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    Clinical Trial Results:
    Opium tincture against chronic diarrhea - Patients: An investigator initiated, randomized placebo-controlled, clinical trial

    Summary
    EudraCT number
    2020-000396-20
    Trial protocol
    DK  
    Global end of trial date
    21 Dec 2023

    Results information
    Results version number
    v1(current)
    This version publication date
    04 Sep 2024
    First version publication date
    04 Sep 2024
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    Dropizol_2020
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT05690321
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Aalborg University Hospital
    Sponsor organisation address
    Mølleparkvej 4, Aalborg, Denmark, 9000
    Public contact
    Tina Okdahl , Mech-Sense, Aalborg University Hospital, +45 97663520, t.okdahl@rn.dk
    Scientific contact
    Tina Okdahl , Mech-Sense, Aalborg University Hospital, +45 97663520, t.okdahl@rn.dk
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    01 Feb 2024
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    21 Dec 2023
    Global end of trial reached?
    Yes
    Global end of trial date
    21 Dec 2023
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    Main objective of the trial is to describe the efficacy and safety of opium tincture (Dropizol®, Pharmanovia A/S, Denmark) against chronic diarrhea.
    Protection of trial subjects
    Subjects were instructed to report all experienced side effects in a diary, which was monitored throughout the study
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    30 Jan 2023
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Denmark: 11
    Worldwide total number of subjects
    11
    EEA total number of subjects
    11
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    10
    From 65 to 84 years
    1
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    Recruitment was initiated in January 2023 and was finalized in December 2023

    Pre-assignment
    Screening details
    A medical doctor screened all subjects according to the inclusion and exclusion criteria

    Pre-assignment period milestones
    Number of subjects started
    11
    Number of subjects completed
    11

    Period 1
    Period 1 title
    Intervention (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator, Monitor, Data analyst, Carer, Assessor

    Arms
    Are arms mutually exclusive
    No

    Arm title
    Opium tincture
    Arm description
    Active intervention
    Arm type
    Experimental

    Investigational medicinal product name
    Opium tincture
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Oral drops, liquid
    Routes of administration
    Oral use
    Dosage and administration details
    The treatment was divided into two phases: up-titration (3 × 5 drops on days 1–3) and end-titration (3 × 10 drops on days 4–6 and 2 × 10 drops on day 7)

    Arm title
    Placebo
    Arm description
    Placebo intervention
    Arm type
    Placebo

    Investigational medicinal product name
    Placebo drops
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Oral drops, liquid
    Routes of administration
    Oral use
    Dosage and administration details
    The treatment was divided into two phases: up-titration (3 × 5 drops on days 1–3) and end-titration (3 × 10 drops on days 4–6 and 2 × 10 drops on day 7)

    Number of subjects in period 1
    Opium tincture Placebo
    Started
    11
    11
    Completed
    11
    11

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Intervention
    Reporting group description
    -

    Reporting group values
    Intervention Total
    Number of subjects
    11 11
    Age categorical
    Units: Subjects
        In utero
    0
        Preterm newborn infants (gestational age < 37 wks)
    0
        Newborns (0-27 days)
    0
        Infants and toddlers (28 days-23 months)
    0
        Children (2-11 years)
    0
        Adolescents (12-17 years)
    0
        Adults (18-64 years)
    0
        From 65-84 years
    0
        85 years and over
    0
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    44.9 ( 17.3 ) -
    Gender categorical
    Units: Subjects
        Female
    6 6
        Male
    5 5

    End points

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    End points reporting groups
    Reporting group title
    Opium tincture
    Reporting group description
    Active intervention

    Reporting group title
    Placebo
    Reporting group description
    Placebo intervention

    Primary: Mean number of daily bowel movements

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    End point title
    Mean number of daily bowel movements
    End point description
    End point type
    Primary
    End point timeframe
    Comparison of mean number of bowel movements per day during active and placebo treatment
    End point values
    Opium tincture Placebo
    Number of subjects analysed
    11
    11
    Units: Number
        median (inter-quartile range (Q1-Q3))
    2.3 (1.7 to 2.3)
    3.0 (1.7 to 4.7)
    Statistical analysis title
    Bowel movement frequency between treatments
    Statistical analysis description
    Bowel movement frequency between treatments was compared using a repeated mixed model with days and treatments (place/opium tincture) as factors
    Comparison groups
    Opium tincture v Placebo
    Number of subjects included in analysis
    22
    Analysis specification
    Pre-specified
    Analysis type
    equivalence
    P-value
    = 0.002
    Method
    Mixed models analysis
    Confidence interval

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Adverse events were collected from the time of inclusion to 5 days after study end
    Adverse event reporting additional description
    Adverse events were noted by subjects in a diary, and study personel also asked about adverse events at vistis and follow-up calls
    Assessment type
    Non-systematic
    Dictionary used for adverse event reporting
    Dictionary name
    None
    Dictionary version
    0
    Reporting groups
    Reporting group title
    During active treatment
    Reporting group description
    -

    Reporting group title
    During placebo treatment
    Reporting group description
    -

    Serious adverse events
    During active treatment During placebo treatment
    Total subjects affected by serious adverse events
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 11 (0.00%)
         number of deaths (all causes)
    0
    0
         number of deaths resulting from adverse events
    0
    0
    Gastrointestinal disorders
    Hospitalization due to abdominal pain
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 11 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 0%
    Non-serious adverse events
    During active treatment During placebo treatment
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    8 / 11 (72.73%)
    5 / 11 (45.45%)
    Nervous system disorders
    Headache
         subjects affected / exposed
    2 / 11 (18.18%)
    1 / 11 (9.09%)
         occurrences all number
    2
    1
    Dizziness
         subjects affected / exposed
    4 / 11 (36.36%)
    0 / 11 (0.00%)
         occurrences all number
    4
    0
    General disorders and administration site conditions
    Fatigue
         subjects affected / exposed
    5 / 11 (45.45%)
    1 / 11 (9.09%)
         occurrences all number
    5
    1
    Eye disorders
    Blurred vision
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 11 (0.00%)
         occurrences all number
    1
    0
    Gastrointestinal disorders
    Nausea
         subjects affected / exposed
    3 / 11 (27.27%)
    0 / 11 (0.00%)
         occurrences all number
    3
    0
    Abdominal gas
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 11 (0.00%)
         occurrences all number
    1
    0
    Dry mouth
         subjects affected / exposed
    1 / 11 (9.09%)
    1 / 11 (9.09%)
         occurrences all number
    1
    1
    Heartburn
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 11 (0.00%)
         occurrences all number
    1
    0
    Abdominal pain
         subjects affected / exposed
    3 / 11 (27.27%)
    2 / 11 (18.18%)
         occurrences all number
    3
    2
    Endocrine disorders
    Hyperglycaemia
         subjects affected / exposed
    1 / 11 (9.09%)
    0 / 11 (0.00%)
         occurrences all number
    1
    0
    Musculoskeletal and connective tissue disorders
    Muscle discomfort
         subjects affected / exposed
    0 / 11 (0.00%)
    1 / 11 (9.09%)
         occurrences all number
    0
    1

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    17 Nov 2022
    The study design was changed from a parallel design to a cross-over design

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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