Preliminary Efficacy and Safety Study of Oral Nepadutant in Infant Colic

NCT ID: NCT01258153

Last Updated: 2015-06-10

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

View full results

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

115 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-11-30

Study Completion Date

2014-03-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

This phase IIa study is designed as a multi-centre, multinational, randomised, double-blind, placebo controlled study in three parallel groups, with the aim to evaluate the efficacy and safety of Nepadutant given at two oral doses once daily for seven days in comparison to placebo in the treatment of infantile colic.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Infant colic is a functional gastrointestinal disorders which affects up to the 30% of the infant population; it is primarily characterised by excessive inconsolable crying starting without any apparent cause and lasting for several hours per day.

Current non pharmacological interventions (e.g. message, restriction in maternal diet in breast-feeding infants) and pharmacological treatments (simethicone, antimuscarinic drugs) are largely unsatisfactory.

In animal models, Nepadutant reverse the exaggerated intestinal motility and sensitivity, induced by different stimuli, without producing inhibitory effects on these functions at baseline, suggesting that Nepadutant could have a therapeutic effect with no interference on physiological gastrointestinal transit.

This phase IIa study is designed to evaluate the efficacy of Nepadutant paediatric oral solution given once daily at two doses in comparison to placebo.

The experimental clinical phase encompasses the following periods:

* Screening period (no study medication) to be done 7 to 4 days prior to randomisation
* Treatment period, lasting seven days with once daily administration
* Post treatment period, lasting seven days A safety follow-up visit will be performed approximately 1 month after the first administered dose.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Infantile Colic

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Nepadutant Low Dose

Group Type EXPERIMENTAL

Nepadutant oral solution

Intervention Type DRUG

Oral administration once daily for 7 days

Nepadutant High Dose

Group Type EXPERIMENTAL

Nepadutant oral solution

Intervention Type DRUG

Oral administration once daily for 7 days

Placebo

Group Type PLACEBO_COMPARATOR

Placebo matching Nepadutant oral solution

Intervention Type DRUG

Oral administration once daily for 7 days

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Nepadutant oral solution

Oral administration once daily for 7 days

Intervention Type DRUG

Nepadutant oral solution

Oral administration once daily for 7 days

Intervention Type DRUG

Placebo matching Nepadutant oral solution

Oral administration once daily for 7 days

Intervention Type DRUG

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Healthy infants with diagnosis of infant colic according to the following modified Wessel criterion "paroxysm of irritability, fussing or crying that start and stop without obvious cause for \>3h/day, \>3 days/week for one week"
* Age \> 4 weeks and \< 20 weeks
* Infants breast-fed mixed fed or formula fed with a stable dietary regimen
* Normal growth
* History of no adequate response to conventional treatment alternatives which make the infants in need of medical treatment
* Willingness to refrain from use of antimuscarinic drugs, simethicone, dimethicone or antiacids during the study period.

Exclusion Criteria

* Clinical evidence of allergies or other diseases which may cause crying and/or fussiness or may interfere with absorption or clearance of the drug.
* Suspect of gastroesophageal reflux disease (GERD)
* Suspect of cow milk allergy.
Minimum Eligible Age

4 Weeks

Maximum Eligible Age

20 Weeks

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Menarini Group

INDUSTRY

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Sibylle Koletzko, MD

Role: STUDY_CHAIR

Dr. v. Haunersches Kinderspital Ludwig Maximilians University D- 80337 München, Germany

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Dr. von Haunersches Kinderspital Ludwig Maximilians Universität München

München, , Germany

Site Status

Klinika Patologii Noworodkow, Niemowlat I Kardiologii, Dzieciecy Szpital Kliniczny

Lublin, , Poland

Site Status

Federal Scientific Clinical Center of Children Hematology, Oncology and Immunology

Moscow, , Russia

Site Status

Moscow State Healthcare Institution Municipal Pediatric health center № 10

Moscow, , Russia

Site Status

Moscow State Medical University

Moscow, , Russia

Site Status

Federal Scientific Clinical Center of Children Hematology, Oncology and Immunology

Moscow, , Russia

Site Status

St. Petersburg State Pediatric Medical Academy

Saint Petersburg, , Russia

Site Status

St. Petersburg State Institution of Healthcare Municipal Pediatric health center № 35

Saint Petersburg, , Russia

Site Status

Pediatrics Department of Clinical sciences Umeå university

Umeå, , Sweden

Site Status

Countries

Review the countries where the study has at least one active or historical site.

Germany Poland Russia Sweden

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

NIC-03

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.

Citicoline as Neuroprotector in Preterm
NCT03966170 RECRUITING PHASE3