Irvine 3 Circulation/Vascular Labs, Chieti-Pescara University, Pescara, Italy.
Eur Rev Med Pharmacol Sci. 2017 May;21(9):2249-2254.
Irritable Bowel Syndrome (IBS) is a chronic, gastrointestinal disorder in which abdominal pain or discomfort is associated with defecation or changes in bowel habits. Its multifactorial pathophysiology leads to a variety of available treatments, mainly aimed at controlling symptoms. The management of IBS patients could be optimized by individualized strategies, including non-pharmaceutical approaches. In this study, we evaluated the efficacy and safety of a novel delivery form of Boswellia serrata extracts (BSE) (Casperome®) in patients with IBS.
71 otherwise healthy subjects with idiopathic IBS were recruited. Participants were assigned to the following management strategies: hyoscine butylbromide; papaverine hydrochloride + A. belladonna extract; supplementation with Casperome®. Predominant IBS symptoms were evaluated at inclusion and at the end of the observational period (4 weeks). The numbers of subjects who needed rescue medication or medical attention/hospital admission were recorded. Adverse events were also evaluated.
In all groups, the IBS symptoms investigated, namely abdominal pain, altered bowel movements, meteorism and cramps improved during the observational period. Of note, the number of subjects who needed medical attention significantly decreased only in Casperome®-supplemented group. In addition, Casperome® supplementation was related to a lower incidence of side effects (mainly stypsis).
This preliminary study suggests that Casperome® supplementation could represent a promising alternative approach to manage symptoms associated with IBS in otherwise healthy subjects.
肠易激综合征(IBS)是一种慢性胃肠道疾病,其特征为腹痛或不适与排便或排便习惯改变相关。其多因素病理生理学导致了多种可用的治疗方法,主要旨在控制症状。通过个体化策略可以优化 IBS 患者的管理,包括非药物方法。在这项研究中,我们评估了一种新型 Boswellia serrata 提取物(BSE)(Casperome®)给药形式在 IBS 患者中的疗效和安全性。
71 名患有特发性 IBS 的健康受试者被招募。参与者被分配到以下管理策略中:氢溴酸东莨菪碱;盐酸罂粟碱+颠茄提取物;Casperome®补充剂。在纳入时和观察期结束时(4 周)评估主要 IBS 症状。记录需要救援药物或医疗关注/住院的受试者数量。还评估了不良事件。
在所有组中,研究中调查的 IBS 症状,即腹痛、排便习惯改变、腹胀和痉挛,在观察期间得到改善。值得注意的是,仅在 Casperome®补充组中需要医疗关注的受试者数量显著减少。此外,Casperome®补充与较低的副作用发生率(主要为便秘)相关。
这项初步研究表明,Casperome®补充可能是一种有前途的替代方法,可用于管理健康受试者中与 IBS 相关的症状。