CClinicalTrials.gg
RecruitingNCT07857941Updated Oct 5, 2026

Exploring Novel Therapeutic Approaches for Disorders of Gut-Liver-Brain Interaction-H1/H2

A Phase 2 interventional study of Famotidine and Levocetirizine in Functional Gastrointestinal Disorders, sponsored by Buddhist Tzu Chi General Hospital. Recruiting at 1 site in Taiwan. Open to participants aged 18 Years to 64 Years. Per ClinicalTrials.gov, last updated 2026-10-05.

Sponsored by Buddhist Tzu Chi General Hospital · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Jan 2025; still recruiting 1 year 9 months later.
Updated Oct 5, 2026Newly registeredGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
45
Allocation
Randomized
Ages
18 Years to 64 Years
Sex
All
01

Study summary

Functional dyspepsia (FD) is associated with inflammatory responses caused by the release of histamine from eosinophils and mast cells, leading to increased intestinal mucosal permeability, which is a key pathogenic mechanism.

Meta-analyses have shown that H2 antihistamine drugs are as effective as proton pump inhibitors in treating FD, while H1 antihistamines achieve an efficacy rate of up to 79%. However, there is no research comparing the effects and pathological changes of combined H1/H2 antagonists versus single H1 antagonists in the treatment of functional dyspepsia.

Recent studies have shown that fatty liver disease and irritable bowel syndrome (IBS) share common comorbid factors, including obesity, gut microbiota, dietary factors, and immune-mediated causes. This has raised interest in whether these two conditions co-exist in patient populations. Moreover, the prevalence of IBS is higher in patients with fatty liver disease compared to global prevalence rates. A recent study found that up to 55.6% of patients with fatty liver have IBS, and it further suggests that patients with both IBS and fatty liver experience a lower quality of life and more severe physical and psychological symptoms.

02

Conditions studied

  • Functional Gastrointestinal Disorders

Keywords

  • antihistamine
  • Gut-brain axis dysregulation
  • gut-liver-brain axis
  • dyspepsia
03

In context

Gastrointestinal Diseases

628 studies on the registry are indexed under Gastrointestinal Diseases; 128 are open to participants now.

This study's planned enrollment of 45 is below the median of 77 across 422 interventional studies indexed under Gastrointestinal Diseases.

Browse Gastrointestinal Diseases studies →

Lead sponsor

Buddhist Tzu Chi General Hospital is the lead sponsor of 84 studies on the registry; 21 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 64 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Aged between 18-64 years, mentally alert, and willing to sign the informed consent form.
  • Meeting the definition of functional dyspepsia: Functional dyspepsia is characterized by chronic upper gastrointestinal symptoms (at least once a week, persisting for at least three months, with symptom onset at least six months prior), including any of the following: postprandial bloating, early satiety, epigastric pain, or epigastric burning, with no abnormalities detected on upper gastrointestinal endoscopy.

Exclusion criteria

Exclusion Criteria:

  • Have undergone upper gastrointestinal surgery in the past two months.
  • Are currently using antibiotics for an infectious disease.
  • Pregnant or breastfeeding women.
  • Have myocardial ischemia or have recently experienced a myocardial infarction.
  • Unable to cooperate.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
45 participants (estimated)

Study arms

  • Experimental
    H1/H2 combination antagonist group

    Famotidine 20mg/tab This product is used for the treatment of peptic ulcers and gastroesophageal reflux disease (GERD). It competitively inhibits histamine at the H2 receptors on gastric parietal cells, thereby reducing gastric acid secretion (Ministry of Health and Welfare Drug License No. 041352). Levocetirizine 5mg/tab This is an antihistamine used to relieve various symptoms of allergies. Levocetirizine is an antihistamine that selectively competes with histamine at the H1 receptor sites on effector cells in the gastrointestinal tract, blood vessels, and respiratory system (Ministry of Health and Welfare Drug License No. 023792).

  • Experimental
    H1 antagonist only group

    Levocetirizine 5mg/tab This is an antihistamine used to relieve various symptoms of allergies. Levocetirizine is an antihistamine that selectively competes with histamine at the H1 receptor sites on effector cells in the gastrointestinal tract, blood vessels, and respiratory system (Ministry of Health and Welfare Drug License No. 023792). "Fuyuan" Gasmin Tablets 40mg/tab This product appears as a round, white tablet. It works in the gastrointestinal tract by reducing the surface tension of gas bubbles, causing the bubbles attached to the gastrointestinal mucosa to rupture due to the change in tension. This facilitates the expulsion of gas from the body through belching or flatulence. (Taiwan FDA Drug License No. 000415).

  • Placebo comparator
    Control group

    "Fuyuan" Gasmin Tablets 40mg/tab This product appears as a round, white tablet. It works in the gastrointestinal tract by reducing the surface tension of gas bubbles, causing the bubbles attached to the gastrointestinal mucosa to rupture due to the change in tension. This facilitates the expulsion of gas from the body through belching or flatulence. (Taiwan FDA Drug License No. 000415).

    Drug: Fuyuan Gasmin

Interventions

  • DrugFamotidine

    20mg twice daily

  • DrugLevocetirizine

    5mg once before bed

  • DrugFuyuan Gasmin

    40mg/tab once before bed

  • DrugFuyuan Gasmin

    40mg/tab twice daily

06

What researchers measure

Primary outcomes

  1. Change from Baseline on the Functional Dyspepsia Scale(FD) at 84 days

    Possible scores range from 0 (Very slightly) to 6 (Very serious) 0=Very slightly 1=Slight 2=A little slightly 3=About medium 4=A bit serious 5=Severe 6=Very serious Change = (day 84 Score - Baseline Score).

    Time frame: Baseline and day 84

  2. Change from Baseline in Pain on the Gastrointestinal symptom rating scale (GSRS) at 84 days

    Possible scores range from 1 (No pain) to 7 (very serious) 1=No pain 2=Very minor 3=Mild 4=Moderate 5=Moderate to severe 6= severe 7=very serious Change = (day 84 Score - Baseline Score).

    Time frame: Baseline and day 84

  3. Change from Baseline on the Pittsburgh sleep quality index (PSQI) at 84 days

    Possible scores range from 0 (Never) to 3 (Occurs three times a week times or more) 0=Never 1=Less than once a week 2=Occurs once or twice a week 3=Occurs three times a week times or more Change = (day 84 Score - Baseline Score).

    Time frame: Baseline and day 84

  4. Change from Baseline on the Taiwanese Depression Scale (TDQ) at 84 days

    Possible scores range from 0 (Never) to 3 (Always) 0=Never 1=Sometimes 2=Often 3=Always Change = (day 84 Score - Baseline Score).

    Time frame: Baseline and day 84

  5. Change from Baseline on the State-Trait Anxiety Inventory (STAI) at 84 days

    Possible scores range from 1 (Never) to 4 (Always) 1=Never 2=Sometimes 3=Often 4=Always Change = (day 84 Score - Baseline Score).

    Time frame: Baseline and day 84

  6. Change from Baseline on the Perceived Stress Scale(PSS-10) at 84 days

    Possible scores range from 0 (Never) to 4 (Always) 0=Never 1=Rarely 2=Sometimes 3=Often 4=Always Change = (day 84 Score - Baseline Score).

    Time frame: Baseline and day 84

  7. Change from Baseline on the Visceral Sensitivity Index (VSI) at 84 days

    Possible scores range from 0 (Strongly disagree) to 5 (Strongly agree) 0=Strongly agree 1=Moderately agree 2=Mildly agree 3=Mildly disagree 4 =Moderately disagree 5=Strongly disagree Change = (day 84 Score - Baseline Score).

    Time frame: Baseline and day 84

07

Study locations

1 of 1 sites recruiting
  • Hualien Tzu Chi Hospital
    Hualien City, Taiwan
    Recruiting
08

References and documents

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  • Lee Y, Yang MJ, Lai TJ, Chiu NM, Chau TT. Development of the Taiwanese Depression Questionnaire. Chang Gung Med J. 2000 Nov;23(11):688-94. PubMed 11190378 ↗
  • Julian LJ. Measures of anxiety: State-Trait Anxiety Inventory (STAI), Beck Anxiety Inventory (BAI), and Hospital Anxiety and Depression Scale-Anxiety (HADS-A). Arthritis Care Res (Hoboken). 2011 Nov;63 Suppl 11(0 11):S467-72. doi: 10.1002/acr.20561. No abstract available. PubMed 22588767 ↗
  • Krause AJ, Taft T, Greytak M, Burger ZC, Walsh E, Weissbrod P, Pandolfino JE, Yadlapati R. Validation of the Laryngeal Cognitive-Affective Tool. Clin Gastroenterol Hepatol. 2024 Jul;22(7):1395-1403.e3. doi: 10.1016/j.cgh.2024.01.023. Epub 2024 Feb 1. PubMed 38309495 ↗
  • Taylor JM. Psychometric analysis of the Ten-Item Perceived Stress Scale. Psychol Assess. 2015 Mar;27(1):90-101. doi: 10.1037/a0038100. Epub 2014 Oct 27. PubMed 25346996 ↗

Study documents

  • Study protocol · Nov 12, 2024
  • Informed consent form · Feb 3, 2025

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

09

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Oct 5, 2026
Show all 1 update
  1. Oct 5, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07857941
Lead sponsor
Buddhist Tzu Chi General Hospital
Responsible party
Sponsor
First posted
Oct 5, 2026
Start date
Jan 1, 2025
Primary completion
Dec 31, 2026 (estimated)
Completion
Dec 31, 2026 (estimated)
Last update
Oct 5, 2026

Study contacts

Ming-Wun Wong
Contact
hypertr42@gmail.com
+886 8561825 ext. 13224

Oversight

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

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