Ebastine Versus Mebeverine in IBS Patients

NCT ID: NCT05815602

Last Updated: 2024-08-21

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

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-03-30

Study Completion Date

2028-01-01

Brief Summary

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Multicenter randomized controlled clinical trial comparing ebastine and mebeverine as treatment of irritable bowel syndrome

Trial rationale

1. To perform a randomized superiority trial comparing the clinical efficacy of ebastine and mebeverine
2. To evaluate the impact of treatment with ebastine compared to mebeverine on quality of life and quality-adjusted life years

Primary objective To provide further evidence of the superiority of histamine 1 receptor antagonism as novel treatment for patients with non-constipated IBS, as compared to mebeverine, one of the spasmolytics currently used as first line treatment of IBS.

Secondary objective(s) To provide evidence that the histamine 1 receptor antagonist ebastine is more effective in reducing abdominal pain compared to the commonly used antispasmodic mebeverine

Detailed Description

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Conditions

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IBS - Irritable Bowel Syndrome IBS

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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Ebastine verum and duspatalin placebo

Group Type EXPERIMENTAL

Ebastine

Intervention Type DRUG

Randomized subjects will administer 4 pills of study medication per day during 12 weeks.

Daily administration schedule consists of taking 2 pills in the morning (1 verum, and 1 placebo). In the evening, subjects will take a second dose of both verum and placebo.

Duspatalin verum and ebastine placebo

Group Type ACTIVE_COMPARATOR

Duspatalin

Intervention Type DRUG

Randomized subjects will administer 4 pills of study medication per day during 12 weeks.

Daily administration schedule consists of taking 2 pills in the morning (1 verum, and 1 placebo). In the evening, subjects will take a second dose of both verum and placebo.

Interventions

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Ebastine

Randomized subjects will administer 4 pills of study medication per day during 12 weeks.

Daily administration schedule consists of taking 2 pills in the morning (1 verum, and 1 placebo). In the evening, subjects will take a second dose of both verum and placebo.

Intervention Type DRUG

Duspatalin

Randomized subjects will administer 4 pills of study medication per day during 12 weeks.

Daily administration schedule consists of taking 2 pills in the morning (1 verum, and 1 placebo). In the evening, subjects will take a second dose of both verum and placebo.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Voluntary written informed consent of the participant or their legally authorized representative has been obtained prior to any screening procedures
2. Patients fulfilling the Rome IV criteria for non-constipated IBS (IBS-C subtypes will be excluded)
3. No organic cause that can explain the presenting symptoms (exclusion of coeliac disease (blood), lactose intolerance (breath test), inflammatory bowel disease and giardiasis (stool)
4. Patients with lactose intolerance can be included if no improvement on lactose free diet during 6 weeks
5. Age 18-65

Exclusion Criteria

1. History of coeliac disease, food allergy, giardiasis, inflammatory bowel disease, infectious gastroenteritis, motility disorder, serious liver kidney cardiac or pulmonary disease, known cardiac rhythm disorders, insuline-dependent diabetes, psychiatric diseases
2. Pregnancy, breast feeding
3. Medication: the use of antidepressants or antipsychotics, anti-allergic medication or drugs affecting gastrointestinal motility / visceral sensitivity (anti-cholinergics, antispasmodics, 5-HT3 antagonists, 5-HT4 agonists, loperamide, codeine, laxatives, analgesics: only paracetamol is allowed as analgetic, other analgesics are forbidden.), CYP3A4-inducing and inhibiting drugs. Potent inhibitors of CYP3A4 include clarithromycin, erythromycin, diltiazem, itraconazole, ketoconazole, ritonavir, verapamil, goldenseal and grapefruit. Inducers of CYP3A4 include phenobarbital, phenytoin, rifampicin, St. John's Wort and glucocorticoids.
4. Symptoms started following abdominal surgery
5. IBS constipation dominant (IBS-C)
6. Hypersensitivity to the active substance or to any of the excipients listed in section 6.1 of the SmPC of the respective medicinal products
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fund for Scientific Research, Flanders, Belgium

OTHER

Sponsor Role collaborator

Guy Boeckxstaens

OTHER

Sponsor Role lead

Responsible Party

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Guy Boeckxstaens

prof. dr.

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Guy Boeckxstaens, prof. dr.

Role: PRINCIPAL_INVESTIGATOR

KU Leuven

Locations

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AZ St-Maarten

Mechelen, Antwerpen, Belgium

Site Status RECRUITING

UZLeuven

Leuven, Vlaams-Brabant, Belgium

Site Status RECRUITING

AZ St-Lucas

Bruges, West-Vlaanderen, Belgium

Site Status RECRUITING

GZA

Antwerp, , Belgium

Site Status RECRUITING

UZA

Antwerp, , Belgium

Site Status RECRUITING

Countries

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Belgium

Central Contacts

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Koen Bellens, MSc.

Role: CONTACT

+3216341943 ext. 41943

Facility Contacts

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Inez Mestdagh

Role: primary

+3215891664

Koen Bellens, MSc.

Role: primary

+3216341943

Mary Glorieux

Role: primary

+3250365711

Sara Nullens

Role: primary

+3232852000

Eveline Vanhaesebrouck

Role: primary

+3238214491

Other Identifiers

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S67029

Identifier Type: -

Identifier Source: org_study_id

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