Status:
COMPLETED
Safety and Efficacy of TU-100 as an Adjunct to an Enhanced Recovery After Surgery in Subjects Undergoing Bowel Resection
Lead Sponsor:
Tsumura USA
Conditions:
Enhanced Recovery After Surgery
Eligibility:
All Genders
18+ years
Phase:
PHASE2
Brief Summary
This multicenter, randomized, double-blinded, placebo-controlled study will evaluate the effect of TU-100 on resolution of postoperative ileus (POI) in subjects undergoing open or laparoscopic bowel r...
Detailed Description
Subjects will be screened up to 28 days before their planned surgery and will be randomized 1:1:1 (TU-100 15 g/day: TU-100 7.5 g/day: placebo) on postoperative Day 1 before the first dose of study med...
Eligibility Criteria
Inclusion
- Male or female ≥ 18 years of age
- Women of childbearing potential (WOCBP) or men whose sexual partners are WOCBP; must be able and willing to use at least 1 highly effective method of contraception during the study and for 30 days after the last dose of study drug
- American Society of Anesthesiologists Physical Status Score of 1 to 3
- Scheduled for an elective BR via open or laparoscopic approach
- Ability to understand the study procedures, have agreed to participate in the study program, and have voluntarily provided informed consent
Exclusion
- Scheduled for a BR that is not listed in this protocol
- Requires any additional resections beyond the intestine (eg, hepatectomy, distal pancreatectomy, pancreaticoduodenectomy, gastric resection, uterine resection), or concomitant surgeries (with the exception of biopsies)
- Requires the formation of a stoma (ileostomy or colostomy)
- History of surgeries, illness, or behavior (eg, depression, psychosis) that in the opinion of the investigator might confound the study results or pose additional risk in administering the study procedures
- Have a functional colostomy or ileostomy
- Diagnosed with advanced or metastatic colon cancer (Stage IV by tumor, node, and metastasis classification)
- Positive coronavirus disease 2019 (COVID-19) test
- Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection (including human immunodeficiency virus (HIV)), diabetes, symptomatic congestive heart failure and ejection fraction \< 35%, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with protocol requirements
- Chronic pain syndrome unrelated to the planned surgery requiring consistent management with analgesics and/or other non-pharmacologic modalities
- Myocardial infarction within 3 months
- Corrected QT interval \> 500 msec
- Diabetic gastroparesis
- Compromised immune system, either from treatment with corticosteroids or other immunosuppressive agent within 2 weeks of surgery or from immunosuppressive disease (HIV)
- Pregnant (identified by a positive serum pregnancy test) or lactating, or are not postmenopausal (no menses for at least 1 year) and are of childbearing potential and not using an accepted method of birth control (surgical sterilization, intrauterine contraceptive device, oral contraceptive, diaphragm, or condom in combination with contraceptive cream, jelly, or foam or abstinence)
- Participated in another investigational drug/biologic or medical device study within 30 days of surgery or will be enrolled in another investigational drug or medical device study, or any study in which active subject participation is required outside routine hospital data collection during the course of the study
- Illicit drug use or alcohol abuse based on medical history, or currently engaged in illicit drug use or alcohol abuse
- Uses of supplemental ginger, ginseng, or Zanthoxylum fruit within 72 hours before randomization
- Has a history of allergic reactions to ginseng, ginger, Zanthoxylum fruit, or lactose
- Has clinical symptoms of lactose intolerance after ingesting milk or milk-containing products (abdominal pain, flatulence, diarrhea)
- Unwilling or unable to comply with procedures described in this protocol or is otherwise unacceptable for enrollment in the opinion of the investigator
- Has a history of previous surgeries, illness (interstitial pneumonia), or behavior (depression, psychosis) that, in the opinion of the investigator, might confound the study results or pose additional risk in administering the study procedures
Key Trial Info
Start Date :
July 29 2021
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
May 1 2024
Estimated Enrollment :
402 Patients enrolled
Trial Details
Trial ID
NCT04742907
Start Date
July 29 2021
End Date
May 1 2024
Last Update
April 16 2025
Active Locations (36)
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1
Florence Site
Florence, Alabama, United States, 35630
2
Gilbert Site
Gilbert, Arizona, United States, 85234
3
Little Rock Site
Little Rock, Arkansas, United States, 72205
4
Duarte Site
Duarte, California, United States, 91010