Evaluation of LacTEST for the Diagnosis of Hypolactasia in Adults and Elderly Patients Presenting With Clinical Symptoms of Lactose Intolerance
Study Details
Study Description
Brief Summary
The purpose of this study is to evaluate both the impact of LacTEST on diagnostic thinking and on patient management, and its reproducibility (Test-Retest), for the diagnosis of hypolactasia in adults and elderly patients presenting with clinical symptoms of lactose intolerance.
Condition or Disease | Intervention/Treatment | Phase |
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Phase 4 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: LacTEST 0,45 g of gaxilose po, once, per diagnostic test performed. |
Drug: gaxilose
After gaxilose administration, urine collection, cuantification (firstly from 0 to 4 hours, and total urine from 0 to 5 hours), and xilose cuantification afterwards.
Other Names:
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Active Comparator: Hydrogen Breath Test 25 to 50 g of lactose po, once, per diagnostic test performed. |
Dietary Supplement: lactose
After lactose administration, expired hydrogen measurement at pre-specified intervals.
Other Names:
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Outcome Measures
Primary Outcome Measures
- Visual Analogical Scale [Through study completion, up to 10 months.]
The primary objective is to demonstrate non-inferiority of gaxilose test, compared with Hydrogen Breath Test (HBT) using a validated method (VAS results pre and post-test), on the impact on diagnostic thinking for the diagnosis of hypolactasia.
Secondary Outcome Measures
- Physician's Questionnaire [Through study completion, up to 10 months.]
To demonstrate non-inferiority of gaxilose test, compared with Hydrogen Breath Test (HBT), on the impact on patient management for the diagnosis of hypolactasia, through a Physician's Qestionnaire.
- Intraclass Correlation Coefficient [Through study completion, up to 10 months.]
To demonstrate gaxilose test reproducibility [ICC (2,1)] with urine accumulated from 0-4h after gaxilose administration, and with urine accumulated from 0-5h after gaxilose administration.
- Number of participants with treatment-related adverse events as assessed by the most recent version of MedDRA thesaurus. [Through study completion, up to 10 months.]
To assess the safety profile of both tests performed, by assessing the frecuency of treatment-related AEs.
Eligibility Criteria
Criteria
Inclusion Criteria:
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Adults of either sex, between 18 and 70 years old.
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Capacity for understanding and giving the informed consent to participate in this study.
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Patients with clinical suggestive of lactose intolerance, primary or secondary, who have not been diagnosed and that fulfil the requirements allowed by the gaxilose summary of product characteristics (SmPC).
Exclusion Criteria:
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Pregnant women or breast-feeding women.
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Unable or reticent to give the informed consent or to comply with the study requirements.
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Patients with glomerular filtration rate (GFR) less than 90 ml/min/1.73m2.
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Portal hypertension: ascites, cirrhosis.
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Medical records of total gastrectomy and/or vagotomy.
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Patients diagnosed with myxedema.
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Patients with Diabetes Mellitus.
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Patients who are participating or have participated in any clinical trial within the 3 months previous to their inclusion in the study.
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Patients who are drug abuse consumers.
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Patients under treatment with antibiotics, sulphamides and antiparasitics, who cannot suspend the treatments 7 days prior to the performance of the hydrogen breath test.
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Patients with any recognized and already existing disorder that might interfere with the any of the lactose intolerance diagnosis tests.
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Patients who have taken aspirin of indomethacin in the 48h preceding the performance of the Gaxilose test.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Hospital Universitario Marqués de Valdecilla | Santander | Cantabria | Spain | 39008 |
2 | Hospital Universitario de Getafe | Getafe | Madrid | Spain | 28905 |
3 | Hospital Universitario Doctor Josep Trueta | Girona | Spain | 17007 | |
4 | Hospital Universitario de La Princesa | Madrid | Spain | 28006 | |
5 | Hospital Universitario Ramón y Cajal | Madrid | Spain | 28034 | |
6 | Hospital Universitario Virgen de la Victoria | Málaga | Spain | 29010 |
Sponsors and Collaborators
- VenterPharma
Investigators
- Principal Investigator: Laura Crespo, MD, PhD, Hospital Universitario Ramón y Cajal
Study Documents (Full-Text)
None provided.More Information
Publications
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- Aragón JJ, Hermida C, Martínez-Costa OH, Sánchez V, Martín I, Sánchez JJ, Codoceo R, Cano JM, Cano A, Crespo L, Torres Y, García FJ, Fernández-Mayoralas A, Solera J, Martínez P. Noninvasive diagnosis of hypolactasia with 4-Galactosylxylose (Gaxilose): a multicentre, open-label, phase IIB-III nonrandomized trial. J Clin Gastroenterol. 2014 Jan;48(1):29-36. doi: 10.1097/MCG.0b013e318297fb10.
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- VPH-GXL-2013-01
- 2015-001181-26