Cure8 news brief
Cure8 news brief
Up to one-third of people with IBD in clinical remission still have IBS-like symptoms that reduce quality of life and are not helped by anti-inflammatory treatments.
This review indicates there’s not yet strong proof that dietary, behavioral, or drug therapies reliably relieve these symptoms, so patients and clinicians may need to weigh options individually and watch for better evidence from future trials.
Adults with IBD in remission who have ongoing IBS-like symptoms, gastroenterology clinicians, clinical researchers designing symptom-directed IBD trials, and dietitians/mental-health providers working on gut–brain interventions.
This analysis looked specifically at adults with IBD in remission who still have persistent IBS-like symptoms — a common unmet need. Researchers categorized interventions as dietary, behavioral (gut-brain-targeted), or pharmacologic and pooled trial results using standard meta-analytic methods.
The clearest takeaway is that current randomized-trial evidence is insufficient to recommend one symptom-directed therapy as clearly superior.
Dietary approaches showed the largest pooled symptom change but the evidence certainty was low; behavioral therapies had smaller benefits with low certainty; pharmacologic data were limited and from small, isolated trials.
The authors emphasize the methodological limits of existing trials (high risk of bias, subjective endpoints, heterogeneity) and recommend larger, rigorously blinded trials with standardized endpoints to identify effective treatments.
Findings are based on 13 RCTs up to October 2025 and were rated low certainty overall due to heterogeneity, imprecision, and high risk of bias (many trials unblinded and using subjective endpoints). This analysis does not test new treatments itself; it summarizes existing trial evidence and calls for better-designed studies.
Review the original publication for the complete reporting, methods, and context.
This Cure8 brief is based on source text from the linked article. Cure8 is informational only and is not a substitute for professional medical advice, diagnosis, or treatment.