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Therapeutic Effect of Ursodeoxycholic Acid on Duodenal Permeability and Meal Related Sensory Motor Function in Functional Dyspepsia Patients
The investigators aim to evaluate ursochol as a therapy in functional dyspepsia. The objectives of the study are to evaluate the effect of ursochol on duodenal permeability and dyspeptic symptoms and on duodenal low-grade inflammation, bile acid composition, bile acid receptor expression, nutrient tolerance and intragastric pressure. Cross-over, controlled, randomized, double blinded, placebo-controlled trial with a 4 week intake of ursodeoxycholic acid (ursochol) versus a 4 week intake of placebo and a 4 week washout period in between. Two study days are planned during week 4 and week 12. During the 14 weeks, the patients have to fill in a diary. And for 14 weeks in total, the patients have to discontinue intake of proton pump inhibitors, drugs effecting gastric motility and NSAIDs and replace their oral anticonception with non-oral anticonception. Every two weeks of the study the investigator will call the participants to see how they are/if they have any discomforts or side effects.
Details
| Lead sponsor | Universitaire Ziekenhuizen KU Leuven |
|---|---|
| Phase | Phase 4 |
| Status | ACTIVE_NOT_RECRUITING |
| Enrolment | 16 |
| Start date | 2017-01 |
| Completion | 2025-11 |
Conditions
- Functional Dyspepsia
Interventions
- Nutridrink
- High resolution manometry probe
- perfusion catheter
- Placebo Oral Tablet
- Ursochol oral tablet
- Duodenal fluid aspiration catheter
- Duodenogastroscopy
- Blood sample
Primary outcomes
- Duodenal mucosal transepithelial electrical resistance (TEER) (Ohm*cm^2) measured with adapted ussing chamber system — 2 hours
Transepithelial resistance is a measure for mucosal integrity - Duodenal mucosal paracellular passage of Fitc Dextran 4kDa (pmol) measured with FLUOstar Omega microplate reader. — 2 hours
Paracellular permeability is a measure for mucosal integrity - Dyspeptic symptom occurence and intensity during meal intake via questionnaire every 1 minute until end of the meal — About 10 minutes
Scoring of dyspeptic symptom occurence by patients during nutrientdrink perfusion - Daily occurence and intensity of dyspeptic symptoms via LPDS diary — 14 weeks
Leuven Postprandial Distress Scale, a questionnaire for symptom assessment in the functional dyspepsia/postprandial distress syndrome.