Efficacy of tegaserod for functional constipation in Chinese subjects: a randomized double-blind controlled trial in a single centre
Article first published online: 20 DEC 2006
Alimentary Pharmacology & Therapeutics
Volume 25, Issue 4, pages 463–469, February 2007
How to Cite
ON CHAN, A. O., MO HUI, W., LEUNG, G., HU, W. H. C., LAM, S. K. and WONG, B. C. Y. (2007), Efficacy of tegaserod for functional constipation in Chinese subjects: a randomized double-blind controlled trial in a single centre. Alimentary Pharmacology & Therapeutics, 25: 463–469. doi: 10.1111/j.1365-2036.2006.03230.x
- Issue published online: 20 DEC 2006
- Article first published online: 20 DEC 2006
- Publication data Submitted 17 October 2006 First decision 14 November 2006 Resubmitted 20 November 2006 Resubmitted 13 December 2006 Accepted 13 December 2006
Vol. 25, Issue 8, 1002, Article first published online: 30 MAR 2007
Tegaserod has been shown to be effective in chronic constipation in Western population.
We investigated if tegaserod is equally effective in Chinese population.
Materials and methods
Two hundred and fifty patients were randomized to a double-blinded 8-week treatment of tegaserod 6 mg b.d. or placebo. Response during weeks 1–4 was defined as an increase in complete spontaneous bowel motion ≥1/week. Secondary efficacy included response during weeks 1–8, individual symptoms and scores, quality of life and global assessment of bowel habits and constipation.
One hundred and nine patients from the treatment group and 107 from the placebo group completed the 8-week treatment. Responder rates was 47.7% vs. 29% for the treatment and placebo groups (P = 0.005). The sustained complete spontaneous bowel motion rate was 29.4% vs. 15.7% in the two groups (P = 0.016). The response rates were higher than that reported previously in the Caucasian studies. There was improvement in the scores for stool form scale, bothersomeness of constipation, abdominal distension/bloating and satisfaction of bowel habit (P < 0.05). The mental score was higher in the treatment group (46.8 ± 9 vs. 43.6 ± 10, P = 0.01).
Tegaserod is effective in relieving chronic constipation in Chinese population. The efficacy observed may be higher than that in Western population.