Trial Outcomes & Findings for Effect of TU-100 in Patients Undergoing Laparoscopic Colectomy (NCT NCT02232893)

NCT ID: NCT02232893

Last Updated: 2020-06-19

Results Overview

The primary endpoint was change in The Gastrointestinal Quality of Life Index (GIQLI) global score from baseline to Visit 4 (Day 15 minus baseline). The global score could range from 0 (lowest quality of life) to 144 (highest quality of life). The effect of TU-100 on the change in GIQLI global score from baseline was assessed by using an analysis of covariance (ANCOVA) model with treatment group as a fixed effect and with baseline GIQLI global score, scheduled surgical location in the colon, and solid food before/after the first flatus as covariates.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

69 participants

Primary outcome timeframe

Baseline and 15 days

Results posted on

2020-06-19

Participant Flow

The study was carried out at 16 sites in the United States (US).

Participant milestones

Participant milestones
Measure
Daikenchuto (TU-100)
Daikenchuto (TU-100) 5g TID (15g/day) Daikenchuto (TU-100): Subjects will receive 5g TID (15g/day) of TU-100. Dosage form is granule. Subject will take a daily dose divided 3 times per day for 3 days before surgery and for 28 days after surgery.
Placebo
Placebo TID Placebo: Subjects will receive daily dose of TU-100 placebo. Dosage form is granule. Subject will take a daily dose divided 3 times per day for 3 days before surgery and for 28 days after surgery.
Overall Study
STARTED
35
34
Overall Study
Safety Population
34
32
Overall Study
Primary Endpoint Population
24
19
Overall Study
COMPLETED
31
27
Overall Study
NOT COMPLETED
4
7

Reasons for withdrawal

Reasons for withdrawal
Measure
Daikenchuto (TU-100)
Daikenchuto (TU-100) 5g TID (15g/day) Daikenchuto (TU-100): Subjects will receive 5g TID (15g/day) of TU-100. Dosage form is granule. Subject will take a daily dose divided 3 times per day for 3 days before surgery and for 28 days after surgery.
Placebo
Placebo TID Placebo: Subjects will receive daily dose of TU-100 placebo. Dosage form is granule. Subject will take a daily dose divided 3 times per day for 3 days before surgery and for 28 days after surgery.
Overall Study
Withdrawal by Subject
4
1
Overall Study
Adverse Event
0
1
Overall Study
Sponsor request early termination
0
1
Overall Study
Developed exclusion criteria
0
1
Overall Study
Other
0
3

Baseline Characteristics

Effect of TU-100 in Patients Undergoing Laparoscopic Colectomy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
TU-100
n=34 Participants
TU-100: 5g TID (15g/day) TU-100: Subjects will receive 5g TID (15g/day) of TU-100. Dosage form is granule. Subject will take a daily dose for 3 days before surgery and for 28 days after surgery.
Placebo
n=31 Participants
Placebo TID Placebo: Subjects will receive daily dose of TU-100 placebo. Dosage form is granule. Subject will take a daily dose for 3 days before surgery and for 28 days after surgery.
Total
n=65 Participants
Total of all reporting groups
Age, Continuous
58.8 years
STANDARD_DEVIATION 9.76 • n=99 Participants
58.4 years
STANDARD_DEVIATION 12.4 • n=107 Participants
58.6 years
STANDARD_DEVIATION 11.0 • n=206 Participants
Sex: Female, Male
Female
18 Participants
n=99 Participants
17 Participants
n=107 Participants
35 Participants
n=206 Participants
Sex: Female, Male
Male
16 Participants
n=99 Participants
14 Participants
n=107 Participants
30 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=99 Participants
1 Participants
n=107 Participants
3 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
32 Participants
n=99 Participants
30 Participants
n=107 Participants
62 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Region of Enrollment
United States
34 participants
n=99 Participants
31 participants
n=107 Participants
65 participants
n=206 Participants

PRIMARY outcome

Timeframe: Baseline and 15 days

Population: Among the ITT population, patients who provided GIQLI scores both at baseline and Visit 4 were analyzed.

The primary endpoint was change in The Gastrointestinal Quality of Life Index (GIQLI) global score from baseline to Visit 4 (Day 15 minus baseline). The global score could range from 0 (lowest quality of life) to 144 (highest quality of life). The effect of TU-100 on the change in GIQLI global score from baseline was assessed by using an analysis of covariance (ANCOVA) model with treatment group as a fixed effect and with baseline GIQLI global score, scheduled surgical location in the colon, and solid food before/after the first flatus as covariates.

Outcome measures

Outcome measures
Measure
TU-100
n=24 Participants
TU-100: 5g TID (15g/day) TU-100: Subjects will receive 5g TID (15g/day) of TU-100. Dosage form is granule. Subject will take a daily dose divided 3 times per day for 3 days before surgery and 28 days after surgery.
Placebo
n=19 Participants
Placebo TID Placebo: Subjects will receive daily dose of TU-100 placebo. Dosage form is granule. Subject will take a daily dose divided 3 times per day for 3 days before surgery and 28 days after surgery.
Quality of Life After Surgery Based on Gastrointestinal Quality of Life Index (GIQLI) Global Score From Baseline to Visit 4.
-17.20 score on a scale
Standard Error 2.76
-10.10 score on a scale
Standard Error 2.99

Adverse Events

Daikenchuto (TU-100)

Serious events: 3 serious events
Other events: 29 other events
Deaths: 0 deaths

Placebo

Serious events: 4 serious events
Other events: 23 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Daikenchuto (TU-100)
n=34 participants at risk
Daikenchuto (TU-100) 5g TID (15g/day) Daikenchuto (TU-100): Subjects will receive 5g TID (15g/day) of TU-100. Dosage form is granule. Subject will take a daily dose divided 3 times per day for 3 days before surgery and 28 days after surgery.
Placebo
n=32 participants at risk
Placebo TID Placebo: Subjects will receive daily dose of TU-100 placebo. Dosage form is granule. Subject will take a daily dose divided 3 times per day for 3 days before surgery and 28 days after surgery.
Gastrointestinal disorders
Nausea
0.00%
0/34 • 2 months
3.1%
1/32 • Number of events 1 • 2 months
Injury, poisoning and procedural complications
Post-operative Ileus
5.9%
2/34 • Number of events 2 • 2 months
6.2%
2/32 • Number of events 2 • 2 months
Infections and infestations
Post-operative Wound Infection
2.9%
1/34 • Number of events 1 • 2 months
0.00%
0/32 • 2 months
Gastrointestinal disorders
Small bowel obstruction
0.00%
0/34 • 2 months
3.1%
1/32 • Number of events 1 • 2 months
Psychiatric disorders
Mental Status Changes
0.00%
0/34 • 2 months
3.1%
1/32 • Number of events 1 • 2 months
Vascular disorders
Hypertensive emergency
0.00%
0/34 • 2 months
3.1%
1/32 • Number of events 1 • 2 months

Other adverse events

Other adverse events
Measure
Daikenchuto (TU-100)
n=34 participants at risk
Daikenchuto (TU-100) 5g TID (15g/day) Daikenchuto (TU-100): Subjects will receive 5g TID (15g/day) of TU-100. Dosage form is granule. Subject will take a daily dose divided 3 times per day for 3 days before surgery and 28 days after surgery.
Placebo
n=32 participants at risk
Placebo TID Placebo: Subjects will receive daily dose of TU-100 placebo. Dosage form is granule. Subject will take a daily dose divided 3 times per day for 3 days before surgery and 28 days after surgery.
Gastrointestinal disorders
Nausea
38.2%
13/34 • Number of events 13 • 2 months
40.6%
13/32 • Number of events 13 • 2 months
Gastrointestinal disorders
Vomiting
14.7%
5/34 • Number of events 5 • 2 months
15.6%
5/32 • Number of events 5 • 2 months
Gastrointestinal disorders
Abdominal distension
11.8%
4/34 • Number of events 4 • 2 months
9.4%
3/32 • Number of events 3 • 2 months
Gastrointestinal disorders
Abdominal pain
8.8%
3/34 • Number of events 3 • 2 months
9.4%
3/32 • Number of events 3 • 2 months
Gastrointestinal disorders
Dyspepsia
8.8%
3/34 • Number of events 3 • 2 months
6.2%
2/32 • Number of events 2 • 2 months
Gastrointestinal disorders
Constipation
8.8%
3/34 • Number of events 3 • 2 months
3.1%
1/32 • Number of events 1 • 2 months
Injury, poisoning and procedural complications
Procedural pain
20.6%
7/34 • Number of events 7 • 2 months
15.6%
5/32 • Number of events 5 • 2 months
Injury, poisoning and procedural complications
Incision site pain
5.9%
2/34 • Number of events 2 • 2 months
9.4%
3/32 • Number of events 3 • 2 months
Injury, poisoning and procedural complications
Procedural nausea
11.8%
4/34 • Number of events 4 • 2 months
0.00%
0/32 • 2 months
Skin and subcutaneous tissue disorders
Pruritis
20.6%
7/34 • Number of events 7 • 2 months
6.2%
2/32 • Number of events 2 • 2 months
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
5.9%
2/34 • Number of events 2 • 2 months
3.1%
1/32 • Number of events 1 • 2 months
Respiratory, thoracic and mediastinal disorders
Cough
5.9%
2/34 • Number of events 2 • 2 months
0.00%
0/32 • 2 months
Nervous system disorders
Headache
8.8%
3/34 • Number of events 3 • 2 months
9.4%
3/32 • Number of events 3 • 2 months
Vascular disorders
Hypotension
8.8%
3/34 • Number of events 3 • 2 months
9.4%
3/32 • Number of events 3 • 2 months
Vascular disorders
Hypertension
5.9%
2/34 • Number of events 2 • 2 months
0.00%
0/32 • 2 months
Musculoskeletal and connective tissue disorders
Muscle spasms
5.9%
2/34 • Number of events 2 • 2 months
0.00%
0/32 • 2 months
Renal and urinary disorders
Bladder Spasm
5.9%
2/34 • Number of events 2 • 2 months
0.00%
0/32 • 2 months
Cardiac disorders
Tachycardia
5.9%
2/34 • Number of events 2 • 2 months
0.00%
0/32 • 2 months
Psychiatric disorders
Anxiety
5.9%
2/34 • Number of events 2 • 2 months
0.00%
0/32 • 2 months

Additional Information

Yu Tanaka

Tsumura USA Inc

Phone: 609-799-2083

Results disclosure agreements

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