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Trial registered on ANZCTR
Registration number
ACTRN12622001179729
Ethics application status
Approved
Date submitted
28/07/2022
Date registered
1/09/2022
Date last updated
1/09/2022
Date data sharing statement initially provided
1/09/2022
Type of registration
Prospectively registered
Titles & IDs
Public title
A double-blind, randomised, placebo-controlled clinical trial to investigate the efficacy and safety of Cannabidiol (CBD) oral oil versus placebo, for the management of abdominal pain in patients with irritable bowel syndrome (IBS)
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Scientific title
SC3PO: A double-blind, randomised, placebo-controlled clinical trial to investigate the efficacy and safety of Cannabidiol (CBD) oral oil versus placebo, for the management of abdominal pain in patients with irritable bowel syndrome (IBS)
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Secondary ID [1]
307657
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N/A
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Universal Trial Number (UTN)
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Trial acronym
GENESIS STUDY
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Irritable Bowel Syndrome (IBS)
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Condition category
Condition code
Oral and Gastrointestinal
324303
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0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Participants suffering abdominal pain from IBS will be administered cannabis CBD oil or a matching placebo oil, in an oral liquid. The dose administered will be 50mg twice daily for a total of 100mg/day of CBD. This duration will last four weeks.
The strategy used to monitor adherence to dosing will be the deployment of a daily dosing diary. Also, the bottle is 30ml, and with 1ml (100mg/CBD) to be taken daily, each participant cannot exceed the recommended dose.
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Intervention code [1]
324116
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Treatment: Drugs
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Comparator / control treatment
The placebo is only medium chain triglyceride oil and contains beta-carotene used as a colouring agent to match the investigational product.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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The primary outcome is to assess any change in abdominal pain assessed by utilising a validated IBS Symptom Severity Scale questionnaire.
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Assessment method [1]
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Timepoint [1]
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14 days post-commencement of intervention and 28 days post-commencement of intervention (primary).
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Secondary outcome [1]
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The outcome is to assess any change in sleep assessed by utilising the validated Leeds Sleep Evaluation Questionnaire.
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Assessment method [1]
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Timepoint [1]
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14 days post-commencement of intervention and 28 days post-commencement of intervention.
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Secondary outcome [2]
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The outcome is to assess any change in nausea assess by utilising a Numerical Analogue Scale from 0 - 10.
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Assessment method [2]
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Timepoint [2]
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14 days post-commencement of intervention and 28 days post-commencement of intervention.
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Secondary outcome [3]
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The outcome is to assess any change in Quality of Life by utilising the free validated questionnaire SF-12 Short Form Health Survey.
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Assessment method [3]
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Timepoint [3]
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14 days post-commencement of intervention and 28 days post-commencement of intervention.
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Secondary outcome [4]
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The outcome is to assess any change in anxiety assess by utilising a Numerical Analogue Scale from 0 - 10.
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Assessment method [4]
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Timepoint [4]
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14 days post-commencement of intervention and 28 days post-commencement of intervention.
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Eligibility
Key inclusion criteria
- 18 years of age and over to a maximum of 70 years of age at the time of consent;
- Meets Rome IV criteria for IBS of any subtype [IBS with constipation (IBS-C), IBS with Diarrhoea (IBS-D), mixed type IBS (IBS-M) or unsubtyped IBS (IBS-U)].
- The abdominal pain should be present for at least 1 day per week for the last 3 months and the origin of the symptoms should be at least 6 months before. The symptoms should be related to at least two of the following:
o Related to defaecation;
o Associated with a change in stool frequency;
o Associated with a change in stool (appearance);
- Able and willing to comply with all study procedures.
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Minimum age
18
Years
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Maximum age
70
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
- History of gastric, small bowel or colonic surgery;
- Diagnosis of Inflammatory Bowel Disease (IBD) such as Ulcerative Colitis or Crohn’s
Disease;
- Known Coeliac Disease;
- Diagnosis of Cancer (not in remission);
- Pregnant, Breastfeeding, or trying to conceive (both women and men);
- History of suicide attempt;
- History of schizophrenia;
- History of seizures or epilepsy;
- History of drug or alcohol abuse;
- Current cannabis use (<2 months) prior to initial assessment visit;
- Severe unstable heart disease (unstable angina or ischaemic heart disease, heart failure
>NYHA Grade 2);
- Allergies to MCT oil or Cannabidiol;
- History of liver or renal disease.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
The method of allocation concealment is numbered containers.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Permuted block randomisation.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2 / Phase 3
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
Mean and standard deviation data of questionnaires from all participants at
timepoints day 14 and 28, will be compared to baseline (day -7).
Statistical analysis will be performed using repeated measures (generalized) linear
mixed models. All models will include fixed effects time, group, and a group x time
interaction, as well as covariates baseline outcome score, age, sex, and concomitant
IBS medications. The model will include a random intercept for participant. Time will
be treated as linear, log-linear, quadratic, or categorical according to model fit (Akaike
information criterion). The parameter of interest will be the difference in outcome
score between treatment groups at each post-baseline study visit, adjusted for
baseline score and covariates. Where outcome variables are distributed with
excessive zeros or clustering at high or low scores, mixed effects proportional odds
models with a logit link will be used instead). Analysis of secondary outcomes will be
performed in the full sample (n = 200). A P-value of <0.05 will be deemed statistically
significant.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
9/09/2022
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Actual
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Date of last participant enrolment
Anticipated
1/01/2023
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Actual
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Date of last data collection
Anticipated
5/04/2023
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Actual
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Sample size
Target
200
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,VIC
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Recruitment postcode(s) [1]
38179
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3199 - Frankston
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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Schneider Von Gunn Pharmaceuticals
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Address [1]
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6 Plowman Pl
Frankston Vic
3199
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Country [1]
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Australia
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Funding source category [2]
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Commercial sector/Industry
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Name [2]
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Australian Natural Therapeutics Group
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Address [2]
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8 Parkes Avenue
Byron Bay
NSW 2481
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Country [2]
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Australia
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Primary sponsor type
Commercial sector/Industry
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Name
Schneider Von Gunn Pharmaceuticals
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Address
6 Plowman Pl
Frankston Vic
3199
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Bellberry Limited
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Ethics committee address [1]
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123 Glen Osmond Road Eastwood SA 5063
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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27/10/2021
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Approval date [1]
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22/02/2022
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Ethics approval number [1]
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HREC2021-10-1146-A-4
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Summary
Brief summary
This study is a double-blind, randomised, placebo-controlled clinical trial seeking to investigate the efficacy and safety of Cannabidiol (CBD) oral oil versus placebo, for the management of abdominal pain in patients with irritable bowel syndrome (IBS). Given CBD’s noted anxiolytic, antidepressant, immunomodulatory, and anti-inflammatory activity, we believe that CBD will be a safe and potentially effective candidate for use in adults with IBS. Many gaps still exist in our knowledge on the efficacy and safety of cannabidiol in the clinical setting for the management of symptoms of IBS. However, with suboptimal therapeutic effects, and associated side-effects, of pharmaceutical drugs such as antidepressants, anticholinergics and opioids, this has led to this study being developed to explore CBD as a potential therapy for IBS. As such,this study will determine whether CBD may alleviate the broad list of symptoms which may present in IBS patients.
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Trial website
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Trial related presentations / publications
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Public notes
www.svgpharma.com.au
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Contacts
Principal investigator
Name
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Dr Christopher Schneider
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Address
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GastroX
6 Plowman Pl
Frankston VIC
3199
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Country
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Australia
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Phone
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+61 414178656
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Richard Palesh
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Address
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GastroX
6 Plowman Pl
Frankston VIC
3199
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Country
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Australia
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Phone
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+61 483807464
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Christopher Schneider
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Address
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GastroX
6 Plowman Pl
Frankston VIC
3199
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Country
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Australia
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Phone
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+61 414178656
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Fax
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
There are commercial sensitivities informing this decision.
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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