Analgesic Efficacy of Intravenous Hyoscine-N-Butylbromide (HNB) in Abdominal Colic Associated With Acute Gastroenteritis

NCT ID: NCT02508142

Last Updated: 2015-07-30

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

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

126 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-07-31

Study Completion Date

2016-08-31

Brief Summary

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This study aims to assess the analgesic efficacy and safety of intravenous 20 mg Hyoscine-N-Butylbromide versus placebo for the treatment of abdominal colic associated with acute gastroenteritis in the emergency department.

Detailed Description

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Acute gastroenteritis is a frequent cause of emergency department (ED) presentation. Mainstays of ED treatment are rehydration and antiemetics when needed. Since crampy abdominal pain accompanies (diarrhea) acute gastroenteritis in 67-90% of patients, emergency physicians may have to deal with spasmodic colics in these patients.

Hyoscine-N-butylbromide (HNB), is an anticholinergic agent which has been in use as an antispasmodic agent for sixty years all over the world. It has been studied and revealed various efficacy for several conditions (e.g; biliary colic, renal colic, endoscopic interventions, radiologic interventions, during labor, nonspecific abdominal pain and irritable bowel syndrome).

HNB is commonly used for symptomatic relief of abdominal cramps associated with acute gastroenteritis in the EDs, whereas the literature lacks evidence regarding its efficacy and safety for this condition.

The aim of this study is to assess the analgesic efficacy and safety of intravenous 20 mg hyoscine-n-butylbromide versus placebo in patients with abdominal colic associated with acute gastroenteritis in the emergency department.

Conditions

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Abdominal Cramps

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Hyoscine-N-Butylbromide

20 mg Hyoscine-N-Butylbromide in 98 mL normal saline (totally 100 mL)

Group Type ACTIVE_COMPARATOR

Hyoscine-N-Butylbromide

Intervention Type DRUG

Study Drug: 20 mg/2 mL Hyoscine-N-Butylbromide in 98 mL normal saline (totally 100 mL) ıntravenous form of Hyoscine-N-Butylbromide in normal saline is in the same appearance with placebo Study drug: 100 mL normal saline (placebo) (totally 100 mL)

Drug: Fentanyl 1 mcg/kg as rescue analgesia at 30th minute

Placebo

100 mL normal saline

Group Type PLACEBO_COMPARATOR

Hyoscine-N-Butylbromide

Intervention Type DRUG

Study Drug: 20 mg/2 mL Hyoscine-N-Butylbromide in 98 mL normal saline (totally 100 mL) ıntravenous form of Hyoscine-N-Butylbromide in normal saline is in the same appearance with placebo Study drug: 100 mL normal saline (placebo) (totally 100 mL)

Drug: Fentanyl 1 mcg/kg as rescue analgesia at 30th minute

Interventions

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Hyoscine-N-Butylbromide

Study Drug: 20 mg/2 mL Hyoscine-N-Butylbromide in 98 mL normal saline (totally 100 mL) ıntravenous form of Hyoscine-N-Butylbromide in normal saline is in the same appearance with placebo Study drug: 100 mL normal saline (placebo) (totally 100 mL)

Drug: Fentanyl 1 mcg/kg as rescue analgesia at 30th minute

Intervention Type DRUG

Other Intervention Names

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Buscopan, 20mg/2 mL (Boehringer Ingelheim İlaç Ticaret A.Ş)

Eligibility Criteria

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Inclusion Criteria

* Adult patients
* Presenting to the emergency department with abdominal cramps associated with acute gastroenteritis
* The pain intensity score upon screening is at least 20 mm on visual analog scale
* Patients who agree to participate and sign the informed consent

Exclusion Criteria

* Patients younger than 18 years
* Pain of \> 7 days
* Use of any analgesic within 6 hours of ED presentation
* Concomitant medication with spasmolytics, anticholinergics, drugs affecting gastrointestinal motility such as metoclopramide, loperamide, opioid analgesics
* Patients who were administered dopamine antagonists before screening
* Documented or self-reported hypersensitivity to hyoscine-n-butylbromide
* Confirmed or suspected pregnancy
* Breastfeeding
* Glaucoma
* Myasthenia gravis
* Benign prostatic hyperplasia or urinary obstruction
* Any suspected other cause of acute abdominal pain
* Peritonism
* Mechanical stenosis of the gastrointestinal tract, paralytic ileus, megacolon
* Previous intestinal resection
* History of inflammatory bowel disease
* Tachyarrhythmia
* Severe dehydration requiring fluid resuscitation immediately
* Unable to consent
* Refused to participate
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Kocaeli University

OTHER

Sponsor Role lead

Responsible Party

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Elif Yaka

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Elif YAKA, M.D.

Role: PRINCIPAL_INVESTIGATOR

Kocaeli University, Faculty of Medicine, Emergency Department

Locations

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Kocaeli University, Faculty of Medicine, Emergency Departmentt

Kocaeli, , Turkey (Türkiye)

Site Status RECRUITING

Countries

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Turkey (Türkiye)

Central Contacts

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Elif YAKA, M.D.

Role: CONTACT

+90 262 3038551

İbrahim U. Özturan, M.D.

Role: CONTACT

+90 262 3038577

Facility Contacts

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Elif Yaka, M.D.

Role: primary

+902623038551

İbrahim U Özturan, M.D.

Role: backup

+902623038577

Other Identifiers

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KocaeliU

Identifier Type: -

Identifier Source: org_study_id

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