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Efficacy and Safety of a Probiotic Formulation in Adults With Irritable Bowel Syndrome With Diarrhea (IBS-D)

Primary Purpose

IBS - Irritable Bowel Syndrome

Status
Recruiting
Phase
Phase 4
Locations
Turkey
Study Type
Interventional
Intervention
Probiotic formulation
Placebo
Sponsored by
Lallemand Health Solutions
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional supportive care trial for IBS - Irritable Bowel Syndrome focused on measuring IBS-D, Probiotics

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Experiencing symptoms of IBS-D
  • Having a diagnosis of IBS-D based on Rome IV criteria
  • Participants with symptom onset at least 6 months before diagnosis
  • Having a normal colonoscopy result in their medical file

Exclusion Criteria:

  • A history of inflammatory or immune-mediated gastrointestinal diseases
  • Diagnosed with a co-existing organic gastrointestinal disease which can affect the study
  • Currently undergoing a treatment for other severe conditions such as coronary disease, neurological disorder, kidney or liver disease,
  • Currently diagnosed with an eating disorder,
  • Having undergone any abdominal surgery including cholecystectomy, with the exception of hernia repair or appendectomy
  • Currently diagnosed with any mood- or anxiety-related disorder, major psychiatric illness, or participants with a history of suicidal ideation, or current suicidal ideation,
  • Regular use of anti-diarrhea medications and laxatives however occasional use is permitted (≤ than once a month); if current use is > once per month a one month wash out is needed,
  • Unwilling to avoid the use of antidiarrheal or laxative medication on an "as-needed basis" during the full length of the study,
  • Pregnant, breast-feeding or planning on becoming pregnant.

Sites / Locations

  • Ege University Faculty of Medicine, Gastroenterology DepartmentRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Intervention

Control

Arm Description

Participants in this group will be randomized to receive probiotic formulation for the following 8 weeks.

Participants in this group will be randomized to receive placebo for the following 8 weeks.

Outcomes

Primary Outcome Measures

Change in Abdominal Pain
Change in abdominal pain intensity using Visual Analog Scale (VAS) from 0 (no symptom) to 10 (worst possible)
Change in Defecation consistency
Change in abnormal defecation consistency using the Bristol Stool Scale (BSS) from Type 1 (severe constipation) to Type 7 (severe diarrhea)

Secondary Outcome Measures

Change Abdominal pain intensity
Change in abdominal pain intensity using Visual Analog Scale (VAS) from 0 (no symptom) to 10 (worst possible)
Abnormal defecation consistency
Change in abnormal defecation consistency using the Bristol Stool Scale (BSS) from Type 1 (severe constipation) to Type 7 (severe diarrhea)
Stool frequency
Measured as the average number of stools per week
Abdominal discomfort
Using questionnaire in participants diary
Perceived Stress
Using the Perceived Stress Scale (PSS) grading from 0 (low stress) to 40 (high perceived stress)
Change in Irritable Bowel Syndrome Symptom Severity Scores
Using the The irritable bowel severity scoring system (IBS-SSS)

Full Information

First Posted
July 1, 2022
Last Updated
February 1, 2023
Sponsor
Lallemand Health Solutions
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1. Study Identification

Unique Protocol Identification Number
NCT05509725
Brief Title
Efficacy and Safety of a Probiotic Formulation in Adults With Irritable Bowel Syndrome With Diarrhea (IBS-D)
Official Title
Efficacy and Safety of a Probiotic Formulation in Adults With Irritable Bowel Syndrome With Diarrhea (IBS-D): A Multicenter, Randomized, Prospective, Placebo-Controlled, Double-Blind, Phase IV Clinical Study
Study Type
Interventional

2. Study Status

Record Verification Date
February 2023
Overall Recruitment Status
Recruiting
Study Start Date
August 11, 2022 (Actual)
Primary Completion Date
February 2024 (Anticipated)
Study Completion Date
February 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Lallemand Health 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
The purpose of the study is to monitor safety and to evaluate the efficacy of a probiotic formulation on abdominal pain, abnormal defecation, comorbid mood disorders (anxiety and depression) as well as general quality of life in adults with IBS-D.
Detailed Description
To monitor safety and to evaluate the efficacy of a probiotic formulation on severity of gastrointestinal symptoms (abdominal pain, abnormal defecation), anxiety, depression and quality of life in adult participants with IBS-D.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
IBS - Irritable Bowel Syndrome
Keywords
IBS-D, Probiotics

7. Study Design

Primary Purpose
Supportive Care
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
162 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Intervention
Arm Type
Experimental
Arm Description
Participants in this group will be randomized to receive probiotic formulation for the following 8 weeks.
Arm Title
Control
Arm Type
Placebo Comparator
Arm Description
Participants in this group will be randomized to receive placebo for the following 8 weeks.
Intervention Type
Drug
Intervention Name(s)
Probiotic formulation
Intervention Description
Participants will be asked to take 2 doses daily
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Participants will be asked to take 2 doses daily
Primary Outcome Measure Information:
Title
Change in Abdominal Pain
Description
Change in abdominal pain intensity using Visual Analog Scale (VAS) from 0 (no symptom) to 10 (worst possible)
Time Frame
8 weeks
Title
Change in Defecation consistency
Description
Change in abnormal defecation consistency using the Bristol Stool Scale (BSS) from Type 1 (severe constipation) to Type 7 (severe diarrhea)
Time Frame
8 weeks
Secondary Outcome Measure Information:
Title
Change Abdominal pain intensity
Description
Change in abdominal pain intensity using Visual Analog Scale (VAS) from 0 (no symptom) to 10 (worst possible)
Time Frame
up to 10 weeks
Title
Abnormal defecation consistency
Description
Change in abnormal defecation consistency using the Bristol Stool Scale (BSS) from Type 1 (severe constipation) to Type 7 (severe diarrhea)
Time Frame
up to 10 weeks
Title
Stool frequency
Description
Measured as the average number of stools per week
Time Frame
up to 10 weeks
Title
Abdominal discomfort
Description
Using questionnaire in participants diary
Time Frame
up to 10 weeks
Title
Perceived Stress
Description
Using the Perceived Stress Scale (PSS) grading from 0 (low stress) to 40 (high perceived stress)
Time Frame
8 weeks
Title
Change in Irritable Bowel Syndrome Symptom Severity Scores
Description
Using the The irritable bowel severity scoring system (IBS-SSS)
Time Frame
8 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Experiencing symptoms of IBS-D Having a diagnosis of IBS-D based on Rome IV criteria Participants with symptom onset at least 6 months before diagnosis Having a normal colonoscopy result in their medical file Exclusion Criteria: A history of inflammatory or immune-mediated gastrointestinal diseases Diagnosed with a co-existing organic gastrointestinal disease which can affect the study Currently undergoing a treatment for other severe conditions such as coronary disease, neurological disorder, kidney or liver disease, Currently diagnosed with an eating disorder, Having undergone any abdominal surgery including cholecystectomy, with the exception of hernia repair or appendectomy Currently diagnosed with any mood- or anxiety-related disorder, major psychiatric illness, or participants with a history of suicidal ideation, or current suicidal ideation, Regular use of anti-diarrhea medications and laxatives however occasional use is permitted (≤ than once a month); if current use is > once per month a one month wash out is needed, Unwilling to avoid the use of antidiarrheal or laxative medication on an "as-needed basis" during the full length of the study, Pregnant, breast-feeding or planning on becoming pregnant.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Burcu Sume
Phone
+90 312 479 88 75
Email
burcus@croturk.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Serhat Bor, Prof. Dr.
Organizational Affiliation
Ege University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Ege University Faculty of Medicine, Gastroenterology Department
City
İzmir
ZIP/Postal Code
35040
Country
Turkey
Individual Site Status
Recruiting

12. IPD Sharing Statement

Plan to Share IPD
No
IPD Sharing Plan Description
After publications of the results, de-identified data will be shared with qualified researchers and scientists upon reasonable request to the sponsor including a detailed proposal of the intended use of the data, as per the Lallemand Health Solutions Inc. Policy on Clinical Trial Transparency and Data Sharing (available upon request).

Learn more about this trial

Efficacy and Safety of a Probiotic Formulation in Adults With Irritable Bowel Syndrome With Diarrhea (IBS-D)

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