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Administration of a Molecular Complex of Resins, Polysaccharides and Polyphenols in Irritable Bowel Syndrome.

Primary Purpose

Irritable Bowel Syndrome

Status
Completed
Phase
Not Applicable
Locations
International
Study Type
Interventional
Intervention
Colilen IBS
Placebo
Sponsored by
Aboca Spa Societa' Agricola
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Irritable Bowel Syndrome focused on measuring Irritable Bowel Syndrome, Colilen IBS, Abdominal Pain, IBS

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • 1. Male or female patients aged 18 to 75 years (inclusive);
  • 2. Diagnosis of IBS according to ROME IV criteria (Appendix 3);
  • 3. Abdominal pain score ≥ 4 on a 11-point NRS, on at least 2 days of the 14 days prior to the baseline visit and on at least 2 days of the last 14 days of the washout period, and pain score not > 8 in more than 7 days of each of the two above-mentioned periods;
  • 4. Signed Informed Consent;
  • 5. Patients' ability to comply with the study procedures;
  • 6. Stable diet in the two months prior to the screening visit;
  • 7. *Negative colonoscopy, defined as the absence of clinically relevant changes or of changes nonetheless relevant in relation to study participation risk, performed during the run-in period, unless:

    • a colonoscopy was performed within the previous 5 years and was negative as intended above, or, if more than one was performed within the previous 5 years, the last being negative as intended above;
    • the symptoms, if any, for which the last colonoscopy was performed, have remained unchanged;
  • 8. Postmenopausal female patients, i.e., females who have not had a menstrual period for at least 12 months or women who have undergone surgical sterilisation (tubal ligation or ovary removal). If not, women of childbearing potential must follow reliable contraceptive treatment.

    • Inclusion criteria applicable only for patients > 50 years of age

Exclusion Criteria:

  • 1. Patients taking treatments that may significantly affect the efficacy outcomes measures, such as: probiotics and prebiotics (unless contained in milk-derived foods such as yogurt and cheese); drugs with adsorbent/sequestrant properties such as diosmectite; 5-HT3 receptor antagonist drugs, e.g. ondasetron; drugs that modify gastro-intestinal motility, e.g. "final" anti-cholinergic agents such as loperamide, or cholinergic agents; laxatives and faecal softeners) unless they have been taken at a stable dose for at least four weeks prior to the screening visit.
  • 2. Patients taking tricyclic antidepressants within six months prior to the screening visit;
  • 3. Patients taking opioid-containing analgesics within one month prior to the screening visit;
  • 4. Patients taking antibiotics within one month prior to the screening visit;
  • 5. Patients with relevant organic, systemic or metabolic disease, or laboratory changes, that are deemed significant based on specific ranges of normality;
  • 6. Patients with organic bowel diseases;
  • 7. Patients with unstable psychiatric conditions;
  • 8. Patients who have undergone major abdominal surgery, except appendectomy;
  • 9. Known hypersensitivity to one or more of the components of the products.
  • 10.Women with known or planned pregnancy or breastfeeding;
  • 11.Patients with malignancies of any type, or with a history of prior malignancies, except for patients with a history of extra-intestinal malignancies that have been surgically removed and have not relapsed within the five years prior to participation.

Sites / Locations

  • Klinische Forschung Karlsruhe GmbH
  • Istituto Clinico Humanitas
  • Azienda Ospedaliero Universitaria Consorziale Policlinico di Bari
  • Azienda Ospedaliero Universitaria di Bologna
  • Ospedale SS. Annunziata
  • Azienda Ospedaliero Universitaria Pisana
  • Policlinico Universitario A. Gemelli

Arms of the Study

Arm 1

Arm 2

Arm Type

Other

Other

Arm Label

Colilen IBS + Placebo

Placebo + Colilen IBS

Arm Description

First Period: Colilen IBS Second Period: Placebo

First Period: Placebo Second Period: Colilen IBS

Outcomes

Primary Outcome Measures

Change from baseline after treatment in: Symptom intensity sum score (flatulence/meteorism, feeling of turgidity or fullness, feeling of incomplete evacuation, changes in bowel habit)
The endpoint will be assessed through a 4-point Likert scale (minimum sum score: 0; maximun sum score:12).
Change from baseline after treatment in: Abdominal pain intensity sum score on an 11-point numeric rating scale, NRS (from 0 to 10).
The endpoint will be assessed through an 11-point numeric rating scale (NRS, from 0 to 10)

Secondary Outcome Measures

Change from baseline in IBS-SSS (symptom severity score).
Irritable Bowel Syndrome-Severity Scored System (IBS-SSS) questionnaire. The maximum achievable score is 500. Mild, moderate and severe cases were indicated by scores of 75 to 175, 175 to 300 and > 300 respectively.
Change of adequate overall symptom relief after treatment, defined by a score of at least 3 on a 7-point Likert scale of weekly relief, in at least 50% of treatment weeks:
7-point Likert Scale" Possible answers: 1, very relieved; 2, relieved; 3, somewhat relieved; 4, unchanged; 5, slightly worsened; 6, worsened; 7, much worsened (7-point Likert Scale).
Time to adequate overall relief of IBS symptoms.
Score of a 7-point Likert scale 7-point Likert Scale" Possible answers: 1, very relieved; 2, relieved; 3, somewhat relieved; 4, unchanged; 5, slightly worsened; 6, worsened; 7, much worsened
Change from baseline after treatment in: o Severity score of each of the individual symptoms included in the IBS-SSS (sub-scores), assessed by a NRS from 0 to 100;
IBS-SSS (Syndrome Severity Scoring) questionnaire sub score
Change from baseline after treatment in: Quality of life as assessed by IBS-QoL (Quality of Life).
IBS-QoL Questionnaire
Change from baseline after treatment in the different clinical subgroups according to the presence of prevalent bowel changes, including: Bowel movement frequency;
Daily diary
Change from baseline after treatment in the different clinical subgroups according to the presence of prevalent bowel changes, including: Stool consistency according to Bristol stool form scale (BSFS);
BSFS (Bristol Stool Form Scale)
Change from baseline after treatment in the different clinical subgroups according to the presence of prevalent bowel changes, including: IBS-SSS NRS sub-score of bowel movement satisfaction.
IBS-SSS (Syndrome Severity Scoring) questionnaire
Change from baseline halfway through treatment in: IBS-SSS (Syndrome Severity Scoring) symptom severity score;
IBS-SSS (Syndrome Severity Scoring) questionnaire
Change from baseline halfway through treatment in: Severity score of each of the individual symptoms included in the IBS-SSS (sub-scores), assessed by a NRS from 0 to 100;
IBS-SSS (Syndrome Severity Scoring) questionnaire
Change from baseline halfway through treatment in: Bowel movement frequency in the clinical subgroup with a predominating bowel movement change;
Daily diary
Change from baseline halfway through treatment in: Stool consistency according to the Bristol scale in the clinical subtype with a predominating bowel movement change.
BSFS (Bristol Stool Form Scale)
Change from baseline halfway through treatment in: IBS-SSS NRS sub-score of bowel movement satisfaction in the clinical subtype with no predominating bowel changes, i.e., IBS-M (mixed) and IBS-U (unclassified).
IBS-SSS (Syndrome Severity Scoring) questionnaire
Change from baseline after treatment in the type and number of concomitant therapies taken for IBS symptoms.
number of concomitant therapies
Incidence of AEs during study treatment
Incidence and type of adverse events (AEs) and serious adverse events (SAEs) reported during study treatment. Safety will be assessed on the basis of all AEs experienced during study treatment. Furthermore, change from baseline in safety laboratory parameters and clinical examination findings (including measurement of anthropometric parameters and vital signs such as systolic/diastolic blood pressure, pulse, weight) will be assessed.

Full Information

First Posted
May 25, 2021
Last Updated
February 15, 2023
Sponsor
Aboca Spa Societa' Agricola
Collaborators
IQVIA RDS, IQVIA Solutions
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1. Study Identification

Unique Protocol Identification Number
NCT05016024
Brief Title
Administration of a Molecular Complex of Resins, Polysaccharides and Polyphenols in Irritable Bowel Syndrome.
Official Title
A Randomized, Cross-over, Placebo-Controlled, Double-Blind Clinical Trial on the Efficacy and Safety of Oral Administration of a Molecular Complex of Resins, Polysaccharides and Polyphenols in the Treatment of Irritable Bowel Syndrome
Study Type
Interventional

2. Study Status

Record Verification Date
February 2023
Overall Recruitment Status
Completed
Study Start Date
August 5, 2021 (Actual)
Primary Completion Date
February 15, 2023 (Actual)
Study Completion Date
February 15, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Aboca Spa Societa' Agricola
Collaborators
IQVIA RDS, IQVIA Solutions

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This study is aimed to investigate the efficacy and safety of Colilen IBS, a Medical Device made of natural substances, even when taken in addition to other therapies, for the treatment of Irritable Bowel Syndrome.
Detailed Description
This is a Post Market, randomized, double blind, cross-over clinical evaluation that will be conducted in 66 patients with diagnosis of Irritable Bowel Syndrome according to Rome IV criteria. As this is a cross-over clinical investigation, each eligible patient will take both the products under investigation, Colilen IBS and its Placebo. After a 2-week run-in period, at Baseline visit each patient included in the study will be randomly assigned to one of the two treatment sequences (i.e., Sequence AB and Sequence BA), for a 16-week total sequential treatment period (8 weeks for each of the 2 treatment periods) first with verum Colilen IBS and then with its Placebo, or vice versa. A wash out period (3 weeks) is forecast between the two treatment periods.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Irritable Bowel Syndrome
Keywords
Irritable Bowel Syndrome, Colilen IBS, Abdominal Pain, IBS

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Crossover Assignment
Model Description
Run in period: 2 weeks First Period: two months of treatment with Colilen IBS or Placebo, based on the randomization at Baseline visit Wash out period:3 weeks Second Period: two months of treatment with Colilen IBS or Placebo, based on the randomization at Baseline visit
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
71 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Colilen IBS + Placebo
Arm Type
Other
Arm Description
First Period: Colilen IBS Second Period: Placebo
Arm Title
Placebo + Colilen IBS
Arm Type
Other
Arm Description
First Period: Placebo Second Period: Colilen IBS
Intervention Type
Device
Intervention Name(s)
Colilen IBS
Intervention Description
Patients will take Colilen IBS in First or Second Period
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Patients will take PlaceboS in First or Second Period
Primary Outcome Measure Information:
Title
Change from baseline after treatment in: Symptom intensity sum score (flatulence/meteorism, feeling of turgidity or fullness, feeling of incomplete evacuation, changes in bowel habit)
Description
The endpoint will be assessed through a 4-point Likert scale (minimum sum score: 0; maximun sum score:12).
Time Frame
End of treatment (up to 5 months)
Title
Change from baseline after treatment in: Abdominal pain intensity sum score on an 11-point numeric rating scale, NRS (from 0 to 10).
Description
The endpoint will be assessed through an 11-point numeric rating scale (NRS, from 0 to 10)
Time Frame
End of treatment (up to 5 months)
Secondary Outcome Measure Information:
Title
Change from baseline in IBS-SSS (symptom severity score).
Description
Irritable Bowel Syndrome-Severity Scored System (IBS-SSS) questionnaire. The maximum achievable score is 500. Mild, moderate and severe cases were indicated by scores of 75 to 175, 175 to 300 and > 300 respectively.
Time Frame
End of treatment (up to 5 months)
Title
Change of adequate overall symptom relief after treatment, defined by a score of at least 3 on a 7-point Likert scale of weekly relief, in at least 50% of treatment weeks:
Description
7-point Likert Scale" Possible answers: 1, very relieved; 2, relieved; 3, somewhat relieved; 4, unchanged; 5, slightly worsened; 6, worsened; 7, much worsened (7-point Likert Scale).
Time Frame
End of treatment (up to 5 months)
Title
Time to adequate overall relief of IBS symptoms.
Description
Score of a 7-point Likert scale 7-point Likert Scale" Possible answers: 1, very relieved; 2, relieved; 3, somewhat relieved; 4, unchanged; 5, slightly worsened; 6, worsened; 7, much worsened
Time Frame
End of treatment (up to 5 months)
Title
Change from baseline after treatment in: o Severity score of each of the individual symptoms included in the IBS-SSS (sub-scores), assessed by a NRS from 0 to 100;
Description
IBS-SSS (Syndrome Severity Scoring) questionnaire sub score
Time Frame
End of treatment (up to 5 months)
Title
Change from baseline after treatment in: Quality of life as assessed by IBS-QoL (Quality of Life).
Description
IBS-QoL Questionnaire
Time Frame
End of treatment (up to 5 months)
Title
Change from baseline after treatment in the different clinical subgroups according to the presence of prevalent bowel changes, including: Bowel movement frequency;
Description
Daily diary
Time Frame
End of treatment (up to 5 months)
Title
Change from baseline after treatment in the different clinical subgroups according to the presence of prevalent bowel changes, including: Stool consistency according to Bristol stool form scale (BSFS);
Description
BSFS (Bristol Stool Form Scale)
Time Frame
End of treatment (up to 5 months)
Title
Change from baseline after treatment in the different clinical subgroups according to the presence of prevalent bowel changes, including: IBS-SSS NRS sub-score of bowel movement satisfaction.
Description
IBS-SSS (Syndrome Severity Scoring) questionnaire
Time Frame
End of treatment (up to 5 months)
Title
Change from baseline halfway through treatment in: IBS-SSS (Syndrome Severity Scoring) symptom severity score;
Description
IBS-SSS (Syndrome Severity Scoring) questionnaire
Time Frame
1 month
Title
Change from baseline halfway through treatment in: Severity score of each of the individual symptoms included in the IBS-SSS (sub-scores), assessed by a NRS from 0 to 100;
Description
IBS-SSS (Syndrome Severity Scoring) questionnaire
Time Frame
1 month
Title
Change from baseline halfway through treatment in: Bowel movement frequency in the clinical subgroup with a predominating bowel movement change;
Description
Daily diary
Time Frame
1 month
Title
Change from baseline halfway through treatment in: Stool consistency according to the Bristol scale in the clinical subtype with a predominating bowel movement change.
Description
BSFS (Bristol Stool Form Scale)
Time Frame
1 month
Title
Change from baseline halfway through treatment in: IBS-SSS NRS sub-score of bowel movement satisfaction in the clinical subtype with no predominating bowel changes, i.e., IBS-M (mixed) and IBS-U (unclassified).
Description
IBS-SSS (Syndrome Severity Scoring) questionnaire
Time Frame
1 month
Title
Change from baseline after treatment in the type and number of concomitant therapies taken for IBS symptoms.
Description
number of concomitant therapies
Time Frame
End of treatment (up to 5 months)
Title
Incidence of AEs during study treatment
Description
Incidence and type of adverse events (AEs) and serious adverse events (SAEs) reported during study treatment. Safety will be assessed on the basis of all AEs experienced during study treatment. Furthermore, change from baseline in safety laboratory parameters and clinical examination findings (including measurement of anthropometric parameters and vital signs such as systolic/diastolic blood pressure, pulse, weight) will be assessed.
Time Frame
End of treatment (up to 5 months)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: 1. Male or female patients aged 18 to 75 years (inclusive); 2. Diagnosis of IBS according to ROME IV criteria (Appendix 3); 3. Abdominal pain score ≥ 4 on a 11-point NRS, on at least 2 days of the 14 days prior to the baseline visit and on at least 2 days of the last 14 days of the washout period, and pain score not > 8 in more than 7 days of each of the two above-mentioned periods; 4. Signed Informed Consent; 5. Patients' ability to comply with the study procedures; 6. Stable diet in the two months prior to the screening visit; 7. *Negative colonoscopy, defined as the absence of clinically relevant changes or of changes nonetheless relevant in relation to study participation risk, performed during the run-in period, unless: a colonoscopy was performed within the previous 5 years and was negative as intended above, or, if more than one was performed within the previous 5 years, the last being negative as intended above; the symptoms, if any, for which the last colonoscopy was performed, have remained unchanged; 8. Postmenopausal female patients, i.e., females who have not had a menstrual period for at least 12 months or women who have undergone surgical sterilisation (tubal ligation or ovary removal). If not, women of childbearing potential must follow reliable contraceptive treatment. Inclusion criteria applicable only for patients > 50 years of age Exclusion Criteria: 1. Patients taking treatments that may significantly affect the efficacy outcomes measures, such as: probiotics and prebiotics (unless contained in milk-derived foods such as yogurt and cheese); drugs with adsorbent/sequestrant properties such as diosmectite; 5-HT3 receptor antagonist drugs, e.g. ondasetron; drugs that modify gastro-intestinal motility, e.g. "final" anti-cholinergic agents such as loperamide, or cholinergic agents; laxatives and faecal softeners) unless they have been taken at a stable dose for at least four weeks prior to the screening visit. 2. Patients taking tricyclic antidepressants within six months prior to the screening visit; 3. Patients taking opioid-containing analgesics within one month prior to the screening visit; 4. Patients taking antibiotics within one month prior to the screening visit; 5. Patients with relevant organic, systemic or metabolic disease, or laboratory changes, that are deemed significant based on specific ranges of normality; 6. Patients with organic bowel diseases; 7. Patients with unstable psychiatric conditions; 8. Patients who have undergone major abdominal surgery, except appendectomy; 9. Known hypersensitivity to one or more of the components of the products. 10.Women with known or planned pregnancy or breastfeeding; 11.Patients with malignancies of any type, or with a history of prior malignancies, except for patients with a history of extra-intestinal malignancies that have been surgically removed and have not relapsed within the five years prior to participation.
Facility Information:
Facility Name
Klinische Forschung Karlsruhe GmbH
City
Karlsruhe
Country
Germany
Facility Name
Istituto Clinico Humanitas
City
Rozzano
State/Province
Milano
ZIP/Postal Code
20089
Country
Italy
Facility Name
Azienda Ospedaliero Universitaria Consorziale Policlinico di Bari
City
Bari
Country
Italy
Facility Name
Azienda Ospedaliero Universitaria di Bologna
City
Bologna
Country
Italy
Facility Name
Ospedale SS. Annunziata
City
Chieti
Country
Italy
Facility Name
Azienda Ospedaliero Universitaria Pisana
City
Pisa
ZIP/Postal Code
56124
Country
Italy
Facility Name
Policlinico Universitario A. Gemelli
City
Rome
Country
Italy

12. IPD Sharing Statement

Learn more about this trial

Administration of a Molecular Complex of Resins, Polysaccharides and Polyphenols in Irritable Bowel Syndrome.

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