Literature DB >> 18465239

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.

R C Spiller1, N L Meyers, R I Hickling.   

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.

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Year:  2008        PMID: 18465239     DOI: 10.1007/s10620-008-0295-x

Source DB:  PubMed          Journal:  Dig Dis Sci        ISSN: 0163-2116            Impact factor:   3.199


  24 in total

1.  Tegaserod, a 5-HT(4) receptor partial agonist, relieves symptoms in irritable bowel syndrome patients with abdominal pain, bloating and constipation.

Authors:  S A Müller-Lissner; I Fumagalli; K D Bardhan; F Pace; E Pecher; B Nault; P Rüegg
Journal:  Aliment Pharmacol Ther       Date:  2001-10       Impact factor: 8.171

2.  BRL 24924: a potent agonist at a non-classical 5-HT receptor positively coupled with adenylate cyclase in colliculi neurons.

Authors:  A Dumuis; M Sebben; J Bockaert
Journal:  Eur J Pharmacol       Date:  1989-03-21       Impact factor: 4.432

3.  The 5-HT(3) receptor antagonist alosetron inhibits the colorectal distention induced depressor response and spinal c-fos expression in the anaesthetised rat.

Authors:  C M Kozlowski; A Green; D Grundy; F M Boissonade; C Bountra
Journal:  Gut       Date:  2000-04       Impact factor: 23.059

4.  A randomized controlled clinical trial of the serotonin type 3 receptor antagonist alosetron in women with diarrhea-predominant irritable bowel syndrome.

Authors:  M Camilleri; W Y Chey; E A Mayer; A R Northcutt; A Heath; G E Dukes; D McSorley; A M Mangel
Journal:  Arch Intern Med       Date:  2001-07-23

5.  Pilot study of the efficacy of renzapride on gastrointestinal motility and symptoms in patients with constipation-predominant irritable bowel syndrome.

Authors:  J Tack; S J Middleton; M C Horne; H Piessevaux; J S Bloor; N L Meyers; R M J Palmer
Journal:  Aliment Pharmacol Ther       Date:  2006-06-01       Impact factor: 8.171

6.  GR 38032F (ondansetron), a selective 5HT3 receptor antagonist, slows colonic transit in healthy man.

Authors:  N J Talley; S F Phillips; A Haddad; L J Miller; C Twomey; A R Zinsmeister; R L MacCarty; A Ciociola
Journal:  Dig Dis Sci       Date:  1990-04       Impact factor: 3.199

7.  A randomised controlled trial assessing the efficacy and safety of repeated tegaserod therapy in women with irritable bowel syndrome with constipation.

Authors:  J Tack; S Müller-Lissner; P Bytzer; R Corinaldesi; L Chang; A Viegas; S Schnekenbuehl; C Dunger-Baldauf; P Rueegg
Journal:  Gut       Date:  2005-07-14       Impact factor: 23.059

8.  Central modulation of rectal distension-induced blood pressure changes by alosetron, a 5-HT3 receptor antagonist.

Authors:  M Miura; D C Lawson; E M Clary; A W Mangel; T N Pappas
Journal:  Dig Dis Sci       Date:  1999-01       Impact factor: 3.199

9.  Reduction of rectal sensitivity and post-prandial motility by granisetron, a 5 HT3-receptor antagonist, in patients with irritable bowel syndrome.

Authors:  A Prior; N W Read
Journal:  Aliment Pharmacol Ther       Date:  1993-04       Impact factor: 8.171

10.  Irritable bowel syndrome subtypes according to bowel habit: revisiting the alternating subtype.

Authors:  Fermín Mearin; Agustín Balboa; Xavier Badía; Eva Baró; Ellen Caldwell; Mercedes Cucala; Manuel Díaz-Rubio; Arturo Fueyo; Julio Ponce; Montse Roset; Nicholas J Talley
Journal:  Eur J Gastroenterol Hepatol       Date:  2003-02       Impact factor: 2.566

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  5 in total

1.  Characterization of symptoms in irritable bowel syndrome with mixed bowel habit pattern.

Authors:  A M Su; W Shih; A P Presson; L Chang
Journal:  Neurogastroenterol Motil       Date:  2013-08-29       Impact factor: 3.598

Review 2.  Inhibition of ileal bile acid transporter: An emerging therapeutic strategy for chronic idiopathic constipation.

Authors:  Paula Mosińska; Jakub Fichna; Martin Storr
Journal:  World J Gastroenterol       Date:  2015-06-28       Impact factor: 5.742

3.  Serotonin and the GI tract.

Authors:  William L Hasler
Journal:  Curr Gastroenterol Rep       Date:  2009-10

Review 4.  Systematic review: cardiovascular safety profile of 5-HT(4) agonists developed for gastrointestinal disorders.

Authors:  J Tack; M Camilleri; L Chang; W D Chey; J J Galligan; B E Lacy; S Müller-Lissner; E M M Quigley; J Schuurkes; J H De Maeyer; V Stanghellini
Journal:  Aliment Pharmacol Ther       Date:  2012-02-22       Impact factor: 8.171

Review 5.  Efficacy and tolerability of renzapride in irritable bowel syndrome: a meta-analysis of randomized, controlled clinical trials including 2528 patients.

Authors:  Shilan Mozaffari; Shekoufeh Nikfar; Mohammad Abdollahi
Journal:  Arch Med Sci       Date:  2014-02-23       Impact factor: 3.318

  5 in total

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