The Effect of a Probiotic Administration as an add-on Treatment in Multiple Sclerosis
PROBiMS
1 other identifier
interventional
80
1 country
1
Brief Summary
It is a randomized, double-blind, placebo-controlled clinical trial whose general objective of this study is to determine the effects of probiotic administration in multiple sclerosis patients. 80 patients with relapsing-remitting multiple sclerosis will be enrolled in the study. Patients will be randomly assigned to receive either a probiotic (n=40) or a placebo (n=40) stratified by type of medication, gender and use of hormonal contraceptive treatment. They will receive a probiotic (Lactibane Iki) or placebo sachet twice a day for six months.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable multiple-sclerosis
Started Jul 2025
Typical duration for not_applicable multiple-sclerosis
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 10, 2025
CompletedFirst Submitted
Initial submission to the registry
August 26, 2025
CompletedFirst Posted
Study publicly available on registry
September 11, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 31, 2027
September 23, 2025
September 1, 2025
2.5 years
August 26, 2025
September 22, 2025
Conditions
Outcome Measures
Primary Outcomes (1)
Increase in the percentage of Treg cells
6 months
Secondary Outcomes (4)
Immunological profile (percentage of positive cells): Th1 cells; Th17cells; Breg cells; DCs
6 months
Serum levels of NfL, GFAP, cytokines and CRP
6 months
Serum and fecal levels of SCFAs
6 months
Microbiota composition analysis
6 months
Study Arms (2)
Lactibane Iki
EXPERIMENTALPlacebo
PLACEBO COMPARATORInterventions
Patients will receive a probiotic sachet twice a day for six months. The probiotic, Lactibiane iki (Pileje; Paris, France), is composed of Bifidobacterium lactis LA 304, Lactobacillus acidophilus LA 201, and Lactobacillus salivarius LA 302 and contains 4x10E10 CFU/sachet.
Eligibility Criteria
You may qualify if:
- Patients aged 18-55 years, inclusive
- Diagnosis of RRMS (McDonald Criteria 2017 and Lublin phenotype classification 2014)
- Expanded disability status scale (EDSS) score less than or equal to 5.5
- Patients receiving a first line treatment with teriflunomide or dimethyl fumarate at a stable dose, for at least 24 weeks, or patients who are not receiving treatment because they do not want to receive a DMT after the investigator has informed them of their possible respective benefits and possible adverse events
- At enrollment, the patient is not expected to require a change in DMT
- Females of childbearing potential must have a negative urine pregnancy test result prior to initiation of study product
- For females of childbearing potential: agreement to use adequate contraceptive methods during the treatment period
- Ability to comply with the study protocol
- Patients must sign and date a written informed consent prior to entering the study
You may not qualify if:
- Relapse the month before enrollment
- Presence of a new lesion, indicative of radiological activity, on the MRI performed before starting the study
- Use of corticosteroids the month before enrollment
- Use of antibiotics three months before enrollment
- Taking other forms of symbiotic, probiotic, prebiotic and postbiotic supplements three months before enrollment
- Patients suffering from any type of bowel disease
- Pregnant or breastfeeding or intending to become pregnant during the study.
- Be menopausal
- Be a smoker
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Centre d'Esclerosi Mútiple de Catalunya (Cemcat)
Barcelona, Barcelona, 08035, Spain
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 26, 2025
First Posted
September 11, 2025
Study Start
July 10, 2025
Primary Completion (Estimated)
December 31, 2027
Study Completion (Estimated)
December 31, 2027
Last Updated
September 23, 2025
Record last verified: 2025-09