Multi-strain Probiotic Effects on Self-Reported Constipation

NCT ID: NCT07275866

Last Updated: 2025-12-18

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

NA

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-10-03

Study Completion Date

2026-04-30

Brief Summary

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Constipation is a prevalent gastrointestinal condition. Beyond simple lifestyle measures (e.g. increasing fibre intake, hydration, levels of exercise), medical therapies are available for management. However, a sizeable number of sufferers are dissatisfied with drug treatments (either over-the-counter or prescribed), meaning there is an unmet need for alternative therapeutic strategies.

Pre, pro- and synbiotics have emerged as one alternative treatment, and a growing body of evidence now supports their use in a proportion of individuals with mild constipation. However, it is currently not possible to predict which individuals may benefit. A better understanding of an individuals' symptoms and underlying pathophysiology may allow for more targeted treatment.

The multistrain live bacterial food product (probiotic) being tested contains billions of live and active bacteria that has been shown to improve symptoms in the irritable bowel syndrome (IBS: which is 'constipation-predominant' in many). Notably, improvements ('completely resolved' or 'some positive difference') in bowel habit satisfaction, abdominal pain, bloating and urgency, as well as on quality of life have been shown after 4 or more weeks of this probiotc.

This study aims to have 20 participants with self-reported constipation to assess improvements in constipation symptoms, quality of life and measures of gut function.

Detailed Description

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Conditions

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Constipation Probiotic Probiotic Intervention

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

The study is a single arm open label treatment. The study comprises of a 2 week baseline period followed by a 4 week treatment period.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Multi-strain Liquid Probiotic

70ml of a multi-strain liquid probiotic taken daily for 28-35 days

Group Type EXPERIMENTAL

Multi-strain probiotics

Intervention Type DIETARY_SUPPLEMENT

28-35 days of 70 ml Symprove once daily, to be taken on an empty stomach upon waking. 10 minutes should be taken between ingestion of Symprove before eating and drinking.

Interventions

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Multi-strain probiotics

28-35 days of 70 ml Symprove once daily, to be taken on an empty stomach upon waking. 10 minutes should be taken between ingestion of Symprove before eating and drinking.

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

1. Participant has provided written informed consent before participating in the study after being given a full description of the study and prior to any study-specific procedures being performed.
2. Participant has Cleveland Clinic constipation score (CCCS) of 9-16 at screening call
3. Participant is willing to discontinue all other therapies for constipation and undergo washout where applicable.
4. Participant is a male or non-pregnant female and is 18-70 years of age
5. If WOCBP participant is willing to adhere to one of the following methods of contraception:

i) Hormonal contraception e.g. the 'pill' or an implant ii) Intrauterine device (IUD) iii) Intrauterine hormone-releasing system (IUS) vi) Sexual abstinence (if it is in line with participants' preferred and usual lifestyle).

or has had a: v) Hysterectomy or has a: vi) Vasectomised partner
6. Participant can communicate well with the Investigator and to comply with the requirements for the entire study.
7. Participant has capacity to understand written English.
8. Participant has a body mass index (BMI) of 18.5 - 39.9kg/m2 (bounds included).
9. Participant agrees to follow all pre-test preparation for the ATMO capsule transit study.

Exclusion Criteria

1. Women who are pregnant and/or breastfeeding.
2. Participants who are planning to significantly change their diet (e.g. weight loss program, becoming vegetarian) during the study period.
3. Participant has had diarrhoea within 7 weeks of screening period.
4. Prior abdominal surgery involving resection of the small or large bowel.
5. Prior bariatric surgery involving resection of the stomach or by-pass procedures.
6. Type 1 diabetes mellitus.
7. Known organic or structural GI disease including:

* Coeliac disease
* Inflammatory bowel disease
* Diverticulitis
* Small bowel strictures
8. Irritable bowel syndrome where the predominant symptom is pain (assessed via screening questions).
9. Oropharyngeal dysphagia or difficulty swallowing capsules.
10. Any other medical condition that the investigator deems may confound results or affect participants' safety in the study.
11. Any use of prohibited medication that the participant cannot complete appropriate washout for.
12. Insufficient knowledge of English to complete the daily bowel diary.
13. Allergy to any component of the supplement, motility bar, lactulose or Zoe blue cookie.
14. Participant is involved in this study as an investigator, sub-Investigator, study coordinator, other study staff, or Sponsor member.
15. Previous use of the probiotic Symprove.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Dr Anthony Hobson

OTHER

Sponsor Role lead

Responsible Party

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Dr Anthony Hobson

Clinical Director and Senior Clinical GI Scientist

Responsibility Role SPONSOR_INVESTIGATOR

Locations

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The Functional Gut Clinic

London, , United Kingdom

Site Status RECRUITING

Countries

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United Kingdom

Central Contacts

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Fay Rendall

Role: CONTACT

Phone: +441613027777

Email: [email protected]

Facility Contacts

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Fay Rendall

Role: primary

Other Identifiers

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FGC-25-02

Identifier Type: -

Identifier Source: org_study_id