Clinical trial NCT04786795: MITE in the Treatment of Dyspepsia After Cholecystectomy
Official title: MITE (Compound Azintamide Enteric-coated Tablets) in the Treatment of Dyspepsia After Cholecystectomy: a Multicenter, Randomized, Superior, Parallel Controlled Clinical Study
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: PHASE4
Conditions: Patients With Dyspeptic Symptoms After Cholecystectomy
Lead sponsor: Xinhua Hospital, Shanghai Jiao Tong University School of Medicine
Sponsor class: OTHER
First posted: 2021-03-08
Enrollment: 990
Sex: ALL
Minimum age (years): 18
Maximum age (years): 70
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: To confirm the clinical efficacy of Compound Azintamide Enteric-coated Tablets in the treatment of patients with dyspepsia after cholecystectomy (such as abdominal distension, abdominal pain/abdominal discomfort, diarrhea/fatty stool, early satiety, belching, loss of appetite, etc.) by comparing with positive control drug, to observe its safety, and to evaluate the quality of life of subjects before and after treatment

Detailed description: This study is a multi-center, randomized, superiority and parallel controlled clinical study. Third-party institutions will generate random codes according to random numbers of the software and divide them into two groups (Compound Azintamide Enteric-coated Tablets Group, Oryz-aspergillus Enzyme and Pancreatin Tablet and Ursodeoxycholic Acid Tablets Group) in a ratio of 1:1. Random numbers will be sealed and stored in radiopaque envelopes, which will be managed by a designated person not involved in the specific study.

Specific intervention measures: If dyspeptic symptoms occur after laparoscopic cholecystectomy and are randomized, the experimental group takes Compound Azintamide Enteric-coated Tablets, and the control group takes Oryz-aspergillus Enzyme both Pancreatin Tablet and Ursodeoxycholic Acid Tablets. They were registered before medication and on days 14 and 28 after medication, and gastrointestinal symptoms were assessed at each follow-up visit

Eligibility criteria: Inclusion Criteria:

1. Aged 18-70 years old, male or female;
2. Patients after laparoscopic cholecystectomy, mainly including cholecystectomy due to cholecystitis, gallstones, gallbladder polyps and other benign gallbladder tumors, non-functioning gallbladder;
3. Dyspeptic symptoms occurred 2 weeks after laparoscopic cholecystectomy, including: abdominal distension, abdominal pain/abdominal discomfort, diarrhea/fatty stool, early satiety, belching, loss of appetite;
4. Signed informed consent, agreed to participate in this study.

Exclusion Criteria:

1. Patients with abnormal liver function and renal function;
2. Patients with severe heart and lung dysfunction;
3. Patients with neurological, mental illness or other reasons can not cooperate with the study;
4. Patients with advanced malignant tumors or other serious wasting diseases, any unstable chronic diseases and acute diseases, interfere with the efficacy evaluation of this study (such as patients undergoing chemotherapy) and the completion of the trial plan;
5. Patients with biliary obstruction, acute hepatitis, etc., do not use the test drugs and control drugs, and allergic to the test drugs and control drugs;
6. Patients who have taken digestive enzymes and cholagogue drugs by themselves;
7. Pregnant and lactating women;
8. Patients who are participating in other clinical trials;
9. Patients who cannot be followed up on time.

Elimination Criteria

1. Failure to take medicine as required, that is,Failure to take medicine or missed doses ≥ 3 times within 1week;
2. Taking other digestive enzymes, cholagogues and prokinetic drugs or drugs affecting digestive enzymes and bile secretion and excretion during the study;
3. Adverse events occur, for the benefit of patients, doctors believe that the drug should not be continued; the results of such cases do not participate in the efficacy statistics, but are related to the safety evaluation.

Drop-out Criteria

1. Cases with adverse events and patients are not willing to continue participating in the study.
2. Cases who voluntarily withdrew consent from the study due to poor efficacy and inconvenience in follow-up.
3. cases lost to follow-up due to various reasons.

Primary outcomes:
measure: Symptom assessment
timeFrame: 28days
measure: Efficacy evaluation
timeFrame: 28days
Secondary outcomes:
measure: The incidence of adverse events (AE)
timeFrame: 28days
measure: Quality of life assessment
timeFrame: 28days
measure: Pharmacoeconomic evaluation
timeFrame: 28days
Other outcomes:
Locations:
Study officials:
References: