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Lactose IntoleranceNCT03814668

Effect of Probiotic Supplementation on Lactose Maldigestion Induced by Lactose Solution

A study testing Probiotic and Lactase in people with Lactose Intolerance, run by Danisco at 1 site in France.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Study objectives: Primary: Difference in breath hydrogen concentration (BHC, ppm) in lactase and probiotic groups compared to placebo, measured by the incremental area under curve (iAUC) analysis Non-inferiority in breath hydrogen concentration (BHC, ppm) of probiotic group compared to lactase group, measured by the… Read more about this study

Who is it for?
Ages 25 to 65 yearsHealthy volunteers can take part
Conditions the study is for
Lactose Intolerance
What is being tested?
Probiotic and Lactase
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
34 participants
Where
1 siteFrance
Study dates
5 Nov 2018to 30 Apr 2019
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 25 to 65 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Voluntary, written, informed consent to participate in the study
  • Agreement to comply with the protocol and study restrictions
  • Healthy females and males of age 25 to 60 years (inclusive)
  • Self-declared, suspected or medically diagnosed lactose intolerance
  • Increase of more than 20 ppm in breath hydrogen within 3 h from the baseline fasting breath hydrogen value
  • Participants who agree to maintain their usual dietary habits throughout the trial period
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  • Participants who agree not to consume probiotics, prebiotics, fermented milk, and/or yogurt containing probiotics during the intervention period (Visits 3-5) and two weeks before Visit 3 (2 weeks after screening visit)
  • Females of child-bearing potential who agree to use a medically approved method of birth control
  • Ability of the participant (in the investigator's opinion) to comprehend the full nature and purpose of the study including possible risks and side effects
  • Covered by Health Insurance System and / or in compliance with the recommendations of National Law in force relating to biomedical research

Who cannot join

  • Gastrointestinal disorder or disease (e.g. Crohn's disease, ulcer, irritable bowel syndrome (IBS), Celiac disease, small intestinal bacterial overgrowth (SIBO), pancreatitis and disorders affecting gastrointestinal motility)
  • Diagnosed type 1 or type 2 diabetes
  • Prior abdominal surgery that, in the opinion of the investigator, may present a risk for the participant or affect study results
  • Ongoing or recent (last 1 month) antibiotic treatment.
  • Use of laxatives or drugs known to affect gut motility 1 month preceding the screening visit and during the study
  • Ongoing or recurrent use of proton pump inhibitors
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  • Colonoscopy within 3 months before screening
  • History of recurrent colon cleansing and/or a colon cleansing within 3 months before screening
  • Gastrointestinal infection within 1 month before screening or during the trial
  • Clinically significant underlying systemic illness that may preclude the participant's ability to complete the trial or that may affect the study outcomes (e.g. bowel cancer, prostate cancer, terminal illness)
  • History of diagnosed coronary heart disease/cardiovascular disease or artificial heart valve
  • Any obstructive or restrictive respiratory syndrome/disease that may impact breath test (e.g. asthma or chronic obstructive pulmonary disease (COPD))
  • Regular use of tobacco, snuff, nicotine and e-cigarette, and possible other inhaled products. Light smokers (less than 5 cigarettes per day) who agree not to smoke during the whole duration of the study may be included.
  • Self-declared history of alcohol abuse (for females: >3 drinks on any single day and >7 drinks per week; for males: >4 drinks on any single day and >14 drinks per week)
  • Self-declared use of illicit drugs within 4 weeks preceding the screening visit
  • Pregnant or lactating female, or pregnancy planned during study period
  • Participants under administrative or legal supervision.
  • Participation in another study with any investigational product within 60 days of screening
  • Clinically significant abnormal values in safety blood tests at screening
  • Other reasons that, in the opinion of the Investigator, make the participant unsuitable for enrolment
  • Who would receive more than 4500€ as indemnities for his participation in biomedical research within the last 12 months, including the indemnities for the present study.

Trial locations and contacts

1 site in 1 country.

France1 site
  • Eurofins Optimed

    Gières, 38610

Other trials in France

About this study

Official title: Effect of Probiotic Supplementation on Lactose Maldigestion Induced by Lactose Solution: Randomized, Double-blind, Placebo-controlled, Positive-controlled, Three-way Crossover, Acute Lactose Challenge

Study objectives:

Primary:

Read more

Difference in breath hydrogen concentration (BHC, ppm) in lactase and probiotic groups compared to placebo, measured by the incremental area under curve (iAUC) analysis

Non-inferiority in breath hydrogen concentration (BHC, ppm) of probiotic group compared to lactase group, measured by the incremental area under curve (iAUC) analysis

Secondary:

Breath test

  • Breath hydrogen peak value (ppm) in lactase and probiotic groups compared to placebo
  • Cumulative breath hydrogen (ppm) in lactase and probiotic groups compared to placebo

Acute gastrointestinal symptoms (severity or presence/absence to be defined on a Likert scale) in lactase and probiotic groups compared to placebo

  • Abdominal pain
  • Flatulence
  • Bloating
  • Nausea and vomiting
  • Bowel movements and diarrhea (if present, stool consistency to be defined on Bristol stool scale and number of bowel movements to be recorded)

Ancillary:

  • Baseline fasting BHC (ppm)
  • Breath methane CH4 (ppm)
  • Breath carbon dioxide CO2 (ppm)
  • Probiotic identification in feces before each lactose challenge by molecular methods
  • Gene test to determine lactase deficiency status at screening (following SNP variants to be screened: 13910*C (Europe, Central Asia, commonly used) -22018*G (Europe), -13915*T (Saudi-Arabia, Africa), -14010*G (Africa), -13907*C (Africa))
Being tested
Probiotic, Lactase, Placebo
Medical subject headings
Lactose Intolerance

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • ProbioticDietary supplement

    Intake of probiotic

  • LactaseDietary supplement

    Intake of lactase

  • PlaceboOther

    Intake of placebo

Study groups in NCT03814668
Study groupRoleWhat they receive
Probiotic powderExperimentalOne sachet of Probiotic powderwill be consumed with 25 g lactose in 250 ml of water in the beginning of a 6-hour challenge at the study visits.
Receives: Dietary Supplement: Probiotic
LactaseActive comparatorOne sachet of Lactase powder will be consumed with 25 g lactose in 250 ml of water in the beginning of a 6-hour challenge at the study visits.
Receives: Dietary Supplement: Lactase
PlaceboPlacebo comparatorOne sachet of placebo powder will be consumed with 25 g lactose in 250 ml of water in the beginning of a 6-hour challenge at the study visits.
Receives: Other: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Difference in breath hydrogen concentration (BHC, ppm) in probiotic group compared to placebo

    Difference in breath hydrogen concentration (BHC, ppm) in probiotic compared to placebo, measured by the iAUC analysis

    Measured: During the 6-hour acute lactose challenge

  2. Difference in breath hydrogen concentration (BHC, ppm) in lactase group compared to placebo

    Difference in breath hydrogen concentration (BHC, ppm) in lactase group compared to placebo, measured by the iAUC analysis

    Measured: During the 6-hour acute lactose challenge

  3. Non-inferiority in breath hydrogen concentration (BHC, ppm) of probiotic group compared to lactase group (positive control)

    Non-inferiority in breath hydrogen concentration (BHC, ppm) of probiotic group compared to lactase group (positive control), measured by the iAUC analysis

    Measured: During the 6-hour acute lactose challenge

Secondary outcomes (18)
  1. Difference in breath hydrogen concentration (BHC, ppm) in lactase group compared to placebo, measured by breath hydrogen peak value

    Difference in breath hydrogen concentration (BHC, ppm) in lactase group compared to placebo, measured by breath hydrogen peak value

    Measured: During the 6-hour acute lactose challenge

  2. Difference in breath hydrogen concentration (BHC, ppm) in probiotic group compared to placebo, measured by breath hydrogen peak value

    Difference in breath hydrogen concentration (BHC, ppm) in probiotic group compared to placebo, measured by breath hydrogen peak value

    Measured: During the 6-hour acute lactose challenge

  3. Difference in breath hydrogen concentration (BHC, ppm) in lactase group compared to placebo, measured by cumulative breath hydrogen value

    Difference in breath hydrogen concentration (BHC, ppm) in lactase group compared to placebo, measured by cumulative breath hydrogen value

    Measured: During the 6-hour acute lactose challenge

  4. Difference in breath hydrogen concentration (BHC, ppm) in probiotic group compared to placebo, measured by cumulative breath hydrogen value

    Difference in breath hydrogen concentration (BHC, ppm) in probiotic group compared to placebo, measured by cumulative breath hydrogen value

    Measured: During the 6-hour acute lactose challenge

  5. Difference in the severity of abdominal pain in lactase group compared to placebo, as defined by the gastrointestinal symptom survey

    Difference in the severity of abdominal pain in lactase group compared to placebo, as defined by the gastrointestinal symptom survey

    Measured: During the 6-hour acute lactose challenge

  6. Difference in the severity of abdominal pain in probiotic group compared to placebo, as defined by the gastrointestinal symptom survey

    Difference in the severity of abdominal pain in probioticgroup compared to placebo, as defined by the gastrointestinal symptom survey

    Measured: During the 6-hour acute lactose challenge

  7. Difference in the severity of flatulence in lactase group compared to placebo, as defined by the gastrointestinal symptom survey

    Difference in the severity of flatulence in lactase group compared to placebo, as defined by the gastrointestinal symptom survey

    Measured: During the 6-hour acute lactose challenge

  8. Difference in the severity of flatulence in probiotic group compared to placebo, as defined by the gastrointestinal symptom survey

    Difference in the severity of flatulence in probiotic group compared to placebo, as defined by the gastrointestinal symptom survey

    Measured: During the 6-hour acute lactose challenge

  9. Difference in the severity of bloating in lactase group compared to placebo, as defined by the gastrointestinal symptom survey

    Difference in the severity of bloating in lactase group compared to placebo, as defined by the gastrointestinal symptom survey

    Measured: During the 6-hour acute lactose challenge

  10. Difference in the severity of bloating in probiotic group compared to placebo, as defined by the gastrointestinal symptom survey

    Difference in the severity of bloating in probiotic group compared to placebo, as defined by the gastrointestinal symptom survey

    Measured: During the 6-hour acute lactose challenge

  11. Difference in the severity of nausea in lactase group compared to placebo, as defined by the gastrointestinal symptom survey

    Difference in the severity of nausea in lactase group compared to placebo, as defined by the gastrointestinal symptom survey

    Measured: During the 6-hour acute lactose challenge

  12. Difference in the severity of nausea in probioticgroup compared to placebo, as defined by the gastrointestinal symptom survey

    Difference in the severity of nausea in probiotic group compared to placebo, as defined by the gastrointestinal symptom survey

    Measured: During the 6-hour acute lactose challenge

  13. Difference in the presence of vomiting in lactase group compared to placebo, as defined by the gastrointestinal symptom survey

    Difference in the presence of vomiting in lactase group compared to placebo, as defined by the gastrointestinal symptom survey

    Measured: During the 6-hour acute lactose challenge

  14. Difference in the presence of vomiting in probiotic group compared to placebo, as defined by the gastrointestinal symptom survey

    Difference in the presence of vomiting in probiotic group compared to placebo, as defined by the gastrointestinal symptom survey

    Measured: During the 6-hour acute lactose challenge

  15. Difference in the presence of bowel movements in lactase group compared to placebo, as defined by the gastrointestinal symptom survey

    Difference in the presence of bowel movements in lactase group compared to placebo, as defined by the gastrointestinal symptom survey

    Measured: During the 6-hour acute lactose challenge

  16. Difference in the presence of bowel movements in probiotic group compared to placebo, as defined by the gastrointestinal symptom survey

    Difference in the presence of bowel movements in probiotic group compared to placebo, as defined by the gastrointestinal symptom survey

    Measured: During the 6-hour acute lactose challenge

  17. Difference in the presence of diarrhea in lactase group compared to placebo, as defined by the gastrointestinal symptom survey

    Difference in the presence of diarrhea in lactase group compared to placebo, as defined by the gastrointestinal symptom survey

    Measured: During the 6-hour acute lactose challenge

  18. Difference in the presence of diarrhea in probiotic group compared to placebo, as defined by the gastrointestinal symptom survey

    Difference in the presence of diarrhea in probiotic group compared to placebo, as defined by the gastrointestinal symptom survey

    Measured: During the 6-hour acute lactose challenge

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted24 Jan 2019
  2. Study start5 Nov 2018
  3. Primary completion30 Apr 2019
  4. Study completion30 Apr 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Other
Allocation
Randomised
Intervention model
Crossover
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
34 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03814668
Sponsor's protocol ID
NH-03978
Status last verified
Aug 2019
First submitted
20 Jan 2019
Last updated
13 Aug 2019
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Rasinkangas P, Forssten SD, Marttinen M, Ibarra A, Bothe G, Junnila J, Uebelhack R, Donazzolo Y, Ouwehand AC. Bifidobacterium animalis subsp. lactis Bi-07 supports lactose digestion in vitro and in randomized, placebo- and lactase-controlled clinical trials. Am J Clin Nutr. 2022 Dec 19;116(6):1580-1594. doi: 10.1093/ajcn/nqac264.

    PubMed 36149331

Questions about this trial

What is this clinical trial studying?

A study testing Probiotic and Lactase in people with Lactose Intolerance, run by Danisco at 1 site in France.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 10 inclusion and 21 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 13 Aug 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in France. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Difference in breath hydrogen concentration (BHC, ppm) in probiotic group compared to placebo (time frame: During the 6-hour acute lactose challenge). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03814668, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Aug 2019.

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