Trial Outcomes & Findings for An Open Label Trial of Duloxetine in the Treatment of Irritable Bowel Syndrome and Comorbid Generalized Anxiety Disorder (NCT NCT00961298)

NCT ID: NCT00961298

Last Updated: 2014-07-09

Results Overview

The scale consists of two parts the first part being Severity of Illness and the second part is Global Improvement. We report the Global improvement scale. The Global Improvement is a 1-7 change scale of global improvement since inclusion in the project ranging with 1 "very much improved", 4 "no change", and 7 "very much worse."

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

17 participants

Primary outcome timeframe

endpoint [12 weeks]

Results posted on

2014-07-09

Participant Flow

Subjects were referred by a gastroenterologist who had Irritable Bowel Syndrome and anxiety.

Two participants were considered screen failures and were not entered into the placebo run in phase.

Participant milestones

Participant milestones
Measure
Treatment Arm
Every study eligible subject entered a two week placebo run in followed by 12 weeks treatment intervention with Duloxetine.
Two Week Placebo Run in
STARTED
15
Two Week Placebo Run in
COMPLETED
14
Two Week Placebo Run in
NOT COMPLETED
1
12 Weeks Duloxetine Treatment Phase
STARTED
14
12 Weeks Duloxetine Treatment Phase
COMPLETED
11
12 Weeks Duloxetine Treatment Phase
NOT COMPLETED
3

Reasons for withdrawal

Reasons for withdrawal
Measure
Treatment Arm
Every study eligible subject entered a two week placebo run in followed by 12 weeks treatment intervention with Duloxetine.
Two Week Placebo Run in
Withdrawal by Subject
1
12 Weeks Duloxetine Treatment Phase
Withdrawal by Subject
2
12 Weeks Duloxetine Treatment Phase
Protocol Violation
1

Baseline Characteristics

An Open Label Trial of Duloxetine in the Treatment of Irritable Bowel Syndrome and Comorbid Generalized Anxiety Disorder

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Treatment Arm
n=15 Participants
every subject had a two week placebo run in followed by 12 weeks treatment intervention with Duloxetine.
Age, Continuous
42.54 years
STANDARD_DEVIATION 12.70 • n=5 Participants
Sex: Female, Male
Female
13 Participants
n=5 Participants
Sex: Female, Male
Male
2 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
15 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: endpoint [12 weeks]

Population: per protocol

The scale consists of two parts the first part being Severity of Illness and the second part is Global Improvement. We report the Global improvement scale. The Global Improvement is a 1-7 change scale of global improvement since inclusion in the project ranging with 1 "very much improved", 4 "no change", and 7 "very much worse."

Outcome measures

Outcome measures
Measure
Treatment Arm
n=11 Participants
every study eligible subject had a two week placebo run in followed by 12 weeks treatment intervention with Duloxetine.
Clinical Global Impression Scale
2.64 scores on a scale
Standard Deviation 0.5

SECONDARY outcome

Timeframe: endpoint [12 weeks]

The HAM-A is a 14 question scale with five responses. Responses range from 0 "not present" to 4 "very severe." The total score ranges from 0 to 56. Higher values represent a worse outcome.

Outcome measures

Outcome measures
Measure
Treatment Arm
n=11 Participants
every study eligible subject had a two week placebo run in followed by 12 weeks treatment intervention with Duloxetine.
Hamilton Anxiety Rating Scale
9.75 scores on a scale
Standard Deviation 4.5

SECONDARY outcome

Timeframe: endpoint [12 weeks]

The IBS-QOL consists of 34 items, each with a five-point response scale. Ratings range from 1 "not at all" to 5 "extremely" or "a great deal" Higher responses on the scale indicate worse outcome. A minimal total score would be 34, maximum 170.

Outcome measures

Outcome measures
Measure
Treatment Arm
n=11 Participants
every study eligible subject had a two week placebo run in followed by 12 weeks treatment intervention with Duloxetine.
Irritable Bowel Syndrome-Quality of Life Scale
81.73 scores on a scale
Standard Deviation 19.25

SECONDARY outcome

Timeframe: endpoint [12 weeks]

This is a 4 item Likert scale with each assessment being 100 mm scored from measuring from 0 to 400. Higher numbers indicate worse outcome.

Outcome measures

Outcome measures
Measure
Treatment Arm
n=11 Participants
every study eligible subject had a two week placebo run in followed by 12 weeks treatment intervention with Duloxetine.
Irritable Bowel Syndrome Severity Scoring System
187.09 scores on a scale
Standard Deviation 54.05

Adverse Events

Treatment Arm

Serious events: 0 serious events
Other events: 9 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Treatment Arm
n=15 participants at risk
every study eligible subject had a two week placebo run in followed by 12 weeks treatment intervention with Duloxetine.
Gastrointestinal disorders
constipation
20.0%
3/15 • Number of events 3 • within 14 weeks.
patient interview at study visit.
Gastrointestinal disorders
nausea
33.3%
5/15 • Number of events 5 • within 14 weeks.
patient interview at study visit.
General disorders
fatigue
33.3%
5/15 • Number of events 5 • within 14 weeks.
patient interview at study visit.
Gastrointestinal disorders
dry mouth
6.7%
1/15 • Number of events 1 • within 14 weeks.
patient interview at study visit.
Psychiatric disorders
anxiety
6.7%
1/15 • Number of events 1 • within 14 weeks.
patient interview at study visit.
Nervous system disorders
dizziness
20.0%
3/15 • Number of events 3 • within 14 weeks.
patient interview at study visit.
Endocrine disorders
weight gain
6.7%
1/15 • Number of events 1 • within 14 weeks.
patient interview at study visit.

Additional Information

Alicia Kaplan MD

Allegheny General Hospital

Phone: 412-330-4069

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place