Protocol summary

Study aim
The effect of duloxetine on symptoms and quality of life in patients with irritable bowel syndrome with moderate to severe symptoms
Design
Clinical trial with control group with parallel, randomized, phase 3 groups on 40 patients A random number table was used for randomization.
Settings and conduct
This intervention is performed in Khorshid Hospital in Isfahan. Patients with irritable bowel syndrome are admitted and randomly divided. Intervention group, patients will receive duloxetine and the second group will receive a placebo. Before and one week after the interventions, the level of depression, anxiety and stress, as well as the quality of life of patients and the severity of their disease are measured by special questionnaires.
Participants/Inclusion and exclusion criteria
Inclusion criteria: Men and women aged 18 to 65 years, diagnosis of irritable bowel syndrome by a gastroenterologist, moderate to severe symptoms, informed consent to participate in the study, no depressive disorders, bipolar disorder or Exclusion criteria: diagnosis of any organic disease, failure to take medication regularly, failure to complete a questionnaire, severe side effects, patient request to be excluded from the study
Intervention groups
Intervention group: Patients in this group will be treated with duloxetine daily at a target dose of 60 mg per day for three months. The severity of symptoms, quality of life and the level of stress, anxiety and depression of patients are measured by special questionnaires and by a gastroenterologist before and after the interventions and are compared with each other. Control group: Patients in this group will be given placebo capsules daily for three months. The mentioned factors of patients are and by a gastroenterologist before and after the interventions and are compared with each other.
Main outcome variables
Anxiety, depression and stress and quality of life

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20190404043159N1
Registration date: 2020-09-18, 1399/06/28
Registration timing: prospective

Last update: 2020-09-18, 1399/06/28
Update count: 0
Registration date
2020-09-18, 1399/06/28
Registrant information
Name
Mohammad Reza Sharbafchi
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 31 3222 2475
Email address
sharbafchi@med.mui.ac.ir
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2020-10-15, 1399/07/24
Expected recruitment end date
2020-11-04, 1399/08/14
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
The effect of duloxetine on symptoms and quality of life in patients with irritable bowel syndrome with moderate to severe symptoms
Public title
Duloxetine and the symptoms and quality of life of patients with irritable bowel syndrome
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Men and women aged 18 to 65 years Diagnosis of irritable bowel syndrome by a gastroenterologist Moderate to severe symptoms Conscious consent to participate in the study Have a minimum literacy Absence of depressive disorders, bipolar disorder or psychotic disorders
Exclusion criteria:
Diagnosis of any organic disease Failure to take medication regularly Failure to complete the questionnaire Severe side effects Patient request to leave the study
Age
From 18 years old to 65 years old
Gender
Both
Phase
2-3
Groups that have been masked
  • Participant
  • Care provider
  • Investigator
  • Outcome assessor
  • Data analyser
  • Data and Safety Monitoring Board
Sample size
Target sample size: 40
Randomization (investigator's opinion)
Randomized
Randomization description
Simple randomization, table of random numbers. In this study, reading the table of predefined random numbers (eg, up or down) and the researcher's second default is to consider even numbers for intervention group . The researcher begins to read the numbers in a predetermined manner and the patients are divided.
Blinding (investigator's opinion)
Double blinded
Blinding description
Patients are blinded according to the intervention or control treatment groups of the type of drug used. Also, the drugs are prepared in separate containers with numbering and the nurse who used the drug for the patients has no information about its type. Patients are seen by a specialist doctor and evaluated for symptoms and quality of life. Doctors and health evaluators are also unaware of the type of medication used. After collecting information, it enters the software with numbering, and after performing statistical analysis and completing the work, the codes are determined. Until then, the data analyzer and the data safety and monitoring committee do not know the patient groups. .
Placebo
Used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Ethics committee of Isfahan University of Medical Sciences
Street address
No. 18, Hezar Jarib Ave., Daneshgah Blvd., Isfahan
City
Isfahan
Province
Isfehan
Postal code
8174673461
Approval date
2017-05-28, 1396/03/07
Ethics committee reference number
IR.MUI.REC.1396.3.752

Health conditions studied

1

Description of health condition studied
Irritable Bowel Syndrome
ICD-10 code
K58
ICD-10 code description
Irritable bowel syndrome

2

Description of health condition studied
Quality of life
ICD-10 code
ICD-10 code description

3

Description of health condition studied
Stress, anxiety and depression
ICD-10 code
F43.0
ICD-10 code description
Acute stress reaction

Primary outcomes

1

Description
Quality of life score
Timepoint
Before and one week after interventions
Method of measurement
Quality of Life Questionnaire for Patients with Irritable Bowel Syndrome

2

Description
Anxiety, depression and stress score
Timepoint
Before and one week after interventions
Method of measurement
By The Depression, Anxiety, and Stress Scale – 21 (DASS-21) questionnaire

3

Description
Severity of symptoms
Timepoint
Before and one week after interventions
Method of measurement
Irritable Bowel Syndrome Symptoms Severity Questionnaire

Secondary outcomes

empty

Intervention groups

1

Description
Intervention group: Patients in this group will be treated with duloxetine daily at a target dose of 60 mg per day for three months. The severity of symptoms, quality of life and the level of stress, anxiety and depression of patients are measured by special questionnaires and by a gastroenterologist before and after the interventions and are compared with each other.
Category
Treatment - Drugs

2

Description
Control group: Patients in this group will be given placebo capsules daily for three months. The severity of symptoms, quality of life and the level of stress, anxiety and depression of patients are measured by special questionnaires and by a gastroenterologist before and after the interventions and are compared with each other.
Category
Placebo

Recruitment centers

1

Recruitment center
Name of recruitment center
Khorshid Hospial
Full name of responsible person
Mohammad Reza Sharbafchi
Street address
Shohadaye Sofe St.
City
Isfahan
Province
Isfehan
Postal code
8174675731
Phone
+98 31 3620 2020
Email
sharbafchi@med.mui.ac.ir

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Esfahan University of Medical Sciences
Full name of responsible person
Shaghayegh Haghjoo
Street address
No. 18, Hezar Jarib Ave., Daneshgah Blvd., Isfahan
City
Isfahan
Province
Isfehan
Postal code
8174673461
Phone
+98 31 3668 0042
Email
haghjoo.sh@med.mui.ac.ir
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Esfahan University of Medical Sciences
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

Person responsible for general inquiries

Contact
Name of organization / entity
Esfahan University of Medical Sciences
Full name of responsible person
Mohammad Reza Sharbafchi
Position
Assistant professor
Latest degree
Specialist
Other areas of specialty/work
Psychiatrics
Street address
No. 22, Roshd Ave., Daneshgah Blvd., Isfahan
City
Isfahan
Province
Isfehan
Postal code
8174673461
Phone
+98 31 3668 0042
Email
sharbafchi@med.mui.ac.ir

Person responsible for scientific inquiries

Contact
Name of organization / entity
Esfahan University of Medical Sciences
Full name of responsible person
Mohammad Reza Sharbafchi
Position
Assistant professor
Latest degree
Specialist
Other areas of specialty/work
Psychiatrics
Street address
No. 22, Roshd Ave., Daneshgah Blvd., Isfahan
City
Isfahan
Province
Isfehan
Postal code
8174673461
Phone
+98 31 3668 0042
Email
sharbafchi@med.mui.ac.ir

Person responsible for updating data

Contact
Name of organization / entity
Esfahan University of Medical Sciences
Full name of responsible person
Mohammad Reza Sharbafchi
Position
Assistant Professor
Latest degree
Specialist
Other areas of specialty/work
Psychiatrics
Street address
Isfahan University of Medical Sciences, Hezar Jerib Street, Isfahan, Iran
City
Isfahan
Province
Isfehan
Postal code
8174673461
Phone
+98 31 3222 2475
Fax
Email
sharbafchi@med.mui.ac.ir

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Yes - There is a plan to make this available
Study Protocol
Yes - There is a plan to make this available
Statistical Analysis Plan
Yes - There is a plan to make this available
Informed Consent Form
Yes - There is a plan to make this available
Clinical Study Report
Yes - There is a plan to make this available
Analytic Code
Yes - There is a plan to make this available
Data Dictionary
Yes - There is a plan to make this available
Title and more details about the data/document
All data can be shared after people have requested.
When the data will become available and for how long
Six months after publishing the results
To whom data/document is available
Academic researchers
Under which criteria data/document could be used
Scientific uses
From where data/document is obtainable
Isfahan University of Medical Sciences website
What processes are involved for a request to access data/document
Clear request on the site to access the data by the individual and then review the request by the research assistant within 2 weeks and then allow access to the data.
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