Treatment of Bile Acid Diarrhoea With Atorvastatin

Trial statusRecruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
Age18+
SponsorAsger Lund, MD

About this trial

Bile acid diarrhoea (BAD) is a socially debilitating disease with stomach pain, high stool frequency, urgency, and faecal incontinence as the main symptoms. Studies estimate that 1-2% of the population suffers from the disease.

There is an unmet need for more treatment options in patients suffering from BAD.

The investigators hypothesise that atorvastatin treatment lowers bile acid synthesis in patients with bile acid diarrhoea. The investigators will investigate this hypothesis in the current study, BASTA, which is a Randomised, Double-Blind, Placebo-Controlled, Crossover, Proof of Concept, Investigator-Initiated, Trial.

Eligibility criteria

Qualifiers

age 18 years or above

Self-identification as White

Confirmed moderate-severe bile acid diarrhoea with a SeHCAT test result of ≤ 10 %

Reported number of average daily stools ≥ 3 stools per day

Disqualifiers

Unwillingness to pause any of the following medications during the trial: bile acid sequestrants, morphine medication, liraglutide or anti-constipation medication (e.g., lactulose, laxoberal, magnesia)

Unwillingness to pause any anti-diarrhoea medication (e.g., imodium) from 3 days before initiation of each stool diary until after the respective visit

If regularly administering psyllium or metformin, unwillingness to agree to a stable dose of psyllium or metformin throughout the trial

Concomitant use of any drug in the GLP-1 receptor agonist drug class with the exception of paused liraglutide, see above

Trial design

Treatments tested in this trial

  • Atorvastatin
  • Placebo

Treatment groups

20 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Asger Lund, MD

Lead sponsor

University Hospital, Gentofte, Copenhagen

Sponsor institution

Fonden til Lægevidenskabens Fremme

Collaborator

Prosektor Axel Søeborg Ohlsens Mindelegat

Collaborator

Læge Sofus Carl Emil Friis og Hustru Olga Doris Friis' Legat

Collaborator

Aase and Ejnar Danielsens Foundation

Collaborator