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Effect of Probiotic on the Innate and Adaptive Host Response to Rhinovirus (EPIARR) (EPIARR)

Primary Purpose

Common Cold

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Bifidobacterium lactis Bl-04
Placebo
Rhinovirus
Sponsored by
University of Virginia
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Common Cold focused on measuring Common cold

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

AT ENROLLMENT:

  • Subject must be 18-60 years of age.
  • Subject must read and sign a copy of the approved Consent Form
  • Female subjects must be using an effective birth control method.

INCLUSION CRITERIA AT DAY -28

  • Subject must read and sign a copy of the approved Consent Form

AT CHALLENGE:

  • Female subjects must be using an effective birth control method.
  • Subject must have a serum neutralizing antibody titer of less than or equal to 1:4 to rhinovirus type 39

Exclusion Criteria:

AT ENROLLMENT:

  • Current cancer diagnosis or immunosuppressive therapy in the last 6 months
  • Any clinically significant abnormalities of the upper respiratory tract
  • Any clinically significant acute or chronic respiratory illness
  • Any clinically significant bleeding tendency by history
  • Hypertension that requires treatment with antihypertensive medications
  • History of angina or other clinically significant cardiac disease
  • Any medical condition that in the opinion of the Principal Investigator is cause for exclusion from the study
  • History of regular use (more than 3 days in 7) of tobacco products within the preceding two weeks
  • History of drug or alcohol abuse in the 6 months preceding the study

EXCLUSION CRITERIA AT DAY -28

  • Antibiotic use within 3 months prior to study start
  • Female subjects with a positive urine pregnancy screen.
  • History of use of probiotics in the preceding 2 weeks.

EXCLUSION CRITERIA AT CHALLENGE:

  • Any upper respiratory infection or allergic rhinitis in the two weeks prior to the start of the study
  • Any medical condition that in the opinion of the Principal Investigator is cause for exclusion from the study
  • Use of any anti-inflammatory (steroids or NSAIDs) or cough/cold preparation in the two weeks prior to the study

Sites / Locations

  • University of Virginia

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Bifidobacterium animalis lactis Bl-04

Placebo

Arm Description

Bifidobacterium animalis subspecies lactis Bl-04 as powder mixed into drink.

Placebo will be 1g of sucrose that has identical appearance, smell, and taste with the study product.

Outcomes

Primary Outcome Measures

Interleukin-8 (IL-8)
Nasal lavage will be performed to collect and measure IL-8.

Secondary Outcome Measures

Full Information

First Posted
August 16, 2012
Last Updated
April 20, 2017
Sponsor
University of Virginia
Collaborators
DuPont Nutrition and Health
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1. Study Identification

Unique Protocol Identification Number
NCT01669603
Brief Title
Effect of Probiotic on the Innate and Adaptive Host Response to Rhinovirus (EPIARR)
Acronym
EPIARR
Official Title
Effect of Probiotic on the Innate and Adaptive Host Response to Rhinovirus (EPIARR)
Study Type
Interventional

2. Study Status

Record Verification Date
April 2017
Overall Recruitment Status
Completed
Study Start Date
August 2012 (undefined)
Primary Completion Date
June 2016 (Actual)
Study Completion Date
June 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
University of Virginia
Collaborators
DuPont Nutrition and Health

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The study is designed to assess the effect of ingestion of a probiotic on innate and adaptive host responses to rhinovirus infection.
Detailed Description
The common cold is a ubiquitous illness of man that is associated with significant medical and socioeconomic consequences. Current treatments for the common cold that have proven efficacy are limited to pharmacologic agents that are directed at specific symptoms. These treatments- antihistamines, nasal decongestants and analgesics- have limited effectiveness, generally relieving the target symptom by 15-25% at the peak of activity, and are associated with bothersome side effects. There are no currently effective treatments for prevention of rhinovirus infections. Probiotics have been defined by FAO/WHO as "Live microorganisms which when administered in adequate amount confer a health benefit on a host." The most common probiotics belong to Lactobacillus or Bifidobacterium genera. Bifidobacteria are natural human gut inhabitants that were discovered over a hundred years ago from the feces of breast-fed infants. The study product Bifidobacterium animalis subspecies (subsp.) lactis Bl-04 (Bl-04) has been genetically characterized as B. animalis subsp. lactis by 16S rRNA gene sequencing and full genome sequence comparison. Bl-04 has been deposited in the American Type Culture Collections safe deposit as SD5219. This study will test the hypothesis that ingestion of a probiotic Bifidobacterium animalis subsp. lactis Bl-04 will alter the innate and adaptive host response to rhinovirus infection.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Common Cold
Keywords
Common cold

7. Study Design

Primary Purpose
Basic Science
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
789 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Bifidobacterium animalis lactis Bl-04
Arm Type
Experimental
Arm Description
Bifidobacterium animalis subspecies lactis Bl-04 as powder mixed into drink.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo will be 1g of sucrose that has identical appearance, smell, and taste with the study product.
Intervention Type
Dietary Supplement
Intervention Name(s)
Bifidobacterium lactis Bl-04
Intervention Description
The study product will be a 2*109 cfus of probiotic Bifidobacterium lactis Bl-04 mixed with 1g of sucrose as a carrier.
Intervention Type
Dietary Supplement
Intervention Name(s)
Placebo
Intervention Description
Placebo will be 1g of sucrose that has identical appearance, smell, and taste with the study product.
Intervention Type
Biological
Intervention Name(s)
Rhinovirus
Intervention Description
rhinovirus for experimental challenge
Primary Outcome Measure Information:
Title
Interleukin-8 (IL-8)
Description
Nasal lavage will be performed to collect and measure IL-8.
Time Frame
72 hours

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: AT ENROLLMENT: Subject must be 18-60 years of age. Subject must read and sign a copy of the approved Consent Form Female subjects must be using an effective birth control method. INCLUSION CRITERIA AT DAY -28 Subject must read and sign a copy of the approved Consent Form AT CHALLENGE: Female subjects must be using an effective birth control method. Subject must have a serum neutralizing antibody titer of less than or equal to 1:4 to rhinovirus type 39 Exclusion Criteria: AT ENROLLMENT: Current cancer diagnosis or immunosuppressive therapy in the last 6 months Any clinically significant abnormalities of the upper respiratory tract Any clinically significant acute or chronic respiratory illness Any clinically significant bleeding tendency by history Hypertension that requires treatment with antihypertensive medications History of angina or other clinically significant cardiac disease Any medical condition that in the opinion of the Principal Investigator is cause for exclusion from the study History of regular use (more than 3 days in 7) of tobacco products within the preceding two weeks History of drug or alcohol abuse in the 6 months preceding the study EXCLUSION CRITERIA AT DAY -28 Antibiotic use within 3 months prior to study start Female subjects with a positive urine pregnancy screen. History of use of probiotics in the preceding 2 weeks. EXCLUSION CRITERIA AT CHALLENGE: Any upper respiratory infection or allergic rhinitis in the two weeks prior to the start of the study Any medical condition that in the opinion of the Principal Investigator is cause for exclusion from the study Use of any anti-inflammatory (steroids or NSAIDs) or cough/cold preparation in the two weeks prior to the study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ronald Turner, MD
Organizational Affiliation
University of Virginia
Official's Role
Principal Investigator
Facility Information:
Facility Name
University of Virginia
City
Charlottesville
State/Province
Virginia
ZIP/Postal Code
22908
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
28343401
Citation
Turner RB, Woodfolk JA, Borish L, Steinke JW, Patrie JT, Muehling LM, Lahtinen S, Lehtinen MJ. Effect of probiotic on innate inflammatory response and viral shedding in experimental rhinovirus infection - a randomised controlled trial. Benef Microbes. 2017 Apr 26;8(2):207-215. doi: 10.3920/BM2016.0160. Epub 2017 Mar 27.
Results Reference
derived

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Effect of Probiotic on the Innate and Adaptive Host Response to Rhinovirus (EPIARR)

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