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Efficacy and Tolerability of Buscopan Plus in Painful Gastric or Intestinal Spasms

Boehringer Ingelheim logo

Boehringer Ingelheim

Status and phase

Completed
Phase 2

Conditions

Gastrointestinal Diseases

Treatments

Drug: Buscopan® plus
Drug: Buscopan®
Drug: Placebo
Drug: Paracetamol

Study type

Interventional

Funder types

Industry

Identifiers

NCT02229786
218.202

Details and patient eligibility

About

Study to evaluate efficacy and tolerability of Buscopan® plus versus Buscopan®, paracetamol, and placebo in patients with painful gastric or intestinal spasms.

Enrollment

1,637 patients

Sex

All

Ages

18 to 70 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Male and female patients
  • Age: 18 - 70 years
  • Diagnosis: recurring painful gastric or intestinal spasms such as occur e.g. in irritable bowel syndrome, which are not organic in origin, have been present for at least 2 months, and are serious enough to interfere with everyday activities
  • Patient briefing as per §§ 40/41 of the Arzneimittelgesetz (AMG) and patient's declaration of Informed Consent in writing, in agreement with Good Clinical Practice (GCP) and current legal requirements
  • A pain assessment of 3 cm or more on the visual analog scale on at least one of the 2 days immediately preceding the second visit

Exclusion criteria

  • Painful gastric or intestinal spasms of organic origin such as Crohn's disease, ulcerative colitis, lactose intolerance

  • Tumour pain/malignant growths

  • Patients with other severe pain states of organic origin (e.g. biliary colic)

  • Mechanical stenoses of the gastrointestinal tract, megacolon

  • Urinary retention associated with mechanical stenoses of the urinary tract (e.g. in prostate adenoma)

  • Narrow-angle glaucoma

  • Tachyarrhythmia

  • Myasthenia gravis

  • Glucose 6-phosphate dehydrogenase deficiency (danger of haemolytic anaemia)

  • Known hypersensitivity to N-butylscopolammonium bromide or paracetamol

  • Severe liver impairment (e.g. through chronic alcohol abuse, hepatitis):

    • a) Serum-Glutamate-Oxalacetat-Transaminase/ Aspartate Aminotransferase (SGOT) higher than four times the norm
    • b) Bilirubin > 3 mg/dl
    • c) Quick's value < 70%
  • Meulengracht-Gilbert syndrome (metabolic disturbance with episodes of jaundice)

  • Severe kidney failure: creatinine > 2 mg/dl

  • Known depression or known mental illness, anxiety disturbance

  • Concomitant intake of analgesics, nonsteroidal antiinflammatory drugs (NSAIDs) and/or spasmolytics, anticholinergics, nitrates

  • Concomitant medication affecting gastrointestinal motility

  • Regular (daily) use of laxatives

  • Drugs that induce liver enzymes

  • Concomitant administration of chloramphenicol

  • Use of narcotics

  • Antidepressant treatment or treatment with psychoactive drugs

  • Pregnancy and lactation

  • Alcohol abuse (more than 60 g alcohol/day)

  • Frequent vomiting that might prevent adequate absorption of the active ingredient after the film-coated tablet is taken

  • Patients who are unlikely to be able to keep the examination appointments or cannot reliably take the study medication regularly

  • Simultaneous participation in another clinical study

  • Patients who are not trained in the VAS (PI) at Visit 1

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Double Blind

1,637 participants in 4 patient groups, including a placebo group

Buscopan® plus
Experimental group
Treatment:
Drug: Buscopan® plus
Buscopan®
Active Comparator group
Treatment:
Drug: Buscopan®
Paracetamol
Active Comparator group
Treatment:
Drug: Paracetamol
Placebo
Placebo Comparator group
Treatment:
Drug: Placebo

Trial contacts and locations

0

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Data sourced from clinicaltrials.gov

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