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[Piprozoline in clinical trials (author's transl)]
Arzneimittel-Forschung
|January 1, 1977
Summary
Ethyl (Z)-(3-ethyl-4-oxo-5-piperidino-thiazolidin-2-ylidene) acetate (piprozoline) demonstrated significant therapeutic benefits for upper abdominal and biliary disorders. Clinical trials confirmed its efficacy in improving patient symptoms and normalizing liver enzymes with minimal side effects.
Area of Science:
- Pharmacology
- Gastroenterology
- Clinical Medicine
Background:
- Upper abdominal disorders present diagnostic challenges.
- Piprozoline (Gö 919, Problin) is a choleretic substance investigated for therapeutic potential.
- Previous experimental findings require validation through extensive clinical data.
Purpose of the Study:
- To compare experimental findings on piprozoline with extensive clinical trial results.
- To evaluate the tolerance and efficacy of piprozoline in a large patient cohort.
- To confirm the therapeutic benefits of piprozoline in patients with biliary and intestinal disorders.
Main Methods:
- Open and controlled clinical trials were conducted.
- A total of 1545 patients and 1807 courses of therapy were involved.
- Data from previous experimental studies were compared with comprehensive clinical investigations.
Main Results:
- Piprozoline therapy showed definite therapeutic benefits, confirming experimental findings.
- Significant improvement was observed in symptoms like bloating, nausea, constipation, and fat intolerance.
- Serum bilirubin and alkaline phosphatase levels tended to normalize more effectively with piprozoline compared to placebo.
- The drug was effective in treating conditions primarily of biliary origin.
- The rate of side-effects associated with piprozoline was found to be insignificant.
Conclusions:
- Piprozoline is a therapeutically beneficial choleretic substance for gall-bladder diseases and intestinal disorders.
- The clinical data confirm the efficacy and good tolerance of piprozoline.
- Piprozoline offers a favorable risk-benefit profile for managing upper abdominal complaints.