E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
The aim is to investigate which constipation therapy is the most optimal choice for postoperative treatment in older patients after hip fracture surgery. |
Formålet er at vise om der er en klinisk relevant effekt af tre regimer af obstipationsbehandling efter hoftefrakturoperation, sammenlignet. |
|
E.1.1.1 | Medical condition in easily understood language |
Constipation after hip fracture surgery |
Forstoppelse efter operation af hoftebrud |
|
E.1.1.2 | Therapeutic area | Diseases [C] - Injuries, poisonings, and occupational diseases [C21] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 23.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10020100 |
E.1.2 | Term | Hip fracture |
E.1.2 | System Organ Class | 10022117 - Injury, poisoning and procedural complications |
|
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
The aim of this randomized controlled study is to investigate which constipation therapy is the most optimal choice for postoperative treatment in older patients after hip fracture surgery. |
Formålet med dette projekt er i et randomiseret kontrolleret studie at vise om der er en klinisk relevant effekt af tre regimer af obstipationsbehandling efter hoftefrakturoperation. |
|
E.2.2 | Secondary objectives of the trial |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Hip fracture patients, age≥ 65 year will be included from three orthopedic departments from hospitals in the Southern Region of Denmark. The patients should be able to speak and understand Danish.
Pregnant women can not be included but the women are expected to be postmenopausale why pregnancy test are not performed. |
•Alle pt. med hoftenære frakturer i alderen 65 +, der indlægges via Fælles Akutmodtagelsen (FAM) eller får akut hoftenær fraktur under deres indlæggelse og skal opereres •Tale og forstå dansk •Være i stand til selv at give informeret samtykke
Gravide må ikke indgå i projektet, men da alle forsøgspersonerne er over 65 år forventes det, at kvinderne er postmenopausale, hvorfor der ikke foretages graviditetstest. |
|
E.4 | Principal exclusion criteria |
Patients: • with known cronic constipation (defined from Wexner constipation score) • with known use of laxatives at admission • who participate in other similar clinical studies • who is terminally ill • who is restraint • who is in isolation • with severe heart disease defined as NYHA III og IV • with severe cronically inflamatory bowel disease • with acute abdomial surgical conditions, eg. ileus, obstruction or perforation • with dysphagia where the patient can not swallow tablets/oral liquids • with toxic megacolon • with gastric emtying disorder • with severe electrolyte disorder (P-kalium: < 2.5 mmol/l og P-natrium: <125 mmol/l) • Allergies to the ingredients |
Patienter: •med kendt kronisk obstipation (defineret ud fra Wexner obstipations score) •med kendt brug af laksantia ved indlæggelse •som deltager i andre lignende kliniske studier •som er terminalerklærede •som er frihedsberøvede •som er isolerede •med svær hjertesygdom defineret som NYHA III og IV •svær kronisk inflammatorisk tarmsygdom •akut abdominalkirurgiske tilstande fx ileus eller mistanke om ileus, obstruktion eller perforation •dysfagi i en grad, hvor tabletter/drikkelse ikke kan indtages •toksisk megacolon •ventrikeltømningsforstyrrelse •svær elektrolytforstyrrelse (P-kalium: < 2.5 mmol/l og P-natrium: <125 mmol/l) •CAVE over for indholdsstofferne |
|
E.5 End points |
E.5.1 | Primary end point(s) |
Part of patients in each group who needs recue medication after 72 hours or rescue medication before 72 hours on behalf of a medical assessment |
Andel af patienter i hver gruppe, som skal have rescue-medicin 72 timer efter operation eller skal have rescue-medicin før 72 timer fra operation på baggrund af en klinisk lægelig vurdering |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
Hours after end surgery |
Timer efter afsluttet operation |
|
E.5.2 | Secondary end point(s) |
Time to first bowel movements (in hours after finished surgery) Length of hospital stay Risk of readmission at hospital (part of patients who are readmitted at hospital) Adverse reactions: Nausea, pain (by use of visual rank scale), flatulence, diarrhea/constipation defined from fra Bristol Stool Scale Constipation score: Patient Assessment of Constipation symptoms Questionaire
|
• Tid til første afføring (målt i timer efter afsluttet operation) • Antal indlæggelsesdage for inklusionsindlæggelsen • Risiko for genindlæggelse (hvor stor en andel patienter, der indlægges igen) • Bivirkninger: Kvalme, smerte (fx ved brug af VRS-skala), flatulens, diarré/obstipation, defineret ud fra Bristol Stool Scale • Obstipation score: Patient Assessment of Constipation symptoms
|
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
|
E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | No |
E.6.5 | Efficacy | No |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | Yes |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Yes |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 3 |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 2 |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
|
|
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | |
E.8.9.1 | In the Member State concerned months | 16 |
E.8.9.1 | In the Member State concerned days | |