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CompletedNCT05702190Updated Jan 30, 2023

Opium Tincture Against Chronic Diarrhea - Healthy

An interventional study of Opium tincture and Placebo in Chronic Diarrhea, sponsored by Asbjørn Mohr Drewes. Completed at 1 site in Denmark. Open to participants aged 20 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-01-30.

Sponsored by Asbjørn Mohr Drewes · Not applicable, Interventional, and Other

From the registry’s dates

  • Registered 1 year 9 months after the study started (first participant enrolled Mar 2021, registered Jan 2023).
Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Randomized
Ages
20 Years and older
Sex
All
01

Study summary

The purpose of this study is to investigate the mechanistic anti-propulsive effects of opium tincture on the gastrointestinal tract of a cohort of healthy participants.

Read the detailed description

Opium tincture is used a symptomatic drug against chronic diarrhea even though no clinical studies have investigated the effect on gastrointestinal function. With this randomized, double-blind, placebo-controlled cross-over trial in 20 healthy participants, the investigators wish to provide evidence-based insights into the effects of opium tincture on gastrointestinal function. Additionally, effects on the central nervous system will be investigated a tertiary aim.

02

Conditions studied

  • Chronic Diarrhea

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Keywords

  • Diarrhea
  • Constipation
  • Gastrointestinal transit
03

In context

Diarrhea

852 studies on the registry are indexed under Diarrhea; 78 are open to participants now.

This study's enrollment of 20 is below the median of 136 across 713 interventional studies indexed under Diarrhea.

Browse Diarrhea studies →

Lead sponsor

Asbjørn Mohr Drewes is the lead sponsor of 8 studies on the registry; 1 is open to participants now.

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

04

Who can participate

Ages eligible
20 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Signed informed consent before any study specific procedures
  • Able to read and understand Danish
  • Male or female with an age of 20 years or more
  • The researcher believes that the participant understands what the study entails, are capable of following instructions, can attend when needed, and are expected to complete the study.
  • The investigator will ensure that fertile female participants have a negative pregnancy test before each treatment visit and use contraception during the entity of the study.
  • Opioid naïve (in this study "opioid naïve" is defined as a person who does not have a history of opioid use/addiction. If the opioids were used more than five years before the start of experiment as an analgesic to treat pain post-surgery etc., this person will be considered opioid naïve. If the person has never used opioids to treat pain but has participated in pain studies where opioids were given more than a year before this experiment, this person will be considered opioid naïve)
  • Healthy (assessed by a study-affiliated medical doctor)

Exclusion criteria

Exclusion Criteria:

  • Known allergy towards pharmaceutical compounds similar to Dropizol.
  • Participation in other studies within 14 days of first visit (1 year if opioids involved).
  • Expected need of medical/surgical treatment during the study
  • History of psychiatric illness (e.g. mental retardation, schizophrenia, affective disorders (depression), personality disorders or treatment with psychoactive medications)
  • History of substance abuse (e.g. alcohol, nicotine, tetrahydrocannabinol (THC), benzodiazepine, central stimulants and/or opioids)
  • Family history of substance abuse
  • Known increased intracranial pressure
  • Known major stenosis of the intestines
  • Planned MRI within the next 3 months
  • Metal implants or pacemaker
  • Known severe decreased renal function (defined as estimated glomerular filtration rate (eGFR) below 45)
  • Known severe decreased hepatic function (defined as Child-Pugh class B or higher)
  • Treatment with Monoamine oxidase (MAO) inhibitors during the entity of the study
  • Known severe chronic obstructive pulmonary disease (COPD) or acute severe asthma (defined as forced expiratory volume in 1 second (FEV1) below 50 % or acute ongoing exacerbation)
  • Known cor pulmonale
  • Female participants that are lactating
  • Medicine known to affect gastrointestinal motility must not be initiated during the entity of the study
  • Use of any analgesic medication within 48 hours before start as well as for the duration of the study (urine drug test will be performed prior to treatment start).
  • Intake of alcohol within 48 hours before start of study period as well as for the duration of the study.
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
20 participants (actual)

Study arms

  • Active comparator
    Opium tincture

    Administration of opium tincture (Dropizol)

    Drug: Opium tincture

  • Placebo comparator
    Placebo

    Administration of placebo (identical to opium tincture in taste and appearance)

    Drug: Placebo

Interventions

  • DrugOpium tincture

    Self-administration of opium tincture (10 mg/ml) as 2x5 drops on day 1, 3x10 drops on days 2-8, and 1x10 drops on day 9 in each study period.

    Also known as: Dropizol

  • DrugPlacebo

    Self-administration of placebo as 2x5 drops on day 1, 3x10 drops on days 2-8, and 1x10 drops on day 9 in each study period.

06

What researchers measure

Primary outcomes

  1. Gastrointestinal transit

    Difference in hours from ingestion of a 3D Transit Capsule to expulsion of the capsule during active and placebo treatment

    Time frame: Measurement started on day 2 of each study period until expulsion of the capsule (typically 24-48 hours after)

Secondary outcomes

  1. Colonic motility patterns

    Number of motility patterns in the colon measured by the 3D Transit Capsule

    Time frame: Measurement started on day 2 of each study period until expulsion of the capsule (typically 24-48 hours after)

  2. Bowel movement frequency

    Number of spontaneous bowel movements per day

    Time frame: From day 1 to day 9

  3. Stool consistency

    Rated on the Bristol Stool Form Scale (ranging from type 1 (constipation) - type 7 (diarrhea))

    Time frame: From day 1 to day 9

  4. Pupil diameter

    Measured in mm

    Time frame: Day 1, 6, and 9

  5. General cognition

    Evaluated using the Mini-Mental State Examination

    Time frame: Day 1, 6, and 9

  6. Reaction time

    Measured in milliseconds (ms) from a sound was provided and until the participant pressed a button

    Time frame: Day 1, 6, and 9

  7. Short-term memory

    Measured as number of digits correctly remembered after visual presentation

    Time frame: Day 1, 6, and 9

  8. Gastrointestinal symptoms

    Measured on the Gastrointestinal Symptom Rating Score (GSRS) questionnaire (ranging from 0 (no discomfort) to 6 (very severe discomfort)

    Time frame: Day 1-9

  9. Constipation symptoms

    Measured on the Patient Assessment of Constipation Symptoms (PAC-SYM) questionnaire (ranging from 0 (symptom absent) to 4 (very severe).

    Time frame: Day 1-9

  10. Electroencephalography spectral analysis

    40 electrodes will be used to record EEG during a period of 5 minutes rest. The results will be used to model connectivity between brain centres as well as the dominating centres of brain. EEG power will be assessed in the Delta, Theta, Alpha, Beta, and Gamma bands between 1 and 70 Hertz. Finally inverse modelling will be conducted to explore the dominating centres of brain activity.

    Time frame: Day 1 and 9

  11. Pain tolerance threshold

    Pressure will be applied to the tibial bone and the quadriceps muscle by a handheld pressure algometer. The pain tolerance threshold (measured in kPa) is reached when the participant reports the pain to be intolerable

    Time frame: Day 1 and 9

  12. Conditioned pain modulation

    The left hand of the participant is immersed in 2.0 degree (celsius) cold water for up to 2 minutes or until the pain becomes intolerable. The participant is asked to rate the pain on a 10-point Visual Analogue Scale (0 being no pain and 10 being worst imaginable pain) every 10 seconds during the test.

    Time frame: Day 1 and 9

  13. Gastric half emptying time

    Analysis of gastric half emptying time after ingestion of a standardized meal measured by MRI

    Time frame: Day 1 and 9

  14. Gastric contraction assessment

    Analysis of gastric contraction including amplitude and frequency of contractions after ingestion of a standardized meal measured by MRI

    Time frame: Day 1 and 9

  15. Small bowel motility assessment

    Analysis of small bowel motility after ingestion of a standardized meal measured using dynamic MRI images. A semi-automated analysis software enables registration of small bowel motility with the calculation of regional motility maps and quantification of motility indices.

    Time frame: Day 1 and 9

  16. Small bowel water content

    Analysis of small bowel water content measured using heavily T2-weighted MRI images

    Time frame: Day 1 and 9

  17. Colon volume

    Volumetric quantification of the colon measured using T2-weighted MRI images

    Time frame: Day 1 and 9

  18. Estimated gastrointestinal transit time

    Using DIXON images, location of three capsules filled with contrast fluid ingested 24 hours before MRI scan

    Time frame: Day 1 and 9

07

Study locations

1 site
  • Aalborg University Hospital
    Aalborg, 9000, Denmark
08

References and documents

Individual participant data

Plan to share: Yes — Data can by provided upon request

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 30, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05702190
Lead sponsor
Asbjørn Mohr Drewes
Responsible party
Asbjørn Mohr Drewes (Professor, Aalborg University Hospital) — Sponsor-investigator
First posted
Jan 27, 2023
Start date
Mar 9, 2021
Primary completion
Jun 1, 2022
Completion
Jun 1, 2022
Last update
Jan 30, 2023

Study contacts

Asbjørn Mohr Drewes
principal investigator · Aalborg University Hospital

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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