Constipation Clinical Trial
Official title:
A Multicenter, Single-Arm, Interventional, Phase 4 Study to Evaluate the Efficacy and Safety of Prucalopride in Combination With PEG or Lactulose in Women With Chronic Constipation (CC)
The purpose of this study is to evaluate the efficacy of prucalopride 2 mg, given orally once daily for 12 weeks, in combination with PEG or lactulose, in treatment of women with Chronic Constipation (CC) in whom laxatives fail to provide adequate relief, as measured by the percentage of subjects with a weekly average increase of 1 or more spontaneous complete bowel movements (SCBMs) (responders) during the 12-week treatment phase as compared to the baseline.
This is a multicenter, open-labeled, single-arm, interventional study to evaluate the
efficacy and safety of prucalopride in real clinical practice.
It consists of 2 phases: a 1-week run-in phase, a 12 week, open-label treatment phase. Study
population is women with CC who have been treated with laxatives but failed to obtain
adequate relief within the preceding 6 months. Patients who meet the inclusive and without
exclusive criteria will be enrolled in the study and signed an Informed Consent Form. They
are instructed not to change their diet, lifestyle during the study.
At the first week of the study, subjects will continue PEG or lactulose treatment, and they
will not be allowed to use any other laxatives and drugs for CC. Subjects will be required to
maintain a written stool diary as well as the use of PEG and lactulose. Any drug affecting
the colonic motility will be prohibited during the study. Following this run-in phase,
subjects enter the 12-week open-label treatment phase. During the treatment phase, subjects
will be treated for 12 weeks with prucalopride 2 mg, given orally once daily with or without
breakfast in the morning. Subjects will be required to continue PEG or lactulose treatment
with the same dosage as that in the run-in period. If necessary, due to intolerable side
effects (ie, severe diarrhea,), dosage decrements of PEG or lactulose treatment may be made
at any time or the subject could discontinue the PEG or lactulose treatment, based on
investigator's judgement. Subjects will record study drug and laxative medication dosing
information and information related to BMs in a daily diary throughout the study. PAC-SYM and
PAC QOL questionnaires will be completed at Weeks 0, 4, 12. Subject safety will be monitored
throughout the study.
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