E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Patients who suffer from irritable bowel syndrome which are diarrhea predominant and mixed (alteration of constipation and diarrhea) |
|
E.1.1.1 | Medical condition in easily understood language |
Patients who suffer from irritable bowel syndrome which are diarrhea predominant and mixed (alteration of constipation and diarrhea) |
|
E.1.1.2 | Therapeutic area | Diseases [C] - Digestive System Diseases [C06] |
MedDRA Classification |
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
Global symptom relief and relief of abdominal pain |
|
E.2.2 | Secondary objectives of the trial |
Other IBS symptoms and quality of life |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. Patients must meet the Rome III criteria for Irritable Bowel Syndrome:
3 days per month, continuous or not, in the last 3 months have abdominal discomfort or pain, with at least two of the following three characteristics:
- Reducing after defecation, and / or
- associated with a change in frequency of stool, and / or
- associated with a change of consistency / shape of the stool
2. No identifiable organic explanation for the symptoms (including the execution of a test for lactose intolerance, celiac disease and giardia test)
3. Age 18-65 years
4. Signed informed consent
5. Symptoms during the two weeks of screening |
1. Patiënten moeten voldoen aan de Rome III criteria voor Prikkelbare Darm Syndroom:
3 dagen per maand, al dan niet aaneengesloten, in de afgelopen 3 maanden van abdominaal ongemak of pijn, met tenminste 2 van de volgende 3 kenmerken:
- Verminderend na defaecatie; en/of
- geassocieerd met een verandering van ontlasting frequentie; en/of
- geassocieerd met en verandering van consistentie / vorm van de ontlasting
2. Geen aanwijsbare organische verklaring voor de klachten (met inbegrip van het uitvoeren van een lactose intolerantie test, coeliakie en giardia test)
3. Leeftijd 18-65 jaar
4. Getekend informed consent
5. Symptomen gedurende twee screeningsweken
|
|
E.4 | Principal exclusion criteria |
1. IBS constipation dominant
2. Patient with history of:
Celiac disease, Known milk allergy, giardiasis, inflammatory bowel disease, active intestinal infection, chronic intestinal ischemia, chronic subobstruction, pseudo-obstruction, dumping syndrome, pancreatic insufficiency, hepatic impairment, renal function impairment, cardiovascular disease, extensive gastrectomy and/or bowel resection, active malignant disease, thyroiddysfunction, insulin dependent diabetes mellitus, psychiatric disorder, any clinical condition in which the researcher does not allow to terminate the study safely
3. Pregnancy, lactation
4. Medication: Use of anti-allergica, antidepressants, and antipsychotics
5. Patient uses drugs that reduce gastrointestinal motility and / or affect the visceral perception (anticholinergics, antispasmodics, 5-HT4 agonists, cholinomimetics, loperamide, laudanum, codeine, stimulant laxatives, macrogol, paraffin oil, analgesics).
6. Complaints arise after abdominal surgery |
1. PDS obstipatie dominant
2. Patiënt met geschiedenis van:
Coeliakie, Gekende melkallergie, Giardiasis, inflammatoire darmziekte, actieve intestinale infectie, chronische darmischemie, chronische subobstructie, pseudo-obstructie, dumping syndroom, pancreasinsufficiëntie, leverfunctiestoornis, nierfuntiestoornis, cardiovasculaire aandoening, uitgebreide maagdarmresecties, actieve maligne aandoening, schildklierdysfunctie, Insuline dependente diabetes mellitus, psychiatrische aandoening, elke klinische conditie die volgens de onderzoeker niet toelaat veilig de studie te beëindigen
3. Zwangerschap, borstvoeding
4. Medicatie: gebruik van anti-allergica, antidepressiva en antipsychotica
5. Patiënt gebruikt farmaca die de gastrointestinale motiliteit en/of de viscerale perceptie beïnvloeden (anticholinergica, spasmolytica, 5-HT4 agonisten, cholinomimetica, loperamide, laudanum, codeïne, stimulerende laxativa, macrogol, parafine olie, analgetica).
6. Klachten ontstaan na buikoperatie
|
|
E.5 End points |
E.5.1 | Primary end point(s) |
Global relief of symptoms and a decrease in abdominal pain |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
every week after the start with the medication |
|
E.5.2 | Secondary end point(s) |
other IBS-symptoms (stool frequency and consistency, urgency, bloating, etc.) and quality of life |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
IBS-symptoms: every week after the start with the medication
quality of life: 6, 12 and 14 weeks after the start with the medication |
|
E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | No |
E.6.5 | Efficacy | No |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 2 |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 5 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 11 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
|
Trial ends after three months of intake of study medication. If participants stop earlier with study medication intake, the are excluded from the study |
|
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 2 |
E.8.9.1 | In the Member State concerned months | 6 |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial years | 2 |
E.8.9.2 | In all countries concerned by the trial months | 6 |