Irritable Bowel Syndrome (IBS)
Conditions
Keywords
Fecal transplantation, microbiota transplantation, irritable bowel syndrome, IBS
Brief summary
The purpose of this study is to investigate the effect of fecal microbiota transplantation (FMT) on the symptoms of irritable bowel syndrome (IBS) patients.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
for patients 1. Signed informed consent 2. Fulfilled Rome III diagnostic criteria for IBS, and frequency of IBS pain or discomfort for at least 2 days a week in the last 12 weeks 3. Age: 18-65 years
Exclusion criteria
for patients 1. High proportion of butyrate-producing microbiota in fecal samples 2. Known organic gastrointestinal disease (e.g. IBD) 3. Previous complicated gastrointestinal surgery 4. Non-gastrointestinal malignancy 5. Dementia, severe depression, major psychiatric disorder, or other incapacity for adequate cooperation 6. Females who are pregnant or breast-feeding 7. Severe endometriosis 8. Antimicrobial treatment 4 weeks prior to first screening visit 9. Antimicrobial prophylaxis (eg. acne, urinary tract infection) 10. Regular consumption of probiotic products 4 weeks prior to randomization 11. Recently (within the last 3 months) diagnosed lactose intolerance 12. Celiac disease 13. Abuse of alcohol or drugs 14. Any clinically significant disease/condition which in the investigator's opinion could interfere with the results of the trial Inclusion criteria for donors 1. Signed informed consent 2. High-butyrate producing microbiota in fecal samples 3. Age: 18-65 years
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Effect of fecal microbiota transplantation on the symptoms of IBS patients using the IBS version of the gastrointestinal symptom rating scale (GSRS-IBS) | 6 months |
Secondary
| Measure | Time frame |
|---|---|
| Effect of fecal transplantation on IBS patients' visceral perception (Pain scores on the visual analogue scale during barostat procedure) | 2 months |
| Effect of fecal transplantation on IBS patients' composition of mucosal microbiota (HITChip analysis) | 2 months |
| Effect of fecal transplantation on IBS patients' composition of fecal microbiota (HITChip analysis) | 6 months |
| Effect of fecal microbiota transplantation on the symptoms of IBS patients using the hospital and anxiety depression scale (HADS) | 6 months |
| Effect of fecal microbiota transplantation on the symptoms of IBS patients using the IBS - severity scoring system (IBS-SSS) | 6 months |
| Effect of fecal microbiota transplantation on the symptoms of IBS patients using the health-related quality of life questionnaire for IBS patients (IBS-QOL) | 6 months |
| Effect of fecal microbiota transplantation on the general health of IBS patients using the SF-36 survey | 6 months |
| Effect of fecal transplantation on IBS patients' mucosal immune cell composition (lymphocyte fingerprinting using flow cytometry) | 2 months |
Countries
Sweden