Efficacy and Tolerability of α-galactosidase in Treating Gas-related Symptoms in Children
Study Details
Study Description
Brief Summary
The aim of this study was to evaluate the efficacy and tolerability of α-galactosidase in pediatric patients with predominant gas-related symptoms.
Condition or Disease | Intervention/Treatment | Phase |
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Phase 4 |
Detailed Description
Most patients with functional gastrointestinal disorders complain of gas-related symptoms which can negatively affect quality of life, even in pediatric age.
Dietary and life-style changes, administration of simethicone, activated charcoal and probiotics may reduce intestinal gas but often results are unsatisfactory.
Literature shows that α-galactosidase is effective to reduce gas production and related symptoms in adults.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Placebo Comparator: placebo
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Dietary Supplement: Placebo
Treatment was administered at the beginning of each meal (3 times a day) for 2 weeks:
children < 20kg: 4 drops;
children > 20kg and < 40kg: 8 drops;
children > 40kg: 1 tablet.
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Experimental: α-galactosidase
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Dietary Supplement: α-galactosidase
Treatment was administered at the beginning of each meal (3 times a day) for 2 weeks:
children < 20kg: 4 drops;
children > 20kg and < 40kg: 8 drops;
children > 40kg: 1 tablet.
Other Names:
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Outcome Measures
Primary Outcome Measures
- Efficacy [5 weeks of observation]
Global distress associated with gas-related symptoms (bloating, flatulance, abdominal distension and abdominal spasm): data collected by parents or patients on a daily diary chart, 3 time/daily by using a validated visual score scale (Faces Pain Scale-Revised).
Secondary Outcome Measures
- Clinical tolerability [treatment: 2 weeks]
Recording of all Adverse Events (AEs) occurred during the 2 weeks of treatment
- Efficacy [5 weeks of observation (baseline: 1 week; treatment: 2 weeks; follow-up: 2 weeks)]
Frequency and intensity (6 point scale: 0=absent; 5=very severe)of bloating, flatulance, visible distension, spasms. Data were collected by parents or patients on a daily diary chart.
- Efficacy [5 weeks of observation (baseline: 1 week; treatment: 2 weeks; follow-up: 2 weeks)]
Physician's overall evaluation: 4 point scale (from completed/marked improvement to worse).
Eligibility Criteria
Criteria
Inclusion Criteria:
- pediatric out-patients with gas-related disturbances at least once per week over the last 12 weeks.
Exclusion Criteria:
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suspected episodes of hypersensitivity or allergy;
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chronic organic disorders (by clinical history, physical examination, laboratory tests);
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use of drug affecting the GI motility during the previous 4 weeks;
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inability of the parent to comprehend the full nature and purpose of the study and unwillingness to co-operate with the Investigator.
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- Azienda Policlinico Umberto I
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- α-galactosidase