NCT01637857

Brief Summary

Patients with chronic constipation due to food hypersensitivity (FH) had an elevated anal sphincter resting pressure. No studies have investigated a possible role of FH in anal fissures (AF). We aim to evaluate the effectiveness of a diet in curing AF and the clinical effects of a double-blind placebo controlled (DBPC) challenge with cow's milk protein or wheat.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
161

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Jan 2006

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

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

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

January 1, 2006

Completed
3.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2009

Completed
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2010

Completed
1.6 years until next milestone

First Submitted

Initial submission to the registry

July 8, 2012

Completed
3 days until next milestone

First Posted

Study publicly available on registry

July 11, 2012

Completed
Last Updated

January 11, 2013

Status Verified

January 1, 2013

Enrollment Period

3.9 years

First QC Date

July 8, 2012

Last Update Submit

January 10, 2013

Conditions

Keywords

foof hypersensitivityanal fissuresano-rectal manometry

Outcome Measures

Primary Outcomes (1)

  • Chronic anal fissures persistence or healing

    The patients will be evaluated every two weeks for eight weeks for CAF persistence or healing; anal pain will be scored on a visual analogue scale ranging from 0 (absence of pain) to 10 (intolerable pain). Anal-rectal manometry will be repeated at the end of the study period, in all patients who will be treated.

    2 years

Secondary Outcomes (1)

  • Anal fissures recurring after Double-Blind Placebo-Controlled food challenge

    2 years

Study Arms (2)

lifestyle counseling

SHAM COMPARATOR

Group of patients treated with sham oligoantigenic diet

Dietary Supplement: sham oligoantigenic diet associated to lifestyle instruction

oligoantigenic diet

EXPERIMENTAL

Treatment with oligoantigenic diat

Dietary Supplement: oligoantigenic diet

Interventions

sham oligoantigenic diet associated to lifestyle instruction

lifestyle counseling
oligoantigenic dietDIETARY_SUPPLEMENT

oligoantigenic diet associated to life style counseling

oligoantigenic diet

Eligibility Criteria

Age17 Years+
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • evidence of chronic anal fissures evaluated by an experienced rectal surgeon
  • patient age \>16 years.

You may not qualify if:

  • a diagnosis of inflammatory bowel disease
  • ongoing steroid treatment performed for any reason
  • pregnancy.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Surgery Department, University of Palermo, Italy

Palermo, Italy, 90127, Italy

Location

MeSH Terms

Conditions

Fissure in Ano

Condition Hierarchy (Ancestors)

Anus DiseasesRectal DiseasesIntestinal DiseasesGastrointestinal DiseasesDigestive System Diseases

Study Officials

  • Antonio Carroccio, Prof.

    Internal Medicine, Hospital of Sciacca, ASP Agrigento, University of Palermo, Italy

    STUDY DIRECTOR
  • Pasquale Mansueto, Dr.

    University of Palermo

    PRINCIPAL INVESTIGATOR
  • Sebastiano Bonventre, Dr.

    University of Palermo

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
MD

Study Record Dates

First Submitted

July 8, 2012

First Posted

July 11, 2012

Study Start

January 1, 2006

Primary Completion

December 1, 2009

Study Completion

December 1, 2010

Last Updated

January 11, 2013

Record last verified: 2013-01

Locations