The purpose of this pilot study is to evaluate whether a probiotic supplement improves gastrointestinal (GI) function.
Sixty volunteers with functional GI disorders (Functional dyspepsia according to Rome-III criteria) will be recruited for a randomised, double-blind, placebo-controlled, two-arm parallel study in which the effect upon the gastrointestinal function of a probiotic mix containing bifidobacteria and lactobacilli (manufactured by Biopolis SL) will be compared with placebo (maltodextrin). The study design includes a 4 week run-in period, in which the volunteers will not consume any probiotics/prebiotics, followed by a 4 weeks intervention period (a daily capsule of placebo or probiotic) and an 8 weeks washout period. At the beginning/end of each period questionnaires in gastrointestinal function, dyspepsia related symptoms and diet will be carried out. A serum sample will be taken for cytokine levels determination. A faecal sample will be taken for 16S microbial population profiling and for determining the faecal levels of Bifidobacterium, Bacteriodes, Faecalibacterium, Akkermansia, Lactobacillus and Blautia by qPCR and the concentration of the main bacterial metabolites; acetate, propionate and butyrate by gas-chromatography.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
TRIPLE
Enrollment
60
One capsule per day of the probiotic mix CBP-004019/C during one month.
One capsule per day of the placebo (maltodextrin) during one month.
Hospital Universitario Central de Asturias
Oviedo, Principality of Asturias, Spain
RECRUITINGFunctional dyspepsia symptoms
Physician determined symptoms according to Rome III criteria.
Time frame: 3 months
Relative proportions of the main microbial groups of the intestinal microbiota
Global profile of intestinal microbiota composition established by 16S rRNA profiling
Time frame: 3 months
Dyspepsia associated quality of life
Questionaires for symptoms and QoL associated to dyspepsia and for anxiety/depression
Time frame: 3 months
Serum IFN-gamma levels
Determination of the serum concentration (pg/mL) of IFN-gamma
Time frame: 3 months
Serum TNF-alpha levels
Determination of the serum concentration (pg/mL) of TNF-alpha
Time frame: 3 months
Serum IL-12 levels
Determination of the serum concentration (pg/mL) of IL-12
Time frame: 3 months
Serum IL-4 levels
Determination of the serum concentration (pg/mL) of IL-4
Time frame: 3 months
Serum IL-10 levels
Determination of the serum concentration (pg/mL) of IL-10
Time frame: 3 months
Serum TGF-beta levels
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Determination of the serum concentration (pg/mL) of TGF-beta
Time frame: 3 months
Fecal levels of Bifidobacterium
Determination of the levels (log cells/gr) of Bifidobacterium in fecal samples by qPCR
Time frame: 3 months
Fecal levels of Lactobacillus
Determination of the levels (log cells/gr) of Lactobacillus in fecal samples by qPCR
Time frame: 3 months
Fecal levels of Bacteroides
Determination of the levels (log cells/gr) of Bacteroides in fecal samples by qPCR
Time frame: 3 months
Fecal levels of Blautia
Determination of the levels (log cells/gr) of Blautia in fecal samples by qPCR
Time frame: 3 months
Fecal levels of Akkermansia
Determination of the levels (log cells/gr) of Akkermansia in fecal samples by qPCR
Time frame: 3 months
Fecal levels of Faecalibacterium
Determination of the levels (log cells/gr) of Faecalibacterium in fecal samples by qPCR
Time frame: 3 months