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Not yet recruitingNCT07061184Updated Jul 11, 2025

Fengliao Changweikang for Diarrhea-predominant Irritable Bowel Syndrome: N-of-1 Trial

A Phase 4 interventional study of FLCWK and Placebo in Irritable Bowel Syndrome - Diarrhoea, Traditional Chinese Medicine (TCM) and N of 1 Study Design, sponsored by Peking Union Medical College Hospital. Not yet recruiting at 1 site in China. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2025-07-11.

Sponsored by Peking Union Medical College Hospital · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
50
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

Irritable bowel syndrome with diarrhea (IBS-D) is a functional gastrointestinal disorder, with characteristics of defecation related abdominal pain and diarrhea. Routine treatment strategy for IBS-D is symptom-based with unsatisfactory results, while there is a growing interest in complementary and alternative medicine such as Traditional Chinese Medicine. However, lack of high-quality evidences being the obstacle for its development.

This study aims to evaluate the efficacy of Fengliao Changweikang Keli (FLCWK) on symptoms and health-related quality of life in mild to moderate IBS-D patients.

After 2-week run-in period, each participant will be randomized to a sequence of six 4-week double-blind treatment periods of FLCWK 8 g three times daily or placebo, separated by 2-week washout periods.

02

Conditions studied

  • Irritable Bowel Syndrome - Diarrhoea
  • Traditional Chinese Medicine (TCM)
  • N of 1 Study Design
  • Efficacy and Safety
03

In context

Lead sponsor

Peking Union Medical College Hospital is the lead sponsor of 1,115 studies on the registry; 463 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Aged between 18 and 75 years.
  2. Mild to moderate IBS-D patients, with IBS Severity Scoring System (IBS-SSS) scores of 75 to 300 points[14].
  3. Ability to complete questionnaires and provide written informed consent.
  4. Current use of IBS medications (probiotics, antibiotics, antispasmodic, antidiarrheal and neuromodulators) should be prescribed on a stable dose at least 30 days prior to enrollment, and have no plan to change the dose, diet or lifestyle.
  5. Normal blood cell count, liver function, creatinine and urea levels within the last 2 weeks.

Exclusion criteria

Exclusion Criteria:

  1. History of organic gastrointestinal diseases such as inflammatory bowel disease, celiac disease and malignancy.
  2. Scores of IBS-SSS > 300 points or IBS-SSS \< 75 points.
  3. History of severe heart, kidney or liver diseases.
  4. Pregnant or breastfeeding.
  5. Current alcohol or drug abuse.
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
50 participants (estimated)

Study arms

  • Experimental
    FLCWK

    FLCWK one sachet (8 g) to be taken three times daily in 1 month treatment peroid, 3 treatment periods in 9 months

    Drug: FLCWK · Drug: Placebo

  • Placebo comparator
    Placebo

    Placebo one sachet (8 g) to be taken three times daily in 1 month treatment peroid, 3 treatment periods in 9 months

    Drug: FLCWK · Drug: Placebo

Interventions

  • DrugFLCWK

    FLCWK and matching placebo to be taken in a randomised order for 9 months

  • DrugPlacebo

    FLCWK and matching placebo to be taken in a randomised order for 9 months

06

What researchers measure

Primary outcomes

  1. IBS-SSS score

    The severity score questionnaire consists of 5 items and each item is rated on a scale of 0-100 points, leading to a total score of 0-500 points. An improvement of more than 50 points for IBS-SSS questionnaire is considered clinical effective.

    Time frame: At the end of run-in period (week 2) and at the end of each washout period (week 8, 14, 20, 26, 32) and during each treatment period (week 6, 12, 18, 24, 30, 36).

Secondary outcomes

  1. IBS-QOL score

    IBS-QOL is a 34-item questionnaire assessing patient's health related quality of life, and higher scores indicate a better quality of life. IBS-QOL focuses on eight domains, namely dysphoria, activity interference, body image, health worry, food avoidance, social reaction, sexual and relationships, and an increase of more than 14 points indicates clinical improvement in quality of life. The minimal clinically important difference (MCID) on the IBS-QOL is defined as a change of 10 points in the total score.

    Time frame: At the end of run-in period (week 2) and at the end of each washout period (week 8, 14, 20, 26, 32) and during each treatment period (week 6, 12, 18, 24, 30, 36).

  2. self-reported symptoms including abdominal pain and diarrhea

    The score of worst abdominal pain in the past 24 hours will be evaluated by visual analogue scale (VAS) ranging from 0 to 10. The stool consistency of the past 24 hours will also be rated by BSFS, based on a 1 to 7 scale where 1 corresponds to a hard stool and 7 corresponds to watery diarrhea.

    Time frame: At the end of run-in period (week 2) and at the end of each washout period (week 8, 14, 20, 26, 32) and during each treatment period (week 6, 12, 18, 24, 30, 36).

07

Study locations

1 site
  • Peking Union Medical College Hospital
    Beijing, Beijing Municipality 100730, China
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 11, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07061184
Lead sponsor
Peking Union Medical College Hospital
Responsible party
DONG WU (Chief physician of Gastroenterology, Peking Union Medical College Hospital) — Principal investigator
First posted
Jul 11, 2025
Start date
Nov 2025 (estimated)
Primary completion
Nov 2027 (estimated)
Completion
May 2028 (estimated)
Last update
Jul 11, 2025

Study contacts

Dong Wu, M.D.
Contact
dongwu@pumc.edu.cn
8618612671010

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Jul 2025. You cannot join it, but the record below documents what was studied.

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