Trial Outcomes & Findings for A Double-blind, Randomized, Multicenter, Cross-over Study to Compare the Effect of Creon N and Creon® on Fat Digestion in Subjects ≥ 12 Years of Age With Pancreatic Exocrine Insufficiency Due to Cystic Fibrosis (NCT NCT02137382)

NCT ID: NCT02137382

Last Updated: 2016-01-22

Results Overview

CFA is calculated from fat intake and fat excretion, according to the formula: CFA (%) = 100 \[fat intake - fat excretion\] / fat intake

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

41 participants

Primary outcome timeframe

5 days

Results posted on

2016-01-22

Participant Flow

50 patients consented, between January and March 2014.

41 of the 50 patients who consented were randomized; the 9 patients who were not randomized were screening failures.

Participant milestones

Participant milestones
Measure
Sequence: Creon N/Creon®
Subjects first received Creon N for 5 days. After a washout period of 3 to 14 days, they received Creon® for 5 days. The Investigator calculated the total number of capsules per day needed to treat the subject with 8000 to \<10000 lipase units per kg body weight and day, Capsules of both Creon N and Creon® contain 25000 lipase units.
Sequence: Creon®/Creon N
Subjects first received Creon® for 5 days. After a washout period of 3 to 14 days, they received Creon N for 5 days. The Investigator calculated the total number of capsules per day needed to treat the subject with 8000 to \<10000 lipase units per kg body weight and day, Capsules of both Creon N and Creon® contain 25000 lipase units.
Cross-over Period 1
STARTED
20
21
Cross-over Period 1
COMPLETED
18
21
Cross-over Period 1
NOT COMPLETED
2
0
Wash Out
STARTED
18
21
Wash Out
COMPLETED
18
21
Wash Out
NOT COMPLETED
0
0
Cross-over Period 2
STARTED
18
21
Cross-over Period 2
COMPLETED
18
21
Cross-over Period 2
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Double-blind, Randomized, Multicenter, Cross-over Study to Compare the Effect of Creon N and Creon® on Fat Digestion in Subjects ≥ 12 Years of Age With Pancreatic Exocrine Insufficiency Due to Cystic Fibrosis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Sequence Creon N/Creon® or Creon®/Creon N
n=41 Participants
Participants who were randomized to receive either Creon N or Creon.
Age, Categorical
<=18 years
13 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
28 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
Age, Continuous
23.5 years
STANDARD_DEVIATION 8.0 • n=5 Participants
Sex: Female, Male
Female
22 Participants
n=5 Participants
Sex: Female, Male
Male
19 Participants
n=5 Participants
Region of Enrollment
Hungary
15 Participants
n=5 Participants
Region of Enrollment
Spain
26 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 5 days

Population: Per protocol

CFA is calculated from fat intake and fat excretion, according to the formula: CFA (%) = 100 \[fat intake - fat excretion\] / fat intake

Outcome measures

Outcome measures
Measure
Creon®
n=38 Participants
Creon®: active comparator
Creon N
n=38 Participants
Creon N: experimental drug
Coefficient of Fat Absorption (CFA)
88.1 percentage of fat intake
Standard Deviation 9.23
89.5 percentage of fat intake
Standard Deviation 6.79

SECONDARY outcome

Timeframe: 5 days

Population: Per protocol

CNA is calculated from nitrogen intake and nitrogen excretion, according to the formula: CNA (%) = 100 \[nitrogen intake - nitrogen excretion\] / nitrogen intake)

Outcome measures

Outcome measures
Measure
Creon®
n=38 Participants
Creon®: active comparator
Creon N
n=38 Participants
Creon N: experimental drug
Coefficient of Nitrogen Absorption (CNA).
87.7 percentage of nitrogen intake
Standard Deviation 5.47
87.8 percentage of nitrogen intake
Standard Deviation 4.68

SECONDARY outcome

Timeframe: 5 days

Population: Per protocol

Total amount of fat excreted during the stool collection period in grams.

Outcome measures

Outcome measures
Measure
Creon®
n=38 Participants
Creon®: active comparator
Creon N
n=38 Participants
Creon N: experimental drug
Total Fat Excretion
48.1 Grams
Standard Deviation 43.28
42.3 Grams
Standard Deviation 27.05

SECONDARY outcome

Timeframe: 5 days

Population: Per protocol

Stool frequency is the average of the daily number of stools recorded during the treatment period

Outcome measures

Outcome measures
Measure
Creon®
n=38 Participants
Creon®: active comparator
Creon N
n=38 Participants
Creon N: experimental drug
Stool Frequency
1.57 number of stools per day
Standard Deviation 0.6
1.49 number of stools per day
Standard Deviation 0.6

SECONDARY outcome

Timeframe: 5 days

Population: Per protocol

The percentage of days with no flatulence is calculated from the diary during the treatment period: 100\*(number of days with no flatulence/number of days recorded in diary).

Outcome measures

Outcome measures
Measure
Creon®
n=38 Participants
Creon®: active comparator
Creon N
n=38 Participants
Creon N: experimental drug
Percentage of Days With no Flatulence
51.6 percentage of days
Standard Deviation 46.65
57.5 percentage of days
Standard Deviation 43.31

SECONDARY outcome

Timeframe: 5 days

Population: Per protocol

The percentage of days with no abdominal pain is calculated from the diary during the treatment period: 100\*(number of days with no abdominal pain/ number of days recorded in diary).

Outcome measures

Outcome measures
Measure
Creon®
n=38 Participants
Creon®: active comparator
Creon N
n=38 Participants
Creon N: experimental drug
Percentage of Days With no Abdominal Pain
86.8 percentage of days
Standard Deviation 22.91
89.3 percentage of days
Standard Deviation 19.67

SECONDARY outcome

Timeframe: 5 days

Population: Per protocol

The percentage of days with formed/normal stools is calculated from the diary during the treatment period: 100\*(number of days with formed/normal stools/ number of days recorded in diary).

Outcome measures

Outcome measures
Measure
Creon®
n=38 Participants
Creon®: active comparator
Creon N
n=38 Participants
Creon N: experimental drug
Percentage of Days With Formed/Normal Stools
79.8 percentage of days
Standard Deviation 21.21
73.6 percentage of days
Standard Deviation 29.50

Adverse Events

Creon®

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

Creon N

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Creon®
n=39 participants at risk
Creon®: active comparator
Creon N
n=41 participants at risk
Creon N: experimental drug
Gastrointestinal disorders
Flatulence
7.7%
3/39 • Number of events 3
0.00%
0/41
Nervous system disorders
Headache
5.1%
2/39 • Number of events 2
0.00%
0/41
Gastrointestinal disorders
Abdominal pain
2.6%
1/39 • Number of events 1
0.00%
0/41
Gastrointestinal disorders
Abdominal pain lower
0.00%
0/39
2.4%
1/41 • Number of events 1
Gastrointestinal disorders
Constipation
2.6%
1/39 • Number of events 1
2.4%
1/41 • Number of events 1
Gastrointestinal disorders
Diarrhea
0.00%
0/39
2.4%
1/41 • Number of events 1
Gastrointestinal disorders
Gastro intestinal hyper motility
2.6%
1/39 • Number of events 1
0.00%
0/41
Gastrointestinal disorders
Steatorrhea
2.6%
1/39 • Number of events 1
0.00%
0/41
Metabolism and nutrition disorders
decreased appetite
0.00%
0/39
2.4%
1/41 • Number of events 1
Metabolism and nutrition disorders
hypoglycaemia
0.00%
0/39
2.4%
1/41 • Number of events 1
Infections and infestations
viral rhinitis
2.6%
1/39 • Number of events 1
0.00%
0/41
Injury, poisoning and procedural complications
Arthropod bite
2.6%
1/39 • Number of events 1
0.00%
0/41
Investigations
Gastric pH decreased
0.00%
0/39
2.4%
1/41 • Number of events 1

Additional Information

Suntje Sander - Struckmeier

Abbott

Phone: +49 (0) 511 6750 3254

Results disclosure agreements

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