Efficacy of Polyethylene Glycol vs Lactulose With Isabgol in Acute Fissure-in-Ano: PEGASIS Trial
NCT05341180 · Status: COMPLETED · Phase: PHASE2/PHASE3 · Type: INTERVENTIONAL · Enrollment: 144
Last updated 2023-07-25
Summary
The existing literature stresses the better efficacy of polyethylene glycol (PEG) over other stool softeners like lactulose or isabgol to improve functional constipation.
But there is no consensus regarding the efficacy of PEG alone vs lactulose combined with isabgol used as stool softeners, frequently used for relieving acute constipation in an acute fissure in ano. Hence a good quality randomised study to compare both efficacies is the need of the hour.
Conditions
- Anal Fissure
- Constipation
Interventions
- DRUG
-
Polyethylene Glycol
Patients will be advised Anobliss (lidocaine with nifedipine) ointment for local application in the anal canal for one month for relief of pain and anal sphincter spasm. Polyethylene glycol syrup at a dose of 15-30 ml will be used for 2 weeks for relief of acute constipation. Patients will be assessed at 1 week and 1 month and evaluated for primary and secondary outcomes.
- DRUG
-
Isabgol + Lactulose
Patients will be advised Anobliss (lidocaine with nifedipine) ointment for local application in the anal canal for one month for relief of pain and anal sphincter spasm. Isabgol husk at a dose of 2 teaspoons in 200 ml of warm water before bedtime and 30 ml of syrup lactulose at bedtime will be used for 2 weeks for relief of acute constipation. Patients will be assessed at 1 week and 1 month and evaluated for primary and secondary outcomes.
Sponsors & Collaborators
-
All India Institute of Medical Sciences, Bhubaneswar
lead OTHER
Principal Investigators
-
Prakash Kumar Sasmal, MBBS, MS · Department of General Surgery, All India Institute of Medical Sciences, Bhubaneswar, Odisha, INDIA
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-05-27
- Primary Completion
- 2023-07-20
- Completion
- 2023-07-22
Countries
- India
Study Locations
More Related Trials
-
Efficacy and Tolerability of PEG-only Laxative for Fecal Impaction and Chronic Constipation in Children
NCT01592734 ·Status: COMPLETED ·Phase: PHASE4
-
Pyridostigmine Efficacy and Safety for Treatment of Ileus After Colorectal Surgery
NCT05334485 ·Status: RECRUITING ·Phase: PHASE2/PHASE3
-
To Determine the Effect of Forlax® Treatment in Children With Chronic Constipation Who May Also Suffer From Soiling/ Faecal Incontinence.
NCT00255372 ·Status: COMPLETED ·Phase: PHASE3
-
Comparison of Efficacy & Tolerability Of PEG 4000 Versus PEG 3350+ Electrolytes for Pediatric Fecal Disimpaction
NCT06349031 ·Status: NOT_YET_RECRUITING ·Phase: PHASE4
-
Investigation of PICOPREP and PEG-ELS for Bowel Preparation for Colonoscopy
NCT01356407 ·Status: COMPLETED ·Phase: PHASE3
-
Comparison of Oral Lactulose Versus Polyethylene Glycol for Bowel Preparation in Low-risk Patients
NCT05648318 ·Status: COMPLETED ·Phase: NA
-
Combination of Lactulose and Polyethylene Glycol Electrolytes Powder (PEG-ELS) for Bowel Preparation in Type II Diabetes Mellitus Patients
NCT07084350 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Efficacy of PRUcalopride in Critically Ill Patients With Paralytic ILeus
NCT04190173 ·Status: UNKNOWN ·Phase: PHASE3
-
Lactulose vs. Polyethylene Glycol as Bowel Preparation for Colonoscopy in Adults
NCT05726344 ·Status: COMPLETED ·Phase: NA
-
Safety and Tolerability of Oral Polyethylene Glycol (PEG 3350) Solution in Participants With Constipation (MK-8114-003)
NCT01885104 ·Status: COMPLETED ·Phase: PHASE2
-
Improved Bowel Cleansing Method for Colonoscopy Based on High Risk Population of Bowel Preparation
NCT05498714 ·Status: UNKNOWN ·Phase: NA
-
Tolerability and Efficacy of Sodium Picosulfate/Magnesium Citrate Versus PEG/Ascorbic Acid in Ulcerative Colitis Patients
NCT03581149 ·Status: UNKNOWN ·Phase: PHASE4
-
The Efficacy and Palatability of Developed Polyethylene Glycol-based Formula for Children With Functional Constipation
NCT06357897 ·Status: RECRUITING ·Phase: NA
-
PK, PD and Safety Comparative Trial of Isosorbide Mononitrate Gel in Healthy Participants and With Anal Fissure
NCT02667535 ·Status: WITHDRAWN ·Phase: PHASE1
-
The Effects of a Ficus Carica on Improvement in Bowl Movements in Female Volunteer With Functional Constipation
NCT01185431 ·Status: COMPLETED ·Phase: NA
-
Different Bowel Preparations for Colonoscopy In Children
NCT01711437 ·Status: UNKNOWN ·Phase: PHASE4
-
Bowel Preparation for Colonoscopy With Oral Lactulose
NCT06282367 ·Status: COMPLETED
-
Improved Bowel Preparation Method for Colonoscopy Based on Different Risk Stratification
NCT04582942 ·Status: COMPLETED ·Phase: NA
-
Efficacy and Safety of Polyethylene Glycol Compared With Sodium Picosulphate for Bowel Preparation Before Colonoscopy
NCT01093274 ·Status: UNKNOWN ·Phase: NA
-
Efficacy of 2-Liter Mixed Preparation With Bisacodyl Plus Polyethylene Glycol and 4-Liter Polyethylene Glycol for Colon Cleansing in Patients With Prior History of Colorectal Resection
NCT01887158 ·Status: COMPLETED ·Phase: PHASE4
-
Patient Tolerability and Efficacy of Bowel Preparation With Split Dose Picosalax vs. Split Dose PEG
NCT02070341 ·Status: TERMINATED ·Phase: PHASE4
-
Short Course, Single-dose PEG 3350 for Colonoscopy Prep in Children
NCT01518790 ·Status: COMPLETED ·Phase: NA
-
A Trial Comparing Split-Dose Miralax With Amitiza Pretreatment Versus Dulcolax Pretreatment Versus Golytely for Bowel Cleansing Prior to Colonoscopy
NCT00953017 ·Status: COMPLETED ·Phase: PHASE4
-
Comparison Trial of Enema vs. PEG 3350 for Constipation
NCT00467350 ·Status: TERMINATED ·Phase: NA
-
Efficacy, Safety and Tolerability of Split-dose of PEG Compared With NaP Solution for Colonoscopy Preparation: A Randomized, Controlled Trial
NCT01229800 ·Status: COMPLETED ·Phase: PHASE3