Trial Outcomes & Findings for Effectiveness of Duspatalin® in Patients With Post-cholecystectomy Gastrointestinal Spasm (NCT NCT02260154)

NCT ID: NCT02260154

Last Updated: 2019-06-06

Results Overview

Patients indicating being 'symptom-free' or 'markedly improved'on Global Patient Assessment

Recruitment status

COMPLETED

Target enrollment

220 participants

Primary outcome timeframe

2 weeks

Results posted on

2019-06-06

Participant Flow

Participant milestones

Participant milestones
Measure
Post-cholecystectomy Gastrointestinal Spasms
Adult subjects suffering from post-cholecystectomy gastrointestinal spasms not requiring surgical treatment prescribed Duspatalin® 200 mg twice a day Mebeverine: Subjects treated by Duspatalin (mebeverine) 200 mg bis in die = twice a day (BID) upto 6 weeks in accordance with routine practice will be observed
Overall Study
STARTED
220
Overall Study
COMPLETED
218
Overall Study
NOT COMPLETED
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Post-cholecystectomy Gastrointestinal Spasms
Adult subjects suffering from post-cholecystectomy gastrointestinal spasms not requiring surgical treatment prescribed Duspatalin® 200 mg twice a day Mebeverine: Subjects treated by Duspatalin (mebeverine) 200 mg bis in die = twice a day (BID) upto 6 weeks in accordance with routine practice will be observed
Overall Study
Screening failure
2

Baseline Characteristics

Effectiveness of Duspatalin® in Patients With Post-cholecystectomy Gastrointestinal Spasm

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Post-cholecystectomy Gastrointestinal Spasms
n=218 Participants
Adult subjects suffering from post-cholecystectomy gastrointestinal spasms not requiring surgical treatment prescribed Duspatalin® 200 mg twice a day Mebeverine: Subjects treated by Duspatalin (mebeverine) 200 mg BID (bis in die = twice a day) upto 6 weeks in accordance with routine practice will be observed
Age, Categorical
<=18 years
0 Participants
n=99 Participants
Age, Categorical
Between 18 and 65 years
218 Participants
n=99 Participants
Age, Categorical
>=65 years
0 Participants
n=99 Participants
Age, Continuous
51.4 years
STANDARD_DEVIATION 10.29 • n=99 Participants
Sex: Female, Male
Female
180 Participants
n=99 Participants
Sex: Female, Male
Male
38 Participants
n=99 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
Race (NIH/OMB)
Asian
2 Participants
n=99 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=99 Participants
Race (NIH/OMB)
White
216 Participants
n=99 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
Region of Enrollment
Russia
218 participants
n=99 Participants
Working status
employed
137 Participants
n=99 Participants
Working status
unemployed
81 Participants
n=99 Participants

PRIMARY outcome

Timeframe: 2 weeks

Population: Adult subjects suffering from post-cholecystectomy gastrointestinal spasms not requiring surgical treatment prescribed Duspatalin® 200 mg twice a day

Patients indicating being 'symptom-free' or 'markedly improved'on Global Patient Assessment

Outcome measures

Outcome measures
Measure
Post-cholecystectomy Gastrointestinal Spasms
n=218 Participants
Adult subjects suffering from post-cholecystectomy gastrointestinal spasms not requiring surgical treatment prescribed Duspatalin® 200 mg twice a day Mebeverine: Subjects treated by Duspatalin (mebeverine) 200 mg BID (bis in die = twice a day) upto 6 weeks in accordance with routine practice will be observed
Percentage of "Responders" to Duspatalin® Therapy
Symptom-free or markedly improved
63.6 percentage of participants
Interval 56.8 to 70.0
Percentage of "Responders" to Duspatalin® Therapy
Other values (slightly improved, unchanged, worse)
36.4 percentage of participants
Interval 30.0 to 43.2

SECONDARY outcome

Timeframe: Up to 6 weeks

Population: Extended set includes those patients who completed at least 6 weeks treatment of Duspatalin

Outcome measures

Outcome measures
Measure
Post-cholecystectomy Gastrointestinal Spasms
n=101 Participants
Adult subjects suffering from post-cholecystectomy gastrointestinal spasms not requiring surgical treatment prescribed Duspatalin® 200 mg twice a day Mebeverine: Subjects treated by Duspatalin (mebeverine) 200 mg BID (bis in die = twice a day) upto 6 weeks in accordance with routine practice will be observed
Percentage of "Responders" to Duspatalin® Therapy
79.0 percentage of participants
Interval 69.7 to 86.5

SECONDARY outcome

Timeframe: Baseline, 2 weeks and up to 6 weeks

Population: Adult subjects suffering from post-cholecystectomy gastrointestinal spasms not requiring surgical treatment prescribed Duspatalin® 200 mg twice a day

Measured by 11-items Numerous Rating Scale where 0 represents no pain and 10 represents the worst pain. Negative change corresponds to better result. Changes are calculated as Week 2 value minus Baseline value and Week 6 value minus Baseline value.

Outcome measures

Outcome measures
Measure
Post-cholecystectomy Gastrointestinal Spasms
n=217 Participants
Adult subjects suffering from post-cholecystectomy gastrointestinal spasms not requiring surgical treatment prescribed Duspatalin® 200 mg twice a day Mebeverine: Subjects treated by Duspatalin (mebeverine) 200 mg BID (bis in die = twice a day) upto 6 weeks in accordance with routine practice will be observed
Changes in Abdominal Pain
change from baseline at Week 2
-3.7 units on a scale
Standard Deviation 2.28
Changes in Abdominal Pain
change from baseline at Week 6
-4.4 units on a scale
Standard Deviation 2.36

SECONDARY outcome

Timeframe: Baseline, 2 weeks and up to 6 weeks

Population: Adult subjects suffering from post-cholecystectomy gastrointestinal spasms not requiring surgical treatment prescribed Duspatalin® 200 mg twice a day

Measured by 11-items Numerous Rating Scale where 0 represents no symptoms and 10 represents the worst symptoms. Negative change corresponds to better result. Changes are calculated as Week 2 value minus Baseline value and Week 6 value minus Baseline value.

Outcome measures

Outcome measures
Measure
Post-cholecystectomy Gastrointestinal Spasms
n=217 Participants
Adult subjects suffering from post-cholecystectomy gastrointestinal spasms not requiring surgical treatment prescribed Duspatalin® 200 mg twice a day Mebeverine: Subjects treated by Duspatalin (mebeverine) 200 mg BID (bis in die = twice a day) upto 6 weeks in accordance with routine practice will be observed
Changes in Dyspepsia Symptoms
change from baseline at Week 2
-2.0 units on a scale
Standard Deviation 2.29
Changes in Dyspepsia Symptoms
change from baseline at Week 6
-2.3 units on a scale
Standard Deviation 2.41

SECONDARY outcome

Timeframe: Baseline to Week 2

Population: Adult subjects suffering from post-cholecystectomy gastrointestinal spasms not requiring surgical treatment prescribed Duspatalin® 200 mg twice a day

Changes in Stool Habits: The change is presented as the proportion of patients whose Changes in Stool Habits from 'Abnormal' to 'Normal' and vice versa were registered. "Positive" is defined as Change from 'Abnormal stool form at BL' to 'Normal stool form at Week 2'. "Negative" is defined as Change from 'Normal stool form at BL' to 'Abnormal stool form at Week 2'.

Outcome measures

Outcome measures
Measure
Post-cholecystectomy Gastrointestinal Spasms
n=217 Participants
Adult subjects suffering from post-cholecystectomy gastrointestinal spasms not requiring surgical treatment prescribed Duspatalin® 200 mg twice a day Mebeverine: Subjects treated by Duspatalin (mebeverine) 200 mg BID (bis in die = twice a day) upto 6 weeks in accordance with routine practice will be observed
Changes in Stool Habits and Percentage of Patients Reporting Abnormal Stool Form
Positive
38.25 percentage of participants
Changes in Stool Habits and Percentage of Patients Reporting Abnormal Stool Form
Negative
2.30 percentage of participants

SECONDARY outcome

Timeframe: Baseline, 2 weeks and up to 6 weeks

Population: Adult subjects suffering from post-cholecystectomy gastrointestinal spasms not requiring surgical treatment prescribed Duspatalin® 200 mg twice a day

Gastrointestinal Quality of Life Index contains 36 questions with 4 possible answers per each (most desirable option returns 4 points, and least desirable option returns 0 points). Total score of the GIQLI is calculated as sum of all items. The source scores are transformed and scaled from 0 to 100. The high score corresponds to better result. Changes are calculated as Week 2 value minus Baseline value and Week 6 value minus Baseline value.

Outcome measures

Outcome measures
Measure
Post-cholecystectomy Gastrointestinal Spasms
n=217 Participants
Adult subjects suffering from post-cholecystectomy gastrointestinal spasms not requiring surgical treatment prescribed Duspatalin® 200 mg twice a day Mebeverine: Subjects treated by Duspatalin (mebeverine) 200 mg BID (bis in die = twice a day) upto 6 weeks in accordance with routine practice will be observed
Changes in Quality of Life
change from baseline at Week 2
16.802 units on a scale
Standard Deviation 11.8489
Changes in Quality of Life
change from baseline at Week 6
21.737 units on a scale
Standard Deviation 13.4339

SECONDARY outcome

Timeframe: Baseline, up to 6 weeks

Population: Adult subjects suffering from post-cholecystectomy gastrointestinal spasms not requiring surgical treatment prescribed Duspatalin® 200 mg twice a day

Relevant concomitant medication

Outcome measures

Outcome measures
Measure
Post-cholecystectomy Gastrointestinal Spasms
n=218 Participants
Adult subjects suffering from post-cholecystectomy gastrointestinal spasms not requiring surgical treatment prescribed Duspatalin® 200 mg twice a day Mebeverine: Subjects treated by Duspatalin (mebeverine) 200 mg BID (bis in die = twice a day) upto 6 weeks in accordance with routine practice will be observed
Health Economic Data
ACE inhibitors
9.6 percentage of participants
Health Economic Data
Alpha adrenoreceptor antagonist
0.5 percentage of participants
Health Economic Data
Aluminium compounds
2.3 percentage of participants
Health Economic Data
Angiotensine II antagonist
1.4 percentage of participants
Health Economic Data
Anti arrhythmics
0.5 percentage of participants
Health Economic Data
Anti diarrheal
1.4 percentage of participants
Health Economic Data
Anti inflammatory
0.5 percentage of participants
Health Economic Data
Barbiturates
0.5 percentage of participants
Health Economic Data
Beta blocking against agents, selective
4.1 percentage of participants
Health Economic Data
Biguaniges
0.9 percentage of participants
Health Economic Data
Bile acid preparations
10.1 percentage of participants
Health Economic Data
Bioflavonoids
0.5 percentage of participants
Health Economic Data
Blood transfusion, auxilary products
0.5 percentage of participants
Health Economic Data
Beta blocking agents, and other antihypertensives
0.5 percentage of participants
Health Economic Data
Beta blocking agents, thiazides
0.5 percentage of participants

SECONDARY outcome

Timeframe: 2 weeks

Population: Extended Set includes those patients who completed at least 6 weeks treatment of Duspatalin

List and rate of reasons

Outcome measures

Outcome measures
Measure
Post-cholecystectomy Gastrointestinal Spasms
n=101 Participants
Adult subjects suffering from post-cholecystectomy gastrointestinal spasms not requiring surgical treatment prescribed Duspatalin® 200 mg twice a day Mebeverine: Subjects treated by Duspatalin (mebeverine) 200 mg BID (bis in die = twice a day) upto 6 weeks in accordance with routine practice will be observed
Reasons for Continuing Treatment Beyond 2 Weeks
Expectation in higher effectiveness
84.2 percentage of participants
Reasons for Continuing Treatment Beyond 2 Weeks
Tend to treat beyond 2 weeks
4.0 percentage of participants
Reasons for Continuing Treatment Beyond 2 Weeks
Maintenance of achieved effect
11.9 percentage of participants

SECONDARY outcome

Timeframe: from baseline at Week 6

Population: Adult subjects suffering from post-cholecystectomy gastrointestinal spasms not requiring surgical treatment prescribed Duspatalin® 200 mg twice a day

Number of visits to clinic for currently employed subjects. Change is calculated as Week 6 value minus Baseline value. Negative change means less number of visits to clinic.

Outcome measures

Outcome measures
Measure
Post-cholecystectomy Gastrointestinal Spasms
n=101 Participants
Adult subjects suffering from post-cholecystectomy gastrointestinal spasms not requiring surgical treatment prescribed Duspatalin® 200 mg twice a day Mebeverine: Subjects treated by Duspatalin (mebeverine) 200 mg BID (bis in die = twice a day) upto 6 weeks in accordance with routine practice will be observed
Healths Economic Data 2
-0.9 number of visits
Standard Deviation 1.19

SECONDARY outcome

Timeframe: change from baseline at Week 6

Population: Adult subjects suffering from post-cholecystectomy gastrointestinal spasms not requiring surgical treatment prescribed Duspatalin® 200mg twice a day

Number of days missed from work for currently employed subjects. Change is calculated as Week 6 value minus Baseline value. Negative change means less number of days missed from work.

Outcome measures

Outcome measures
Measure
Post-cholecystectomy Gastrointestinal Spasms
n=57 Participants
Adult subjects suffering from post-cholecystectomy gastrointestinal spasms not requiring surgical treatment prescribed Duspatalin® 200 mg twice a day Mebeverine: Subjects treated by Duspatalin (mebeverine) 200 mg BID (bis in die = twice a day) upto 6 weeks in accordance with routine practice will be observed
Health Economics Data 3
-2.1 Number of days
Standard Deviation 3.48

SECONDARY outcome

Timeframe: Baseline to Week 6

Population: Adult subjects suffering from post-cholecystectomy gastrointestinal spasms not requiring surgical treatment prescribed Duspatalin® 200 mg twice a day

Changes in Stool Habits: The change is presented as the proportion of patients whose Changes in Stool Habits from 'Abnormal' to 'Normal' and vice versa were registered. "Positive" is defined as Change from 'Abnormal stool form at BL' to 'Normal stool form at Week 6'. "Negative" is defined as Change from 'Normal stool form at BL' to 'Abnormal stool form at Week 6'.

Outcome measures

Outcome measures
Measure
Post-cholecystectomy Gastrointestinal Spasms
n=100 Participants
Adult subjects suffering from post-cholecystectomy gastrointestinal spasms not requiring surgical treatment prescribed Duspatalin® 200 mg twice a day Mebeverine: Subjects treated by Duspatalin (mebeverine) 200 mg BID (bis in die = twice a day) upto 6 weeks in accordance with routine practice will be observed
Changes in Stool Habits and Percentage of Patients Reporting Abnormal Stool Form 2
Positive
40.00 percentage of participants
Changes in Stool Habits and Percentage of Patients Reporting Abnormal Stool Form 2
Negative
2.00 percentage of participants

Adverse Events

Post-cholecystectomy Gastrointestinal Spasms

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Post-cholecystectomy Gastrointestinal Spasms
n=218 participants at risk
Adult subjects suffering from post-cholecystectomy gastrointestinal spasms not requiring surgical treatment prescribed Duspatalin® 200 mg twice a day Mebeverine: Subjects treated by Duspatalin (mebeverine) 200 mg BID (bis in die = twice a day) upto 6 weeks in accordance with routine practice will be observed
Skin and subcutaneous tissue disorders
Dermatitis allergic
0.46%
1/218 • Number of events 1

Additional Information

Tatiana V. Vladimirova MD, PhD

Abbott

Phone: +7 495-258-4280

Results disclosure agreements

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

Restriction type: LTE60