Actively Recruiting

Phase 2
Age: 18Years +
All Genders
NCT04153032

Comparative Evaluation of MEBO Ointment and Topical Diltiazem Ointment in the Treatment of Acute Anal Fissure

Led by American University of Beirut Medical Center · Updated on 2025-01-29

183

Participants Needed

1

Research Sites

321 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

No study to date has compared topical DTZ to MEBO ointment in the treatment of anal fissure. Therefore, the present study aims to compare the efficacy and safety of DTZ to MEBO in the treatment of acute anal fissure. The investigators propose to conduct a comparative randomized clinical study. In this study, the investigators will compare patients with acute anal fissure receiving MEBO ointment vs Topical DTZ ointment vs a combination of MEBO and DTZ ointment. Hypothesis: MEBO in combination with DTZ is more effective than DTZ or MEBO alone in the treatment of acute anal fissure.

CONDITIONS

Official Title

Comparative Evaluation of MEBO Ointment and Topical Diltiazem Ointment in the Treatment of Acute Anal Fissure

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Subjects must be 18 years and above.
  • Subjects with painful anal fissure lasting 3 months or less with pain experienced at least twice a week.
  • Subjects with an average worst anal pain score of 4 or higher on an 11-point scale during the last 3 days of screening.
  • Subjects with a radial fissure and induration visible on anal examination.
  • Willing to stop other topical treatments applied to the anal area at least 2 weeks before starting the study and during the study.
  • Able to give informed consent.
Not Eligible

You will not qualify if you...

  • Subjects unwilling to be examined for anal fissure.
  • Subjects who have had lateral sphincterotomy, anal stretch, hemorrhoidectomy, anal fistula surgery, or incision of perianal abscess.
  • Subjects who had botulinum toxin injection in the anal area within 6 months or used glyceryl trinitrate ointment for more than 1 week within 4 weeks before screening.
  • Subjects with anal fissure caused by other conditions such as drug-induced, trauma, HIV infection, fistula-in-ano, inflammatory bowel disease, perianal sepsis, or malignancy.
  • Subjects with cardiovascular disease.
  • Subjects allergic to diltiazem or ingredients of MEBO (sesame oil).
  • Subjects taking prohibited medications or experimental agents within 8 weeks or 5 half-lives before screening.
  • Subjects with gastrointestinal disorders including inflammatory bowel disease, chronic fecal incontinence, prior pelvic radiation, fixed anal stenosis or fibrosis.
  • Subjects with major psychiatric or hematological illness.
  • Subjects with planned hospitalization or elective treatment during the study.
  • Subjects unavailable for the study duration or deemed unsuitable by the investigator.
  • Patients currently taking oral therapy for anal fissure.

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

American University of Beirut

Beirut, Lebanon

Actively Recruiting

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Research Team

E

Eman Sbaity, MD

CONTACT

M

Mohamad Hadi El Charif, MD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

DOUBLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

3

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