The Use of Directed Probiotics in ME/CFS: Myalgic Encephalomyelitis/Chronic Fatigue Syndrome

NCT ID: NCT06211062

Last Updated: 2025-03-04

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

RECRUITING

Clinical Phase

PHASE2

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-12-20

Study Completion Date

2026-02-24

Brief Summary

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This clinical study aims to evaluate the use of i3.1 probiotic in participants who meet the Institute of Medicine (Canadian Consensus Criteria) case definition for ME/CFS and who may or may not be diagnosed with irritable bowel syndrome (IBS). The main questions it aims to answer are:

* how effective is the usage of the i3.1 probiotic to reduce gastrointestinal (GI) inflammation and normalize the GI and systemic/brain interface?
* how well is it working on IBS severity? The study sample is 100 male and female participants aged 45 to 70 years with ME/CFS (per the Canadian Consensus Criteria); one-half of the participants will have co-morbid IBS (per Rome IV criteria). Participants will receive an i3.1 or a placebo and be assessed at baseline, at eight weeks, and at 12 weeks (four weeks post-treatment completion).

Detailed Description

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This single-site comparison study will be performed on 100 participants, 45 to 70 years of age, who meet the Institute of Medicine (Canadian Consensus Criteria) case definition for ME/CFS and who may or may not be diagnosed with the irritable bowel syndrome (IBS), according to the Rome IV criteria. In this study, we will evaluate using the i3.1 probiotic compared to placebo. This is a randomized, placebo-controlled trial with four study arms that will include 25 participants per arm: Individuals with ME/CFS with and without IBS, who will take either the active medication i3.1 or placebo.

Conditions

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ME/CFS IBS - Irritable Bowel Syndrome

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators
Double-blinded

Study Groups

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Individuals with ME/CFS with IBS on active medication

Individuals with ME/CFS with IBS take Floradapt Intensive GI (another name i3.1), one high dose capsule (\>3x10 to the ninth power) once daily for eight weeks.

Group Type ACTIVE_COMPARATOR

Floradapt Intensive GI

Intervention Type DRUG

one capsule daily for the eight week intervention

Individuals with ME/CFS with IBS on placebo

Individuals with ME/CFS with IBS take a placebo, one capsule once daily for eight weeks.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

one capsule daily for the eight week intervention

Individuals with ME/CFS without IBS on active medication

Individuals with ME/CFS without IBS take Floradapt Intensive GI (another name i3.1), one high dose capsule (\>3x10 to the ninth power) once daily for eight weeks.

Group Type ACTIVE_COMPARATOR

Floradapt Intensive GI

Intervention Type DRUG

one capsule daily for the eight week intervention

Individuals with ME/CFS without IBS on placebo

Individuals with ME/CFS without IBS take a placebo, one capsule once daily for eight weeks.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

one capsule daily for the eight week intervention

Interventions

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Floradapt Intensive GI

one capsule daily for the eight week intervention

Intervention Type DRUG

Placebo

one capsule daily for the eight week intervention

Intervention Type OTHER

Other Intervention Names

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i3.1

Eligibility Criteria

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Inclusion Criteria

* Meets IOM ME/CFS case definition criteria,
* Co-morbid IBS: meets RomeIV criteria for alternating or diarrhea-predominant IBS as reported during screening (technically diagnosed by a physician),
* Able to provide consent to study,
* Patients of childbearing potential must practice effective contraception during the study and be willing to continue contraception for at least six months after the intervention,
* agrees to participate in online surveys and follow-up visits.

Exclusion Criteria

* Probiotics in the past eight weeks,
* Antibiotics in the past eight weeks,
* Pregnancy or lactating women,
* Medical conditions including short bowel syndrome, celiac disease, biliary disease, pancreatitis, inflammatory bowel disease (Crohn's disease, ulcerative colitis), severe cardiovascular, neurological condition, or liver failure,
* Gastrointestinal surgery within six months of study entry,
* History of psychiatric disorder, alcohol or illicit drug abuse.
Minimum Eligible Age

45 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Nova Southeastern University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Nancy Klimas, MD

Role: PRINCIPAL_INVESTIGATOR

Nova Southeastern University, Institute for Neuroimmune Medicine

Locations

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Institute for Neuroimmune Medicine

Fort Lauderdale, Florida, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Nancy Klimas, MD

Role: CONTACT

9542622855

Devra Cohen, MPH

Role: CONTACT

9542621487

Facility Contacts

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Oleksandra Shchebet

Role: primary

954-262-2896

Other Identifiers

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2020-631

Identifier Type: -

Identifier Source: org_study_id

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