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A Randomized, Double-Blind, Placebo-Controlled Study Evaluating Asimadoline on the Duration of POI in Subjects Undergoing Laparoscopic/Hand-Assisted Lap Segmental Colonic Resection Secondary to Colon Cancer, Polypectomy or Diverticulitis


Phase 2
18 Years
80 Years
Not Enrolling
Both
Post-Operative Ileus

Thank you

Trial Information

A Randomized, Double-Blind, Placebo-Controlled Study Evaluating Asimadoline on the Duration of POI in Subjects Undergoing Laparoscopic/Hand-Assisted Lap Segmental Colonic Resection Secondary to Colon Cancer, Polypectomy or Diverticulitis


This randomized, double-blind, placebo-controlled study was designed to evaluate the
efficacy and tolerability of two dose levels of asimadoline on the duration of
post-operative ileus in subjects undergoing laparoscopic or hand-assisted laparoscopic colon
resections. Subjects meeting entry criteria were randomized in a 1:1:1 ratio to receive
either asimadoline 1.0 mg, asimadoline 3.0 mg or a placebo. One hundred and fourteen
subjects were planned, and in the event that a subject was converted from a laparoscopic
surgery to an open surgery (laparotomy), that subject would be discontinued from the trial
and followed for safety only. The protocol allowed subjects converted to open procedures to
be replaced. The first dose was administered approximately 90 minutes pre-operatively, and
subsequent dosing was b.i.d. for up to 10 post-operative doses. Subjects were dosed with
study drug only while in the hospital. After discharge, they were followed for an additional
28 days. Total study duration for each patient was approximately 5 to 6 weeks.


Inclusion Criteria:



- Males and females aged 18-80

- Must be scheduled to undergo a laparoscopic/hand-assisted laparoscopic segmental
colectomy

- Must sign an ICF

- Females of childbearing potential must have a negative pregnancy test at screening

Exclusion Criteria:

- Subjects with evidence of a biochemical or structural abnormality of the GI tract or
other co-morbid illness that may impact the ability to interpret the safety and
efficacy data

- Pregnant or breastfeeding females

- Use of investigational drugs in previous 30 days

- Refusal to discontinue prohibited concomitant medications

- Chronic use of prescription narcotics over the previous 6 months

Type of Study:

Interventional

Study Design:

Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment

Outcome Measure:

Time to Return of Upper and Lower GI Function

Outcome Description:

The time to first bowel movement or the time to tolerating solid food, whichever occurs later.

Outcome Time Frame:

Daily for 38 days

Safety Issue:

No

Principal Investigator

Allen Mangel, MD, PhD

Investigator Role:

Study Chair

Investigator Affiliation:

CMO

Authority:

United States: Food and Drug Administration

Study ID:

ASMP2004

NCT ID:

NCT00443040

Start Date:

January 2007

Completion Date:

February 2008

Related Keywords:

  • Post-Operative Ileus
  • Ileus

Name

Location

University Hospitals of Cleveland Cleveland, Ohio  44106
Lahey Clinic Burlington, Massachusetts  01805
Washington University St. Louis, Missouri  63110
Marks Colorectal Surgical Associates Wynnewood, Pennsylvania  19096