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    Clinical Trial Results:
    Opium tincture against chronic diarrhea - Healthy: An investigator initiated, randomized placebo-controlled, double-blinded, cross-over, clinical trial

    Summary
    EudraCT number
    2020-004875-41
    Trial protocol
    DK  
    Global end of trial date
    05 Jun 2022

    Results information
    Results version number
    v1(current)
    This version publication date
    28 Oct 2022
    First version publication date
    28 Oct 2022
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    Dropizol_healthy_2020
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    -
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Mech-Sense, 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, 97663520 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
    11 Jul 2022
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    05 Jun 2022
    Global end of trial reached?
    Yes
    Global end of trial date
    05 Jun 2022
    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 (R), 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
    01 Oct 2020
    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: 20
    Worldwide total number of subjects
    20
    EEA total number of subjects
    20
    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)
    18
    From 65 to 84 years
    2
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    Recruitment was initiated in 2020 and was finalized in 2022

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

    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
    Active treatment
    Arm description
    Subjects receiving active treatment (opium tincture)
    Arm type
    Active comparator

    Investigational medicinal product name
    Opium Tincture
    Investigational medicinal product code
    Other name
    Dropizol
    Pharmaceutical forms
    Oral drops
    Routes of administration
    Oral use
    Dosage and administration details
    3x5 drops on day 1, 3x10 drops on day 2-9

    Arm title
    Placebo
    Arm description
    Subjects receiving placebo
    Arm type
    Placebo

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Oral drops
    Routes of administration
    Oral use
    Dosage and administration details
    3*5 drops on day 1, 3x10 drops on day 2-9

    Number of subjects in period 1
    Active treatment Placebo
    Started
    20
    20
    Completed
    20
    20

    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
    20 20
    Age categorical
    Units: Subjects
        In utero
    0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0
        Newborns (0-27 days)
    0 0
        Infants and toddlers (28 days-23 months)
    0 0
        Children (2-11 years)
    0 0
        Adolescents (12-17 years)
    0 0
        Adults (18-64 years)
    18 18
        From 65-84 years
    2 2
        85 years and over
    0 0
    Age continuous
    Units: years
        median (inter-quartile range (Q1-Q3))
    24 (22 to 26) -
    Gender categorical
    Units: Subjects
        Female
    10 10
        Male
    10 10

    End points

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    End points reporting groups
    Reporting group title
    Active treatment
    Reporting group description
    Subjects receiving active treatment (opium tincture)

    Reporting group title
    Placebo
    Reporting group description
    Subjects receiving placebo

    Primary: Change in colonic transit time

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    End point title
    Change in colonic transit time
    End point description
    End point type
    Primary
    End point timeframe
    Change in transit time between during active and placebo treatment
    End point values
    Active treatment Placebo
    Number of subjects analysed
    20
    20
    Units: Hours
        median (inter-quartile range (Q1-Q3))
    49 (40 to 73)
    23 (16 to 38)
    Statistical analysis title
    Colonc transit - mixed model
    Statistical analysis description
    Data were compared using a repeated measures mixed model with treatment (placebo, opium tincture) and segments (stomach, small bowel, colon, and whole gut) and as factors. In cases of significant findings, a subsequent Bonferroni-corrected post hoc analysis accounting for multiple comparisons was performed to investigate which segments differed between treatments.
    Comparison groups
    Placebo v Active treatment
    Number of subjects included in analysis
    40
    Analysis specification
    Pre-specified
    Analysis type
    equivalence
    P-value
    < 0.001
    Method
    Mixed models analysis
    Parameter type
    Mean difference (final values)
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -
         upper limit
    -

    Secondary: Daily bowel movements

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    End point title
    Daily bowel movements
    End point description
    End point type
    Secondary
    End point timeframe
    Subjects reported daily bowel movements during the entire study period
    End point values
    Active treatment Placebo
    Number of subjects analysed
    20
    20
    Units: Daily bowel movements
        arithmetic mean (standard deviation)
    0.7 ( 0.4 )
    1.2 ( 0.5 )
    No statistical analyses for this end point

    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
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    None
    Dictionary version
    0
    Reporting groups
    Reporting group title
    During intervention
    Reporting group description
    -

    Reporting group title
    During placebo
    Reporting group description
    -

    Serious adverse events
    During intervention During placebo
    Total subjects affected by serious adverse events
         subjects affected / exposed
    0 / 20 (0.00%)
    0 / 20 (0.00%)
         number of deaths (all causes)
    0
    0
         number of deaths resulting from adverse events
    0
    0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    During intervention During placebo
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    15 / 20 (75.00%)
    8 / 20 (40.00%)
    Nervous system disorders
    Headache
         subjects affected / exposed
    9 / 20 (45.00%)
    4 / 20 (20.00%)
         occurrences all number
    9
    4
    Fatigue
         subjects affected / exposed
    8 / 20 (40.00%)
    2 / 20 (10.00%)
         occurrences all number
    8
    2
    Gastrointestinal disorders
    Nausea
         subjects affected / exposed
    7 / 20 (35.00%)
    0 / 20 (0.00%)
         occurrences all number
    7
    0
    Constipation
         subjects affected / exposed
    4 / 20 (20.00%)
    2 / 20 (10.00%)
         occurrences all number
    4
    2

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? No

    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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