Irritable Bowel Syndrome Clinical Trial
Official title:
Microbiota and Metabolite Profiles Linked to Severity in Irritable Bowel Syndrome
This study investigates differences in microbiota profiles and metabolite levels between mild and severe IBS patients, compared to matched healthy controls. Two fecal samples, with one month in between, will be analyzed. Secondary parameters such as dietary intake, quality of life and stool pattern will be assessed.
Rationale: Irritable Bowel Syndrome (IBS) is a gastro-intestinal disorder that strongly
affects Quality of Life and impairs daily functioning. However, the aetiology and
pathophysiology has been poorly understood. Studies suggest that intestinal microbiota in IBS
is altered, however a general consensus remains elusive. This may be due to the large
individual variation in microbiota and IBS symptoms, and the cross-sectional designs.
Moreover, other factors like diet, wellbeing and metabolite profiles are often not taken into
account. New evidence is suggesting that IBS severity may be an important factor in
microbiota composition.
Objective: To determine faecal microbiota composition and metabolite production (such as
acetate, propionate and butyrate), and investigate differences between healthy controls and
mild or severe patients IBS. Moreover, to investigate whether (clinical) parameters such as
symptom severity fluctuated, and if these fluctuations are associated with an alteration in
faecal microbiota composition and metabolite production, one month after baseline, compared
to healthy controls.
Study design: This study is a repeated cross-sectional study, with two data collection points
(baseline, and after one month).
Study population: For this study, 100 IBS patients and 30 healthy controls will be recruited.
After the first data collection point (T1), the 30 most mild and 30 most severe IBS patients
will be included for data collection at T2 (after one month). All participants will be aged
between 18 and 65 years.
Intervention (if applicable): Not applicable. Main study parameters/endpoints: primary
endpoint of this study is microbiota composition and metabolite profiles, and the difference
between groups and possible change after one month. These are assessed two faecal samples,
which are analysed by 16S rRNA gene-based microbiota profiling. Secondary parameters are
dietary intake, Quality of Life, depression and anxiety scores, and stool consistency and
frequency, which are assessed by validated questionnaires.
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