UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000057850
Receipt number R000066102
Scientific Title An open-label, single-arm study to evaluate the efficacy of dental metal removal in the treatment of irritable bowel syndrome
Date of disclosure of the study information 2025/05/14
Last modified on 2025/05/13 10:24:04

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Basic information

Public title

Efficacy of dental metal removal in the treatment of irritable bowel syndrome

Acronym

Efficacy of dental metal removal in the treatment of irritable bowel syndrome

Scientific Title

An open-label, single-arm study to evaluate the efficacy of dental metal removal in the treatment of irritable bowel syndrome

Scientific Title:Acronym

An open-label, single-arm study to evaluate the efficacy of dental metal removal in the treatment of irritable bowel syndrome

Region

Japan


Condition

Condition

Irritable bowel syndrome

Classification by specialty

Gastroenterology Dental medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Our previous studies have revealed that the prevalence of zinc and nickel hypersensitivity is significantly higher in patients with irritable bowel syndrome (IBS). Based on these findings, this clinical trial will focus on dental metal hypersensitivity as a potential cause of IBS and evaluate whether replacing dental metals containing zinc and nickel with non-metallic materials improves IBS symptoms.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

IBS severity index (IBS-SI)
Participants' IBS symptoms will be assessed using a self-administered IBS-SI questionnaire before and after dental metal removal.

Key secondary outcomes

Functional bowel disorder severity index (FBDSI)
IBS-QOL
Drug-induced lymphocyte stimulation test (DLST)
Participants' IBS symptoms and quality of life will be assessed using self-administered FBDSI and IBS-QOL questionnaires before and after dental metal removal.
Participants' blood samples are drawn before and after dental metal removal to evaluate hypersensitivity to zinc and/or nickel using the drug-induced lymphocyte stimulation test


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Food Maneuver

Interventions/Control_1

Removal of dental metals containing zinc and/or nickel, combined with lactic acid bacteria probiotics optimized for each participant

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

65 years-old >

Gender

Male and Female

Key inclusion criteria

Individuals who meet all of the following criteria:
1) Men and women aged 20 to 64
2) Diagnosed with IBS, with symptoms persisting for more than three months and currently present
3) Currently using dental metal materials containing zinc and/or nickel (crowns, bridges, inlays, dentures, etc.)
4) In drug-induced lymphocyte stimulation tests (DLST) using zinc and nickel, at least one Stimulation Index (SI) is greater than 180
5) Agree to replace currently used dental metal materials with non-metal materials (such as lithium disilicate or zirconia ceramics)
6) Able to complete a questionnaire in Japanese
7) Understand the purpose and methods of the study and able to provide written informed consent

Key exclusion criteria

Individuals who meet any of the following criteria:
1) Are currently taking medication on a regular basis
2) Are undergoing treatment for a gastrointestinal disorder
3) Are currently suffering from an acute illness, including an infectious disease
4) Have a history of serious underlying medical conditions (cardiovascular disease, respiratory disease, neuropsychiatric disease, metabolic disease, chronic kidney disease, neoplastic disease, autoimmune disease, infectious disease, etc.)
5) Have a smoking habit
6) Pregnant or breastfeeding women
7) Other cases deemed inappropriate by the principal investigator

Target sample size

20


Research contact person

Name of lead principal investigator

1st name Tsutomu
Middle name
Last name Nakamura

Organization

IDO Medical Co., Ltd.

Division name

Chief Scientific Officer

Zip code

140-0002

Address

7F Center Building, Sea Fort Square, 2-3-12 Higashi-shinagawa, Shinagawa-ku, Tokyo

TEL

03-6260-0071

Email

nakamurachibiko@gmail.com


Public contact

Name of contact person

1st name Tomoka
Middle name
Last name Ebisui

Organization

IDO Medical Co., Ltd.

Division name

Secretariat

Zip code

140-0002

Address

7F Center Building, Sea Fort Square, 2-3-12 Higashi-shinagawa, Shinagawa-ku, Tokyo

TEL

03-6260-0071

Homepage URL


Email

ebisui@idou-medical.jp


Sponsor or person

Institute

IDO Medical Co., Ltd.

Institute

Department

Personal name



Funding Source

Organization

Self funding

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor

Medical Corporation Iasokai Takanawa Clinic Group

Name of secondary funder(s)



IRB Contact (For public release)

Organization

Research Ethics Committee of Takanawa Clinic

Address

7F Center Building, Sea Fort Square, 2-3-12 Higashi-shinagawa, Shinagawa-ku, Tokyo

Tel

03-6260-0071

Email

info@idou-medical.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

医療法人社団 癒合会 高輪クリニックグループ(東京都)


Other administrative information

Date of disclosure of the study information

2025 Year 05 Month 14 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2025 Year 03 Month 12 Day

Date of IRB

2025 Year 04 Month 18 Day

Anticipated trial start date

2025 Year 05 Month 15 Day

Last follow-up date

2025 Year 09 Month 15 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded

2025 Year 09 Month 30 Day


Other

Other related information



Management information

Registered date

2025 Year 05 Month 13 Day

Last modified on

2025 Year 05 Month 13 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000066102