E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Functional dyspepsia |
Functionele dyspepsie |
|
E.1.1.1 | Medical condition in easily understood language |
Chronic stomach disease |
Chronische maagklachten |
|
E.1.1.2 | Therapeutic area | Diseases [C] - Digestive System Diseases [C06] |
MedDRA Classification |
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 effect of Budesonide on duodenal eosinophilia in functional dyspepsia patients. |
Het effect van budesonide op duodenale eosinofilie in functionele dyspepsie patiënten. |
|
E.2.2 | Secondary objectives of the trial |
The effect of budesonide in functional dyspepsia on - gastric emptying - symptom outcome - quality of life in patients - state of anxiety, depression and somatization - mucosal barrier function |
Het effect van budesonide in functionele dyspepsie op: - Maaglediging - Symptomen - Levenskwaliteit - Angst, depressie, somatisatie - Mucosale permeabiliteit |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
• Functional dyspepsia patients with meal related symptoms (postprandial distress syndrome) as described by the Rome IV criteria • Patients aged between 18 and 70 years inclusive • Male or female patients
|
- Patiënten met functionele dyspepsie met maaltijdgerelateerde klachten, zoals beschreven in de Rome IV criteria. - Leeftijd tussen 18 en 70 jaar (70j inclusief) - Mannen of vrouwen |
|
E.4 | Principal exclusion criteria |
• Patients with any condition which, in the opinion of the investigator, makes the patient unsuitable to participate in the study • Patients with any major psychiatric disorders (including those with a major psychosomatic element to their gastrointestinal disease), depression, alcohol or substance abuse in the last 2 years • Patients presenting with predominant symptoms of irritable bowel syndrome (IBS) or of gastro-esophageal reflux disease (GERD) • Patients with diabetes mellitus, celiac disease, lupus, scleroderma or other systemic auto-immune disease • Patients with eosinophilic esophagitis or eosinophilic gastroenteritis • Patients with active H. Pylori infection (or < 6 months after eradication) • Patients with proven food allergy • Patients with an organic gastro-intestinal disease of history of gastrointestinal surgery other than appendectomy • Patients with known sever impaired liver dysfunction • Patients who take drugs altering gastric emptying, anti-inflammatory drugs, acid suppressive drugs or some drugs altering the CYP3A4 metabolism • Patients with major change in diet in the last 3 months • Females who are pregnant or lactating • Patients not capable to understand or be compliant with the study.
|
- Patiënten met een aandoening waardoor ze niet geschikt zijn om deel te nemen aan de studie volgens de mening van de onderzoeker. - Patiënten met majeure psychiatrische stoornissen (inclusief secundaire psychosomatische stoornissen in relatie tot hun gastrointestinale ziekte), depressie, alcohol-of drugmisbruik in de laatste 2 jaar - Patiënten met predominant klachten van spastisch colon of oesofagale reflux. - Patiënten met diabetes mellitus, coeliakie, lupus, scleroderma of andere systemische auto-immuunziekten. - Patiënten met eosinofiele oesofagitis of eosinofiele gastroenteritis - Patiënten met een actieve H. Pylori infectie ( of minder dan 6 maanden na eradicatie). - Patiënten met een bewezen voedselallergie - Patiënten met een organische gastrointestinale ziekte of een voorgeschiedenis van gastrointestinale heelkunde (met uitzondering van appendectomie). Patiënten met gekend en ernstig leverlijden. - Patiënten die medicatie die de maagmotiliteit kan beïnvloeden, anti-inflammatoire medicatie, maagzuurremmers of medicatie die het CYP3A4 metabolisme kan beïnvloeden, nemen. - Patiënten met belangrijke dieetwijzigingen de laatste 3 maanden. - Vrouwen die zwanger zijn of borstvoeding geven. - Patiënten die de studie niet begrijpen of niet compliant zijn. |
|
E.5 End points |
E.5.1 | Primary end point(s) |
Duodenal eosinophils |
Duodenale eosinofielen |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
Before treatment and after 8 weeks of treatment |
Voor behandeling en na 8 weken behandeling |
|
E.5.2 | Secondary end point(s) |
- Gastro-intestinal symptoms of patients, based on the Leuven Postprandial Distress Scale (LPDS) - Quality of life of patients - State of anxiety, depression and somatization - Mucosal permeability, including gene and protein expression of major tight-junction related molecules and cytokines - Gastric motility by assessing gastric emptying time
|
- Gastrointestinale symptomen, gebaseerd op het LPDS dagboek - Levenskwaliteit - Staat van angst, depressie en somatisatie - Mucosale permeabiliteit, inclusief gen-en proteïne expressie van tight junction gerelateerde molecules en cytokines. - Maagmotiliteit, via evalueren van maagledigingstijd |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
Before treatment and after 8 weeks of treatment. Gastrointestinal symptoms will be evaluated daily via the LPDS diary. |
Voor behandeling en na 8 weken behandeling. Gastrointestinale symptomen zullen dagelijks geëvalueerd worden via het LPDS dagboek. |
|
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 | Yes |
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 | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Yes |
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) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 2 |
E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
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 | 2 |
E.8.9.1 | In the Member State concerned months | 0 |
E.8.9.1 | In the Member State concerned days | 0 |