Efficacy and Safety Study With Diltiazem Hydrochloride Cream to Treat Anal Fissures

NCT ID: NCT01690221

Last Updated: 2014-01-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

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

PHASE3

Total Enrollment

434 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-10-31

Study Completion Date

2014-01-31

Brief Summary

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

The purpose of this study is to determine if the study drug, VEN307 (diltiazem hydrochloride cream) is safe and to see if it will help with treatment of pain associated with anal fissures.

Detailed Description

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

Primary Objective:

To evaluate the efficacy of diltiazem hydrochloride cream on reduction of worst anal fissure (AF)-related pain associated with or following defecation when administered three times a day (TID) for 28 days.

Conditions

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

Chronic Anal Fissures

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

DOUBLE

Participants Investigators

Study Groups

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

VEN 307

diltiazem hydrochloride 2% cream

Group Type EXPERIMENTAL

VEN 307

Intervention Type DRUG

VEN307 applied three times a day, in and around the anus, for 28 days.

Placebo

Placebo Cream

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo cream applied three times a day, in and around the anus, for 28 days.

Interventions

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

VEN 307

VEN307 applied three times a day, in and around the anus, for 28 days.

Intervention Type DRUG

Placebo

Placebo cream applied three times a day, in and around the anus, for 28 days.

Intervention Type DRUG

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

diltiazem hydrochloride 2% cream Placebo cream

Eligibility Criteria

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

Inclusion Criteria

1. Males or females, aged ≥ 18 to ≤ 75 years.
2. Subjects with evidence of a circumscribed fissure, with induration at the edges.
3. Subjects with AF-related pain associated with or following defecation occurring at least 2 times a week for at least 28 days prior to signing the informed consent form (ICF).
4. AF-related pain associated with or following defecation of at least 5 on an 11-point numerical rating score scale (NRS) at the last defecation prior to signing the ICF (0 being no pain; 10 being the worst possible pain).
5. Average AF-related pain associated with or following defecation of at least 5 on an 11-point NRS during the last 3 days in which subject had a defecation during the 7 days prior to randomization.
6. Any female of non-childbearing potential, including any female who: a) has had a hysterectomy, b) has had a bilateral oophorectomy, c) has had a bilateral tubal ligation or d) is post menopausal (demonstration of total cessation of menses for ≥ 1 year from the date of screening visit).
7. Females of child bearing potential who agree to use at least one form of contraception (may be a barrier method), during the full duration of the study.
8. Able to communicate adequately with the investigator and to comply with the requirements for the entire study.
9. Capable of using the IVRS and able to adequately communicate comprehension of the IVRS questions to the investigator.
10. Capable of and freely willing to provide written informed consent prior to participating in the study.

Exclusion Criteria

1. Unwilling to have visual or medical examination of the AF.
2. More than 1 AF.
3. Subjects with AF associated with or caused by other conditions, including but not limited to: drug-induced, trauma, HIV infection, fistula-in-ano, inflammatory bowel disease, perianal sepsis or malignancy.
4. Unwilling to stop all other concomitant topical preparations applied in and around the anus from signing of ICF through Day 29 of the study.
5. Use of glyceryl trinitrate (GTN) ointment for 7 days (continuous or not) in the 28 days prior to signing the ICF.
6. Unwilling to discontinue use of sitz baths for up to 4 hours after each application of investigational product from signing of ICF to end of study.
7. Unwilling to discontinue use of anesthetics from signing the ICF to end of study.
8. Subfissure injection of botulinum toxin in the 3 months prior to signing the ICF.
9. Known sensitivity to investigational product(s) or calcium channel blockers.
10. Previous treatment with diltiazem hydrochloride cream or any other topical calcium channel blockers.
11. Active treatment with anti-viral therapies for HIV (e.g. indinavir, nelfinivir, ritonavir).
12. Treatment with any of the following medications within 14 days prior to signing the ICF:

* Amitriptyline
* Benzodiazepines
* β-adrenoceptor antagonists (Beta-Blockers)
* Buspirone
* Calcium channel blockers
* Carbamazepine
* Cimetidine
* Cyclosporin
* Digoxin
* Investigational agents
* Lovastatin
* Opioids
* Pregabalin
* Quinidine
* Rifampin
13. Following concomitant disease state:

* Sick sinus syndrome except in the presence of a functioning ventricular pacemaker.
* Second-or third-degree AV block except in the presence of a functioning ventricular pacemaker.
* Hypotension (less than 90 mm Hg systolic).
* Acute myocardial infarction and pulmonary congestion documented by x-ray.
* History of bipolar disorder, psychosis, schizophrenia, mania, suicide attempt or suicidal ideation, or any other significant psychiatric illness (with the exception of intermittent anxiety) per investigator judgment.
* History of clinically significant renal disease per investigator judgment.
* History of clinically significant Alzheimer's or Parkinson's disease per investigator judgment.
* History of clinically significant hepatic disease per investigator judgment.
* Current infection treated with a macrolide antibiotic.
* Clinical evidence or history of fecal incontinence.
* Clinical evidence or history of anal fistula.
* Clinical evidence or history of anal abscess.
* History of inflammatory bowel disease (e.g. Crohn's disease, Ulcerative Colitis).
* History of any prior anal or rectal surgery including but not limited to: lateral sphincterotomy and anal stretch (with the exception of hemorrhoidal banding and laser surgery).
* Grade 4 hemorrhoids.
* Chronic constipation.
14. History of radiation therapy to the pelvis.
15. Fixed anal stenosis/fibrosis.
16. Major organ transplant.
17. Any clinically significant laboratory abnormalities during screening per investigator judgment.
18. Body Mass Index (BMI) \> 40 kg/m2
19. Malignancy within 5 years prior to randomization (with the exception of treated basal cell/squamous cell carcinoma of the skin).
20. Any disease or prior/planned surgery that may interfere with the subject successfully completing the study.
21. Currently using narcotic(s).
22. Breast-feeding females.
23. Employees, family members, or students of the investigator or clinical site.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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

Ventrus Biosciences, Inc

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

Locations

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

The Crawford Clinic

Anniston, Alabama, United States

Site Status

Surgical Association of Mobile

Mobile, Alabama, United States

Site Status

University of South Alabama

Mobile, Alabama, United States

Site Status

Montgomery Women's Health Association, PC

Montgomery, Alabama, United States

Site Status

Mayo Clinic - Arizona

Phoenix, Arizona, United States

Site Status

Desert Sun Clinical Research, LLC

Tucson, Arizona, United States

Site Status

Arrowhead Regional Medical Center

Colton, California, United States

Site Status

UC San Diego

La Jolla, California, United States

Site Status

Alliance Research Centers

Laguna Hills, California, United States

Site Status

Axis Clinical Trials

Los Angeles, California, United States

Site Status

Cedars Sinai

Los Angeles, California, United States

Site Status

Gastrointestinal Biosciences

Los Angeles, California, United States

Site Status

University of California - Irvine Medical Center

Orange, California, United States

Site Status

Digestive Care Associated, A Medical Corporation

San Carlos, California, United States

Site Status

West Coast Clinical Research

Tarzana, California, United States

Site Status

Rocky Mountain Clinical Research, LLC

Denver, Colorado, United States

Site Status

Colorado Research Works

Pueblo, Colorado, United States

Site Status

Rocky Mountain Clinical Research, LLC

Thornton, Colorado, United States

Site Status

Connecticut Clinical Research Foundation CT Gastroenterology Institute At Bristol Hospital

Bristol, Connecticut, United States

Site Status

Washington Hospital Center - MedStar Health Research Institute

Washington D.C., District of Columbia, United States

Site Status

Innovative Medical Research of South Florida

Aventura, Florida, United States

Site Status

South Lake Pain Institute

Clermont, Florida, United States

Site Status

Private Practice

Hollywood, Florida, United States

Site Status

Advance Medical Research Center

Miami, Florida, United States

Site Status

Well Pharma Medical Research Corp.

Miami, Florida, United States

Site Status

Akta Medika

Miami Beach, Florida, United States

Site Status

Gastroenterology Group of Naples, PA

Naples, Florida, United States

Site Status

Healthcare Clinical Data, Inc.

North Miami, Florida, United States

Site Status

Private Practice

Pembroke Pines, Florida, United States

Site Status

Advanced Medical Research Center

Port Orange, Florida, United States

Site Status

University of South Florida, South Campus

Tampa, Florida, United States

Site Status

Florida Medical Clinic, P.A.

Zephyrhills, Florida, United States

Site Status

Morehouse School of Medicine

Atlanta, Georgia, United States

Site Status

Georgia Health Sciences University

Augusta, Georgia, United States

Site Status

Atlanta Center for Gastroenterology

Decatur, Georgia, United States

Site Status

Gastrointestinal Specialist of Georgia

Marietta, Georgia, United States

Site Status

Atlanta Gastroenterology Consultants

Suwanee, Georgia, United States

Site Status

NCH Medical Group

Arlington Heights, Illinois, United States

Site Status

North Shore University Health System

Evanston, Illinois, United States

Site Status

Indiana University School of Medicine

Indianapolis, Indiana, United States

Site Status

Kendrick Regional Medical Center

Indianapolis, Indiana, United States

Site Status

University of Iowa Hospital and Clinics

Iowa City, Iowa, United States

Site Status

University of Louisville

Louisville, Kentucky, United States

Site Status

Delta Research Partners

Monroe, Louisiana, United States

Site Status

Ochsner

New Orleans, Louisiana, United States

Site Status

Investigative Clinical Research

Annapolis, Maryland, United States

Site Status

University of Maryland Medical Center

Baltimore, Maryland, United States

Site Status

Metropolitan Gastroenterology Group, Chevy Chase Clinical Research

Chevy Chase, Maryland, United States

Site Status

Gastro Center of Maryland

Columbia, Maryland, United States

Site Status

Meritus Center For Clinical Research

Hagerstown, Maryland, United States

Site Status

Beth Israel Deaconess Medical Center

Boston, Massachusetts, United States

Site Status

Baystate Medical Center Department of Surgery

Springfield, Massachusetts, United States

Site Status

Center for Digestive Health

Troy, Michigan, United States

Site Status

CRC of Jackson

Jackson, Mississippi, United States

Site Status

Jefferson City Medical Group

Jefferson City, Missouri, United States

Site Status

Midwest Center for Clinical Research

Lee's Summit, Missouri, United States

Site Status

Colon and Rectal Surgery, Inc

Omaha, Nebraska, United States

Site Status

Impact Clinical Trials

Las Vegas, Nevada, United States

Site Status

Gastroenterology Group & Endoscopy Center of South NJ (GGSJ)

Vineland, New Jersey, United States

Site Status

C&R Surgical Assoc of South Jersey

Voorhees Township, New Jersey, United States

Site Status

Life Medi-Research and Management

Brooklyn, New York, United States

Site Status

HCCA Clinical Research Solutions

New York, New York, United States

Site Status

Manhattan Surgical Associates, LLP

New York, New York, United States

Site Status

Colorectal Associates of NY

New York, New York, United States

Site Status

Medical Research Associates of New York (New York Gastroenterology Associates, LLP)

New York, New York, United States

Site Status

Premier Medical Group

Poughkeepsie, New York, United States

Site Status

Medispect

Boone, North Carolina, United States

Site Status

Duke University

Durham, North Carolina, United States

Site Status

Womack Army Medical Center

Fort Bragg, North Carolina, United States

Site Status

University of North Carolina

Raleigh, North Carolina, United States

Site Status

Wake Research Associates

Raleigh, North Carolina, United States

Site Status

Trial Management Associates

Wilmington, North Carolina, United States

Site Status

University Hospitals Case Medical Center

Cleveland, Ohio, United States

Site Status

Cleveland Clinic

Cleveland, Ohio, United States

Site Status

Dayton Gastroenterology, Inc.

Dayton, Ohio, United States

Site Status

Great Lakes Gastroenterology

Mentor, Ohio, United States

Site Status

Institute of Pain Research

Oklahoma City, Oklahoma, United States

Site Status

Bend Memorial Clinic

Bend, Oregon, United States

Site Status

The Corvallis Clinic, Clinical Research Center

Corvallis, Oregon, United States

Site Status

Westover Heights Clinic

Portland, Oregon, United States

Site Status

Penn State Hershey Medical Center

Hershey, Pennsylvania, United States

Site Status

West Penn Allegheny Health System

Monroeville, Pennsylvania, United States

Site Status

Thomas Jefferson University Hospital

Philadelphia, Pennsylvania, United States

Site Status

Drexel Univ College of Medicine

Philadelphia, Pennsylvania, United States

Site Status

Temple University Physicians, Jeanes Hospital

Philadelphia, Pennsylvania, United States

Site Status

Pain Specialists of Charleston

North Charleston, South Carolina, United States

Site Status

Gastroenterology Associates of Orangeburg, PA

Orangeburg, South Carolina, United States

Site Status

HCCA Clinical Research Solutions

Jackson, Tennessee, United States

Site Status

Vanderbilt Univ Dept of Colon and Rectal Surgery

Nashville, Tennessee, United States

Site Status

Research Across America

Dallas, Texas, United States

Site Status

Research Concepts, GP LLC

Houston, Texas, United States

Site Status

University of TX Affiliated Hospitals

Houston, Texas, United States

Site Status

Houston Endoscopy and Research Center

Houston, Texas, United States

Site Status

Houston Digestive Disease Clinic

Houston, Texas, United States

Site Status

ColoProctology Associates

Seabrook, Texas, United States

Site Status

University of Utah HSC

Salt Lake City, Utah, United States

Site Status

Charlottesville Medical Research

Charlottesville, Virginia, United States

Site Status

Gastroenterology Associates of Tidewater

Chesapeake, Virginia, United States

Site Status

Jefferson Surgical Clinic

Roanoke, Virginia, United States

Site Status

NW Gastroenterology

Bellevue, Washington, United States

Site Status

Digestive Disease Institute, Virginia Mason Medical Center

Seattle, Washington, United States

Site Status

Madigan Army Medical Center

Tacoma, Washington, United States

Site Status

Medical College of Wisconsin Department of Surgery

Milwaukee, Wisconsin, United States

Site Status

Countries

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

United States

Other Identifiers

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

VEN307-AF-001

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

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

Application of Vitamin E on Anal Fissure
NCT03787030 COMPLETED PHASE3
Topical Analgesia Post-Haemorrhoidectomy
NCT04276298 COMPLETED PHASE2/PHASE3