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Clinical Trial Evaluating the Viability of L. Casei + Fish Oil Capsules (Probiomega)

Primary Purpose

Signs and Symptoms, Digestive

Status
Unknown status
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
probiotic plus fish oil capsule
Fish oil capsule
Sponsored by
Nutrition 21, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Signs and Symptoms, Digestive focused on measuring probiotic, fish oil, digestion, viability

Eligibility Criteria

21 Years - 75 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Female subject is surgically sterile, post-menopausal or agrees to use an acceptable method of birth control
  • Subject is able to understand and sign the informed consent to participate in the study
  • Subject is willing and able to comply with the protocol including:a. Attending five visits; b. Collecting four stool samples; c. Refraining from eating any yogurt or lacto-fermented beverages during the study; d. Refraining from using any dietary supplements including probiotics or prebiotics during the study;e. Not taking any new vitamin and/or mineral supplements until after study completion.

Exclusion Criteria:

  • Subject has any of the following medical conditions: a. active heart disease, b. uncontrolled high blood pressure (≥ 140/90 mmHg), c. renal or hepatic impairment/disease, d. Type I or II diabetes, e. bipolar disorder f. Parkinson's disease, g. unstable thyroid disease, h. immune disorder (such as HIV/AIDS), i. psychiatric disorders (hospitalized within the past one year), j. any medical condition deemed exclusionary by the Principal Investigator (PI)
  • Subject has a history of cancer (except localized skin cancer without metastases or in situ cervical cancer) within five years prior to screening.
  • Subject has a history of or currently has any gastrointestinal disease or disorder or any inflammatory bowel condition such as Crohn's disease, short bowel,ulcerative colitis, or Irritable Bowel Syndrome (IBS).
  • Subject has constipation defined as less than three spontaneous bowel movements per week.
  • Subject is lactose intolerant (self-professed or diagnosed).
  • Subject has had any stomach or intestinal surgery (i.e. gastric bypass).
  • Subject takes on a regular basis (defined as two or more times per week) any prescription or over-the counter medications for diarrhea, constipation, heartburn or any other gastrointestinal problems.
  • Subject is currently taking laxatives or has taken laxatives within the 30 days prior to screening/enrollment.
  • Subject is currently taking antibiotics (or any drug that significantly interferes with bacterial flora) or has taken antibiotics within the 60 days prior to screening/enrollment.
  • Subject is currently taking or has used in the past 30 days probiotics (including yogurt and lacto-fermented beverages), prebiotic supplements, or any digestive enzymes [prescription or over-the-counter (OTC)]. Thirty-day washout allowed.
  • Subject is on an unstable dose of medication (defined as fewer than 90 days at the same dose).
  • Anti-hypertensives and anti-hyperlipidemic medications ok if stable dose.
  • Subject is currently taking any medication deemed exclusionary by PI.
  • Subject exhibits evidence of hepatic or renal dysfunction as evidenced by ALT, AST, AP being ≥ two times the upper limit of normal or serum creatinine value ≥ 2.0 mg/dl or other clinically significant abnormal clinical laboratory value per PI discretion.
  • Subject has an allergy to fish or any of the ingredients in the test product (see section 3.2.1).
  • Subject has a history of drug or alcohol abuse in the past 12 months.
  • Subject has any condition or abnormality that, in the opinion of the investigator, would compromise the safety of the subject or the quality of the study data.
  • Subject is participating or has participated in another research study within 30 days prior to the screening visit.

Sites / Locations

  • Broward Research GroupRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Probiotic

Placebo

Arm Description

Lactobacillus casei in fish oil capsule

Fish oil capsule

Outcomes

Primary Outcome Measures

Fecal probiotic (KE-99) level
KE-99 probiotic levels will be measured from fecal samples at baseline and compared to levels measured after 7 days of treatment to determine if live KE-99 bacteria survive transit through the gastrointestinal tract.

Secondary Outcome Measures

SF-36v2
SF-36v2 - is a multi-purpose, short-form health survey with 36 questions. It yields an 8-scale profile of functional health and well-being scores as well as psychometrically-based physical and mental health summary measures and a preference-based health utility index. Results will be compared between and within groups.
GI questionnaire
GI Questionnaire - a six-part questionnaire regarding general well-being and gastrointestinal symptoms will be administered, with results being compared between and within groups.
Tolerability Questionnaire
Tolerability of the study products will be assessed at the end of each seven-day supplementation period (at visits 3 and 5).
qPCR Fecal Microbiota Analyses
Reverse transcription-quantitative PCR (RT-qPCR) will be performed at baseline (Day 0) and after 7 days of treatment, to compare human intestinal microbiota after treatment to baseline.

Full Information

First Posted
October 4, 2011
Last Updated
November 11, 2011
Sponsor
Nutrition 21, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT01464814
Brief Title
Clinical Trial Evaluating the Viability of L. Casei + Fish Oil Capsules
Acronym
Probiomega
Official Title
A Double Blind Placebo Controlled Crossover Clinical Trial Evaluating The Viability Of KE-99 With Fish Oil In Healthy Adults
Study Type
Interventional

2. Study Status

Record Verification Date
November 2011
Overall Recruitment Status
Unknown status
Study Start Date
October 2011 (undefined)
Primary Completion Date
November 2011 (Anticipated)
Study Completion Date
November 2011 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Nutrition 21, Inc.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to determine the effects of the probiotic KE-99 Lactobacillus casei when administered with omega-3 fish oil on probiotic viability, fecal make-up and gastrointestinal (GI) health in healthy adults.
Detailed Description
This is a randomized, placebo controlled, crossover clinical trial to determine the effects of KE-99 Lactobacillus casei with omega-3 fish oil, a probiotic purported to promote beneficial effects in gastrointestinal (GI) health. The study will last approximately three weeks with subjects attending a screening visit and four follow-up visits. The study will involve subjects taking the probiotic product (KE-99 + fish oil)and placebo, each for seven days (as per sponsor guidance), in random order, with a seven day washout in between (as per sponsor guidance). Fecal analyses will be done at the beginning and end of each seven day supplementation period so that the number of live KE-99 in feces can be determined with higher numbers being positive (indicates more live KE-99 survived digestion). Although the study population will be comprised of generally healthy adults that do not have GI disorders or symptoms, the sponsor hypothesizes that there may be beneficial effects in GI health with the KE-99 + fish oil supplementation. A six item questionnaire will be used to assess changes in GI health (e.g. abdominal pain, bloating and gas) with lower incidence indicating positive effects with regard to GI health.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Signs and Symptoms, Digestive
Keywords
probiotic, fish oil, digestion, viability

7. Study Design

Primary Purpose
Basic Science
Study Phase
Not Applicable
Interventional Study Model
Crossover Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
15 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Probiotic
Arm Type
Experimental
Arm Description
Lactobacillus casei in fish oil capsule
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Fish oil capsule
Intervention Type
Dietary Supplement
Intervention Name(s)
probiotic plus fish oil capsule
Other Intervention Name(s)
Probiomega
Intervention Description
Lactobacillus casei (4B CFU) plus fish oil capsule, T.I.D., for seven (7) days.
Intervention Type
Dietary Supplement
Intervention Name(s)
Fish oil capsule
Other Intervention Name(s)
Placebo
Intervention Description
Fish oil capsule, T.I.D., for seven (7) days
Primary Outcome Measure Information:
Title
Fecal probiotic (KE-99) level
Description
KE-99 probiotic levels will be measured from fecal samples at baseline and compared to levels measured after 7 days of treatment to determine if live KE-99 bacteria survive transit through the gastrointestinal tract.
Time Frame
Fecal samples collected at baseline and after 7 days of treatment, during each treatment arm.
Secondary Outcome Measure Information:
Title
SF-36v2
Description
SF-36v2 - is a multi-purpose, short-form health survey with 36 questions. It yields an 8-scale profile of functional health and well-being scores as well as psychometrically-based physical and mental health summary measures and a preference-based health utility index. Results will be compared between and within groups.
Time Frame
At baseline and after 7 days of each treatment arm.
Title
GI questionnaire
Description
GI Questionnaire - a six-part questionnaire regarding general well-being and gastrointestinal symptoms will be administered, with results being compared between and within groups.
Time Frame
At baseline and after 7 days of each treatment arm.
Title
Tolerability Questionnaire
Description
Tolerability of the study products will be assessed at the end of each seven-day supplementation period (at visits 3 and 5).
Time Frame
After 7 days of each treatment arm.
Title
qPCR Fecal Microbiota Analyses
Description
Reverse transcription-quantitative PCR (RT-qPCR) will be performed at baseline (Day 0) and after 7 days of treatment, to compare human intestinal microbiota after treatment to baseline.
Time Frame
Measuerd at baseline (Day 0) and after 7 days, of each treatment arm.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
21 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Female subject is surgically sterile, post-menopausal or agrees to use an acceptable method of birth control Subject is able to understand and sign the informed consent to participate in the study Subject is willing and able to comply with the protocol including:a. Attending five visits; b. Collecting four stool samples; c. Refraining from eating any yogurt or lacto-fermented beverages during the study; d. Refraining from using any dietary supplements including probiotics or prebiotics during the study;e. Not taking any new vitamin and/or mineral supplements until after study completion. Exclusion Criteria: Subject has any of the following medical conditions: a. active heart disease, b. uncontrolled high blood pressure (≥ 140/90 mmHg), c. renal or hepatic impairment/disease, d. Type I or II diabetes, e. bipolar disorder f. Parkinson's disease, g. unstable thyroid disease, h. immune disorder (such as HIV/AIDS), i. psychiatric disorders (hospitalized within the past one year), j. any medical condition deemed exclusionary by the Principal Investigator (PI) Subject has a history of cancer (except localized skin cancer without metastases or in situ cervical cancer) within five years prior to screening. Subject has a history of or currently has any gastrointestinal disease or disorder or any inflammatory bowel condition such as Crohn's disease, short bowel,ulcerative colitis, or Irritable Bowel Syndrome (IBS). Subject has constipation defined as less than three spontaneous bowel movements per week. Subject is lactose intolerant (self-professed or diagnosed). Subject has had any stomach or intestinal surgery (i.e. gastric bypass). Subject takes on a regular basis (defined as two or more times per week) any prescription or over-the counter medications for diarrhea, constipation, heartburn or any other gastrointestinal problems. Subject is currently taking laxatives or has taken laxatives within the 30 days prior to screening/enrollment. Subject is currently taking antibiotics (or any drug that significantly interferes with bacterial flora) or has taken antibiotics within the 60 days prior to screening/enrollment. Subject is currently taking or has used in the past 30 days probiotics (including yogurt and lacto-fermented beverages), prebiotic supplements, or any digestive enzymes [prescription or over-the-counter (OTC)]. Thirty-day washout allowed. Subject is on an unstable dose of medication (defined as fewer than 90 days at the same dose). Anti-hypertensives and anti-hyperlipidemic medications ok if stable dose. Subject is currently taking any medication deemed exclusionary by PI. Subject exhibits evidence of hepatic or renal dysfunction as evidenced by ALT, AST, AP being ≥ two times the upper limit of normal or serum creatinine value ≥ 2.0 mg/dl or other clinically significant abnormal clinical laboratory value per PI discretion. Subject has an allergy to fish or any of the ingredients in the test product (see section 3.2.1). Subject has a history of drug or alcohol abuse in the past 12 months. Subject has any condition or abnormality that, in the opinion of the investigator, would compromise the safety of the subject or the quality of the study data. Subject is participating or has participated in another research study within 30 days prior to the screening visit.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Samantha Feldman, MS, RD
Phone
305-722-0970
Ext
3311
Email
sfeldman@miamiresearch.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
David Seiden, MD
Organizational Affiliation
Broward Research Group
Official's Role
Principal Investigator
Facility Information:
Facility Name
Broward Research Group
City
Pembroke Pines
State/Province
Florida
ZIP/Postal Code
33026
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Samantha Feldman, MS, RD
Phone
305-722-0970
Ext
3311
Email
sfeldman@miamiresearch.com

12. IPD Sharing Statement

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Clinical Trial Evaluating the Viability of L. Casei + Fish Oil Capsules

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