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Safety of Lactobacillus Reuteri (L. Reuteri) in Healthy Adults

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赞助商
The University of Texas Health Science Center, Houston
合作者
National Center for Complementary and Integrative Health (NCCIH)

关键词

抽象

This study will evaluate the safety and tolerability of the probiotic Lactobacillus reuteri (LR) in healthy adult patients. Patients will be randomized to receive either LR or placebo orally each day for a total of 60 doses. The effects on fecal bacteria, circulating white blood cell receptors and inflammatory cytokine profiles will be measured.

描述

Lactobacillus reuteri oil drops are a natural product containing Lactobacillus reuteri (LR), which has traditionally been used for the establishment and maintenance of a well-functioning gastro-intestinal (GI) tract micro flora and prevention and treatment of mild diarrhea associated with GI-tract infections. The oil drops contain a dietary supplement of Lactobacillus reuteri DSM 17938. The patients will receive 5 drops (10^8 live organisms) by mouth daily for 60 days. Daily administration will include 5 drops (5x10^8) of L. reuteri or placebo daily for two months. During this time,circulating peripheral blood mononuclear cell (PBMC) toll-like receptor-2 and -4 levels will be measured, along with PBMC cytokine production levels in vitro. Fecal DGGE analysis(with sequencing of bacterial rDNA) will be completed identifying changes in fecal microbiota. Inflammation in the gut will also be assessed by fecal calprotectin assay (ELISA). The time on study treatment is 2 months, with 4 months observation, for a total of 6 months. There will be 7 required visits, during which, we will assess safety and immune system effects.

日期

最后验证: 12/31/2017
首次提交: 06/14/2009
提交的预估入学人数: 06/15/2009
首次发布: 06/16/2009
上次提交的更新: 01/22/2018
最近更新发布: 01/24/2018
实际学习开始日期: 09/30/2009
预计主要完成日期: 06/30/2011
预计完成日期: 06/30/2011

状况或疾病

Colic
Gastrointestinal Tract Infections

干预/治疗

Biological: L. reuteri

Biological: Sunflower Oil

相 1

手臂组

干预/治疗
Active Comparator: L. reuteri
Lactobacillus reuteri oil drops are a natural product containing Lactobacillus reuteri (LR), which has traditionally been used for the establishment and maintenance of a well-functioning gastro-intestinal (GI) tract microflora and prevention and treatment of mild diarrhea associated with GI-tract infections, travel or antibiotic treatment. The oil drops contain a dietary supplement of Lactobacillus reuteri DSM 17938.
Biological: L. reuteri
The oil drops contains 10^8 CFU (colony forming units). As suggested by the manufacturer in the Certificate of Analysis the daily dose given to each patient will be 5 x 10^8 CFU/ 5 drops. The dose given is within the release limit which is greater than 2 x 10^8 CFU/ 5 drops and less than 8 x 10^8 CFU/ 5 drops.
Placebo Comparator: Sunflower Oil
Placebo will be the equivalent number of drops of suspended sunflower oil (without LR), provided by Biogaia.
Biological: Sunflower Oil
As suggested by the manufacturer in the Certificate of Analysis the daily dose given to each patient will be 5 x 10^8 CFU/ 5 drops.

资格标准

有资格学习的年龄 18 Years 至 18 Years
有资格学习的性别All
接受健康志愿者
标准

Inclusion Criteria:

- Healthy Adults (18 - 60 years old)

- No other recognized illness

Exclusion Criteria:

- Pregnancy or breastfeeding

- Patient taking immunosuppressive medications, including oral corticosteroids

- Positive result of HIV, Hepatitis B, and/or Hepatitis C test

- Abnormal lab test results

- Gastrointestinal related diseases and surgeries

- Patients with an allergy to antibiotics

- Presence of fever or a pre-existing adverse event monitored in the study

- No more than two study participants in one household

- Use of probiotics in the last 90 days

- Diarrheal illness within the past 30 days

- Recent or current use of oral antibiotics /anti-fungals(in the past 2 weeks)

- Current use of oral laxatives

- Chronic alcohol use or more than 1 drink per day

- Subjects with implanted prosthetic devices including prosthetic heart valves

- Known sensitivity to sunflower oil or products containing linolenic/oleic acids

- Will require that subject not take any other probiotic-containing products, including yogurt supplemented with probiotics during the 6-month period

结果

主要结果指标

1. Treatment of adults with probiotic (health-promoting bacteria) LR, will be safe and well-tolerated. [8/1/2009 - 7/1/2009]

次要成果指标

1. Determine if LR treatment affects circulating levels of pro-inflammatory and anti-inflammatory cytokines, along with expression levels of toll like receptors (TLRs)-2 and -4 in circulating peripheral blood mononuclear cells. [4/1/2009-7/1/2009]

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