Irritable Bowel Syndrome Regional Cohort (COSII)
Development of a Regional Irritable Bowel Syndrome Cohort
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
The strategy of this project is to develop a regional cohort of patients suffering from irritable bowel syndrome, in order to offer harmonised phenotyping, longitudinal follow-up and the study of clinical and biological factors associated with the development of the disease and its treatment.
To achieve this, the study plans to prospectively collect a complete phenotyping of patients suffering from IBS and followed up in consultation in the participating centres (questioning, questionnaires, physiological explorations and results of complementary examinations), with follow-up of the course of the disease and which will be supplemented by stool samples for analyses of the microbiota and metabolites.
The study aims to include all patients seen prospectively in the centres over a period of 3 years and to include as many stool samples as possible during follow-up visits. This should make it possible to include a total of 600 patients. This number will be sufficient to identify subgroups of patients with similar clinical or biological characteristics of reasonable size (at least 50 to 100 subjects each) and then compare their prognosis.
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Contacts and Locations
Study Contact
Study Contact
- Name: David DM MALLET, Director
- Phone Number: +33 02 32 88 82 65
- Email: David.Mallet@chu-rouen.fr
Study Contact Backup
- Name: Vincent VF FERRANTI, ARC
- Phone Number: +33 0232888265
- Email: vincent.ferranti@chu-rouen.fr
Study Locations
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Amiens, France, 80000
- Not yet recruiting
- University Hospitol of Amiens
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Contact:
- Mathurin MF FUMERY, Professor
- Email: Fumery.Mathurin@chu-amiens.fr
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Caen, France, 14033
- Not yet recruiting
- CHU de CAEN
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Contact:
- Oumniya OA ARJAFALLAH GOULET, Professor
- Phone Number: +33 02 31 06 45 43
- Email: arjafallah-o@chu-caen.mssante.fr
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Lille, France, 59037
- Not yet recruiting
- University Hospital of Lille
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Contact:
- Pauline PW WILS, Doctor
- Email: pauline.wils@chu-lille.fr
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Rouen, France, 76031
- Recruiting
- University Rouen Hospital
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Contact:
- Chloé CM MELCHIOR, Professor
- Phone Number: +33 0232888990
- Email: chloe.melchior@chu-rouen.fr
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Patient
- Normal laboratory work-up as part of routine care (CBC, CRP)
- Over 18 years of age
- Patient affiliated to a social security scheme
- Person who has read and understood the information letter and does not object to taking part in the study
Exclusion Criteria:
- Patient suffering from an organic digestive pathology (chronic inflammatory bowel disease, microscopic colitis when endoscopy has been performed because deemed necessary, digestive cancer, coeliac disease) or major digestive surgery (excluding appendectomy and cholecystectomy).
- Patient refusal
- Patient does not speak or understand French
- A pregnant woman or a woman in labour or breastfeeding
- Person deprived of liberty by an administrative or judicial decision or person placed under court protection / sub- guardianship or curatorship
Study Plan
How is the study designed?
Design Details
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Patients with irritable bowel syndrome
Patients with irritable bowel syndrome according to the Rome criteria in force at the time of inclusion (IV in 2024, V expected in 2025)
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Patients will fill in these self-questionnaires on a tablet or on paper, depending on the availability of tablets in the centres, before and after consulting the doctor.
These questionnaires assess the severity of the disease and quality of life.
Stool samples will be taken at each visit, i.e. approximately every 6 months for patients
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Clinical prognostic factors for the disease (use of recreational substances)
Time Frame: Visit V0 (inclusion)
|
Assessing the use of amphetamines, LSD, cannabis, marijuana, heroin, cocaine, ecstasy, ketamine and methadone
|
Visit V0 (inclusion)
|
|
Clinical prognostic factors for the disease (clinical history)
Time Frame: Visit V0 (inclusion)
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Assessment of antecedents: appendectomy, cholecystectomy, digestive surgery, diabetes and co-morbidities: fibromyalgia, chronic fatigue syndrome, migraine, hypermobility syndrome or Ehlers Danlos, eating disorders, ARFID, endometriosis or adenomyosis, insomnia and sleep disorders.
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Visit V0 (inclusion)
|
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Clinical prognostic factors for the disease (use of treatment)
Time Frame: Visit V0 (inclusion)
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Assessment of the patient's use of probiotics, antispasmodics, analgesics, morphine, transit slowers, laxatives, psychiatric treatments, diets and alternative treatments.
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Visit V0 (inclusion)
|
|
Evaluation of validated questionnaires (SCOFF-F questionnaire)
Time Frame: Visit V0 (inclusion), Visits at 6 , 12, 18, 24, 30 and 36 months
|
Evaluation of patient responses to the SCOFF-F questionnaire (medical interview on weight loss or gain),
|
Visit V0 (inclusion), Visits at 6 , 12, 18, 24, 30 and 36 months
|
|
Evaluation of validated questionnaires (NIAS questionnaire (ARFID))
Time Frame: Visit V0 (inclusion), Visits at 6 , 12, 18, 24, 30 and 36 months
|
Evaluation of patient responses to the NIAS questionnaire (ARFID) (Evaluation of food intake restriction or avoidance disorder: clinical characteristics characteristics ),
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Visit V0 (inclusion), Visits at 6 , 12, 18, 24, 30 and 36 months
|
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Evaluation of validated questionnaires (Francis score)
Time Frame: Visit V0 (inclusion), Visits at 6 , 12, 18, 24, 30 and 36 months
|
Evaluation of patient responses to the Francis score (Assessment of symptoms associated with irritable bowel syndrome (score from 0 to 500), the higher the score, the more severe the disease),
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Visit V0 (inclusion), Visits at 6 , 12, 18, 24, 30 and 36 months
|
|
Evaluation of validated questionnaires (GIQLI score)
Time Frame: Visit V0 (inclusion), Visits at 6 , 12, 18, 24, 30 and 36 months
|
Evaluation of patient responses to the GIQLI score (Digestive quality of life score comprising 36 items covering symptoms, physical status, emotions, social problems and the effect of medical treatments.
The score ranges from 0 to 144; the higher the score, the better the quality of life).
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Visit V0 (inclusion), Visits at 6 , 12, 18, 24, 30 and 36 months
|
|
Evaluation of validated questionnaires (Fear of food questionnaire)
Time Frame: Visit V0 (inclusion), Visits at 6 , 12, 18, 24, 30 and 36 months
|
Evaluation of patient responses to the Fear of food questionnaire (The Fear of Food Questionnaire (FFQ) is an 18-item self-report questionnaire that measures fear, avoidance of food, as well as life interference and loss of pleasure from eating.
Items are rated on a Likert scale ranging from 0 (not at all) to 5 (absolutely).
Qualitative score ranges are 0-15 (minimal), 16-30 (mild), 31-45 (moderate), and 46-90 (severe))
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Visit V0 (inclusion), Visits at 6 , 12, 18, 24, 30 and 36 months
|
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Evaluation of validated questionnaires (EQ-5D-5L score)
Time Frame: Visit V0 (inclusion), Visits at 6 , 12, 18, 24, 30 and 36 months
|
Evaluation of patient responses to the EQ-5D-5L score (The EQ-5D-5L1 questionnaire is a European quality of life scale.
The first part contains questions known as the 'EQ-5D descriptive system', supplemented by a visual analogue scale known as the 'EQ-5D VAS'.
It consists of a 20 cm, graduated from 0 to 100, on which the patient is asked to indicate how they rate their current state of health, with 0 being the worst possible state and 100 being the best.
and 100 being the best.).
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Visit V0 (inclusion), Visits at 6 , 12, 18, 24, 30 and 36 months
|
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Clinical prognostic factors for the disease (medical interview)
Time Frame: Visit V0 (inclusion)
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Assessment of sexual or physical aggression (medical interview), post-infectious nature (medical interview)
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Visit V0 (inclusion)
|
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Clinical prognostic factors for the disease (HAD score)
Time Frame: Visit V0 (inclusion), Visits at 6 , 12, 18, 24, 30 and 36 months
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Assessment of stress (HAD score : Hospital Anxiety and depression scale (score ranging from 0 to 21)
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Visit V0 (inclusion), Visits at 6 , 12, 18, 24, 30 and 36 months
|
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Clinical prognostic factors for the disease (Food avoidance questionnaire/exclusion diet)
Time Frame: Visit V0 (inclusion), Visits at 6 , 12, 18, 24, 30 and 36 months
|
Assessment of link with diet (Food avoidance questionnaire/exclusion diet informations)
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Visit V0 (inclusion), Visits at 6 , 12, 18, 24, 30 and 36 months
|
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Evaluation of validated questionnaires (VSI Score)
Time Frame: Visit V0 (inclusion), Visits at 6 , 12, 18, 24, 30 and 36 months
|
A standardized psychological questionnaire that assesses coping strategies, that is, how a person deals with stress.
15 items describe a possible reaction to stress.
For each of the 15 items, the person indicates to what extent the described reaction corresponds to them when they are stressed (in the face of pain, constipation, bloating, or an urgent need to go to the toilet).
Six rating scales are used, ranging from: 1 strongly agree, 2 somewhat agree, 3 slightly agree, 4 slightly disagree, 5 somewhat disagree, and 6 strongly disagree
|
Visit V0 (inclusion), Visits at 6 , 12, 18, 24, 30 and 36 months
|
|
Evaluation of validated questionnaires (PHQ15 Score)
Time Frame: Visit V0 (inclusion), Visits at 6 , 12, 18, 24, 30 and 36 months
|
Screening for somatic symptoms (frequent physical complaints).
15 items corresponding to a physical symptom.
3 levels of response: score 0 means no somatic symptoms, score 1 means mild somatic symptoms, and score 2 means severe somatic symptoms
|
Visit V0 (inclusion), Visits at 6 , 12, 18, 24, 30 and 36 months
|
|
Evaluation of validated questionnaires (CISS)
Time Frame: Visit V0 (inclusion), Visits at 6 , 12, 18, 24, 30 and 36 months
|
This assessment evaluates an individual's cognitive and behavioral efforts to manage a situation perceived as stressful.
Seven items, each worth 5 points, assess a single coping style (minimum score of 7 and maximum of 28).
A low score indicates limited cognitive and behavioral effort in managing a situation perceived as stressful.
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Visit V0 (inclusion), Visits at 6 , 12, 18, 24, 30 and 36 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
analyses carried out on stool samples (metagenomic shotgun)
Time Frame: Visit V0 (inclusion), Visits at 6 , 12, 18, 24, 30 and 36 months
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metagenomic shotgun analysis of microbiota (composition of the microbiota)
|
Visit V0 (inclusion), Visits at 6 , 12, 18, 24, 30 and 36 months
|
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Metabolomic analyses
Time Frame: Visit V0 (inclusion), Visits at 6 , 12, 18, 24, 30 and 36 months
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Metabolomics by GC-MS and LC-MS, lipidomics, SCFAs, bile acids
|
Visit V0 (inclusion), Visits at 6 , 12, 18, 24, 30 and 36 months
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Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 2023/0143/OB
- IDRCB : 2024-A02023-44 (Other Identifier: ANSM)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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