Role of Healthy Bacteria in Ulcerative Colitis

NCT ID: NCT01479660

Last Updated: 2011-11-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-03-31

Study Completion Date

2014-10-31

Brief Summary

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Intestinal inflammation seen in inflammatory bowel disease (IBD) results from an altered mucosal immune response to luminal bacterial antigens. Current research suggests that an inappropriate and persistent immune response against commensal intestinal bacterial flora plays a pivotal role in the pathogenesis of chronic Inflammatory Bowel Disease (IBD). It has been also proposed that the signs and symptoms of IBD may be mediated by the increased intestinal permeability secondary to low grade inflammation in the gut mucosa. Increased intestinal permeability results in further exposure of underlying intestinal mucosa to luminal bacteria and antigens perpetuating the intestinal inflammation. Thus restoring intestinal permeability rather than only reduction of mucosal inflammation would thus be a desirable endpoint in the restoration of mucosal integrity and would be the harbinger of better long term outcome. Many clinical trials have shown that probiotics may have beneficial effect on IBD patients. Probiotics are hypothesized to work by several mechanisms though they are not clearly established. The role of probiotics in improving intestinal permeability has not been evaluated. The probiotic VSL #3 is easily available, cheap, effective and safe alternative or substitute for the existing therapeutic agents will be evaluated in this study for their efficacy, tolerability, compliance in inducing clinical response in patients with Ulcerative colitis. This will be a double blind randomized placebo controlled study to determine the clinical efficacy of 12 weeks of oral probiotics (VSL#3) in patients with inflammatory bowel disease. The objectives of this study are to determine the efficacy of probiotics on clinical endoscopic and histological improvement, to find the improvement in faecal, serum and intestinal tissue inflammatory markers, improvement in intestinal permeability, improvement in Quality of life parameters.

Detailed Description

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Conditions

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Ulcerative Colitis

Keywords

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Probiotics ulcerative colitis inflammatory bowel disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Control

Group Type PLACEBO_COMPARATOR

Control

Intervention Type OTHER

Placebo will be orally administered daily for a period of 12 weeks in high dose and low dose

Probiotic

Group Type EXPERIMENTAL

Probiotic

Intervention Type DRUG

Probiotic Capsules (450 billion CFU) will be orally administered daily for a period of 12 weeks and Probiotic in higher dose of (3600 billion CFU) will be administered daily for a period of 12 weeks

Interventions

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Control

Placebo will be orally administered daily for a period of 12 weeks in high dose and low dose

Intervention Type OTHER

Probiotic

Probiotic Capsules (450 billion CFU) will be orally administered daily for a period of 12 weeks and Probiotic in higher dose of (3600 billion CFU) will be administered daily for a period of 12 weeks

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Age between 18 and 65 years
* Active disease at presentation

Exclusion Criteria

* Pregnant or lactating women
* Any patient who has received probiotic in the preceding 4 weeks
* Patient with life threatening cardiac, renal, pulmonary or cardiovascular disease
* Inability to obtain the informed consent
* Severe disease requiring hospitalization / steroids/ anti-cytokine therapy
* Patient taking aspirin and other antiplatelet drugs
* Patient with uncontrolled diabetes
* Patient with Gall stone disease
* Patient currently on antibiotic,NSAIDs or indigenous medicine
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ministry of Science and Technology, India

OTHER_GOV

Sponsor Role collaborator

Post Graduate Institute of Medical Education and Research, Chandigarh

OTHER

Sponsor Role lead

Responsible Party

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Dr. Bikash Medhi, MBBS, MD(AIIMS),MAMS,FIMSA

Additional Professor, Department of Pharmacology

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Bikash Medhi, MD

Role: PRINCIPAL_INVESTIGATOR

Post Graduate Institute of Medical Education and Research, Chandigarh

Locations

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Post Graduate Institute of Medical Education and Research

Chandigarh, Chandigarh, India

Site Status RECRUITING

Countries

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India

Central Contacts

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Bikash Medhi, MD

Role: CONTACT

Phone: +91-1722755250

Email: [email protected]

Rakesh Kochhar, MD, DM

Role: CONTACT

Phone: +91-1722756608

Email: [email protected]

Facility Contacts

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Bikash Medhi, MD

Role: primary

Rakesh Kochhar, MD, DM

Role: backup

Other Identifiers

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CTRI/2011/08/001944

Identifier Type: REGISTRY

Identifier Source: secondary_id

11/6095 dated 15/03/2011

Identifier Type: -

Identifier Source: org_study_id