Status:

COMPLETED

Duloxetine in Patients With Suspected Functional Pancreatic/Biliary Pain (Sphincter of Oddi Dysfunction)

Lead Sponsor:

Medical University of South Carolina

Conditions:

Sphincter of Oddi Dysfunction

Eligibility:

All Genders

18-65 years

Phase:

PHASE3

Brief Summary

Open-label single center study of duloxetine in patients with SOD who have failed to respond to the standard treatments. This protocol is designed to explore the tolerability and efficacy of Duloxeti...

Detailed Description

SOD is a disorder involving the bile duct or pancreas causing a burning pain or cramping in the epigastric (upper stomach) area that can radiate (spread) to the back or under the right shoulder blade....

Eligibility Criteria

Inclusion

  • INCLUSION CRITERIA:
  • Patients referred to MUSC pancreatico-biliary service for investigation/ mgt of functional upper abdominal pain symptoms;
  • No clinically significant medical condition(s) as determined by the investigator;
  • Symptom severity. At least 2 pain attacks in the previous month, with severity of at least 4/10 on the RAPID Start scale;
  • Prior cholecystectomy;
  • Age 18-65\*;
  • Functional pain characteristics as defined by Rome III Criteria;
  • Structural causes of pain excluded by standard imaging and laboratory investigations;
  • No clinically significant ECG results as determined by the investigator;
  • All patients will give verbal and written Informed consent;
  • Female patients must use an acceptable form of contraception, or be 2 years postmenopausal or surgically sterile\*; and
  • Geographically accessible for follow-up visits
  • EXCLUSION CRITERIA:
  • History of/current psychosis, bipolar disorder, suicidal ideation or judged to be a significant suicide risk, as determined via baseline psychiatric assessment utilizing the MINI interview
  • History of alcohol or any psychoactive substance abuse or dependence within the past 6 months, as determined via baseline psychiatric assessment utilizing the MINI interview
  • Abnormal Liver Function Tests (\> 3 x ULN)
  • Known hypersensitivity to Duloxetine or any of the inactive ingredients
  • Treatment with a monoamine oxidase inhibitor (MAOI) within 14 days of randomization or potential need to use an MAOI during study or within 5 days of discontinuation of study drug
  • Treatment with fluoxetine (deleted MAOI) within 30 days of medication start date
  • Treatment with excluded medications within 7 days prior to study medication start-up date
  • Serious medical illness, including any cardiovascular, hepatic, renal respiratory hematologic, endocrinologic or neurologic disease, or significant laboratory abnormality as judged by study physician/investigator.
  • Uncontrolled narrow-angle glaucoma
  • Acute liver injury (such as hepatitis) or severe cirrhosis
  • Prior lack of tolerability to duloxetine
  • Pregnancy and breastfeeding
  • Participation in the study is approximately 4 months. There are 4 clinic visits and 2 telephone visits.

Exclusion

    Key Trial Info

    Start Date :

    July 1 2006

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    March 1 2012

    Estimated Enrollment :

    18 Patients enrolled

    Trial Details

    Trial ID

    NCT00471315

    Start Date

    July 1 2006

    End Date

    March 1 2012

    Last Update

    February 6 2014

    Active Locations (1)

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    Digestive Disease Center, Medical University of South Carolina

    Charleston, South Carolina, United States, 29425