ClinicalTrials.gg
Not yet recruitingNCT07337707ENDOLORIIUpdated Jan 13, 2026

New Microbiota-endocrine Axis in Fructose Malabsorption-caused Visceral Hypersensitivity in Irritable Bowel Syndrome.

An interventional study of urine intestinal permeability test or lactulose/mannitol test and Blood test in Irritable Bowel Syndrome (IBS), sponsored by University Hospital, Rouen. Not yet recruiting at 1 site in France. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-01-13.

Sponsored by University Hospital, Rouen · Not applicable, Interventional, and Diagnostic

Phase
Not applicable
Study type
Interventional
Enrollment
60
Allocation
Non-randomized
Ages
18 Years to 75 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 12 studies in Irritable Bowel Syndrome by University Hospital, Rouen — 5 open to participants now, 5 under way, none of them phase 3. Irritable Bowel Syndrome · University Hospital, Rouen.

Started
2026
the only one that year
No phase
7 of 12
2 open now
Registered
12th of 12
by date

Among the 12 studies in Irritable Bowel Syndrome by University Hospital, Rouen, this one is the only one that started in 2026, is one of 7 with no phase, and was the 12th registered.

By phase

12 studies; the count open now beside each. This study's row is marked.

No phasethis study7 · 2 open
Observational3 · 2 open
Phase 22 · 1 open

By the year they started

First in 2003; this study’s year is marked. 1 started in 2026.

Size and results

Median enrollment 60 across the 9 interventional studies, 600 across the 3 observational. Of the 6 that completed or were terminated, 0 (0%) have results posted.

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02

Study summary

Irritable bowel syndrome (IBS) affects around 4% of the general population and remains the most common functional bowel disorder. It is defined by the Rome criteria as the presence of abdominal pain associated with transit disorders. The impact on quality of life and the associated costs make it a public health problem.

Visceral hypersensitivity is one of the functional markers of the disease and plays a part in the genesis of symptoms. It could therefore also be a therapeutic target to be explored. Diet and the intestinal microbiota are also part of the recognised pathophysiological mechanisms of this disease. Carbohydrates malabsorbed by the intestine are metabolised by the microbiota, which may contribute to the genesis of symptoms. Among these carbohydrates, fructose appears to be of particular interest. Its absorption capacity is limited, yet fructose consumption is increasing. Fructose malabsorption at a dose of 25 g is present in 22% of IBS patients. Fructose malabsorption is also associated with visceral hypersensitivity. However, the mechanism of this association remains unknown. In models of malabsorbed mice with visceral hypersensitivity, an increase in cholecystokinin was found in the terminal ileum and cecum, suggesting a potential role for this hormone in this model of IBS. However, the underlying mechanism remains poorly understood.

The objective is to determine if microbiota signature is specific of visceral hypersensitivity associated with fructose malabsorption in IBS patients.

60 patients with IBS will be included in the study in 4 groups:

  1. n=15 patients with visceral hypersensitivity and fructose malabsorption
  2. n=15 patients with visceral hypersensitivity and without fructose malabsorption
  3. n=15 patients without visceral hypersensitivity and with fructose malabsorption
  4. n=15 patients without visceral hypersensitivity and without fructose malabsorption

All patients will filled validated questionnaires and 4-days food diary. They will also have a urinary permeability test (lactulose/mannitol test) and collected stools samples for microbiota analysis.

03

Conditions studied

  • Irritable Bowel Syndrome (IBS)

Keywords

  • visceral hypersensitivity
  • fructose malabsorption
  • microbiota
04

Who can participate

Ages eligible
18 Years to 75 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

For all groups:

  • Patients with IBS defined by current Rome criteria (currently IV)
  • Adult, aged 18 to 75
  • Regulatory criteria :

    • Membership of a social security scheme
    • Adult having read and understood the information letter and signed the consent form
    • Woman of childbearing age with effective for the duration of the study such as oestroprogestins, intrauterine device, tubal ligation, vasectomised partner or sexual abstinence (no heterosexual intercourse for 1 month and a negative urine pregnancy test at inclusion).
    • women: confirmatory diagnosis (non-medically induced amenorrhoea for at least 12 months prior to the inclusion visit or biologically documented)
    • Women of childbearing age who have been rendered surgically infertile (e.g. hysterectomy, bilateral salpingectomy, bilateral oophorectomy).

For the IBS group with fructose malabsorption and visceral (named group of interest, MalF-HyperSens) (1):

  • 25g fructose breath test in favour of fructose malabsorption
  • Rectal barostat finding visceral hypersensitivity

For the IBS group with fructose malabsorption and without visceral hypersensitivity (known as the MalF-NormoSens group) (2):

  • Fructose breath test at 25g dose in favour of fructose malabsorption
  • Rectal barostat finding no visceral hypersensitivity

For the IBS group without fructose malabsorption and visceral hypersensitivity (named NormoF-HyperSens group) (3):

  • Fructose breath test at 25g dose in favour of no fructose malabsorption
  • Rectal barostat finding visceral hypersensitivity

For the IBS group without fructose malabsorption or visceral hypersensitivity (called the NormoF-NormoSens group) (4):

  • Fructose breath test at a dose of 25g in favour of the absence of fructose malabsorption
  • Rectal barostat finding no visceral hypersensitivity

Exclusion criteria

Exclusion Criteria:

  • Patient who has not undergone a fructose breath test or a barostat in our department in the last 10 years.
  • Patient with organic digestive pathology (chronic inflammatory bowel disease, microscopic colitis, digestive cancer, celiac disease)
  • Systemic antibiotic use (oral, IV or IM) in the month prior to inclusion
  • Regulatory criteria :

    • Pregnant or parturient or breast-feeding woman or proven absence of ,
    • Person deprived of liberty by an administrative or judicial decision or person placed under court protection / sub- guardianship or curatorship,
    • Person undergoing research participating in another trial / having participated in another trial within a period of 2 weeks,
    • History of illness or psychological or sensory abnormality likely to prevent the subject from fully understanding the conditions required for participation in the protocol or preventing him/her from giving .
Terms in these criteria, in plain language(4)

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.

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.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
60 participants (estimated)

Study arms

  • Experimental
    MalF-HyperSens

    Patients with IBS with fructose malabsorption and with visceral hypersensitivity

    Biological: urine intestinal permeability test or lactulose/mannitol test · Biological: Blood test · Other: food diary · Other: stool samples · Other: Microbiota analysis

  • Experimental
    MalF-NormoSens

    Patients with IBS with fructose malabsorption and without hypersensitivity

    Biological: urine intestinal permeability test or lactulose/mannitol test · Biological: Blood test · Other: food diary · Other: stool samples · Other: Microbiota analysis

  • Experimental
    NormoF-HyperSens

    Patients with IBS without fructose malabsorption and with visceral hypersensitivity

    Biological: urine intestinal permeability test or lactulose/mannitol test · Biological: Blood test · Other: food diary · Other: stool samples · Other: Microbiota analysis

  • Experimental
    NormoF-NormoSens

    Patients with IBS without fructose malabsorption and without visceral hypersensitivity

    Biological: urine intestinal permeability test or lactulose/mannitol test · Biological: Blood test · Other: food diary · Other: stool samples · Other: Microbiota analysis

Interventions

  • Biologicalurine intestinal permeability test or lactulose/mannitol test

    Patients will be required to fast for 12 hours and, after emptying their bladder, patients will be asked to drink 100 mL of water containing 10 g of lactulose and 5 g of mannitol. At the patient's inclusion visit, and before the test at the V1 follow-up visit, the patient will be given an explanation with recommendations on their food intake in the 24 hours before and 24 hours during the test (urine collection). Patients will be asked not to drink for 2 hours and not to eat for 5 hours after taking the lactulose and mannitol. An exhaustive urine collection will then be carried out at the patient's home over the 24 hours following the intake of the sugars. The 24-hour urine will be collected in a plastic 24-hour urine container suitable for hospital use. This urine collection will be brought back for visit 2 the following day. On receipt of the urine, the volume of urine will be noted and the appearance of the urine recorded and stored before analysis.

  • BiologicalBlood test

    A fasting blood sample will be taken in 1 x 4ml EDTA-Aprotinin tube on the morning of the urine test (V1 follow-up visit). The tube will be centrifuged within 15 minutes at 4°C and then aliquoted into 3 x 500μL tubes which will be immediately frozen at -80°C for storage in a biocollection with a view to later measuring gastrointestinal peptides such as CCK, neurotensin and GLP-1.

  • Otherfood diary

    On the day of inclusion, all patients were given a food diary to fill in. They will have to fill it in over a period of 4 days, including 1 weekend day. They will be asked to note down all the food they eat during this period, as well as the quantities. The diary will be collected at the V1 visit and will then be analysed by a dietician, who will assess the average daily consumption of fructose in g/d (total fructose consumption, consumption of fructose in excess of glucose, dietary origin of fructose).

  • Otherstool samples

    All patients will have their stools collected. Patients will have their stool collected at home using a collector given to them at the inclusion visit. They will have to bring back the stool within 6 hours for preparation and storage at -80°C.

  • OtherMicrobiota analysis

    Stools will be used to analyse the composition of the intestinal microbiota by sequencing amplicons from the V3-V4 region of bacterial 16S rRNA.

06

What researchers measure

Primary outcomes

  1. microbiota analysis

    16S RNA gene sequencing

    Time frame: from enrollment up to 18 months

  2. metabolites analysis

    Mass spectrometry-based metabolomics

    Time frame: from enrollment up to 18 months

Secondary outcomes

  1. Intestinal permeability

    lactulose-mannitol test

    Time frame: from enrollment up to 18 months

  2. low grade inflammation

    fecal calprotectin

    Time frame: from enrollment up to 18 months

  3. fructose consumption

    delay fructose consumption (g/D)

    Time frame: from enrollment up to 18 months

  4. IBS severity

    IBS-SSS

    Time frame: from enrollment up to 18 months

  5. Stool consistency

    Bristol stool form

    Time frame: from enrollment up to 18 months

  6. anxiety

    STAI

    Time frame: from enrollment up to 18 months

  7. psychological distress

    HAD

    Time frame: from enrollment up to 18 months

  8. impact on quality of life

    IBSQOL

    Time frame: from enrollment up to 18 months

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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

Start is estimated for Feb 2026; primary completion for Aug 2027, 18 months later.

Of 305 non-industry interventional studies with no phase under Irritable Bowel Syndrome, half reached primary completion within 21 months of starting (the median), counting those still running; a quarter within 9 and three quarters within 40. This study's planned 18 months is below 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
Jul 2, 2025
First posted
Jan 13, 2026
StartEst.
Feb 2026
Primary completionEst.
Aug 2027
CompletionEst.
Aug 2027
Last update
Jan 13, 2026
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 Jan 13, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07337707
Collaborators
ANR AAPG2023, INRAE-Micalis AMIPEM, INRAE-Micalis FINE
Responsible party
Sponsor
First posted
Jan 13, 2026
Start date
Feb 2026 (estimated)
Primary completion
Aug 2027 (estimated)
Completion
Aug 2027 (estimated)
Last update
Jan 13, 2026

Study contacts

Chloé MELCHIOR, PUPH
Contact
chloe.melchior@chu-rouen.fr
+332 32 88 67 07
Mylene HERVET
Contact
mylene.hervet@chu-rouen.fr
MELCHIOR Pr MELCHIOR
principal investigator · University Hospital, Rouen

Oversight

Data monitoring committee
No
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 Jan 2026. You cannot join it, but the record below documents what was studied.

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