Ibodutant for Relief of Irritable Bowel Syndrome With Diarrhoea (IBS-D) (IRIS-2)
Irritable Bowel Syndrome With Diarrhea
About this trial
This is an interventional treatment trial for Irritable Bowel Syndrome With Diarrhea focused on measuring Irritable Bowel Syndrome, Colon, irritable, Bowel disease
Eligibility Criteria
Inclusion Criteria:
At start of the run-in period:
- Male or female patients aged 18 - 70 years with a clinical diagnosis of IBS-D according to the Rome III criteria:
Recurrent abdominal pain/discomfort for at least 3 days per month in the last 3 months associated with at least 2 of the following characteristics:
- improvement with defecation;
- onset associated with a change in the frequency of stool;
- onset associated with a change in form (appearance) of stool.
- Symptom-onset at least 6 months prior to diagnosis.
- Loose/watery stools at least 25% of the time in the last 3 months AND hard/lumpy stools less than 25% of the time in the last 3 months.
- More than 3 bowel movements per day at least 25% of the time in the last 3 months.
- For patients older than 50 years OR patients with positive family history of colorectal cancer: Normal results from colonoscopy or flexible sigmoidoscopy.
- Mentally competent, able to give written informed consent.
- For women of childbearing potential: Use of a highly effective contraceptive method throughout the entire study period and up to 30 days post-treatment.
- Normal physical examination or without clinically relevant abnormalities.
At randomisation:
-Confirmation of IBS-D severity in terms of bowel movement frequency and abdominal pain intensity along the 2-week run-in period.
Exclusion criteria:
- Organic abnormalities of the gastrointestinal tract, including history of colonic or major abdominal surgery.
- History of gluten enteropathy.
- Lactose intolerance as assessed by response to diet.
- History of positive tests for ova or parasites, or occult blood in the stool.
- Previous diagnosis of diabetes mellitus (either type 1 or 2).
- Unstable medical condition.
- Major psychiatric, neurological, or cardiovascular disorders, or uncontrolled metabolic disease.
- Relevant changes in dietary habits, lifestyle, or exercise regimen in the previous 2 months.
- Use of concurrent medication with drugs known to interfere with gastro-intestinal motility or sensitivity.
- Pregnancy or breastfeeding.
Sites / Locations
- MHAT "Haskovo", Second Internal Department
- UMHAT "Dr. Georgi Stranski", Clinic of Gastroenterology
- MHAT "Kaspela", Department of Gastroenterology
- UMHAT "Sveti Georgi", Internal Consultative Department
- MHAT "Ruse", Clinic of Gastroenterology
- Fifth City Hospital, Gastroenterology Department
- UMHAT "Alexandrovska", Clinic of Propedeutic of Internal Disease
- MHAT "Sveta Anna", Department of Gastroenterology, Endocrinology, and Nephrology
- UMHAT "St. Marina", Clinic of Gastroenterology
- MHAT "Dr. Stefan Cherkezov", Gastroenterology Department
- Poliklinika III, Hepato-Gastroenterologie HK
- Gastromedic s.r.o., Soukroma ordinace
- IKEM, Klinika hepatogastroenterologie
- Hospital Slany, Internal Department
- District Hospital, Internal Department
- Regional Hospital Tabor, Gastroenterology
- Kojecký Soukroma Ordinace
- CCBR Aalborg
- CCBR Ballerup
- Gentofte Hospital, Medicinsk Afdeling F
- Regionshospitalet Silkeborg, Medicinsk Afdeling F
- CCBR Vejle
- Klinische Forschung Berlin
- Universitätsklinik Köln, Gastroenterologie
- ABX-CRO Clinical Research GmbH
- Private Practice Dr. Schaefer
- Clinical Research Hamburg
- Israelitisches Krankenhaus, Innere Medizin
- Gemeinschaftspraxis Kuchta, Wegner, Schiefke
- Praxis Prof. Kellner
- Ospedale Valduce, Unità Operativa Complessa di Gastroenterologia
- Azienda Ospedaliera Sant'Anna, U.O. Di Gastroenterologia
- Azienda Ospedaliero Universitaria Careggi, USOD Gastroenterologia 1
- Università degli Studi di Genova, Dipartimento di Medicina Interna e Specialità Mediche
- Azienda Ospedaliera - Università di Padova, Struttura Operativa Complessa di Gastroenterologia
- IRCCS Policlinico San Matteo, Dipartimento di Medicina Interna I e Gastroenterologia
- "Ospedale Nuovo Santa Chiara-Cisanello, Dipartimento di Medicina Interna
- IRCCS Istituto Clinico Humanitas, Dipartimento di Gastroenterologia
- IRCCS Ospedale Casa Sollievo della Sofferenza, Divisione di Gastroenterologia
- NZOZ Specjalistyczne Centrum Gastrologii "Gastromed"
- Szpital Uniwersytecki nr 2 im dr Jana Biziela w Bydgoszczy
- Gabinet Lekarski Janusz Rudziński
- Mazowieckie Centrum Badań Klinicznych I.Czajkowska M.Śmietańska s.c.
- Specjalistyczne Centrum Medyczne "NOWOMED"
- 5 Wojskowy Szpital Kliniczny z Polikliniką SPZOZ w Krakowie
- NZOZ Krakowskie Centrum Medyczne
- Instytut Medycyny Wsi im. Witolda Chodźki Publiczny Zakład Opieki Zdrowotnej
- NZOZ "Centrum Alergologii"
- NZOZ Solumed
- NZOZ Zaspół Poradni Specjalistycznych "Artmed"
- Endoskopia Sp. z o.o.
- NZOZ "Nasz Lekarz" Praktyka Grupowa Lekarzy Rodzinnych
- NZOZ Remedis Sp z o.o.
- Centrum Badawcze Współczesnej Terapii, Prywatny Gabinet Lekarski
- Centrum Medyczne "Osteomed" Sp. z o. o
- Centralny Szpital Kliniczny MSWiA
- NZOZ Vivamed
- Hospital Germans Trias i Pujol, Digestive Unit
- Centro Medico Teknon, Gastroenteloroly Service
- "Hospital Universitario Virgen de la Arrixaca, Servicio de Medicina del Aparato Digestivo
- Hospital Clinico San Carlos, Digestive Diseases
- Hospital de Mataró, Unitat d'Exploracions Funcionals Digestives
- Corporació Sanitària Parc Tauli
- Complejo Hospitalario Universitario de Santiago, Gastroenterology
- Hospital Virgen Macarena, Digestive Service
- Sahlgrenska Universitetssjukhuset, Mag-tarm lab
- Probare
- Kärnsjukhuset
- Gastrocentrum Aleris specialistvård Sabbatsberg,
- Akademiska sjukhuset, Gastromottagningen
- Clinical Research Support, S-huset, Södra Grev Rosengatan
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Experimental
Experimental
Experimental
Placebo Comparator
Ibodutant low dose
Ibodutant intermediate dose
Ibodutant high dose
Placebo
Oral tablet, to be given once daily in fasting conditions.
Oral tablet, to be given once daily in fasting conditions.
Oral tablet, to be given once daily in fasting conditions.
Oral tablet, to be given once daily in fasting conditions.