A study to evaluate the efficacy of two different mixes of HMO-2-O-fucosyllactose + Humiome Post LB postbiotic (postbiotic-LB) on Gastrointestinal Symptoms in individuals with Irritable Bowel Syndrome (IBS)
Scientific Title of Study
A randomized, placebo-controlled, double-blind clinical study to evaluate the efficacy of two different mixes of HMO-2-O-fucosyllactose (HMO-2FL) + Humiome Post LB postbiotic (postbiotic-LB) on Gastrointestinal Symptoms in individuals with Irritable Bowel Syndrome (IBS)
Trial Acronym
nil
Secondary IDs if Any
Secondary ID
Identifier
2023-08-14-DORP Version: 2.0 Date 7th jan 2025
Protocol Number
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
Name
Dr Sanjay Vaze
Designation
Sr.Manager-Clinical Development
Affiliation
Vedic Lifesciences Pvt Ltd
Address
Vedic Lifesciences Pvt Ltd 118 B Morya House off New Link Road
Andheri West Mumbai Mumbai (Suburban) Mumbai (Suburban)
MAHARASHTRA
Mumbai (Suburban) MAHARASHTRA 400053 India
Phone
8655670964
Fax
Email
sanjay.v@vediclifesciences.com
Details of Contact Person Scientific Query
Name
Dr Sanjay Vaze
Designation
Sr.Manager-Clinical Development
Affiliation
Vedic Lifesciences Pvt Ltd
Address
Vedic Lifesciences Pvt Ltd 118 B Morya House off New Link Road
Andheri West Mumbai Mumbai (Suburban) Mumbai (Suburban)
MAHARASHTRA
Jaipur National University Institute of Medical Sciences and Research Centre
Jaipur National University Institute of Medical Sciences and Research Centre Jaipur-Agra Bypass, Near New RTO Office, Jagatpura, Jaipur-302017 Jaipur RAJASTHAN
Shivam Hospital; Plot no. 57, C.R.W. CHS, Near M.I.D.C, water tank, Kalyan Road, Dombivli (East), 421201 Mumbai MAHARASHTRA
9545664884
dr.kushal.bangar83@gmail.com
Dr Vijayalakshmi
Shri. B. M. Patil Medical College, Hospital and Research Centre
B.L.D.E. (DEEMED to be University) Shri. B. M. Patil Medical College, Hospital and Research Centre, Vijayapur, Smt. Bangaramma Sajjan Campus, Sholapur Road, Bijapur – 586103, Karnataka, India. Bijapur KARNATAKA
8792793848
dr.viju21@yahoo.in
Dr Amar Raykantiwar
Silver brich multispeciality hospital
20/10/11, U.P.D.Construction,S.No.6, Plot No.1 To Plot No.4, Dhayari Road, near Sawatamali Mandir, Narhe, Pune, Maharashtra 411041 Pune MAHARASHTRA
1 capsule per day will be taken orally for 6 weeks , after breakfast
Inclusion Criteria
Age From
18.00 Year(s)
Age To
70.00 Year(s)
Gender
Both
Details
1.Written informed consent will be obtained before any study-related assessments
2.Male or female aged less than or equal to 18 to 70 years at the time of consent
3.Female individuals of childbearing potential (Females who are peri or post-menopausal ,when there has been no or irregular menstruation for a minimum of 12 months prior to screening, are considered not to be of child-bearing potential.), who are not surgically sterilized, must have a negative pregnancy test at screening and be willing to practice one of the following appropriate contraceptive methods until the last visit
i.Sexual abstinence
ii.Oral contraceptives.
iii.Trans-dermal patches or depot injection of a progestogen drug (starting at least 4 weeks prior to product administration).
iv.Double barrier method: condom or occlusive cap plus spermicidal agent.
Intrauterine device intrauterine system subdermal implant, or vaginal ring (placed at least 4 weeks prior to product administration/2 weeks prior screening).
vi. Contraceptives must be effective before the randomization visit
4.Individuals with Plasma FBG (fasting blood glucose) (less than equal to 125 mg/dl).
5.Individuals with haemoglobin Hb (more than equal to 10 g/dl).
6.Individuals with BP (blood pressure) (less than equal to 140/100 mm Hg)
7.Individuals with normal haematology as assessed by CBC (complete blood counts)
8.Individuals with TSH levels in between 0.4 mIU/L and 5.0 mIU/L
9.SGOT and SGPT within 2 X the Upper normal limit (ULN) and serum creatinine within 1.5 X ULN
10.Rome-IV diagnostic criteria: Individuals with more than 25% of bowel movements with Bristol stool types 1, 2 or 6,7 and have had recurrent abdominal pain, on average, at least 1 day/week in the last 3 months. The pain is associated with two or more of the following criteria:
a.Related to defecation
b.Associated with a change in frequency of stool
c.Associated with a change in form or appearance of stool as assessed by Bristol stool type 1,2, 6 or 7
11.Abdominal pain severity (more than equal to 6 on a 11-point scale) at screening and during placebo run-in period.
12.Individuals with IBS-SSS score of at least 175 points at screening.
13.Individuals who are mentally stable as assessed by Perceived stress Scale (PSS) less than equal to 26 (Low to Moderate stress)
14.Individuals who understand the nature and purpose of the study including the potential risks and side effects.
15.Individuals who are willing to complete all study procedures including study related questionnaires and comply with study requirements.
16.Individuals who are capable of filling the app-based digital form/diary.
ExclusionCriteria
Details
1.Individuals with IBS-M.
2.Treatment with an investigational drug within 30 days/5 half-lives of the drug (whichever longest) prior to screening visit.
3.Individuals with organic disease like infectious diseases, inflammatory diseases, metabolic disorders, neurological diseases, autoimmune disorders, cancer
4.Individuals with a history of surgical resection of the stomach, small intestine or large intestine.
5.Individuals with a history of or complications from inflammatory bowel disease , colitis and enteritis.
6.Individuals with a history of any diet-based intolerance (gluten or lactose intolerance).
7.Individuals with a history of drug or alcohol abuse within the past 6 months.
8.Individuals with severe depression or an anxiety disorder, which could potentially affect the efficacy evaluation (as determined by the qualified investigator).
9.Individuals with uncontrolled hypertension or on antihypertensive medications
10.Individuals with serious cardiovascular diseases, respiratory diseases, renal diseases, hepatic diseases, gastrointestinal diseases (excluding IBS), blood diseases or neurological or psychiatric diseases.
11.Individuals who are pregnant, breastfeeding or planning on becoming pregnant throughout the course of the study.
12.Individuals with Type I or Type II diabetes mellitus.
13.Individuals with a history of or current diagnosis of any cancer diagnosed less than 5 years prior to screening. Individuals with cancer in full remission more than 5 years after diagnosis are acceptable.
14.Individuals who are immuno-compromised (HIV positive, on anti-rejection medication, rheumatoid arthritis and other autoimmune disorders).
15.Individuals with a history of abdominal surgery.
16.Individuals with diarrhoea of any other origin.
17.Individuals currently or in future planning to fast for more than 24 hours.
18.Individuals with an active eating disorder.
19.Individuals who have used an over-the-counter or prescription laxative medication or any other herbal agents affecting GI motility within 2 weeks prior to screening.
20.Individuals who have used pre/pro/post/synbiotic, Human Milk Oligosaccharides (HMOs), or fiber supplements (or probiotic/fiber enriched foods) or FODMAP diet or an antibiotic within 4 weeks prior to screening.
21.Individuals who have used IBS specific treatments within 4 weeks prior to screening.
22.Individuals who currently consume greater than 2 standard alcoholic drinks per day from past 3 months. (One unit of alcohol is equal to 45 ml of hard liquor, 150 ml of wine or a pint of beer)
23.Smokers (in any number and any format)
24.Individuals with an allergy or sensitivity to the probiotic products.
25.Individuals who are cognitively impaired and/or who are unable to give an informed consent.
26.Individuals who have abnormal laboratory results or any other medical or psychological condition which, in the opinion of the qualified investigator, may adversely affect the Individuals’ ability to complete the study or its measures or which may pose significant risk to the individual.
Method of Generating Random Sequence
Stratified block randomization
Method of Concealment
Sequentially numbered, sealed, opaque envelopes
Blinding/Masking
Participant and Investigator Blinded
Primary Outcome
Outcome
TimePoints
To assess the efficacy of 6 weeks of daily consumption of two different mixes of HMO 2’-O-fucosyllactose (HMO-2FL) + Humiome® Post LB postbiotic (postbiotic-LB) on IBS symptoms as assessed by IBS Symptom Severity Scale (IBS-SSS), when compared to placebo in individuals with IBS
Day 0, and Day 42
Secondary Outcome
Outcome
TimePoints
To assess the efficacy of daily consumption of two different mixes of HMO 2’-O-fucosyllactose (HMO-2FL) + Humiome® Post LB postbiotic (postbiotic-LB) on IBS symptoms as assessed by IBS Symptom Severity Scale (IBS-SSS), when compared to placebo in individuals with IBS
Day 0, Day 21
To assess the efficacy of 6 weeks of daily consumption of two different mixes of HMO 2’-O-fucosyllactose (HMO-2FL) + Humiome® Post LB postbiotic (postbiotic-LB); on IBS symptoms as assessed by IBS-SSS, when compared to baseline in individuals with IBS
Day 0, Day 21 and Day 42
To assess the efficacy of 6 weeks of daily consumption of two different mixes of HMO 2’-O-fucosyllactose (HMO-2FL) + Humiome® Post LB postbiotic (postbiotic-LB); on the following parameters compared to baseline, each other and placebo in individuals with IBS
1.Abdominal pain severity (11-point scale)
2.Stool consistency (Bristol Stool Form Scale type 3, 4 & 5).
3.Quality of Life (QOL) score as assessed by IBS- QoL questionnaire.
4.Abdominal bloating as assessed by GIQLI (Gastrointestinal Quality of Life Index)
5.Percentage of responders to the treatment based on improvement on primary objective
Day 0, Day 21 and Day 42
To assess the efficacy of 6 weeks of daily consumption of two different mixes of HMO 2’-O-fucosyllactose (HMO-2FL) + Humiome® Post LB postbiotic (postbiotic-LB); on the following parameters compared to baseline, each other and placebo in individuals with IBS
1.Daily number of stools (stool frequency).
2.Absolute difference in rescue medication consumption in active and placebo groups.
3.Number of adverse events.
4.Subjective global assessment of IP tolerability by participants.
Throughout the study
To assess the efficacy of 6 weeks of daily consumption of two different mixes of HMO 2’-O-fucosyllactose (HMO-2FL) + Humiome® Post LB postbiotic (postbiotic-LB); on the following parameters compared to baseline, each other and placebo in individuals with IBS
1.IBS-related mental stress relief as assessed by the Perceived Stress Scale (PSS)
2.Gut Permeability assessment (Lactulose to Mannitol ratio test) [to be conducted in 30 participants in each arm]
3.Stool pH & redox [to be conducted in those participants who are undergoing LMR (lactulose-to-mannitol ratio) in 30 participants each arm]
Day 0 and Day 42
To assess the efficacy of 6 weeks of daily consumption of two different mixes of HMO 2’-O-fucosyllactose (HMO-2FL) + Humiome® Post LB postbiotic (postbiotic-LB); on the following parameters compared to baseline, each other and placebo in individuals with IBS
1.Change in gut microbiome composition at genus and/ or species level.
2.Change in microbiome diversity.
3.Changes in fecal metabolomics profile.
4.Changes in organic acids in fecal samples (acetate, propionate, butyrate, valerate, lactate).
Day 0 and Day 42
Target Sample Size
Total Sample Size="330" Sample Size from India="330" Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials" Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials"
Individual Participant Data (IPD) Sharing Statement
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - NO
Brief Summary
The present study is a randomized, double-blind, placebo-controlled, parallel group three arm study. The intervention duration for all the study participants is 6 weeks