PMID- 35255832 OWN - NLM STAT- MEDLINE DCOM- 20220309 LR - 20231105 IS - 1471-230X (Electronic) IS - 1471-230X (Linking) VI - 22 IP - 1 DP - 2022 Mar 7 TI - A novel duodenal-release formulation of caraway oil and L-menthol is a safe, effective and well tolerated therapy for functional dyspepsia. PG - 105 LID - 10.1186/s12876-022-02181-5 [doi] LID - 105 AB - BACKGROUND: A randomized, placebo-controlled clinical trial (FDREST) of a novel formulation of caraway oil and L-menthol (COLM-SST) demonstrated symptom relief in patients with functional dyspepsia (FD). Two follow-up studies were conducted to evaluate patient satisfaction, self-regulated dosing, and long-term safety data: FDACT, Functional Dyspepsia Adherence and Compliance Trial, and FDSU36, Functional Dyspepsia Safety Update at 36 months. METHODS: A patient reported outcomes (PRO) questionnaire was designed and distributed online to assess real-world satisfaction and dosing frequency of open-label COLM-SST in patients with FD. A separate study analyzing voluntary safety surveillance data evaluated the frequency and severity of reported adverse events (AEs). RESULTS: A total of 600 FD patients were enrolled in the PRO study. Ninety five percent of respondents reported a major or moderate improvement in their FD symptoms and 91.7% indicated a major or moderate improvement in quality of life (QOL) using COLM-SST. Between 1 and 4 capsules were consumed daily by 91.2% of respondents, with 56.2% taking them before meals. Symptom relief was rapid, with 86.4% of respondents indicating relief within 2 h of taking COLM-SST. Few adverse events (AEs) were reported (0.0187%) by patients using COLM-SST. No serious AEs were identified. CONCLUSION: COLM-SST is safe, well tolerated, and provides rapid relief of FD symptoms. These findings, demonstrated in the FDREST trial, were further supported by a large prospective PRO study evaluating self-regulated dosing frequency, symptom improvement, and QOL. COLM-SST was well-tolerated based on review of AE data at 36 months. CI - (c) 2022. The Author(s). FAU - Lacy, Brian E AU - Lacy BE AD - Gastroenterology and Hepatology, Mayo Clinic, 4500 San Pablo Road South, Jacksonville, FL, 32224, USA. FAU - Chey, William D AU - Chey WD AD - Division of Gastroenterology, Department of Internal Medicine, Michigan Medicine, University of Michigan, Ann Arbor, MI, 48109, USA. FAU - Epstein, Michael S AU - Epstein MS AD - Digestive Disorders Associates, 621 Ridgely Ave, #201, Annapolis, MD, 21401, USA. FAU - Shah, Syed M AU - Shah SM AD - Nestle Health Science, 1007 US Highway 202/206, Building JR2, Bridgewater, NJ, 08807, USA. FAU - Corsino, Patrick AU - Corsino P AD - IM Health Science, 1100 Holland Drive, Boca Raton, FL, 33487, USA. FAU - Zeitzoff, Linda R AU - Zeitzoff LR AUID- ORCID: 0000-0003-2868-2018 AD - Medical Affairs, Nestle Health Science, 1007 US Highway 202/206, Building JR2, Bridgewater, NJ, 08807, USA. Linda.Zeitzoff@us.nestle.com. FAU - Cash, Brooks D AU - Cash BD AD - Division Gastroenterology, Hepatology and Nutrition, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, TX, 77031, USA. LA - eng PT - Journal Article PT - Randomized Controlled Trial DEP - 20220307 PL - England TA - BMC Gastroenterol JT - BMC gastroenterology JID - 100968547 RN - 0 (Plant Oils) RN - 1490-04-6 (Menthol) RN - C2J9B08Q3I (caraway oil) SB - IM MH - *Dyspepsia/diagnosis/drug therapy MH - Humans MH - *Menthol/therapeutic use MH - Plant Oils MH - Prospective Studies MH - Quality of Life MH - Treatment Outcome PMC - PMC8900420 OTO - NOTNLM OT - Abdominal pain OT - Caraway oil OT - Dyspepsia OT - Functional dyspepsia OT - L-menthol COIS- BEL: Scientific advisory boards for Allergan, Salix, IM Health Science, Ironwood, Arena and is a consultant for Viver, Nestle Health Science; WDC: Board member-American College of Gastroenterology, GI on Demand, International Foundation of Functional GI Disorders, Rome Foundation; Consultant-AbbVie, Alfasigma, Allakos, Alnylam, Arena, Bayer, Biomerica, Cosmo, IM Health Science, Ironwood, QOL Medical, Nestle Health Science, Phathom, Redhill, Ritter, Salix/Valeant, Takeda, Urovant, Vibrant; Grant/Research Support: Bioamerica, Commonwealth Diagnostics International, QOL Medical, Salix; Stock/Stock options: GI on Demand, Modify Health; MSE: Consultant to Nestle Health Science; Speaker for BMS, Redhill, Gilead, Salix. Pfizer. SMS: Consultant to Nestle Health Science; PC: none; LRZ: employee Nestle Health Science; BDC: Consultant to Nestle Health Science. EDAT- 2022/03/09 06:00 MHDA- 2022/03/11 06:00 PMCR- 2022/03/07 CRDT- 2022/03/08 05:33 PHST- 2021/11/09 00:00 [received] PHST- 2022/02/22 00:00 [accepted] PHST- 2022/03/08 05:33 [entrez] PHST- 2022/03/09 06:00 [pubmed] PHST- 2022/03/11 06:00 [medline] PHST- 2022/03/07 00:00 [pmc-release] AID - 10.1186/s12876-022-02181-5 [pii] AID - 2181 [pii] AID - 10.1186/s12876-022-02181-5 [doi] PST - epublish SO - BMC Gastroenterol. 2022 Mar 7;22(1):105. doi: 10.1186/s12876-022-02181-5.