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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01953081
Registration number
NCT01953081
Ethics application status
Date submitted
25/09/2013
Date registered
30/09/2013
Titles & IDs
Public title
A Randomized, Double-Blind Study to Evaluate the Safety, Tolerability, and Pharmacodynamics of a Single Dose of Intravenous TD-8954 Compared With Metoclopramide in Critically Ill Patients With Enteral Feeding Intolerance
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Scientific title
A Randomized, Double-Blind Study to Evaluate the Safety, Tolerability, and Pharmacodynamics of a Single Dose of Intravenous TD-8954 Compared With Metoclopramide in Critically Ill Patients With Enteral Feeding Intolerance
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Secondary ID [1]
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0082
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Enteral Feeding Intolerance
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Condition category
Condition code
Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Experimental: TD-8954 - TD-8954 single infusion for 1 hour and 4 injections of saline every 6 hours
Active comparator: Metoclopramide - Metoclopramide 4 doses every 6 hours for 24 hours and 1 hour infusion of saline
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Adverse Events
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Assessment method [1]
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the number of subjects reporting adverse events by treatment group
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Timepoint [1]
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6 Days
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Primary outcome [2]
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Gastric Retention by Scintigraphy
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Assessment method [2]
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Number of subjects with retention less than 13% at 180 minutes after dosing.
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Timepoint [2]
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180 minutes
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Secondary outcome [1]
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Tmax
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Assessment method [1]
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Time to maximal concentration in plasma
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Timepoint [1]
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72 hours
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Secondary outcome [2]
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AUC
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Assessment method [2]
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Area under the plasma concentration time curve from 0 to 72 hours after dosing.
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Timepoint [2]
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72 hours
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Secondary outcome [3]
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Cmax
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Assessment method [3]
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Maximum plasma concentration
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Timepoint [3]
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72 hours
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Secondary outcome [4]
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Gastric Emptying by Breath Test
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Assessment method [4]
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Time to 1/2 gastric emptying by breath test
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Timepoint [4]
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180 minutes
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Secondary outcome [5]
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Percentage Gastric Retention by Scintigraphy at 60 Minutes Postdose
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Assessment method [5]
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Mean gastric retention percentage after dosing.
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Timepoint [5]
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60 minutes
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Secondary outcome [6]
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Percentage Gastric Retention by Scintigraphy at 120 Minutes Postdose
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Assessment method [6]
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Mean gastric retention percentage after dosing.
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Timepoint [6]
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120 minutes
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Secondary outcome [7]
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Percentage of Gastric Retention by Scintigraphy at 240 Minutes Postdose
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Assessment method [7]
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Mean gastric retention percentage after dosing.
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Timepoint [7]
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240 minutes
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Eligibility
Key inclusion criteria
* Intubated, on mechanical ventilation, and anticipated to remain on mechanical ventilation for 2 days after enrollment into the study
* Receiving enteral feeding and assessed to have developed EFI, as defined by a GRV measurement =250 mL within the 24 hours before randomization
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Minimum age
18
Years
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Maximum age
85
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* History of diabetic or idiopathic gastroparesis
* Screening blood glucose >15 mmol/L (270 mg/dL) while receiving insulin
* Impaired renal function, as defined by estimated glomerular filtration rate (eGFR) <30 mL/min, as determined by the Cockcroft-Gault formula -Bilirubin concentration in blood >2 times the upper limit of normal
* ALT or AST >3 times upper limit of normal
* Alkaline phosphatase >2 times upper limit of normal
* Contraindication to enteral feeding
* Opioid or other drug overdose as the primary reason for admission to Intensive Care Unit (ICU)
* Receipt of a drug that can be used as a gastric prokinetic agent
* Receipt of agents known to directly influence the 5 HT4/acetylcholine prokinetic mechanism
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/01/2014
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/10/2014
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Sample size
Target
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Accrual to date
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Final
13
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Recruitment in Australia
Recruitment state(s)
SA
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Recruitment hospital [1]
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Royal Adelaide Hospital - Adelaide
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Recruitment postcode(s) [1]
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- Adelaide
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Takeda
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Address
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Country
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Other collaborator category [1]
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Commercial sector/industry
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Name [1]
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Theravance Biopharma
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
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Summary
Brief summary
This study is being conducted to evaluate the safety, tolerability and early efficacy of IV TD 8954 compared to metoclopramide in critically ill subjects, aged 18 to 85 years, who are admitted to the intensive care require mechanical ventilation, and are intolerant to enteral feeding.
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Trial website
https://clinicaltrials.gov/study/NCT01953081
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Trial related presentations / publications
Chapman MJ, Jones KL, Almansa C, Barnes CN, Nguyen D, Deane AM. Blinded, Double-Dummy, Parallel-Group, Phase 2a Randomized Clinical Trial to Evaluate the Efficacy and Safety of a Highly Selective 5-Hydroxytryptamine Type 4 Receptor Agonist in Critically Ill Patients With Enteral Feeding Intolerance. JPEN J Parenter Enteral Nutr. 2021 Jan;45(1):115-124. doi: 10.1002/jpen.1732. Epub 2020 Jan 28.
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Public notes
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Contacts
Principal investigator
Name
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Daniel Canafax, PharmD, FCCP
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Address
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Theravance Biopharma, US, Inc.
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT01953081