Probiotic (Visbiome) for Gulf War Illness

NCT ID: NCT03078530

Last Updated: 2017-12-13

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

PHASE2/PHASE3

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-09-13

Study Completion Date

2018-05-31

Brief Summary

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The overall objective is to determine whether Visbiome will improve

1. intestinal symptoms of Irritable Bowel Syndrome (IBS) and
2. non-intestinal symptoms (fatigue, joint pain, insomnia, general stiffness and headache) associated with IBS. All of these symptoms are part of the Gulf War (GW) illness.

Detailed Description

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Specific Aims:

Aim # 1: Determine the efficacy of Visbiome on IBS symptoms in GW veterans.

Hypothesis: Treatment with Visbiome compared to placebo will improve global and individual symptoms of IBS

Aim #2 Determine the efficacy Visbiome in reducing non-intestinal symptoms of IBS (fatigue, joint pain, insomnia, general stiffness and headache).

Hypothesis: Treatment with Visbiome compared to placebo will improve non-intestinal symptoms of IBS in GW veterans.

Aim #3 Determine whether changes in gut flora and plasma cytokines correlate with treatment response in GW veterans

Conditions

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Gulf War Illness

Keywords

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GWI IBS Irritable Bowel Syndrome Gulf War Illness Probiotics

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Placebo

Placebo (not an active drug/ Inactive component) is given to this group

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

This is a pill with inactive ingredients

Visbiome

Visbiome (probiotic mixture) is given to this group.

Group Type EXPERIMENTAL

Visbiome

Intervention Type DRUG

This is a probiotic mixture available to randomized study participants, starting with subject 29

VSL #3

VSL #3 (probiotic mixture) is given to this group

Group Type EXPERIMENTAL

VSL#3

Intervention Type DRUG

This is a probiotic mixture available to the first 28 subjects randomized to the study

Interventions

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Placebo

This is a pill with inactive ingredients

Intervention Type DRUG

Visbiome

This is a probiotic mixture available to randomized study participants, starting with subject 29

Intervention Type DRUG

VSL#3

This is a probiotic mixture available to the first 28 subjects randomized to the study

Intervention Type DRUG

Other Intervention Names

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Placebo/ Sugar pill

Eligibility Criteria

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Inclusion Criteria

1. First GW veterans, Men and women age 35-75 years,
2. Rome III criteria for IBS and two or more of the non-intestinal symptoms (chronic-once a week or more often-fatigue, joint pains, insomnia, general stiffness, and headache)
3. Symptoms of \> 6 months duration,
4. No significant findings on physical examination, Complete Blood Count (CBC) and clinical chemistry panel.
5. Normal gross appearance of the colonic mucosa other than erythema and polyps
6. Negative Tissue transglutaminase (TTG) for celiac disease,
7. Normal thyroid function.
8. Veterans with psychological disorders will not be excluded but will be identified for sub-group analysis.
9. Stable medication regimen for more than a month

Exclusion Criteria

1. Current evidence of any lower gastrointestinal disorder such as celiac disease or inflammatory bowel disease
2. History of/or presence of systemic malignancy (patients with skin and other cancers in remission for more than 5 years are allowed in the study
3. Clinically significant chronic disease: HIV, cardiac, pulmonary, hepatic or renal dysfunction.
4. Presence of Giardia antigen, and Clostridium difficile toxin in stool,
5. Abnormal blood test for thyroid stimulating hormone, tissue transglutaminase antibody
6. Current effects of drug or alcohol abuse
7. Investigator perception of patient's inability to comply with study protocol
8. Recent change in gastrointestinal medications
9. Use of any antibiotic in the last 1 months
10. Positive pregnancy test
11. Subject is currently participating in another research protocol that could interfere or influence the outcome measures of the present study.
Minimum Eligible Age

35 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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United States Department of Defense

FED

Sponsor Role collaborator

Ashok Tuteja

FED

Sponsor Role lead

Responsible Party

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Ashok Tuteja

Professor Gastroenterology

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Ashok Tuteja, MD, MPH

Role: PRINCIPAL_INVESTIGATOR

George E Wahlen VA Medical Center

Locations

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George E Wahlen VA Medical Center

Salt Lake City, Utah, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Ashok Tuteja, MD, MPH

Role: CONTACT

Phone: 8015821565

Email: [email protected]

Jaya Vijayan, MBBS

Role: CONTACT

Phone: 8015821565

Email: [email protected]

Facility Contacts

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Ashok Tuteja,, MD, MPH

Role: primary

Jaya Vijayan, MBBS

Role: backup

Other Identifiers

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IRB_00059006

Identifier Type: -

Identifier Source: org_study_id