| CTRI Number |
CTRI/2020/07/026863 [Registered on: 28/07/2020] Trial Registered Prospectively |
| Last Modified On: |
14/10/2022 |
| Post Graduate Thesis |
No |
| Type of Trial |
Interventional |
|
Type of Study
|
Probiotic |
| Study Design |
Randomized, Parallel Group, Placebo Controlled Trial |
|
Public Title of Study
|
Effect of probiotic vs placebo in Non Constipated Irritable Bowel Syndrome |
|
Scientific Title of Study
|
Multicentric, Phase IV, randomized, double blind, placebo controlled trial to assess effectiveness and safety of Lactobacillus acidophilus LA-5® and Bifidobacterium BB-12® in the treatment of Non-Constipated Irritable Bowel Syndrome in adults aged 18 years to 65 years. |
| Trial Acronym |
|
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| MC/PVD/PRB/19-002 |
Protocol Number |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Ashok Jaiswal |
| Designation |
Medical Advisor, Medical and Regulatory Affairs |
| Affiliation |
ZYDUS HEALTHCARE LIMITED |
| Address |
Zydus Healthcare Limited,
CTS No. 460/6, I. B. Patel Road, Village Pahadi,
Goregaon (East), Mumbai
400063, Maharashtra,
Mumbai MAHARASHTRA 400063 India |
| Phone |
7600014339 |
| Fax |
|
| Email |
AshokD.Jaiswal@zyduscadila.com |
|
Details of Contact Person Scientific Query
|
| Name |
Ashok Jaiswal |
| Designation |
Medical Advisor, Medical and Regulatory Affairs |
| Affiliation |
ZYDUS HEALTHCARE LIMITED |
| Address |
Zydus Healthcare Limited,
CTS No. 460/6, I. B. Patel Road, Village Pahadi,
Goregaon (East), Mumbai
400063, Maharashtra,
Mumbai MAHARASHTRA 400063 India |
| Phone |
7600014339 |
| Fax |
|
| Email |
AshokD.Jaiswal@zyduscadila.com |
|
Details of Contact Person Public Query
|
| Name |
Ashok Jaiswal |
| Designation |
Medical Advisor, Medical and Regulatory Affairs |
| Affiliation |
ZYDUS HEALTHCARE LIMITED |
| Address |
Zydus Healthcare Limited,
CTS No. 460/6, I. B. Patel Road, Village Pahadi,
Goregaon (East), Mumbai
400063, Maharashtra,
Mumbai MAHARASHTRA 400063 India |
| Phone |
7600014339 |
| Fax |
|
| Email |
AshokD.Jaiswal@zyduscadila.com |
|
|
Source of Monetary or Material Support
|
|
|
Primary Sponsor
|
| Name |
Zydus Healthcare Limited |
| Address |
ZYDUS HEALTHCARE LIMITED,
Zydus Healthcare Limited,
CTS No. 460/6, I. B. Patel Road, Village Pahadi,
Goregaon (East), Mumbai
400063, Maharashtra, |
| Type of Sponsor |
Pharmaceutical industry-Indian |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
Sites of Study
Modification(s)
|
| No of Sites = 7 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Manas Kumar Panigrahi |
All India Institute of Medical Sciences, Bhubaneswar |
All India Institute of Medical Sciences, Sijua, Patrapada, Bhubaneswar, Odisha 751019 Cuttack ORISSA |
9438884267
medgast_manas@aiimsbhubaneswar.edu.in |
| Dr Pravin Motilal Rathi |
B.Y.L. Nair Ch. Hospital & T.N. Medical College, Mumbai Central, Mumbai |
Topiwala National Medical College and BYL Nair Ch. Hospital, G Building, Ground Floor, Dr. A.l. Nair Road, Mumbai - 400008 Mumbai MAHARASHTRA |
9322406438
rathipm@live.in |
| Dr Akash Shukla |
KEM Hospital |
Acharya Donde Marg, Parel, Mumbai, Maharashtra 400012 Mumbai MAHARASHTRA |
9869256376
drakashshukla@yahoo.com |
| Dr Indraneel Saha |
Peerless Diagnostic Centre |
Peerless Diagnostic Centre, 223 Chittaranjan Avenue, Kolkata, West Bengal 700006 Kolkata WEST BENGAL |
9831000396
isjsid@yahoo.co.in |
| Dr Uday Ghoshal |
Sanjay Gandhi Postgraduate Institute of Medical Sciences |
Sanjay Gandhi Postgraduate Institute of Medical Sciences
Raebareli Road
Lucknow – 226014 Lucknow UTTAR PRADESH |
9628842456
udayghoshal@gmail.com |
| Dr BS Ramakrishna |
SRM Institute of Medical Sciences |
No.1, Jawaharlal Nehru Salai, Vadapalani, Chennai Chennai TAMIL NADU |
9994614890
wurama@hotmail.com |
| Dr Karmabir Chakravartty |
Woodlands Hospital |
8/5, Alipore Road, Kolkata – 700 027 Kolkata WEST BENGAL |
9830058059
karmabir.c@gmail.com |
|
Details of Ethics Committee
Modification(s)
|
| No of Ethics Committees= 7 |
| Name of Committee |
Approval Status |
| Hurip Independent Bioethics Committee |
Approved |
| Hurip Independent Bioethics Committee |
Approved |
| Institutional Ethics Committee SRM Institute of Medical Sciences |
Approved |
| Institutional Ethics Committee, All India Institute of Medical Sciences, Bhubaneswar |
Approved |
| Institutional Ethics Committee, Sanjay Gandhi Institute of Post Graduate Institute of Medical Sciences |
Approved |
| Institutional Ethics Committee, Seth GS Medical College and KEM Hospital |
Approved |
| Institutional Ethics Committee, Topiwala National Medical College and BYL Nair Ch. Hospital |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: K580||Irritable bowel syndrome with diarrhea, (2) ICD-10 Condition: K582||Mixed irritable bowel syndrome, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Comparator Agent |
Placebo |
Identical Placebo administered orally twice daily for 12 weeks given concomitantly with standard of care treatment |
| Intervention |
Providac |
Lactobacillus acidophilus LA-5® and Bifidobacterium BB-12®in dosage of total 1 billion CFU per capsule, administered orally twice daily for 12 weeks given concomitantly with standard of care treatment |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
65.00 Year(s) |
| Gender |
Both |
| Details |
1. Subjects in the age group of 18-65 years (both ages inclusive) with a positive diagnoses of non-constipated IBS ) diagnosed based on responses to the Enhanced Asian ROME 3 Questionnaire
2. Criteria fulfilled for the last 3 months with symptom onset at least 6 months before study.
3. Able to provide signed informed consent and be able to comply with study procedures |
|
| ExclusionCriteria |
| Details |
1.Subjects with Constipation Predominant IBS (IBS-C)
2.Subjects with history of major abdominal surgery, a history of inflammatory bowel disease or diverticular disease, celiac disease, structural abnormalities of the gastrointestinal tract other than oesophagitis or gastritis allergic diseases.
3.Other organic or major psychiatric disorders such as schizophrenia manic depressive conditions as assessed by medical history, appropriate consultations and laboratory tests. 4.Faecal occult blood test positive
5.Pregnant or Lactating mothers
6.Any other medical condition in the opinion of the investigator rendering the subject ineligible to participate.
7.Use of antibiotics or probiotics in the three weeks preceding study start. |
|
|
Method of Generating Random Sequence
|
Computer generated randomization |
|
Method of Concealment
|
Pre-numbered or coded identical Containers |
|
Blinding/Masking
|
Participant, Investigator, Outcome Assessor and Date-entry Operator Blinded |
|
Primary Outcome
|
| Outcome |
TimePoints |
| To determine the effectiveness of 12 weeks consumption of Lactobacillus acidophilus, LA-5® and Bifidobacterium animalis ssp. lactis, BB-12® on the abnormal defecation and abdominal pain and discomfort in non-constipated IBS patients. |
• Number and proportion of responders in each arm who experience improvement in symptoms recorded by IBS Global Improvement Scale (IBS-GIS):
• A responder defined as a patient who answered that their symptoms were either “moderately improved†or “substantially improvedâ€. The weekly numerical evaluation of abdominal pain from baseline to treatment end of 12 weeks as defined in the daily symptom diary
|
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| To determine the effects of 12 weeks consumption of Lactobacillus acidophilus, LA-5® and Bifidobacterium animalis ssp. lactis, BB-12® on health-related quality of life using the questionnaires IBS-QoL EAR3Q and IBS-SSS. |
Numerical evaluation of changes in scales from baseline to treatment end of 12 weeks.
The number of pain free days from baseline to treatment end of 12 weeks
ï‚· The weekly numerical evaluation of abdominal discomfort, straining and bloating from baseline to treatment end of 12 weeks
ï‚· The difference in scores of urgency of defecation from baseline to end of 12 weeks
ï‚· Percentage reduction of 50% and above in abdominal pain scores from baseline to end of 12 weeks. |
|
|
Target Sample Size
|
Total Sample Size="200" Sample Size from India="200"
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" |
|
Phase of Trial
|
Post Marketing Surveillance |
|
Date of First Enrollment (India)
|
01/08/2020 |
| Date of Study Completion (India) |
Applicable only for Completed/Terminated trials |
| Date of First Enrollment (Global) |
Date Missing |
| Date of Study Completion (Global) |
Applicable only for Completed/Terminated trials |
|
Estimated Duration of Trial
|
Years="1" Months="0" Days="0" |
Recruitment Status of Trial (Global)
Modification(s)
|
Not Applicable |
| Recruitment Status of Trial (India) |
Closed to Recruitment of Participants |
|
Publication Details
|
The findings of this study may be published in a scientific journal or presented at a scientific meeting with prior permission from the sponsor and the Investigator. The sponsor and the Investigator reserves the right to review all manuscripts prior to submission for publication or any paper before it is presented. In accordance with standard editorial and ethical practice, the sponsor will generally support publication of multicentric trials only in their entirety and not as individual center data. Authorship will be determined by mutual agreement between the sponsor in conjunction with the CRO and the Principal investigator(s). |
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - NO
|
|
Brief Summary
|
This study proposes to add to the existing literature from clinical trials that have established that changes in intestinal microflora with different therapeutic approaches, such as the use of prebiotics, probiotics, synbiotics, and nonabsorbable and systemic antibiotics prove effective in symptom alleviation in IBS. The objectives of the study are to determine the effectiveness of 12 weeks consumption of Lactobacillus acidophilus, LA-5® and Bifidobacterium animalis ssp. lactis, BB-12® on the abnormal defecation and abdominal pain and discomfort in non-constipated IBS patients. Secondary objective is to determine the effects of 12 weeks consumption of Lactobacillus acidophilus, LA-5® and Bifidobacterium animalis ssp. lactis, BB-12® on health-related quality of life using the questionnaires IBS-QoL EAR3Q and IBS-SSS. |