E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
idiopathic or diabetic gastroparesis
|
gastroparésie idiopathique ou diabétique |
|
E.1.1.1 | Medical condition in easily understood language |
stomach cannot empty food in the normal way |
l'estomac ne peut pas vider les aliments de façon normale |
|
E.1.1.2 | Therapeutic area | Diseases [C] - Digestive System Diseases [C06] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10051153 |
E.1.2 | Term | Diabetic gastroparesis |
E.1.2 | System Organ Class | 10017947 - Gastrointestinal disorders |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10021227 |
E.1.2 | Term | Idiopathic gastroparesis |
E.1.2 | System Organ Class | 10017947 - Gastrointestinal disorders |
|
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 |
To evaluate the efficacy of a 12-week treatment with naronapride compared to placebo on disease signs and symptoms in participants with at least moderate idiopathic or diabetic gastroparesis. |
Évaluer l’efficacité d’un traitement de 12 semaines par naronapride par rapport à un traitement par placebo des signes et des symptômes chez des participants présentant au moins une gastroparésie idiopathique ou diabétique d’intensité modérée. |
|
E.2.2 | Secondary objectives of the trial |
To determine the optimal dose-level of naronapride after completion of a 12-week treatment in participants with at least moderate idiopathic or diabetic gastroparesis, To evaluate safety and tolerability of naronapride compared to placebo in participants with at least moderate idiopathic or diabetic gastroparesis |
Déterminer la dose optimale de naronapride à la fin d’un traitement de 12 semaines chez des participants présentant au moins une gastroparésie idiopathique ou diabétique d’intensité modérée. Évaluer l’innocuité et tolérance du naronapride par rapport à un traitement par placebo chez des participants présentant au moins une gastroparésie idiopathique ou diabétique d’intensité modérée.
|
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
- Men and women between ≥18 and ≤75 years of age -History of idiopathic or diabetic gastroparesis cardinal symptoms for ≥3 months -Evidence of delayed gastric emptying -Average weekly total symptom score of ≥2.0 - Body Mass Index ≥16 and <35 kg/m2 - Exclusion of any mechanical and/or anatomical obstructions, stenosis, structural diseases, or gastric ulcers by upper gastrointestinal endoscopy/an imaging technique
|
- Hommes et femmes âgés de ≥18 à ≤75 ans. -Histoire de symptômes cardinaux de gastroparésie idiopathique ou diabétique depuis ≥3 mois. -Démonstration d'un retard de vidange gastrique. -Score total hebdomadaire moyen des symptômes de ≥2,0. - Indice de masse corporelle ≥16 et <35 kg/m2 - Exclusion de toute obstruction mécanique et/ou anatomique, sténose, maladie structurelle ou ulcère gastrique par endoscopie gastro-intestinale supérieure/technique d'imagerie.
|
|
E.4 | Principal exclusion criteria |
-Participants without access to an internet-capable terminal and/or without an own e-mail address -History of major gastrointestinal surgery -Intrapyloric botulinum toxin injection within 12 months -Gastric stimulator implant -Known secondary causes of gastroparesis -Presence of inflammatory bowel disease, eosinophilic oesophagitis, or reflux oesophagitis, acute gastritis
|
-Les participants n'ayant pas accès à un terminal compatible avec l'Internet et/ou ne disposant pas d'une adresse électronique personnelle. antécédents de chirurgie gastro-intestinale majeure -Injection intrapylorique de toxine botulique dans les 12 mois. -Implantation d'un stimulateur gastrique -Causes secondaires connues de la gastroparésie -Présence d'une maladie inflammatoire de l'intestin, d'une oesophagite éosinophile ou d'une oesophagite par reflux, d'une gastrite aiguë. |
|
E.5 End points |
E.5.1 | Primary end point(s) |
Change of the average weekly total symptom score from BSL (visit 2) to EOT/WD (visit 6) |
Changement du score total hebdomadaire moyen des symptômes entre le BSL (visite 2) et l'EOT/WD (visite 6) |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
visit 6 (Day 85) |
Visit 6 (Jour 85) |
|
E.5.2 | Secondary end point(s) |
-Change of the modified average weekly total symptom score from BSL (visit 2) to EOT/WD (visit 6) -Change of the average weekly symptom score for nausea/early satiety/postprandial fullness/upper abdominal pain/number of vomiting episodes/bloating from BSL to EOT/WD
|
-Changement du score total hebdomadaire moyen modifié des symptômes entre le BSL (visite 2) et l'EOT/WD (visite 6). -Changement du score hebdomadaire moyen de symptômes pour les nausées, la satiété précoce, la plénitude postprandiale, les douleurs abdominales hautes, le nombre d'épisodes de vomissement et les ballonnements, entre la date de début du traitement et la date de fin du traitement. |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
visit 6 (Day 85) |
Visit 6 (Jour 85) |
|
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 | Yes |
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 | Yes |
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) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
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 | 4 |
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 | 7 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 41 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
Austria |
France |
Poland |
Netherlands |
Switzerland |
Germany |
Belgium |
United Kingdom |
|
E.8.7 | Trial has a data monitoring committee | Yes |
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 | 24 |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial months | 24 |