This phase IIa study is designed as a multi-centre, multinational, randomised, double-blind, placebo controlled study in three parallel groups, with the aim to evaluate the efficacy and safety of Nepadutant given at two oral doses once daily for seven days in comparison to placebo in the treatment of infantile colic.
Infant colic is a functional gastrointestinal disorders which affects up to the 30% of the infant population; it is primarily characterised by excessive inconsolable crying starting without any apparent cause and lasting for several hours per day. Current non pharmacological interventions (e.g. message, restriction in maternal diet in breast-feeding infants) and pharmacological treatments (simethicone, antimuscarinic drugs) are largely unsatisfactory. In animal models, Nepadutant reverse the exaggerated intestinal motility and sensitivity, induced by different stimuli, without producing inhibitory effects on these functions at baseline, suggesting that Nepadutant could have a therapeutic effect with no interference on physiological gastrointestinal transit. This phase IIa study is designed to evaluate the efficacy of Nepadutant paediatric oral solution given once daily at two doses in comparison to placebo. The experimental clinical phase encompasses the following periods: * Screening period (no study medication) to be done 7 to 4 days prior to randomisation * Treatment period, lasting seven days with once daily administration * Post treatment period, lasting seven days A safety follow-up visit will be performed approximately 1 month after the first administered dose.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
115
Oral administration once daily for 7 days
Oral administration once daily for 7 days
Oral administration once daily for 7 days
Dr. von Haunersches Kinderspital Ludwig Maximilians Universität München
München, Germany
Klinika Patologii Noworodkow, Niemowlat I Kardiologii, Dzieciecy Szpital Kliniczny
Lublin, Poland
Federal Scientific Clinical Center of Children Hematology, Oncology and Immunology
Moscow, Russia
Absolute Change of the Mean Daily Crying and Fussing Time for Three Consecutive Days While on Treatment Versus Baseline.
Efficacy assessment to be measured through "baby's day" diary recorded for three consecutive days while on treatment (i.e. starting from 6 pm on Day 4 and continued for 72 hours) vs baseline (i.e. starting from 6 pm on Day -4 until 1st treatment administration).
Time frame: Baseline and one week
Percentage of 'Responder' Babies at the End of Treatment Period.
Response is defined as a decrease of at least 50% of crying and fussing time during the last 3 days on treatment vs baseline.
Time frame: baseline and one week
Absolute Change in the Overall Parental Judgment After the First Dose of Treatment Versus Baseline
On a daily basis parents expressed an overall judgement on the study treatment effect based on a 6 rate categorical scale from 0 to 5 (where 0 is for "Not at all" and 5 is "Extremely". The question was "How frustrating to you was your baby's crying today?")
Time frame: 1 day
Absolute Change in the Overall Parental Judgment at the End of Treatment Versus Baseline
On a daily basis parents expressed an overall judgement on the study treatment effect based on a 6 rate categorical scale from 0 to 5 (where 0 is for "Not at all" and 5 is "Extremely". The question was "How frustrating to you was your baby's crying today?")
Time frame: 1 week
Absolute Change in the Overall Parental Judgment After Treatment Discontinuation Versus Baseline
On a daily basis parents expressed an overall judgement on the study treatment effect based on a 6 rate categorical scale from 0 to 5 (where 0 is for "Not at all" and 5 is "Extremely". The question was "How frustrating to you was your baby's crying today?")
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Moscow State Healthcare Institution Municipal Pediatric health center № 10
Moscow, Russia
Moscow State Medical University
Moscow, Russia
Federal Scientific Clinical Center of Children Hematology, Oncology and Immunology
Moscow, Russia
St. Petersburg State Pediatric Medical Academy
Saint Petersburg, Russia
St. Petersburg State Institution of Healthcare Municipal Pediatric health center № 35
Saint Petersburg, Russia
Pediatrics Department of Clinical sciences Umeå university
Umeå, Sweden
Time frame: 10 days
Safety and Tolerability Will be Assessed in Terms of Frequency and Severity of AEs as Well as Frequency of Clinically Significant Changes in Physical Examination and Lab Test.
Safety and tolerability will be assessed for the Safety Population (all patients who received the study drug) in terms of frequency and severity of AEs as well as frequency of clinically significant changes in physical examination and lab test.
Time frame: up to four weeks