Domperidone in Refractory Gastroparesis
Study Details
Study Description
Brief Summary
The primary objective of this study is to prescribe oral domperidone for patients with gastroparesis who have failed or suffered adverse effects from standard medical therapy.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Phase 2 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Other: Domperidone
|
Drug: Domperidone
10 mg 4 times daily 20 mg 4 times daily 30 mg 4 times daily
|
Outcome Measures
Primary Outcome Measures
- Gastroparesis Cardinal Symptom Index [upon study completion]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Male or female
-
Age 18 and older
-
Symptoms or manifestations secondary to motility disorders of the upper GI tract. These include gastroparesis, functional dyspepsia, gastroesophageal reflux disease that are refractory to standard therapy.
-
Patients must have a comprehensive evaluation to eliminate other causes of their symptoms. This includes a history and physical examination. A recent (within 3 years) evaluation of the upper GI tract with either upper endoscopy or upper GI radiographic series. Baseline blood tests suggested are electrolytes, magnesium, and prolactin level.
-
Patient has signed informed consent for the administration of domperidone that informs the patient of potential adverse events including:
-
Increased prolactin levels
-
Breast changes
-
Extrapyramidal side effects
-
Cardiac arrhythmias including QT prolongation (increased risk with the drugs listed in the appendix)
Exclusion Criteria:
-
History of, or current, arrhythmias including ventricular tachycardia, ventricular fibrillation and Torsade des Pointes. Patients with minor forms of ectopy (PACs) are not necessarily excluded.
-
Clinically significant bradycardia, sinus node dysfunction, or heart block. Prolonged QTc (QTc>450 milliseconds for males, QTc>470 milliseconds for females)
-
Clinically significant electrolyte disorders. These include significant hypokalemia, hyperkalemia, hypomagnesemia, and hypermagnesemia that cannot be corrected with treatment of these electrolyte abnormalities.
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Gastrointestinal hemorrhage or obstruction.
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Presence of a prolactinoma (prolactin-releasing pituitary tumor).
-
Pregnant or breast feedings female.
-
Known allergy to domperidone
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Yale Digestive Diseases 40 Temple St, Suite 1A | New Haven | Connecticut | United States | 06510 |
Sponsors and Collaborators
- Yale University
Investigators
- Principal Investigator: Anish A Sheth, MD, Yale University
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 0809004202
Study Results
Participant Flow
Recruitment Details | |
---|---|
Pre-assignment Detail |
Arm/Group Title | Domperidone |
---|---|
Arm/Group Description | Domperidone: 10 mg 4 times daily 20 mg 4 times daily 30 mg 4 times daily |
Period Title: Overall Study | |
STARTED | 44 |
COMPLETED | 0 |
NOT COMPLETED | 44 |
Baseline Characteristics
Arm/Group Title | Domperidone |
---|---|
Arm/Group Description | Domperidone: 10 mg 4 times daily 20 mg 4 times daily 30 mg 4 times daily |
Overall Participants | 44 |
Age (Count of Participants) | |
<=18 years | |
Between 18 and 65 years | |
>=65 years | |
Sex: Female, Male (Count of Participants) | |
Female |
35
79.5%
|
Male |
9
20.5%
|
Outcome Measures
Title | Gastroparesis Cardinal Symptom Index |
---|---|
Description | |
Time Frame | upon study completion |
Outcome Measure Data
Analysis Population Description |
---|
Data cannot be summarized or analyzed due to the lack of data being collected on the primary outcome due to the trial being terminated. |
Arm/Group Title | Domperidone |
---|---|
Arm/Group Description | Domperidone: 10 mg 4 times daily 20 mg 4 times daily 30 mg 4 times daily |
Measure Participants | 0 |
Adverse Events
Time Frame | ||
---|---|---|
Adverse Event Reporting Description | ||
Arm/Group Title | Domperidone | |
Arm/Group Description | Domperidone: 10 mg 4 times daily 20 mg 4 times daily 30 mg 4 times daily | |
All Cause Mortality |
||
Domperidone | ||
Affected / at Risk (%) | # Events | |
Total | / (NaN) | |
Serious Adverse Events |
||
Domperidone | ||
Affected / at Risk (%) | # Events | |
Total | 0/44 (0%) | |
Other (Not Including Serious) Adverse Events |
||
Domperidone | ||
Affected / at Risk (%) | # Events | |
Total | 0/44 (0%) |
Limitations/Caveats
More Information
Certain Agreements
All Principal Investigators ARE employed by the organization sponsoring the study.
There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.
Results Point of Contact
Name/Title | Anish A Sheth M.D |
---|---|
Organization | Yale University |
Phone | 203-785-4576 |
anish.sheth@yale.edu |
- 0809004202