Clinical trial • Not applicable • Gastroenterology

Betaine citrate for Functional dyspepsia

Not applicable trial of Betaine citrate for Functional dyspepsia.

Overview

Trial Therapeutic Area
Gastroenterology
Trial Disease
Functional dyspepsia
Trial Stage
Not applicable
Drug Modality
Small molecule|Other

Key dates

Initial CTIS Submission Date
22-03-2024
First CTIS Authorization Date
15-07-2024

Trial design

Randomised, two arms: alkacitrat® (alkacitrat αναβράζον δισκίο 2 g/tab; active substance betaine citrate; max daily dose reported 6 g; treatment period 7 days) versus placebo (matching placebo with same composition as investigational product except active substance).-controlled Not applicable trial across 1 site in Greece.

Randomised
Yes
Comparator
Two arms: ALKACITRAT® (ALKACITRAT Αναβράζον δισκίο 2 g/tab; active substance betaine citrate; max daily dose reported 6 g; treatment period 7 days) versus Placebo (matching placebo with same composition as investigational product except active substance).
Target Sample Size
92
Trial Duration For Participant
8-9 days

Eligibility

Recruits 92 No vulnerable populations selected; participants must be legally competent and provide signed informed consent (ICF)..

Pregnancy Exclusion
Pregnant and lactating women
Vulnerable Population
No vulnerable populations selected; participants must be legally competent and provide signed informed consent (ICF).

Inclusion criteria

  • {"criterion_text":"- Patients with symptoms of functional indigestion will be included if all of the following inclusion criteria apply:\n- Women or men aged 18-75 years old.\n- Patients that meet the Rome IV criteria of functional dyspepsia.\n- Patients with a GOS score≥4.\n- Patients who are legally competent and able to understand the information about the study, have been informed of the nature, scope and utility of the study, voluntarily agree to participate and have signed the informed consent form (ICF)."}

Exclusion criteria

  • {"criterion_text":"- Pregnant and lactating women\n- Patients with symptoms of irritable bowel syndrome and gastroesophageal reflux disease.\n- Patients with suspected symptoms of severe disease (weight loss, black stools, difficulty in swallowing).\n- Abdominal surgery.\n- Unregulated diabetes.\n- Stool disorders (chronic diarrhea or constipation).\n- Active psychiatric conditions\n- Intake of immunosuppressants, antibiotics, non-steroidal, anti-inflammatory drugs or probiotics in the last 4 weeks\n- Taking oral antacid medications that act as proton pump inhibitors, prokinetic agents, histamine receptor antagonists, and laxatives during the study\n- Patients that daily use aspirin\n- Alcohol use of more than ten units (units) per week\n- Active H. pylori infection\n- Participation in another study of an investigational medicinal product or investigational medical device"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Comparison of the percentage of patients with improvement (ΔGOS ≥2) at the end of treatment (visit V1) compared to the baseline visit (V0) between the two treatment groups.","definition_or_measurement_approach":"Improvement defined as change in GOS score (ΔGOS) of ≥2 from baseline (V0) to end of treatment (V1); endpoint is the percentage of patients meeting this criterion compared between the two treatment groups."}

Secondary endpoints

  • {"endpoint_text":"- Comparison of the percentage of patients who responded to treatment (GOS score ≤2 at visit V1) between treatment groups\n- Comparison of the change in patients' quality of life based on the NDI-SF index at visit V1 versus baseline visit (V0) between the two treatment groups.\n- Comparison of the change in severity of each symptom (VAS scale) at the end of treatment (visit V1) compared to the baseline visit (V0) between the two treatment groups.\n- Comparison of the percentage of patients in whom there was a decrease in GOS scale score of at least one point at visit V1 compared to the baseline visit (V0) between the two treatment groups.\n- Frequency and type of adverse events during the study.","definition_or_measurement_approach":"Responder: GOS score ≤2 at V1. Quality of life measured by NDI-SF index change from V0 to V1. Symptom severity measured by VAS scale change from V0 to V1. Percentage with ≥1-point decrease in GOS from V0 to V1. Safety assessed by recording frequency and type of adverse events during the study."}

Recruitment

Planned Sample Size
92
Recruitment Window Months
13
Consent Approach
Participants must be legally competent and provide signed informed consent (ICF). No assent procedures described. ICF/information available in Greek (Greek translation provided).

Geography

Total Number Of Sites
1
Total Number Of Participants
92

Greece

Earliest CTIS Part Ii Submission Date
01-05-2024
Latest Decision Or Authorization Date
15-07-2024
Processing Time Days
75
Number Of Sites
1
Number Of Participants
92

Sites

Site Name
University General Hospital Of Thessaloniki Ahepa
Department Name
1st Propaedeutic Pathology Clinic of the University General Hospital of Thessaloniki AHEPA
Principal Investigator Name
Andreas Protopapas
Principal Investigator Email
andproto@yahoo.gr
Contact Person Name
Andreas Protopapas
Contact Person Email
andproto@yahoo.gr
Number Of Participants
92

Sponsor

Primary sponsor

Full Name
Uni-Pharma Kleon Tsetis Pharmaceutical Laboratories S.A.
Organisation Type
Pharmaceutical company
Country Of Registered Address
Greece

Investigational products

Investigational Product Name
ALKACITRAT Αναβράζον δισκίο 2 g/tab
Active Substance
Betaine citrate
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Authorisation Status
Authorised (marketing authorisation number 89058/10.10.2017 in GR)
Starting Dose
2 g (per tablet)
Dose Levels
2 g tablet formulation; up to max daily dose 6 g
Frequency
Not specified; max daily dose reported as 6 g
Maximum Dose
6 g/day
Investigational Product Name
Placebo (matching composition to ALKACITRAT effervescent tablet 2 g/tab except active substance)
Modality
Other
Routes Of Administration
ORAL
Route
ORAL
Authorisation Status
Not applicable (placebo)
Starting Dose
Placebo matching 2 g effervescent tablet

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