IBS Clinical Trial
Official title:
The Effects of Rifaximin Therapy in Patients Pre-Diagnosed With Irritable Bowel Syndrome: A Double-Blind, Randomized, Placebo Controlled Study
To evaluate the efficacy of Rifaximin therapy started prior to completion of advanced examination procedure (before colonoscopy) of patients pre-diagnosed with irritable bowel syndrome, and implement it into clinical practice.
Irritable Bowel Syndrome(IBS) is a chronic relapsing disorder with unknown etiology
characterized by abdominal pain and bowel habit changes without an organic pathology.
Pathophysiology is not fully understood, bacterial overgrowth is one of the reasons. Because
of that, use of drugs effective on the gut flora has been raised; Rifaximin is one of them.
This study investigated the effectiveness of Rifaximin on IBS.
This randomized, double-blinded, controlled study began with 500 patients(144 of them
removed because of incompliance). Patients those without organic bowel pathology and whom
meet the Rome-III criteria, aged between 19-50 yo were enrolled in the study. Patients with
known Rifaximin allergy, lactose intolerance, and those having treated for IBS whit in last
1 month as well as those with alarm symptoms (melena, fever, weight loss, anemia, rectal
bleeding) were excluded. After routine biochemistry, blood count, and stool tests, Rifaximin
tablet was given to a group as 1200 mg. daily in 3 divided doses, placebo tablet was given
to another group in same doses for 10 days. Improvement in symptoms were scored and recorded
on 10.day, 3. and 6.week. In addition to descriptive statistical methods(mean±SD),
Student's-T and Mann-Whitney U-tests were used for comparison of quantitative data,
chi-square and McNemar tests were used for comparison of qualitative data. Significance was
accepted if p <0.05.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver), Primary Purpose: Treatment
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