Lactobacillus-containing Cultured Milk Drink Alleviates Depression Score Among Adults With Irritable Bowel Syndrome

NCT ID: NCT05266443

Last Updated: 2022-03-04

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

140 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-11-22

Study Completion Date

2022-07-31

Brief Summary

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Irritable bowel syndrome (IBS) is frequently associated with any form of psychiatric comorbidities including subthreshold or subclinical depression. Modification of gut ecology with probiotics has implicitly improved IBS and depressive symptoms. However, the efficacy of probiotics on IBS with existing subthreshold depression remain elusive. Therefore, the aim of this study is to evaluate the effects of lactobacillus-containing cultured milk drink on depression scores in adults diagnosed with IBS.

Detailed Description

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A total of 140 subjects who fulfilled Rome IV criteria for IBS will be recruited from a tertiary medical centre and among public volunteers. The depression status and categories will be assessed using the Centre Epidemiologic Studies Depression Scale Revised questionnaire (CESD-R): normal mood (score\<16), or subthreshold depression (score\>16). The subjects are randomised and blinded into four groups: Group A (Normal mood with placebo, n=35), Group B (Normal mood with probiotics, n=35), Group C (Subthreshold depression with placebo, n=35) and Group D (Subthreshold depression with probiotics, n=35). The subjects will be instructed to consume two bottles of cultured milk drink daily for 12 weeks. The probiotic cultured milk drinks contained 10\^9 cfu L. CASEI-01 and LA-5. The severity of depression will be measured using Patient Health Questionnaire (PHQ-9) at pre- and post-12-week intervention. Secondary outcome on IBS symptoms severity will be assessed with IBS Symptoms Severity Score (IBS-SSS) and IBS Quality of Life (IBS-QOL).

Conditions

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Irritable Bowel Syndrome With Subthreshold Depression

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

This is a randomized and parallel study involving patients with IBS who attended gastroenterology clinics at Universiti Kebangsaan Malaysia Medical Center (UKMMC). The recruited subjects will be categorized according to their CESD-R scores and randomly allocated into receiving either placebo or probiotic-containing cultured milk drink for 12 weeks.
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators
Both investigators and subjects will be blinded to the treatment products.

Study Groups

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Irritable bowel syndrome with normal mood receiving placebo

A total of 35 patients diagnosed with IBS as per Rome IV criteria who scored CESD-R less than 16 will be supplemented with placebo drinks.

Group Type PLACEBO_COMPARATOR

Placebo cultured milk drink

Intervention Type DIETARY_SUPPLEMENT

The placebo prepared was identical to the probiotic-containing product in terms of color, taste and packaging. However, there is no trace of live microorganism in this product.

Irritable bowel syndrome with normal mood receiving probiotics

A total of 35 patients diagnosed with IBS as per Rome IV criteria who scored CESD-R less than 16 will be given lactobacillus-containing cultured milk drinks.

Group Type ACTIVE_COMPARATOR

Lactobacillus containing cultured milk drink

Intervention Type DIETARY_SUPPLEMENT

Each bottle of 125ml cultured milk drink contains a billion colony forming unit (CFU) Lactobacillus acidophillus (LA-5) and Lactobacillus paracasei (L. CASEI-01). Each patient will be given 2 bottles to consume daily for a period of 12 weeks.

Irritable bowel syndrome with subthreshold depression receiving placebo

A total of 35 patients diagnosed with IBS as per Rome IV criteria who scored CESD-R of 16 or above will be supplemented with placebo drinks.

Group Type PLACEBO_COMPARATOR

Placebo cultured milk drink

Intervention Type DIETARY_SUPPLEMENT

The placebo prepared was identical to the probiotic-containing product in terms of color, taste and packaging. However, there is no trace of live microorganism in this product.

Irritable bowel syndrome with subthreshold depression receiving probiotics

A total of 35 patients diagnosed with IBS as per Rome IV criteria who scored CESD-R of 16 or above will be given lactobacillus-containing cultured milk drinks.

Group Type EXPERIMENTAL

Lactobacillus containing cultured milk drink

Intervention Type DIETARY_SUPPLEMENT

Each bottle of 125ml cultured milk drink contains a billion colony forming unit (CFU) Lactobacillus acidophillus (LA-5) and Lactobacillus paracasei (L. CASEI-01). Each patient will be given 2 bottles to consume daily for a period of 12 weeks.

Interventions

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Lactobacillus containing cultured milk drink

Each bottle of 125ml cultured milk drink contains a billion colony forming unit (CFU) Lactobacillus acidophillus (LA-5) and Lactobacillus paracasei (L. CASEI-01). Each patient will be given 2 bottles to consume daily for a period of 12 weeks.

Intervention Type DIETARY_SUPPLEMENT

Placebo cultured milk drink

The placebo prepared was identical to the probiotic-containing product in terms of color, taste and packaging. However, there is no trace of live microorganism in this product.

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* Aged 18 to 65 years old,
* Meet ROME IV criteria for irritable bowel syndrome,
* Consented to participate in the study.

Exclusion Criteria

* Lactose intolerance,
* Gastrointestinal disorders such as inflammatory bowel diseases, liver diseases, pancreatic diseases or malignancies,
* Any neurological diseases or malignancies,
* Pregnant and lactating mothers,
* Any metabolic diseases such as hypertension, hypercholesterolaemia, diabetes mellitus, hyper- and hypothyroidism.
* Known psychiatric diagnoses or/and consume psychotropic drugs,
* Ongoing electroconvulsive therapy (ECT),
* Consumption of antibiotics, probiotics, prebiotics, symbiotics products, laxatives, antispasmodics, and/or anticholinergics who refuse to consent for participation.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Cotra Enterprises Sdn. Bhd.

UNKNOWN

Sponsor Role collaborator

National University of Malaysia

OTHER

Sponsor Role lead

Responsible Party

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PROF DR RAJA AFFENDI RAJA ALI

Consultant Physician & Gastroenterologist

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Prof. Dr. Raja Affendi Raja Ali

Role: PRINCIPAL_INVESTIGATOR

Gastroenterology Unit, Faculty of Medicine, Universiti Kebangsaan Malaysia, Malaysia

Locations

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Universiti Kebangsaan Malaysia

Bandar Tun Razak, Kuala Lumpur, Malaysia

Site Status RECRUITING

Countries

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Malaysia

Central Contacts

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Prof. Dr. Norfilza Mohd Mokhtar

Role: CONTACT

+60391458424

Prof. Dr. Raja Affendi Raja Ali

Role: CONTACT

+60391455022

Facility Contacts

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Prof. Dr. Norfilza Mohd Mokhtar

Role: primary

+60391458424

Prof. Dr. Raja Affendi Raja Ali

Role: backup

+60391455022

Other Identifiers

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UKM PPI/111/8/JEP-2019-312

Identifier Type: -

Identifier Source: org_study_id

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