Multi Strain Probiotic Preparation in Patients With Irritable Bowel Syndrome

NCT ID: NCT04662957

Last Updated: 2020-12-16

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

COMPLETED

Clinical Phase

NA

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-11-02

Study Completion Date

2020-05-31

Brief Summary

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Irritable bowel syndrome (IBS) is one of the most common functional gastrointestinal disorders characterized by recurrent abdominal pain associated with defecation or a change in bowel habits without any structural abnormalities. Despite extensive research, the pathogenesis of IBS has not been clearly elucidated yet. Recent studies have shown that disturbed gut microbiota may promote the development and maintenance of IBS. Significant changes in the microbial communities of healthy controls vs IBS patients have been reported in several studies. These findings promoted the research on probiotics for the treatment of IBS. Probiotics are live microorganisms which, when administered at the right dose, have a positive effect on human health. The currently published systemic reviews and meta-analyses of randomized clinical trials have indicated that probiotics have beneficial clinical effects and can help to reduce global and specific IBS symptoms significantly. However, the effect depends on the specific composition of the probiotic preparation, and some meta-analyzes indicate that multi-strain preparations are more effective than single-strain preparations. Therefore, further research is highly anticipated. The purpose of the current clinical trial is to assess the effectiveness of multi-strain probiotic preparation in patients with diarrhea predominant IBS (IBS-D).

Detailed Description

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Conditions

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Irritable Bowel Syndrome With Diarrhea Effects of Probiotics

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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Probiotic preparation

Multi-strain probiotic mixture. The daily dose was five billion (2 capsules/day).

Group Type EXPERIMENTAL

Multi-strain probiotic mixture of four Bifidobacterium, five Lactobacillus and one Streptococcus species or placebo

Intervention Type DIETARY_SUPPLEMENT

Oral supplementation with multi-strain probiotic preparation

Maltodextrin

Maltodextrin comparable in color, texture and taste to the probiotic mixture (2 capsules/day).

Group Type PLACEBO_COMPARATOR

Maltodextrin

Intervention Type DIETARY_SUPPLEMENT

Maltodextrin as placebo

Interventions

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Multi-strain probiotic mixture of four Bifidobacterium, five Lactobacillus and one Streptococcus species or placebo

Oral supplementation with multi-strain probiotic preparation

Intervention Type DIETARY_SUPPLEMENT

Maltodextrin

Maltodextrin as placebo

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* diarrhea-predominant irritable bowel syndrome (IBS-D)
* at least moderate form of IBS-D assessed using IBS-SSS, i.e. with score \>175
* male and female subjects of Caucasian race
* age between 16 and 70 years (inclusive)
* good physical, medical and mental status estimated on the basis of the medical history and a general clinical examination
* results of laboratory tests (hematology, clinical chemistry, serology, and urinalysis) within the normal range of the local laboratory or considered non-clinically significant by the investigator
* patients who have provided freely their own written informed consent
* patients available for the whole study period
* patients who are able to follow strictly the instructions of the investigational team regarding the study procedures and to fulfil the requirements of the protocol
* the following medications are permitted during the course of the study, as long as they are used at a constant dosage and are commenced at least 1 month prior to study start: birth control pill, or depot intramuscular contraceptive preparation, estrogen-progesterone replacement therapy, L-thyroxine, low-dose antidepressants (up to 25 mg day of amitriptyline, nortriptyline, or selective serotonin reuptake inhibitor), low-dose antihypertensives in the diuretic, angiotensin-converting enzyme inhibitor or angiotensin II inhibitor classes
* patients are allowed to take spasmolytic drugs on an ad hoc basis

Exclusion Criteria

* other than IBD-D types of IBD
* mild type of IBS-D (\<175 points in IBS-SSS scale)
* the use of probiotics within last three months
* the treatment with antibiotics within last three months
* a concurrent severe illness (malignancies, uncontrolled hypertension and diabetes mellitus, hepatic, renal or cardiac dysfunctions, serious neurological disorders, psychosis, respiratory disorders such as asthma, chronic obstructive pulmonary disease, hyper- or hypothyroidism)
* chronic bowel disorders other than IBS, including inflammatory bowel diseases, gastroenteritis, stomach and duodenal ulcers, celiac diseases;
* pregnancy or lactation
* diagnosed lactose intolerance
* the use of motility drugs or dietary fiber supplements within 2 weeks before study start
* plan to have surgery during the time of the study
* a history of alcohol or drug abuse
* taking anti-coagulant medications
* participation in another clinical trial within last three months
* patients who will receive antibiotics during the study
Minimum Eligible Age

16 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Medical University of Lublin

OTHER

Sponsor Role collaborator

Children's Memorial Health Institute, Poland

OTHER

Sponsor Role lead

Responsible Party

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Bożena Cukrowska

Prof. MD, PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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The Children's Memorial Health Institute

Warsaw, , Poland

Site Status

Countries

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Poland

References

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Skrzydlo-Radomanska B, Prozorow-Krol B, Cichoz-Lach H, Majsiak E, Bierla JB, Kanarek E, Sowinska A, Cukrowska B. The Effectiveness and Safety of Multi-Strain Probiotic Preparation in Patients with Diarrhea-Predominant Irritable Bowel Syndrome: A Randomized Controlled Study. Nutrients. 2021 Feb 26;13(3):756. doi: 10.3390/nu13030756.

Reference Type DERIVED
PMID: 33652763 (View on PubMed)

Other Identifiers

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MBX02/2019/P

Identifier Type: -

Identifier Source: org_study_id