A Trial for New Treatment of Adult Participants With Irritable Bowel Syndrome
Irritable Bowel Syndrome
About this trial
This is an interventional treatment trial for Irritable Bowel Syndrome focused on measuring constipation, diarrhea
Eligibility Criteria
Inclusion Criteria:
- Written consent on an Institutional Review Board (IRB)/ Independent Ethics Committee (IEC) approved informed consent form before any study specific evaluation
- Males and Females between 18 and 70 years of age
- Body Mass Index (BMI): 18-39 kg/m^2
Having IBS-C or IBS-D as defined by Rome IV* including Subtype Classification as defined in Table 2
* Recurrent abdominal pain on average, at least 1 day/week in the last 3 months associated with two or more of the following criteria:
- Related to defecation
- Associated with a change in frequency of stool
- Associated with a change in form (appearance) of stool
- Have a moderate or severe IBS symptom severity score (> 175) as defined by IBS-SSS
Table 2:
IBS -C Abdominal Pain Intensity: weekly average of worst daily (in past 24 hours) abdominal pain score of > 3.0 on a 0 to 10-point scale And Stool Frequency: more than 25% of bowel movements with a consistency of Type 1 or Type 2 Bristol stool chart and less than 25% of bowel movements with Bristol stool form Type 6 or Type 7. Participants must have fewer than 3 complete spontaneous bowel movements (CSBMs) within a one week period (7 days)
IBS-D Abdominal Pain Intensity: weekly average of worst daily (in past 24 hours) abdominal pain score of > 3.0 on a 0 to 10-point scale And Stool Consistency: more than 25% of bowel movements with a consistency of Type 6 or Type 7 Bristol stool chart and less than 25% of bowel movements with Bristol stool form Type 1 or Type 2.Participants must have at least one Type 6 or Type 7 bowel movements on at least four days within a one week period (7 days).
Exclusion Criteria:
- Males or females <18 and >70 years of age
- Have a IBS symptom severity score < 175 as defined by IBS-SSS
- BMI: <18 or >39 kg/m^2
- Have a significant acute or chronic coexisting illness (cardiovascular, gastrointestinal, endocrine, immunological, metabolic or any condition which contraindicates, in the investigators' judgment, entry to the study)
- Confirmed clinical diagnosis of bile acid malabsorption and / or on medication for bile acid malabsorption
- Individuals who, in the opinion of the investigator, are poor attendees or unlikely for any reason to be able to comply with the study requirements
- Participant is currently enrolled in or has not yet completed at least 30 days since ending other investigational device or drug study(s), or participant is receiving other investigational agent(s)
- Have a malignant disease or any concomitant end-stage organ disease.
- Females who are pregnant or breast feeding
- Refusal to use acceptable methods of birth control (true abstinence, sterilisation, birth control pills, injections or contraceptive implants) for fertile participants (females) while on treatment and following completion of 2 menstrual cycles/ months after the last dose of study treatment. For Males, a barrier method of birth control from randomisation until the Follow-Up visit
- Use of antibiotics within 1 month of screening
- Use of systemic steroids within the last month
- Change in dose or introduction of an antipsychotic within the last month
- Have suffered from a major psychiatric disorder
- Clinically diagnosed Lactose intolerance
- Clinically diagnosed Coeliac disease
- Change of diet e.g. FODMAP, gluten-free within last 3 months
- Those > 50 will be excluded if their diagnosis of IBS is recent (<12 months) and if they have not had a sigmoidoscopy or colonoscopy within previous 5 years.
- Any gastrointestinal-related abdominal surgery other than hernia repair or appendectomy
- Participants taking prucalopride
- Other investigational procedures while participating in this study are excluded
- Known HIV infection, or hepatitis A, B, or C active infection
- Participants with abnormal laboratory values at screening deemed by the investigator to be clinically significant
- Participants who have taken commercially available probiotics within the last month (30 days prior to randomization)
- Participants with known or suspected hereditary fructose intolerance, glucose-galactose malabsorption or sucrase-isomaltose insufficiency
- Participants taking guanylate cyclase agonists, such as linaclotide and lubiprostone
Sites / Locations
- Clinical Research Associates
- Elite Clinical Studies
- Translational Research Group, Inc
- Probe Clinical Research
- Connecticut Gastroenterology Clinical Research
- Digestive CARE of North Broward, LLC
- Borland-Groover Clinic
- Orlando Florida BioClinica Research Network
- Clinical Research Center of Florida
- East Coast Institute for Research, LLC.
- Guardian Angel Research Center
- Georgia Medical Associates
- Evanston Premier Healthcare & Research, LLC.
- Centex Research, Inc.
- Capitol Research
- Specialists in Gastroenterology
- PharmQuest
- Aventiv Research Inc.
- Coastal Carolina Research Center
- WR-ClinSearch
- Clinical Neuroscience Solutions, Inc
- Houston Methodist Gastroenterology Associates
- Gulf Coast Medical Research, LLC.
- Blue Ridge Medical Research
- Cork University Hospital
- MAC Clinical Research (Barnsley)
- MAC Clinical Research (Blackpool)
- MAC Clinical Research (Cannock)
- CPS Research
- MAC Clinical Research (Leeds)
- MAC Clinical Research (Liverpool)
- MAC Clinical Research (Manchester)
- Wythenshawe Hospital
- MAC Clinical Research (Stockton-on-Tees)
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Experimental
Placebo Comparator
Experimental
Placebo Comparator
Cohort C: Blautix
Cohort C: Placebo
Cohort D: Blautix
Cohort D Placebo
Participants diagnosed with Irritable bowel syndrome subtype C (IBS-C) received two capsules of Blautix orally, twice daily for 8 weeks. Maximum daily dose of Blautix (strain of Blautia hydrogenotrophica) will be 10^10 to10^11 most probable number (MPN).
Participants diagnosed with IBS-C received two capsules of placebo matched to Blautix orally, twice daily for 8 weeks.
Participants diagnosed with Irritable bowel syndrome subtype D (IBS-D) received two capsules of Blautix orally, twice daily for 8 weeks. Maximum daily dose of Blautix (strain of Blautia hydrogenotrophica) will be 10^10 to10^11 MPN.
Participants diagnosed with IBS-D received two capsules of placebo matched to Blautix orally, twice daily for 8 weeks.