borborygmi (stomach rumbling); Flatulence; Constipation; Diarrhea.
- Maximum severity of pain/discomfort in the upper abdomen over the past week is 40 mm or more on the VAS (Visual Analog Scale).
- Severity of gastrointestinal symptoms according to the GSRS (Gastrointestinal Symptom Rating Scale) questionnaire is at least 30 points.
- Women who are either sexually abstinent or using effective contraception methods (e.g. intrauterine devices, contraceptive patches, long-acting injectable contraceptives, or double barrier methods) for at least 8 weeks before and 3 weeks after the end of the study, with a confirmed negative pregnancy test, as well as women with documented infertility or non-childbearing status (e.g. hysterectomy, tubal ligation, infertility or menopause for more than 1 year) or men using barrier contraceptives throughout the study and for 3 weeks after its completion, or men unable to conceive (documented conditions: vasectomy, infertility).
Show all 41Show fewer
- Signed and dated informed consent from.
- Non-inclusion Criteria:
- Peptic ulcer disease, duodenal ulcer, erosive GERD.
- Toxic megacolon.
- Paralytic ileus.
- Gilbert's syndrome.
- Abdominal adhesion disease.
- Blood in stool, unexplained weight loss, fever, anemia.
- Inflammatory and erosive gastrointestinal diseases.
- Irritable bowel syndrome, non-specific ulcerative colitis, Crohn's disease.
- Oncological diseases of the gastrointestinal tract (including past diagnoses).
- History of gastrointestinal surgical procedures, including but not limited to endoscopic papillotomy and cholecystectomy, exept for appendectomy.
- Use of prohibited therapy medications within 3 days prior to randomization.
- History of mental illnesses.
- Chronic heart failure IIb-III stages and/or III-IV functional classes according to NYHA, angina pectoris III-IV functional classes.
- Chronic kidney disease stage IIIa-V (according to NKF/KDOQI, 2006).
- Established diagnosis of liver failure, including in history and/or changes in liver enzyme activity: Increase in AST, ALT, ALP and/or γ-GTP more than 3 times above the upper limit of normal; Increase in total bilirubin more than 2 times above the upper limit of normal or development of jaundice.
- HIV, syphilis, viral hepatitis B or C, including in history.
- Lactose intolerance, lactase deficiency, and glucose-galactose malabsorption syndrome.
- Liver cirrhosis.
- Hypersensitivity to the active ingridient or any of the excipients of the drug 4-MUST.
- Severe, decompensated or unstable somatic diseases (any diseases or conditions that threaten the patient's life or worsen their prognosis and make it impossible for the patient to participate in clinical research).
- Diabetes mellitus in a state of subcompensation and decompensation.
- Systemic connective tissue diseases.
- Autoimmune diseases.
- Need for surgical and/or endovascular treatment and/or necessity for hemodialysis procedures.
- Epilepsy or seizures of unclear etiology, including in history.
- Alcoholism, substance abuse or drug addiction, including in history.
- Uncorrected electrolyte disturbances.
- History of surgery within 6 month prior to screening.
- Women during pregnancy or lactation; women planning to become pregnant within the next 6 months.
- Patients who require prohibited concomitant therapy within this study framework.
- Participation in another clinical trial within the last 3 months prior to the screening visit date.
- Lack of willingness to cooperate from the patient's side.
- Other conditions that, in the investigator's judgement, may preclude the patient's participation in the study.
Who cannot join
- Incorrect enrollment of a patient in the study (failure to meet inclusion/exclusion criteria at the time of randomization).
- Ineffectiveness of therapy. The therapy will be deemed ineffective if there is no clinical improvement by visit 3 (15±1 days of therapy) - persistence or increase in the severity of pain/discomfort in the upper abdomen on the VAS compared to baseline. If excluded, the patient will be assigned alternative treatment at the discretion of the investigator.
- Patient non-compliance (a compliant patient is defined as one who has taken at least 202 and no more than 303 tablets).
- Requirement for prohibited concomitant therapy.
- If the investigator judges that comtinued participation in the study would harm the patient.
- Pregnancy or the need for breastfeeding in the patient.
Show all 11Show fewer
- Gross violation by the patient of the study protocol procedures outlined in the patient information sheet (PIS).
- Withdrawal of informed consent (patient's unwillingness to continue participation in the study).
- Loss of contact with the patient (inability to reach the patient via mobile and home phone (if applicable), as well as through a contact person; there must be at least three documented attempts to contact the patient).
- Emergence during the study of any diseases or conditions that worsen the patient's prognosis, making it impossible for the patient to continue participating in this clinical trial.
- Any other reasons, including administrative issues, that in the investigator's judgement may interfere with subject's ability to comlete the study.
Trial locations and contacts
17 sites in 1 country. Contact the study team or a site near you to ask about taking part.
17 sites in 1 country
Russia17 sites, 17 recruiting
- Recruiting
State autonomous health care institution "Engels City Clinical Hospital No. 1"
Engel's, 413116
Ekaterina Muldagalieva, MD, +7 (8453) 51-59-02, katyfily@yandex.ru
- Recruiting
Ivanovo Kuvaev Clinical Hospital
Ivanovo, 153025
Svetlana Ushakova, MD, PhD, +7 (910) 992 3962, svetland1962@mail.ru
- Recruiting
State Budgetary Institution of Healthcare of Moscow "City Polyclinic No. 2 of the Moscow Department of Healthcare"
Moscow, 117556
Natalia Lapidus, MD, PhD, +7-499-317-00-45, nat_lap@mail.ru
- Recruiting
Unimed-C Jsc
Moscow, 119571
Elena Volnaya, MD, +7-495-135-50-10, drvolnaya@yandex.ru
- Recruiting
The State Budgetary Healthcare Institution of the Moscow Region "Moscow Regional Research Clinical Institute named after M.F. Vladimirsky"
Moscow
Svetlana Erofeeva, MD, +7-499-674-07-09, erofsb@mail.ru
- Recruiting
Limited Liability Company "ErSi Medical"
Novosibirsk
Natalya Voloshina, MD, PhD, +7-383-388-41-12, voloshinanatalya@yandex.ru
- Recruiting
Professors' Clinic LLC.
Perm, 614070
Svetlana Teplykh, MD, PhD, +7 (919) 498 2931, profkliniki@mail.ru
- Recruiting
Limited Liability Company "Medical Center Eco-Safety"
Saint Petersburg, 19119
Vasiliy Vasilyuk, MD,PhD, Prof., +7 (812) 500-52-03 ext. 5001, vasilyuk_vb@ecosafety.ru
- Recruiting
Limited Liability Company "Energy of Health"
Saint Petersburg, 194156
Evgeny Levchenko, MD, +7-812-701-03-03, lev2096@yandex.ru
- Recruiting
St. Petersburg State Budgetary Healthcare Institution "City Polyclinic No. 117"
Saint Petersburg, 194358
Diana Alpenidze, MD,PhD, +7 (812) 246-73-10, d.alpenidze@mail.ru
- Recruiting
Limited Liability Company "Clinic Zvezdnaya"
Saint Petersburg, 196158
Dmitry Shkarbul, MD, +7 (812) 407-32-32, director@starsclinic.ru
- Recruiting
Limited Liability Company "Meili"
Saint Petersburg, 199406
Maria Bolotova, MD, +7-921-331-29-92, mbolotova75@mail.ru
- Recruiting
State Budgetary Institution "St. Petersburg Research Institute of Emergency Care named after I.I. Djanelidze"
Saint Petersburg
Victor Kostenko, MD, PhD, +7-812-406-88-88, victor.kostenko@hotmail.com
- Recruiting
Private institution of higher education "Medical University 'Reavis'"
Samara
Elena Bunkova, MD, +7-800-600-24-00, bunkova27@mail.ru
- Recruiting
Association "Regional Medical Center 'Open Medicine'"
Tolyatti
Alexey Frolov, MD, +7-8482-55-10-00, frolovalexej@yandex.ru
- Recruiting
LLC "Polyclinic Polimedika Veliky Novgorod"
Velikiy Novgorod
Olga Solovjova, MD, PhD, +7-812-303-50-00, o_solovjova@inbox.ru
- Recruiting
Limited Liability Company "Medical Center for Diagnosis and Prevention Plus"
Yaroslavl
Ekaterina Melnikova, MD, PhD, +7-4852-58-88-28, melnicovae@mail.ru
About this study
Official title: A Prospective Multicenter Randomized Double-blind Placebo-controlled Study in Parallel Groups to Evaluate the Efficacy, Safety, and Tolerability of the Drug 4-MUST, Tablets, 128 mg Administered at Various Doses in Patients With Chronic Cholecystitis and Biliary Dyskinesia
This study aims to evaluate the efficacy, safety, and tolerability of the drug 4-MUST at various doses compared to placebo in patients with chronic cholecystitis and biliary dyskinesia
- Conditions
- Chronic Cholecystitis, Biliary Dyskinesia
- Being tested
- 4-MUST, Placebo
- Medical subject headings
- Biliary Dyskinesia
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
4-MUSTDrug
Also called trimebutine 4-methylumbelliferyl sulfate
128 mg of trimebutine 4-methylumbelliferyl sulfate tablet.
PlaceboDrug
Placebo tablet.
| Study group | Role | What they receive |
|---|---|---|
| 4-MUST, 128 mg | Experimental | Patients will receive 1 tablet of the drug 4-MUST (128 mg of trimebutine 4-methylumbelliferyl sulfate) and 2 placebo tablets three times a day. Receives: Drug: 4-MUST; Drug: Placebo |
| 4-MUST, 256 mg | Experimental | Patients will receive 2 tablets of the drug 4-MUST (256 mg of trimebutine 4-methylumbelliferyl sulfate) and 1 placebo tablet three times a day. Receives: Drug: 4-MUST; Drug: Placebo |
| 4-MUST, 384 mg | Experimental | Patients will receive 3 tablets of the drug 4-MUST (384 mg of trimebutine 4-methylumbelliferyl sulfate) three times a day. Receives: Drug: 4-MUST |
| Placebo | Placebo comparator | Patients will receive 3 placebo tablets three times a day. Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Average reduction in the severity of pain/discomfort in the upper abdomen on the VAS by day 29 compared to baseline
Visual analogue scale (VAS) from 0 to 100 mm, where 0 is "no pain", and 100 is "the worst pain one can imagine"
Measured: Day 29 ± 1
Secondary outcomes (56)
Change in the total score of gastrointestinal symptom severity according to the GSRS questionnaire on days 8, 15, 22, and 29 compared to baseline
The Gastrointestinal Symptom Rating Scale (GSRS) is a self-administered questionnaire designed to assess gastrointestinal symptoms and their severity. It consists of 15 items categorized into five domains: Abdominal pain (including stomach pain and nausea), Reflux (heartburn and acid reflux), Indigestion (bloating, burping, and flatulence), Constipation (hard stools and incomplete evacuation), Diarrhea (loose stools and urgency). Respondents rate their symptoms on a 7-point Likert scale, where 1 indicates no discomfort and 7 indicates very severe discomfort.
Measured: Day 8 ± 1, 15 ± 1, 22 ± 1, and 29 ± 1
Response rate to therapy (proportion of patients in the group showing a reduction in pain/discomfort in the upper abdomen on the VAS by more than 30%) by day 29 compared to baseline
Visual analogue scale (VAS) from 0 to 100 mm, where 0 is "no pain", and 100 is "the worst pain one can imagine"
Measured: Day 29 ± 1
Response rate to therapy (proportion of patients in the group showing a reduction in pain/discomfort in the upper abdomen on the VAS by 50% or more) by day 29 compared to baseline
Visual analogue scale (VAS) from 0 to 100 mm, where 0 is "no pain", and 100 is "the worst pain one can imagine"
Measured: Day 29 ± 1
Change in manifestations of dyspeptic disorders according to the GSRS questionnaire scores on days 8, 15, 22, and 29 compared to baseline
The Gastrointestinal Symptom Rating Scale (GSRS) is a self-administered questionnaire designed to assess gastrointestinal symptoms and their severity. It consists of 15 items categorized into five domains: Abdominal pain (including stomach pain and nausea), Reflux (heartburn and acid reflux), Indigestion (bloating, burping, and flatulence), Constipation (hard stools and incomplete evacuation), Diarrhea (loose stools and urgency). Respondents rate their symptoms on a 7-point Likert scale, where 1 indicates no discomfort and 7 indicates very severe discomfort.
Measured: Day 8 ± 1, 15 ± 1, 22 ± 1, and 29 ± 1
Change in quality of life based on the total score from the SF-36 questionnaire by day 29 compared to baseline
SF-36 (Short Form 36 Health Survey) is a self-reported questionnaire. It consists of 36 items that cover eight health domains: Physical functioning, Role limitations due to physical health, Role limitations due to emotional problems, Bodily pain, General health perceptions, Vitality (energy and fatigue), Social functioning, Mental health. SF-36 produces a profile of scores for each domain, which can be summarized into two main components: the Physical Component Summary (PCS) and the Mental Component Summary (MCS). Scores range from 0 to 100, where lower scores indicate greater disability and higher scores indicate better health.
Measured: Day 29 ± 1
Average reduction in pain/discomfort severity in the upper abdomen on the VAS by days 8, 15, and 22 compared to baseline
Visual analogue scale (VAS) from 0 to 100 mm, where 0 is "no pain", and 100 is "the worst pain one can imagine"
Measured: Day 8 ± 1, 15 ± 1, 22 ± 1, and 29 ± 1
Safety and Tolerability: adverse event (AE) rate
Frequency of adverse events (AEs) or serious AEs (SAEs)
Measured: From the date of screening (and signing informed consent form) to the end of the study or to an early termination visit, whichever came first, assessed up to day 36 ± 2 for each participant
Safety and Tolerability: adverse event (AE) number
Number of adverse events (AEs) or serious AEs (SAEs)
Measured: From the date of screening (and signing informed consent form) to the end of the study or to an early termination visit, whichever came first, assessed up to day 36 ± 2 for each participant
Safety and Tolerability: AEs associated with the study drug
Number and frequency of AEs associated with the study drug
Measured: From the date of screening (and signing informed consent form) to the end of the study or to an early termination visit, whichever came first, assessed up to day 36 ± 2 for each participant
Safety and Tolerability: SAEs associated with the study drug
Number and frequency of SAEs associated with the study drug
Measured: From the date of screening (and signing informed consent form) to the end of the study or to an early termination visit, whichever came first, assessed up to day 36 ± 2 for each participant
Safety and Tolerability: treatment discontinuation
Percentage of patients who discontinued treatment due to the occurrence of AEs/SAEs
Measured: From the date of screening (and signing informed consent form) to the end of the study or to an early termination visit, whichever came first, assessed up to day 36 ± 2 for each participant
Safety and Tolerability: vital signs - systolic blood pressure (SBP)
SBP, mmHg
Measured: Screening, day 1, day 8 ± 1, day 15 ± 1, day 22 ± 1, day 29 ± 1
Safety and Tolerability: vital signs - diastolic blood pressure (DBP)
DBP, mmHg
Measured: Screening, day 1, day 8 ± 1, day 15 ± 1, day 22 ± 1, day 29 ± 1
Safety and Tolerability: vital signs - respiratory rate (RR)
RR, breaths per minute
Measured: Screening, day 1, day 8 ± 1, day 15 ± 1, day 22 ± 1, day 29 ± 1
Safety and Tolerability: vital signs - heart rate (HR)
HR, beats per minute
Measured: Screening, day 1, day 8 ± 1, day 15 ± 1, day 22 ± 1, day 29 ± 1
Safety and Tolerability: vital signs - body temperature
Body temperature, Celsius scale
Measured: Screening, day 1, day 8 ± 1, day 15 ± 1, day 22 ± 1, day 29 ± 1
Physical examination results: cardiovascular system
An assessment of the condition of the cardiovascular system on physical examination (normal condition or list of abnormal conditions, if any)
Measured: Screening, day 1, day 8 ± 1, day 15 ± 1, day 22 ± 1, day 29 ± 1
Physical examination results: respiratory system
An assessment of the condition of the respiratory system on physical examination (normal condition or list of abnormal conditions, if any)(normal condition or list of abnormal conditions, if any)
Measured: Screening, day 1, day 8 ± 1, day 15 ± 1, day 22 ± 1, day 29 ± 1
Physical examination results: digestive tract
An assessment of the condition of the digestive tract on physical examination (normal condition or list of abnormal conditions, if any)
Measured: Screening, day 1, day 8 ± 1, day 15 ± 1, day 22 ± 1, day 29 ± 1
Physical examination results: endocrine system
An assessment of the condition of the endocrine system on physical examination (normal condition or list of abnormal conditions, if any)
Measured: Screening, day 1, day 8 ± 1, day 15 ± 1, day 22 ± 1, day 29 ± 1
Physical examination results: musculoskeletal system
An assessment of the condition of the musculoskeletal system on physical examination (normal condition or list of abnormal conditions, if any)
Measured: Screening, day 1, day 8 ± 1, day 15 ± 1, day 22 ± 1, day 29 ± 1
Physical examination results: nervous system
An assessment of the condition of the nervous system on physical examination (normal condition or list of abnormal conditions, if any)
Measured: Screening, day 1, day 8 ± 1, day 15 ± 1, day 22 ± 1, day 29 ± 1
Physical examination results: sensory systems
An assessment of the condition of the sensory systems on physical examination (normal condition or list of abnormal conditions, if any)
Measured: Screening, day 1, day 8 ± 1, day 15 ± 1, day 22 ± 1, day 29 ± 1
Physical examination results: skin/visible mucous membranes
An assessment of the condition of the skin/visible mucous membranes on physical examination (normal condition or list of abnormal conditions, if any)
Measured: Screening, day 1, day 8 ± 1, day 15 ± 1, day 22 ± 1, day 29 ± 1
Results of laboratory and instrumental examinations: clinical blood test - hemoglobin
Hemoglobin (g/L)
Measured: Screening, day 15 ± 1, day 29 ± 1
Results of laboratory and instrumental examinations: clinical blood test - hematocrit
Hematocrit (%)
Measured: Screening, day 15 ± 1, day 29 ± 1
Results of laboratory and instrumental examinations: clinical blood test - red blood cell count
Red blood cell count (cells/L)
Measured: Screening, day 15 ± 1, day 29 ± 1
Results of laboratory and instrumental examinations: clinical blood test - platelet count
Platelet count (cells/L)
Measured: Screening, day 15 ± 1, day 29 ± 1
Results of laboratory and instrumental examinations: clinical blood test - leukocyte count
Leukocyte count (cells/L)
Measured: Screening, day 15 ± 1, day 29 ± 1
Results of laboratory and instrumental examinations: clinical blood test - erythrocyte sedimentation rate
Erythrocyte sedimentation rate (mm/h)
Measured: Screening, day 15 ± 1, day 29 ± 1
Results of laboratory and instrumental examinations: clinical blood test - myelocytes
Leukocyte formula (myelocytes, %)
Measured: Screening, day 15 ± 1, day 29 ± 1
Results of laboratory and instrumental examinations: clinical blood test - band neutrophils
Leukocyte formula (band neutrophils, %)
Measured: Screening, day 15 ± 1, day 29 ± 1
Results of laboratory and instrumental examinations: clinical blood test - segmented neutrophils
Leukocyte formula (segmented neutrophils, %)
Measured: Screening, day 15 ± 1, day 29 ± 1
Results of laboratory and instrumental examinations: clinical blood test - eosinophils
Leukocyte formula (eosinophils, %)
Measured: Screening, day 15 ± 1, day 29 ± 1
Results of laboratory and instrumental examinations: clinical blood test - basophils
Leukocyte formula (basophils, %)
Measured: Screening, day 15 ± 1, day 29 ± 1
Results of laboratory and instrumental examinations: clinical blood test - monocytes
Leukocyte formula (monocytes, %)
Measured: Screening, day 15 ± 1, day 29 ± 1
Results of laboratory and instrumental examinations: clinical blood test - lymphocytes
Leukocyte formula (lymphocytes, %)
Measured: Screening, day 15 ± 1, day 29 ± 1
Results of laboratory and instrumental examinations: blood chemistry - glucose
Glucose concentration (mmol/L)
Measured: Screening, day 15 ± 1, day 29 ± 1
Results of laboratory and instrumental examinations: blood chemistry - cholesterol
Total cholesterol concentration (mmol/L)
Measured: Screening, day 15 ± 1, day 29 ± 1
Results of laboratory and instrumental examinations: blood chemistry - protein
Total protein concentration (g/L)
Measured: Screening, day 15 ± 1, day 29 ± 1
Results of laboratory and instrumental examinations: blood chemistry - bilirubin
Total bilirubin concentration (micromol/L)
Measured: Screening, day 15 ± 1, day 29 ± 1
Results of laboratory and instrumental examinations: blood chemistry - creatinine
Creatinine concentration (micromol/L)
Measured: Screening, day 15 ± 1, day 29 ± 1
Results of laboratory and instrumental examinations: blood chemistry - alkaline phosphatase
Alkaline phosphatase activity (U/L)
Measured: Screening, day 15 ± 1, day 29 ± 1
Results of laboratory and instrumental examinations: blood chemistry - alanine transaminase
Alanine transaminase activity (U/L)
Measured: Screening, day 15 ± 1, day 29 ± 1
Results of laboratory and instrumental examinations: blood chemistry - aspartate transaminase
Aspartate transaminase activity (U/L)
Measured: Screening, day 15 ± 1, day 29 ± 1
Results of laboratory and instrumental examinations: blood chemistry - gamma-GTP
Gamma-glutaryl transpeptidase activity (U/L)
Measured: Screening, day 15 ± 1, day 29 ± 1
Results of laboratory and instrumental examinations: urinalysis - specific gravity
Specific gravity of the urine
Measured: Screening, day 15 ± 1, day 29 ± 1
Results of laboratory and instrumental examinations: urinalysis - pH
pH of the urine
Measured: Screening, day 15 ± 1, day 29 ± 1
Results of laboratory and instrumental examinations: urinalysis - protein
Protein concentration (g/L)
Measured: Screening, day 15 ± 1, day 29 ± 1
Results of laboratory and instrumental examinations: urinalysis - glucose
Glucose concentration (mmol/L)
Measured: Screening, day 15 ± 1, day 29 ± 1
Results of laboratory and instrumental examinations: urinalysis - red blood cells
Red blood cell content (number in sight)
Measured: Screening, day 15 ± 1, day 29 ± 1
Results of laboratory and instrumental examinations: urinalysis - white blood cells
White blood cell content (number in sight)
Measured: Screening, day 15 ± 1, day 29 ± 1
Safety and Tolerability: 12-lead electrocardiogram (ECG) - heart rate
12-lead ECG (I, II, III, aVR-enhanced unipolar abduction from the right arm , aVL-enhanced unipolar abduction from the left arm, aVF - enhanced unipolar abduction from the left leg, V1-V6) taken while lying down: heart rate (beats per minute)
Measured: Screening, day 1, day 8 ± 1, day 15 ± 1, day 22 ± 1, day 29 ± 1
Safety and Tolerability: 12-lead electrocardiogram (ECG) - PQ interval
12-lead ECG (I, II, III, aVR-enhanced unipolar abduction from the right arm , aVL-enhanced unipolar abduction from the left arm, aVF - enhanced unipolar abduction from the left leg, V1-V6) taken while lying down: PQ interval (is the period, measured in milliseconds, that extends from the beginning of the P wave (the onset of atrial depolarization) until the beginning of the QRS complex)
Measured: Screening, day 1, day 8 ± 1, day 15 ± 1, day 22 ± 1, day 29 ± 1
Safety and Tolerability: 12-lead electrocardiogram (ECG) - QRS complex
12-lead ECG (I, II, III, aVR-enhanced unipolar abduction from the right arm , aVL-enhanced unipolar abduction from the left arm, aVF - enhanced unipolar abduction from the left leg, V1-V6) taken while lying down: QRS complex (the QRS complex is the combination of three of the graphical deflections seen on a typical electrocardiogram)
Measured: Screening, day 1, day 8 ± 1, day 15 ± 1, day 22 ± 1, day 29 ± 1
Safety and Tolerability: 12-lead electrocardiogram (ECG) - corrected QT interval
12-lead ECG (I, II, III, aVR-enhanced unipolar abduction from the right arm , aVL-enhanced unipolar abduction from the left arm, aVF - enhanced unipolar abduction from the left leg, V1-V6) taken while lying down: corrected QT interval (distance from the beginning of the QRS complex to the end of the T wave) (Frederica correction)
Measured: Screening, day 1, day 8 ± 1, day 15 ± 1, day 22 ± 1, day 29 ± 1
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Feb 2025
- Study start17 Oct 2024
- Primary completion31 Dec 2026 (estimated)
- Study completion31 Dec 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Chronic CholecystitisStudies of the same condition, open and under way.
- More trials run by Valenta Pharm JSCThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Who is masked
- Participant, Investigator
- Enrolment
- 300 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Valenta Pharm JSC
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06842966
- Sponsor's protocol ID
- GIB-02-03-2024
- Status last verified
- Jul 2025
- First submitted
- 17 Feb 2025
- Last updated
- 11 Jul 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 11 Jul 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Prospective Multicenter Randomized Double-blind Placebo-controlled Study in Parallel Groups to Evaluate the Efficacy, Safety, and Tolerability of the Drug 4-MUST, Tablets, 128 mg Administered at Various Doses in Patients With Chronic Cholecystitis and Biliary Dyskinesia
- ClinicalTrials.gov ID
- NCT06842966
- Acronym / sponsor ID
- GIB-02-03-2024
- Conditions
- Chronic Cholecystitis, Biliary Dyskinesia
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 300 participants (estimated)
- Lead sponsor
- Valenta Pharm JSCIndustry (pharma, biotech, devices)
- Study start
- 17 Oct 2024 (actual)
- Primary completion
- 31 Dec 2026 (estimated)
- Study completion
- 31 Dec 2026 (estimated)
- First posted
- 24 Feb 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study aims to evaluate the efficacy, safety, and tolerability of the drug 4-MUST at various doses compared to placebo in patients with chronic cholecystitis and biliary dyskinesia
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| 4-MUST, 128 mg | Experimental | Drug: 4-MUST, Drug: PlaceboPatients will receive 1 tablet of the drug 4-MUST (128 mg of trimebutine 4-methylumbelliferyl sulfate) and 2 placebo tablets three times a day. |
| 4-MUST, 256 mg | Experimental | Drug: 4-MUST, Drug: PlaceboPatients will receive 2 tablets of the drug 4-MUST (256 mg of trimebutine 4-methylumbelliferyl sulfate) and 1 placebo tablet three times a day. |
| 4-MUST, 384 mg | Experimental | Drug: 4-MUSTPatients will receive 3 tablets of the drug 4-MUST (384 mg of trimebutine 4-methylumbelliferyl sulfate) three times a day. |
| Placebo | Placebo comparator | Drug: PlaceboPatients will receive 3 placebo tablets three times a day. |
Who may qualify
- Ages
- 18 to 70 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (41 listed)
- Males and females aged 18-70 years.
- Presence of established gastrointestinal diseases: Chronic cholecystitis (K81.1); Dyskinesia of the bile duct or gallbladder (K82.8).
- Presence of pain/discomfort in the upper abdomen combined with at least one of the following symptoms: Heartburn; Belching; Nausea; Abdominal bloating; Borborygmi (stomach rumbling); Flatulence; Constipation; Diarrhea.
- Maximum severity of pain/discomfort in the upper abdomen over the past week is 40 mm or more on the VAS (Visual Analog Scale).
- Severity of gastrointestinal symptoms according to the GSRS (Gastrointestinal Symptom Rating Scale) questionnaire is at least 30 points.
Key exclusion criteria (11 listed)
- Incorrect enrollment of a patient in the study (failure to meet inclusion/exclusion criteria at the time of randomization).
- Ineffectiveness of therapy. The therapy will be deemed ineffective if there is no clinical improvement by visit 3 (15±1 days of therapy) - persistence or increase in the severity of pain/discomfort in the upper abdomen on the VAS compared to baseline. If excluded, the patient will be assigned alternative treatment at the discretion of the investigator.
- Patient non-compliance (a compliant patient is defined as one who has taken at least 202 and no more than 303 tablets).
- Requirement for prohibited concomitant therapy.
- If the investigator judges that comtinued participation in the study would harm the patient.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| 4-MUSTAlso: trimebutine 4-methylumbelliferyl sulfate128 mg of trimebutine 4-methylumbelliferyl sulfate tablet. | Drug | 4-MUST, 128 mg, 4-MUST, 256 mg, 4-MUST, 384 mg |
| PlaceboPlacebo tablet. | Drug | 4-MUST, 128 mg, 4-MUST, 256 mg, Placebo |
Primary outcome
Average reduction in the severity of pain/discomfort in the upper abdomen on the VAS by day 29 compared to baseline
Time frame: Day 29 ± 1
Visual analogue scale (VAS) from 0 to 100 mm, where 0 is "no pain", and 100 is "the worst pain one can imagine"
56 secondary outcomes
Change in the total score of gastrointestinal symptom severity according to the GSRS questionnaire on days 8, 15, 22, and 29 compared to baseline
Time frame: Day 8 ± 1, 15 ± 1, 22 ± 1, and 29 ± 1
Response rate to therapy (proportion of patients in the group showing a reduction in pain/discomfort in the upper abdomen on the VAS by more than 30%) by day 29 compared to baseline
Time frame: Day 29 ± 1
Response rate to therapy (proportion of patients in the group showing a reduction in pain/discomfort in the upper abdomen on the VAS by 50% or more) by day 29 compared to baseline
Time frame: Day 29 ± 1
Change in manifestations of dyspeptic disorders according to the GSRS questionnaire scores on days 8, 15, 22, and 29 compared to baseline
Time frame: Day 8 ± 1, 15 ± 1, 22 ± 1, and 29 ± 1
Change in quality of life based on the total score from the SF-36 questionnaire by day 29 compared to baseline
Time frame: Day 29 ± 1
Average reduction in pain/discomfort severity in the upper abdomen on the VAS by days 8, 15, and 22 compared to baseline
Time frame: Day 8 ± 1, 15 ± 1, 22 ± 1, and 29 ± 1
Safety and Tolerability: adverse event (AE) rate
Time frame: From the date of screening (and signing informed consent form) to the end of the study or to an early termination visit, whichever came first, assessed up to day 36 ± 2 for each participant
Safety and Tolerability: adverse event (AE) number
Time frame: From the date of screening (and signing informed consent form) to the end of the study or to an early termination visit, whichever came first, assessed up to day 36 ± 2 for each participant
Safety and Tolerability: AEs associated with the study drug
Time frame: From the date of screening (and signing informed consent form) to the end of the study or to an early termination visit, whichever came first, assessed up to day 36 ± 2 for each participant
Safety and Tolerability: SAEs associated with the study drug
Time frame: From the date of screening (and signing informed consent form) to the end of the study or to an early termination visit, whichever came first, assessed up to day 36 ± 2 for each participant
Safety and Tolerability: treatment discontinuation
Time frame: From the date of screening (and signing informed consent form) to the end of the study or to an early termination visit, whichever came first, assessed up to day 36 ± 2 for each participant
Safety and Tolerability: vital signs - systolic blood pressure (SBP)
Time frame: Screening, day 1, day 8 ± 1, day 15 ± 1, day 22 ± 1, day 29 ± 1
Safety and Tolerability: vital signs - diastolic blood pressure (DBP)
Time frame: Screening, day 1, day 8 ± 1, day 15 ± 1, day 22 ± 1, day 29 ± 1
Safety and Tolerability: vital signs - respiratory rate (RR)
Time frame: Screening, day 1, day 8 ± 1, day 15 ± 1, day 22 ± 1, day 29 ± 1
Safety and Tolerability: vital signs - heart rate (HR)
Time frame: Screening, day 1, day 8 ± 1, day 15 ± 1, day 22 ± 1, day 29 ± 1
Safety and Tolerability: vital signs - body temperature
Time frame: Screening, day 1, day 8 ± 1, day 15 ± 1, day 22 ± 1, day 29 ± 1
Physical examination results: cardiovascular system
Time frame: Screening, day 1, day 8 ± 1, day 15 ± 1, day 22 ± 1, day 29 ± 1
Physical examination results: respiratory system
Time frame: Screening, day 1, day 8 ± 1, day 15 ± 1, day 22 ± 1, day 29 ± 1
Physical examination results: digestive tract
Time frame: Screening, day 1, day 8 ± 1, day 15 ± 1, day 22 ± 1, day 29 ± 1
Physical examination results: endocrine system
Time frame: Screening, day 1, day 8 ± 1, day 15 ± 1, day 22 ± 1, day 29 ± 1
Physical examination results: musculoskeletal system
Time frame: Screening, day 1, day 8 ± 1, day 15 ± 1, day 22 ± 1, day 29 ± 1
Physical examination results: nervous system
Time frame: Screening, day 1, day 8 ± 1, day 15 ± 1, day 22 ± 1, day 29 ± 1
Physical examination results: sensory systems
Time frame: Screening, day 1, day 8 ± 1, day 15 ± 1, day 22 ± 1, day 29 ± 1
Physical examination results: skin/visible mucous membranes
Time frame: Screening, day 1, day 8 ± 1, day 15 ± 1, day 22 ± 1, day 29 ± 1
Results of laboratory and instrumental examinations: clinical blood test - hemoglobin
Time frame: Screening, day 15 ± 1, day 29 ± 1
Results of laboratory and instrumental examinations: clinical blood test - hematocrit
Time frame: Screening, day 15 ± 1, day 29 ± 1
Results of laboratory and instrumental examinations: clinical blood test - red blood cell count
Time frame: Screening, day 15 ± 1, day 29 ± 1
Results of laboratory and instrumental examinations: clinical blood test - platelet count
Time frame: Screening, day 15 ± 1, day 29 ± 1
Results of laboratory and instrumental examinations: clinical blood test - leukocyte count
Time frame: Screening, day 15 ± 1, day 29 ± 1
Results of laboratory and instrumental examinations: clinical blood test - erythrocyte sedimentation rate
Time frame: Screening, day 15 ± 1, day 29 ± 1
Results of laboratory and instrumental examinations: clinical blood test - myelocytes
Time frame: Screening, day 15 ± 1, day 29 ± 1
Results of laboratory and instrumental examinations: clinical blood test - band neutrophils
Time frame: Screening, day 15 ± 1, day 29 ± 1
Results of laboratory and instrumental examinations: clinical blood test - segmented neutrophils
Time frame: Screening, day 15 ± 1, day 29 ± 1
Results of laboratory and instrumental examinations: clinical blood test - eosinophils
Time frame: Screening, day 15 ± 1, day 29 ± 1
Results of laboratory and instrumental examinations: clinical blood test - basophils
Time frame: Screening, day 15 ± 1, day 29 ± 1
Results of laboratory and instrumental examinations: clinical blood test - monocytes
Time frame: Screening, day 15 ± 1, day 29 ± 1
Results of laboratory and instrumental examinations: clinical blood test - lymphocytes
Time frame: Screening, day 15 ± 1, day 29 ± 1
Results of laboratory and instrumental examinations: blood chemistry - glucose
Time frame: Screening, day 15 ± 1, day 29 ± 1
Results of laboratory and instrumental examinations: blood chemistry - cholesterol
Time frame: Screening, day 15 ± 1, day 29 ± 1
Results of laboratory and instrumental examinations: blood chemistry - protein
Time frame: Screening, day 15 ± 1, day 29 ± 1
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 11 Jul 2025.
- Individual participant dataSharing planned: No
Related trials for Chronic Cholecystitis
Enrolling by invitationObservational study
Shortwave Infrared Surgical Imaging Device Study
Cholecystitis, Cholecystitis, Chronic
Not yet recruiting
Probiotic Yogurt in Patients With Chronic Cholecystitis
Chronic Cholecystitis
RecruitingPhase 1
Food-Effect, Single and Multiple Dose Pharmacokinetics, Safety and Tolerability Study of 4-MUST, 128 mg, Tablets in Healthy Volunteers
Chronic Cholecystitis, Biliary Dyskinesia
RecruitingPhase 3
Efficacy, Safety, and Tolerability of 4-MUST, 128 mg Tablets in Chronic Cholecystitis and Biliary Dyskinesia
Chronic Cholecystitis, Biliary Dyskinesia
RecruitingObservational study
Prospective Registry Of Therapeutic EndoscopiC ulTrasound
Gastric Outlet Obstruction, Biliary Obstruction
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
State autonomous health care institution "Engels City Clinical Hospital No. 1"
Engel's, Russia
State Budgetary Institution of Healthcare of Moscow "City Polyclinic No. 2 of the Moscow Department of Healthcare"
Moscow, Russia
17 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing 4-MUST in people with Chronic Cholecystitis and Biliary Dyskinesia, run by Valenta Pharm JSC at 17 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 41 inclusion and 11 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: looking for participants now, as of the sponsor's last update on 11 Jul 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 17 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 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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Each site lists its own contact: choose the nearest one under Trial locations. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Average reduction in the severity of pain/discomfort in the upper abdomen on the VAS by day 29 compared to baseline (time frame: Day 29 ± 1). 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 11 Jul 2025.