Treatment of Diarrhea-predominant Irritable Bowel Syndrome (IBS-D) With LACTEOL® 340 mg
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Purpose
Irritable bowel syndrome, especially the diarrhea-predominant subtype (IBS-D) is a complex condition that remains sub-optimally treated as existing therapies for IBS have been considered to be only moderately effective. No currently approved therapy is widely used for the treatment of IBS and new therapies are being constantly sought.
Even though this is a pilot study, the robust methodology proposed(randomized, placebo-controlled, ROME III selection criteria, symptoms measurements using standardized IBS tools) will permit to adequately measure efficacy of LACTEOL 340 mg in the treatment of IBS-D and provide guidance on the need for future clinical development to relieve the burden of suffering patients.
| Condition | Intervention | Phase |
|---|---|---|
|
Diarrhea-predominant Irritable Bowel Syndrome |
Drug: LACTEOL® 340 mg |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | Treatment of Diarrhea-predominant Irritable Bowel Syndrome With LACTEOL® 340 mg: A Pilot Study Evaluating Safety and Efficacy |
- Global Assessment of Relief using the Subject Global Assessment [ Time Frame: Weekly Assessment (every 7 days) ] [ Designated as safety issue: No ]
- Individual symptom severity score using the IBS Symptom Severity Scale [ Time Frame: Weekly assessment (every 7 days) ] [ Designated as safety issue: No ]
- Stool characteristics using the Bristol Stool Form Scale [ Time Frame: Daily assessment (every day) ] [ Designated as safety issue: No ]
- Clinical laboratory parameters using Chemistry and Hematology [ Time Frame: Monthly (every 4 weeks) ] [ Designated as safety issue: Yes ]Monitoring and evaluation of chemistry and hematology values for changes against baseline values.
| Estimated Enrollment: | 60 |
| Study Start Date: | May 2010 |
| Study Completion Date: | September 2011 |
| Primary Completion Date: | September 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: LACTEOL® 340 mg
LACTEOL® active medication
|
Drug: LACTEOL® 340 mg
LACTEOL® study medication (either LACTEOL® 340 mg or Placebo) will be taken for a 4-week duration (28 days) as three capsules a day: two capsules in the morning and one capsule in the evening.
|
| Placebo Comparator: LACTEOL® Placebo |
Drug: LACTEOL® 340 mg
LACTEOL® study medication (either LACTEOL® 340 mg or Placebo) will be taken for a 4-week duration (28 days) as three capsules a day: two capsules in the morning and one capsule in the evening.
|
Detailed Description:
This study will include the following phases: Screening Phase, Run-In Phase, Double-Blind Treatment Phase and Open-Label Treatment Phase.
Screening: Eligibility of subjects will be evaluated following informed consent signature. Screening procedures/evaluations (physical exam, concomitant medications, clinical laboratory tests) and confirmation of eligibility following Rome III Diagnostic questionnaire will be performed.
Run-In: Subjects will enter a Run-In Phase during which IBS Symptoms and Stool Characteristics will be recorded. At the end of the Run-In Phase, data collected over the last week will be reviewed. Upon confirmation of IBS-D severity status, subjects may be randomized.
Double-Blind Treatment: Subjects will take study medication (either LACTEOL® 340 mg or Placebo) for 28 days. During this time, IBS Symptoms and Stool Characteristics and global assessment of relief will be recorded, and clinical laboratory tests will be performed.
Open-Label Treatment: All study completers will be eligible for a second 28 day Open-Label Treatment in the event that IBS-D symptoms remain or recur within the month following the end of Double-Blind Treatment. Subjects will take the study medication (LACTEOL® 340 mg) for 28 days. During this time, IBS Symptoms and Stool Characteristics and global assessment of relief will be recorded, and clinical laboratory tests will be performed.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- IBS-D diagnosis using the Rome III questionnaire
- IBS symptoms severity and stool characteristics (using IBS-Symptom Severity Scale and Bristol Stool Chart)
- Mental and legal ability to sign informed consent
Exclusion Criteria:
- Diagnosis of Inflammatory Bowel Disease (IBD)
- Chronic use of systemic steroids
- Diagnosis of autoimmune Diseases or Disorders
- Invasive abdominal surgery
- Use of antibiotics prior to screening
- Congenital galactosemia, glucose, fructose and/or galactose malabsorption syndrome, lactase deficiency or lactose intolerance
- Use of any experimental drug within the 30 days prior to screening
Contacts and Locations| France | |
| Bordeaux, France | |
| Colombes, France | |
| Marseille, France | |
| Nice, France | |
| Rouen, France | |
| Germany | |
| Berlin, Germany | |
| Hamburg, Germany | |
| Mannheim, Germany | |
| Study Director: | Ivan T Shaw, PhD | Axcan Pharma Inc. |
More Information
No publications provided
| Responsible Party: | Ivan T. Shaw, PhD, Axcan Pharma |
| ClinicalTrials.gov Identifier: | NCT01358708 History of Changes |
| Other Study ID Numbers: | MA-LA-IBS09-01 |
| Study First Received: | May 16, 2010 |
| Last Updated: | November 16, 2012 |
| Health Authority: | France: Afssaps - Agence française de sécurité sanitaire des produits de santé (Saint-Denis) Germany: Federal Institute for Drugs and Medical Devices |
Additional relevant MeSH terms:
|
Diarrhea Irritable Bowel Syndrome Signs and Symptoms, Digestive Signs and Symptoms Colonic Diseases, Functional |
Colonic Diseases Intestinal Diseases Gastrointestinal Diseases Digestive System Diseases |
ClinicalTrials.gov processed this record on May 16, 2013