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| Name | Class |
|---|---|
| SILVATEAM | UNKNOWN |
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Irritable bowel syndrome is a highly prevalent disorder and consumes many health resources. Its physiopathogenesis is multifactorial. Some of the factors involved have to do with the alteration of the intestinal microbiota, low-grade inflammation and the alteration of intestinal permeability. Specific tannins have been shown to have prebiotic effects and could be useful in treating this condition. This is an exploratory before-after study that aims to evaluate the effect of a chestnut and quebracho extract on the symptoms of IBS diarrhea predominant, serum cytokine levels, microbiota and intestinal permeability, as well as on metabolomics.
In vitro studies have shown that chestnut and quebracho extract has a prebiotic effect of modulating the intestinal microbiota, but also, bacterial fermentation produces metabolites with powerful anti-inflammatory effects such as quecetin. Irritable bowel syndrome (IBS) is a multifactorial disorder involving factors related to the intestinal microbiota, low-grade inflammation, and impaired intestinal permeability.
In this study, 30 patients with predominant IBS diarrhea and 50 healthy controls will be included. IBS patients will receive chestnut and quebracho extract twice a day for 8 weeks. They will be measured at baseline and at 8 weeks: 27 serum pro and anti-inflammatory cytokines and serum zonulin. Likewise, the intestinal microbiota and metabolomics will be evaluated.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| IBS PATIENTS | Experimental | Natural specific tannin, chestnut |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ARBOX (QUEBRACHO AND CHESNUT EXTRACT) | Dietary Supplement | ARBOX TWICE A DAY FOR 60 days |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in Irritable bowel syndrome symptoms severity (IBS severity score, 75-500) | Change in IBS severity score from baseline | 60 days |
| Change in Stool frequency (number of deposition per day) | Change in stool frequency per day from baseline | 60 days |
| Change in Stool consistency (Bristol stool form scale, 1-7) | Change in Stool consistency from baseline | 60 days |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Inflammation | serum cytokine level change from baseline. Bioplex Biorad | 60 days |
| Change in Intestinal permeability | Change in Anti Zonuline level from baseline |
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Inclusion Criteria:
Healthy Controls: Relatives of patients who do not show any disease, who do not take medication or present symptoms.
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| MARIA MARTA PISKORZ | NEUROGASTROENTEROLOGIA HOSPITAL DE CLINICAS | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital de Clinicas Jose de San Martin. Buenos Aires University | Buenos Aires | B1622 | Argentina |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 42003449 | Derived | Molino S, Piskorz MM, Lerma-Aguilera A, Mingorance FL, Gutierrez C, Montero JM, Uehara T, Hashimoto H, Ballerga EG, Olmos JA. Tannin Phytocomplex Improves IBS-D Symptoms and Gut-Brain Markers: Prospective Pilot Study. Mol Nutr Food Res. 2026 Apr;70(8):e70451. doi: 10.1002/mnfr.70451. |
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| ID | Term |
|---|---|
| D043183 | Irritable Bowel Syndrome |
| D003967 | Diarrhea |
| ID | Term |
|---|---|
| D003109 | Colonic Diseases, Functional |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |
| D005767 | Gastrointestinal Diseases |
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before- after study
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| 60 days |
| Change in Intestinal microbiota | change in 16-s sequency from baseline | 60 days |
| D004066 | Digestive System Diseases |
| D012817 | Signs and Symptoms, Digestive |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |