UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000049865
Receipt number R000056795
Scientific Title Examination of efficacy and safety of long-term administration of elobixibat in hemodialysis patients with chronic constipation
Date of disclosure of the study information 2022/12/22
Last modified on 2022/12/22 11:53:43

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Basic information

Public title

Examination of efficacy and safety of long-term administration of elobixibat in hemodialysis patients with chronic constipation

Acronym

Examination of efficacy and safety of long-term administration of elobixibat in hemodialysis patients with chronic constipation

Scientific Title

Examination of efficacy and safety of long-term administration of elobixibat in hemodialysis patients with chronic constipation

Scientific Title:Acronym

Examination of efficacy and safety of long-term administration of elobixibat in hemodialysis patients with chronic constipation

Region

Japan


Condition

Condition

Chronic constipation complicated with chronic renal disease

Classification by specialty

Gastroenterology Nephrology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The purpose of this study is to evaluate the efficacy and safety of long-term administration of elobixibat in hemodialysis patients with chronic constipation. In addition, the relationship between the efficacy of elobixibat and the intestinal microbiota will be investigated exploratory.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Comparison of spontaneous bowel movement frequency before the start of administration and at the last observation after Week 24 of administration

Key secondary outcomes

1. Comparison of spontaneous bowel movement frequency before and after treatment over time
2. Comparison of the Bristol Stool Form Scale (BSFS) before and after treatment over time
3. Comparison of patient satisfaction before and after treatment over time
4. Comparison of Constipation Scoring System (CSS) before and after treatment over time
5. Comparison of inter-dialysis weight gain before and after treatment over time
6. Comparison of serum phosphorus, potassium, sodium, chloride, calcium, albumin before and after treatment over time
7. Comparison of serum LDL-cholesterol and serum total cholesterol before and after treatment over time 8. Comparison of total lymphocyte counts before and after treatment over time
9. Change of patient satisfaction ("0. Very satisfied" and "1. Satisfied" rates) before and after treatment over time
10. Relationship between patient satisfaction and each efficacy endpoint
11. Comparison of intestinal microbiota in patients with adequate and inadequate response to elobixibat treatment
12. Relationship between intestinal microflora and blood urea toxin
13. Comparison of nutritional indices (albumin, serum total cholesterol, total lymphocyte count, and CONUT score calculated from these indices) in patients with satisfactory response to elobixibat and those with insufficient response
14. Adverse events and adverse drug reactions and their incidence
15. Discontinuation rate


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1. Patients with 18 years or older
2. Patients with chronic kidney disease who have been on hemodialysis for more than 3 months
3. Patients with chronic constipation who must include 2 or more the following 6 items
a. Straining during more than one-fourth of defecations
b. Lumpy or hard stools (BSFS 1or 2) more than one-fourth of defecations
c. Sensation of incomplete evacuation more than one-fourth of defecations
d. Sensation of anorectal obstruction/blockage more than one-fourth of defecations
e. Manual maneuvers to facilitate more than one fourth of defecations
f. Fewer than 3 spontaneous bowel movements per week
4. Patients who have received elobixibat for at least 24 weeks according to the dosage and administration during the period under investigation (concomitant use with other laxatives is allowed)

Key exclusion criteria

1. Patients who had a history of hypersensitivity of elobixibat
2. Patients who are confirmed or suspected intestinal obstruction due to tumor, hernia etc.
3. Patients who are suspected constipation due to organic disease
4. Patients who participated in clinical trials or intervention studies during the observation period

Target sample size

55


Research contact person

Name of lead principal investigator

1st name Takefumi
Middle name
Last name Shono

Organization

Hyakutake Clinic

Division name

Vice-principal

Zip code

825-0001

Address

2195-26, Ikari, Tagawa Shi, Fukuoka Ken

TEL

0947-42-9100

Email

tkfm-shn.3@smile.ocn.ne.jp


Public contact

Name of contact person

1st name Momoko
Middle name
Last name Watanabe

Organization

SRD Co., Ltd.

Division name

Clinical Research Department

Zip code

104-0032

Address

3-4-8, Hatchobori, Chuo-ku, Tokyo

TEL

03-5543-0302

Homepage URL


Email

md-ex-pro@cro-srd.co.jp


Sponsor or person

Institute

Hyakutake Clinic

Institute

Department

Personal name



Funding Source

Organization

Mochida Pharmaceutical Co., Ltd.
EA Pharma Co., Ltd.

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Maebashi Hirosegawa Clinic IRB

Address

2-10-9 Chiyodamachi, Maebashi-shi, Gunma

Tel

03-5543-0196

Email

jimukyoku@smo-msr.co.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

医療法人 百武医院(福岡県)/ Hyakutake Clinic (Fukuoka)


Other administrative information

Date of disclosure of the study information

2022 Year 12 Month 22 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Enrolling by invitation

Date of protocol fixation

2022 Year 12 Month 12 Day

Date of IRB

2022 Year 12 Month 21 Day

Anticipated trial start date

2022 Year 12 Month 28 Day

Last follow-up date

2023 Year 05 Month 31 Day

Date of closure to data entry

2023 Year 05 Month 31 Day

Date trial data considered complete


Date analysis concluded



Other

Other related information

Study design: observational study
Observation period: April 19, 2018 - January 31, 2023

Observation and examination items will be obtained from medical records and patient questionnaires for study subjects who received elobixibat at Hyakutake Clinic during the study period to investigate the efficacy and safety of elobixibat.
In addition, fecal samples and blood samples will be collected from study subjects who have been continuously attending the clinic, and the intestinal microflora in the feces and urea toxin derived from intestinal bacteria in the blood will be measured to explore the relationship between the efficacy of elobixibat and the intestinal microflora.


Management information

Registered date

2022 Year 12 Month 22 Day

Last modified on

2022 Year 12 Month 22 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000056795


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name