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A multicenter, randomized, double-blind controlled trial and mechanism exploration study on the treatment of diarrhea-predominant irritable bowel syndrome (IBS-D) with Shengyang Jieyu Zhixie Formula based on the bile acid-gut microbiota axis.

A Multicenter, Randomized, Double-Blind, Controlled Trial and Mechanism Exploration Study on the Treatment of Diarrhea-Predominant Irritable Bowel Syndrome with Shengyang Jieyu Zhixie Decoction Based on the Bile Acid-Gut Microbiota Axis

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ITMCTR
Registry ID
ITMCTR2025002515
Enrollment
Unknown
Registered
2025-12-24
Start date
2026-01-01
Completion date
Unknown
Last updated
2026-01-12

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Irritable Bowel Syndrome

Interventions

Experimental Group:Elevating Yang, Relieving Depression, and Stopping Diarrhea Formula Granules
Control Group:Yang-Raising Depression-Relieving Diarrhea-Stopping Formula Formula Granules Simulant

Sponsors

Beijing University of Chinese Medicine Oriental Hospital
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 65 Years

Inclusion criteria

Inclusion criteria: (1) Patients diagnosed with diarrhea-predominant irritable bowel syndrome of the liver qi stagnation and spleen deficiency type as per the above criteria; (2) During the run-in period (14±2 days prior to the start of treatment), weekly average pain scores =3 (on an 11-point Numerical Rating Scale, NRS-11); and at least one day per week with stool consistency classified as type 6 or 7 (according to the Bristol Stool Scale) for =2 days; (3) Irritable Bowel Syndrome Symptom Severity Scale scores =175; (4) Aged between 18 and 65 years; (5) Agree to undergo colonoscopy, which shows no abnormalities; (6) Provide written informed consent and are willing to receive the corresponding treatment.

Exclusion criteria

Exclusion criteria: (1) Diarrhea caused by confirmed infectious diarrhea, inflammatory bowel disease, parasitic infections, positive occult blood in stool, colorectal tumors, malabsorption syndrome, lactose intolerance (in combination with medical history), and systemic diseases. (2) Patients with concurrent diabetes, hyperthyroidism, or severe primary diseases of the cardiovascular, cerebrovascular, hepatic, renal, hematopoietic systems, or other conditions that significantly impact survival (e.g., cancer). Abnormal liver and kidney function (AST, TBIL > 1.5 times the upper limit of normal reference values, Scr exceeding the upper limit of normal range), and clinically significant ECG abnormalities. (3) Patients with non-diarrheal irritable bowel syndrome or other organic digestive system diseases, or those with abdominal pain and discomfort caused by other organic lesions. (4) History of major surgery involving the stomach, liver, pancreas, or intestines (appendectomy, hemorrhoidectomy, or polypectomy are permitted if more than 3 months have passed), or history of cholecystectomy. (5) Patients currently using or requiring continued use of medications that may affect gastrointestinal function, including anticholinergics, 5-HT3 receptor antagonists, antidiarrheals, prokinetics, antidepressants, anxiolytics, and gut microbiota agents. (6) Pregnant or breastfeeding women, and those with plans for pregnancy in the near future. (7) Patients with a history of allergy to drugs used in the trial or severe food allergies. (8) Patients with suspected or confirmed history of alcohol or substance abuse. (9) Patients who have participated in other clinical trials within the past three months. (10) Patients who disagree with colonoscopy or have contraindications for colonoscopy. (11) Patients deemed by the investigator to have factors that make them unsuitable for inclusion.

Design outcomes

Primary

MeasureTime frame
Post-treatment overall efficacy rate;

Secondary

MeasureTime frame
Overall efficacy rate of patients during the follow-up period;Irritable Bowel Syndrome Symptom Severity Scale;Traditional Chinese Medicine Syndrome Scoring Evaluation;Quality of Life Evaluation;Psychological Assessment;

Countries

China

Contacts

Public ContactPei Deng

Beijing University of Chinese Medicine Oriental Hospital

20240931686@bucm.edu.cn13321199925

Outcome results

None listed

Source: ITMCTR (via WHO ICTRP) · Data processed: Feb 4, 2026