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Identification of patients with non-d, non-C irritable bowel syndrome and treatment with renzapride: an exploratory, multicenter, randomized, double-blind, placebo-controlled clinical trial.

Abstract
This was an exploratory study of renzapride in 168 male and female patients with non-D, non-C irritable bowel syndrome (IBS). Patients were randomized to placebo or renzapride (1, 2, or 4 mg/day) for 8 weeks. The primary efficacy variable was patient-reported satisfactory relief of IBS symptoms. Secondary variables included relief of abdominal pain/discomfort. The proportion of patients reporting satisfactory relief of their IBS symptoms for at least 50% of the time did not differ significantly from those on placebo. However, post hoc analysis in women showed differences in responder rate on renzapride versus placebo of 18.2% (95% CI -5% to 42%; P = 0.066) during weeks 1-4 and 6% (95% CI -21% to 33%; P = 0.339) during weeks 5-8. Renzapride was well tolerated and most adverse events were mild to moderate in intensity. Further studies are warranted to determine whether renzapride is beneficial in this patient population.
AuthorsR C Spiller, N L Meyers, R I Hickling
JournalDigestive diseases and sciences (Dig Dis Sci) Vol. 53 Issue 12 Pg. 3191-200 (Dec 2008) ISSN: 0163-2116 [Print] United States
PMID18465239 (Publication Type: Journal Article, Multicenter Study, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)
Chemical References
  • Benzamides
  • Bridged Bicyclo Compounds, Heterocyclic
  • Serotonin 5-HT3 Receptor Antagonists
  • Serotonin 5-HT4 Receptor Agonists
  • Serotonin Antagonists
  • renzapride
Topics
  • Adult
  • Benzamides (therapeutic use)
  • Bridged Bicyclo Compounds, Heterocyclic (therapeutic use)
  • Defecation (physiology)
  • Dose-Response Relationship, Drug
  • Double-Blind Method
  • Electrocardiography
  • Female
  • Humans
  • Irritable Bowel Syndrome (classification, drug therapy, physiopathology)
  • Male
  • Middle Aged
  • Serotonin 5-HT3 Receptor Antagonists
  • Serotonin 5-HT4 Receptor Agonists
  • Serotonin Antagonists (therapeutic use)
  • Treatment Outcome

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