Page last updated: 2024-10-17

octanoic acid and Dyspepsia

octanoic acid has been researched along with Dyspepsia in 12 studies

octanoic acid: RN given refers to parent cpd; structure in Merck Index, 9th ed, #1764
octanoic acid : A straight-chain saturated fatty acid that is heptane in which one of the hydrogens of a terminal methyl group has been replaced by a carboxy group. Octanoic acid is also known as caprylic acid.

Dyspepsia: Impaired digestion, especially after eating.

Research Excerpts

ExcerptRelevanceReference
"[13C]Acetate and [13C]octanoate breath tests were used to analyze the gastric emptying of liquids and solids in healthy controls and patients with functional dyspepsia both with and without cisapride."3.69Influence of cisapride on gastric emptying of solids and liquids monitored by 13C breath tests. ( Braden, B; Caspary, WF; Duan, LP; Lembcke, B, 1995)
"Patients with Crohn's disease (CD) have been shown to present dyspeptic symptoms more frequently than the general population."1.38Dyspeptic symptoms and delayed gastric emptying of solids in patients with inactive Crohn's disease. ( Braga, LL; Ferreira, BR; Nobre E Souza, MÂ; Nóbrega, AC; Oliveira, GJ; Sales, KM; Santos, AA; Souza, MH; Troncon, LE, 2012)

Research

Studies (12)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's3 (25.00)18.2507
2000's6 (50.00)29.6817
2010's3 (25.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Caviglia, GP1
Sguazzini, C1
Cisarò, F1
Ribaldone, DG1
Rosso, C1
Fagoonee, S1
Smedile, A1
Saracco, GM1
Astegiano, M1
Pellicano, R1
Vanheel, H1
Carbone, F1
Valvekens, L1
Simren, M1
Tornblom, H1
Vanuytsel, T1
Van Oudenhove, L1
Tack, J2
Braden, B2
Caspary, W1
Börner, N1
Vinson, B1
Schneider, AR1
Nóbrega, AC1
Ferreira, BR1
Oliveira, GJ1
Sales, KM1
Santos, AA1
Nobre E Souza, MÂ1
Braga, LL1
Troncon, LE1
Souza, MH1
Bromer, MQ1
Kantor, SB1
Wagner, DA1
Knight, LC1
Maurer, AH1
Parkman, HP1
Sarnelli, G1
Cuomo, R1
Janssens, J1
Punkkinen, J1
Konkka, I1
Punkkinen, O1
Korppi-Tommola, T1
Färkkilä, M1
Koskenpato, J1
Kachi, M2
Shirasaka, D2
Aoyama, N2
Ebara, S2
Miki, I2
Morita, Y2
Tamura, T2
Kasuga, M2
Duan, LP1
Caspary, WF1
Lembcke, B1
Maes, BD1
Ghoos, YF1
Hiele, MI1
Rutgeerts, PJ1
Perri, F1
Clemente, R1
Festa, V1
Annese, V1
Quitadamo, M1
Rutgeerts, P1
Andriulli, A1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Comparison of Two Macrolides, Azithromycin and Erythromycin, for Symptomatic Treatment of Gastroparesis[NCT01323582]Phase 226 participants (Actual)Interventional2009-02-28Terminated (stopped due to Original investigator left this institution, replacement investigator retired.)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change in Time to 50% Emptying: Post Test Less Baseline Pooled Over Orderings

Patients will be given a standardized meal enriched with a labeled material and the breath samples are then collected and analyzed. The estimated time to reaching 50% of the accumulated contents is recorded. (NCT01323582)
Timeframe: at baseline before initiation of the treatment and after completion of each treatment period.

Interventionminutes (Mean)
Azithromycin-15.0

Change in Time to 50% Gastric Emptying: Post Test Less Baseline Pooled Over Orderings

Patients will be given a standardized meal enriched with a labeled material and the breath samples are then collected and analyzed. The estimated time to reaching 50% of the accumulated contents is recorded. (NCT01323582)
Timeframe: Baseline and end of treatment period

InterventionMinutes (Mean)
Erythromycin-11.8

Does GCSI Score Improve (Lower) on Treatment, Pooling the AZ Patients Over Their Treatment Periods? Endpoint is Difference in Post-test Less Baseline

"This is a Validated instrument for measuring symptom severity in patients with gastroparesis. This scoring is based on a Likert Scale from (0-5) with zero being no symptom and five being very severe symptoms on 9 subscales, making the overall score range from 0-45. The higher the score, the more severe patient's symptoms are. The scale is reported in the references.~This is a calculation taken with GCSI score at end of treatment minus baseline. Negative value reflects this change." (NCT01323582)
Timeframe: Baseline and end of treatment period

Interventionunits on a scale (Median)
Azithromycin-6.40

Gastroparesis Cardinal Symptom Index (GCSI) Score

"This is a Validated instrument for measuring symptom severity in patients with gastroparesis. This scoring is based on a Likert Scale from (0-5) with zero being no symptoms and five being very severe symptoms on 9 subscales, making the overall score range from 0-45. The higher the score, the more severe patient's symptoms.~Reference for GCSI: Revicki DA, REntz AM, Dubois D, et al. Development and validation of a patient-assessed gastroparesis symptoms severity measure: the Gastroparesis Cardinal Symptom Index. Ailment Pharm Ther 2003; 18: 141:50.~Because the difference is RX-B -RX A in one group and RX A -RX B in the other, the difference between these two estimates twice the effect size. Hence the Half is applied, as is standard in the two sample method for crossover studies." (NCT01323582)
Timeframe: Weeks 4 and 11 (end of periods)

Interventionunits on a scale (Mean)
Erythromycin First Then Azithromycin-1.6
Azithromycin Then Erythromycin-2.9

Gastroparesis Cardinal Symptom Index (GCSI) Score Change From Baseline to Post Treatment

"This is a Validated instrument for measuring symptom severity in patients with gastroparesis. This scoring is based on a Likert Scale from (0-5) with zero being no symptom and five being very severe symptoms on 9 subscales, making the overall score range from 0-45. The higher the score, the more severe patient's symptoms are. The scale is reported in the references. The change was calculated by measuring the end of treatment minus baseline GCSI score.~Negative value reflects this change." (NCT01323582)
Timeframe: Baseline and end of treatment period

Interventionunits on a scale (Mean)
Erythromycin-5.32

NDI Score

"Nepean Dyspepsia Index (NDI) is a measure of symptom status and quality of life in functional dyspepsia. This scale is scored using each subscale (Tension, interference with daily activities), Eating/drinking, Knowledge/control, work/study) and adding up the items for each of the five subscale score (2-10). Total score range would be 10-50).~For the NDI, a lower number is better meaning the symptom is not effecting quality of life and a higher score closer to 50 is worse meaning it is effecting patients quality of life.~Reference: Talley NJ, Verlinden M, Jones M. Quality of life in functional dyspepsia: responsiveness of the Nepean Dyspepsia Index and developement of a new 10-iten short form. Aliment Pharmacol Ther 2001: 15: 207-216.~Because the difference is RX-B -RX A in one group and RX A -RX B in the other, the difference between these two estimates twice the effect size. Hence the Half is applied, as is standard in the two sample method for crossover studies." (NCT01323582)
Timeframe: Weeks 4 and 11 (end of periods)

Interventionunits on a scale (Median)
Erythromycin First Then Azithromycin1.65
Azithromycin Then Erythromycin1.30

Time in Minutes for 50% of the Ingested Meal to Empty the Stomach With a Standardized Breath Test: Half the of the Week 11 Value (Period 2) Less Half the of the Week 4 Value (Period 1). This Estimates the Effect Size.

Patients will be given a standardized meal enriched with a labeled material and the breath samples are then collected and analyzed. The estimated time to empty 50% (t 1/2) of the accumulated contents is recorded. Because the difference is RX-B -RX A in one group and RX A -RX B in the other, the difference between these two estimates twice the effect size. Hence the Half is applied, as is standard in the two sample method for crossover studies. (NCT01323582)
Timeframe: Weeks 4 and 11 (end of periods)

InterventionMinutes (Mean)
Erythromycin First Then Azithromycin-1.6
Azithromycin Then Erythromycin-5.2

TLAG (Time From Ingestion of Meal to Start of Gastric Emptying)

This is defined as the time from ingestion of the meal to the beginning of the emptying process in minutes. Because the difference is RX-B -RX A in one group and RX A -RX B in the other, the difference between these two estimates twice the effect size. Hence the Half is applied, as is standard in the two sample method for crossover studies. (NCT01323582)
Timeframe: Weeks 4 and 11 (end of periods)

InterventionMinutes (Mean)
Erythromycin First Then Azithromycin-1.71
Azithromycin Then Erythromycin-0.22

Trials

2 trials available for octanoic acid and Dyspepsia

ArticleYear
Clinical effects of STW 5 (Iberogast) are not based on acceleration of gastric emptying in patients with functional dyspepsia and gastroparesis.
    Neurogastroenterology and motility, 2009, Volume: 21, Issue:6

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Breath Tests; Caprylates; Double-Blind Method; Dyspepsia

2009
Measuring gastric emptying: comparison of 13C-octanoic acid breath test and scintigraphy.
    Digestive diseases and sciences, 2006, Volume: 51, Issue:2

    Topics: Adult; Aged; Breath Tests; Caprylates; Carbon Dioxide; Carbon Isotopes; Dyspepsia; Female; Gastric E

2006

Other Studies

10 other studies available for octanoic acid and Dyspepsia

ArticleYear
Gastric emptying and related symptoms in patients treated with buspirone, amitriptyline or clebopride: a "real world" study by 13C-octanoic Acid Breath Test.
    Minerva medica, 2017, Volume: 108, Issue:6

    Topics: Adult; Amitriptyline; Benzamides; Breath Tests; Buspirone; Caprylates; Domperidone; Drug Evaluation;

2017
Pathophysiological Abnormalities in Functional Dyspepsia Subgroups According to the Rome III Criteria.
    The American journal of gastroenterology, 2017, Volume: 112, Issue:1

    Topics: Abdominal Pain; Adult; Breath Tests; Caprylates; Carbon Radioisotopes; Dyspepsia; Female; Gastric Em

2017
Dyspeptic symptoms and delayed gastric emptying of solids in patients with inactive Crohn's disease.
    BMC gastroenterology, 2012, Dec-07, Volume: 12

    Topics: Adult; Aged; Breath Tests; Caprylates; Carbon Radioisotopes; Case-Control Studies; Crohn Disease; Dy

2012
Simultaneous measurement of gastric emptying with a simple muffin meal using [13C]octanoate breath test and scintigraphy in normal subjects and patients with dyspeptic symptoms.
    Digestive diseases and sciences, 2002, Volume: 47, Issue:7

    Topics: Adolescent; Adult; Breath Tests; Caprylates; Carbon Isotopes; Dyspepsia; Female; Gastric Emptying; H

2002
Symptom patterns and pathophysiological mechanisms in dyspeptic patients with and without Helicobacter pylori.
    Digestive diseases and sciences, 2003, Volume: 48, Issue:12

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Breath Tests; Caprylates; Carbon Radioisotopes; Dyspepsi

2003
Effects of Helicobacter pylori eradication therapy on gastric emptying measured using the 13C-octanoic acid breath test and the acetaminophen method.
    Journal of gastroenterology and hepatology, 2006, Volume: 21, Issue:5

    Topics: Acetaminophen; Adult; Aged; Breath Tests; Caprylates; Carbon Isotopes; Dyspepsia; Female; Gastric Em

2006
The relationship between gastric emptying determined by the breath test and H. pylori.
    Hepato-gastroenterology, 2007, Volume: 54, Issue:74

    Topics: Acetaminophen; Adult; Aged; Breath Tests; Caprylates; Carbon Radioisotopes; Dyspepsia; Female; Gastr

2007
Influence of cisapride on gastric emptying of solids and liquids monitored by 13C breath tests.
    Digestive diseases and sciences, 1995, Volume: 40, Issue:10

    Topics: Acetates; Adult; Anti-Ulcer Agents; Breath Tests; Caprylates; Carbon Isotopes; Cisapride; Dyspepsia;

1995
Gastric emptying rate of solids in patients with nonulcer dyspepsia.
    Digestive diseases and sciences, 1997, Volume: 42, Issue:6

    Topics: Adult; Breath Tests; Caprylates; Carbon Radioisotopes; Case-Control Studies; Dyspepsia; Female; Food

1997
Patterns of symptoms in functional dyspepsia: role of Helicobacter pylori infection and delayed gastric emptying.
    The American journal of gastroenterology, 1998, Volume: 93, Issue:11

    Topics: Adult; Breath Tests; Caprylates; Carbon Radioisotopes; Dyspepsia; Female; Gastric Emptying; Helicoba

1998