Status:

COMPLETED

Clinical Approaches to Ileal Pouch Dysfunction

Lead Sponsor:

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

Conditions:

Pouchitis

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

Total proctocolectomy and ileal pouch-anal anastomosis is the surgical treatment of choice for patients with medically refractory ulcerative colitis, ulcerative colitis with dysplasia or cancer, and p...

Eligibility Criteria

Inclusion

  • (must meet ALL of the following criteria);
  • Having a history of UC and more than 1 year from TPC/IPAA
  • Meet diagnostic criteria of IPS, i.e.
  • Symptoms of diarrhea and abdominal pain, with PDAI symptoms score \> (range 2-6).
  • Duration of symptoms \> 12 weeks in the preceding 12-months period
  • Pouch endoscopy shows no evidence of inflammation of the ileal pouch and rectal cuff
  • No antibiotic therapy, aspirin, or non-steriodal anti-inflammatory drugs for 2 weeks prior to entry into the study; no antidepressant and or anti-anxiety medicines for at least 4 weeks.

Exclusion

  • (may meet ANY of the following criteria);
  • A history of development of side effects from amitriptyline
  • IPAA for FAP; celiac disease; chronic pouchitis; Crohn's disease; pouch stricture or anastomotic leak
  • Urinary retention, glaucoma, use of MAO inhibitors within past 14 days; acute recovery phase following myocardial infarction; pregnancy
  • Psychiatric disorder, including major depression, which requires medical therapy

Key Trial Info

Start Date :

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 1 2007

Estimated Enrollment :

64 Patients enrolled

Trial Details

Trial ID

NCT00293553

End Date

December 1 2007

Last Update

March 18 2010

Active Locations (1)

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1

Cleveland Clinic Foundation

Cleveland, Ohio, United States, 44195