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β-galactosidase Producing Probiotic Strains to Improve Lactose Digestion

Primary Purpose

Lactose Intolerance

Status
Completed
Phase
Not Applicable
Locations
Switzerland
Study Type
Interventional
Intervention
Positive control
Probiotic S. thermophilus
Probiotic B. longum
Negative control
Sponsored by
Société des Produits Nestlé (SPN)
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional supportive care trial for Lactose Intolerance

Eligibility Criteria

20 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. HBT> delta 20ppm (compared with the baseline value) measured at screening visit before challenge tests
  2. Having signed the informed consent or having provide his/her legal representative's informed consent

Exclusion Criteria:

  1. Known Food allergy
  2. Any obstructive (COPD, asthma…) or restrictive respiratory syndrome that may impact breath test measurements
  3. Any medically relevant malabsorption syndrome
  4. Any medically relevant chronic gut motility disorder other than Irritable Bowel Syndrome (IBS), assessed with Rome III questionnaire
  5. Ongoing therapy with drugs known to affect gut motility
  6. Any general antibiotherapy taken during or within 4 weeks of study onset
  7. Use of lactase pill (eg. Lacdigest®), as well as yoghurt and probiotics, for at least 2 days prior to Visit 0b
  8. Subject who cannot be expected to comply with the study procedures
  9. Currently participating or having participated in another clinical trial during last 8 weeks prior to the beginning of this study.
  10. To be a close collaborator to the Investigators, either in terms of Family relationship and/or professional relationship
  11. Pregnancy, based on anamnesis

Sites / Locations

  • Metabolic Unit

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Active Comparator

Active Comparator

Active Comparator

Placebo Comparator

Arm Label

Positive control

Positive control with S. thermophilus

Positive control with B. longum

Negative control

Arm Description

Ultra high temperature (UHT) milk containing 18 g total lactose

UHT milk containing 18 g total lactose+ S. thermophilus

UHT milk containing 18 g total lactose+ B. longum

Lactose free milk

Outcomes

Primary Outcome Measures

Lactose malabsorption as represented by the increase of exhaled hydrogen compared to baseline measured by the hydrogen Breath Test (HBT)

Secondary Outcome Measures

Assessment of improvement of lactose intolerance symptoms using a composite score equal to the sum of individual symptoms measured using a visual analog scale (VAS)

Full Information

First Posted
July 16, 2015
Last Updated
November 29, 2016
Sponsor
Société des Produits Nestlé (SPN)
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1. Study Identification

Unique Protocol Identification Number
NCT02518295
Brief Title
β-galactosidase Producing Probiotic Strains to Improve Lactose Digestion
Official Title
β-galactosidase Producing Probiotic Strains to Improve Lactose Digestion: Probiotic and Lactose Intolerance
Study Type
Interventional

2. Study Status

Record Verification Date
November 2016
Overall Recruitment Status
Completed
Study Start Date
September 2015 (undefined)
Primary Completion Date
June 2016 (Actual)
Study Completion Date
September 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Société des Produits Nestlé (SPN)

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to assess that two β-galactosidase Producing Probiotic Strains help improve lactose digestion in subjects with lactose maldigestion.
Detailed Description
The trial will be cross over, randomized in incomplete blocks, controlled, double-blind: each subject will be administered 3 products out of 4 (positive control, probiotic Streptococcus (S.) thermophilus, probiotic Bifidobacterium (B.) longum, negative control) in a random order on 3 different days separated by a washout period of at least one week, and maximum 2 weeks between each challenge. The total sample size is 42 enrolled subjects/37 completed Patients will be males and females aged between 20 and 65 years with positive hydrogen breath test.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Lactose Intolerance

7. Study Design

Primary Purpose
Supportive Care
Study Phase
Not Applicable
Interventional Study Model
Crossover Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
41 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Positive control
Arm Type
Active Comparator
Arm Description
Ultra high temperature (UHT) milk containing 18 g total lactose
Arm Title
Positive control with S. thermophilus
Arm Type
Active Comparator
Arm Description
UHT milk containing 18 g total lactose+ S. thermophilus
Arm Title
Positive control with B. longum
Arm Type
Active Comparator
Arm Description
UHT milk containing 18 g total lactose+ B. longum
Arm Title
Negative control
Arm Type
Placebo Comparator
Arm Description
Lactose free milk
Intervention Type
Other
Intervention Name(s)
Positive control
Intervention Description
200ml milk containing 18g lactose
Intervention Type
Other
Intervention Name(s)
Probiotic S. thermophilus
Intervention Description
200ml milk containing 18g lactose + probiotic S. thermophilus
Intervention Type
Other
Intervention Name(s)
Probiotic B. longum
Intervention Description
200ml milk containing 18g lactose + probiotic B. longum
Intervention Type
Other
Intervention Name(s)
Negative control
Intervention Description
200 ml of UHT Lactose free milk
Primary Outcome Measure Information:
Title
Lactose malabsorption as represented by the increase of exhaled hydrogen compared to baseline measured by the hydrogen Breath Test (HBT)
Time Frame
HBT measured every hour during 4 hours after challenge (HBT curve)
Secondary Outcome Measure Information:
Title
Assessment of improvement of lactose intolerance symptoms using a composite score equal to the sum of individual symptoms measured using a visual analog scale (VAS)
Time Frame
4 hours after every milk intake, from the time of ingestion up to 5 hours

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: HBT> delta 20ppm (compared with the baseline value) measured at screening visit before challenge tests Having signed the informed consent or having provide his/her legal representative's informed consent Exclusion Criteria: Known Food allergy Any obstructive (COPD, asthma…) or restrictive respiratory syndrome that may impact breath test measurements Any medically relevant malabsorption syndrome Any medically relevant chronic gut motility disorder other than Irritable Bowel Syndrome (IBS), assessed with Rome III questionnaire Ongoing therapy with drugs known to affect gut motility Any general antibiotherapy taken during or within 4 weeks of study onset Use of lactase pill (eg. Lacdigest®), as well as yoghurt and probiotics, for at least 2 days prior to Visit 0b Subject who cannot be expected to comply with the study procedures Currently participating or having participated in another clinical trial during last 8 weeks prior to the beginning of this study. To be a close collaborator to the Investigators, either in terms of Family relationship and/or professional relationship Pregnancy, based on anamnesis
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Stéphane Duboux
Organizational Affiliation
Société des Produits Nestlé (SPN)
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
Gabriela Bergonzelli, PhD
Organizational Affiliation
Société des Produits Nestlé (SPN)
Official's Role
Study Director
Facility Information:
Facility Name
Metabolic Unit
City
Lausanne
ZIP/Postal Code
CH-1000
Country
Switzerland

12. IPD Sharing Statement

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β-galactosidase Producing Probiotic Strains to Improve Lactose Digestion

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