Study of the Efficacy and Tolerance of Oral Treatment With a Total Freeze-dried Culture of Lcr Restituo® Sachets (Lactobacillus Rhamnosus Lcr35®) on Intolerance to Metformin (Diarrhoea) in Patients With Diabetes Type 2 (PROVAME)
Antidiarrhoea
About this trial
This is an interventional prevention trial for Antidiarrhoea focused on measuring diarrhoea, metfomin, type 2 diabetes, microbiota
Eligibility Criteria
Inclusion Criteria:
Disease-related
- Patients who, from a metabolic perspective, could benefit from metformin treatment, namely patients for whom the latest available hemoglobin glycated (HbA1c) is no older than 3 months, and higher that suggested in recommendations, and lower than 9%.
- Patients with type 2 diabetes who have not received metformin treatment for at least 2 months, or treated with a non-optimal dose of metformin, i.e. 1500 mg/day or less, due to a history of diarrhoea-type digestive intolerance reported with this drug.
- Patients who at the time of entering the study have a blood sugar self-monitoring device.
- Patients whose kidney function, evaluated in reference to creatinine clearance calculated using the Cockcroft formula, is 45ml/min or higher.
Cohort-related:
- Patients aged between 18 and 75 years
For women of childbearing age:
- to have a negative urine pregnancy test,
- and use a contraceptive method deemed effective by the investigator throughout the trial
- Patient able to speak and read French, having been informed of the study, and having voluntarily signed an Informed Consent Form
- Patient covered by a social security scheme
Exclusion Criteria:
Disease-related:
- Patient presenting with cardinal signs of diabetes
- Patients presenting with chronic diarrhoea or with a history of chronic intestinal inflammatory disease or having presented with an episode of acute diarrhoea in the 10 days preceding the inclusion.
Treatment-related:
- Patients presenting with a contraindication to metformin treatment other than diarrhoea-type digestive intolerance manifestations.
- Patients treated with a Inhibitors of dipeptidyl peptidase 4 (DPP-IV inhibitor).
- Patients who presented with a serious adverse event associated with metformin prescription.
- Patients who have taken orlistat in the preceding month or who have taken antibiotics in the preceding month.
- Patients who have taken probiotics in the month preceding the inclusion visit.
- Patients who have taken prebiotics in the 15 days preceding the inclusion visit.
- Patients who have an allergy to one of the active ingredients or one of the excipients in the study product.
Cohort-related:
- Patient with no referring physician.
- Patient deemed by the investigator as unable to participate in the study
- Patient unable to comply with the constraints of the protocol.
- Patient whose metabolic condition does not justify the initiation or dose increase of metformin treatment.
- History of bariatric surgery.
- Patient is immunodeficient, or has a chronic viral infection with the hepatitis B or C, or the human immunodeficiency virus (HIV virus)
- Patient is pregnant, planning a pregnancy, or without contraception.
- Breastfeeding patient.
- Patient with a previous illness which, according to the investigator, is likely to interfere with the study results or expose the patient to an additional risk.
- Patient linguistically unable (unable to speak or write French) or mentally unable to understand and sign the Informed Consent Form.
- Patient deprived of their liberty by order of the Courts or civil authorities or subject to a guardianship order.
- Patient who is likely to not comply with treatment.
- Patient unable to be contacted in the case of an emergency.
Sites / Locations
- BIOSERecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Placebo Comparator
Lcr restituo® sachet and placebo
Lcr restituo® sachet
Placebo
The active treatment (Total freeze-dried culture of Lcr restituo® sachet) at a rate of 2 sachets of 1.5 grams per day (one sachet in the morning and one in the evening) and the placebo at a rate of 2 sachets of 1.5 grams per day (one sachet in the morning and one in the evening).
The active treatment (Total freeze-dried culture of Lcr restituo® sachet) at a rate of 4 sachets of 1.5 grams per day (two sachets in the morning and two in the evening).
The placebo at a rate of 4 sachets of 1.5 grams per day (two sachets in the morning and two in the evening).