NCT04119817

Brief Summary

Gastrointestinal (GI) discomfort, which often includes gastroesophageal reflux disease (GERD) is a common disorder in healthy adults affecting 20% of people particularly women. The disorders related to GI discomfort usually have a huge impact on the quality of life. Current treatment for GERD are associated with side effects. In this study, researchers designed a randomized double-blind placebo-controlled trial to assess the effect of Mucosave® on the symptoms and quality of life of healthy adults with gastrointestinal discomfort. One hundred healthy subjects with GI discomfort were enrolled in the study and divided in two groups: 60 and 40 taking for 8 weeks Mucosave® (400 mg/day) or placebo (400 mg/day). To evaluate the effects of treatment, the questionnaires Gastrointestinal Quality of Life index (GIQLI) and GERD Symptom Assessment Scale (GSAS) were self-administered by participants before the beginning of period of supplementation (T0), after four weeks (T4) during the period of supplementation and after 8 weeks (T8) at the end of supplementation.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
100

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Feb 2019

Shorter than P25 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

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

February 9, 2019

Completed
3 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 22, 2019

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

July 22, 2019

Completed
2 months until next milestone

First Submitted

Initial submission to the registry

September 19, 2019

Completed
19 days until next milestone

First Posted

Study publicly available on registry

October 8, 2019

Completed
Last Updated

February 5, 2020

Status Verified

January 1, 2020

Enrollment Period

3 months

First QC Date

September 19, 2019

Last Update Submit

February 4, 2020

Conditions

Keywords

Gastrointestinal symptomsNauseaHeartburnReflux

Outcome Measures

Primary Outcomes (2)

  • Evaluation of relief of gastrointestinal disorders with the Gastrointestinal Quality of Life Index (GIQLI) questionnaire.

    The Gastrointestinal Quality of Life Index (GIQLI) questionnaire contains questions on gastrointestinal symptoms, each with 5 answers in the "Likert scale" style (technique for measuring the attitude), according to the meaning "higher score, better quality of life". The GIQLI is an appropriate, validated and potentially useful tool to assess health-related quality of life in clinical studies of patients with gastrointestinal disease. Each of the 36 items is scored on a five-point scale (0 to 4) denoting the burden of the particular symptom or dysfunction. The total score ranged from 0 (worst) to 144 (best quality of life) with higher scores representing better quality of life. Subscales can be summarized or averaged.

    8 weeks

  • Evaluation of relief of gastrointestinal symptoms with the Gastroesophageal Reflux Disease Symptom Assessment Scale (GSAS): an evaluation scale of gastrointestinal symptoms.

    GSAS is a 15-item tool designed to evaluate various aspects including stress about gastrointestinal symptoms before and after treatments. GSAS is a self-administered questionnaire that asks patients to report about the previous week for 15 specific symptoms: heartburn, a feeling of pressure inside chest, food coming back into mouth, an acid in mouth, frequent gurgling, feeling of lump in throat, nausea, burning pain in throat, bloating, belching, flatulence, feeling full after eating, bad breath, coughing, and hoarseness. Scoring of the GSAS distress subscale is based on the presence of the symptoms and their bother ratings. Specifically, patients first indicate whether they had the symptom in the past week. If they did not have the symptom, their score for the symptom is 0. If they did have the symptom, they then report how bothered they were by it on a 4-point scale (0 ? not at all, 1 ? somewhat, 2 ? quite a bit, 3 ? very much). Subscales can be summarized or averaged.

    8 weeks

Secondary Outcomes (2)

  • Satisfaction of supplementation.

    15 days

  • Intestinal microbiota investigation on stool samples

    8 weeks

Study Arms (2)

Mucosave® capsules

EXPERIMENTAL

60 healthy volunteers taking 400 mg/day of Mucosave® capsules for a period of 8 weeks, once a day after dinner before going to bed.

Dietary Supplement: Mucosave® capsules

Placebo

PLACEBO COMPARATOR

40 healthy volunteers taking capsules of placebo for a period of 8 weeks, once a day after dinner before going to bed.

Dietary Supplement: Placebo

Interventions

Mucosave® capsulesDIETARY_SUPPLEMENT

400 mg/day of Mucosave® capsules for a period of 8 weeks, once a day.

Mucosave® capsules
PlaceboDIETARY_SUPPLEMENT

400 mg/day of placebo capsules for a period of 8 weeks, once a day.

Placebo

Eligibility Criteria

Age30 Years - 50 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • healthy men and women aged between 30 and 50 years;
  • subjects able to read, to understand and to sign approval of informed consent;
  • subjects not using food supplements for gastro-intestinal well-being;
  • subjects available to continue own habitual diet;
  • subjects without diagnosis of clinical diseases with relevant effects on the gastrointestinal system or visceral motility;
  • subjects with reduced bowel movements defined as an average of \> 1 and ≤ 3.5 stools per week in the last 6 months;
  • subjects with BMI = 18-30 kg/m2;
  • non-smoker subjects.

You may not qualify if:

  • history of gastroesophageal surgery or endoscopic therapy due to severe erosive esophagitis;
  • presence of Barrett's esophagus;
  • subjects with uncontrolled or severe medical problems such as asthma, angina, hepatic or kidney diseases;
  • subjects aged \< 30 or \> 50 years;
  • presence of acute or chronic inflammatory processes requiring therapy;
  • presence of acute or chronic coexisting diseases (cardiovascular, gastrointestinal, endocrinological, immunological, metabolic or any other condition that contraindicates, in the opinion of the investigators, the participation to the study);
  • subjects taking drugs that, in the opinion of the investigator, may interfere with the objectives of the study or represent a safety risk or can confuse the interpretation of the study results including heartburn medication, probiotics and prebiotics;
  • subjects that, in the opinion of the investigator, can be considered as potential participants, but for whatever reason are not able to respect the protocol of the study;
  • pregnant or nursing women;
  • subjects who cannot receive treatment with experimental drugs; subject participating in a recent experimental study (this must have been performed no less than 30 days prior to this study);
  • subjects affected by neoplasms.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Gioacchino Calapai

Messina, Me, 98125, Italy

Location

Related Publications (17)

  • Buchwald-Werner S, Fujii H, Reule C, Schoen C. Perilla extract improves gastrointestinal discomfort in a randomized placebo controlled double blind human pilot study. BMC Complement Altern Med. 2014 May 27;14:173. doi: 10.1186/1472-6882-14-173.

    PMID: 24885816BACKGROUND
  • Salehi M, Karegar-Borzi H, Karimi M, Rahimi R. Medicinal Plants for Management of Gastroesophageal Reflux Disease: A Review of Animal and Human Studies. J Altern Complement Med. 2017 Feb;23(2):82-95. doi: 10.1089/acm.2016.0233. Epub 2016 Dec 20.

    PMID: 27996295BACKGROUND
  • Panahi Y, Khedmat H, Valizadegan G, Mohtashami R, Sahebkar A. Efficacy and safety of Aloe vera syrup for the treatment of gastroesophageal reflux disease: a pilot randomized positive-controlled trial. J Tradit Chin Med. 2015 Dec;35(6):632-6. doi: 10.1016/s0254-6272(15)30151-5.

    PMID: 26742306BACKGROUND
  • Enck P, Dubois D, Marquis P. Quality of life in patients with upper gastrointestinal symptoms: results from the Domestic/International Gastroenterology Surveillance Study (DIGEST). Scand J Gastroenterol Suppl. 1999;231:48-54. doi: 10.1080/003655299750025264.

    PMID: 10565623BACKGROUND
  • Alecci U, Bonina F, Bonina A, Rizza L, Inferrera S, Mannucci C, Calapai G. Efficacy and Safety of a Natural Remedy for the Treatment of Gastroesophageal Reflux: A Double-Blinded Randomized-Controlled Study. Evid Based Complement Alternat Med. 2016;2016:2581461. doi: 10.1155/2016/2581461. Epub 2016 Oct 12.

    PMID: 27818697BACKGROUND
  • El-Serag H, Becher A, Jones R. Systematic review: persistent reflux symptoms on proton pump inhibitor therapy in primary care and community studies. Aliment Pharmacol Ther. 2010 Sep;32(6):720-37. doi: 10.1111/j.1365-2036.2010.04406.x.

    PMID: 20662774BACKGROUND
  • Di Lorenzo F, Silipo A, Molinaro A, Parrilli M, Schiraldi C, D'Agostino A, Izzo E, Rizza L, Bonina A, Bonina F, Lanzetta R. The polysaccharide and low molecular weight components of Opuntia ficus indica cladodes: Structure and skin repairing properties. Carbohydr Polym. 2017 Feb 10;157:128-136. doi: 10.1016/j.carbpol.2016.09.073. Epub 2016 Sep 24.

    PMID: 27987833BACKGROUND
  • Galati EM, Mondello MR, D'Aquino A, Miceli N, Sanogo R, Tzakou O, Monforte MT. Effects of Teucrium divaricatum Heldr. ssp. divaricatum decoction on experimental ulcer in rats. J Ethnopharmacol. 2000 Sep;72(1-2):337-42. doi: 10.1016/s0378-8741(00)00280-4.

    PMID: 10967492BACKGROUND
  • Trombetta D, Saija A, Bisignano G, Arena S, Caruso S, Mazzanti G, Uccella N, Castelli F. Study on the mechanisms of the antibacterial action of some plant alpha,beta-unsaturated aldehydes. Lett Appl Microbiol. 2002;35(4):285-90. doi: 10.1046/j.1472-765x.2002.01190.x.

    PMID: 12358689BACKGROUND
  • Dekanski D, Janicijevic-Hudomal S, Ristic S, Radonjic NV, Petronijevic ND, Piperski V, Mitrovic DM. Attenuation of cold restraint stress-induced gastric lesions by an olive leaf extract. Gen Physiol Biophys. 2009;28 Spec No:135-42.

    PMID: 19893091BACKGROUND
  • El SN, Karakaya S. Olive tree (Olea europaea) leaves: potential beneficial effects on human health. Nutr Rev. 2009 Nov;67(11):632-8. doi: 10.1111/j.1753-4887.2009.00248.x.

    PMID: 19906250BACKGROUND
  • Eypasch E, Wood-Dauphinee S, Williams JI, Ure B, Neugebauer E, Troidl H. [The Gastrointestinal Quality of Life Index. A clinical index for measuring patient status in gastroenterologic surgery]. Chirurg. 1993 Apr;64(4):264-74. German.

    PMID: 8482141BACKGROUND
  • Revicki DA, Wood M, Wiklund I, Crawley J. Reliability and validity of the Gastrointestinal Symptom Rating Scale in patients with gastroesophageal reflux disease. Qual Life Res. 1998 Jan;7(1):75-83. doi: 10.1023/a:1008841022998.

    PMID: 9481153BACKGROUND
  • Borgaonkar MR, Irvine EJ. Quality of life measurement in gastrointestinal and liver disorders. Gut. 2000 Sep;47(3):444-54. doi: 10.1136/gut.47.3.444.

    PMID: 10940286BACKGROUND
  • Damiano A, Handley K, Adler E, Siddique R, Bhattacharyja A. Measuring symptom distress and health-related quality of life in clinical trials of gastroesophageal reflux disease treatment: further validation of the Gastroesophageal Reflux Disease Symptom Assessment Scale (GSAS). Dig Dis Sci. 2002 Jul;47(7):1530-7. doi: 10.1023/a:1015815102175.

    PMID: 12141813BACKGROUND
  • Fass R. Symptom assessment tools for gastroesophageal reflux disease (GERD) treatment. J Clin Gastroenterol. 2007 May-Jun;41(5):437-44. doi: 10.1097/MCG.0b013e31802e849f.

    PMID: 17450022BACKGROUND
  • Dupont HL. Review article: evidence for the role of gut microbiota in irritable bowel syndrome and its potential influence on therapeutic targets. Aliment Pharmacol Ther. 2014 May;39(10):1033-42. doi: 10.1111/apt.12728. Epub 2014 Mar 25.

    PMID: 24665829BACKGROUND

MeSH Terms

Conditions

NauseaHeartburnGastroesophageal Reflux

Condition Hierarchy (Ancestors)

Signs and Symptoms, DigestiveSigns and SymptomsPathological Conditions, Signs and SymptomsEsophageal Motility DisordersDeglutition DisordersEsophageal DiseasesGastrointestinal DiseasesDigestive System Diseases

Study Officials

  • Gioacchino Calapai, MD

    Azienda Ospedaliera Universitaria "G Martino", Messina, Italy.

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, CARE PROVIDER
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: Randomized, controlled, double blind study
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 19, 2019

First Posted

October 8, 2019

Study Start

February 9, 2019

Primary Completion

May 22, 2019

Study Completion

July 22, 2019

Last Updated

February 5, 2020

Record last verified: 2020-01

Data Sharing

IPD Sharing
Will not share

Locations