Probiotic Prophylaxis for Immunosuppressant Associated Diarrhea (IAD) Following Kidney Transplantation
1 other identifier
interventional
44
1 country
1
Brief Summary
We hypothesize that the administration of a combination of high numbers of probiotic bacteria will maintain normal bowel function and significantly moderate or obviate Immunosuppression Associated Diarrhea following kidney transplantation.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Jul 2006
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 1, 2006
CompletedFirst Submitted
Initial submission to the registry
August 11, 2006
CompletedFirst Posted
Study publicly available on registry
August 15, 2006
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2009
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2009
CompletedJuly 26, 2011
July 1, 2011
3.4 years
August 11, 2006
July 22, 2011
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
To maintain normal bowel function and significantly moderate or obviate Immunosuppression Associated Diarrhea following kidney transplantation, utilizing a daily questionnaire, stool cultures and C. Difficile.
5 months
Secondary Outcomes (1)
Determine the impact of IAD on therapeutic drug levels. Taper or change of immunosuppressive medications due to IAD.
5 months
Study Arms (2)
I
PLACEBO COMPARATORPlacebo
II
EXPERIMENTALProbiotic supplement
Interventions
Eligibility Criteria
You may qualify if:
- all subjects aged \>/= 18 years who qualify to receive a living (related or unrelated) or cadaveric kidney allograft using steroid free induction immunosuppression.
- single organ recipient (kidney only)
- subjects receiving first or second renal transplant
- women of child-bearing potential should have a negative serum pregnancy test within 1 week prior to beginning study medications
- subjects with no known contraindications to treatment with any of the study drugs
- subjects providing written consent
- subjects who are compliant and able to complete all the necessary assessment procedures
You may not qualify if:
- Subjects \< 18 years of age
- Subjects who do not meet criteria for steroid free protocol
- subjects with known intolerance to lactobacillus
- subjects with history of chronic diarrhea
- subjects with history of gastrointestinal disorder that may interfere with their ability to absorb oral medication: inflammatory bowel disease, irritable bowel syndrome, short gut syndrome, or ileo jejunal surgery
- subjects with known laxative abuse
- subjects with pancreatic insufficiency
- subjects who are pregnant, lactating or nursing
- subjects with active peptic ulcer disease
- child bearing women not willing to use a reliable form of contraception
- subjects with prior history of C. difficile
- subjects receiving other medications considered to be experimental for control of diarrhea
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Swedish Medical Centerlead
- Hoffmann-La Rochecollaborator
Study Sites (1)
Swedish Medical Center
Seattle, Washington, 98122, United States
Related Publications (1)
Cooper TE, Scholes-Robertson N, Craig JC, Hawley CM, Howell M, Johnson DW, Teixeira-Pinto A, Jaure A, Wong G. Synbiotics, prebiotics and probiotics for solid organ transplant recipients. Cochrane Database Syst Rev. 2022 Sep 20;9(9):CD014804. doi: 10.1002/14651858.CD014804.pub2.
PMID: 36126902DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
William H Marks, MD, PhD
Swedish Medical Center
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
August 11, 2006
First Posted
August 15, 2006
Study Start
July 1, 2006
Primary Completion
December 1, 2009
Study Completion
December 1, 2009
Last Updated
July 26, 2011
Record last verified: 2011-07