Official Title
Domperidone Protocol - FDA Expanded Access Program
Brief Summary

To allow the use of domperidone by patients with gastrointestinal disorders who havefailed standard therapy.

Detailed Description

To provide oral domperidone to patients ≥12 years of age where, according to the
investigator's judgment, a prokinetic effect is needed for the relief of refractory
gastroesophageal reflux disease with upper gastrointestinal (GI) symptoms, gastroparesis,
and chronic constipation in patients whom the potential benefit may outweigh the risk of
cardiovascular adverse reactions including QT prolongation, Torsades de Pointes, and
death.

Available
Treatment IND/Protocol
Gastroparesis

Drug: Domperidone Oral Product

10-30 mg of oral domperidone administered QID.

Eligibility Criteria

Inclusion Criteria:

1. Male or female

2. Age 12 and older

3. Symptoms or manifestations secondary to GERD (e.g., persistent esophagitis,
heartburn, upper airway signs or symptoms or respiratory symptoms), gastrointestinal
motility disorders such as nausea, vomiting, severe dyspepsia or severe chronic
constipation that are refractory to standard therapy.

4. Patients must have a comprehensive evaluation to eliminate other causes of their
symptoms.

5. Patient has signed informed consent for the administration of domperidone that
informs the patient of potential adverse events

Exclusion Criteria:

History of, or current, arrhythmias including ventricular tachycardia, ventricular
fibrillation and Torsades de Pointes. Patients with minor forms of ectopy (PACs) are not
necessarily excluded.

1. Clinically significant bradycardia, sinus node dysfunction, or heart block.
Prolonged QTc (QTc > 450 milliseconds for males, QTc>470 milliseconds for females).

2. Hepatic dysfunction

3. Renal insufficiency

4. Clinically significant electrolyte disorders.

5. Gastrointestinal hemorrhage or obstruction

6. Presence of a prolactinoma (prolactin-releasing pituitary tumor).

7. Pregnant or breast feeding female

8. Known allergy to domperidone

Eligibility Gender
All
Eligibility Age
Minimum: 12 Years ~ Maximum: N/A
Countries
United States
Locations

Aurora BayCare Medical Center
Green Bay, Wisconsin, United States

Investigator: Devin Spaulding, BS
Contact: 920-288-3127
devin.spaulding@aah.org

Investigator: John J Bosco, MD

Contacts

Devin Spaulding, BS
920-288-3127
devin.spaulding@aah.org

John Bosco, MD, Principal Investigator
Aurora BayCare Medical Center

Wake Forest University Health Sciences
NCT Number
MeSH Terms
Gastroparesis
Domperidone