Trial Outcomes & Findings for Effect of Secretin in Functional Dyspepsia and Healthy Subjects (NCT NCT03617861)

NCT ID: NCT03617861

Last Updated: 2020-06-11

Results Overview

Thirty (30) minutes after ingesting the meal of 300 mL radio-labeled Ensure drink, an additional Ensure drink was ingested at a constant rate of 30 mL/min until maximum tolerated volume was reached.

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

20 participants

Primary outcome timeframe

60 minutes

Results posted on

2020-06-11

Participant Flow

Participant milestones

Participant milestones
Measure
Healthy Controls: Secretin Then Placebo
Healthy subjects first receive human Secretin 0.2 mcg/kg via IV over 1 min on Visit Day 1. After a 1 to 4 week washout period, they received the placebo treatment (normal saline matching Secretin dose) via IV over 1 min on Visit Day 2.
Healthy Controls: Placebo Then Secretin
Healthy subjects first receive placebo treatment (normal saline matching Secretin dose) via IV over 1 min on Visit Day 1. After a 1 to 4 week washout period, they received the human Secretin 0.2 mcg/kg via IV over 1 min on Visit Day 2.
Functional Dyspepsia: Secretin Then Placebo
Functional Dyspepsia subjects first receive human Secretin 0.2 mcg/kg via IV over 1 min on Visit Day 1. After a 1 to 4 week washout period, they received the placebo treatment (normal saline matching Secretin dose) via IV over 1 min on Visit Day 2.
Functional Dyspepsia: Placebo Then Secretin
Functional Dyspepsia subjects first receive placebo treatment (normal saline matching Secretin dose) via IV over 1 min on Visit Day 1. After a 1 to 4 week washout period, they received the human Secretin 0.2 mcg/kg via IV over 1 min on Visit Day 2.
First Intervention (1 Day)
STARTED
5
5
5
5
First Intervention (1 Day)
COMPLETED
5
5
5
5
First Intervention (1 Day)
NOT COMPLETED
0
0
0
0
Washout (1 to 4 Weeks)
STARTED
5
5
5
5
Washout (1 to 4 Weeks)
COMPLETED
5
5
5
5
Washout (1 to 4 Weeks)
NOT COMPLETED
0
0
0
0
Second Intervention (1 Day)
STARTED
5
5
5
5
Second Intervention (1 Day)
COMPLETED
5
5
4
5
Second Intervention (1 Day)
NOT COMPLETED
0
0
1
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Healthy Controls: Secretin Then Placebo
Healthy subjects first receive human Secretin 0.2 mcg/kg via IV over 1 min on Visit Day 1. After a 1 to 4 week washout period, they received the placebo treatment (normal saline matching Secretin dose) via IV over 1 min on Visit Day 2.
Healthy Controls: Placebo Then Secretin
Healthy subjects first receive placebo treatment (normal saline matching Secretin dose) via IV over 1 min on Visit Day 1. After a 1 to 4 week washout period, they received the human Secretin 0.2 mcg/kg via IV over 1 min on Visit Day 2.
Functional Dyspepsia: Secretin Then Placebo
Functional Dyspepsia subjects first receive human Secretin 0.2 mcg/kg via IV over 1 min on Visit Day 1. After a 1 to 4 week washout period, they received the placebo treatment (normal saline matching Secretin dose) via IV over 1 min on Visit Day 2.
Functional Dyspepsia: Placebo Then Secretin
Functional Dyspepsia subjects first receive placebo treatment (normal saline matching Secretin dose) via IV over 1 min on Visit Day 1. After a 1 to 4 week washout period, they received the human Secretin 0.2 mcg/kg via IV over 1 min on Visit Day 2.
Second Intervention (1 Day)
Adverse Event
0
0
1
0

Baseline Characteristics

Effect of Secretin in Functional Dyspepsia and Healthy Subjects

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Healthy Controls
n=10 Participants
Healthy controls were randomly assigned to secretin or placebo allocation before treatment. After a 1 to 4 week washout period, they received the alternate treatment from that administered on Day 1.
Functional Dyspepsia
n=10 Participants
Functional Dyspepsia subjects were randomly assigned to secretin or placebo allocation before treatment. After a 1 to 4 week washout period, they received the alternate treatment from that administered on Day 1.
Total
n=20 Participants
Total of all reporting groups
Age, Continuous
45.0 years
n=99 Participants
50.5 years
n=107 Participants
47.0 years
n=206 Participants
Sex: Female, Male
Female
8 Participants
n=99 Participants
7 Participants
n=107 Participants
15 Participants
n=206 Participants
Sex: Female, Male
Male
2 Participants
n=99 Participants
3 Participants
n=107 Participants
5 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
White
10 Participants
n=99 Participants
8 Participants
n=107 Participants
18 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
2 Participants
n=107 Participants
2 Participants
n=206 Participants
Region of Enrollment
United States
10 participants
n=99 Participants
10 participants
n=107 Participants
20 participants
n=206 Participants

PRIMARY outcome

Timeframe: 60 minutes

Thirty (30) minutes after ingesting the meal of 300 mL radio-labeled Ensure drink, an additional Ensure drink was ingested at a constant rate of 30 mL/min until maximum tolerated volume was reached.

Outcome measures

Outcome measures
Measure
Healthy Controls: Secretin
n=10 Participants
Healthy controls who received human Secretin 0.2 mcg/kg via IV over 1 min on either the first or second study visit day.
Healthy Controls: Placebo
n=10 Participants
Healthy controls who received placebo treatment (normal saline matching Secretin dose) via IV over 1 min on either the first or second study visit day.
Functional Dyspepsia: Secretin
n=10 Participants
Functional Dyspepsia subjects who received human Secretin 0.2 mcg/kg via IV over 1 min on either the first or second study visit day.
Functional Dyspepsia: Placebo
n=10 Participants
Functional Dyspepsia subjects who received placebo treatment (normal saline matching Secretin dose) via IV over 1 min on either the first or second study visit day.
Maximum Satiation
892.5 mL
Interval 892.5 to 1011.0
951.75 mL
Interval 892.5 to 1129.5
655.5 mL
Interval 537.0 to 774.0
892.5 mL
Interval 655.5 to 1011.0

PRIMARY outcome

Timeframe: Baseline

Gastric fasting volume was measured prior to a meal of 300 mL standardized radio-labeled Ensure drink using an intravenous injection of Technetium Tc-99m pertechnetate and noninvasive single photon emission-computed tomography (SPECT).

Outcome measures

Outcome measures
Measure
Healthy Controls: Secretin
n=10 Participants
Healthy controls who received human Secretin 0.2 mcg/kg via IV over 1 min on either the first or second study visit day.
Healthy Controls: Placebo
n=10 Participants
Healthy controls who received placebo treatment (normal saline matching Secretin dose) via IV over 1 min on either the first or second study visit day.
Functional Dyspepsia: Secretin
n=10 Participants
Functional Dyspepsia subjects who received human Secretin 0.2 mcg/kg via IV over 1 min on either the first or second study visit day.
Functional Dyspepsia: Placebo
n=10 Participants
Functional Dyspepsia subjects who received placebo treatment (normal saline matching Secretin dose) via IV over 1 min on either the first or second study visit day.
Fasting Gastric Volume
171.28 mL
Interval 146.17 to 189.39
152.96 mL
Interval 145.5 to 161.04
227 mL
Interval 186.7 to 251.2
210.2 mL
Interval 179.38 to 240.54

PRIMARY outcome

Timeframe: 15 minutes

Postprandial volume was measured 15 minutes after ingestion of 300 mL standardized radio-labeled Ensure drink using an intravenous injection of Technetium Tc-99m pertechnetate and noninvasive single photon emission-computed tomography (SPECT).

Outcome measures

Outcome measures
Measure
Healthy Controls: Secretin
n=10 Participants
Healthy controls who received human Secretin 0.2 mcg/kg via IV over 1 min on either the first or second study visit day.
Healthy Controls: Placebo
n=10 Participants
Healthy controls who received placebo treatment (normal saline matching Secretin dose) via IV over 1 min on either the first or second study visit day.
Functional Dyspepsia: Secretin
n=10 Participants
Functional Dyspepsia subjects who received human Secretin 0.2 mcg/kg via IV over 1 min on either the first or second study visit day.
Functional Dyspepsia: Placebo
n=10 Participants
Functional Dyspepsia subjects who received placebo treatment (normal saline matching Secretin dose) via IV over 1 min on either the first or second study visit day.
Postprandial Volume
435.85 mL
Interval 384.7 to 647.71
457.43 mL
Interval 329.39 to 495.01
593.80 mL
Interval 557.85 to 637.9
582.36 mL
Interval 546.51 to 631.33

PRIMARY outcome

Timeframe: Baseline, 30 minutes

The change in gastric accommodation was measured in mL using the difference between the fasting gastric volume and the postprandial volume.

Outcome measures

Outcome measures
Measure
Healthy Controls: Secretin
n=10 Participants
Healthy controls who received human Secretin 0.2 mcg/kg via IV over 1 min on either the first or second study visit day.
Healthy Controls: Placebo
n=10 Participants
Healthy controls who received placebo treatment (normal saline matching Secretin dose) via IV over 1 min on either the first or second study visit day.
Functional Dyspepsia: Secretin
n=10 Participants
Functional Dyspepsia subjects who received human Secretin 0.2 mcg/kg via IV over 1 min on either the first or second study visit day.
Functional Dyspepsia: Placebo
n=10 Participants
Functional Dyspepsia subjects who received placebo treatment (normal saline matching Secretin dose) via IV over 1 min on either the first or second study visit day.
Change in Gastric Accommodation
270.44 mL
Interval 221.97 to 468.01
271.01 mL
Interval 194.74 to 343.62
378.6 mL
Interval 339.42 to 404.18
370.2 mL
Interval 339.09 to 382.06

PRIMARY outcome

Timeframe: 30 minutes

Gastric emptying was measured via scintigraphy 30 minutes after ingestion of 300 mL of radio-labeled Ensure drink and was reported as the percentage of the radio-labeled liquid meal emptied from the stomach.

Outcome measures

Outcome measures
Measure
Healthy Controls: Secretin
n=10 Participants
Healthy controls who received human Secretin 0.2 mcg/kg via IV over 1 min on either the first or second study visit day.
Healthy Controls: Placebo
n=10 Participants
Healthy controls who received placebo treatment (normal saline matching Secretin dose) via IV over 1 min on either the first or second study visit day.
Functional Dyspepsia: Secretin
n=10 Participants
Functional Dyspepsia subjects who received human Secretin 0.2 mcg/kg via IV over 1 min on either the first or second study visit day.
Functional Dyspepsia: Placebo
n=10 Participants
Functional Dyspepsia subjects who received placebo treatment (normal saline matching Secretin dose) via IV over 1 min on either the first or second study visit day.
Gastric Emptying
7.0 percentage of gastric emptying
Interval 0.0 to 10.0
19.0 percentage of gastric emptying
Interval 15.0 to 26.0
0 percentage of gastric emptying
Interval 0.0 to 0.0
8.0 percentage of gastric emptying
Interval 2.0 to 9.0

PRIMARY outcome

Timeframe: Baseline, 30 minutes

30 minutes after ingesting a meal of 300 mL of Ensure drink postprandial symptoms of fullness, nausea, bloating and pain were measured using a horizontal visual analog scales from 0 to 100, where 0 was 'none' and 100 was 'worst ever'.

Outcome measures

Outcome measures
Measure
Healthy Controls: Secretin
n=10 Participants
Healthy controls who received human Secretin 0.2 mcg/kg via IV over 1 min on either the first or second study visit day.
Healthy Controls: Placebo
n=10 Participants
Healthy controls who received placebo treatment (normal saline matching Secretin dose) via IV over 1 min on either the first or second study visit day.
Functional Dyspepsia: Secretin
n=10 Participants
Functional Dyspepsia subjects who received human Secretin 0.2 mcg/kg via IV over 1 min on either the first or second study visit day.
Functional Dyspepsia: Placebo
n=10 Participants
Functional Dyspepsia subjects who received placebo treatment (normal saline matching Secretin dose) via IV over 1 min on either the first or second study visit day.
Change in Postprandial Symptoms
Nausea
1.5 score on a scale
Interval 0.0 to 3.0
1.5 score on a scale
Interval 0.0 to 2.0
10 score on a scale
Interval 8.0 to 28.0
4 score on a scale
Interval 4.0 to 11.0
Change in Postprandial Symptoms
Fullness
7 score on a scale
Interval 3.0 to 10.0
4.5 score on a scale
Interval 2.0 to 6.0
31 score on a scale
Interval 22.0 to 42.0
11 score on a scale
Interval 5.0 to 33.0
Change in Postprandial Symptoms
Bloating
1.5 score on a scale
Interval 0.0 to 7.0
1.5 score on a scale
Interval 0.0 to 3.0
24 score on a scale
Interval 6.0 to 34.0
26 score on a scale
Interval 8.0 to 28.0
Change in Postprandial Symptoms
Abdominal pain
1 score on a scale
Interval 0.0 to 2.0
2 score on a scale
Interval 0.0 to 3.0
5 score on a scale
Interval 2.0 to 19.0
10 score on a scale
Interval 5.0 to 21.0

Adverse Events

Healthy Controls: Secretin

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

Healthy Controls: Placebo

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

Functional Dyspepsia: Secretin

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

Functional Dyspepsia: Placebo

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Healthy Controls: Secretin
n=10 participants at risk
Healthy controls who received human Secretin 0.2 mcg/kg via IV over 1 min.
Healthy Controls: Placebo
n=10 participants at risk
Healthy controls who received placebo treatment (normal saline matching Secretin dose) via IV over 1 min.
Functional Dyspepsia: Secretin
n=10 participants at risk
Functional Dyspepsia subjects who received human Secretin 0.2 mcg/kg via IV over 1 min.
Functional Dyspepsia: Placebo
n=10 participants at risk
Functional Dyspepsia subjects who received placebo treatment (normal saline matching Secretin dose) via IV over 1 min.
Gastrointestinal disorders
Vomiting
0.00%
0/10 • Adverse events will be collected on each patient for each of the two individual study days, over a total duration of approximately one year.
10.0%
1/10 • Number of events 1 • Adverse events will be collected on each patient for each of the two individual study days, over a total duration of approximately one year.
10.0%
1/10 • Number of events 1 • Adverse events will be collected on each patient for each of the two individual study days, over a total duration of approximately one year.
10.0%
1/10 • Number of events 1 • Adverse events will be collected on each patient for each of the two individual study days, over a total duration of approximately one year.
Gastrointestinal disorders
Nausea
0.00%
0/10 • Adverse events will be collected on each patient for each of the two individual study days, over a total duration of approximately one year.
0.00%
0/10 • Adverse events will be collected on each patient for each of the two individual study days, over a total duration of approximately one year.
50.0%
5/10 • Number of events 5 • Adverse events will be collected on each patient for each of the two individual study days, over a total duration of approximately one year.
40.0%
4/10 • Number of events 4 • Adverse events will be collected on each patient for each of the two individual study days, over a total duration of approximately one year.
Gastrointestinal disorders
Diarrhea
0.00%
0/10 • Adverse events will be collected on each patient for each of the two individual study days, over a total duration of approximately one year.
0.00%
0/10 • Adverse events will be collected on each patient for each of the two individual study days, over a total duration of approximately one year.
20.0%
2/10 • Number of events 2 • Adverse events will be collected on each patient for each of the two individual study days, over a total duration of approximately one year.
30.0%
3/10 • Number of events 3 • Adverse events will be collected on each patient for each of the two individual study days, over a total duration of approximately one year.
General disorders
Abdominal pain
0.00%
0/10 • Adverse events will be collected on each patient for each of the two individual study days, over a total duration of approximately one year.
0.00%
0/10 • Adverse events will be collected on each patient for each of the two individual study days, over a total duration of approximately one year.
20.0%
2/10 • Number of events 2 • Adverse events will be collected on each patient for each of the two individual study days, over a total duration of approximately one year.
10.0%
1/10 • Number of events 1 • Adverse events will be collected on each patient for each of the two individual study days, over a total duration of approximately one year.
Gastrointestinal disorders
Postprandial fullness
0.00%
0/10 • Adverse events will be collected on each patient for each of the two individual study days, over a total duration of approximately one year.
0.00%
0/10 • Adverse events will be collected on each patient for each of the two individual study days, over a total duration of approximately one year.
10.0%
1/10 • Number of events 1 • Adverse events will be collected on each patient for each of the two individual study days, over a total duration of approximately one year.
10.0%
1/10 • Number of events 1 • Adverse events will be collected on each patient for each of the two individual study days, over a total duration of approximately one year.
General disorders
Headache
0.00%
0/10 • Adverse events will be collected on each patient for each of the two individual study days, over a total duration of approximately one year.
0.00%
0/10 • Adverse events will be collected on each patient for each of the two individual study days, over a total duration of approximately one year.
10.0%
1/10 • Number of events 1 • Adverse events will be collected on each patient for each of the two individual study days, over a total duration of approximately one year.
30.0%
3/10 • Number of events 3 • Adverse events will be collected on each patient for each of the two individual study days, over a total duration of approximately one year.
General disorders
Dizziness
0.00%
0/10 • Adverse events will be collected on each patient for each of the two individual study days, over a total duration of approximately one year.
0.00%
0/10 • Adverse events will be collected on each patient for each of the two individual study days, over a total duration of approximately one year.
10.0%
1/10 • Number of events 1 • Adverse events will be collected on each patient for each of the two individual study days, over a total duration of approximately one year.
0.00%
0/10 • Adverse events will be collected on each patient for each of the two individual study days, over a total duration of approximately one year.

Additional Information

Michael Camilleri, MD

Mayo Clinic

Phone: 507-266-2305

Results disclosure agreements

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