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Evaluation of the mucosa-permeability of the stomach measured by the Ussing Chambers technique in patients with functional dyspepsia before and after treatment with amitriptyline
ISRCTN ISRCTN53060944
ClinicalTrials.gov identifier
Public title Evaluation of the mucosa-permeability of the stomach measured by the Ussing Chambers technique in patients with functional dyspepsia before and after treatment with amitriptyline
Scientific title
Acronym N/A
Serial number at source N/A
Study hypothesis Through stress, the mast cells become activated, and by their vaso-active substances the mucosa permeability will become increased. Therefore the mucosa is easier to penetrate by microbes and acid. This increased permeability will lead to hypersensitivity, inflammation and pain.
Lay summary Not provided at time of registration
Ethics approval Not provided at time of registration
Study design Non-randomized controlled trial
Countries of recruitment Netherlands
Disease/condition/study domain Functional dyspepsia (FD)
Participants - inclusion criteria 1. Age 18-65 years
2. Patients have to take part in the amitriptyline study (ISRCTN76116512)
3. Functional dyspepsia (Nepean dyspepsia index [NDI] >25)
4. No depression (Zung self-rating depression scale <50)
5. No effect on proton pump inhibitor (PPI), or a constant three-month dosage of PPI
6. No medications which will influence the intestine
Participants - exclusion criteria 1. Gastroduodenal surgery in history
2. Reflux-like dyspepsia (Rome II criteria)
3. Use of antidepressants
4. Organic abnormalities
5. Severe cardiac, renal, pulmonary, hepatic, or systemic diseases, hyperthyroidism, glaucoma and epilepsy
Anticipated start date 01/05/2006
Anticipated end date 01/05/2006
Status of trial Completed
Patient information material
Target number of participants 60
Interventions 1. Patients: amitriptyline or placebo (see amitriptyline study)
2. Gastroscopy with biopsy
Primary outcome measure(s) To show that the permeability of the mucosa in stomach and duodenum is increased in (stress-sensitive) patients with functional dyspepsia.
Secondary outcome measure(s) 1. Is there a difference between healthy volunteers and patients with functional dyspepsia?
2. Amitriptyline has a positive effect on the mucosa permeability by reducing the level of stress and the dyspeptic symptoms will be improved
Sources of funding Academic Medical Center (AMC)
Trial website
Publications
Contact name Dr  G.E.E.  Boeckxstaens
  Address Academic Medical Center (AMC)

Department of Gastroenterology

C2-328

P.O. Box 22660
  City/town Amsterdam
  Zip/Postcode 1100 DD
  Country Netherlands
  Tel +31 (0)20 5667375
  Fax +31 (0)20 6917033
  Email g.e.boeckxstaens@amc.uva.nl
Sponsor Academic Medical Center (AMC), Department of Gastroenterology (The Netherlands)
  Address P.O. Box 22660
  City/town Amsterdam
  Zip/Postcode 1100 DD
  Country Netherlands
Date applied 07/06/2006
Last edited 07/09/2011
Date ISRCTN assigned 07/06/2006
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