Effect of Probiotic on Comorbidity of Depression and Constipation

NCT ID: NCT04570072

Last Updated: 2020-09-30

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

NA

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-11-01

Study Completion Date

2021-12-30

Brief Summary

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Depressive disorder, also known as depression, is a type of mood disorder characterized by persistent low mood. The incidence of depression worldwide is about 6%. The high comorbidity rate between depression and constipation indicated the role of the gut-brain axis in depression. Growing evidence suggested that the gut microbiota plays a key role in the development of depression. Probiotics can effectively improve constipation and regulate gut microbiota, and showed potential in alleviating depression. This study investigated the effect of formula probiotic (containing Lactobacillus paracasei, Bifidobacterium animals, Bifidobacterium longum, Bifidobacterium bifidum, and Lactobacillus plantarum) on the comorbidity of depression and constipation.

Detailed Description

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Conditions

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Comorbidity of Depression and Constipation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Outcome Assessors

Study Groups

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Probiotic

Formula probiotic contains freeze-dried Lactobacillus paracasei, Bifidobacterium animals, Bifidobacterium longum, Bifidobacterium bifidum, and Lactobacillus plantarum, each at a dosage of 3.0 × 10\^10 colony forming unit per 2g sachet.

Group Type EXPERIMENTAL

Probiotic

Intervention Type DIETARY_SUPPLEMENT

Patients receive the formula probiotic for consecutive 8 weeks ( one sachet per day ).

Placebo

Placebo made with only the excipients. The placebo sachet was matched to the study probiotic products for taste, color, and size.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DIETARY_SUPPLEMENT

Patients receive the placebo identical to probiotic for consecutive 8 weeks ( one sachet per day ).

Interventions

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Probiotic

Patients receive the formula probiotic for consecutive 8 weeks ( one sachet per day ).

Intervention Type DIETARY_SUPPLEMENT

Placebo

Patients receive the placebo identical to probiotic for consecutive 8 weeks ( one sachet per day ).

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* Normal body mass index ≥ 18.5 until ≤ 29.9
* Hamilton Rating Scale for Depression (HAMD-17) score not less than 8
* Meet the ROME III criteria for functional constipation
* Agreed to intake study product during the study period
* Agreed to sign written informed consent

Exclusion Criteria

* Use of systemic antibiotics or antimycotics medication in the 30 days prior to the study
* Investigator's uncertainty about the willingness or ability of subject to comply with the protocol requirements
* Persons with a milk protein allergy, lactose intolerance
* Pregnant or breastfeeding women
* Subject had other serious diseases
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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The Affiliated Nanjing Hospital of Nanjing University of Chinese Medicine

UNKNOWN

Sponsor Role collaborator

China Agricultural University

OTHER

Sponsor Role lead

Responsible Party

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Fazheng Ren

professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Fazhen Ren, PhD

Role: PRINCIPAL_INVESTIGATOR

China Agricultural University

Locations

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The Affiliated Nanjing Hospital of Nanjing University of Chinese Medicine

Nanjing, Jiangsu, China

Site Status

Countries

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China

Central Contacts

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Fazheng Ren, PhD

Role: CONTACT

Phone: +86-10-62736344

Email: [email protected]

Xifan Wang, PHD

Role: CONTACT

Email: [email protected]

Facility Contacts

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Min Ni, PhD

Role: primary

References

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Bromet E, Andrade LH, Hwang I, Sampson NA, Alonso J, de Girolamo G, de Graaf R, Demyttenaere K, Hu C, Iwata N, Karam AN, Kaur J, Kostyuchenko S, Lepine JP, Levinson D, Matschinger H, Mora ME, Browne MO, Posada-Villa J, Viana MC, Williams DR, Kessler RC. Cross-national epidemiology of DSM-IV major depressive episode. BMC Med. 2011 Jul 26;9:90. doi: 10.1186/1741-7015-9-90.

Reference Type BACKGROUND
PMID: 21791035 (View on PubMed)

Walker EA, Katon WJ, Jemelka RP, Roy-Bryne PP. Comorbidity of gastrointestinal complaints, depression, and anxiety in the Epidemiologic Catchment Area (ECA) Study. Am J Med. 1992 Jan 24;92(1A):26S-30S. doi: 10.1016/0002-9343(92)90133-v.

Reference Type BACKGROUND
PMID: 1531168 (View on PubMed)

Sharon G, Sampson TR, Geschwind DH, Mazmanian SK. The Central Nervous System and the Gut Microbiome. Cell. 2016 Nov 3;167(4):915-932. doi: 10.1016/j.cell.2016.10.027.

Reference Type BACKGROUND
PMID: 27814521 (View on PubMed)

De Palma G, Blennerhassett P, Lu J, Deng Y, Park AJ, Green W, Denou E, Silva MA, Santacruz A, Sanz Y, Surette MG, Verdu EF, Collins SM, Bercik P. Microbiota and host determinants of behavioural phenotype in maternally separated mice. Nat Commun. 2015 Jul 28;6:7735. doi: 10.1038/ncomms8735.

Reference Type BACKGROUND
PMID: 26218677 (View on PubMed)

Aizawa E, Tsuji H, Asahara T, Takahashi T, Teraishi T, Yoshida S, Ota M, Koga N, Hattori K, Kunugi H. Possible association of Bifidobacterium and Lactobacillus in the gut microbiota of patients with major depressive disorder. J Affect Disord. 2016 Sep 15;202:254-7. doi: 10.1016/j.jad.2016.05.038. Epub 2016 May 24.

Reference Type RESULT
PMID: 27288567 (View on PubMed)

Wallace CJK, Milev R. The effects of probiotics on depressive symptoms in humans: a systematic review. Ann Gen Psychiatry. 2017 Feb 20;16:14. doi: 10.1186/s12991-017-0138-2. eCollection 2017.

Reference Type RESULT
PMID: 28239408 (View on PubMed)

Kazemi A, Noorbala AA, Azam K, Eskandari MH, Djafarian K. Effect of probiotic and prebiotic vs placebo on psychological outcomes in patients with major depressive disorder: A randomized clinical trial. Clin Nutr. 2019 Apr;38(2):522-528. doi: 10.1016/j.clnu.2018.04.010. Epub 2018 Apr 24.

Reference Type RESULT
PMID: 29731182 (View on PubMed)

Akkasheh G, Kashani-Poor Z, Tajabadi-Ebrahimi M, Jafari P, Akbari H, Taghizadeh M, Memarzadeh MR, Asemi Z, Esmaillzadeh A. Clinical and metabolic response to probiotic administration in patients with major depressive disorder: A randomized, double-blind, placebo-controlled trial. Nutrition. 2016 Mar;32(3):315-20. doi: 10.1016/j.nut.2015.09.003. Epub 2015 Sep 28.

Reference Type RESULT
PMID: 26706022 (View on PubMed)

Other Identifiers

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CAUDepression-02

Identifier Type: -

Identifier Source: org_study_id