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Irritable Bowel SyndromePhase 1/2NCT01176227

Efficacy of a Multi-strain Probiotic in the Treatment of Irritable Bowel Syndrome (IBS)

A Phase 1/2 study testing Kyodophilus multi-strain probiotic capsules in people with Irritable Bowel Syndrome and Digestive System Diseases, run by The Canadian College of Naturopathic Medicine at 1 site in Canada.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The Canadian College of Naturopathic Medicine is conducting a research study on Irritable Bowel Syndrome (IBS), a common condition in North America. It is a long term, recurring gastrointestinal disorder that is estimated to affect 30% of the general population. Read more about this study

Who is it for?
Ages 18 to 64 years
What is being tested?
Kyodophilus multi-strain probiotic capsules
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
128 participants
Where
1 siteCanada
Study dates
May 2010to Feb 2011
Phase
Phase 1/2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 64 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Male and female subjects aged 18-64
  • A diagnosis of Irritable Bowel Syndrome as per ROME III criteria
  • A classification of mild irritable bowel syndrome as indicated by the Irritable Bowel Severity Scoring System (score >75)
  • Female subjects currently using an acceptable form of birth control who agree to maintain its use throughout the study (e.g. abstinence, oral contraceptives, barrier methods)
  • Subjects who agree to maintain their current eating habits throughout the study
  • Ability to understand and sign the Informed Consent Form

Who cannot join

  • Female subjects who are breastfeeding, pregnant, or are open to becoming pregnant in the next three months
  • Subjects currently receiving medication for the treatment of IBS symptoms
  • Subjects currently receiving natural health products for treatment of IBS symptoms will be eligible for inclusion in the trial is they agree to undergo a two week washout period
  • Subjects currently experiencing nausea, fever, vomiting, bloody diarrhea or severe abdominal pain
  • Subjects who are immune-compromised (e.g. AIDS, lymphoma, patients undergoing long-term corticosteroid treatment)
  • Subjects currently receiving antibiotic therapy or antibiotic therapy within the previous month
Show all 17Show fewer
  • Subjects regularly consuming probiotic containing products (e.g. yogurts, etc.)
  • Subjects who have recently (< 3 months) initiated dietary measures to control IBS symptoms
  • Subjects with a history of major or complicated gastrointestinal surgery
  • Subjects with severe endometriosis
  • Subjects with malignant tumors or subjects undergoing chemotherapy or radiation therapy
  • Subjects with severe IBS and that require medication
  • Subjects with weight loss, anaemia, inflammatory bowel disease, celiac sprue, family history of colorectal cancer
  • Subjects exhibiting or indicating thoughts of suicide currently or in the past as based on patient screening interview by the investigator/clinician. Appropriate referral to a health care provider will be provided
  • Subjects with known allergies to milk or milk based products
  • Subjects using and/or have used antipsychotic or anticholinergic medication within the prior month, those with reported significant abnormalities on the thyroid function tests, blood counts and serum chemistry
  • Subjects 50 years or older who have been diagnosed with IBS and have not received a colonoscopy in the last five years.

Trial locations and contacts

1 site in 1 country.

Canada1 site
  • The Canadian College of Naturopathic Medicine

    Toronto, Ontario, M2K 1E2

Other trials in Canada

About this study

Official title: The Effect of Kyo-Dophilus 1.5 Billion on the Symptoms of Irritable Bowel Syndrome (IBS)

The Canadian College of Naturopathic Medicine is conducting a research study on Irritable Bowel Syndrome (IBS), a common condition in North America. It is a long term, recurring gastrointestinal disorder that is estimated to affect 30% of the general population. IBS is characterized by abdominal pain and cramps, and bowel dysfunction such as diarrhea and bloating.

The medicines that are currently used to help people with IBS are not as effective as we would like them to be. These medicines are usually only prescribed to reduce the pain of IBS and not actually treat the disorder itself. Recently, scientists have found that probiotics (beneficial bacteria that live inside humans) may help reduce the painful symptoms and diarrhea that are part of IBS.

This research is being conducted to determine whether this particular combination of three probiotic bacteria (named Lactobacillus gasseri, Bifidobacterium bifidum and Bifidobacterium longum) will reduce the symptoms of IBS.

Read the detailed description

The purpose of this trial is to investigate the effects of the three strain probiotic, Kyo-Dophilus, on the symptoms associated with Irritable Bowel Syndrome.

The primary objective of this trial is to determine the effectiveness of Kyo-Dophilus on the symptoms associated with Irritable Bowel Syndrome in an adult population diagnosed with Irritable Bowel Syndrome by ROME III criteria and classified as mild through the Irritable Bowel Severity Scoring System and to measuring quality of life and global well being of patients through the Visual Analog Scale and the Irritable Bowel Syndrome-Quality of Life Questioner. The secondary objective is to assess the tolerability of the treatment through the use of study diaries.

Being tested
Kyodophilus multi-strain probiotic capsules, Kyodophilus Matching Placebo Capsules
Keywords
bloating, constipation, diarrhea, gas, mucous, cramping
Medical subject headings
Irritable Bowel Syndrome, Digestive System Diseases, Colonic Diseases, Functional, Constipation, Diarrhea, Mucopolysaccharidosis IV, Spasm

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Kyodophilus multi-strain probiotic capsulesDietary supplement

    The Kyo-Dophilus study product is a gelatin capsule containing three proprietary probiotic bacterial strains. The total quantity of bacteria per capsule is 1.5 billion colony forming units (1.5 x 109 cfu) and is composed of the following strains:

    • Lactobacillus gasseri KS-13 1.2
    • Bifidobacterium bifidum G9-1 0.15
    • Bifidobacterium longum MM-2 0.15

    Subjects will be provided with two bottles containing 30 capsules each of matching placebo upon randomization. Subjects will be instructed to take one capsule with breakfast daily for the full 12 weeks duration of the trial. While one bottle contains enough capsules for the time frame between each visit, two bottles have been provided to permit a surplus in the event scheduling conflicts arise. The third bottle, providing the remainder or study capsules, will be provided at visit 2.

  • Kyodophilus Matching Placebo CapsulesDietary supplement

    Subjects will be provided with two bottles containing 30 capsules each of matching placebo upon randomization. Subjects will be instructed to take one capsule with breakfast daily for the full 12 weeks duration of the trial. While one bottle contains enough capsules for the time frame between each visit, two bottles have been provided to permit a surplus in the event scheduling conflicts arise. The third bottle, providing the remainder or study capsules, will be provided at visit 2.

Study groups in NCT01176227
Study groupRoleWhat they receive
Kyodophilus matching placebo capsulesPlacebo comparatorNot described
Receives: Dietary Supplement: Kyodophilus Matching Placebo Capsules
Kyodophilus multi strain probiotic capsulesActive comparatorNot described
Receives: Dietary Supplement: Kyodophilus multi-strain probiotic capsules

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. The irrtable bowel severity scoring system is the primary outcome measure

    Irritable bowel severity scoring system is a validated questionnaire used to monitor IBS (Francis et al, 1997).

    Measured: 12 weeks (between baseline and end of study)

Secondary outcomes (3)
  1. Tolerability of the treatment will be assessed through the use of study diaries in which adverse events will be recorded.

    Measured: 12 weeks

  2. The Irritable Bowel Syndrome-Quality of Life Questionnaire

    This is a validated quality of life questionnaire (Patrick et al, 1998)

    Measured: 12 weeks (baseline and end of study)

  3. Visual Analogue Scale

    Patient rated 0-6 (7 point)questionnaire on the severity of IBS symptoms

    Measured: 12 weeks (baseline and end of study)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted5 Aug 2010 (estimated)
  2. Study startMay 2010
  3. Primary completionFeb 2011
  4. Study completionFeb 2011

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
128 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01176227
Sponsor's protocol ID
1001
Status last verified
Mar 2011
First submitted
31 May 2010
Last updated
1 Apr 2011
Results posted
No
Data monitoring committee
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing Kyodophilus multi-strain probiotic capsules in people with Irritable Bowel Syndrome and Digestive System Diseases, run by The Canadian College of Naturopathic Medicine at 1 site in Canada.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 17 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 1 Apr 2011. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

The irrtable bowel severity scoring system is the primary outcome measure (time frame: 12 weeks (between baseline and end of study)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 Apr 2011.

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