Efficacy and Mechanisms of Pharmacologic Treatment of Fecal Incontinence

NCT ID: NCT00727649

Last Updated: 2015-04-01

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2/PHASE3

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-07-31

Study Completion Date

2013-12-31

Brief Summary

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The purpose of this study is to evaluate and compare treatment with fiber and loperamide for fecal incontinence.

Detailed Description

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Fecal incontinence (FI) affects 4-24% adults in the community and greatly impacts quality of life. Both fiber and loperamide are common, first-line treatments for diarrhea-associated FI in primary care. No known studies exist that compare fiber and loperamide for diarrhea-predominant FI. Further knowledge is needed to define which treatment is more effective and to compare drug tolerability (side effects) for FI. This study will also look at changes in quality of life with treatment and potential mechanisms of drug treatment.

Conditions

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Fecal Incontinence

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Arm 1

Fiber (psyllium) powder

Group Type ACTIVE_COMPARATOR

Psyllium powder

Intervention Type DRUG

2 teaspoons with 8 ounces of liquid daily for 28 days (weekly adjusted dose)

Arm 2

Loperamide

Group Type ACTIVE_COMPARATOR

Loperamide

Intervention Type DRUG

1 capsule daily for 28 days (weekly adjusted dose)

Interventions

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Psyllium powder

2 teaspoons with 8 ounces of liquid daily for 28 days (weekly adjusted dose)

Intervention Type DRUG

Loperamide

1 capsule daily for 28 days (weekly adjusted dose)

Intervention Type DRUG

Other Intervention Names

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Metamucil

Eligibility Criteria

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Inclusion Criteria

* weekly fecal incontinence

Exclusion Criteria

* fecal impaction
* inability to complete a baseline 1-week bowel diary
* rectal prolapse
* any prior radiation to the pelvis
* colo-rectal cancer
* rectal fistula
* inflammatory bowel disease
* neurological diseases (spinal cord injury, multiple sclerosis, Parkinson's disease)
* constipation (\<2 bowel movements/week) or total colectomy
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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US Department of Veterans Affairs

FED

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Alayne D Markland, DO MSc

Role: PRINCIPAL_INVESTIGATOR

VA Medical Center, Birmingham

Locations

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VA Medical Center, Birmingham

Birmingham, Alabama, United States

Site Status

Countries

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United States

Other Identifiers

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B6126-W

Identifier Type: -

Identifier Source: org_study_id

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