Trial Outcomes & Findings for Cheno Effect on Transit in Health and IBS-C (NCT NCT00912301)

NCT ID: NCT00912301

Last Updated: 2012-07-02

Results Overview

The scintigraphic method is used to measure colonic transit. An isotope is adsorbed on activated charcoal particles and delivered to the colon in a delayed release capsule. Anterior and posterior gamma images are taken hourly. The geometric center (GC) is the weighted average of counts in the different colonic regions. The scale ranges from 1 to 5; a high GC implies faster colonic transit, a GC of 1 implies all isotope is in the ascending colon, and a GC of 5 implies all isotope is in the stool.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

36 participants

Primary outcome timeframe

after 4 days of treatment

Results posted on

2012-07-02

Participant Flow

Participants were enrolled between April 17 and November 20, 2009 from 150 mile geographical area around Mayo Clinic, Rochester, MN.

40 patients signed informed consent, but 3 failed screening due to presence of evacuation disorder, and 1 withdrew prior to study due to illness.

Participant milestones

Participant milestones
Measure
NaCDC 500 mg
Participants randomized to this arm received 500 mg NaCDC per day for 4 days.
NaCDC 1000 mg
Participants randomized to this arm received 1000 mg NaCDC per day for 4 days.
Placebo
Participants randomized to this arm received a placebo capsule each day for 4 days.
Overall Study
STARTED
11
12
13
Overall Study
COMPLETED
11
12
13
Overall Study
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Cheno Effect on Transit in Health and IBS-C

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
NaCDC 500 mg
n=11 Participants
Participants randomized to this arm received 500 mg NaCDC per day for 4 days.
NaCDC 1000 mg
n=12 Participants
Participants randomized to this arm received 1000 mg NaCDC per day for 4 days.
Placebo
n=13 Participants
Participants randomized to this arm received a placebo capsule each day for 4 days.
Total
n=36 Participants
Total of all reporting groups
Age Continuous
38.3 years
STANDARD_DEVIATION 3.3 • n=99 Participants
46.1 years
STANDARD_DEVIATION 2.6 • n=107 Participants
40.8 years
STANDARD_DEVIATION 2.3 • n=206 Participants
42 years
STANDARD_DEVIATION 10 • n=7 Participants
Sex: Female, Male
Female
11 Participants
n=99 Participants
12 Participants
n=107 Participants
13 Participants
n=206 Participants
36 Participants
n=7 Participants
Sex: Female, Male
Male
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
Region of Enrollment
United States
11 participants
n=99 Participants
12 participants
n=107 Participants
13 participants
n=206 Participants
36 participants
n=7 Participants

PRIMARY outcome

Timeframe: after 4 days of treatment

The scintigraphic method is used to measure colonic transit. An isotope is adsorbed on activated charcoal particles and delivered to the colon in a delayed release capsule. Anterior and posterior gamma images are taken hourly. The geometric center (GC) is the weighted average of counts in the different colonic regions. The scale ranges from 1 to 5; a high GC implies faster colonic transit, a GC of 1 implies all isotope is in the ascending colon, and a GC of 5 implies all isotope is in the stool.

Outcome measures

Outcome measures
Measure
NaCDC 500 mg
n=11 Participants
Participants randomized to this arm received 500 mg NaCDC per day for 4 days.
NaCDC 1000 mg
n=12 Participants
Participants randomized to this arm received 1000 mg NaCDC per day for 4 days.
Placebo
n=13 Participants
Participants randomized to this arm received a placebo capsule each day for 4 days.
Colonic Geometric Center at 24 Hours (GC24)
3.1 units on a scale
Standard Deviation 0.4
3.5 units on a scale
Standard Deviation 0.4
2.2 units on a scale
Standard Deviation 0.2

SECONDARY outcome

Timeframe: after 4 days of treatment

The scintigraphic method is used to measure colonic transit. An isotope is adsorbed on activated charcoal particles and delivered to the colon in a delayed release capsule. Anterior and posterior gamma images are taken hourly. The geometric center (GC) is the weighted average of counts in the different colonic regions. The scale ranges from 1 to 5; a high GC implies faster colonic transit, a GC of 1 implies all isotope is in the ascending colon, and a GC of 5 implies all isotope is in the stool.

Outcome measures

Outcome measures
Measure
NaCDC 500 mg
n=11 Participants
Participants randomized to this arm received 500 mg NaCDC per day for 4 days.
NaCDC 1000 mg
n=12 Participants
Participants randomized to this arm received 1000 mg NaCDC per day for 4 days.
Placebo
n=13 Participants
Participants randomized to this arm received a placebo capsule each day for 4 days.
Colonic Transit at 48 Hours (GC48)
4.1 units on a scale
Standard Deviation 0.3
4.3 units on a scale
Standard Deviation 0.3
3.8 units on a scale
Standard Deviation 0.3

SECONDARY outcome

Timeframe: after 4 days' treatment

Outcome measures

Outcome measures
Measure
NaCDC 500 mg
n=11 Participants
Participants randomized to this arm received 500 mg NaCDC per day for 4 days.
NaCDC 1000 mg
n=12 Participants
Participants randomized to this arm received 1000 mg NaCDC per day for 4 days.
Placebo
n=13 Participants
Participants randomized to this arm received a placebo capsule each day for 4 days.
Ascending Colon Emptying (AC t_1/2)
9.5 hours
Standard Deviation 2.9
8.2 hours
Standard Deviation 1.8
15.8 hours
Standard Deviation 2.5

SECONDARY outcome

Timeframe: after 4 days' treatment

The subjects rated their stool consistency using the Bristol Stool Scale. The Bristol Stool Scale is a medical aid designed to classify the form of human feces into seven categories or types. Types 1 and 2 indicate constipation with 3 and 4 being the "ideal stools" especially the latter, as they are the easiest to defecate, and 5-7 tending towards diarrhea.

Outcome measures

Outcome measures
Measure
NaCDC 500 mg
n=11 Participants
Participants randomized to this arm received 500 mg NaCDC per day for 4 days.
NaCDC 1000 mg
n=12 Participants
Participants randomized to this arm received 1000 mg NaCDC per day for 4 days.
Placebo
n=13 Participants
Participants randomized to this arm received a placebo capsule each day for 4 days.
Stool Consistency
4.4 units on a scale
Standard Deviation 0.5
4.4 units on a scale
Standard Deviation 0.4
2.9 units on a scale
Standard Deviation 0.3

SECONDARY outcome

Timeframe: after 4 days' treatment

Percent of the radio-labeled meal that reached the colon at 6 hours, indirectly reflecting small bowel transit time.

Outcome measures

Outcome measures
Measure
NaCDC 500 mg
n=11 Participants
Participants randomized to this arm received 500 mg NaCDC per day for 4 days.
NaCDC 1000 mg
n=12 Participants
Participants randomized to this arm received 1000 mg NaCDC per day for 4 days.
Placebo
n=13 Participants
Participants randomized to this arm received a placebo capsule each day for 4 days.
Colonic Filling at 6 Hours
52.6 percentage of the radio-labeled meal
Standard Deviation 6.7
54.8 percentage of the radio-labeled meal
Standard Deviation 7.1
50.6 percentage of the radio-labeled meal
Standard Deviation 6.7

Adverse Events

NaCDC 500 mg

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

NaCDC 1000 mg

Serious events: 0 serious events
Other events: 8 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
NaCDC 500 mg
n=11 participants at risk
Participants randomized to this arm received 500 mg NaCDC per day for 4 days.
NaCDC 1000 mg
n=12 participants at risk
Participants randomized to this arm received 1000 mg NaCDC per day for 4 days.
Placebo
n=13 participants at risk;n=12 participants at risk
Participants randomized to this arm received a placebo capsule each day for 4 days.
Gastrointestinal disorders
Lower abdominal cramping/pain
45.5%
5/11 • Number of events 5 • Adverse events were collected during the 4 days of the study.
41.7%
5/12 • Number of events 5 • Adverse events were collected during the 4 days of the study.
0.00%
0/13 • Adverse events were collected during the 4 days of the study.
Gastrointestinal disorders
Diarrhea
18.2%
2/11 • Number of events 2 • Adverse events were collected during the 4 days of the study.
16.7%
2/12 • Number of events 2 • Adverse events were collected during the 4 days of the study.
0.00%
0/13 • Adverse events were collected during the 4 days of the study.
Gastrointestinal disorders
Nausea
9.1%
1/11 • Number of events 1 • Adverse events were collected during the 4 days of the study.
25.0%
3/12 • Number of events 3 • Adverse events were collected during the 4 days of the study.
0.00%
0/13 • Adverse events were collected during the 4 days of the study.
General disorders
Headache
18.2%
2/11 • Number of events 2 • Adverse events were collected during the 4 days of the study.
16.7%
2/12 • Number of events 2 • Adverse events were collected during the 4 days of the study.
15.4%
2/13 • Number of events 2 • Adverse events were collected during the 4 days of the study.
Gastrointestinal disorders
Gas
9.1%
1/11 • Number of events 1 • Adverse events were collected during the 4 days of the study.
16.7%
2/12 • Number of events 2 • Adverse events were collected during the 4 days of the study.
0.00%
0/13 • Adverse events were collected during the 4 days of the study.
Gastrointestinal disorders
Heartburn
18.2%
2/11 • Number of events 2 • Adverse events were collected during the 4 days of the study.
0.00%
0/12 • Adverse events were collected during the 4 days of the study.
0.00%
0/13 • Adverse events were collected during the 4 days of the study.
General disorders
Light-headedness
9.1%
1/11 • Number of events 1 • Adverse events were collected during the 4 days of the study.
16.7%
2/12 • Number of events 2 • Adverse events were collected during the 4 days of the study.
0.00%
0/13 • Adverse events were collected during the 4 days of the study.

Additional Information

Michael L. Camilleri, MD

Mayo Clinic

Phone: 507-266-2306

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place