CompletedNot Applicable

A Multistrain Probiotic in Patients With Irritable Bowel Syndrome With Predominant Constipation

France80 participantsStarted 2022-01-04

Plain-language summary

Probiotics efficacy is mainly assessed by subjective endpoints such as the FDA responder rate or global relief, which partly explain contradictory results obtained in clinical trials with probiotic bacteria. Objective biomarkers of IBS will allow to measure the efficacy of probiotics. In the case of IBS-C, serum resolvin-D1 appears to be an interesting candidate due to its non-invasive and discriminating character compared to a healthy population. It is, inversely correlated with the severity of symptoms. Resolvin-D1 modulates the duration and intensity of inflammation by regulating the transcription of cytokines, chemokines and their receptors as well as other proteins involved in inflammation. Resolvin D1 could serve as a predictor of probiotic response based on its baseline value.

Who can participate

Age range18 Years – 65 Years

SexALL

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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion Criteria: * Irritable Bowel Syndrome with constipation (IBS-C) according to Rome IV criteria ; * IBS-SSS between 175-300 in the last 10 days ; * Have experienced abdominal pain ≥ 40 according to the IBS-SSS questionnaire (abdominal pain item) during the last 10 days ; * Whose abdominal pain / discomfort has had a significant impact on daily life during the past 10 days (impact ≥2 on a 5-point likert scale (from 0: no impact to 5: extreme impact) ; * Ability to understand instructions and complete questionnaires Nurstrial APP. * Affiliate or beneficiary of a social security ; * Having given their free, informed and written consent. Exclusion Criteria: * CPRu \> 10 mg/l * Pregnant or breastfeeding woman, woman planning a pregnancy during the study period ; * Intolerance or proven food allergy ; * BMI \<18.5 kg / m2 or BMI\> 35 kg / m2 ; * Diagnosis or known history of IBS-D, IBS-M, or unclassified forms of IBS, or other gastrointestinal pathologies ; * With current first-line IBS-C treatment or second-line treatment ; * alternative non pharmacological treatment ; * Drug treatment affecting visceral sensitivity or intestinal transit ; * dietary modification (exclusion of FODMAPs, prebiotic) or lifestyle ; * Excessive smoking or drinking ; * Having or planning bariatric surgery, * With known pathologies affecting gut function ; * With a deviant eating behavior, * Treated with antibiotics in the 3 months preceding inclusion, * Under legal protection, * Already include…

What they're measuring

Change of the severity of IBS-C symptoms

Timeframe: At weeks 0, 4, 8 and 12

Trial details

NCT IDNCT04997057

SponsorCEN Biotech

Sponsor typeINDUSTRY

Study typeINTERVENTIONAL

Primary completion2022-12-09