Novel Pilot Study to Treat Symptoms of IBS with Diarrhea Using Combination Therapy of a Low-FODMAP Diet and a Neuromodulator

Description

The purpose of this research is to study the added benefit of treating IBS symptoms with a medication called mirtazapine in treating IBS symptoms when paired with a low-FODMAP diet compared to a low-FODMAP diet alone. FODMAP stands for fermentable oligosaccharides, disaccharides, monosaccharides, and polyols. These are short-chain carbohydrates that can cause digestive distress in some people. You have been asked to take part in this research because you have symptoms of diarrhea-predominant irritable bowel syndrome that may respond to treatment with a combination of a medication called mirtazapine and a low-FODMAP diet.

Conditions

IBS - Irritable Bowel Syndrome, Diarrhea

Study Overview

Study Details

Study overview

The purpose of this research is to study the added benefit of treating IBS symptoms with a medication called mirtazapine in treating IBS symptoms when paired with a low-FODMAP diet compared to a low-FODMAP diet alone. FODMAP stands for fermentable oligosaccharides, disaccharides, monosaccharides, and polyols. These are short-chain carbohydrates that can cause digestive distress in some people. You have been asked to take part in this research because you have symptoms of diarrhea-predominant irritable bowel syndrome that may respond to treatment with a combination of a medication called mirtazapine and a low-FODMAP diet.

Novel Pilot Study to Treat Symptoms of IBS with Diarrhea Using Combination Therapy of a Low-FODMAP Diet and a Neuromodulator

Novel Pilot Study to Treat Symptoms of IBS with Diarrhea Using Combination Therapy of a Low-FODMAP Diet and a Neuromodulator

Condition
IBS - Irritable Bowel Syndrome
Intervention / Treatment

-

Contacts and Locations

Jacksonville

Mayo Clinic, Jacksonville, Florida, United States, 32224

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * Participants must meet all of the inclusion criteria to participate in this study:
  • * Adults (ages 18-70)
  • * Score of \>175 on the IBS-SSS questionnaire
  • * Must meet Rome IV criteria for IBS-D
  • * If subject is of reproductive capability a negative urine pregnancy test must be available prior to entering the study
  • * Ability to understand study procedures and to comply with them for the entire length of the study
  • * All candidates meeting any of the below exclusion criteria at baseline will be excluded from study participation:
  • * Score of \< 175 on the IBS-SSS
  • * Prior diagnoses of: known celiac disease, small intestinal bacterial overgrowth, inflammatory bowel disease, or microscopic colitis
  • * Ongoing significant anxiety or depression
  • * A history of a known side effect to mirtazapine
  • * Prior treatment with a low FODMAP diet or mirtazapine without clinical benefit
  • * Active alcohol or drug abuse
  • * Inability to read or understand the consent form
  • * Any other medical or psychological reason that would prevent active participation in a research study
  • * Pregnant females

Ages Eligible for Study

18 Years to 70 Years

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

Mayo Clinic,

Brian E Lacy, MD, PRINCIPAL_INVESTIGATOR, Mayo Clinic

Study Record Dates

2025-12-19