Efficacy and Tolerability of Bisacodyl Sugar Coated Tablets, Simeticone Chewing Tablets and Their Combination in Constipation and Bloatedness

Study Overview
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Brief Summary
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Pilot study to evaluate the efficacy and tolerability of the combined treatment of bisacodyl and simeticone compared with the efficacy and tolerability of the single products in patients suffering from constipation and bloatedness

Official Title
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Comparative Efficacy and Tolerability of Bisacodyl Sugar Coated Tablets, Simeticone Chewing Tablets and the Combination of Both in the Treatment of Constipation and Bloatedness: an Open, Randomised, Parallel Group Trial

Conditions
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Constipation

Intervention / Treatment
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* Drug: Bisacodyl
* Drug: Simeticone


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Diagnosis of constipation, defined as acute and habitual constipation; concomitantly patient must have complaint of bloated feeling Patient was to be 18 years of age or older Females who were of child bearing potential must have a negative pre-study urine pregnancy test and must be using oral or barrier contraceptive methods throughout the study. If oral contraceptives were used, the patient must be using them for at least 3 months prior to enrolment into the study Patient must be willing to maintain a diary throughout the study Patient must be otherwise in good health Patient must sign an informed consent form which has been prepared in accordance with the Declaration of Helsinki Exclusion Criteria: Patient had drug-induced constipation resulting from drugs such as opioids, dopaminergics, antacids, anticholinergics or diuretics Patient had a history of organic diseases of the colon such as tumors, stricture, and acute or chronic inflammatory diseases, ileus, acute surgical abdominal conditions such as acute appendicitis, or organic diseases of the rectum and anus such as fissures, fistulas, perianal abscesses, and eczema of the perianal skin Patient exhibited evidence of active gastrointestinal disease Patient was diagnosed as having intestinal obstruction, had any undiagnosed abdominal symptoms, or was in severe dehydration Patient had a history of major gastrointestinal surgery Patient had a history of hypersensitivity to substances of the triarylmethane class Patient had a history of hypersensitivity to substances of the class of parahydroxybenzoic esters (para group allergy) Patient had a history of drug or alcohol abuse Patient had received bisacodyl for the treatment of another indication or in a previous study within the last 7 days before enrolment. Patient had ingested any drug in the past week before enrolment that in the opinion of the investigator would have an effect on gastrointestinal motility (e.g. anti-cholinergic medications, opioids, smooth muscle relaxants or antacids) Patient required the use of a drug, other than study drug, or dietary supplement to relieve the symptoms of constipation at any time during the baseline or treatment phases of this study Patient was currently taking any form of tetracycline antibiotics Patient was a nursing mother Patient had received any investigational drug within the previous 4 weeks prior to enrolment Patient had any condition that would interfere with the completion of this study, or that would decrease the likelihood of obtaining valid results

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Bisacodyl<br> | Drug: Bisacodyl<br> <br> |
| Experimental: Simeticone<br> | Drug: Simeticone<br> <br> |
| Experimental: Bisacodyl and simeticone<br> | Drug: Bisacodyl<br> <br> Drug: Simeticone<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in bloatedness score on a 4-point-scale |  | baseline, 1 hour after drug administration | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in bloatedness score on a 4-point-scale |  | baseline, 2 hours, 3 hours, at time of defecation | 
| Time to defecation |  | up to 7 days | 
| Number of withdrawals due to inadequate efficiency |  | up to 7 days | 
| Patient's global assessment of efficacy on a 4-point-scale |  | up to 7 days | 
| Number of patients with adverse events |  | up to 7 days | 
| Number of patients with abnormal laboratory findings |  | up to 7 days | 
| Number of withdrawals due to safety reasons |  | up to 7 days | 
| Patient's assessment of overall tolerability on a 4-point-scale |  | up to 7 days | 
| Investigator's assessment of overall tolerability on a 4-point-scale |  | up to 7 days | 
| Number of patients with clinically significant changes in vital signs |  | up to 7 days |