ClinicalTrials.gg
CompletedNCT03449628PROBE2Updated May 6, 2022

L. Casei DG® in Patients With Irritable Bowel Syndrome.

An interventional study of L.casei DG and PLACEBO in IBS - Irritable Bowel Syndrome, sponsored by SOFAR S.p.A.. Completed at 20 sites in Italy. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2022-05-06.

Sponsored by SOFAR S.p.A. · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 3 months after the study started (first participant enrolled Nov 2017, registered Feb 2018).
Phase
Not applicable
Study type
Interventional
Enrollment
264
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

To assess the effect of L. casei DG® (Lactobacillus paracasei CNCMI1572; Enterolactis® plus) on abdominal symptoms and gut microbiota metabolism/composition in non constipated patients with IBS (Irritable Bowel Syndrome). Patients will be randomized to receive L. casei DG® capsules, b.i.d. for 12 weeks the a 4 weeks Follow Up period will follow.

02

Conditions studied

  • IBS - Irritable Bowel Syndrome
03

In context

Irritable Bowel Syndrome

1,116 studies on the registry are indexed under Irritable Bowel Syndrome; 208 are open to participants now.

This study's enrollment of 264 is above the median of 70 across 896 interventional studies indexed under Irritable Bowel Syndrome.

Browse Irritable Bowel Syndrome studies →

Lead sponsor

SOFAR S.p.A. is the lead sponsor of 15 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age > 18 years and ≤ 65 years
  • A positive diagnosis of non constipated IBS (i.e., IBS-D and IBS-M, both males and females), according to Rome IV criteria.
  • A negative outcome of colonoscopy performed within 5 years before screening if patient is at least 50 years old, or if patient meet any of the following alarm features:

    1. Has a documented weight loss within the past 6 months; or
    2. Has nocturnal symptoms; or
    3. Has a familiar history of colon cancer; or
    4. Has blood mixed with their stool (excluding blood from hemorroids).
  • Negative relevant additional screening or consultation whenever appropriate
  • Ability to conform to the study protocol.

Exclusion criteria

Exclusion Criteria:

  • Patients with IBS-C or IBS-U according to Rome IV criteria
  • Presence of any relevant organic, systemic or metabolic disease (particularly significant history of cardiac, renal, neurological, psychiatric, oncology, endocrinology, metabolic or hepatic disease), or abnormal laboratory values that will be deemed on the basis of predefined values, (i.e..liver or kidney functional levels 2-times greater than the upper reference values)
  • Ascertained intestinal organic diseases, including celiac disease, food allergies or inflammatory bowel diseases (Crohn's disease, ulcerative colitis, diverticular disease, infectious colitis, ischemic colitis, microscopic colitis).
  • Previous major abdominal surgery.
  • Active of any type, or history of a malignancy (patients with a history of other malignancies that have been surgically removed and who have no evidence of recurrence for at least five years before study enrolment are also acceptable).
  • Untreated food intolerance such as ascertained or suspected lactose intolerance, as defined by anamnestic evaluation or, if appropriate, lactose breath test.
  • Use of probiotics or topical and/or systemic antibiotic therapy during the last month.
  • Systematic/frequent use of contact laxatives.
  • Pregnant females or females of in the absence of effective methods.
  • Inability to conform to protocol.
  • Treatment with any drug within the previous 30 days.
  • Recent history or suspicion of alcohol abuse or drug addiction.
  • Presence of red or white flags at the Rome IV Psychosocial Alarm Questionnaire for Functional gastrointestinal Disorders.
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
264 participants (actual)

Study arms

  • Experimental
    L. casei DG®

    Interventions: Lactobacillus paracasei CNCMI1572 (At least 24 billion live cells per capsule) 1 capsule, b.i.d. for 12 weeks

    Dietary Supplement: L.casei DG

  • Placebo comparator
    Placebo

    Interventions : capsules for oral use, indistinguishable from active product. 1 capsule, b.i.d. for 12 weeks

    Dietary Supplement: PLACEBO

Interventions

  • Dietary supplementL.casei DG

    (At least 24 billion live cells per capsule) 1 capsule, b.i.d. for 12 weeks

  • Dietary supplementPLACEBO

    1 capsule, b.i.d. for 12 weeks

06

What researchers measure

Primary outcomes

  1. Proportion of patients who have a response in pain

    Patients who record on ≥ 50% of the days a reduction of ≥ 30% from their average baseline score for their worst abdominal pain.The standard 11-point numeric rating scale (from 0=none to 10=worst possible pain) will be used to measure abdominal pain.

    Time frame: 12 weeks

  2. Proportion of patients who have a response in stool consistencies

    Patients who record a stool-consistency score \< 5 in the same days in which they record a reduction of ≥ 30% from their average baseline score for their worst abdominal pain .For abnormal defecation, stool frequency and form will be measured using the Bristol Stool Form Scale (BSFS).

    Time frame: 12 weeks

Secondary outcomes

  1. Evaluation of Pain relief

    reduction of ≥ 30% from baseline in the score for the worst abdominal pain on ≥ 50% of days

    Time frame: 16 weeks

  2. Evaluation of global symptom score

    Improvement in the global symptom score: a score of 0 or 1, or an improvement ≥ 2 over the baseline score, on ≥ 50% of days

    Time frame: 16 weeks

  3. Relief of IBS symptoms

    Adequate relief of IBS symptoms on ≥ 50% of the past weeks (a response of "yes" on ≥50% of the weeks to the following question: "Over the past week, have you had adequate relief of your IBS symptoms?)"

    Time frame: 16 weeks

  4. IBS-SSS score questionnaire (Severity Scoring System )

    To assess the severity of symptoms related to Irritable Bowel Syndrome, assessed at baseline and at the end of treatment after 12 weeks (it is considered clinically significant a score reduction of at least 50 points). The questionnaire is composed by five questions wich generate a maximum score of 100 each using prompted visual analogue scales, leading to a total possible score of 500.

    Time frame: 16 weeks

  5. Improvement in stool consistency

    stool consistency score ≤ 5 assessed with BSFS (Bristol Stool Form Scale) BSFS evaluates stool form and consistency (score from 1=dry stool to 7=liquid stoo. The ideal stool is generally 3 or 4)

    Time frame: 16 weeks

  6. Satisfaction with treatment

    Overall satisfaction with treatment assessed by VAS scale (Visual Analogue Scale)

    Time frame: 16 weeks

  7. Quality of life

    Quality of life assessment by validated Short-Form 12 Items Health Survey (SF-12) on a scale of 0 to 100

    Time frame: 16 weeks

  8. Intake of rescue medication

    type and frequencies of rescue medication

    Time frame: 16 weeks

  9. gut microbiota composition

    Evaluation of changes in the gut microbiota composition and the relative abundance of bacterial OTUs (Operational Taxonomic Unit).

    Time frame: 16 weeks

  10. Short Chain Fatty Acids (SCFA)

    Evaluation of Short Chain Fatty Acids levels in fecal samples

    Time frame: 16 weeks

  11. Free Aminoacids

    Evaluation of Free aminoacids levels in fecal samples

    Time frame: 16 weeks

  12. Biogenic Amines

    Evaluation of biogenic amines levels in fecal samples

    Time frame: 16 weeks

  13. Gut permeability for zonulin

    evaluation of serum levels of zonulin

    Time frame: 16 weeks

  14. Gut permeability for citrulline

    evaluation of serum levels of citrulline

    Time frame: 16 weeks

  15. Gut permeability for PV-1 (Plasmalemma vesicle-associated) protein

    evaluation of serum levels of PV-1 (Plasmalemma vesicle-associated) protein

    Time frame: 16 weeks

  16. L. casei DG® strain in the feces

    the recovery of L. casei DG® strain in the feces

    Time frame: 16 weeks

07

Study locations

20 sites
  • A.O. Bolognini
    Seriate, BG, Italy
  • A.O. "G. Brotzu"- Ospedale San Michele
    Cagliari, CA, Italy
  • AOU di Cagliari - Policlinico di Monserrato
    Cagliari, CA, Italy
  • Ospedale Valduce
    Como, CO, Italy
  • ASST-FTB-Sacco
    Milano, MI, Italy
  • Policlinico San Donato
    San Donato Milanese, MI, Italy
  • Ospedale Sant'Andrea
    Vercelli, VC, Italy
  • Gastroenterologia Universitaria Policlinico Giovanni XXIII
    Bari, Italy
  • Azienda ULSS 1
    Belluno, Italy
  • Azienda Ospedaliero-Universitaria S. Orsola Malpighi
    Bologna, 40100, Italy
  • Ospedale SS. Annunziata
    Chieti, Italy
  • Fondazione IRCCS Policlinico
    Milano, Italy
  • Policlinico
    Napoli, 80100, Italy
  • Policlinico Federico II
    Napoli, Italy
  • Azienda Ospedaliera di Padova
    Padova, Italy
  • Fondazione IRCCS Policlinico S. Matteo
    Pavia, Italy
  • U.O. Gastroenterologia Universitaria
    Pisa, Italy
  • Policlinico Universitario Campus Biomedico
    Roma, 00128, Italy
  • A.O. San Camillo-Forlanini
    Roma, Italy
  • Ospedale Sant'Andrea
    Roma, Italy
08

References and documents

Publications

  • Mearin F, Lacy BE, Chang L, Chey WD, Lembo AJ, Simren M, Spiller R. Bowel Disorders. Gastroenterology. 2016 Feb 18:S0016-5085(16)00222-5. doi: 10.1053/j.gastro.2016.02.031. Online ahead of print. PubMed 27144627 ↗
  • Barbara G, Feinle-Bisset C, Ghoshal UC, Quigley EM, Santos J, Vanner S, Vergnolle N, Zoetendal EG. The Intestinal Microenvironment and Functional Gastrointestinal Disorders. Gastroenterology. 2016 Feb 18:S0016-5085(16)00219-5. doi: 10.1053/j.gastro.2016.02.028. Online ahead of print. PubMed 27144620 ↗
  • Spiller R, Garsed K. Postinfectious irritable bowel syndrome. Gastroenterology. 2009 May;136(6):1979-88. doi: 10.1053/j.gastro.2009.02.074. Epub 2009 May 7. PubMed 19457422 ↗
  • Schoepfer AM, Schaffer T, Seibold-Schmid B, Muller S, Seibold F. Antibodies to flagellin indicate reactivity to bacterial antigens in IBS patients. Neurogastroenterol Motil. 2008 Oct;20(10):1110-8. doi: 10.1111/j.1365-2982.2008.01166.x. Epub 2008 Aug 6. PubMed 18694443 ↗
  • Langhorst J, Junge A, Rueffer A, Wehkamp J, Foell D, Michalsen A, Musial F, Dobos GJ. Elevated human beta-defensin-2 levels indicate an activation of the innate immune system in patients with irritable bowel syndrome. Am J Gastroenterol. 2009 Feb;104(2):404-10. doi: 10.1038/ajg.2008.86. Epub 2009 Jan 20. PubMed 19174795 ↗
  • Pimentel M, Morales W, Rezaie A, Marsh E, Lembo A, Mirocha J, Leffler DA, Marsh Z, Weitsman S, Chua KS, Barlow GM, Bortey E, Forbes W, Yu A, Chang C. Development and validation of a biomarker for diarrhea-predominant irritable bowel syndrome in human subjects. PLoS One. 2015 May 13;10(5):e0126438. doi: 10.1371/journal.pone.0126438. eCollection 2015. PubMed 25970536 ↗
  • Rajilic-Stojanovic M, Biagi E, Heilig HG, Kajander K, Kekkonen RA, Tims S, de Vos WM. Global and deep molecular analysis of microbiota signatures in fecal samples from patients with irritable bowel syndrome. Gastroenterology. 2011 Nov;141(5):1792-801. doi: 10.1053/j.gastro.2011.07.043. Epub 2011 Aug 5. PubMed 21820992 ↗
  • Jalanka-Tuovinen J, Salojarvi J, Salonen A, Immonen O, Garsed K, Kelly FM, Zaitoun A, Palva A, Spiller RC, de Vos WM. Faecal microbiota composition and host-microbe cross-talk following gastroenteritis and in postinfectious irritable bowel syndrome. Gut. 2014 Nov;63(11):1737-45. doi: 10.1136/gutjnl-2013-305994. Epub 2013 Dec 5. PubMed 24310267 ↗
  • Simren M, Barbara G, Flint HJ, Spiegel BM, Spiller RC, Vanner S, Verdu EF, Whorwell PJ, Zoetendal EG; Rome Foundation Committee. Intestinal microbiota in functional bowel disorders: a Rome foundation report. Gut. 2013 Jan;62(1):159-76. doi: 10.1136/gutjnl-2012-302167. Epub 2012 Jun 22. PubMed 22730468 ↗
  • Moayyedi P, Ford AC, Talley NJ, Cremonini F, Foxx-Orenstein AE, Brandt LJ, Quigley EM. The efficacy of probiotics in the treatment of irritable bowel syndrome: a systematic review. Gut. 2010 Mar;59(3):325-32. doi: 10.1136/gut.2008.167270. Epub 2008 Dec 17. PubMed 19091823 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Nov 2017 to primary completion in May 2021, 41 months.

Of 52 industry-sponsored interventional studies with no phase under Irritable Bowel Syndrome, half reached primary completion within 13 months of starting (the median), counting those still running; a quarter within 7 and three quarters within 28. This study's 41 months is above that.

Counting every sponsor, half of 357 studies reached it within 19 months; a quarter within 9 and three quarters within 38.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 7, 2018
First posted
Feb 28, 2018
StartActual
Nov 6, 2017
Primary completionActual
May 4, 2021
CompletionActual
Dec 30, 2021
Last update
May 6, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 6, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03449628
Lead sponsor
SOFAR S.p.A.
Collaborators
1Med
Responsible party
Sponsor
First posted
Feb 28, 2018
Start date
Nov 6, 2017
Primary completion
May 4, 2021
Completion
Dec 30, 2021
Last update
May 6, 2022

Study contacts

Giovanni Barbara, MD
principal investigator · AUO Sant'Orsola Malpighi Bologna (Gastroenterology)

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in May 2022. You cannot join it, but the record below documents what was studied.

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