Prucalopride for Postoperative Ileus in Patients Undergoing Gastrointestinal Surgery
A Randomized, Controlled, Double-blind Efficacy and Tolerability Study Of Prucalopride For The Treatment Of Postoperative Ileus In Patients Undergoing Gastrointestinal Surgery
1 other identifier
interventional
110
1 country
1
Brief Summary
The purpose of this study is to evaluate the effect and safety of prucalopride on recovery of gastrointestinal function in patient undergoing major gastrointestinal surgery. The investigators hypothesize that patients who take prucalopride after major gastrointestinal surgery will have shorter duration of postoperative ileus.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2
Started Nov 2013
Shorter than P25 for phase_2
1 active site
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
November 1, 2013
CompletedFirst Submitted
Initial submission to the registry
November 26, 2013
CompletedFirst Posted
Study publicly available on registry
December 9, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2014
CompletedSeptember 30, 2016
September 1, 2016
1.1 years
November 26, 2013
September 29, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Time to defaecation, measured in hours, from the time the surgery ends till the first observed passage of stool
up to 30 days after surgery
Secondary Outcomes (11)
Time of first passing flatus reported by the patients(hours)
up to 30 days after surgery
Time to resume solid diet or total enteral nutrition(TEN)(days)
up to 30 days after surgery
Length of postoperative hospital stay (LOS)(days)
participants will be followed for the duration of postoperative hospital stay, an expected average of 8 days
Overall post-operative complication rate defined according to the Clavien-Dindo Classification
up to 30 days after surgery
Overall cost (RMB)
participants will be followed for the duration of postoperative hospital stay, an expected average of 8 days
- +6 more secondary outcomes
Other Outcomes (6)
Whole blood white blood cell(WBC) count on postoperative day 1 and 3
postoperative day 1 and 3
Whole blood neutrophil percentage on postoperative day 1 and 3
postoperative day 1 and 3
Whole blood platelet level on postoperative day 1 and 3
postoperative day 1 and 3
- +3 more other outcomes
Study Arms (2)
Prucalopride
EXPERIMENTALPrucalopride, 2mg, tablet. First given 24 hours after surgery beginning on POD 1,until bowel movements or for a maximum of 7 days of postoperative treatment
Placebo
PLACEBO COMPARATORVitamin C, 50mg, tablet
Interventions
Prucalopride, 2mg, tablet. First given 24 hours after surgery beginning on POD 1,until bowel movements or for a maximum of 7 days of postoperative treatment
Eligibility Criteria
You may qualify if:
- Consecutive patients undergoing elective gastric, small bowel, or partial colonic resection via laparotomy or laparoscopy.
- Patients with American Society of Anaesthesiologists grading I-III
- Informed consent available.
You may not qualify if:
- Patients with stoma creation, extensive adhesiolysis, total or subtotal colectomy , or patients who had a history of total or subtotal colectomy.
- Patients who developed intraoperative problems or complications, or had peritoneal carcinomatosis.
- Patients who developed serious complications within 24 hours after surgery.
- Those who received epidural anesthesia or analgesia.
- Patients who received other prokinetic drugs.
- Patients who were allergic to prucalopride.
- Patients with severe comorbidity and/or organ(kidney, liver, and heart) dysfunction
- Patients had complete bowel obstruction
- Patients who have participated other clinical trials.
- Patients who have short bowel(\<200cm small bowel) or history of constipation.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Department of Generay Surgery, Jinling hosptal, Medical School of Nanjing University
Nanjing, Jiangsu, 210002, China
Related Publications (1)
Gong J, Xie Z, Zhang T, Gu L, Yao W, Guo Z, Li Y, Lu N, Zhu W, Li N, Li J. Randomised clinical trial: prucalopride, a colonic pro-motility agent, reduces the duration of post-operative ileus after elective gastrointestinal surgery. Aliment Pharmacol Ther. 2016 Apr;43(7):778-89. doi: 10.1111/apt.13557. Epub 2016 Feb 15.
PMID: 26880227DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Jianfeng Gong, MD
Department of general surgery,Jinling hospital
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, CARE PROVIDER
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate professor
Study Record Dates
First Submitted
November 26, 2013
First Posted
December 9, 2013
Study Start
November 1, 2013
Primary Completion
December 1, 2014
Study Completion
December 1, 2014
Last Updated
September 30, 2016
Record last verified: 2016-09