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Irritable Bowel SyndromeMASTIQUANCT04893499

A Study of Chios Mastic Water in Irritable Bowel Syndrome

A study testing Chios mastic water and Chios mastic fruit juice in people with Irritable Bowel Syndrome, run by Rutgers, The State University of New Jersey at 1 site in Greece.

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

Chios mastic is a natural product with strong antimicrobial, anti-inflammatory and antioxidant properties, and well-established benefits for dyspeptic disorders. The aim of the present study is to investigate the effectiveness of a natural aqueous extract of Chios mastic (mastic water), a by-product of Chios mastic… Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Irritable Bowel Syndrome
What is being tested?
Chios mastic water and Chios mastic fruit juice
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
55 participants
Where
1 siteGreece
Study dates
12 Sep 2021to 16 May 2022
Phase
Interventional
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 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age 18-65 years old
  • Body mass index 18.5-35 kg/m2
  • IBS diagnosis

Who cannot join

  • Presence of other gastrointestinal disorders, such as gastritis, peptic ulcer, functional dyspepsia, celiac disease and inflammatory bowel disease
  • Presence of other serious comorbidities, such as diabetes mellitus, active cancer, cardiovascular disease, pulmonary, kidney, liver, chronic inflammatory, autoimmune or psychiatric diseases
  • Recent (within 6 months) surgery or hospitalization
  • Habitual excessive alcohol consumption (> 210 or > 140 gr of alcohol per week for men and women, respectively)
  • Currently on a weight-loss diet or recent change (within 6 months) in lifestyle habits
  • Pregnancy or breast feeding (for women)

Trial locations and contacts

1 site in 1 country.

Greece1 site
  • Department of Nutrition and Dietetics, School of Health Sciences and Education, Harokopio University

    Kallithea, Attica, 17676

Other trials in Greece

About this study

Official title: The Effectiveness of a Natural Aqueous Extract of Chios Mastic in the Management of Irritable Bowel Syndrome: the MASTIQUA Randomized Controlled Clinical Trial

Chios mastic is a natural product with strong antimicrobial, anti-inflammatory and antioxidant properties, and well-established benefits for dyspeptic disorders. The aim of the present study is to investigate the effectiveness of a natural aqueous extract of Chios mastic (mastic water), a by-product of Chios mastic processing, in the management of irritable bowel syndrome. This will be a 3-month randomized double-blind controlled clinical trial in adult patients with irritable bowel syndrome under standard medication. Participants will be blindly randomized to a low-dose mastic group, which will receive a carbonated water enriched with Chios mastic water (0.06%), a high-dose mastic group, which will receive a carbonated fruit juice enriched with Chios mastic water (0.55%), or one of the two control groups, which will receive an identical placebo water/fruit juice with no active ingredients. Participants will be evaluated in terms of anthropometric indices, lifestyle habits, severity of IBS-related gastrointestinal symptoms, quality of life, as well as biochemical, inflammatory and oxidative stress markers, both pre- and post-intervention.

Read the detailed description

Chios mastic is the resin of the mastic tree (Pistacia Lentiscus var. Chia), produced exclusively in the southern part of the Greek island of Chios. References about its medical use from local populations for the treatment of gastrointestinal disorders or as a cosmetic agent can be found in ancient texts. Nowadays, this versatile resin has been rediscovered, not only as a traditional remedy and aromatic agent, but as a potent phytotherapeutic product with strong anti-inflammatory, anti-microbial and anti-oxidant properties. In 2015, Chios mastic was recognized as a herbal medicinal product by the European Medicines Agency (EMA), with two therapeutic indications: mild dyspeptic disorders and skin inflammation/healing of minor wounds (EMA/HMPC/46758/2015). Over the last years, Chios mastic is widely used in medicinal products, food supplements and cosmetics and has become the object of intense study in the fields of Nutrition and Pharmacotechnology.

Irritable bowel syndrome (IBS) is a chronic functional gastrointestinal disease characterized by adverse changes in bowel function (frequency of bowel movements and/or stool composition) and abdominal pain. The clinical presentation of IBS usually includes symptoms of abdominal pain, flatulence, bloating, diarrhea and constipation that often alternate, while postprandial discomfort in the upper abdomen, feeling of fullness, nausea, vomiting and back pain are less commonly reported. IBS affects approximately 7-16% of the general population, and leads to reduced functionality and productivity and a significant deterioration in quality of life due to its various intestinal manifestations. The first-line pharmacological treatments for IBS aim at alleviating symptoms and include antispasmodics or anticonvulsants for abdominal pain, antidiarrheal medication and laxatives for constipation. Dietary modifications, such as the avoidance of foods that aggravate gastrointestinal symptoms and various types of exclusion diets, are also applied as adjunctive therapies for IBS management, but evidence of their effectiveness remains scares and inconclusive.

The use of foods/beverages enriched with Chios mastic could constitute a promising complementary approach for the management of IBS, in combination with current first-line pharmacological treatments. The aim of the present interventional study is to explore the effectiveness of a natural aqueous extract of Chios mastic in the management of IBS.

The study will be a 3-month parallel, randomized (allocation ratio 1:1), controlled, double-blind clinical trial in a sample of 60 adult patients with IBS. Eligible participants will be adult (18-65 years old) otherwise healthy individuals with an IBS diagnosis based on ROME IV criteria under stable medication. Participants will be excluded on the basis of the presence of other chronic gastrointestinal diseases, the presence of other serious comorbidities, or recent significant changes in lifestyle habits. Participants will be randomized to a low-dose mastic group (LDMG), a low-dose control group (LDCC), a high-dose mastic group (HDMG) or a high-dose control group (HDCC). The LDMG will be provided with 600 mL of a sparkling water (mastiqua) containing the natural mastic aqueous extract (0.06%) to be consumed daily (3 bottles of 200 mL each). The HDMG will be provided with 600 mL of a sparkling fruit juice (mastiqua lemon) containing the natural mastic aqueous extract (0.55%) to be consumed daily (3 bottles of 200 mL each). The LDCC and HDCC will receive the same quantity of a placebo sparkling water or fruit juice, respectively. For each type of drink (water and fruit juice), the intervention and placebo drinks will be unlabeled and identical in appearance and organoleptic characteristics, including the characteristic Chios mastic aroma. Randomization will be performed by an investigator with no clinical involvement, while all patients and study team members will be blinded to patient allocation in study groups.

All enrolled patients will continue their standard medical treatment which must remain stable throughout the trial. The study physician will systematically record potential side-effects and will be in charge of terminating the intervention if needed. Participants will be assessed in terms of anthropometric indices (body weight, height, waist circumference, and body composition), lifestyle habits (diet and physical activity habits), the presence and severity of gastrointestinal symptoms, and quality of life both pre- and post-intervention. In addition, blood samples after a 12-hour fast and morning urine samples will be collected to measure biochemical, inflammatory and oxidative stress markers.

Being tested
Chios mastic water, Placebo water, Chios mastic fruit juice, Placebo fruit juice
Keywords
Pistacia Lentiscus var. Chia, Chios mastic, mastiha, irritable bowel syndrome, dyspepsia, constipation, diarrhea, abdominal pain, bloating, gastrointestinal health
Medical subject headings
Irritable Bowel Syndrome, Dyspepsia, Constipation, Diarrhea, Abdominal Pain

What participants receive

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

  • Chios mastic waterBehavioural

    Also called Mastiqua

    Participants randomized to this intervention arm will be provided with a sparkling water enriched with the natural mastic aqueous extract (0.06%), a by-product of Chios mastic processing, and will be asked to consume it daily (3 bottles of 200 mL each) for 3 months. Participants will also be instructed to keep the use of medication and dietary supplements stable and preserve their typical lifestyle habits throughout the study.

  • Placebo waterBehavioural

    Participants randomized to this intervention arm will be provided with a standard sparkling water and will be asked to consume it daily (3 bottles of 200 mL each) for 3 months. Participants will also be instructed to keep the use of medication and dietary supplements stable and preserve their typical lifestyle habits throughout the study.

  • Chios mastic fruit juiceBehavioural

    Also called Mastiqua lemon

    Participants randomized to this intervention arm will be provided with a sparkling fruit juice enriched with the natural mastic aqueous extract (0.55%), a by-product of Chios mastic processing, and will be asked to consume it daily (3 bottles of 200 mL each) for 3 months. Participants will also be instructed to keep the use of medication and dietary supplements stable and preserve their typical lifestyle habits throughout the study.

  • Placebo fruit juiceBehavioural

    Participants randomized to this intervention arm will be provided with a standard sparkling fruit juice and will be asked to consume it daily (3 bottles of 200 mL each) for 3 months. Participants will also be instructed to keep the use of medication and dietary supplements stable and preserve their typical lifestyle habits throughout the study.

Study groups in NCT04893499
Study groupRoleWhat they receive
Low-dose mastic groupExperimentalThis arm will consume 600 mL of a sparkling water enriched with Chios mastic per day for a 3-month period.
Receives: Behavioral: Chios mastic water
Low-dose control groupPlacebo comparatorThis arm will consume 600 mL of a standard sparkling water per day for a 3-month period.
Receives: Behavioral: Placebo water
High-dose mastic groupExperimentalThis arm will consume 600 mL of a sparkling fruit juice enriched with Chios mastic per day for a 3-month period.
Receives: Behavioral: Chios mastic fruit juice
High-dose control groupPlacebo comparatorThis arm will consume 600 mL of a standard sparkling fruit juice per day for a 3-month period.
Receives: Behavioral: Placebo fruit juice

What is being measured

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

  1. Change in IBS symptoms severity assessed through the IBS Symptom Severity Scale (IBS-SSS)

    The score ranges from 0 to 500, with higher values indicating more severe symptoms.

    Measured: 0 (baseline) and 12 weeks

  2. Change in quality of life assessed through the IBS Quality of Life questionnaire (IBS-QOL)

    Τhe score ranges from 34 to 170 with higher values indicating lower quality of life.

    Measured: 0 (baseline) and 12 weeks

Secondary outcomes (4)
  1. Change in high-sensitivity C-reactive protein

    High-sensitivity C-reactive protein (mg/L) will be measured in blood samples by nephelometry.

    Measured: 0 (baseline) and 12 weeks

  2. Change in high-sensitivity interleukin-6 levels

    High-sensitivity interleukin-6 levels (pg/mL) will be measured in blood samples using commercially available ELISA kits.

    Measured: 0 (baseline) and 12 weeks

  3. Change in malondialdehyde

    Malondialdehyde levels (nmol/mL) will be measured in blood samples through HPLC-Fluorescence.

    Measured: 0 (baseline) and 12 weeks

  4. Change in total serum antioxidant capacity

    Total serum antioxidant capacity (μmol/L) will be measured in blood samples using commercially available ELISA kits.

    Measured: 0 (baseline) and 12 weeks

Timeline

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

  1. First posted19 May 2021
  2. Study start12 Sep 2021
  3. Primary completion16 May 2022
  4. Study completion16 May 2022

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 N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
55 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04893499
Sponsor's protocol ID
Γ-1038/12-3-2021
Acronym
MASTIQUA
Status last verified
Sep 2022
First submitted
14 May 2021
Last updated
29 Sep 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Deidentified individual participant data will be shared to investigators for the purpose of data meta-analysis, provided that the proposed use of the data has been approved by the Study Principal Investigator. Proposals should be directed to lsidossis@gmail.com. To gain access, data requestors will need to sign a data access agreement.

Questions about this trial

What is this clinical trial studying?

A study testing Chios mastic water and Chios mastic fruit juice in people with Irritable Bowel Syndrome, run by Rutgers, The State University of New Jersey at 1 site in Greece.

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 3 inclusion and 6 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 29 Sep 2022. 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 Greece. 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.

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?

Change in IBS symptoms severity assessed through the IBS Symptom Severity Scale (IBS-SSS) (time frame: 0 (baseline) and 12 weeks). The study lists 2 primary outcomes in all. 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 29 Sep 2022.

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