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. 2016 Sep 16;2016(9):CD009999. doi: 10.1002/14651858.CD009999.pub2

NCT01258153.

Trial name or title Preliminary Efficacy and Safety Study of Oral Nepadutant in Infant Colic (no‐cry)
ClinicalTrials.gov identifier: NCT01258153
Double‐blind, randomised, placebo‐controlled, parallel‐group study to evaluate the efficacy and safety of oral administration of nepadutant in infant colic
Methods Study type: intervention
Study design: randomised, double‐blind
Participants Inclusion criteria:
  • Healthy infants with diagnosis of infant colic according to the following, modified Wessel criterion: "paroxysms of irritability, fussing or crying that start and stop without obvious cause for > 3 hours/day, > 3 days/week for one week"

  • Age > 4 weeks and < 20 weeks

  • Infants breast fed, mixed fed or formula fed with a stable dietary regimen

  • Normal growth

  • History of no adequate response to conventional treatment alternatives, which makes infants in need of medical treatment

  • Willingness to refrain from use of antimuscarinic drugs, simethicone, dimethicone or antacids during the study period


Exclusion criteria:
  • Clinical evidence of allergies or other diseases that may cause crying and/or fussiness or may interfere with absorption or clearance of the drug

  • Suspect of gastroesophageal reflux disease (GERD)

  • Suspect of cow's milk allergy

Interventions Number of arms: 3
  • Nepadutant low dose

  • Nepadutant high dose

  • Placebo


Administration: oral; once daily for 7 days
Outcomes Primary outcome measure:
  • Absolute change in mean daily crying and fussing time for 3 consecutive days while on treatment vs baseline [time frame: 1 week] [designated as safety issue: no]


Secondary outcome measures:
  • Percentage of 'responder' babies at end of treatment period [time frame: 1 week ] [designated as safety issue: no]

  • Absolute change in overall parental judgement after first dose of treatment, at the end of treatment and after treatment discontinuation vs baseline [time frame: 10 days] [designated as safety issue: no]

  • Safety and tolerability assessed in terms of frequency and severity of adverse events (AEs) as well as frequency of clinically significant changes in physical examination findings and lab test results [time frame: up to 4 weeks] [designated as safety issue: yes]

Starting date November 2010
Contact information Study chair: Sybille Koletzko, Dr. v. Haunersches Kinderspital Ludwig Maximilians University D‐80337 München, Germany
Notes This phase IIa study is designed as a multi‐centre, multi‐national, randomised, double‐blind, placebo‐controlled study in 3 parallel groups, with the aim to evaluate the efficacy and safety of nepadutant given at 2 oral doses once daily for 7 days vs placebo in the treatment of infantile colic.