NCT02165475

Brief Summary

Background: Biofeedback and medical treatments have been extensively used for moderate fecal incontinence. There is limited data comparing and combining these two treatments. Aim: To evaluate the effect of biofeedback and medical treatments, separately and in combination. Methods: Sixty-five consecutive female patients, referred to a tertial center for fecal incontinence were included. The patients were randomized to start with either biofeedback (4-6 months) or medical treatment with loperamide and stool-bulking agents (2 months). Both groups continued with a combination treatments, i.e. medical treatment was added to biofeedback and vice versa. A two-week prospective bowel symptom diary and anorectal physiology were evaluated at baseline, after single- and combination treatments.

Trial Health

80
On Track

Trial Health Score

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

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

May 1, 2002

Completed
2.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 1, 2005

Completed
9.3 years until next milestone

First Submitted

Initial submission to the registry

June 11, 2014

Completed
6 days until next milestone

First Posted

Study publicly available on registry

June 17, 2014

Completed
Last Updated

June 18, 2014

Status Verified

June 1, 2014

Enrollment Period

2.8 years

First QC Date

June 11, 2014

Last Update Submit

June 17, 2014

Conditions

Outcome Measures

Primary Outcomes (1)

  • symptom diary

    Up to eight months

Study Arms (3)

Biofeedback

EXPERIMENTAL
Behavioral: Biofeedback

medical treatment

EXPERIMENTAL
Drug: LoperamideDrug: Stool bulking agent (stericulia or isphagula husk)

combination of the two treatments

EXPERIMENTAL
Other: Combination of biofeedback and medical treatment

Interventions

BiofeedbackBEHAVIORAL
Biofeedback
medical treatment
combination of the two treatments

Eligibility Criteria

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

You may qualify if:

  • Patients older than 18 years of age
  • Patients with at least one or more episodes of FI during a period of 2 weeks as recorded by bowel function diary
  • Patients from whom written consent was obtained

You may not qualify if:

  • Previous congenital or acquired spinal injury, spinal tumour or spinal surgery
  • Presence of neurological diseases or peripheral vascular disease
  • Uncontrolled diabetes mellitus
  • Congenital anorectal malformations
  • Recent colorectal or gastrointestinal surgery
  • Presence of external full-thickness rectal prolapse
  • Inflammatory bowel disease
  • Chronic diarrhoea
  • Use of tibial nerve or sacral nerve stimulations
  • Ongoing pregnancy
  • Any malignant disease

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Pelvic floor unit, University hospital of Linköping

Linköping, 58185, Sweden

Location

MeSH Terms

Conditions

Fecal Incontinence

Interventions

Biofeedback, PsychologyLoperamide

Condition Hierarchy (Ancestors)

Rectal DiseasesIntestinal DiseasesGastrointestinal DiseasesDigestive System Diseases

Intervention Hierarchy (Ancestors)

Mind-Body TherapiesComplementary TherapiesTherapeuticsBehavior TherapyPsychotherapyBehavioral Disciplines and ActivitiesFeedback, PsychologicalPiperidinesHeterocyclic Compounds, 1-RingHeterocyclic Compounds

Study Design

Study Type
interventional
Phase
not applicable
Purpose
TREATMENT
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
PhD

Study Record Dates

First Submitted

June 11, 2014

First Posted

June 17, 2014

Study Start

May 1, 2002

Primary Completion

March 1, 2005

Last Updated

June 18, 2014

Record last verified: 2014-06

Locations