Trial Outcomes & Findings for Efficacy of Buscopan® in Comparison With 654-II (Anisodamine) in Acute Gastric or Intestinal Pain (NCT NCT01929044)

NCT ID: NCT01929044

Last Updated: 2016-03-08

Results Overview

Pain intensity difference (PID) from pre-dose baseline at 20 minutes after first injection. It was assessed using an 11-point numerical rating scale (NRS) ranging from 0 = 'no pain' to 10 = 'worst pain possible'.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

299 participants

Primary outcome timeframe

Baseline and 20 minutes after the first injection

Results posted on

2016-03-08

Participant Flow

299 patients were entered and 295 were treated.

Participant milestones

Participant milestones
Measure
Buscopan® (Hyoscine Butylbromide)
Single intramuscular injection of 20 mg Buscopan® solution (if needed, second injection with 20 mg was to be made at 20 min after the first one) was administered to the patients
654-II (Anisodamine)
Single intramuscular injection of 10 mg Anisodamine solution (if needed, second injection with 10 mg was to be made at 20 min after the first one) was administered to the patients
Overall Study
STARTED
153
146
Overall Study
COMPLETED
142
129
Overall Study
NOT COMPLETED
11
17

Reasons for withdrawal

Reasons for withdrawal
Measure
Buscopan® (Hyoscine Butylbromide)
Single intramuscular injection of 20 mg Buscopan® solution (if needed, second injection with 20 mg was to be made at 20 min after the first one) was administered to the patients
654-II (Anisodamine)
Single intramuscular injection of 10 mg Anisodamine solution (if needed, second injection with 10 mg was to be made at 20 min after the first one) was administered to the patients
Overall Study
Adverse Event
1
0
Overall Study
Protocol Violation
9
14
Overall Study
Not Treated
1
3

Baseline Characteristics

Efficacy of Buscopan® in Comparison With 654-II (Anisodamine) in Acute Gastric or Intestinal Pain

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Buscopan® (Hyoscine Butylbromide)
n=153 Participants
Single intramuscular injection of 20 mg Buscopan® solution (if needed, second injection with 20 mg was to be made at 20 min after the first one) was administered to the patients
654-II (Anisodamine)
n=142 Participants
Single intramuscular injection of 10 mg Anisodamine solution (if needed, second injection with 10 mg was to be made at 20 min after the first one) was administered to the patients
Total
n=295 Participants
Total of all reporting groups
Age, Continuous
41.5 Years
STANDARD_DEVIATION 14.2 • n=39 Participants
40.7 Years
STANDARD_DEVIATION 14.8 • n=41 Participants
41.1 Years
STANDARD_DEVIATION 14.4 • n=35 Participants
Sex: Female, Male
Female
90 Participants
n=39 Participants
76 Participants
n=41 Participants
166 Participants
n=35 Participants
Sex: Female, Male
Male
63 Participants
n=39 Participants
66 Participants
n=41 Participants
129 Participants
n=35 Participants

PRIMARY outcome

Timeframe: Baseline and 20 minutes after the first injection

Population: Per-Protocol Set (PPS): All patients in full analysis set (FAS: all patients who provided any data for the primary efficacy endpoint constituted the full analysis set.), who revealed no important protocol violations that would impact the analysis of primary endpoint

Pain intensity difference (PID) from pre-dose baseline at 20 minutes after first injection. It was assessed using an 11-point numerical rating scale (NRS) ranging from 0 = 'no pain' to 10 = 'worst pain possible'.

Outcome measures

Outcome measures
Measure
Buscopan® (Hyoscine Butylbromide)
n=142 Participants
Single intramuscular injection of 20 mg Buscopan® solution (if needed, second injection with 20 mg was to be made at 20 min after the first one) was administered to the patients
654-II (Anisodamine)
n=127 Participants
Single intramuscular injection of 10 mg Anisodamine solution (if needed, second injection with 10 mg was to be made at 20 min after the first one) was administered to the patients
PID From Pre-dose Baseline at 20 Minutes After First Injection.
-4.09 Units on a scale
Standard Error 0.17
-3.66 Units on a scale
Standard Error 0.18

SECONDARY outcome

Timeframe: Baseline and 10 minutes after the first injection

Population: Per-Protocol Set (PPS): All patients in full analysis set (FAS), who revealed no important protocol violations that would impact the analysis of primary endpoint.

Pain intensity difference (PID) from pre-dose baseline at 10 minutes after first injection. It was assessed using an 11-point numerical rating scale (NRS) ranging from 0 = 'no pain' to 10 = 'worst pain possible'.

Outcome measures

Outcome measures
Measure
Buscopan® (Hyoscine Butylbromide)
n=142 Participants
Single intramuscular injection of 20 mg Buscopan® solution (if needed, second injection with 20 mg was to be made at 20 min after the first one) was administered to the patients
654-II (Anisodamine)
n=127 Participants
Single intramuscular injection of 10 mg Anisodamine solution (if needed, second injection with 10 mg was to be made at 20 min after the first one) was administered to the patients
PID From Pre-dose Baseline at 10 Minutes After First Injection.
-2.64 Units on a scale
Standard Error 0.14
-2.33 Units on a scale
Standard Error 0.15

SECONDARY outcome

Timeframe: Baseline and 30 minutes after the first injection

Population: Per-Protocol Set (PPS): All patients in full analysis set (FAS), who revealed no important protocol violations that would impact the analysis of primary endpoint.

Pain intensity difference (PID) from pre-dose baseline at 30 minutes after first injection. It was assessed using an 11-point numerical rating scale (NRS) ranging from 0 = 'no pain' to 10 = 'worst pain possible'.

Outcome measures

Outcome measures
Measure
Buscopan® (Hyoscine Butylbromide)
n=142 Participants
Single intramuscular injection of 20 mg Buscopan® solution (if needed, second injection with 20 mg was to be made at 20 min after the first one) was administered to the patients
654-II (Anisodamine)
n=127 Participants
Single intramuscular injection of 10 mg Anisodamine solution (if needed, second injection with 10 mg was to be made at 20 min after the first one) was administered to the patients
PID From Pre-dose Baseline at 30 Minutes After First Injection.
-5.14 Units on a scale
Standard Error 0.15
-4.74 Units on a scale
Standard Error 0.16

SECONDARY outcome

Timeframe: Baseline and 60 minutes after the first injection

Population: Per-Protocol Set (PPS): All patients in full analysis set (FAS), who revealed no important protocol violations that would impact the analysis of primary endpoint.

Pain intensity difference (PID) from pre-dose baseline at 60 minutes after first injection. It was assessed using an 11-point numerical rating scale (NRS) ranging from 0 = 'no pain' to 10 = 'worst pain possible'.

Outcome measures

Outcome measures
Measure
Buscopan® (Hyoscine Butylbromide)
n=142 Participants
Single intramuscular injection of 20 mg Buscopan® solution (if needed, second injection with 20 mg was to be made at 20 min after the first one) was administered to the patients
654-II (Anisodamine)
n=127 Participants
Single intramuscular injection of 10 mg Anisodamine solution (if needed, second injection with 10 mg was to be made at 20 min after the first one) was administered to the patients
PID From Pre-dose Baseline at 60 Minutes After First Injection.
-5.96 Units on a scale
Standard Error 0.14
-5.51 Units on a scale
Standard Error 0.15

SECONDARY outcome

Timeframe: Baseline and 120 minutes after the first injection

Population: Per-Protocol Set (PPS): All patients in full analysis set (FAS), who revealed no important protocol violations that would impact the analysis of primary endpoint.

Pain intensity difference (PID) from pre-dose baseline at 120 minutes after first injection. It was assessed using an 11-point numerical rating scale (NRS) ranging from 0 = 'no pain' to 10 = 'worst pain possible'.

Outcome measures

Outcome measures
Measure
Buscopan® (Hyoscine Butylbromide)
n=142 Participants
Single intramuscular injection of 20 mg Buscopan® solution (if needed, second injection with 20 mg was to be made at 20 min after the first one) was administered to the patients
654-II (Anisodamine)
n=127 Participants
Single intramuscular injection of 10 mg Anisodamine solution (if needed, second injection with 10 mg was to be made at 20 min after the first one) was administered to the patients
PID From Pre-dose Baseline at 120 Minutes After First Injection.
-6.46 Units on a scale
Standard Error 0.13
-6.01 Units on a scale
Standard Error 0.14

SECONDARY outcome

Timeframe: 120 minutes after the first injection

Population: Per-Protocol Set (PPS): All patients in full analysis set (FAS), who revealed no important protocol violations that would impact the analysis of primary endpoint.

Global assessment of efficacy by the patient. The patient was to assess the efficacy at 120 min after the first injection using a 4-point rating scale by answering the question: "How would you rate the effect of the study medication for relieving your acute gastric or intestinal spasm-like pain?" (0 = poor; 1 = fair; 2 = good; 3 = very good).

Outcome measures

Outcome measures
Measure
Buscopan® (Hyoscine Butylbromide)
n=142 Participants
Single intramuscular injection of 20 mg Buscopan® solution (if needed, second injection with 20 mg was to be made at 20 min after the first one) was administered to the patients
654-II (Anisodamine)
n=127 Participants
Single intramuscular injection of 10 mg Anisodamine solution (if needed, second injection with 10 mg was to be made at 20 min after the first one) was administered to the patients
Global Assessment of Efficacy by the Patient at 120 Minutes After the First Injection
Very Good
22.5 Percentage of Patients
22.0 Percentage of Patients
Global Assessment of Efficacy by the Patient at 120 Minutes After the First Injection
Good
59.2 Percentage of Patients
44.1 Percentage of Patients
Global Assessment of Efficacy by the Patient at 120 Minutes After the First Injection
Fair
18.3 Percentage of Patients
29.1 Percentage of Patients
Global Assessment of Efficacy by the Patient at 120 Minutes After the First Injection
Poor
0.0 Percentage of Patients
4.7 Percentage of Patients

SECONDARY outcome

Timeframe: 20 minutes after the first injection.

Population: Per-Protocol Set (PPS): All patients in full analysis set (FAS), who revealed no important protocol violations that would impact the analysis of primary endpoint.

Proportion of patients who need the second injection at 20 minutes after the first injection.

Outcome measures

Outcome measures
Measure
Buscopan® (Hyoscine Butylbromide)
n=142 Participants
Single intramuscular injection of 20 mg Buscopan® solution (if needed, second injection with 20 mg was to be made at 20 min after the first one) was administered to the patients
654-II (Anisodamine)
n=127 Participants
Single intramuscular injection of 10 mg Anisodamine solution (if needed, second injection with 10 mg was to be made at 20 min after the first one) was administered to the patients
Proportion of Patients Who Need the Second Injection
24.6 Percentage of Patients
Interval 17.81 to 32.58
33.9 Percentage of Patients
Interval 25.7 to 42.79

Adverse Events

Buscopan® (Hyoscine Butylbromide)

Serious events: 1 serious events
Other events: 12 other events
Deaths: 0 deaths

654-II (Anisodamine)

Serious events: 0 serious events
Other events: 10 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Buscopan® (Hyoscine Butylbromide)
n=153 participants at risk
Single intramuscular injection of 20 mg Buscopan® solution (if needed, second injection with 20 mg was to be made at 20 min after the first one) was administered to the patients
654-II (Anisodamine)
n=142 participants at risk
Single intramuscular injection of 10 mg Anisodamine solution (if needed, second injection with 10 mg was to be made at 20 min after the first one) was administered to the patients
Gastrointestinal disorders
Hernial eventration
0.65%
1/153 • From first study drug application until 2 days (inclusive) after the last study drug application
0.00%
0/142 • From first study drug application until 2 days (inclusive) after the last study drug application
Gastrointestinal disorders
Ileus
0.65%
1/153 • From first study drug application until 2 days (inclusive) after the last study drug application
0.00%
0/142 • From first study drug application until 2 days (inclusive) after the last study drug application

Other adverse events

Other adverse events
Measure
Buscopan® (Hyoscine Butylbromide)
n=153 participants at risk
Single intramuscular injection of 20 mg Buscopan® solution (if needed, second injection with 20 mg was to be made at 20 min after the first one) was administered to the patients
654-II (Anisodamine)
n=142 participants at risk
Single intramuscular injection of 10 mg Anisodamine solution (if needed, second injection with 10 mg was to be made at 20 min after the first one) was administered to the patients
General disorders
Thirst
7.8%
12/153 • From first study drug application until 2 days (inclusive) after the last study drug application
7.0%
10/142 • From first study drug application until 2 days (inclusive) after the last study drug application

Additional Information

Boehringer Ingelheim, Call Center

Boehringer Ingelheim

Phone: 1-800-243-0127

Results disclosure agreements

  • Principal investigator is a sponsor employee Boehringer Ingelheim (BI) acknowledges that investigators have the right to publish the study results. Investigators shall provide BI with a copy of any publication or presentation for review prior to any submission. Such review will be done with regard to proprietary information, information related to patentable inventions, medical, scientific, and statistical accuracy within 60 days. BI may request a delay of the publication in order to protect BI's intellectual property rights.
  • Publication restrictions are in place

Restriction type: OTHER