Personalized Dietary Intervention Based on Microbiome Analysis vs FODMAP Diet for Irritable Bowel Syndrome

NCT ID: NCT05646186

Last Updated: 2022-12-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-10-01

Study Completion Date

2023-12-31

Brief Summary

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irritable bowel syndrome (IBS) is a well-known risk factor for diseases of the anal region (hemorrhoids, anal fissures, etc.) and large intestine (colon cancer, diverticular disease). Untreatable IBS disease not only impairs the patient's quality of life but also reduces the success of surgical treatment in these diseases.

Today, only one-third of IBS patients achieve successful results with the treatment methods and diets used routinely. Balancing the composition of the gut microbiota may yield satisfactory results in this patient group. With the results of our study, we aim to reveal the effect of microbiome analysis and personalized diet on symptoms and its place in treatment in patients with IBS disease.

Patients applying to Gastroenterology outpatient clinics in respective centers due to IBS will be randomized into two groups. The patients in the control group will follow the FODMAP diet protocol for IBS; In the study group, a personalized diet will be applied according to the gut microbiota. No nutritional supplements will be used in either group. Changes in defecation habits and quality of life scale of both groups will be evaluated at the end of 6 weeks and the results will be compared.

Detailed Description

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Conditions

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Irritable Bowel Syndrome Irritable Bowel Syndrome With Diarrhea Irritable Bowel Syndrome With Constipation Irritable Bowel Syndrome Mixed

Keywords

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Microbiome Microbiota Personalised medicine Artificial intelligence

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators
This is a double-blinded randomized controlled study. The participants will be blinded to the dietary interventions and the care providers will apply the diets that were allocated to them without knowing which diet they are applying. The investigators will not be able to obtain data until the data collection is finished.

Study Groups

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Personalised diet based on microbiome analysis

Personalized diet application based on artificial intelligence-assisted microbiome analysis. After the microbiome analysis is made from the stool samples to be taken from the individuals, a personalized diet program will be created with an artificial intelligence-based algorithm and a diet will be applied for 6 weeks with the support of a professional dietitian.

Group Type EXPERIMENTAL

Personalized dietary intervention based on microbiome analysis

Intervention Type DIETARY_SUPPLEMENT

Personalized dietary intervention based on individual microbiome analysis

Low FODMAP diet

After the microbiome analysis is made from the stool samples to be taken from the individuals, low fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (FODMAP) diet will be applied for 6 weeks with the support of a professional dietitian.

Group Type ACTIVE_COMPARATOR

Low-FODMAP diet

Intervention Type DIETARY_SUPPLEMENT

Low fermentable oligosaccharides, disaccharides, monosaccharides, and polyols diet

Interventions

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Personalized dietary intervention based on microbiome analysis

Personalized dietary intervention based on individual microbiome analysis

Intervention Type DIETARY_SUPPLEMENT

Low-FODMAP diet

Low fermentable oligosaccharides, disaccharides, monosaccharides, and polyols diet

Intervention Type DIETARY_SUPPLEMENT

Other Intervention Names

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Enbiosis IBS Scheme

Eligibility Criteria

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Inclusion Criteria

* To be between the ages of 18-65
* To be diagnosed with IBS (IBS-D, IBS-C, IBS-M) according to the Rome IV Criteria
* To give consent to participate in the study voluntarily
* Being a smartphone and/or internet user (for dietitian follow-up and clinical follow-up)

Exclusion Criteria

* Pregnant or planning to become pregnant
* Having another known diagnosis of gastrointestinal disease (inflammatory bowel disease, malabsorption of any macronutrient, intestinal resection, celiac disease, etc.)
* Colonoscopy history (in the last 1 year)
* History of abdominal surgery other than appendectomy or hysterectomy
* Psychiatric comorbidity
* Chronic diseases that will affect the microbiome (cancer, diabetes, cardiovascular disease, liver diseases, neurological diseases, etc.)
* Use of drugs that may affect digestive function in the 4 weeks prior to the study (antibiotics (including use in the last 4 weeks), probiotics, narcotic analgesics, lactulose (prebiotics))
* Patients taking dietary supplements
* Excluded from the study if following a restricted diet.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bozyaka Training and Research Hospital

OTHER

Sponsor Role collaborator

Tepecik Training and Research Hospital

OTHER

Sponsor Role collaborator

Dr. Ersin Arslan Education and Training Hospital

OTHER_GOV

Sponsor Role collaborator

Istanbul Medipol University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Medipol University Bahcelievler Hospital

Istanbul, , Turkey (Türkiye)

Site Status RECRUITING

Countries

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Turkey (Türkiye)

Central Contacts

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Varol TUNALI, Dr.

Role: CONTACT

Phone: 00905556303231

Email: [email protected]

Facility Contacts

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Osman Civil, MD

Role: primary

References

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Tunali V, Arslan NC, Ermis BH, Dervis Hakim G, Gundogdu A, Hora M, Nalbantoglu OU. A Multicenter Randomized Controlled Trial of Microbiome-Based Artificial Intelligence-Assisted Personalized Diet vs Low-Fermentable Oligosaccharides, Disaccharides, Monosaccharides, and Polyols Diet: A Novel Approach for the Management of Irritable Bowel Syndrome. Am J Gastroenterol. 2024 Sep 1;119(9):1901-1912. doi: 10.14309/ajg.0000000000002862. Epub 2024 May 8.

Reference Type DERIVED
PMID: 38717025 (View on PubMed)

Other Identifiers

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E-10840098-772.02-5763

Identifier Type: -

Identifier Source: org_study_id