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Safety Study of Probiotics in Adults With Irritable Bowel Syndrome

Primary Purpose

Irritable Bowel Syndrome

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Probiotic
Sponsored by
Baylor College of Medicine
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Irritable Bowel Syndrome focused on measuring IBS, irritable bowel syndrome, abdominal pain, urgency, bloating, diarrhea

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Otherwise well and meet the criteria for IBS as defined by the Rome III criteria
  • Ability to speak and understand English
  • Telephone access
  • IBS Severity Scale score of >= 75

Exclusion Criteria:

  • Organic disease accounting for GI symptoms.
  • Chronic illness such as renal disease, congenital heart disease, diabetes, moderate or severe asthma, abdominal surgery, or immunosuppressed (e.g., organ transplant recipient).
  • Have received extraneous probiotic (i.e., not in a food such as yogurt) within 4 months of starting the study.
  • Subjects who are taking prescription or over-the-counter medications for GI disorders that completely relieve their symptoms because by definition these individuals do not have IBS (e.g., antacids, proton pump inhibitors, histamine receptor antagonists).
  • Medication allergies or contraindications which would preclude antimicrobial treatment for potential infection with VSL#3 component organisms.
  • Pregnancy.
  • Subjects who have an individual in the household who is immunosuppressed (e.g., genetic immune disorder, organ transplant).
  • Oral temperature > 38.0 degrees Celsius.
  • Poorly controlled hypertension, history of cardiac disease, stroke/cerebral vascular accident, bowel ischemia, or other risk factors for bowel ischemia.
  • History of acute or chronic pancreatitis
  • Cardiac valvular disease or other risk factor for endocarditis
  • Subjects who indicate on the IBS scoring questionnaire that their pain is "severe" or "very severe."
  • Subjects who pain lasts more than 5 out of 10 days.
  • Subjects whose scores indicate more than mild IBS who are over 45 years of age

Sites / Locations

  • Baylor Clinic
  • Univerisity of Washington

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Probiotic

Arm Description

To determine the safety and effectiveness of the probiotic VSL#3 in adults with irritable bowel syndrome (IBS).

Outcomes

Primary Outcome Measures

Safety

Secondary Outcome Measures

Pain and Stooling Improvement

Full Information

First Posted
September 2, 2009
Last Updated
March 4, 2016
Sponsor
Baylor College of Medicine
Collaborators
National Institute of Nursing Research (NINR), University of Washington
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1. Study Identification

Unique Protocol Identification Number
NCT00971711
Brief Title
Safety Study of Probiotics in Adults With Irritable Bowel Syndrome
Official Title
Phase I, Open Label Safety Study of VSL#3 in Adults With Irritable Bowel Syndrome
Study Type
Interventional

2. Study Status

Record Verification Date
March 2016
Overall Recruitment Status
Completed
Study Start Date
September 2009 (undefined)
Primary Completion Date
December 2013 (Actual)
Study Completion Date
December 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Baylor College of Medicine
Collaborators
National Institute of Nursing Research (NINR), University of Washington

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Determine the safety and preliminary effectiveness of VSL#3 in adults with IBS.
Detailed Description
Recent studies performed outside the U.S. and/or prior to recent FDA requirements suggest that the probiotics in VSL#3 may be effective in IBS in adults. Because there is a significant unmet need for improved IBS therapies to prevent frequent exacerbations that lead to unscheduled health care, we will conduct a safety study of the probiotic VSL#3. Preliminary studies suggest that probiotics such as VSL#3 are effective in the treatment of adults with IBS but safety studies have not been carried out. A safety study of VSL#3 has been carried out in adult asthmatics that demonstrated no significant adverse effects. Before a trial of VSL#3 can be performed in children with IBS, the FDA has requested that a safety trial be conducted in adults with IBS. Consent will be obtained from the subject. Adults who meet the criteria for irritable bowel syndrome will be recruited and studied. They will have been diagnosed by an adult gastroenterologist. During a baseline one week period, the subjects will keep a diary of pain episodes, pain severity, pain-induced interference with activity, and stooling pattern (i.e., pain/activity/stool diary). Following the baseline period, the subjects will be randomized into either a 4 week or 8 week treatment period with the probiotic. The treatment will be open label. During the treatment period, subjects will keep the diary for pain and stooling habits and a daily record of symptoms (i.e., daily temperature monitoring). At the end of the treatment period the pain/stool/activity diary will be repeated. Four weeks after the treatment period ends a follow-up phone call will be made to participants to check on their pain and stooling patterns.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Irritable Bowel Syndrome
Keywords
IBS, irritable bowel syndrome, abdominal pain, urgency, bloating, diarrhea

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
21 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Probiotic
Arm Type
Experimental
Arm Description
To determine the safety and effectiveness of the probiotic VSL#3 in adults with irritable bowel syndrome (IBS).
Intervention Type
Biological
Intervention Name(s)
Probiotic
Other Intervention Name(s)
VSL#3
Intervention Description
The subjects will be randomized into either a 4 week or 8 week treatment period with the probiotic. The treatment will be open label. They will take 2 packets once daily.
Primary Outcome Measure Information:
Title
Safety
Time Frame
Daily for 4 or 8 weeks of treatment and 1 month after treatment
Secondary Outcome Measure Information:
Title
Pain and Stooling Improvement
Time Frame
4 or 8 weeks of treatment and 1 month after treatment

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Otherwise well and meet the criteria for IBS as defined by the Rome III criteria Ability to speak and understand English Telephone access IBS Severity Scale score of >= 75 Exclusion Criteria: Organic disease accounting for GI symptoms. Chronic illness such as renal disease, congenital heart disease, diabetes, moderate or severe asthma, abdominal surgery, or immunosuppressed (e.g., organ transplant recipient). Have received extraneous probiotic (i.e., not in a food such as yogurt) within 4 months of starting the study. Subjects who are taking prescription or over-the-counter medications for GI disorders that completely relieve their symptoms because by definition these individuals do not have IBS (e.g., antacids, proton pump inhibitors, histamine receptor antagonists). Medication allergies or contraindications which would preclude antimicrobial treatment for potential infection with VSL#3 component organisms. Pregnancy. Subjects who have an individual in the household who is immunosuppressed (e.g., genetic immune disorder, organ transplant). Oral temperature > 38.0 degrees Celsius. Poorly controlled hypertension, history of cardiac disease, stroke/cerebral vascular accident, bowel ischemia, or other risk factors for bowel ischemia. History of acute or chronic pancreatitis Cardiac valvular disease or other risk factor for endocarditis Subjects who indicate on the IBS scoring questionnaire that their pain is "severe" or "very severe." Subjects who pain lasts more than 5 out of 10 days. Subjects whose scores indicate more than mild IBS who are over 45 years of age
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Robert J Shulman, M.D.
Organizational Affiliation
Baylor College of Medicine
Official's Role
Principal Investigator
Facility Information:
Facility Name
Baylor Clinic
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Facility Name
Univerisity of Washington
City
Seattle
State/Province
Washington
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
17255832
Citation
Shulman RJ, Eakin MN, Jarrett M, Czyzewski DI, Zeltzer LK. Characteristics of pain and stooling in children with recurrent abdominal pain. J Pediatr Gastroenterol Nutr. 2007 Feb;44(2):203-8. doi: 10.1097/01.mpg.0000243437.39710.c0.
Results Reference
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PubMed Identifier
17222318
Citation
Thakkar K, Gilger MA, Shulman RJ, El Serag HB. EGD in children with abdominal pain: a systematic review. Am J Gastroenterol. 2007 Mar;102(3):654-61. doi: 10.1111/j.1572-0241.2007.01051.x.
Results Reference
background
PubMed Identifier
20357915
Citation
Czyzewski DI, Eakin MN, Lane MM, Jarrett M, Shulman RJ, M D. Recurrent Abdominal Pain in Primary and Tertiary Care: Differences and Similarities. Child Health Care. 2007 May 2;36(2):137-153. doi: 10.1080/02739610701334970. No abstract available.
Results Reference
background
PubMed Identifier
19254999
Citation
Lane MM, Weidler EM, Czyzewski DI, Shulman RJ. Pain symptoms and stooling patterns do not drive diagnostic costs for children with functional abdominal pain and irritable bowel syndrome in primary or tertiary care. Pediatrics. 2009 Mar;123(3):758-64. doi: 10.1542/peds.2008-0227.
Results Reference
background
PubMed Identifier
12942886
Citation
Jarrett M, Heitkemper M, Czyzewski DI, Shulman R. Recurrent abdominal pain in children: forerunner to adult irritable bowel syndrome? J Spec Pediatr Nurs. 2003 Jul-Sep;8(3):81-9. doi: 10.1111/j.1088-145x.2003.00081.x.
Results Reference
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PubMed Identifier
16581896
Citation
Burr RL, Motzer SA, Chen W, Cowan MJ, Shulman RJ, Heitkemper MM. Heart rate variability and 24-hour minimum heart rate. Biol Res Nurs. 2006 Apr;7(4):256-67. doi: 10.1177/1099800405285268.
Results Reference
background
PubMed Identifier
17885479
Citation
McOmber ME, Shulman RJ. Recurrent abdominal pain and irritable bowel syndrome in children. Curr Opin Pediatr. 2007 Oct;19(5):581-5. doi: 10.1097/MOP.0b013e3282bf6ddc.
Results Reference
background
PubMed Identifier
18407608
Citation
Kellermayer R, Tatevian N, Klish W, Shulman RJ. Steroid responsive eosinophilic gastric outlet obstruction in a child. World J Gastroenterol. 2008 Apr 14;14(14):2270-1. doi: 10.3748/wjg.14.2270.
Results Reference
background
PubMed Identifier
18595859
Citation
McOmber MA, Shulman RJ. Pediatric functional gastrointestinal disorders. Nutr Clin Pract. 2008 Jun-Jul;23(3):268-74. doi: 10.1177/0884533608318671.
Results Reference
background
PubMed Identifier
18538790
Citation
Shulman RJ, Eakin MN, Czyzewski DI, Jarrett M, Ou CN. Increased gastrointestinal permeability and gut inflammation in children with functional abdominal pain and irritable bowel syndrome. J Pediatr. 2008 Nov;153(5):646-50. doi: 10.1016/j.jpeds.2008.04.062. Epub 2008 Jun 9.
Results Reference
background
PubMed Identifier
35295488
Citation
Boonma P, Shapiro JM, Hollister EB, Badu S, Wu Q, Weidler EM, Abraham BP, Devaraj S, Luna RA, Versalovic J, Heitkemper MM, Savidge TC, Shulman RJ. Probiotic VSL#3 Treatment Reduces Colonic Permeability and Abdominal Pain Symptoms in Patients With Irritable Bowel Syndrome. Front Pain Res (Lausanne). 2021 Sep 22;2:691689. doi: 10.3389/fpain.2021.691689. eCollection 2021.
Results Reference
derived
Links:
URL
http://clinicaltrials.gov/ct2/show/NCT00526903?term=NCT00526903&rank=1
Description
Clinical Trial For Children with Irritable Bowel Syndrome

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Safety Study of Probiotics in Adults With Irritable Bowel Syndrome

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