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CTRI Number  CTRI/2014/03/004502 [Registered on: 26/03/2014] Trial Registered Retrospectively
Last Modified On: 10/11/2018
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Nutraceutical 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   To evaluate the safety and efficacy of LactoSpore® vs. Placebo in patients with diarrhea predominant Irritable Bowel Syndrome. 
Scientific Title of Study   A randomized, double blind, parallel group, placebo controlled study to evaluate the safety and efficacy of LactoSpore® (Bacillus coagulans) in patients with diarrhea predominant Irritable Bowel Syndrome. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Srinivasa M 
Designation  Principal Investigator 
Affiliation  Mysore Medical College and Research Institute, KR Hospital 
Address  Mysore Medical College and Research Institute, KR Hospital, Irwin Road, Mysore

Mysore
KARNATAKA
570001
India 
Phone    
Fax    
Email  drsrinivasam@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Mr Suresh Karri 
Designation  Senior Manager 
Affiliation  Clinworld Private Limited 
Address  19/1, 19/2, I Main, II Phase, Peenya Industrial Area, Bangalore, Karnataka

Bangalore
KARNATAKA
560058
India 
Phone  91-22-66981992  
Fax  91-22-66981994  
Email  suresh@clinworld.org  
 
Details of Contact Person
Public Query
 
Name  Dr Deepa Subramanian 
Designation  Chief Executive Officer 
Affiliation  Syncretic Clinical Research Services 
Address  #4, 5th Cross, 11th Main Road, Vasanthnagar, Bangalore

Bangalore
KARNATAKA
560052
India 
Phone    
Fax    
Email  deepa@syncretic.in  
 
Source of Monetary or Material Support  
Sabinsa Corporation 
 
Primary Sponsor  
Name  Sabinsa Corporation 
Address  20 Lake Drive, East Windsor, NJ 08520 USA  
Type of Sponsor  Other [Marketer and manufacturere of phytonutrients, ayurvedic, herbal extracts, probiotics etc.] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 3  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Balraj KP  Kempegowda Institute of Medical Sciences  Department of Medicine, KIMS Hospital, KR Road, VV Puram, Bangalore
Bangalore
KARNATAKA 
08026613225

drkpbalaraj@gmail.com 
Dr Srinivasa M  Mysore Medical College and Research Institute, KR Hospital  Department of Medicine, Mysore Medical College and Research Institute, KR Hospital, Irwin Road, Mysore 570001
Bangalore
KARNATAKA 
08212520521

drsrinivasam@gmail.com 
Dr Chandrahas PT  Sapthagiri Institute of Medical Sciences and Research Center  Department of Medicine, Sapthagiri Institute of Medical Sciences and Research Center, No.15, Chikkasandra, Hesarraghatta Main Road, Bangalore
Bangalore
KARNATAKA 
08028393392

drchandrahas1973@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 3  
Name of Committee  Approval Status 
Institutional Ethics Committee, KIMS Hospital  Approved 
Institutional Ethics Committee, Mysore Medical College and Research Institute and Associated Hospitals  Approved 
Institutional Ethics Committee, Sapthagiri Institute of Medical Sciences and Research Center  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied
Modification(s)  
Health Type  Condition 
Patients  Diarrhea predominant Irritable Bowel Syndrome, (1) ICD-10 Condition: K580||Irritable bowel syndrome with diarrhea,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  LactoSpore® - containing Bacillus coagulans SBC37-01, MTCC 5856 – 2 Billion spores  One tablet of LactoSpore to be taken orally along with the standard treatment for 90 days 
Comparator Agent  Placebo   One Tablet to be taken orally along with standard treatment for 90 days 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  55.00 Year(s)
Gender  Both 
Details  1. Male or female subjects ranging in age from 18 to 55 years (both inclusive) diagnosed as having gastro intestinal disorders and based on the medical history record will be included in the study by the Investigator.

2. Fulfilling Rome III Diagnostic Criteria for Functional IBS (Functional Diarrhea) 16. Criterion fulfilled for the last 3 months with symptom onset at least 6 months prior to diagnosis
a) Recurrent abdominal pain or discomfort (uncomfortable sensation not described as pain) at least 3 days/month in the last 3 months associated with two or more of the following:
i. Improvement with defecation
ii. Onset associated with a change in frequency of stool
iii. Onset associated with a change in form (appearance) of stool
b) Recurrent feeling of bloating or visible distension at least 3 days/month in the last 3 months
c) Loose (mushy) or watery stools without pain occurring in at least 75% of stools

3. Willingness to follow the protocol requirement as evidenced by written, informed consent.

4. Willingness to complete subject diaries and respond to study questionnaires.

5. Agree not to use any medication (prescription and over the counter), including vitamins and minerals, during the course of this study.

6. Agree not to use any yogurt during the course of this study.

7. Subjects whose blood chemistries are within a normal range or not considered clinically significant if outside the normal range.

8. Subject’s assurance that they have not taken antibiotics or other drugs whose primary site of action is in the GIT for a period up to 1 month prior to the start of the study. 
 
ExclusionCriteria 
Details  1. Sufficient criteria for a diagnosis of functional dyspepsia or other functional GI disorder.

2. Any clinically significant medical history, medical finding or an ongoing medical or psychiatric condition exists which in the opinion of the Investigator could jeopardize the safety of the subject, impact validity of the study results or interfere with the completion of study according to the protocol.

3. Significant abnormal findings as determined by baseline history, physical examination, vital signs (blood pressure, pulse rate, respiration rate) hematology, serum chemistry, urinalysis.

4. History or presence of significant alcoholism or drug abuse in the past one year.

5. Participation in a clinical study during the preceding 90 days.

6. History of malignancy or other serious disease.

7. Any contraindication to blood sampling.

8. Smoking or Consumption of tobacco products.

9. Blood or blood products donated in past 30 days prior to study supplement administration.

10. Female subjects on pregnancy and lactating women. 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Other 
Blinding/Masking   Participant, Investigator, Outcome Assessor and Date-entry Operator Blinded 
Primary Outcome  
Outcome  TimePoints 
Safety Outcome -
1] Physical Examination and vitals
2] Assessment of reported adverse events, if any
3] Assessment for any abnormal laboratory parameters

Efficacy Outcomes -
1] Self assessment of abdominal pain, measured on a 10 cm VAS
2] Bloating and distension, measured by Gastro intestinal discomfort questionnaire
3] Subjective evaluation using Bristol Stool Form Score

 
Safety Outcome -
1] Physical Examination and vitals (Screening, Day 0, Day 30, Day 60 and Day 90)
2] Adverse events, if any (All visits)
3] Abnormal laboratory parameters (Screening and Day 90)

Efficacy Outcomes -
1] 10 cm VAS (Day 0, Day 30, Day 60 and Day 90)
2] Gastro intestinal discomfort questionnaire(Day 0, Day 30, Day 60 and Day 90).
3]Bristol Stool Form Score(Day 0, Day 30, Day 60 and Day 90).

 
 
Secondary Outcome  
Outcome  TimePoints 
1] Physicians Global Assessment
2] Irritable Bowel Syndrome Quality of Life Questionnaire
3] Pathogenic bacterial count in stools
 
1] Physicians Global Assessment(Day 0, Day 30, Day 60 and Day 90)
2] IBS QOL Questionnaire(Day 0, Day 30, Day 60 and Day 90).
3] Stool bacterial count(Screening and Visit 4). 
 
Target Sample Size   Total Sample Size="36"
Sample Size from India="36" 
Final Enrollment numbers achieved (Total)= ""
Final Enrollment numbers achieved (India)="" 
Phase of Trial   N/A 
Date of First Enrollment (India)   26/02/2014 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="7"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details    
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary   A randomized, double blind, parallel group, placebo controlled study to evaluate the safety and efficacy of LactoSpore® (Bacillus coagulans) in patients with diarrhea predominant Irritable Bowel Syndrome and will be conducted in 3 centers in India. The Primary outcome will be to access the safety and efficacy of LactoSpore® (Bacillus coagulans) for a treatment period of 90 days. 36 randomized patients will be given a tablet each either of LactoSpore® or a placebo. Study evaluations will be conducted as per the study protocol. All adverse events will be recorded and safety parameters evaluated. 
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