Multicenter Study to Evaluate the Efficacy and Safety of Metoclopramide Nasal Spray in Women With Diabetic Gastroparesis

NCT ID: NCT02025725

Last Updated: 2020-07-07

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

205 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-03-27

Study Completion Date

2016-06-27

Brief Summary

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The purpose of this study is provide confirmation of the safety and efficacy of Metoclopramide Nasal Spray compared to placebo in reducing the symptoms of diabetic gastroparesis in adult women.

Detailed Description

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Diabetic women with clinical symptoms attributed to diabetic gastroparesis and documentation of delayed gastric emptying who meet the protocol-specified entry criteria will be randomized to Metoclopramide Nasal Spray 10 mg or placebo administered as a single intranasal spray four (4) times daily; 30 minutes before meals and at bedtime for a total of four (4) weeks.

Conditions

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Diabetic Gastroparesis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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10 mg Metoclopramide Nasal Spray

Metoclopramide Nasal Spray 10 mg, 30 minutes before meals and at bedtime (QID) for 4 weeks

Group Type EXPERIMENTAL

Metoclopramide Nasal Spray

Intervention Type DRUG

nasal spray formulation of metoclopramide

Placebo Nasal Spray

Placebo Nasal Spray 30 minutes before meals and at bedtime (QID) for 4 weeks

Group Type PLACEBO_COMPARATOR

Placebo Nasal Spray

Intervention Type DRUG

nasal spray formulation with vehicle only

Interventions

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Metoclopramide Nasal Spray

nasal spray formulation of metoclopramide

Intervention Type DRUG

Placebo Nasal Spray

nasal spray formulation with vehicle only

Intervention Type DRUG

Other Intervention Names

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EVK-001 EVK-001 Placebo

Eligibility Criteria

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Inclusion Criteria

* Non pregnant, non lactating female subjects between the ages of 18 and 75 years
* Willingness and ability to give written informed consent
* The ability to read, understand and speak English
* Prior diagnosis of Type 1 or Type 2 diabetes
* Diagnosis of diabetic gastroparesis with confirmation of delayed gastric emptying
* A mean daily gastroparesis symptom score of ≥1.4 and ≤3.5 prior to randomization
* Subjects of childbearing potential must agree to use contraception
* Willingness to discontinue current treatment for diabetic gastroparesis and to avoid all proscribed (excluded) medications, as specified by the protocol, for the duration of the study

Exclusion Criteria

* Gastric bypass, gastric banding, gastric pacemaker, post surgical causes of gastroparesis and disorders known to be associated with abnormal gastrointestinal motility
* A history of allergic or adverse responses, including, but not limited to, acute dystonic reactions and tardive dyskinesia, to metoclopramide or any comparable or similar product
* A history of, or physical findings suggestive of, tardive dyskinesia
* A history of epilepsy or currently using and unwilling or unable stop other drugs known to be associated with extrapyramidal reactions at screening
* A history of allergy to any of the ingredients in the study drug formulation
* A history of organ transplant, chronic pancreatitis, gross malabsorptive syndromes, celiac disease, active inflammatory bowel disease (IBD), or symptomatic irritable bowel syndrome (IBS)
* Malignancy (with the exception of treated squamous cell or basal cell carcinoma of the skin) currently present, initially diagnosed or recurring within five (5) years of screening
* Renal dysfunction calculated as creatinine clearance (CrCl) \<40 mL/min at screening
* Hemoglobin A1c \>11.5% at screening
* Subjects who are trying to conceive, are pregnant, or are lactating
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Evoke Pharma

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Marilyn R. Carlson, DMD, MD

Role: STUDY_DIRECTOR

Evoke Pharma, Inc.

Locations

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Birmingham Gasteroenterology Associates, P.C.

Birmingham, Alabama, United States

Site Status

Digestive Specialists of the Southeast

Dothan, Alabama, United States

Site Status

Clinical Research Associates

Huntsville, Alabama, United States

Site Status

Central Arizone Medical Associates/Clinical Research Advantage

Mesa, Arizona, United States

Site Status

Preferred Research Partners

Little Rock, Arkansas, United States

Site Status

Arkansas Gastroenterology

Sherwood, Arkansas, United States

Site Status

Precision Research Institute, LLC

Chula Vista, California, United States

Site Status

John Muir Physician Network Clinical Research Center

Concord, California, United States

Site Status

Precision Research Institute, LLC

San Diego, California, United States

Site Status

The Center for Gastrointestinal Disorders

Hollywood, Florida, United States

Site Status

Nature Coast Clinical Research

Inverness, Florida, United States

Site Status

International Research Associates, LLC

Miami, Florida, United States

Site Status

Advanced Medical Research

Port Orange, Florida, United States

Site Status

Tri-County Research

Athens, Georgia, United States

Site Status

Digestive Healthcare of Georgia

Atlanta, Georgia, United States

Site Status

Newton Medical Center

Conyers, Georgia, United States

Site Status

Gastrointestinal Specialists of Georgia, PC

Marietta, Georgia, United States

Site Status

Atlanta Gastroenterology Associates

Marietta, Georgia, United States

Site Status

Southwest Gastroenterology

Oak Lawn, Illinois, United States

Site Status

Indiana University Health UH 1634

Indianapolis, Indiana, United States

Site Status

Professional Research Network of Kansas

Wichita, Kansas, United States

Site Status

Gastroenterology Associates, LLC

Baton Rouge, Louisiana, United States

Site Status

Delta Research Partners, LLC

Monroe, Louisiana, United States

Site Status

Clinical Research Institute of Michigan

Chesterfield, Michigan, United States

Site Status

Center for Digestive Health

Troy, Michigan, United States

Site Status

Gastroenterology Associates of Western Michigan

Wyoming, Michigan, United States

Site Status

Gastrointestional Associates

Jackson, Mississippi, United States

Site Status

Kansas City Gastroenterology & Hepatology

Kansas City, Missouri, United States

Site Status

Dartmouth-Hitchcock Medical Center

Lebanon, New Hampshire, United States

Site Status

The Gastroenterology Group of South Jersey

Vineland, New Jersey, United States

Site Status

Lovelace Scientific Resources, Inc.

Albuquerque, New Mexico, United States

Site Status

Premier Medical Group of the Hudson, PC

Poughkeepsie, New York, United States

Site Status

Cumberland Research Associates

Fayetteville, North Carolina, United States

Site Status

LeBauer Research Associates

Greensboro, North Carolina, United States

Site Status

Kinston Medical Specialist Clinical Research Office

Kinston, North Carolina, United States

Site Status

Wake Research Associates

Raleigh, North Carolina, United States

Site Status

PMG Research of Salisbury

Salisbury, North Carolina, United States

Site Status

Piedmont Medical Research

Winston-Salem, North Carolina, United States

Site Status

Dayton Gastroenterology

Beavercreek, Ohio, United States

Site Status

Temple University

Philadelphia, Pennsylvania, United States

Site Status

HCCA Clinical Research Solutions

Jackson, Tennessee, United States

Site Status

Gastroenterology Associates

Kingsport, Tennessee, United States

Site Status

Quality Medical Research

Nashville, Tennessee, United States

Site Status

Texas Clinical Research Institute

Arlington, Texas, United States

Site Status

Lovelace Scientific Resources

Austin, Texas, United States

Site Status

Texas Tech University Health Sciences Center

El Paso, Texas, United States

Site Status

Burke Internal Medicine

Burke, Virginia, United States

Site Status

Manassas Clinical Research

Manassas, Virginia, United States

Site Status

National Clinical Research

Norfolk, Virginia, United States

Site Status

Wisconsin Center for Advanced Research

Milwaukee, Wisconsin, United States

Site Status

Countries

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United States

References

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McCallum RW, Parkman HP, Fass R, Bhandari BR, Carlson MR, Buck RD. Metoclopramide Nasal Spray in Women With Symptomatic Diabetic Gastroparesis: A Randomized, Double-Blind, Placebo-Controlled Phase 3 Study. Clin Gastroenterol Hepatol. 2024 Dec;22(12):2497-2505.e5. doi: 10.1016/j.cgh.2023.10.022. Epub 2023 Nov 2.

Reference Type DERIVED
PMID: 37924856 (View on PubMed)

Other Identifiers

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METO-IN-003

Identifier Type: -

Identifier Source: org_study_id

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