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IBS - Irritable Bowel SyndromeNCT05192603

Comparison Between Low FODMAP and SSRD in IBS

A study testing low FODMAP or SSRD in people with IBS - Irritable Bowel Syndrome, run by Region Skane at 1 site in Sweden.

Enrolling by invitation

Enrolling by invitation. The study team selects and invites participants, usually from an existing group of patients.

Sites and contacts
Official record
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Trial summary

The aim of the present study is to compare the efficiency of low FODMAP and SSRD to reduce symptoms in IBS, and to study the mechanisms and consequences of the two diets. Read more about this study

Who is it for?
Ages 18 to 70 years
Conditions the study is for
IBS - Irritable Bowel Syndrome
What is being tested?
low FODMAP or SSRD
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
200 participants
Where
1 siteSweden
Study dates
1 Mar 2022to 31 Mar 2029
Phase
Interventional
Are there results?
Not yet: the study is under way

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 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Verified IBS according to Rom IV criteria.

Who cannot join

  • Serious mental disease
  • Serious somatic disease
  • Abuse
  • Inability to understand the Swedish language
  • Already on a diet

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Sweden1 site
  • Deartment of INternal Medicine

    Malmö, 20502

Other trials in Sweden

About this study

Official title: Comparison in the Effects and Mechanisms Between Low Fermentable-, Oligo-, di-, and Monosaccharides and Polyols (FODMAP) and Starch- and Sucrose-reduced Diet (SSRD) in Irritable Bowel Syndrome (IBS)

The aim of the present study is to compare the efficiency of low FODMAP and SSRD to reduce symptoms in IBS, and to study the mechanisms and consequences of the two diets.

Read the detailed description

The investigator will perform a study on 200 subjects with verified irritable bowel syndrome (IBS). Participants will be recruited from the clinic of Gastroenterology or Internal medicine as well as primary health care centers. At the start of the study, participants will complete protocols concerning Rom IV criteria (to validate that the IBS criteria are ful-filled) as well as IBS symptom rating scales irritable bowel syndrome-symptoms severity scores (IBS-SSS) and visual analog scale for irritable bowel syndrome (VAS-IBS). The Item Health Survey 1.0 (distributed by RAND), RAND-36, includes the same items as those in the Short-Form Health Survey (SF-36), and evaluates the quality of Life. SCOFF is a brief questionnaire that asks the five questions about eating disturbances (Do you make yourself Sick because you feel uncomfortably full? Do you worry you have lost Control over how much you eat? Have you recently lost more than One stone in a 3 month period? Do you believe yourself to be Fat when others say you are too thin? Would you say that Food dominates your life?). Participants will be examined by an investigator who will complete protocols of clinical data. Blood and fecal samples will be collected by the investigator.

Study participants will thereafter be randomized to receive either low FODMAP (Fermentable, Oligo-, Di-, Mono-saccharides And Polyols) diet (n=100), or a SSRD diet (starch ans sucrose-reduced diet) (n=100). After 4 weeks of dietary intervention, there will be a follow-up where blood and fecal samples are once again collected. At this point in time, participants will also fill in IBS symptom rating scales again.

The participants are then free to eat whatever they want to, and another 5 months later, they will be examined again, the same protocols will be completed, and blood and fecal samples are collected.

The investigator will use samples from baseline, 4 weeks and 6 months, for genetic/epigenetic (including genomic-wide association studies), metabolomics, proteomics, nutritional data, gut microbiota, and inflammatory parameter analyses.

Statistics

The investigator will use Mann-Whitney U-test and Wilcoxon test to study differences in the above-mentioned parameters between the two treatment groups, as well as before and after dietary intervention, respectively. For analyses of genetic/epigenetics, metabolomics, proteomics, and microbiota, the investigator will use bioinformatics and biostatistics.

Being tested
low FODMAP or SSRD
Keywords
IBS, low FODMAP, SSRD
Medical subject headings
Irritable Bowel Syndrome

What participants receive

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

  • low FODMAP or SSRDDietary supplement

    The participants are given oral and written information about each diet. No food is delivered from the investigator to the participant

Study groups in NCT05192603
Study groupRoleWhat they receive
Dietary intervention with Low FODMAPExperimentalThe participants are given oral and written instructions on which diet that contains low contents of FODMAP.
Receives: Dietary Supplement: low FODMAP or SSRD
Dietary intervention with SSRDExperimentalThe participants are given oral and written instructions on which diet that contains SSRD.
Receives: Dietary Supplement: low FODMAP or SSRD

What is being measured

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

  1. Efficiency on bowel and extra-intestinal symptoms

    To assess bowel symptoms and extra-intestinal symptoms after the dietary interventions by evaluation of irritable bowel syndrome-symptom severity score (IBS-SSS). This questionnaire contains VAS scales ranging from 0-100 where a higher score means worse symptoms.

    Measured: 4 weeks dietary intervention

  2. Efficiency on bowel and extra-intestinal symptoms

    To assess bowel symptoms and extra-intestinal symptoms after the dietary interventions by evaluation of IBS-SSS. This questionnaire contains VAS scales ranging from 0-100 where a higher score means worse symptoms.

    Measured: A follow-up 5 months after the end of the intervention

  3. Efficiency on bowel symptoms

    To assess bowel symptoms after the dietary interventions by evaluation of visual analog scale for irritable bowel syndrome (VAS-IBS). This questionnaire contains VAS scales ranging from 0-100 where a higher score means worse symptoms.

    Measured: 4 weeks dietary intervention

  4. Efficiency on bowel symptoms

    To assess bowel symptoms after the dietary interventions by evaluation of visual analog scale for irritable bowel syndrome (VAS-IBS). This questionnaire contains VAS scales ranging from 0-100 where a higher score means worse symptoms.

    Measured: A follow-up 5 months after the end of the intervention

Secondary outcomes (23)
  1. Effects on plasminogen activator inhibitor-1 (PAI-1)

    The investigator will analyze plasminogen activator inhibitor-1 (PAI-1) by enzyme-linked immunosorbent assay (ELISA) to see and compare the effects of the two different diets.

    Measured: 4 weeks dietary intervention, with a follow-up after another 5 months

  2. Effects on C-peptide

    The investigator will analyze C-peptide by enzyme-linked immunosorbent assay (ELISA) to see and compare the effects of the two different diets.

    Measured: 4 weeks dietary intervention, with a follow-up after another 5 months

  3. Effects on insulin

    The investigator will analyze insulin by enzyme-linked immunosorbent assay (ELISA) to see and compare the effects of the two different diets.

    Measured: 4 weeks dietary intervention, with a follow-up after another 5 months

  4. Effects on leptin

    The investigator will analyze leptin by enzyme-linked immunosorbent assay (ELISA) to see and compare the effects of the two different diets.

    Measured: 4 weeks dietary intervention, with a follow-up after another 5 months

  5. Effects on gastric inhibitory peptide (GIP)

    The investigator will analyze GIP by enzyme-linked immunosorbent assay (ELISA) to see and compare the effects of the two different diets.

    Measured: 4 weeks dietary intervention, with a follow-up after another 5 months

  6. Effects on visfatin

    The investigator will analyze visfatin by mesoscale to see and compare the effects of the two different diets.

    Measured: 4 weeks dietary intervention, with a follow-up after another 5 months

  7. Effects on ghrelin

    The investigator will analyze ghrelin by mesoscale to see and compare the effects of the two different diets.

    Measured: 4 weeks dietary intervention, with a follow-up after another 5 months

  8. Effects on gut microbiota by whole genome sequencing of feces

    The investigator will analyze fecal microbiota by whole genome sequencing to see and compare the effects of the two different diets

    Measured: 4 weeks dietary intervention, with a follow-up after another 5 months

  9. Effects on microRNA

    The investigator will analyze microRNA to see and compare the effects of the two different diets

    Measured: 4 weeks dietary intervention, with a follow-up after another 5 months

  10. Effects on DNA methylation

    The investigator will analyze DNA methylation to see and compare the effects of the two different diets

    Measured: 4 weeks dietary intervention, with a follow-up after another 5 months

  11. Effects depending on genetics

    The investigator will analyze sucrase-isomaltase (SI) genes to see if the genetic profile hais of importance for the clinical effect of the two diets

    Measured: 4 weeks dietary intervention, with a follow-up after another 5 months

  12. Effects on vitamin A

    The investigator will analyze values of vitamin A in blood before and after the study to compare the effects on the nutritional status by the two diets.

    Measured: 4 weeks dietary intervention, with a follow-up after another 5 months

  13. Effects on vitamin B

    The investigator will analyze values of vitamin B in blood before and after the study to compare the effects on the nutritional status by the two diets.

    Measured: 4 weeks dietary intervention, with a follow-up after another 5 months

  14. Effects on vitamin C

    The investigator will analyze values of vitamin C in blood before and after the study to compare the effects on the nutritional status by the two diets.

    Measured: 4 weeks dietary intervention, with a follow-up after another 5 months

  15. Effects on vitamin D

    The investigator will analyze values of vitamin D in blood before and after the study to compare the effects on the nutritional status by the two diets.

    Measured: 4 weeks dietary intervention, with a follow-up after another 5 months

  16. Effects on phosphorous

    The investigator will analyze values of phosphorous in blood before and after the study to compare the effects on the nutritional status by the two diets.

    Measured: 4 weeks dietary intervention, with a follow-up after another 5 months

  17. Effects on zinc

    The investigator will analyze values of zinc in blood before and after the study to compare the effects on the nutritional status by the two diets.

    Measured: 4 weeks dietary intervention, with a follow-up after another 5 months

  18. Effects on magnesium

    The investigator will analyze values of magnesium in blood before and after the study to compare the effects on the nutritional status by the two diets.

    Measured: 4 weeks dietary intervention, with a follow-up after another 5 months

  19. Effects on albumin

    The investigator will analyze values of albumin in blood before and after the study to compare the effects on the nutritional status by the two diets.

    Measured: 4 weeks dietary intervention, with a follow-up after another 5 months

  20. Effects on metabolomics and proteomics

    The investigator will analyze metabolomics and proteomics in blood to see and compare the effects of the two different diets

    Measured: 4 weeks dietary intervention, with a follow-up after another 5 months

  21. Effects on quality of life by RAND-36 (comprehensive short-form generic profile for health-related quality of life (HRQoL))

    The investigator will analyze how the two different diets influence quality of life, measured by RAND-36, to compare the effects of the two different diets. RAND-36 is comprised of 36 items on 5-point Likert scale, the higher score the better quality of life, that assess eight health concepts: physical functioning, role limitations caused by physical health problems, role limitations caused by emotional problems, social functioning, emotional well-being, energy/fatigue, pain, and general health perceptions.

    Measured: 4 weeks dietary intervention, with a follow-up after another 5 months

  22. Effects on eating disturbances

    The investigator will analyze how the two different diets influence eating disturbances measured by SCOFF, to compare the effects of the two different diets. SCOFF contains 5 questions answered by "yes" or "no": 1) Do you make yourself Sick because you feel uncomfortably full?, 2) Do you worry that you have lost Control over how much you eat?, 3)Have you recently lost more than One stone (14 lb) in a 3-month period?, 4)Do you believe yourself to be Fat when others say you are too thin?, and 5) Would you say that Food dominates your life?

    Measured: 4 weeks dietary intervention, with a follow-up after another 5 months

  23. Effects on healthcare consumption

    The investigator will analyze how the two different diets influence healthcare consumption by asking the participants about how many times they have visited a Healthcare giver before, during and after the study, to compare the effects of the two different diets

    Measured: 4 weeks dietary intervention, with a follow-up after another 5 months

Timeline

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

  1. First posted14 Jan 2022
  2. Study start1 Mar 2022
  3. Primary completion13 Feb 2024
  4. Study completion31 Mar 2029 (estimated)

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
Model description
Randomized, open study for dietary intervention
Masking
None (open label)
Enrolment
200 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05192603
Sponsor's protocol ID
IBS-2021
Status last verified
Dec 2025
First submitted
29 Nov 2021
Last updated
9 Dec 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Roth B, Ohlsson B. Overweight and vitamin D deficiency are common in patients with irritable bowel syndrome - a cross-sectional study. BMC Gastroenterol. 2024 Sep 3;24(1):296. doi: 10.1186/s12876-024-03373-x.

    PubMed 39227769
  • Roth B, Ohlsson B. Challenges of recruitment processes to a randomized dietary trial in irritable bowel syndrome. F1000Res. 2024 Jun 24;13:323. doi: 10.12688/f1000research.147710.2. eCollection 2024.

    PubMed 38939366
  • Roth B, Ohlsson B. A starch- and sucrose-reduced diet may lead to improvement of intestinal and extraintestinal symptoms in more conditions than irritable bowel syndrome and congenital sucrase-isomaltase deficiency. Nutrition. 2024 Jan;117:112254. doi: 10.1016/j.nut.2023.112254. Epub 2023 Oct 8.

    PubMed 37924624

Questions about this trial

What is this clinical trial studying?

A study testing low FODMAP or SSRD in people with IBS - Irritable Bowel Syndrome, run by Region Skane at 1 site in Sweden.

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 1 inclusion and 5 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: enrolling by invitation, as of the sponsor's last update on 9 Dec 2025. 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 Sweden. 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. 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?

This study is still under way. Results are not available in the source record yet.

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?

Efficiency on bowel and extra-intestinal symptoms (time frame: 4 weeks dietary intervention). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05192603, which also lists 3 linked publications.

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 9 Dec 2025; AzTrials last refreshed its copy on 2 Nov 2026.

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