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CompletedNCT00363597Updated Dec 19, 2020

Intestinal Permeability in Children/Adolescents With Functional Dyspepsia

An observational study in Functional Dyspepsia, sponsored by Children's Mercy Hospital Kansas City. Completed at 1 site in United States. Open to participants aged 8 Years to 17 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2020-12-19.

Sponsored by Children's Mercy Hospital Kansas City · Observational

Study type
Observational
Model
Case-only
Time perspective
Prospective
Enrollment
42
Ages
8 Years to 17 Years
Sex
All
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Study summary

The main purpose of this study is to evaluate whether intestinal permeability and/or serum zonulin concentration is increased in children/adolescents with functional dyspepsia (FD). The study will also explore the relationships between intestinal permeability, mucosal inflammation and anxiety in FD patients.

Read the detailed description

Recurrent abdominal pain is a common complaint among school-age children, being present in up to 15% at any given time. It represents the most common chronic pain entity in pediatric patients. The great majority of these patients will have a functional gastrointestinal disorder (FGID). The most common FGID in these patients is functional dyspepsia (FD), defined as upper abdominal pain or discomfort unrelieved by bowel movement and in the absence of a structural or biochemical explanation for the pain. The etiology of FD is multifactorial, including biological factors, and these factors can be viewed within a biopsychosocial model. Biological factors include inflammation, dysmotility and increased visceral sensitivity. These biological factors are influenced by and are interactive with psychosocial factors such as anxiety, depression and social interaction. This study will evaluate intestinal permeability as a measure of barrier dysfunction and investigate the correlations between increased permeability, mucosal inflammation and anxiety scores to provide further insight into the etiology of FD, thereby assisting in the development and selection of treatment modalities.

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Conditions studied

  • Functional Dyspepsia

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Keywords

  • dyspepsia
  • gastrointestinal disease
  • indigestion
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In context

Dyspepsia

363 studies on the registry are indexed under Dyspepsia; 51 are open to participants now.

This study's enrollment of 42 is below the median of 192 across 56 observational studies indexed under Dyspepsia.

Browse Dyspepsia studies →

Lead sponsor

Children's Mercy Hospital Kansas City is the lead sponsor of 209 studies on the registry; 22 are open to participants now.

Of its 18 completed or terminated interventional studies of FDA-regulated products, 14 (78%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
8 Years to 17 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Children with chronic abdominal pain.

Inclusion criteria

  • abdominal pain of at least 8 weeks duration and fulfilling Rome II symptom based criteria for functional dyspepsia (patient group only);
  • undergoing endoscopy to evaluate FD following demonstration of a lack of clinical response to standard acid reduction therapy (patient group only); and,
  • informed permission/assent

Exclusion criteria

Exclusion Criteria:

  • previous abdominal surgery;
  • any chronic non-gastrointestinal illness requiring regular medical care (e.g. diabetes mellitus, juvenile rheumatoid arthritis, cystic fibrosis, cancer);
  • any history of an adverse reaction to lactulose or mannitol;
  • any use of antacids or laxatives within 1 week prior to the study;
  • any use of steroids, antihistamines or antihistamine-like drugs within 4 weeks prior to the study;
  • any use of aspirin is prohibited within one week prior to the study;
  • any use of non-steroidal anti-inflammatory drugs (NSAIDs) other than aspirin is restricted within one week prior to the study or at the discretion of the Study Physician;
  • any use of antibiotics including neomycin (Mycifradin) within 4 weeks prior to the study;
  • pregnancy;
  • any current or chronic history within the previous 6 months of gastrointestinal symptoms including abdominal pain or discomfort, nausea, vomiting, bloating, diarrhea or constipation (healthy control group only); or
  • non-English speaking
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Study design

Observational model
Case-only
Time perspective
Prospective
Enrollment
42 participants (actual)
Patient registry
No
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What researchers measure

Primary outcomes

  1. differential sugar absorption test, serum zonulin

    Time frame: 5 hour urine collection after administration of test article, serum collected during study visit

Secondary outcomes

  1. Behavioral Assessment Scale for Children (BASC) anxiety scores

    Time frame: collected during study visit

  2. T-lymphocyte, eosinophil and mast cell densities on duodenal biopsy samples

    Time frame: collected during biopsy, patient group only

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Study locations

1 site
  • The Children's Mercy Hospital and Clinics
    Kansas City, Missouri 64108, United States
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References and documents

Publications

  • Neilan NA, Garg UC, Schurman JV, Friesen CA. Intestinal permeability in children/adolescents with functional dyspepsia. BMC Res Notes. 2014 May 1;7:275. doi: 10.1186/1756-0500-7-275. PubMed 24886078 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 19, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00363597
Lead sponsor
Children's Mercy Hospital Kansas City
Responsible party
Sponsor
First posted
Aug 15, 2006
Start date
Aug 2006
Primary completion
Jul 2010
Completion
Jul 2010
Last update
Dec 19, 2020

Study contacts

Craig A. Friesen, MD
principal investigator · The Children's Mercy Hospital and Clinics

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Dec 2020. You cannot join it, but the record below documents what was studied.

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