Bacterial supplementation as treatment for the irritable bowel syndrome: a randomised double-blind placebo-controlled study

ISRCTN ISRCTN33705865
DOI https://doi.org/10.1186/ISRCTN33705865
Protocol serial number N0265122367
Sponsor Department of Health (UK)
Funder University Hospital Birmingham NHS Trust (UK)
Submission date
12/09/2003
Registration date
12/09/2003
Last edited
16/02/2015
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Digestive System
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr S Pathmakanthan
Scientific

GI Medicine
Selly Oak Hospital
Birmingham
B29 6JD
United Kingdom

Study information

Primary study designInterventional
Study designDouble-blind randomised placebo-controlled trial
Secondary study designRandomised controlled trial
Study type Participant information sheet
Scientific titleBacterial supplementation as treatment for the irritable bowel syndrome: a randomised double-blind placebo-controlled study
Study objectivesTo assess the tolerance and efficacy of Synbiotic Cocktail 2000 in symptom reduction in the irritable bowel syndrome.
Ethics approval(s)Not provided at time of registration
Health condition(s) or problem(s) studiedDigestive System: Irritable bowel syndrome (IBS)
InterventionASSESSMENT ON ADMISSION INTO TRIAL: History and examination, normal blood tests and a previously normal flexible sigmoidoscopy.

ASSESSMENT DURING STUDY PERIOD: All patients will be randomised to receive either the placebo or Synbiotic cocktail 2000 daily for 8 weeks. Prior to this period, there will be a run in period of 2 weeks where patients will record baseline gastrointestinal symptoms on a weekly basis as well as bowel frequency and consistency on a daily basis. A previously validated patient diary will be used scoring abdominal pain, bloating, number and consistency of stool and level of flatulence completed on a weekly basis. After the 2 week run in period, a study period involving Synbiotic or placebo intake will last for 8 weeks. A final questionnaire would be sent out to all patients 6 months post study period, using the same format. Prior to commencement and directly after treatment or placebo period, patients will undergo a hydrogen breath test to ensure bacterial supplementation has not resulted in bacterial overgrowth.

REMOVAL FROM STUDY: Patients may be removed from the study if one or more of the following occurs: Protocol violation or non-compliance on part of the patient, refusal of the patient to continue treatment and a decision by the investigator that termination is in the patient's best medical interest (or a significant unrelated medical illness or complication).
Intervention typeDrug
PhaseNot Specified
Drug / device / biological / vaccine name(s)Synbiotic Cocktail 2000
Primary outcome measure(s)

Not provided at time of registration

Key secondary outcome measure(s)

Not provided at time of registration

Completion date13/04/2008

Eligibility

Participant type(s)Patient
Age groupAll
SexAll
Target sample size at registration100
Key inclusion criteria1. Any patient seen in gastroenterology outpatient clinics at University Hospital Birmingham who fulfils the Rome criteria II for IBS would be offered entry into the trial
2. Patients without a history of malabsorption, previous abdominal surgery, diverticulitis or other organic intestinal disease
Key exclusion criteria1. Pregnancy
2. Any form of mental disorder
3. Severe systemic illness
Date of first enrolment13/04/2003
Date of final enrolment13/04/2008

Locations

Countries of recruitment

  • United Kingdom
  • England

Study participating centre

GI Medicine
Birmingham
B29 6JD
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?
Participant information sheet Participant information sheet 11/11/2025 11/11/2025 No Yes