Actively Recruiting

Phase Not Applicable
Age: 19Years +
All Genders
ID05577845

Safety and Efficacy of 5-HT3 Receptor Antagonist Ramosetron Versus Loperamide for Treating Low Anterior Resection Syndrome: Multicenter Randomized Controlled Trial

Led by Seoul National University Hospital · Updated on 2023-04-25

212

Participants Needed

1

Research Sites

365 weeks

Total Duration

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AI-Summary

What this Trial Is About

This research aims to compare the safety and effectiveness of two drugs, Ramosetron and Loperamide, for treating Low Anterior Resection Syndrome (LARS), a condition occurring after surgery for mid and low rectal cancer. The study focuses on patients who have undergone surgery and ileostomy repair, assessing improvements in major LARS symptoms. The trial is a multicenter, randomized, and controlled study sponsored by Seoul National University Hospital. Participants will be randomly assigned to receive either Ramosetron or Loperamide. Ramosetron is administered as a drug over a 4-week period. The study uses a quadruple masking design to ensure unbiased results. Both treatments are evaluated over this timeframe to compare their effects on LARS symptoms and patient quality of life. During the study, participants will be assessed at the start and after 4 weeks to measure the severity of major LARS and quality of life using the EORTC QLQ-C30 questionnaire. Researchers will monitor symptom improvement and evaluate safety. The total participation time aligns with these 4-week treatment and assessment periods, focusing on changes in LARS and quality of life scores.

CONDITIONS

Brief Title

5-HT3 Receptor Antagonist (Ramosetron) vs Loperamide for the Treatment of Low Anterior Resection Syndrome(RALARS)

Who Can Participate

Age: 19Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Diagnosis of mid or low rectal cancer (anorectal verge less than 15 cm)
  • Stage II or III rectal cancer with preoperative long-course chemoradiotherapy followed by ileostomy repair
  • Between 1 and 12 months after rectal operation without stoma
  • Between 1 and 6 months after ileostomy repair
  • Presence of major Low Anterior Resection Syndrome (LARS)
Not Eligible

You will not qualify if you...

  • Recurrent rectal cancer
  • Stage IV rectal cancer
  • Inflammatory bowel disease (IBD)
  • Uncontrolled fecal incontinence or constipation before surgery

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - 4 weeks

Participants receive either Ramosetron or Loperamide to treat Low Anterior Resection Syndrome.

Visits at the start and end of treatment

Trial Site Locations

Total: 1 location

1

Seoul National University Hospital

Seoul, Jongro-gu, South Korea, 03080

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How is the study designed?

Study Type

INTERVENTIONAL

Masking

QUADRUPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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