Pharmacokinetic,Safety and Exploratory Efficacy of RECTIV® in Adolescents With Chronic Anal Fissure

NCT ID: NCT01920074

Last Updated: 2015-05-04

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

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Recruitment Status

WITHDRAWN

Clinical Phase

PHASE4

Study Classification

INTERVENTIONAL

Study Start Date

2013-06-30

Study Completion Date

2015-04-30

Brief Summary

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RECTIV® is an ointment containing 0.4% nitroglycerin (NTG) for the treatment of moderate to severe pain associated with chronic anal fissure approved in June 2011 by the US Food and Drug Administration (FDA) for adults. The purpose of this study is to assess the safety, pharmacokinetics, and exploratory efficacy of RECTIV® in adolescents

Detailed Description

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This is an open-label, multicenter study conducted in up to 10 sites in the United States. A total of 13 pediatric male or female patients age ≥12 to \<17 years will be enrolled. The patients will administer a dose of Rectiv® twice daily to characterize the safety, pharmacokinetics , and exploratory efficacy of Nitroglycerin Ointment 0.4% (RECTIV® )over 5 days

Conditions

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Anal Fissure

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Rectiv

Group Type EXPERIMENTAL

Nitroglycerin Ointment 0.4%

Intervention Type DRUG

Interventions

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Nitroglycerin Ointment 0.4%

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Male or female ≥12 and \<17 years of age
* At least 1 anal fissure for a minimum of 3 weeks in duration
* Anal fissure pain experienced over the last 24 hours at Screening and before enrollment
* Patient (and parent or caregiver as appropriate) has provided written informed consent

Exclusion Criteria

* Current diagnosis of hemorrhoids
* Hypersensitivity, allergy, or contraindication to nitroglycerin
* History of hypertension and/or cardiovascular disease
* History or current diagnosis of inflammatory bowel disease
* History or current diagnosis of fistula(e)-in-ano or an anal abscess
* Fibrotic anal stenosis
* Previous anal surgery
* Diagnosis of cancer
* History of migraine or chronic headaches requiring treatment with analgesics
* Pregnant or lactating female patients
* Weight \<36 kg
Minimum Eligible Age

12 Years

Maximum Eligible Age

16 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Forest Laboratories

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Paul Hyman, MD

Role: PRINCIPAL_INVESTIGATOR

Children's Hospital New Orleans, LA

Taryn Weissman, MD

Role: STUDY_DIRECTOR

Locations

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Children's Hospital

Los Angeles, California, United States

Site Status

Advanced Medical Research Center

Miami, Florida, United States

Site Status

Arnold Palmer Hospital for Children

Orlando, Florida, United States

Site Status

Willis-Knighton Pediatric GI Specialist

Shreveport, Louisiana, United States

Site Status

Children's Mercy Hospital

Kansas City, Missouri, United States

Site Status

Sealy Urgent Care Center and Medical Clinic

Sealy, Texas, United States

Site Status

Countries

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United States

References

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Demirbag S, Tander B, Atabek C, Surer I, Ozturk H, Cetinkursun S. Long-term results of topical glyceryl trinitrate ointment in children with anal fissure. Ann Trop Paediatr. 2005 Jun;25(2):135-7. doi: 10.1179/146532805X45737.

Reference Type RESULT
PMID: 15949202 (View on PubMed)

Kenny SE, Irvine T, Driver CP, Nunn AT, Losty PD, Jones MO, Turnock RR, Lamont GL, Lloyd DA. Double blind randomised controlled trial of topical glyceryl trinitrate in anal fissure. Arch Dis Child. 2001 Nov;85(5):404-7. doi: 10.1136/adc.85.5.404.

Reference Type RESULT
PMID: 11668104 (View on PubMed)

Schiano di Visconte M, Di Bella R, Munegato G. Randomized, prospective trial comparing 0.25 percent glycerin trinitrate ointment and anal cryothermal dilators only with 0.25 percent glycerin trinitrate ointment and only with anal cryothermal dilators in the treatment of chronic anal fissure: a two-year follow-up. Dis Colon Rectum. 2006 Dec;49(12):1822-30. doi: 10.1007/s10350-006-0731-y.

Reference Type RESULT
PMID: 17096178 (View on PubMed)

Other Identifiers

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APT-NIT_S-PRO-M_PEDKPK1_E

Identifier Type: -

Identifier Source: org_study_id

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