This study will evaluate the efficacy of a probiotic lactobacillus strain in eradicating VRE in non-symptomatic carriers after 4 weeks of treatment. It will also evaluate the long-term efficacy after 8,16 and 24 weeks.
With the increased number of Vancomycin-Resistant Enterococcus faecium (VRE) infected/colonized people it is evident that new treatment options are needed to reduce the number of VRE cases. One such option could be to use probiotics. We hypothesize that treatment with a probiotic lactobacillus strain can reduce the number of VRE carriers significantly. The aim is to investigate if this strain can eradicate VRE in non-symptomatic VRE-carriers measured as the number of subjects without VRE colonization at week 4. This is a multi-center, randomized, double-blind, placebo-controlled parallel-group trial in non-symptomatic VRE-carriers. The Trial consists of a 4 weeks intervention period followed by a 20-week follow-up period. After patients have been confirmed as carriers of VRE, the subjects are randomized to 4 weeks' treatment with a lactobacillus probiotic strain (60 billion CFU per day) or to placebo. Subjects' VRE carrier-state is assessed at weeks 4, 8, 16 and 24, by an in-house PCR analysis. Stool samples are collected before intervention (baseline) and at week 4, 8, 16 and week 24.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
TRIPLE
Enrollment
81
Approved Dietary supplement
placebo comparator
Hvidovre Hospital, Copenhagen University
Hvidovre, Copenhagen, Denmark
Number of subjects with cleared VRE colonization at week 4
Fecal sample diagnosed by pcr and detection of the vanA gene
Time frame: 4 weeks
Clearance of VRE colonization at week 8, 16 and 24 respectively
Fecal sample diagnosed by pcr and detection of the vanA gene
Time frame: 8, 16 and 24 weeks
Number of VRE infections (isolation from non-intestinal foci)
Time frame: 24 weeks
Changes in fecal microbiota composition
Time frame: 24 weeks
Colonization with probiotic lactobacillus strain
Time frame: 24 weeks
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