This prospective, two-arm (parallel groups), double-blind, randomized, placebo-controlled, multi-center clinical trial will investigate the effects of an 8-week Bifidobacterium lactis HN019 supplementation on stool frequency and on other constipation parameters in adults suffering from functional constipation according to ROME III criteria. The hypothesis is that Bifidobacterium lactis HN019 is superior, in comparison with a placebo, for the increase of stool frequency of at least 1 stool per week.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
224
Bifidobacterium lactis HN019 (probiotic powder). One capsule to consume orally with still water (not sparkling) at room temperature once a day at least 15 minutes before breakfast time.
Placebo. One capsule to consume orally with still water (not sparkling) at room temperature once a day at least 15 minutes before breakfast time.
CEN
Dijon, France
Eurofins Optimed
Gières, France
Institut Pasteur de Lille
Lille, France
Biofortis
Saint-Herblain, France
Change from baseline of stool frequency
Complete Spontaneous Bowel movement / week (reported in daily diaries)
Time frame: Baseline (Day-15 to Day-9 and Day-7 to Day-1) and Intervention (Day1 to Day28 and Day30 to Day57)
Stool consistency
For each stool by using the Bristol Stool Scale. classify the form of human faeces into seven categories: ypes 1 and 2 indicate constipation, with 3 and 4 being the ideal stools as they are easy to defecate while not containing excess liquid, 5 tending towards diarrhoea, and 6 and 7 indicate diarrhoea
Time frame: Baseline (Day-15 to Day-9 and Day-7 to Day-1) and Intervention (Day1 to Day28 and Day30 to Day57)
Degree of straining
For each stool by using Visual analogue scale, a 100 mm long horizontal VAS, anchored at 0 mm (not at all), 25 mm (a little bit), 50 mm (a moderate amount), 75 mm (a great deal) and 100 mm (an extreme amount).
Time frame: Baseline (Day-15 to Day-9 and Day-7 to Day-1) and Intervention (Day 1 to Day 28 and Day 30 to D57)
Abdominal pain severity
For each stool by using Visual analogue scale, rated using a 100 mm long horizontal VAS, anchored at 0 mm (none), 25 mm (mild), 50 mm (moderate), 75 mm (severe) and 100 mm (very severe).
Time frame: Baseline (Day-15 to Day-9 and Day-7 to Day-1) and Intervention (Day1 to Day28 and Day30 to Day57)
Bloating severity
For each stool by using Visual analogue scale, rated using a 100 mm long horizontal VAS, anchored at 0 mm (none), 25 mm (mild), 50 mm (moderate), 75 mm (severe) and 100 mm (very severe).
Time frame: Baseline (Day-15 to Day-9 and Day-7 to Day-1) and Intervention (Day1 to Day28 and Day30 to Day57)
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Constipation symptoms assessment by the participant
Patient Assessment of Constipation SYMptoms (PAC-SYM) questionnaire: global score, abdominal symptoms, rectal symptoms and symptoms associated to stool, measures the severity of constipation symptoms over the past 2 weeks; no symptom, 0; mild, 1;moderate, 2. severe, 3; very severe, 4
Time frame: Day 0 (baseline, Visit 3), Day 29 (Visit 4, 4 weeks) and Day 58 (Visit 5, 8 weeks)
Quality of life related to constipation assessment by the participant
Patient Assessment Constipation Quality Of Life (PAC-QOL) 28-question survey. The questions are comprised of four subscales (worries and concerns, physical discomfort, psychosocial discomfort, and satisfaction) and an overall scale. Not at all, 0; A little bit, 1; Moderately, 2; Quite a bit, 3; Extremely, 4
Time frame: Day 0 (baseline, Visit 3), Day 29 (Visit 4, 4 weeks) and Day 58 (Visit 5, 8 weeks)
Use of rescue medication
Need and use of rescue medication (laxative) during the study (reported in daily diaries)
Time frame: Day 0 (baseline, Visit 3), Day 29 (Visit 4, 4 weeks) and Day 58 (Visit 5, 8 weeks)