Modulation of Gut Microbiota in Early Sepsis: A Pilot Study
MGM-sepsis
1 other identifier
interventional
15
1 country
1
Brief Summary
Background Sepsis is a common disease leading to high morbidity and mortality. Gut microbiota and/or gut permeability may play a crucial role in the development of organ dysfunction. Hypothesis The ingestion of a multispecies probiotic in early sepsis is able to modulate gut microbiota and/or gut permeability.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable sepsis
Started Sep 2015
Typical duration for not_applicable sepsis
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
First Submitted
Initial submission to the registry
June 3, 2015
CompletedFirst Posted
Study publicly available on registry
June 11, 2015
CompletedStudy Start
First participant enrolled
September 1, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 31, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2018
CompletedMarch 29, 2018
March 1, 2018
11 months
June 3, 2015
March 27, 2018
Conditions
Outcome Measures
Primary Outcomes (1)
Gut microbiota composition
next generation sequencing
4 weeks
Secondary Outcomes (4)
gut permeability
4 weeks
endotoxin
4 weeks
soluble sepsis markers
4 weeks
neutrophil function
4 weeks
Study Arms (2)
Probiotic
ACTIVE COMPARATOR5 g of Winclove-607 containing Bifidobacterium bifidum W23, Bifidobacterium lactis W51, Enterococcus faecium W54, Lactobacillus acidophilus W37, Lactobacillus acidophilus W55, Lactobacillus paracasei W20, Lactobacillus plantarum W1, Lactobacillus plantarum W62, Lactobacillus rhamnosus W71, Lactobacillus salivarius W24 at a concentration of 1.1 x 109 cfu/g twice daily for the 4 weeks
Placebo
PLACEBO COMPARATORa similar looking and tasting placebo without bacteria once daily for 4 weeks
Interventions
Eligibility Criteria
You may qualify if:
- Participant is willing and able to give informed consent for participation in the study.
- Age above 18 years
- Sepsis as defined by the presence of a systemic inflammatory response syndrome (2 out of the four: elevated heart rate (tachycardia) \>90 beats per minute at rest; body temperature either high (\>100.4 F or 38 C) or low (\<96.8 F or 36 C); increased respiratory rate of \>20 breaths per minute or a reduced partial pressure of carbon dioxide (PaCO2) in arterial blood level; abnormal white blood cell count (\>12,000 cells/µL or \<4,000 cells/µL or \>10% bands \[an immature type of white blood cell\]) and a known or suspected infection
- Blood cultures ordered by the attending physician
You may not qualify if:
- Severe sepsis or septic shock as defined by the Surviving Sepsis Guidelines \[1\]
- Admission to any intensive care unit or intermediate care unit for any reason
- soluble urokinase plasminogen activator receptor (sUPAR) level at admission \>9.15 ng/mL \[19\]
- Positive beta-D-glycan test
- Patients receiving (par)enteral nutrition
- Presence or suspicion of acute pancreatitis
- Inability to understand and sign an informed consent
- Pregnancy or women of childbearing age without adequate contraception
- Women who are breast-feeding
- Known malignancy or any other condition or circumstance, which, in the opinion of the investigator, would affect the patient's ability to participate in the protocol
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Department of Internal Medicine, Medical University of Graz
Graz, 8036, Austria
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Vanessa Stadlbauer-Köllner, MD
Medical University of Graz
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 3, 2015
First Posted
June 11, 2015
Study Start
September 1, 2015
Primary Completion
July 31, 2016
Study Completion
March 1, 2018
Last Updated
March 29, 2018
Record last verified: 2018-03