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Saccharomyces Boulardii in Irritable Bowel Syndrome (SB-IBS)
This study is not yet open for participant recruitment.
Verified by Aga Khan University, December 2007
First Received: December 26, 2007   No Changes Posted
Sponsors and Collaborators: Aga Khan University
Biocodex
Information provided by: Aga Khan University
ClinicalTrials.gov Identifier: NCT00589771
  Purpose

Various studies have been conducted in past using different strains of probiotics in evaluating IBS symptoms. The results are by no means consistent and the overall impact of probiotics in IBS remains unclear. However, recently O'Mahony L et al have shown that Bifidobacterium infantis 35624 alleviates symptoms in IBS; this symptomatic response was associated with normalization of the ratio of an anti-inflammatory to a proinflammatory cytokine (IL-10/IL-12 ratio), suggesting an immune-modulating role for this organism, in this disorder.Saccharomyces boulardii is a probiotic yeast that has been successfully used for the antibiotic induced diarrhea, prevent relapse of Clostridium difficile and Crohn's disease. It ameliorates intestinal injury and inflammation caused by a wide variety of enteric pathogens.We therefore plan a Double-blind, randomized, placebo-controlled study to assess the effects of Saccharomyces boulardii in improving symptomatology of diarrhea predominant IBS and its effect on quality of life. We also plan to assess the changes in the relative production of anti-inflammatory interleukin (IL)-10 to proinflammatory cytokines (IL-12, IL-8 and TNFα).


Condition Intervention Phase
Diarrhea Dominant Irritable Bowel Syndrome
Drug: Saccharomyces boulardii
Drug: Placebo
Phase III

MedlinePlus related topics: Diarrhea
Drug Information available for: Saccharomyces boulardii
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Double Blind (Subject, Investigator, Outcomes Assessor), Placebo Control, Parallel Assignment, Efficacy Study
Official Title: Clinical and Cytokine Response to Saccharomyces Boulardii Therapy in Diarrhea Dominant Irritable Bowel Syndrome

Further study details as provided by Aga Khan University:

Primary Outcome Measures:
  • Assess the efficacy of Saccharomyces boulardii in reducing clinical symptoms, improving cytokines levels and histology features [ Time Frame: 6 weeks ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Assess the efficacy of Saccharomyces boulardii in improving quality of life and safety of the drug [ Time Frame: 6 weeks ] [ Designated as safety issue: Yes ]

Estimated Enrollment: 70
Study Start Date: January 2008
Estimated Study Completion Date: September 2008
Estimated Primary Completion Date: September 2008 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
A: Experimental
Capsule Saccharomyces boulardii 250 mg TDS
Drug: Saccharomyces boulardii
Saccharomyces boulardii one capsule 250mg BD for 6 weeks
B: Placebo Comparator
Capsule Placebo TDS
Drug: Placebo
Cap Placebo TDS for six weeks

  Eligibility

Ages Eligible for Study:   18 Years to 70 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. Diarrhea-predominant IBS satisfying ROME III criteria.
  2. Adults aged 18-70

Exclusion Criteria:

  1. Pregnant and lactating females
  2. Inflammatory bowel disease and other systemic disease
  3. Patients on anti-diarrheal and antibiotics drugs
  4. Patients with any ongoing infection
  5. Not willing to participate
  6. Allergy to any of Saccharomyces boulardii components
  7. Central venous catheter carriers
  8. Other probiotics e.g., Lactobacillus and Bifidobacterium
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00589771

Locations
Pakistan, Sindh
Aga Khan University Hospital
Karachi, Sindh, Pakistan, 74800
Sponsors and Collaborators
Aga Khan University
Biocodex
Investigators
Principal Investigator: Zaigham Abbas, FACG Aga Khan University HOSPITAL
  More Information

No publications provided

Responsible Party: Aga Khan University ( Zaigham Abbas )
Study ID Numbers: 674- MED, 2007-674MED-ERC, SB-IBS-674, SB-IBS-cytokines-674
Study First Received: December 26, 2007
Last Updated: December 26, 2007
ClinicalTrials.gov Identifier: NCT00589771     History of Changes
Health Authority: Pakistan: Research Ethics Committee

Keywords provided by Aga Khan University:
IBS
Saccharomyces boulardii
probiotics
cytokine
histology
Efficacy

Study placed in the following topic categories:
Signs and Symptoms
Digestive System Diseases
Diarrhea
Signs and Symptoms, Digestive
Gastrointestinal Diseases
Colonic Diseases
Irritable Bowel Syndrome
Intestinal Diseases
Colonic Diseases, Functional

Additional relevant MeSH terms:
Signs and Symptoms
Pathologic Processes
Disease
Digestive System Diseases
Diarrhea
Signs and Symptoms, Digestive
Gastrointestinal Diseases
Syndrome
Colonic Diseases
Irritable Bowel Syndrome
Intestinal Diseases
Colonic Diseases, Functional

ClinicalTrials.gov processed this record on May 07, 2009