Drugs / Lactulose
last change 11 days ago re-read 8 days ago

Lactulose

Other / unclassified

Developed for
hepatic encephalopathy · cirrhosis of liver · constipation disorder · type 2 diabetes mellitus · appendicitis · cancer · functional gastric disease · hemorrhoid
+14 more · ileus · infectious disease with sepsis · inflammatory bowel disease · intestinal impaction · kidney failure · liver failure · necrotizing enterocolitis · nosocomial infection · osteoporosis · vulvovaginal candidiasis · atopic eczema · dyspepsia · irritable bowel syndrome · opioid-induced constipation
Investigated by
Cumberland Pharmaceuticals · Bausch Health Americas, Inc. · Bnai Zion Medical Center · Hospital Civil de Guadalajara · Norgine · Renmin Hospital of Wuhan University
+48 more · Solvay Pharmaceuticals · University of Michigan · AVVA Pharmaceuticals Ltd. · Affiliated Hospital of Southwest Medical University · Affiliated Hospital of North Sichuan Medical College · Aga Khan University · Federal University of São Paulo · First Affiliated Hospital of Zhejiang University · First People's Hospital of Hangzhou · Fresenius Kabi · General Hospital of Shenyang Military Region · Govind Ballabh Pant Hospital · Haifeng Lan · Hospital General de Mexico · Hospital de Clínicas Dr. Manuel Quintela · Hubei Hospital of Traditional Chinese Medicine · Hunter Holmes Mcguire Veteran Affairs Medical Center · Institute of Liver and Biliary Sciences, India · Khyber Medical College, Peshawar · Mexican Social Security Institute · Minia University · NHS Fife · NYU Langone Health · Nanchong Central Hospital · National Center for Research Resources (NCRR) · National Institute of Medical Sciences and Nutrition Salvador Zubiran · New York Presbyterian Brooklyn Methodist Hospital · Northwestern University · Patient-Centered Outcomes Research Institute · Post Graduate Institute of Medical Education and Research, Chandigarh · Second Affiliated Hospital of Wenzhou Medical University · Sichuan University · Swiss Federal Institute of Technology in Zurich (ETHZ) · The General Hospital of Central Theater Command · The Third People's Hospital of Hubei Province · Tianyou Hospital Affiliated to Wuhan University of Science and Technology · University Hospital, Caen · University of Chicago · University of Miami · University of Texas Southwestern Medical Center · University of Zurich · Weill Medical College of Cornell University · Wuhan Central Hospital · Wuhan Pu-Ai Hospital · Wuhan Puren Hospital · Wuhan Red Cross Hospital · Wuhan Third Hospital · Zhang Xiaofeng,MD

Regulatory milestones approvals, filings & regulatory actions · 2 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Label expansion US (FDA) CEPHULAC — 1980-06-27 fda.gov ↗
Approved US (FDA) CEPHULAC — 1976-03-25 fda.gov ↗

Trials 47

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 1/21 trial
Phase 1/2 NCT07354100 Dec 2026 → Apr 2029 expected cancer University of Chicago Recruiting No outcome recorded
Phase 27 trials
Phase 2 NCT02123017 Apr → Aug 2014 — Cumberland Pharmaceuticals Completed No outcome recorded
Phase 2 NCT01887470 Jul → Oct 2013 — Cumberland Pharmaceuticals Completed No outcome recorded
Phase 2 NCT02017119 Jan 2011 → May 2014 cirrhosis of liver, hepatic encephalopathy National Institute of Medical Sciences and Nutrition Salvador Zubiran Completed No outcome recorded
Phase 2 NCT00616876 Feb 2005 → Aug 2006 infectious disease with sepsis, necrotizing enterocolitis Bnai Zion Medical Center Completed No outcome recorded
Phase 2 NCT00403858 Oct 2000 → Apr 2002 intestinal impaction Norgine Completed No outcome recorded
Phase 2 NCT00404040 Oct 2000 → Jul 2002 constipation disorder Norgine Completed No outcome recorded
Phase 2 NCT00004796 Nov 1994 → Feb 1997 cirrhosis of liver, hepatic encephalopathy, portal hypertension National Center for Research Resources (NCRR) Completed No outcome recorded
Phase 2/32 trials · 1 missed
Phase 2/3 NCT06835361 Feb 2024 → Sep 2025 overdue vulvovaginal candidiasis AVVA Pharmaceuticals Ltd. Recruiting No outcome recorded
Phase 2/3 NCT05061992 Nov 2021 → Nov 2022 cirrhosis of liver University of Michigan Completed Missed primary
Phase 36 trials · 1 met primary
Phase 3 NCT05794555 Jun 2023 → Mar 2025 cirrhosis of liver, portal hypertension University of Michigan Completed No outcome recorded
Phase 3 NCT05076799 Sep 2021 → Nov 2022 — Sichuan University Completed No outcome recorded
Phase 3 NCT02086825 Oct 2015 → Dec 2016 hepatic encephalopathy NYU Langone Health Withdrawn No outcome recorded
Phase 3 NCT01607060 Sep 2008 → Apr 2012 constipation disorder Federal University of São Paulo Completed Met primary
Phase 3 NCT00553423 Nov 2007 → Nov 2008 hepatic encephalopathy Aga Khan University Unknown No outcome recorded
Phase 3 NCT00364689 Aug 2006 → Jul 2008 hepatic encephalopathy University of Miami Terminated No outcome recorded Stop: Enrollment
Phase 414 trials · 1 missed
Phase 4 NCT07060222 Sep 2025 → Nov 2026 expected — Hospital Civil de Guadalajara Recruiting No outcome recorded
Phase 4 NCT06748638 Sep 2024 → Oct 2025 overdue — Haifeng Lan Enrolling by invitation No outcome recorded
Phase 4 NCT06666556 Jul 2024 → Jul 2025 overdue colorectal cancer Hospital Civil de Guadalajara Recruiting No outcome recorded
Phase 4 NCT05788627 Apr → Sep 2023 hepatic encephalopathy, liver disorder Khyber Medical College, Peshawar Unknown No outcome recorded
Phase 4 NCT05687409 Nov 2019 → May 2021 cirrhosis of liver, metagonimiasis First Affiliated Hospital of Zhejiang University Completed No outcome recorded
Phase 4 NCT03666546 Nov 2018 → Mar 2019 type 2 diabetes mellitus Fresenius Kabi Completed No outcome recorded
Phase 4 NCT02158182 Jul 2014 → Jun 2016 hepatic encephalopathy Hospital General de Mexico Completed Mixed
Phase 4 NCT01842581 Jan 2013 → Dec 2014 cirrhosis of liver, hepatic encephalopathy Bausch Health Americas, Inc. Completed Missed primary
Phase 4 NCT00712543 Jun → Sep 2009 constipation disorder Cumberland Pharmaceuticals Completed No outcome recorded
Phase 4 NCT00748904 Jun 2008 → Jul 2009 cirrhosis of liver, kidney failure Weill Medical College of Cornell University Withdrawn No outcome recorded
Phase not applicable17 trials · 1 met primary
— NCT07589465 Jun 2026 → Jun 2029 expected appendicitis, functional gastric disease, ileus Nanchong Central Hospital Recruiting No outcome recorded
— NCT07084350 Sep 2025 → May 2026 type 2 diabetes mellitus General Hospital of Shenyang Military Region Completed No outcome recorded
— NCT06808009 Feb 2025 → Feb 2026 overdue liver failure Institute of Liver and Biliary Sciences, India Not yet recruiting No outcome recorded
— NCT05878639 Mar → Jul 2023 inflammatory bowel disease Second Affiliated Hospital of Wenzhou Medical University Completed No outcome recorded
— NCT05726344 Feb → Dec 2023 — Hospital de Clínicas Dr. Manuel Quintela Completed No outcome recorded
— NCT05498714 Jul 2022 → Jun 2023 — Renmin Hospital of Wuhan University Unknown No outcome recorded
— NCT05648318 Jan → Sep 2022 colonic neoplasm Zhang Xiaofeng,MD Completed No outcome recorded
— NCT04794049 May → Oct 2021 colonic disorder First People's Hospital of Hangzhou Unknown No outcome recorded
— NCT04582942 Aug 2020 → Aug 2021 — Renmin Hospital of Wuhan University Completed No outcome recorded
— NCT06082622 Mar 2016 → Apr 2019 constipation disorder Minia University Completed No outcome recorded
Comparator or background therapy57 trials
Phase 0 NCT07683936 Background Jun 2026 → Jan 2027 expected hepatic encephalopathy Air Force Military Medical University, China Recruiting No outcome recorded
Phase 0 NCT05279586 Comparator Mar 2022 → Feb 2023 hepatic encephalopathy Madonna Magdy Fahmy Unknown No outcome recorded
Phase 0 NCT03962998 Comparator Oct 2019 → Oct 2021 small bowel Crohn disease MediBeacon Completed No outcome recorded
Phase 1 NCT05700695 Background Jan 2023 → Jun 2025 hepatic encephalopathy, liver disorder Post Graduate Institute of Medical Education and Research, Chandigarh Completed No outcome recorded
Phase 1 NCT04238416 Background Nov 2019 → Dec 2021 hepatic encephalopathy, liver disorder Post Graduate Institute of Medical Education and Research, Chandigarh Completed Missed primary

News releases announcing trial results or a regulatory action · 1

DateIssuerRelease
2018-10-19 Norgine Results Norgine to present data for PLENVU® and XIFAXAN® at the United European Gastroenterology Week (UEG) norgine.com ↗
Long term prevention of overt hepatic encephalopathy is possible with lactulose alone but more effective if combined with rifaximin: A systematic review with number needed to treat analyses of randomised controlled trials.

Evidence & citations 10 cited values

Every value below carries the sentence it was read from. 104 sources stand behind the page.

FieldValueCited text
Known as Lactulose “A full-dose regimen of lactulose for oral solution, where all dosing is completed the evening prior to the colonoscopy procedure, will be studied and compared to a split-dose...” NCT01887470 ↗
102

“nutritional therapy ( high calorie intake- 2400 Kcal/ day) Lactulose, bowel wash, albumin, terlipressin, antibiotics and anti-virals in hepatitis B reactivation will be...” NCT04013113 ↗

“Lactulose ± rifaximin as SoC treatment for overt HE should be administered per the clinical judgement of the investigator and usual institutional practice.” NCT04128462 ↗

“Standard Medical Therapy will include nutritional support, rifaximin, lactulose, bowel wash, albumin, diuretics, multivitamins and antibiotics as required” NCT03420144 ↗

“with all subjects receiving oral Lactulose 10 GM plus IV escalating 6β-Naltrexol 0.05 mg, 0.15 mg, 0.5 mg with a randomized placebo” NCT00829777 ↗

“An osmotic laxative medication (Lactulose) is thought to be a green light medication for a three-month period of program.” NCT06082622 ↗

“Lactofiltrum (hydrolytic lignin 0.355, lactulose 0.12) 2 tablets three times a day before meals during 21 days” NCT01124318 ↗

“Nutritional support, rifaximin, lactulose, bowel wash, albumin, diuretics, multivitamins and antibiotics.” NCT03415698 ↗

“Drugs used for Cirrhosis management such as Diuretics, Hepatoprotective agents and Lactulose” NCT04243681 ↗

“The intervention group received lactulose and enemas to produce 1-2 defecations per day.” PMID 26373705 ↗ Sep 2015

“Lactulose (Duphalac (r)) is a disaccharide, semi-synthetic derivative of lactulose.” NCT06666556 ↗

Show 92 more sources

Known as Duphalac “In the LOS group, patients were instructed to drink 200ml lactulose (Duphalac, Olst, the Netherlands; 200ml/bottle) diluted with clear water into 1L 4-6h before colonoscopy at...” NCT05648318 ↗
2

“lactulose oral solution, Duphalac, 15ml/ bag, 6 bags/box” NCT06748638 ↗

NCT00745147 ↗

Known as Duphalac (r) “Lactulose (Duphalac (r)) is a disaccharide, semi-synthetic derivative of lactulose.” NCT06666556 ↗
Known as Duphlac, lactulose “Duphlac, lactulose” NCT03100513 ↗
Known as LAC “Lactulose (LAC) is widely used in treating constipation.” NCT05726344 ↗
Known as Lactulose Oral Solution “Oral administration of Lactulose Oral Solution (15 mL once daily) combined with routine postoperative care for 8 consecutive weeks.” NCT07648394 ↗
Known as Laevolac “67% lactulose in the original preparation (Laevolac, Fresenius Kabi, Austria) was diluted by distilled water to 33.5% preparation in the pharmacy in strict sterile conditions...” NCT00616876 ↗
Action Inhibit “inhibits ammoniagenic coliform bacteria” NCT02464124 ↗
Modality Other / unclassified “The treatment of choice is non-absorbable disaccharides, such as lactulose and lactitol.” NCT01178372 ↗
Route Oral “Lactulose Oral Solution was taken orally” NCT00508482 ↗