Spirulina Platensis for PPI Withdrawal

NCT ID: NCT04988347

Last Updated: 2021-08-03

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

PHASE2

Total Enrollment

45 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-11-30

Study Completion Date

2012-02-29

Brief Summary

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Background: Rebound acid hypersecretion after proton pump inhibitors (PPIs) discontinuation may be accompanied by dyspepsia.

Aim: To assess whether Spirulina platensis, by its anti-inflammatory properties, could minimize rebound symptoms after PPIs withdrawal.

Detailed Description

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Forty-five regular users of PPIs entered in a 28-day run-in phase of pantoprazole 40 mg/day, followed by clinical and endoscopic evaluation. In the absence of large hiatal hernia, peptic ulcer, or moderate to severe reflux esophagitis, patients stopped PPIs and were randomly assigned to receive Spirulina (1.6 g/day) or placebo for 2 months, when evaluation was repeated. Primary outcomes were dyspepsia and typical reflux symptoms (either appearance or maintenance of symptoms \> 50% from baseline). Intention-to-treat analysis was applied.

Conditions

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Gastro Esophageal Reflux Disease Dyspepsia Rebound Acid Hypersecretion

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Forty-five regular users of PPIs entered in a 28-day run-in phase of pantoprazole 40 mg/day, followed by clinical and endoscopic evaluation. In the absence of large hiatal hernia, peptic ulcer, or moderate to severe reflux esophagitis, patients stopped PPIs and were randomly assigned to receive Spirulina (1.6 g/day) or placebo for 2 months, when evaluation was repeated. Primary outcomes were dyspepsia and typical reflux symptoms (either appearance or maintenance of symptoms \> 50% from baseline). Intention-to-treat analysis was applied.
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators
Capsules containing Spirulina and placebo were identical

Study Groups

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Spirulina

Active treatment with Spirulina platensis in capsules containing 530 mg, 1 capsule orally each 8 hours, for 60 days

Group Type EXPERIMENTAL

Spirulina platensis

Intervention Type COMBINATION_PRODUCT

Active treatment with Spirulina platensis in capsules containing 530 mg, 1 capsule orally each 8 hours, for 60 days

Placebo

Placebo in capsules, 1 capsule orally each 8 hours, for 60 days

Group Type PLACEBO_COMPARATOR

Placebo comparator

Intervention Type OTHER

Placebo in capsules, 1 capsule orally each 8 hours, for 60 days

Interventions

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Spirulina platensis

Active treatment with Spirulina platensis in capsules containing 530 mg, 1 capsule orally each 8 hours, for 60 days

Intervention Type COMBINATION_PRODUCT

Placebo comparator

Placebo in capsules, 1 capsule orally each 8 hours, for 60 days

Intervention Type OTHER

Other Intervention Names

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Placebo

Eligibility Criteria

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Inclusion Criteria

* Chronic use of any PPIs, either original brand or generic
* Absence of conditions that contraindicate the cessation of PPIs, such as active or recent peptic ulcer, active or recent upper digestive bleeding, regular use of salicylates or non-steroidal anti-inflammatory drugs, moderate to severe reflux esophagitis, and sliding hiatal hernia greater than 3 cm
* Formal agreement to participate

Exclusion Criteria

* Uncompensated acute and chronic morbidities
* Gastroesophageal surgery
* Cognitive deficit
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Universidade de Passo Fundo

OTHER

Sponsor Role lead

Responsible Party

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Fernando Fornari

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Fernando Fornari, Professor

Role: PRINCIPAL_INVESTIGATOR

University of Passo Fundo

References

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Gronevalt ATM, Bertolin TE, Forcelini CM, Polletto PHM, Pasetti BW, Graeff DB, Rodriguez R, Fornari F. Spirulina Platensis Attenuates Rebound Dyspeptic Symptoms After Proton Pump Inhibitors' Discontinuation: Phase 2 Placebo-controlled Trial. Altern Ther Health Med. 2024 Feb;30(2):18-24.

Reference Type DERIVED
PMID: 38401078 (View on PubMed)

Other Identifiers

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309/2010

Identifier Type: -

Identifier Source: org_study_id

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