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Therapeutic Effect of Ursodeoxycholic Acid in Functional Dyspepsia
Sponsor: Universitaire Ziekenhuizen KU Leuven
Summary
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.
Official title: Therapeutic Effect of Ursodeoxycholic Acid on Duodenal Permeability and Meal Related Sensory Motor Function in Functional Dyspepsia Patients
Key Details
Gender
All
Age Range
18 Years - 60 Years
Study Type
INTERVENTIONAL
Enrollment
16
Start Date
2017-01
Completion Date
2025-11
Last Updated
2024-07-10
Healthy Volunteers
No
Conditions
Interventions
Nutridrink
Liquid meal of 200ml
High resolution manometry probe
Catheter inserted via the nose into the stomach to measure intragastric pressure.
perfusion catheter
Catheter inserted via the nose into the stomach to perfuse the nutridrink intragastricly.
Placebo Oral Tablet
4 week oral intake (daily)
Ursochol oral tablet
4 week oral intake (daily) (dose of 10.5mg/kg/day)
Duodenal fluid aspiration catheter
Catheter inserted via the nose into the duodenum to aspirate duodenal fluids for 2.5 hours.
Duodenogastroscopy
Catheter inserted via the mounth into the duodenum to take duodenal biopsies.
Blood sample
Blood sample will be taken to measure liver enzyme serum levels and marker for bile acid synthesis.