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CompletedNCT03817645PCeo-17Updated Mar 24, 2021

Panaceo "MED" for IBS (Irritable Bowel Syndrome)

An interventional study of Zeolite in Irritable Bowel Syndrome, Microbial Colonization and Intestinal Disease, sponsored by Scigenia GmbH. Completed at 1 site in Austria. Open to participants aged 18 Years to 80 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-03-24.

Sponsored by Scigenia GmbH · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 9 months after the study started (first participant enrolled Mar 2018, registered Dec 2018).
Phase
Not applicable
Study type
Interventional
Enrollment
41
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

Zeolite clinoptilolite is a volcanic mineral from the group of zeolites. The porous structure is associated with a large inner surface. Due to the anionic framework charge, ions (e.g., Pb\^2+) can be absorbed or exchanged. The specific Panaceo PMA zeolite is approved as a class IIa medical device for the repair of the intestine inner lining. It is CE certified and complies with the relevant European Union regulations in terms of safety and effectiveness. Zeolite is known for its absorbing properties. Because of these properties and the results of several human studies, it warrants the investigation of possible effects on specific indications in human medicine, e.g. irritable bowel syndrome.

The diagnosis "irritable bowel syndrome (IBS)" is according to the ROME Foundation, an US medical society. IBS is a disorder with dysfunction of the bowels, a latent inflammation is discussed. The present study aims to evaluate the following effects in patients with IBS:

  • Primary endpoint: effect on the symptoms of IBS.
  • Secondary endpoint: intestinal wall permeability, integrity of the tight junctions as measured by the change in zonulin concentration in the stool.
  • Further endpoints:

    • Inflammation parameters and anti-inflammatory laboratory parameters.
    • Biodiversity of the gastrointestinal microbiome.
    • histamine-associated parameters.
    • Constipation as a possible side effect.

For this purpose, a double-blind randomized controlled trial (RCT) is realized prospectively in a monocentric outpatient-controlled study. The subjects take the test compound daily (verum, reference substance) for 12 weeks and document the intake of the study-substance, intake of medications, stool-frequency and consistency. They receive "before" and "after" the intervention phase a blood and stool analysis for the determination of parameters for intestinal wall integrity (zonulin) inflammation (hsCRP, interleukin-10, calprotectin), histamine metabolism, microbiome diversity. The pilot study is realized ahead of the detailed planning of a later main study.

02

Conditions studied

  • Irritable Bowel Syndrome
  • Microbial Colonization
  • Intestinal Disease

Keywords

  • Zeolite
03

In context

Communicable Diseases

4,452 studies on the registry are indexed under Communicable Diseases; 521 are open to participants now.

This study's enrollment of 41 is below the median of 122 across 2,718 interventional studies indexed under Communicable Diseases.

Browse Communicable Diseases studies →

Lead sponsor

This is the only study on the registry with Scigenia GmbH as lead sponsor.

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

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Frequency of discomfort or pain in the abdomen in the last 3 months, more than 1 day per week.
  • Start of the discomfort or pain more than 6 months ago.
  • Improvement of the discomfort or pain associated with bowel movements sometimes, often, frequently, always.
  • Association of the discomfort or pain with a frequency change in bowel movements sometimes, often, frequently, always.
  • Association of the discomfort or pain with a change in stool-consistency sometimes, often, frequently, always.

Exclusion criteria

Exclusion Criteria:

  • Age: younger than 18, older than 80.
  • Diagnosed inflammatory bowel disease (M. Crohn, Colitis Ulcerosa)
  • Diagnosed nutritional idiosyncrasy
  • Cancer treatment in the last 12 weeks
  • Depression in the last 12 weeks
  • Intake of weight loss supporting medication (Lipase inhibitors)
  • Alcohol, nicotine, drug-abuse
  • Status after organ-transplantation, intake of immunosuppressants
  • Acute or chronic neurologic or psychiatric disease
  • Acute or chronic heart disease or kidney disease
  • Acute or chronic liver damage or any other organ damages
  • Transient severe obstipation in the last 4 weeks
  • Transient acute diarrhea in the last 4 weeks (e.g. intestinal infection)
  • Intestinal cancer
  • Intake of Panaceo MED or other Zeolite in the last 4 weeks
  • Type I Diabetes or severe metabolic disease
  • Infection with fever in the last 4 weeks
  • Intake of cortisone or antibiotics in the last 4 weeks
  • Planed journey of more than 14 days in the next 12 weeks (change of nutritional habits)
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
41 participants (actual)

Study arms

  • Experimental
    Panaceo MED

    Zeolite, Medicinal product, class IIa for oral intake, daily intake of 2 sachets (3 g), for 3 months.

    Other: Zeolite

  • Placebo comparator
    Control

    Micro crystalline cellulose daily intake of 2 sachets (3 g), for 3 months.

    Other: Zeolite

Interventions

  • OtherZeolite

    The natural zeolite clinoptilolite is of volcanic origin. The mineral belongs to the group of zeolite minerals. Zeolites are silicates with a microporous structure. This results in a stable structure with nanometer-sized cavities that pass through the natural zeolite clinoptilolite - comparable to a mineral sponge. Due to the numerous pores and channels, the mineral has a large internal surface and it can absorb molecules that are smaller in diameter than the pore openings. Since zeolite clinoptilolite has an anionic charge, there are cations such as Na +, K +, Ca 2+, Mg 2+ which can be exchanged for other ions (e.g., Pb\^2+) in the cavities for electrical charge balance. In particular, the ion exchange capacity is essential for the effect and is used in many areas.

06

What researchers measure

Primary outcomes

  1. Abdominal discomfort or pain

    Frequency: 0 - never, 1 - less than once / month, 2 - once / month, 3 - two-three days / month, 4 - once per week, 5 - more than once per week, 6 - every day.

    Time frame: 3 months

  2. Symptom improvement with defaecation

    0 - never or rarely, 1 - sometimes, 2 - often, 3 - frequently, 4 - always.

    Time frame: 3 months

  3. Stool frequency associated with abdominal discomfort or pain (more or less frequent)

    0 - never or rarely, 1 - sometimes, 2 - often, 3 - frequently, 4 - always.

    Time frame: 3 months

  4. Stool consistency associated with abdominal discomfort or pain (softer or harder)

    0 - never or rarely, 1 - sometimes, 2 - often, 3 - frequently, 4 - always.

    Time frame: 3 months

Secondary outcomes

  1. Stool laboratory parameter: Firmicutes

    Genotyping of bacteria in stool, before and after intake of study substance; Prevalence Firmicutes (CFU/g stool)

    Time frame: 3 months

  2. Stool laboratory parameter: Bacteroidetes

    Genotyping of bacteria in stool, before and after intake of study substance; Prevalence Bacteroidetes (CFU/g stool)

    Time frame: 3 months

  3. Stool laboratory parameter: Ratio: Bacteroidetes/Firmicutes

    Genotyping of bacteria in stool, before and after intake of study substance; Computation of Ratio: Bacteroidetes/Firmicutes

    Time frame: 3 months

  4. Stool laboratory parameter: Butyrat Producers

    Genotyping of bacteria in stool, before and after intake of study substance; Prevalence of Butyratproducing bacteria (CFU/g stool)

    Time frame: 3 months

  5. Stool laboratory parameter: Clostridia

    Genotyping of bacteria in stool, before and after intake of study substance; Prevalence of Clostridia (CFU/g stool)

    Time frame: 3 months

  6. Stool laboratory parameter: Histaminproducers,

    Genotyping of bacteria in stool, before and after intake of study substance; Prevalence of Histaminproducing bacteria (CFU/g stool)

    Time frame: 3 months

  7. Stool laboratory parameter: H2S producers

    Genotyping of bacteria in stool, before and after intake of study substance; Prevalence of H2S-producing bacteria (CFU/g stool)

    Time frame: 3 months

Other outcomes

  1. Change of permeability (Leaky-Gut)

    Zonulin (\< 55 ng/ml) in stool

    Time frame: 3 months

  2. Change of bowel inflammation

    Calprotectin (\< 50 mg/l) in stool

    Time frame: 3 months

  3. Change of permeability of mucosa

    Alpha 1-Antitrypsin (\< 27,5 mg/dl) in stool

    Time frame: 3 months

  4. Change of the inflammation mediator

    Histamin (\< 600 ng/ml) in stool

    Time frame: 3 months

  5. Efficacy of binding and elimination of ammoniak

    Ammoniak (11-51 µmol/l) in blood / serum

    Time frame: 3 months

  6. Change of inflammation

    high sensitivity C-reactive protein (mg/l) in blood / serum

    Time frame: 3 months

  7. Change of anti-inflammatory mediator

    Interleukin-10 (\< 9,1 pg/ml) in blood / serum

    Time frame: 3 months

  8. Possible release of metal ions

    Aluminium (\< 11 µg/l) in blood / serum

    Time frame: 3 months

  9. Change of histamin metabolism

    Di-Amino-Oxydase (\> 10 U/ml) in blood / serum

    Time frame: 3 months

07

Study locations

1 site
  • SCIgenia GmbH
    Vienna, 1090, Austria
08

References and documents

Publications

  • Lamprecht M, Bogner S, Steinbauer K, Schuetz B, Greilberger JF, Leber B, Wagner B, Zinser E, Petek T, Wallner-Liebmann S, Oberwinkler T, Bachl N, Schippinger G. Effects of zeolite supplementation on parameters of intestinal barrier integrity, inflammation, redoxbiology and performance in aerobically trained subjects. J Int Soc Sports Nutr. 2015 Oct 20;12:40. doi: 10.1186/s12970-015-0101-z. eCollection 2015. PubMed 26500463 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 24, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03817645
Lead sponsor
Scigenia GmbH
Responsible party
Sponsor
First posted
Jan 25, 2019
Start date
Mar 9, 2018
Primary completion
Jun 30, 2019
Completion
Jun 30, 2020
Last update
Mar 24, 2021

Study contacts

Ventzislav Petkov, M.D.
principal investigator · Physician

Oversight

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

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