Probiotic for Irritable Bowel Syndrome

(Mood-01 Trial)

Recruiting in Palo Alto (17 mi)

+10 other locations

Overseen by Premsyl Bercik, MD

Age: 18+

Sex: Any

Travel: May Be Covered

Time Reimbursement: Varies

Trial Phase: Academic

Waitlist Available

Sponsor: Société des Produits Nestlé (SPN)

Approved in 3 Jurisdictions

Trial Summary

What is the purpose of this trial?

This trial is testing BL NCC3001 to see if it helps people with Irritable Bowel Syndrome (IBS). IBS can cause discomfort and has limited treatment options. The study aims to find out if this new treatment can reduce IBS symptoms.

Do I have to stop taking my current medications for the trial?

The trial requires you to stop taking certain medications. You cannot be on daily treatment with drugs affecting the central nervous system, like antidepressants or anxiolytics, unless they are low doses for IBS-related symptoms and have been stable for over 3 months. You also cannot use drugs to control IBS symptoms like bile acid binders or certain other medications. If you're on these medications, you may need to stop or adjust them before participating.

What data supports the idea that Probiotic for Irritable Bowel Syndrome is an effective treatment?

The available research shows that Bifidobacterium longum, a probiotic, can help some people with irritable bowel syndrome (IBS). In one study, 31% of patients with diarrhea-predominant IBS who took Bifidobacterium longum ES1 for 8 or 12 weeks showed improvement in their symptoms. Specifically, 50% of those who took it for 12 weeks experienced less abdominal pain, and stool consistency improved for all patients regardless of how long they took the treatment. However, the evidence is not entirely clear, as other studies suggest that while some people see benefits, Bifidobacterium may not be more effective than other probiotics. More research is needed to confirm these findings. ^{1 2 3 4 5}

What safety data exists for probiotics used to treat IBS?

The safety data for probiotics like Bifidobacterium longum and Bifidobacterium infantis used in treating IBS is promising. Studies have shown that Bifidobacterium longum ES1 and Bifidobacterium infantis 35624 are effective in reducing IBS symptoms without significant adverse effects. Bifidobacterium longum NCC3001 has been studied for its effects on depression in IBS patients, while Bifidobacterium longum KABP042 has been tested for safety in infants, showing no virulence factors and good tolerance. Overall, these probiotics appear safe for use in IBS treatment, but further studies are needed to confirm these findings. ^{3 6 7 8 9}

Is Bifidobacterium longum NCC3001 a promising treatment for Irritable Bowel Syndrome?

Yes, Bifidobacterium longum NCC3001 is a promising treatment for Irritable Bowel Syndrome. Studies show that it can help reduce symptoms like abdominal pain, bloating, and diarrhea. It also improves the overall quality of life for many patients by balancing gut bacteria and reducing inflammation. ^{3 4 7 10 11}

Research Team

Premsyl Bercik, MD

Principal Investigator

McMaster University

Eligibility Criteria

Adults aged 18-70 with Irritable Bowel Syndrome (IBS) and mild psychological symptoms, but no psychiatric diagnosis. Participants must not have taken certain probiotics recently, be free from serious systemic diseases or gastrointestinal pathologies other than IBS, and not have had major abdominal surgery or used antibiotics in the last month.

Inclusion Criteria

Willing and able to sign written informed consent prior to study entry

I have mild to moderate depression or anxiety but no psychiatric diagnosis.

I have been diagnosed with IBS and my symptoms are currently active.

Exclusion Criteria

Pregnant or breastfeeding women

Subjects currently participating or having participated in a therapeutic trial within 3 months prior to the date of randomization

History of substance abuse in the past 2 years, including opiates, phencyclidine, benzodiazepines, amphetamines, cocaine, heroin, alcohol, and cannabinoids (except if medically indicated)

Treatment Details

Interventions

• Bifidobacterium longum NCC3001 (Probiotic)

Trial Overview The trial is testing Bifidobacterium longum NCC3001's effects on intestinal and psychological symptoms in IBS patients. It's a controlled study where participants are randomly assigned to receive either the test probiotic or a placebo without knowing which one they're getting.

Participant Groups

Group I: Probiotic Active Control 1 Intervention

Bifidobacterium longum \[BL NCC3001\]

Group II: Placebo Placebo Group 1 Intervention

Maltodextrin

Bifidobacterium longum NCC3001 is already approved in Canada for the following indications:

Approved in Canada as Bifidobacterium longum NCC3001 for:

• Irritable Bowel Syndrome

Who Is Running the Clinical Trial?

Société des Produits Nestlé (SPN)

Lead Sponsor

Trials

349

Recruited

63,400+

Nestlé

Lead Sponsor

Trials

322

Recruited

60,500+

Laurent Freixe

Nestlé

Chief Executive Officer

MBA from ESSEC Business School

Brian Groves

Nestlé

Chief Marketing Officer since 2023

Bachelor's degree in Marketing

McMaster University

Collaborator

Trials

936

Recruited

2,630,000+

Evan Stein

McMaster University

Chief Medical Officer since 2015

MD, PhD

Sam

McMaster University

Chief Executive Officer since 2023

MBA from McMaster University

Syneos Health

Collaborator

Trials

181

Recruited

69,600+

Costa Panagos

Syneos Health

Chief Executive Officer

Bachelor's degree in a relevant field (specific details not available)

Suma Ramadas

Syneos Health

Chief Medical Officer since 2022

PhD in a relevant field (specific details not available)

CERBA

Collaborator

Trials

2

Recruited

980+

Medidata Solutions

Industry Sponsor

Trials

25

Recruited

25,600+

CaligorRx, Inc.

Collaborator

Trials

2

Recruited

150+

CERBA Research

Collaborator

Trials

1

Recruited

150+

Findings from Research

In a double-blind, placebo-controlled trial involving 443 patients with irritable bowel syndrome (IBS), non-viable Bifidobacterium bifidum MIMBb75 significantly improved symptoms, with 34% of patients experiencing relief compared to 19% in the placebo group (p=0.0007).

The non-viable probiotic was well-tolerated, with no serious adverse events reported, and 91% of patients rated its tolerability as very good or good, suggesting it is a safe option for IBS treatment.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Heat-inactivated Bifidobacterium bifidum MIMBb75 (SYN-HI-001) in the treatment of irritable bowel syndrome: a multicentre, randomised, double-blind, placebo-controlled clinical trial. Andresen, V., Gschossmann, J., Layer, P.[2020]

In a non-interventional study involving 221 patients with IBS over 12 weeks, the probiotic Lactobacillus plantarum 299v (LP299V) significantly reduced overall IBS symptoms, including abdominal pain and flatulence, with a notable improvement in quality of life.

94% of patients reported good tolerability of LP299V, suggesting that long-term use of this probiotic is safe and effective for managing IBS symptoms in everyday conditions.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

[Treatment of IBS with Lactobacillus plantarum 299v: Therapeutic success increases with length of treatment - real-life data of a non-interventional study in Germany]. Krammer, H., Storr, M., Madisch, A., et al.[2022]

In a pilot study involving 16 patients with diarrhea-predominant irritable bowel syndrome (IBS-D), treatment with the probiotic Bifidobacterium longum ES1 for 12 weeks led to significant reductions in pro-inflammatory cytokines and improved gastrointestinal symptoms, particularly abdominal pain and stool consistency.

The study found that 50% of patients treated for 12 weeks reported a clinical response, while only 13% of those treated for 8 weeks did, suggesting that longer treatment duration may enhance efficacy.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Clinical Response and Changes of Cytokines and Zonulin Levels in Patients with Diarrhoea-Predominant Irritable Bowel Syndrome Treated with Bifidobacterium Longum ES1 for 8 or 12 Weeks: A Preliminary Report. Caviglia, GP., Tucci, A., Pellicano, R., et al.[2020]

Bifidobacterium longum W11 has been shown to significantly reduce symptoms in patients with irritable bowel syndrome (IBS) with constipation, based on a review of 7 clinical trials and various in vitro studies.

This probiotic strain is unique for its non-transmissible antibiotic resistance, allowing it to be safely co-administered with rifaximin, leading to improved clinical outcomes in patients with diverticular disease compared to rifaximin alone.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Bifidobacterium longum W11: Uniqueness and individual or combined clinical use in association with rifaximin. Di Pierro, F., Pane, M.[2021]

A review of seven selected studies, including three clinical trials, suggests that Bifidobacterium supplementation may improve symptoms in some patients with irritable bowel syndrome (IBS), but the evidence is not strong or consistent.

The meta-analysis indicated that Bifidobacterium alone does not show clear efficacy compared to other probiotics, highlighting the need for further research to establish its role in IBS treatment.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Supplementation With Bifidobacterium and Symptomatic Control in Irritable Bowel Syndrome: An Evidence-Based Review. Terra, I., Santeiro, C., da Fonseca Rua, J.[2023]

Bifidobacterium infantis 35624 (B. infantis 35624) is a probiotic that has been shown to effectively reduce both individual and overall symptoms of irritable bowel syndrome (IBS) in two randomized controlled trials.

This probiotic appears to be safe for use, as there were no reported increases in adverse events, making it a promising alternative treatment for IBS, especially given the lack of effective medications due to side effects.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Bifidobacterium infantis 35624: a novel probiotic for the treatment of irritable bowel syndrome. Brenner, DM., Chey, WD.[2022]

In a study of 44 adults with irritable bowel syndrome (IBS), the probiotic Bifidobacterium longum NCC3001 (BL) significantly reduced depression scores after 6 weeks compared to a placebo, with 14 out of 22 patients in the BL group showing improvement.

The use of BL also led to an increase in quality of life and altered brain activation patterns in response to negative emotional stimuli, suggesting a potential mechanism for its effects on depression in IBS patients.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Probiotic Bifidobacterium longum NCC3001 Reduces Depression Scores and Alters Brain Activity: A Pilot Study in Patients With Irritable Bowel Syndrome. Pinto-Sanchez, MI., Hall, GB., Ghajar, K., et al.[2022]

The probiotic strains Bifidobacterium longum KABP042 and Pediococcus pentosaceus KABP041 were found to be safe and effective in reducing the severity of functional gastrointestinal disorders (FGIDs) in infants, as shown in a pilot study with 36 infants over 14 days.

These strains demonstrated strong antimicrobial properties against various pathogens and improved gut health by enhancing the expression of tight junction proteins, indicating their potential as a therapeutic option for pediatric FGIDs.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Probiotic Properties of Bifidobacterium longum KABP042 and Pediococcus pentosaceus KABP041 Show Potential to Counteract Functional Gastrointestinal Disorders in an Observational Pilot Trial in Infants. Astó, E., Huedo, P., Altadill, T., et al.[2023]

In an 8-week study involving 37 adults with irritable bowel syndrome (IBS), the probiotic Bifidobacterium longum 35624® led to a significant 43.4% reduction in total IBS symptom scores, indicating effective symptom relief.

Over 60% of participants experienced clinically meaningful improvements in their IBS symptoms, with most reporting their treatment as 'good to satisfactory', and only one mild adverse event (nausea) was noted, suggesting the probiotic is well-tolerated.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

An 8-Week Course of Bifidobacterium longum 35624® Is Associated with a Reduction in the Symptoms of Irritable Bowel Syndrome. Lenoir, M., Wienke, J., Fardao-Beyler, F., et al.[2023]

In a real-life study involving 233 patients with irritable bowel syndrome (IBS), treatment with Bifidobacterium longum 35624 for 30 days significantly reduced IBS severity, with 57% of patients moving to lower severity categories or achieving remission.

The quality of life for patients improved as well, with a notable increase in scores on the IBS Quality of Life questionnaire, and 63.8% of patients reported satisfaction with the treatment.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Effect of Bifidobacterium longum 35624 on disease severity and quality of life in patients with irritable bowel syndrome. Sabaté, JM., Iglicki, F.[2022]

References

1. Netherlands pubmed.ncbi.nlm.nih.gov

Heat-inactivated Bifidobacterium bifidum MIMBb75 (SYN-HI-001) in the treatment of irritable bowel syndrome: a multicentre, randomised, double-blind, placebo-controlled clinical trial. [2020]

2. Germany pubmed.ncbi.nlm.nih.gov

[Treatment of IBS with Lactobacillus plantarum 299v: Therapeutic success increases with length of treatment - real-life data of a non-interventional study in Germany]. [2022]

3. Switzerland pubmed.ncbi.nlm.nih.gov

Clinical Response and Changes of Cytokines and Zonulin Levels in Patients with Diarrhoea-Predominant Irritable Bowel Syndrome Treated with Bifidobacterium Longum ES1 for 8 or 12 Weeks: A Preliminary Report. [2020]

4. England pubmed.ncbi.nlm.nih.gov

Bifidobacterium longum W11: Uniqueness and individual or combined clinical use in association with rifaximin. [2021]

5. United States pubmed.ncbi.nlm.nih.gov

Supplementation With Bifidobacterium and Symptomatic Control in Irritable Bowel Syndrome: An Evidence-Based Review. [2023]

6. United States pubmed.ncbi.nlm.nih.gov

Bifidobacterium infantis 35624: a novel probiotic for the treatment of irritable bowel syndrome. [2022]

7. Italy pubmed.ncbi.nlm.nih.gov

Effect of a symbiotic preparation on the clinical manifestations of irritable bowel syndrome, constipation-variant. Results of an open, uncontrolled multicenter study. [2015]

8. United States pubmed.ncbi.nlm.nih.gov

Probiotic Bifidobacterium longum NCC3001 Reduces Depression Scores and Alters Brain Activity: A Pilot Study in Patients With Irritable Bowel Syndrome. [2022]

9. Switzerland pubmed.ncbi.nlm.nih.gov

Probiotic Properties of Bifidobacterium longum KABP042 and Pediococcus pentosaceus KABP041 Show Potential to Counteract Functional Gastrointestinal Disorders in an Observational Pilot Trial in Infants. [2023]

10. United States pubmed.ncbi.nlm.nih.gov

An 8-Week Course of Bifidobacterium longum 35624® Is Associated with a Reduction in the Symptoms of Irritable Bowel Syndrome. [2023]

11. United States pubmed.ncbi.nlm.nih.gov

Effect of Bifidobacterium longum 35624 on disease severity and quality of life in patients with irritable bowel syndrome. [2022]