SH-DS01 on Fecal Metagenomic Stability
A Randomized, Double Blind, Placebo-controlled Study to Evaluate the Impact of a Multi-strain Synbiotic on Fecal Metagenomic Stability, Gut Barrier Integrity, and Metabolic Output of the Gut Microbiota
1 other identifier
interventional
48
1 country
1
Brief Summary
This is a randomized, double blind, Phase 1 study. There will be a 12-week comparison of the safety of DS-01 versus placebo with a secondary outcome measure of the efficacy in a cohort of 100 men or women with IBS with constipation. 50 IBS-C or IBS-M patients will receive DS-01 (Daily Synbiotic, once daily) for 12 weeks, while 50 IBS-C or IBS-M patients will receive the placebo (once daily). Safety is a paramount concern in the study design and will be monitored carefully throughout the study. Study subjects will also receive extensive education on use of the synbiotic.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_2
Started Oct 2020
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
August 31, 2020
CompletedStudy Start
First participant enrolled
October 20, 2020
CompletedFirst Posted
Study publicly available on registry
October 22, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 17, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
October 26, 2022
CompletedResults Posted
Study results publicly available
February 17, 2026
CompletedFebruary 17, 2026
January 1, 2026
2 years
August 31, 2020
June 9, 2025
January 29, 2026
Conditions
Outcome Measures
Primary Outcomes (1)
Safety and Tolerability of DS-01 Treatment vs Placebo
measure of reported adverse events during the study period
12 weeks
Study Arms (2)
microbial consortia (DS-01)
EXPERIMENTALDS-01 is a rationally defined microbial consortia consisting of 24 strains across 12 species, with polyphenolic and phenolic prebiotic bioactive compounds. Participants will be instructed to take 2 capsules daily for the duration of the trial.
placebo
PLACEBO COMPARATORPlacebo capsules for DS-01 will contain rice flour matched for color and texture in an identical outer capsule shell. Participants will be instructed to take 2 capsules daily for the duration of the trial.
Interventions
Eligibility Criteria
You may qualify if:
- Patient must be willing and able to give informed assent/ consent for participation in the study
- Patient must be willing and able (in the PI's opinion) to comply with all study requirements.
- Patient must be a premenopausal female or male aged 18 and older.
- Patient must have a documented history of IBS that is not completely controlled by current IBS drugs.
- Patient must have a score of ≥150 on the IBS-SSS at screening.
- Patient must have no clinically relevant (in the judgment of the PI) abnormal blood laboratory levels at screening or randomization.
- The clinician will assess eligibility as per the Rome IV criteria (Recurrent abdominal pain or discomfort at least 1 day/week in the last 3 months associated with two or more of the following: Improvement with defecation. Onset associated with a change in frequency of stool).
- Patient has clinically significant unstable medical conditions other than IBS.
- Patient has had clinically relevant symptoms or a clinically significant illness in the four weeks prior to screening or randomization.
- Patient has clinically significant laboratory values (in the PI's opinion).
- Patient is currently using or has in the past used recreational or medicinal cannabis, or synthetic cannabinoid based medications (including Sativex®) or supplements (including hemp oil/extracts) within one month prior to study entry and is unwilling to abstain for the duration for the study.
- Patient has consumed any probiotic product three days prior to screening and/or is unwilling to abstain from consuming these during the study.
- Intake of antibiotics in the past 1-month (i.e. penicillin, amoxicillin, cephalexin (Keflex), erythromycin (E-Mycin), clarithromycin (Biaxin), azithromycin (Zithromax), ciprofloxacin (Cipro), levofloxacin (Levaquin), ofloxacin (Floxin), co-trimoxazole (Bactrim), trimethoprim (Proloprim), tetracycline (Sumycin or Panmycin), doxycycline (Vibramycin), gentamicin (Garamycin), or tobramycin (Tobrex). The supplement in the present study may have a minor interaction with these medications.
- Patient has any known or suspected hypersensitivity to pomegranate, pine, or mushrooms, or any of the excipients of the Supplement Synbiotic Product (SSP).
- Patients of child bearing potential unless willing to ensure that they use effective contraception, for example, oral contraception, double barrier, intra-uterine device, during the study and for three months thereafter.
- +16 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Beth Israel Deaconess Medical Centerlead
- Seed Healthcollaborator
Study Sites (1)
Beth Israel Deaconess Medical Center
Boston, Massachusetts, 02215, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Judy Nee
- Organization
- BIDMC
Study Officials
- PRINCIPAL INVESTIGATOR
Anthony J Lembo, MD
Beth Israel Deaconess Medical Center
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Masking Details
- Double
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor of Medicine
Study Record Dates
First Submitted
August 31, 2020
First Posted
October 22, 2020
Study Start
October 20, 2020
Primary Completion
October 17, 2022
Study Completion
October 26, 2022
Last Updated
February 17, 2026
Results First Posted
February 17, 2026
Record last verified: 2026-01
Data Sharing
- IPD Sharing
- Will not share