Treatment of bowel dysfunction after surgery for rectal cancer using transanal irrigation or laxatives

2024-519492-25-01 Phase III and Phase IV (Integrated) Ended

Start 24 Jul 2019 · End 13 Apr 2026 · Status Ended · 1 EU/EEA countries · 3 sites

Overview

Sponsor-declared trial summary

Phase Phase III and Phase IV (Integrated)
Status Ended
Participants planned 114
Countries 1
Sites 3

Low Anterior Resection Syndrome

To investigate if patients who experience unsatisfactory improvement of bowel function and QOL by the end of the RCT when treated with glycerol suppositories, will improve on these parameters when treated with TAI and vice versa.

Key facts

Sponsor
Region Midtjylland
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Digestive System Diseases [C06]
Trial duration
24 Jul 2019 → 13 Apr 2026
Decision date (initial)
2025-01-10
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes
Funding sources
Qufora A/S

External identifiers

EU CT number
2024-519492-25-01
EudraCT number
2019-001913-17

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy

To investigate if patients who experience unsatisfactory improvement of bowel function and QOL by the end of the RCT when treated with glycerol suppositories, will improve on these parameters when treated with TAI and vice versa.

Conditions and MedDRA coding

Low Anterior Resection Syndrome

VersionLevelCodeTermSystem organ class
20.1 PT 10080023 Low anterior resection syndrome 100000004863

Regulatory references

Plan to share IPD
No
EU CT numberTitleSponsor
2024-519492-25-00 Comparison of transanal irrigation and glycerol suppositories in treatment of Low Anterior Resection Syndrome Region Midtjylland

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. 1. Patients electively treated for rectal cancer with a low anterior resection. 2. Unsuccessful PCT after at least 4 weeks of treatment for LARS (LARS score >29 at evaluation). 3. At least 3 months after surgery (including reversal of a temporary loop-ileostomy). 4. Age  18 years 5. Ability to understand written and spoken language actual for the including site (due to questionnaire validity).

Exclusion criteria 1

  1. 1. Former use of TAI 2. Prior systematic use of rectal emptying aids 3. Anastomotic stenosis 4. History of anastomotic leakage 5. Current metastatic disease or local recurrence 6. Ongoing oncological treatment 7. Postoperative radiotherapy for rectal cancer 8. Previous or current cancer in other pelvic organs than the rectum 9. Underlying diarrhoeal disease 10. Inflammatory bowel disease 11. Dementia 12. Spinal cord injury, multiple sclerosis, Parkinson’s disease or other significant neurologic disease assessed to be a contributory cause to LARS symptoms. 13. Inability of patient to use TAI 14. Inability and unwillingness to give informed consent 15. Pregnancy or intention to become pregnant during the trial period

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. The primary endpoint will be change of the main symptom score assessed by the Measure Yourself Medical Outcome Profile (MYMOP) score comparing the TAI group to the glycerol suppository group.

Secondary endpoints 1

  1. 1. Assessment of bowel function with the LARS Score (27) and the Memorial Sloan-Kettering Cancer Centre (MSKCC) Bowel Function Instrument (BFI) (28)). 2. Assessment of the faecal incontinence status with The St. Mark’s Incontinence Score (29). 3. Assessment of QOL and bowel function-related QOL with the EORTC QLQ-C30 and EORTC QLQ-CR29 (30,31). 4. Assessment of urinary function with The International Consultation on Incontinence Questionnaire Male/Female Lower Urinary Tract Symptoms (ICIQ-M/F-L

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Glycerol "OBA", suppositorier

PRD1713933 · Product

Active substance
Glycerol
Pharmaceutical form
SUPPOSITORY
Route of administration
RECTAL USE
Max daily dose
1.2 g gram(s)
Max total dose
100.8 g gram(s)
Max treatment duration
12 Week(s)
Authorisation status
Authorised
ATC code
A06AX01 — GLYCEROL
Marketing authorisation
8100
MA holder
OBA-PHARMA APS
MA country
Denmark
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Region Midtjylland

Sponsor organisation
Region Midtjylland
Address
Palle Juul-Jensens Boulevard 99
City
Aarhus N
Postcode
8200
Country
Denmark

Scientific contact point

Organisation
Region Midtjylland
Contact name
Peter Christensen

Public contact point

Organisation
Region Midtjylland
Contact name
Peter Christensen

Third parties 1

OrganisationCity, countryDuties
Aarhus Universitet
ORG-100028380
Aarhus N, Denmark On site monitoring, Code 8, Code 9

Locations

1 EU/EEA country · 3 investigational sites

By country

CountryMS statusPlanned subjectsSites
Denmark Ended 114 3
Rest of world 0

Investigational sites

Denmark

3 sites · Ended
Region Nordjylland
Department of Surgery, Moelleparkvej 10, 9000, Aalborg
Region Hovedstaden
Department of Surgery, Herlev Ringvej 75, 2730, Herlev
Region Midtjylland
Department of Surgery, Palle Juul-Jensens Boulevard 99, 8200, Aarhus N

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Denmark 2019-07-24 2019-09-17

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 7 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) protocol 1
Recruitment arrangements (for publication) REC 1
Subject information and informed consent form (for publication) Deltagerinformation_kliniskprospektivt studie_25082022 1
Subject information and informed consent form (for publication) Deltagerinformation_RCT_25082022 1
Subject information and informed consent form (for publication) Samtykkeerklringkliniskprospektivtstudie 1
Subject information and informed consent form (for publication) SamtykkeerklringRCT 1
Summary of Product Characteristics (SmPC) (for publication) Produktresume_Referencedokument 1

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-12-18 Denmark Acceptable
2024-12-23
2025-01-10