Irritable Bowel Syndrome Clinical Trial
Official title:
Role Of Saccharomyces Boulardii In Diarrhea Dominant Irritable Bowel Syndrome
Probiotics are friendly bacteria normally present in food products like yogurt whereas
irritable bowel syndrome is a longstanding functional disorder characterized by abdominal
pain and altered bowel habits either diarrhea or constipation dominant without a definitive
etiology.
Study Hypothesis:Does probiotics(Saccharomyces boulardii improves daily bowel symptoms and
quality of life in patients with diarrhea dominant irritable bowel syndrome?
Irritable bowel syndrome (IBS) is a common functional disorder and may lead to impaired
social and personal function and can diminish quality of life.While the precise
pathophysiology of IBS remains to be elucidated, dysmotility and altered visceral sensory
perception are currently the most popular hypothesis. There has been a suggestion that some
patients with IBS may harbor bacterial overgrowth leading to low grade inflammation, immune
activation, and their symptoms may be ameliorated by its eradication.Probiotics, defined as
live or attenuated bacteria or micro organism that confer a significant health benefit to
the host.
- I. Firstly, probiotic organism exert antibacterial and antiviral effects.
- II. Probiotics could alter the composition of the gut flora, either directly through
augmentation of commensal or indirectly through a reduction in pathogen related
inflammation or bacterial fermentation.
Trial protocol:
Phase 1: placebo BID (1 week),both arms Phase 2: Randomization by pharmacy, placebo vs.
active drug (6 weeks) Phase 3: placebo BID (1 week), both arms
-III. Probiotics have been demonstrated to exert anti-inflammatory effects at mucosal
surfaces by reducing mucosal inflammation, decreasing immune mediated activation of enteric
motor and sensory neurons and modifying neural traffic between the gut and central nervous
system.
Saccharomyces Boulardii is a probiotic yeast and its role for the treatment of IBS has not
been extensively investigated.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator), Primary Purpose: Treatment
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