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Enema Flush Regimen for Constipation
Phase 4
Recruiting
Led By Kate Hawa, DO
Research Sponsored by Indiana University
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Be younger than 65 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up at baseline and 8 months post-mace
Awards & highlights
Pivotal Trial
No Placebo-Only Group
Drug Has Already Been Approved
Summary
This trial will analyze changes in gut bacteria in constipated children before and after a type of enema and enema flushes. Bacteria will be studied using fecal samples.
Who is the study for?
This trial is for pediatric patients with severe, treatment-resistant constipation who will undergo a procedure called antegrade continence enema at Riley Hospital for Children. They should have normal colonic movement and not have had any GI surgery or used probiotics, prebiotics, or antibiotics in the last month.
What is being tested?
The study looks at how the fecal microbiome (the community of bacteria in poop) changes after kids start using bowel flushes with PEG 3350 or Golytely following an antegrade continence enema placement. Their poop is tested before and then several times up to 8 months after starting treatment.
What are the potential side effects?
Possible side effects from bowel flushes include abdominal pain, bloating, nausea, diarrhea, and possible allergic reactions to ingredients in PEG solutions like electrolytes.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ at baseline and 8 months post-mace
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~at baseline and 8 months post-mace
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Change in Fecal Microbiome at 1 month
Change in Fecal Microbiome at 4 months
Change in Fecal Microbiome at 8 months
Secondary study objectives
Effect of Bowel Regimen Solution on Fecal Bacterial Diversity
Effect of Glycerin on Fecal Microbiome Diversity
Effect of Redundant Sigmoid Colon on Microbiome Diversity
Awards & Highlights
Pivotal Trial
The final step before approval, pivotal trials feature drugs that have already shown basic safety & efficacy.
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Drug Has Already Been Approved
The FDA has already approved this drug, and is just seeking more data.
Trial Design
2Treatment groups
Experimental Treatment
Group I: PEG 3350 with electrolytesExperimental Treatment2 Interventions
Patients will receive PEG 3350 with electrolytes (Go-Lytely or generic equivalent) for their MACE flushes.
Group II: PEG 3350Experimental Treatment2 Interventions
Patients will receive PEG 3350 (miralax or generic equivalent) for their MACE flushes.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Glycerin
2017
N/A
~10
PEG 3350
2013
Completed Phase 4
~20
Find a Location
Who is running the clinical trial?
Indiana UniversityLead Sponsor
1,044 Previous Clinical Trials
1,316,804 Total Patients Enrolled
3 Trials studying Constipation
5,139 Patients Enrolled for Constipation
Kate Hawa, DOPrincipal InvestigatorRiley Hospital for Children
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I have a severe stomach or intestine disease not caused by my chronic constipation.I need a special procedure for my severe constipation not responding to other treatments.I have used probiotics, prebiotics, or antibiotics in the last month.I have a physical reason for my constipation.I have had surgery on my digestive system before.My bowel movements are normal according to tests.
Research Study Groups:
This trial has the following groups:- Group 1: PEG 3350
- Group 2: PEG 3350 with electrolytes
Awards:
This trial has 3 awards, including:- Pivotal Trial - The final step before approval, pivotal trials feature drugs that have already shown basic safety & efficacy.
- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
- Drug Has Already Been Approved - The FDA has already approved this drug, and is just seeking more data.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.