Efficacy and Safety of a Probiotic Formulation in Adults With Irritable Bowel Syndrome With Diarrhea (IBS-D)
Study Details
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.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 4 |
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.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Intervention Participants in this group will be randomized to receive probiotic formulation for the following 8 weeks. |
Drug: Probiotic formulation
Participants will be asked to take 2 doses daily
|
Placebo Comparator: Control Participants in this group will be randomized to receive placebo for the following 8 weeks. |
Drug: Placebo
Participants will be asked to take 2 doses daily
|
Outcome Measures
Primary Outcome Measures
- Change in Abdominal Pain [8 weeks]
Change in abdominal pain intensity using Visual Analog Scale (VAS) from 0 (no symptom) to 10 (worst possible)
- Change in Defecation consistency [8 weeks]
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 [up to 10 weeks]
Change in abdominal pain intensity using Visual Analog Scale (VAS) from 0 (no symptom) to 10 (worst possible)
- Abnormal defecation consistency [up to 10 weeks]
Change in abnormal defecation consistency using the Bristol Stool Scale (BSS) from Type 1 (severe constipation) to Type 7 (severe diarrhea)
- Stool frequency [up to 10 weeks]
Measured as the average number of stools per week
- Abdominal discomfort [up to 10 weeks]
Using questionnaire in participants diary
- Perceived Stress [8 weeks]
Using the Perceived Stress Scale (PSS) grading from 0 (low stress) to 40 (high perceived stress)
- Change in Irritable Bowel Syndrome Symptom Severity Scores [8 weeks]
Using the The irritable bowel severity scoring system (IBS-SSS)
Eligibility Criteria
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.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Ege University Faculty of Medicine, Gastroenterology Department | İzmir | Turkey | 35040 |
Sponsors and Collaborators
- Lallemand Health Solutions
Investigators
- Principal Investigator: Serhat Bor, Prof. Dr., Ege University
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- C-005