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Effectiveness and Safety of Lactobacillus Acidophilus LA85 in Preventing Antibiotic-Associated Diarrhea

Primary Purpose

Antibiotic Side Effect, Probiotics, Diarrhea

Status
Completed
Phase
Not Applicable
Locations
Spain
Study Type
Interventional
Intervention
Probiotic Lactobacillus acidophilus LA85
Sponsored by
Wecare Probiotics Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional health services research trial for Antibiotic Side Effect focused on measuring diarrhea, probiotics, Antibiotic Side Effect

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Patients starting antibiotic treatment (Amoxicillin 750mg). Patients prone to diarrhea with the administration of Amoxicillin 750mg. Patients over 18 years of age. Patients of both sexes. Patients capable of understanding the clinical study and who are committed to complying with the requirements and procedures of the study. Patients who have signed the informed consent. Exclusion Criteria: Diabetic patients. Pregnant patients. Patients who are breastfeeding. Patients who require pharmacological treatment that triggers drug diarrhea (laxatives, antacids with magnesium, chemotherapy, omeprazole, esomeprazole, lansoprazole, rabeprazole, cimetidine ranitidine, mycophenolate nizatidine, ibuprofen, naproxen and metformin). Patients requiring treatment with tricyclic antidepressants, antiepileptics, antihistamines, antiparkinsons, antipsychotics, antispasmodics, verapamil, monoamine oxidase inhibitors, opiates, sympathomimetics, antacids (with aluminum and calcium), non-steroidal antidiarrheals and anti-inflammatory drugs. Patients who change the type of diet during the study. Patients with an allergy or intolerance to any of the ingredients in the formulation of the product under study. Subjects with a history of drug, alcohol or other substance abuse, or other factors that limit their ability to cooperate during the study. Subjects whose condition does not make them eligible for the study, according to the investigator.

Sites / Locations

  • Ciurana Clinic

Arms of the Study

Arm 1

Arm 2

Arm Type

Placebo Comparator

Active Comparator

Arm Label

Placebo group

Probiotic group

Arm Description

Composition: 400mg maltodextrin (excipient); Capsule total weight: 400mg; Primary conditioning: HPMC Capsules (Hydroxypropyl Methylcellulose); Secondary conditioning:Cardboard case Secondary packaging content:14 capsules / blister, 1 blisters per case Dosage regimen: Take one capsule daily before meals; Storage:Store in a cool, dry place without exposure to the sun.

Composition: 20mg (2x109 UFC/ capsule) Lactobacillus acidophilus LA85 (active principle) and 380mg maltodextrin (excipient); Capsule total weight: 400mg; Primary conditioning: HPMC Capsules (Hydroxypropyl Methylcellulose); Secondary conditioning:Cardboard case Secondary packaging content:14 capsules / blister, 1 blisters per case Dosage regimen: Take one capsule daily before meals; Storage:Store in a cool, dry place without exposure to the sun.

Outcomes

Primary Outcome Measures

Diarrhea Onset Time
Evaluate stool characteristics on the Bristol Scale (Degree 5-7 indicative of diarrhea).

Secondary Outcome Measures

Full Information

First Posted
July 7, 2023
Last Updated
July 25, 2023
Sponsor
Wecare Probiotics Co., Ltd.
Collaborators
Methodex
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1. Study Identification

Unique Protocol Identification Number
NCT05974657
Brief Title
Effectiveness and Safety of Lactobacillus Acidophilus LA85 in Preventing Antibiotic-Associated Diarrhea
Official Title
Lactobacillus Acidophilus LA85 for Preventing Antibiotic-Associated Diarrhea: A Multi-Centric, Double-Blind, Randomized Study
Study Type
Interventional

2. Study Status

Record Verification Date
July 2023
Overall Recruitment Status
Completed
Study Start Date
August 31, 2021 (Actual)
Primary Completion Date
August 3, 2022 (Actual)
Study Completion Date
September 13, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Wecare Probiotics Co., Ltd.
Collaborators
Methodex

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
This randomized, placebo-controlled, double-blind clinical trial aims to evaluate the efficacy and safety of probiotics as food supplements in preventing antibiotic-associated diarrhea. The study will involve 82 patients who will be randomly assigned to one of two groups: an experimental group receiving a probiotic containing Lactobacillus acidophilus LA85, and a placebo group. The primary outcomes measured include the number of days until the onset of diarrhea, the duration of diarrhea (if it occurs), gastrointestinal quality of life evaluation using the GIQLI questionnaire, and overall patient satisfaction.
Detailed Description
This randomized, placebo-controlled, double-blind clinical trial aims to assess the effectiveness and safety of probiotics as food supplements in preventing antibiotic-associated diarrhea. The study will enroll 82 patients who will be randomly assigned to either the experimental group or the placebo group. Participants in the experimental group will receive a probiotic supplement containing Lactobacillus acidophilus LA85, while those in the placebo group will receive a non-active substitute. The outcomes include the following measurements: Number of days until the onset of diarrhea. Duration of diarrhea, if it occurs. Evaluation of gastrointestinal quality of life using the GIQLI questionnaire. Overall patient satisfaction with the intervention. Throughout the trial, a double-blind approach will be maintained, ensuring that both the participants and the investigators are unaware of the treatment assignments. This helps minimize bias and ensures the reliability of the results. To assess the efficacy and safety of probiotics, data will be collected and analyzed using appropriate statistical methods. The number of days until the onset of diarrhea will be compared between the two groups, as well as the duration of diarrhea if it occurs. Gastrointestinal quality of life will be evaluated using the GIQLI questionnaire, which measures various aspects related to gastrointestinal well-being. Additionally, overall patient satisfaction with the intervention will be assessed. By conducting this comprehensive clinical trial, we aim to provide valuable insights into the potential benefits and safety of probiotics as food supplements in preventing antibiotic-associated diarrhea. The results obtained will contribute to evidence-based recommendations for healthcare professionals and may have implications for improving patient outcomes and quality of life.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Antibiotic Side Effect, Probiotics, Diarrhea
Keywords
diarrhea, probiotics, Antibiotic Side Effect

7. Study Design

Primary Purpose
Health Services Research
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
82 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Placebo group
Arm Type
Placebo Comparator
Arm Description
Composition: 400mg maltodextrin (excipient); Capsule total weight: 400mg; Primary conditioning: HPMC Capsules (Hydroxypropyl Methylcellulose); Secondary conditioning:Cardboard case Secondary packaging content:14 capsules / blister, 1 blisters per case Dosage regimen: Take one capsule daily before meals; Storage:Store in a cool, dry place without exposure to the sun.
Arm Title
Probiotic group
Arm Type
Active Comparator
Arm Description
Composition: 20mg (2x109 UFC/ capsule) Lactobacillus acidophilus LA85 (active principle) and 380mg maltodextrin (excipient); Capsule total weight: 400mg; Primary conditioning: HPMC Capsules (Hydroxypropyl Methylcellulose); Secondary conditioning:Cardboard case Secondary packaging content:14 capsules / blister, 1 blisters per case Dosage regimen: Take one capsule daily before meals; Storage:Store in a cool, dry place without exposure to the sun.
Intervention Type
Other
Intervention Name(s)
Probiotic Lactobacillus acidophilus LA85
Intervention Description
Through a randomized double-blind placebo-controlled method, the patients were randomly divided into placebo group and probiotic intervention group, and took probiotics once a day for 14 consecutive days.
Primary Outcome Measure Information:
Title
Diarrhea Onset Time
Description
Evaluate stool characteristics on the Bristol Scale (Degree 5-7 indicative of diarrhea).
Time Frame
14 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients starting antibiotic treatment (Amoxicillin 750mg). Patients prone to diarrhea with the administration of Amoxicillin 750mg. Patients over 18 years of age. Patients of both sexes. Patients capable of understanding the clinical study and who are committed to complying with the requirements and procedures of the study. Patients who have signed the informed consent. Exclusion Criteria: Diabetic patients. Pregnant patients. Patients who are breastfeeding. Patients who require pharmacological treatment that triggers drug diarrhea (laxatives, antacids with magnesium, chemotherapy, omeprazole, esomeprazole, lansoprazole, rabeprazole, cimetidine ranitidine, mycophenolate nizatidine, ibuprofen, naproxen and metformin). Patients requiring treatment with tricyclic antidepressants, antiepileptics, antihistamines, antiparkinsons, antipsychotics, antispasmodics, verapamil, monoamine oxidase inhibitors, opiates, sympathomimetics, antacids (with aluminum and calcium), non-steroidal antidiarrheals and anti-inflammatory drugs. Patients who change the type of diet during the study. Patients with an allergy or intolerance to any of the ingredients in the formulation of the product under study. Subjects with a history of drug, alcohol or other substance abuse, or other factors that limit their ability to cooperate during the study. Subjects whose condition does not make them eligible for the study, according to the investigator.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Joan Ciurana, Dr.
Organizational Affiliation
Dentist Ciurana Clinic
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Xavier Calvo, Dr.
Organizational Affiliation
Dentist Rob Clinic
Official's Role
Principal Investigator
Facility Information:
Facility Name
Ciurana Clinic
City
Barcelona
State/Province
Castelldefels
ZIP/Postal Code
08860
Country
Spain

12. IPD Sharing Statement

Plan to Share IPD
No

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Effectiveness and Safety of Lactobacillus Acidophilus LA85 in Preventing Antibiotic-Associated Diarrhea

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