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Efficacy and Mechanisms of Pharmacologic Treatment of Fecal Incontinence
This study is currently recruiting participants.
Verified by Department of Veterans Affairs, August 2008
Sponsored by: Department of Veterans Affairs
Information provided by: Department of Veterans Affairs
ClinicalTrials.gov Identifier: NCT00727649
  Purpose

The purpose of this study is to evaluate and compare treatment with fiber and loperamide for fecal incontinence.


Condition Intervention Phase
Fecal Incontinence
Drug: Psyllium powder
Drug: Loperamide
Phase II
Phase III

MedlinePlus related topics: Urinary Incontinence
Drug Information available for: Loperamide Loperamide hydrochloride Calcium polycarbophil Psyllium
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Double Blind (Subject, Investigator), Placebo Control, Crossover Assignment, Efficacy Study
Official Title: Efficacy and Mechanisms of Pharmacologic Treatment of Fecal Incontinence

Further study details as provided by Department of Veterans Affairs:

Primary Outcome Measures:
  • 7-day bowel diary, proportion of incontinent bowel movements [ Time Frame: 4 weeks ] [ Designated as safety issue: No ]

Estimated Enrollment: 80
Study Start Date: July 2008
Estimated Study Completion Date: July 2012
Estimated Primary Completion Date: October 2011 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Placebo Comparator
Fiber (psyllium) powder
Drug: Psyllium powder
2 teaspoons with 8 ounces of liquid daily for 28 days (weekly adjusted dose)
3: Active Comparator
Loperamide
Drug: Loperamide
1 capsule daily for 28 days (weekly adjusted dose)

Detailed Description:

Fecal incontinence (FI) affects 4-24% adults in the community and greatly impacts quality of life. Both fiber and loperamide are common, first-line treatments for diarrhea-associated FI in primary care. No known studies exist that compare fiber and loperamide for diarrhea-predominant FI. Further knowledge is needed to define which treatment is more effective and to compare drug tolerability (side effects) for FI. This study will also look at changes in quality of life with treatment and potential mechanisms of drug treatment.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • weekly fecal incontinence

Exclusion Criteria:

  • fecal impaction
  • inabililty to complete a baseline 1-week bowel diary
  • rectal prolapse
  • any prior radiation to the pelvis
  • colo-rectal cancer
  • rectal fistula
  • inflammatory bowel disease
  • neurological diseases (spinal cord injury, multiple sclerosis, Parkinson's disease)
  • constipation (<2 bowel movements/week) or total colectomy
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00727649

Contacts
Contact: Alayne Markland, DO MSc (205) 933-8101 alayne.markland@va.gov
Contact: Patricia S Goode, MD MSN BSN (205) 933-3101 ext 7306 patricia.goode@va.gov

Locations
United States, Alabama
VA Medical Center, Birmingham Recruiting
Birmingham, Alabama, United States, 35233
Contact: Alayne Markland, DO MSc     205-933-8101     alayne.markland@va.gov    
Principal Investigator: Alayne Markland, DO MSc            
Sponsors and Collaborators
Investigators
Principal Investigator: Alayne Markland, DO MSc VA Medical Center, Birmingham
  More Information

Responsible Party: Department of Veterans Affairs ( Markland, Alayne - Principal Investigator )
Study ID Numbers: B6126W
Study First Received: July 29, 2008
Last Updated: August 1, 2008
ClinicalTrials.gov Identifier: NCT00727649  
Health Authority: United States: Federal Government

Keywords provided by Department of Veterans Affairs:
fecal incontinence
adults
diarrhea

Study placed in the following topic categories:
Fecal Incontinence
Diarrhea
Gastrointestinal Diseases
Urination Disorders
Loperamide
Intestinal Diseases
Calcium polycarbophil
Rectal Diseases
Signs and Symptoms
Digestive System Diseases
Urologic Diseases
Urinary Incontinence
Psyllium

Additional relevant MeSH terms:
Urological Manifestations
Therapeutic Uses
Gastrointestinal Agents
Pharmacologic Actions
Antidiarrheals

ClinicalTrials.gov processed this record on January 14, 2009