NCT01355874

Brief Summary

Primary Objective: To evaluate the effect of iferanserin ointment on cessation of bleeding when administered intra-anally twice daily (BID) for 7 or 14 days in subjects with symptomatic internal hemorrhoids. Methodology: Double-Blind: Phase 3, multicenter, double-blind, randomized, parallel group, placebo-controlled part of the study. Extension: Multicenter, open-label part of the study. Study Treatment Duration: Double-Blind: 28 days (14-day treatment period and a 14-day follow-up period). Extension: 12 months (open-label part of the study in which there will be a scheduled visit every three months. Subjects who have recurrence(s) of their symptomatic internal hemorrhoids will be treated with open-label iferanserin for 7 days followed by a 21-day follow-up period). Criteria for Evaluation: Primary Endpoint: The primary endpoint is the cessation of bleeding by the end of Day 7 that persists for the remainder of the treatment period (through Day 14).

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
403

participants targeted

Target at P50-P75 for phase_3

Timeline
Completed

Started Jul 2011

Shorter than P25 for phase_3

Geographic Reach
1 country

77 active sites

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

May 16, 2011

Completed
2 days until next milestone

First Posted

Study publicly available on registry

May 18, 2011

Completed
1 month until next milestone

Study Start

First participant enrolled

July 1, 2011

Completed
11 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2012

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2012

Completed
Last Updated

January 28, 2014

Status Verified

July 1, 2012

Enrollment Period

11 months

First QC Date

May 16, 2011

Last Update Submit

January 26, 2014

Conditions

Keywords

Internal Symptomatic Hemorrhoids

Outcome Measures

Primary Outcomes (1)

  • Proportion of subjects with cessation of bleeding by the end of Day 7 that persists for the remainder of the treatment period (through Day 14) will be analyzed as the primary endpoint

    7 days

Secondary Outcomes (1)

  • Proportion of subjects with cessation of pain by the end of Day 7 that persists for the remainder of the treatment period (through Day 14).

    7 days

Study Arms (3)

Iferanserin

EXPERIMENTAL
Drug: Iferanserin

Placebo

EXPERIMENTAL
Drug: Placebo

Iferanserin + Placebo

EXPERIMENTAL
Drug: Iferanserin + Placebo

Interventions

0.5% iferanserin ointment (containing 10 mg of iferanserin) BID for 14 days during double blind.

Iferanserin

Placebo ointment BID for 14 days during double blind.

Placebo

0.5% iferanserin ointment (containing 10 mg of iferanserin) BID for 7 days followed by placebo ointment BID for 7 days during the double blind.

Iferanserin + Placebo

Eligibility Criteria

Age18 Years - 75 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Males or non-pregnant females, aged ≥ 18 to ≤ 75 years.
  • Symptomatic internal hemorrhoids, Grades I-III by direct anoscopic visualization (anoscopic visualization not required if Grade determined by colonoscopy within 28 days prior to Day 1).
  • Bleeding from hemorrhoids for two consecutive days prior to randomization (Day 1).
  • Itching OR pain for two consecutive days prior to randomization (Day 1).
  • Able to attempt bowel movements daily (defined as trying to have a bowel movement while sitting on the toilet for at least a few minutes, at least once daily, whether or not you feel the need to have a bowel movement that day).
  • Body mass index of ≥ 18.5 to ≤ 36 kg/m2.
  • Female of non-childbearing potential, including any female who: a) has had a hysterectomy, b) has had a bilateral oophorectomy, c) has had a bilateral tubal ligation or d) is post menopausal (demonstration of total cessation of menses for ≥ 1 year from the date of the screening visit).
  • Females of child bearing potential who agree to use two forms of contraception, one of which must be a barrier method, during the full duration of the study.
  • Able to communicate adequately with the investigator and to comply with the requirements for the entire study.
  • Capable of using the IVRS and adequately communicate comprehension of IVRS questions to the investigator.
  • Capable of and freely willing to provide written informed consent prior to participating in the study.

You may not qualify if:

  • Grade IV internal hemorrhoids.
  • Age ≥ 40 years, with no complete colon evaluation within three years.
  • Age \< 40 years, with no sigmoidoscopy or complete colon evaluation within three years.
  • Age \< 40 years, with any of the following and no complete colon evaluation within two years; or age ≥ 40 years, with any of the following and no complete colon evaluation within one year:
  • History of adenomatous polyps.
  • Family history of either colorectal cancer or colorectal adenomas diagnosed in a first-degree relative before age 60.
  • Family history or genetic testing indicating the presence of one of two hereditary syndromes.
  • Malignancy within 5 years prior to Day 1(with the exception of treated basal cell/squamous cell carcinoma of the skin).
  • History of inflammatory bowel disease.
  • History of irritable bowel syndrome with constipation or diarrhea.
  • Previous surgical or instrumental treatment of internal hemorrhoids.
  • Clinical evidence or history of fecal incontinence.
  • Current thrombosed internal or external hemorrhoid(s).
  • Clinical evidence or history of anal fissure.
  • Clinical evidence or history of anal fistula.
  • +34 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (77)

Digestive Health

Dothan, Alabama, United States

Location

Clinical Research Associates

Huntsville, Alabama, United States

Location

Comprehensive Health Services

Phoenix, Arizona, United States

Location

Adobe

Tucson, Arizona, United States

Location

Desert Sun Clin Res

Tucson, Arizona, United States

Location

AR Gastro

Sherwood, Arkansas, United States

Location

ACRI

Anaheim, California, United States

Location

Providence Clin Res

Burbank, California, United States

Location

Med Center

Carmichael, California, United States

Location

South Orange County Surgical Group

Laguna Hills, California, United States

Location

Torrence C. R.

Lomita, California, United States

Location

Premiere Clin Res

Long Beach, California, United States

Location

Facey Med Foundation

Mission Hills, California, United States

Location

Futura Research

Montebello, California, United States

Location

Community Clin Trials

Orange, California, United States

Location

Del Carmen Med Center

Reseda, California, United States

Location

MARG

San Diego, California, United States

Location

Med Center for Clinical Research

San Diego, California, United States

Location

Westlake Res

Westlake Village, California, United States

Location

Colorado Research

Salida, Colorado, United States

Location

Innovative

Clearwater, Florida, United States

Location

Avail Clin Res

DeLand, Florida, United States

Location

Eastern

Hilieah, Florida, United States

Location

Center for GI Disorders

Hollywood, Florida, United States

Location

Nature Coast Clin Res

Inverness, Florida, United States

Location

Jupiter Research

Jupiter, Florida, United States

Location

Aplusresearch

Miami, Florida, United States

Location

Kendall

Miami, Florida, United States

Location

MRA

Miami, Florida, United States

Location

Advanced Gastro Assoc

Palm Harbor, Florida, United States

Location

ICR

Sanford, Florida, United States

Location

Cleveland Clinic Florida

Weston, Florida, United States

Location

Southeast REgional Research Group

Columbus, Georgia, United States

Location

Tri County

Hartwell, Georgia, United States

Location

Southeast Regional Research Group

Savannah, Georgia, United States

Location

Pinnacle Med Inst

Overland, Kansas, United States

Location

Kentucy med Center

Lexington, Kentucky, United States

Location

Praetorian Pharmaceutical Res

Marrerro, Louisiana, United States

Location

Clinical Trials Mgmt

Metarie, Louisiana, United States

Location

Delta Research

Monroe, Louisiana, United States

Location

Women Under Study

New Orleans, Louisiana, United States

Location

Capital Digestive

Chevy Chase, Maryland, United States

Location

Meritus Center for Clin Res

Hagerstown, Maryland, United States

Location

Mid Atlantic Res Center

Hollywood, Maryland, United States

Location

Saginaw Med Res

Saginaw, Michigan, United States

Location

Gastro Assoc Western Michigan

Wyoming, Michigan, United States

Location

Gastrointestinal Associates

Jackson, Mississippi, United States

Location

Midwest Center for Clin Res

Lee's Summitt, Missouri, United States

Location

Center for Digestive & Liver Diseases

Mexico, Missouri, United States

Location

Clin Res Nevada

Las Vegas, Nevada, United States

Location

S. Jersey Gastro

Marlton, New Jersey, United States

Location

Long Island GI Group

Great Neck, New York, United States

Location

MRA NY

New York, New York, United States

Location

Ashville Gastro

Asheville, North Carolina, United States

Location

Carolinas Res Ass

Davidson, North Carolina, United States

Location

Vital

Greenboro, North Carolina, United States

Location

Carolinas Research

Harrisburg, North Carolina, United States

Location

Wake Res

Raleigh, North Carolina, United States

Location

Trial Management Associates

Wilmington, North Carolina, United States

Location

Hightop Med Res

Cincinnati, Ohio, United States

Location

Dayton Gastro

Dayton, Ohio, United States

Location

Great Lakes Gastro

Mentor, Ohio, United States

Location

Central Sooner

Norman, Oklahoma, United States

Location

Clinsearch

Chattanooga, Tennessee, United States

Location

Memphis Gastro

Germantown, Tennessee, United States

Location

Assoc of Gastro

Hermitage, Tennessee, United States

Location

Dial Research

Nashville, Tennessee, United States

Location

First Clinic

Nashville, Tennessee, United States

Location

Texas Health Research

Fort Worth, Texas, United States

Location

Amcare Research

Houston, Texas, United States

Location

Houston Gastro

Houston, Texas, United States

Location

Permian

Odessa, Texas, United States

Location

Pioneer Research

Sugarland, Texas, United States

Location

ARI

Ogden, Utah, United States

Location

ARI

Sandy City, Utah, United States

Location

New River Valley Res

Christianburg, Virginia, United States

Location

Blue Ridge Medical Center

Lyncburg, Virginia, United States

Location

MeSH Terms

Interventions

iferanserin

Study Officials

  • Cleveland Clinic

    Cleveland Clinic Weston, FL

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 16, 2011

First Posted

May 18, 2011

Study Start

July 1, 2011

Primary Completion

June 1, 2012

Study Completion

June 1, 2012

Last Updated

January 28, 2014

Record last verified: 2012-07

Locations