Mosapride Citrate Injection for Postoperative Gastrointestinal Dysfunction
Mosapride Citrate Injection(high)
+ Mosapride Citrate Injection(low)
+ Placebo
Treatment Study
Summary
Study start date: October 18, 2024
Actual date on which the first participant was enrolled.This study aims to find out how effective a drug called mosapride citrate is in treating gastrointestinal problems that can happen after surgery. These problems can make recovery harder for patients, so finding a good treatment is important. The study involves people who have had surgery and are experiencing these digestive issues. By testing mosapride citrate, researchers hope to offer a better solution to help these patients recover faster and more comfortably. Participants in the study go through three main phases: a screening period before their surgery, a treatment period lasting 3 to 5 days, and a follow-up period of 7 days. During the treatment phase, participants receive either the mosapride citrate injection or a placebo, which is an inactive substance, to compare the effects. They are divided into groups randomly to ensure fair results. The study carefully monitors participants to see how well the treatment works and checks for any side effects or improvements in their condition.
Protocol
This section provides details of the study plan, including how the study is designed and what the study is measuring.150 patients to be enrolled
Total number of participants that the clinical trial aims to recruit.Treatment Study
Eligibility
Researchers look for people who fit a certain description, called eligibility criteria: person's general health condition or prior treatments.Any sex
Biological sex of participants that are eligible to enroll.From 18 to 75 Years
Range of ages for which participants are eligible to join.Healthy volunteers not allowed
If individuals who are healthy and do not have the condition being studied can participate.Criteria
Inclusion Criteria: 1)Voluntary participation and signing of informed consent; 2\) Aged ≥18 years and ≤75 years and BMI≤28kg/m2, regardless of gender; 3\) Patients undergoing elective laparoscopic-assisted intestinal resection and the surgical site is part of the intestinal segment from the ileocecal region to the sigmoid colon; 4\) Vital organ functions meet the following requirements:iver function: ALT and AST≤3×ULN, total bilirubin level≤2×ULN; Renal function: serum creatinine (Cr)≤1.5×ULN or creatinine clearance≥50mL/min (when Cr\>1.5×ULN); Blood routine examination: hemoglobin (HGB)≥80g/L; Blood biochemistry: albumin (ALB)≥30g/L; 5\) Those classified as physical condition 1 to 3 by the American Society of Anesthesiologists (ASA). Exclusion Criteria: 1\) Patients with a history of clinically significant drug allergy or known allergy to the study drug ingredients and excipients; 2)Those who have a history of severe heart, lung, liver, kidney, blood, endocrine, immune, skin, neurological or mental diseases in the past two years or currently have diseases of the above systems; 3\) Those with a history of drug abuse in the past 6 months; 4\) Those with a history of constipation in the past 6 months (less than 3 bowel movements per week); 5\) Severe mechanical intestinal obstruction that is not expected to be relieved after surgery, short bowel syndrome, significant gastrointestinal motility disorders (such as gastroparesis, scleroderma, chronic intestinal pseudo-obstruction), poorly controlled Those with diabetes (HbA1c\>8.5%) or gastrointestinal pacemakers installed in their bodies; 6\) Patients with inflammatory bowel disease (ulcerative colitis or Crohn's disease) and intestinal adhesions; 7\) Those who have undergone major abdominal surgery (such as gastrectomy, gastric bypass, sleeve gastrectomy, gastric band surgery, Whipple surgery, pancreatectomy, colectomy, hemicolectomy); 8\) QTcF interval: ≥450 milliseconds for men and ≥470 milliseconds for women (the QT interval must be corrected for heart rate using the Fridericia formula \[QTcF\]); 9\) Patients who received chemotherapy within 4 weeks before surgery; 10\) Those who are scheduled for emergency surgery or undergo any of the following surgeries: appendectomy, low anterior resection, colostomy, ileostomy, or stoma reversal, or diagnosed with needing proctocolectomy/low anterior resection Subjects whose disease may cause impaired rectal function or postoperative incontinence (except for lesions that do not involve the sigmoid colon and above); 11\) Within 3 days before the first dose, patients had received stimulants such as alvimopan, erythromycin, prucalopride, metoclopramide, domperidone, cisapride, mosapride, renzapride or azithromycin. Gastrointestinal motility drugs; 12\) Pregnant or lactating women, as well as those who plan to become pregnant or donate sperm or eggs during the study period and within 3 months after the end of the study, and are unwilling to use a medically recognized contraceptive measure (such as intrauterine contraceptive device or contraceptive) during the study period. sets); 13\) Participated in other clinical trials within 3 months before enrollment; 14\) Other subjects deemed unsuitable for inclusion by the researcher.
Study Plan
Find out more about all the medication administered in this study, their detailed description and what they involve.3 intervention groups are designated in this study
33.333% chance of being blinded to the placebo group
Treatment Groups
Group I
ExperimentalGroup II
ExperimentalGroup III
PlaceboStudy Objectives
Primary Objectives
Study Centers
These are the hospitals, clinics, or research facilities where the trial is being conducted. You can find the location closest to you and its status.This study has 2 locations
Shandong New Time Pharmaceutical Co., LTD
Feixian, ChinaOpen Shandong New Time Pharmaceutical Co., LTD in Google MapsTongji Hospital Affiliated to Tongji Medical College Hust
Wuhan, China