Clinical Trial Results:
Effect of codeine on pharyngeal and esophageal motility in healthy subjects: a double-blind, placebo-controlled, randomized, cross-over study
Summary
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EudraCT number |
2017-002349-30 |
Trial protocol |
BE |
Global end of trial date |
30 Jul 2019
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Results information
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Results version number |
v1(current) |
This version publication date |
04 Feb 2021
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First version publication date |
04 Feb 2021
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Other versions |
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Summary report(s) |
Article codeine study |
Trial Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
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Trial identification
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Sponsor protocol code |
cod2017
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Additional study identifiers
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ISRCTN number |
- | ||
US NCT number |
NCT03784105 | ||
WHO universal trial number (UTN) |
- | ||
Sponsors
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Sponsor organisation name |
TARGID
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Sponsor organisation address |
Herestraat 49, Leuven, Belgium, 3000
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Public contact |
Prof Jan Tack, TARGID, KU Leuven, 32 16344775 , jan.tack@kuleuven.be
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Scientific contact |
Prof Jan Tack, TARGID, KU Leuven, 32 16344775 , jan.tack@kuleuven.be
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Paediatric regulatory details
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Is trial part of an agreed paediatric investigation plan (PIP) |
No
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Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Results analysis stage
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Analysis stage |
Final
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Date of interim/final analysis |
28 Sep 2020
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Is this the analysis of the primary completion data? |
Yes
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Primary completion date |
30 Jul 2019
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Global end of trial reached? |
Yes
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Global end of trial date |
30 Jul 2019
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Was the trial ended prematurely? |
No
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General information about the trial
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Main objective of the trial |
To investigate the effect of codeine on pharyngeal and esophageal motility in healthy subjects
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Protection of trial subjects |
Local anesthesia was provided in the nose to minimalize pain and discomfort during the placement of the nasogastric measuring probe.
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Background therapy |
/ | ||
Evidence for comparator |
- | ||
Actual start date of recruitment |
08 Mar 2018
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Long term follow-up planned |
No
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Independent data monitoring committee (IDMC) involvement? |
No
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Population of trial subjects
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Number of subjects enrolled per country |
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Country: Number of subjects enrolled |
Belgium: 20
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Worldwide total number of subjects |
20
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EEA total number of subjects |
20
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Number of subjects enrolled per age group |
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In utero |
0
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Preterm newborn - gestational age < 37 wk |
0
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Newborns (0-27 days) |
0
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Infants and toddlers (28 days-23 months) |
0
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Children (2-11 years) |
0
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Adolescents (12-17 years) |
0
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Adults (18-64 years) |
20
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From 65 to 84 years |
0
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85 years and over |
0
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Recruitment
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Recruitment details |
Healthy volunteers will be selected via a database that is available in the lab and via mouth to mouth recruitment. | |||||||||||||||
Pre-assignment
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Screening details |
Inclusion: 18-60 year old, written informed consent before any study procedure, go home without driving a vehicle, will not operate machines on the study day, not pregnant or breastfeeding. Exclusion: other significant diseases, upper GI symptoms or surgery, known side-effects to morphine/codeine, medication use (oral contraceptives allowed) | |||||||||||||||
Period 1
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Period 1 title |
Overall trial (overall period)
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Is this the baseline period? |
Yes | |||||||||||||||
Allocation method |
Randomised - controlled
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Blinding used |
Single blind | |||||||||||||||
Roles blinded |
Subject | |||||||||||||||
Blinding implementation details |
Codeine was inserted via a naso-gastric tube into the stomach to avoid recognition of the taste of codeine.
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Arms
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Are arms mutually exclusive |
No
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Arm title
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Codeine | |||||||||||||||
Arm description |
We will administer the codeine intra-gastrically as a syrup: Bronchodine® 10mg/5ml. | |||||||||||||||
Arm type |
Experimental | |||||||||||||||
Investigational medicinal product name |
Bronchodine® 10mg/5ml
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Syrup
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Routes of administration |
Intragastric use
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Dosage and administration details |
30 mL of Bronchodine® 10mg/5ml
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Arm title
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Placebo | |||||||||||||||
Arm description |
As placebo we will administer the same volume (30 ml) of a glucose syrup, also intra-gastrically. | |||||||||||||||
Arm type |
Placebo | |||||||||||||||
Investigational medicinal product name |
Sirupus Simplex
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Syrup
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Routes of administration |
Intragastric use
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Dosage and administration details |
As placebo we will administer the same volume (30 ml) of a glucose syrup (Siripus Simplex), also intra-gastrically.
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Baseline characteristics reporting groups
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Reporting group title |
Overall trial (overall period)
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Reporting group description |
- | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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End points reporting groups
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Reporting group title |
Codeine
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Reporting group description |
We will administer the codeine intra-gastrically as a syrup: Bronchodine® 10mg/5ml. | ||
Reporting group title |
Placebo
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Reporting group description |
As placebo we will administer the same volume (30 ml) of a glucose syrup, also intra-gastrically. |
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End point title |
Integrated relaxation pressure 4s | ||||||||||||
End point description |
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End point type |
Primary
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End point timeframe |
comparison between two conditions
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Statistical analysis title |
Mixed models primary endpoint | ||||||||||||
Statistical analysis description |
Mixed models were constructed with the integrated relaxation pressure 4s as the dependent variable and and treatment condition (codeine or placebo) as within-subject independent, categorical variables.
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Comparison groups |
Codeine v Placebo
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Number of subjects included in analysis |
38
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Analysis specification |
Pre-specified
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Analysis type |
equivalence | ||||||||||||
P-value |
< 0.05 | ||||||||||||
Method |
ANOVA | ||||||||||||
Confidence interval |
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Adverse events information [1]
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Timeframe for reporting adverse events |
Adverse events were reported for each patient from the start of visit 1 untill the end of visit 2.
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Assessment type |
Non-systematic | ||||||||||||||||||||||||||||||
Dictionary used for adverse event reporting
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Dictionary name |
MedDRA | ||||||||||||||||||||||||||||||
Dictionary version |
23
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Reporting groups
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Reporting group title |
Codeine
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Reporting group description |
- | ||||||||||||||||||||||||||||||
Reporting group title |
Placebo
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Reporting group description |
- | ||||||||||||||||||||||||||||||
Notes [1] - There are no non-serious adverse events recorded for these results. It is expected that there will be at least one non-serious adverse event reported. Justification: The occurence of non-serious adverse events was below 5% |
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Frequency threshold for reporting non-serious adverse events: 5% | |||||||||||||||||||||||||||||||
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Substantial protocol amendments (globally) |
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Were there any global substantial amendments to the protocol? No | |||
Interruptions (globally) |
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Were there any global interruptions to the trial? No | |||
Limitations and caveats |
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Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data. | |||
None reported |