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

Phase 4
Recruiting
Conditions
IBS - Irritable Bowel Syndrome
Interventions
Drug: Probiotic formulation
Drug: Placebo
Registration Number
NCT05509725
Lead Sponsor
Lallemand Health Solutions
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.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
162
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.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
InterventionProbiotic formulationParticipants in this group will be randomized to receive probiotic formulation for the following 8 weeks.
ControlPlaceboParticipants in this group will be randomized to receive placebo for the following 8 weeks.
Primary Outcome Measures
NameTimeMethod
Change in Defecation consistency8 weeks

Change in abnormal defecation consistency using the Bristol Stool Scale (BSS) from Type 1 (severe constipation) to Type 7 (severe diarrhea)

Change in Abdominal Pain8 weeks

Change in abdominal pain intensity using Visual Analog Scale (VAS) from 0 (no symptom) to 10 (worst possible)

Secondary Outcome Measures
NameTimeMethod
Stool frequencyup to 10 weeks

Measured as the average number of stools per week

Change Abdominal pain intensityup to 10 weeks

Change in abdominal pain intensity using Visual Analog Scale (VAS) from 0 (no symptom) to 10 (worst possible)

Abdominal discomfortup to 10 weeks

Using questionnaire in participants diary

Perceived Stress8 weeks

Using the Perceived Stress Scale (PSS) grading from 0 (low stress) to 40 (high perceived stress)

Change in Irritable Bowel Syndrome Symptom Severity Scores8 weeks

Using the The irritable bowel severity scoring system (IBS-SSS)

Abnormal defecation consistencyup to 10 weeks

Change in abnormal defecation consistency using the Bristol Stool Scale (BSS) from Type 1 (severe constipation) to Type 7 (severe diarrhea)

Trial Locations

Locations (1)

Ege University Faculty of Medicine, Gastroenterology Department

🇹🇷

İzmir, Turkey

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