Ondansetron for the treatment of irritable bowel syndrome (IBS) with diarrhoea (IBS-D): identifying the responder

ISRCTN ISRCTN22664524
DOI https://doi.org/10.1186/ISRCTN22664524
ClinicalTrials.gov (NCT) NCT00745004
Clinical Trials Information System (CTIS) 2008-000623-25
Protocol serial number 6965
Sponsor University of Nottingham (UK)
Funder National Institute for Health Research (NIHR) (UK) - Research for Patient Benefit (RfPB) Programme
Submission date
31/03/2010
Registration date
31/03/2010
Last edited
26/07/2016
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Digestive System
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Ms Klara Garsed
Scientific

Queens Medical Centre
Derby Road
Nottingham
NG7 2UH
United Kingdom

Study information

Primary study designInterventional
Study designRandomised interventional multicentre treatment trial
Secondary study designRandomised controlled trial
Study type Participant information sheet
Scientific titleA randomised interventional multicentre trial of ondansetron versus placebo in the treatment of patients with irritable bowel syndrome (IBS) with diarrhoea (IBS-D)
Study acronymOndansetron for IBS-D
Study objectivesIrritable bowel syndrome (IBS) is a common problem, with often distressing symptoms that can result in a reduced quality of life. This is a two centre randomised double blind placebo controlled crossover trial of Ondansetron in IBS-D. The aim is to identify clinical, laboratory, and magnetic resonance imaging (MRI) scan features that will predict response in clinical practice. The primary outcome measure is a change in stool average stool consistency in the last 2 weeks of treatment of Ondansetron versus placebo.
Ethics approval(s)Nottingham Research Ethics Committee 2, 10/11/2008, ref: 08/H0408/134
Health condition(s) or problem(s) studiedTopic: Primary Care Research Network for England; Subtopic: Not Assigned; Disease: All Diseases
InterventionDouble blind placebo, this is a randomised double blind placebo controlled trial
1. A 1 week screening period where the subject completes a daily stool diary
2. Treatment period 1 (5 weeks) where the subject receives either placebo or 4 mg of ondansetron titrated to a dose of min 4 mg every other day, max 8 mg three times a day
3. A 2 week washout
4.A second treatment period (5 weeks) where the subject receives either placebo or active therapy with ondansetron depending on which therapy was administered in treatment

Study Entry: Single Randomisation only
Intervention typeDrug
PhaseNot Applicable
Drug / device / biological / vaccine name(s)Ondansetron
Primary outcome measure(s)

Difference in average stool consistency in the last 2 weeks of treatment of Ondansetron versus placebo

Key secondary outcome measure(s)

Measured against the primary endpoint in the final 2 weeks of each treatment period:
1. Proportion of patients preferring ondansetron versus placebo
2. Proportion wanting to continue with ondasetron

Completion date31/01/2011

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexAll
Target sample size at registration150
Key inclusion criteria1. Patients with IBS-D meeting the Rome III criteria
2. Patients able to give informed consent
3. Female patients of child bearing potential are willing to use at least one highly effective contraceptive method
4. Aged 18 years and over, either sex
Key exclusion criteria1. Women who are pregnant or breast feeding
2. Patients unable to stop anti-diarrhoeal drugs
3. Patients currentluy in, or have been in another clinical trial in the previous 3 months
Date of first enrolment01/01/2009
Date of final enrolment31/01/2011

Locations

Countries of recruitment

  • United Kingdom
  • England

Study participating centre

Queens Medical Centre
Nottingham
NG7 2UH
United Kingdom

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/10/2014 Yes No
HRA research summary 28/06/2023 No No
Participant information sheet Participant information sheet 11/11/2025 11/11/2025 No Yes

Editorial Notes

26/07/2016: Publication reference added.