Food Supplementation With VSL#3 as a Support to Standard Pharmaceutical Therapy in Ulcerative Colitis
Food Supplementation With the Probiotic Preparation VSL#3 as a Support to Standard Pharmaceutical Therapy in Patients With Mild to Moderate Active Ulcerative Colitis. A Double-blind, Randomized, Placebo Controlled Study
1 other identifier
interventional
144
1 country
13
Brief Summary
This is a double-blind, randomized, placebo controlled study to assess the beneficial effects of food supplementation with VSL#3 as a support to standard pharmaceutical therapy in patients affected by mild to moderate active ulcerative colitis.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Oct 2006
Typical duration for not_applicable
13 active sites
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
October 1, 2006
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2008
CompletedFirst Submitted
Initial submission to the registry
August 2, 2009
CompletedFirst Posted
Study publicly available on registry
August 4, 2009
CompletedAugust 4, 2009
August 1, 2009
August 2, 2009
August 3, 2009
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
The primary outcome is the evaluation of the beneficial effects of food supplementation with VSL#3 in patients affected by UC, assessed by a decrease in the UCDAI of 50% or more
8 weeks
Secondary Outcomes (4)
Activity of ulcerative colitis
8 weeks
Change in subjective symptoms from baseline to weeks 2, 4 and 8 of food supplementation with VSL#3
8 weeks
Lack of beneficial effects, defined by need for further food supplementation
8 weeks
Inability to stay on study
8 weeks
Study Arms (2)
VSL#3
EXPERIMENTALProbiotic preparation VSL#3
placebo
PLACEBO COMPARATORCorn Starch
Interventions
Eligibility Criteria
You may qualify if:
- Male and female patients aged more than 18 years;
- Diagnosis of ulcerative colitis established by previous colonoscopy, with consistent histology and clinical course;
- Ulcerative colitis extending for more than 15 cm from the anal verge, that is involving at least the rectosigmoid. This is based on colonoscopy at any time since the onset of ulcerative colitis. Activity (not extent) must be confirmed by colonoscopy at the beginning of the study;
- Mild to moderate active ulcerative colitis. Patients must have a minimum score of 3 and a maximum score of 8 on the 12 point UCDAI (Ulcerative Colitis Disease Activity Index - see Appendix 3) that measures stool frequency, rectal bleeding, endoscopic findings and physician's overall assessment of disease severity;
- Symptomatic (current episode) for less than 4 weeks;
- Minimum endoscopic score of 2 on the UCDAI at screening (mucosal appearance);
- Use of oral 5-ASA at least 4 weeks prior to study entry, at same dose; and/or use of Azathioprine or 6-mercaptopurine at least 3 months prior to study entry, at same dose;
- Negative pregnancy test on screening and agreeing to use valid contraception for the duration of the study;
- Patient not requiring hospitalisation;
- Willing an able to provide written informed consent
You may not qualify if:
- Crohn's disease or pouchitis;
- UCDAI greater than 8 (need for emergency surgery or presence of severe disease;
- Use of oral steroids within the last 4 weeks prior to study entry;
- Use of antibiotics within the last 2 weeks prior to study entry;
- Change in dose of oral 5-ASA within the last 4 weeks prior to study entry and throughout the 8 week study period, or change in dose of oral 6-mercaptopurine and azathioprine drugs within the last 3 months prior to study entry and throughout the 8 week study period;
- Use of rectal 5-ASA or steroids for one week before and throughout the 8 week study period;
- Use of probiotic preparations either prescribed or over-the-counter within 2 weeks prior to study entry;
- Use of NSAIDS for one week before and throughout the 8 week study period;
- Significant hepatic, renal, endocrine, respiratory, neurological or cardiovascular disease as determined by the Investigator;
- History of severe adverse reaction or known hypersensitivity to maltose and/or silicon dioxide;
- Patient requiring hospitalisation;
- Pregnant or lactating women, or women of child bearing potential not using an acceptable form of birth control (negative pregnancy test also required);
- Use of any investigational drug and/or participation in any clinical trial within 3 months of entry to this study;
- Inability to give a valid informed consent or to properly follow the protocol
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (13)
U.O. di Medicina Interna Ospedaliera Policlinico di Bari
Bari, 70023, Italy
Reparto di Gastroenterologia ed Endoscopia Digestiva Azienda Ospedaliera Pugliese-Ciaccio
Catanzaro, 88100, Italy
U.O. Fisiopatologia Digestiva Azienda Ospedaliera Mater Domini Campus Universitario di Germaneto
Catanzaro, 88100, Italy
Dipartimento di Chirurgia Generale Servizio di Endoscopia Digestiva Ospedale Santa Maria Goretti
Latina, 04100, Italy
U.O. di Endoscopia Digestiva Presidio Ospedaliero San Salvatore
L’Aquila, 67100, Italy
Struttura Complessa di Medicina Interna Azienda Ospedaliera Villa Sofia - CTO Ospedale Villa Sofia
Palermo, 90146, Italy
U.O. di Nutrizione Clinica Ospedale Sant'Eugenio
Roma, 00144, Italy
P.O. Nuovo Regina Margherita Unità Operativa di Endoscopia e Gastroenterologia
Roma, 00153, Italy
Dipartimento di Medicina Interna U.O. di Gastroenterologia ed Endoscopia Digestiva Ospedale Cristo Re
Roma, 00167, Italy
Istituto di Medicina Interna CIC Columbus Policlinico Universitario Agostino Gemelli Università Cattolica del Sacro Cuore
Roma, 00168, Italy
Unità di Endoscopia Azienda Ospedaliera Sant'Andrea
Roma, 00189, Italy
Divisione di Gastroenterologia Istituto Clinico Humanitas
Rozzano (MI), 20089, Italy
U.O.C. Endoscopia Digestiva IRCCS Ospedale Casa Sollievo della Sofferenza
San Giovanni Rotondo (FG), 71013, Italy
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Claudio De Simone, Prof.
VSL Pharmaceuticals
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
Study Record Dates
First Submitted
August 2, 2009
First Posted
August 4, 2009
Study Start
October 1, 2006
Study Completion
October 1, 2008
Last Updated
August 4, 2009
Record last verified: 2009-08