Interest of Propionibacterium Freudenreichii for the Treatment of Mild to Moderate Ulcerative Colitis (EMMENTAL)
Ulcerative colitis (UC) is an immune mediated chronic inflammatory bowel disease that results at least in part of an abnormal immune response to environmental factors including the intestinal microbiota. Thus, use of probiotics (microorganisms that are believed to provide health benefits when consume) may restore the gastrointestinal microbiota and reduce intestinal inflammation.
Propionibacterium freudenreichii is used for the production of fermented food products (cheese). Some selected strains have strong anti-inflammatory properties. Use of cheese based on a monoxenic culture of anti-inflammatory strain of Propionibacterium freudenreichii may decrease disease activity during ulcerative colitis.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Rennes, France, 35033
- CHU de Rennes
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patient with age above 18 years old
- Patient with diagnosis of ulcerative colitis for at least 6 months.
- Patient with mayo endoscopic score ≥ 1
- Patient with mild to moderate disease activity (3 < SCCI < 12)
- Ongoing treatment by mesalamine, steroids, thiopurines or Tumor Necrosis Factor antagonist at stable dose.
- Patients who have given written informed consent.
Exclusion Criteria:
- Adults legally protected (under judicial protection, guardianship, or supervision), persons deprived of their liberty.
- Psychiatric disease that alter the judgment
- Stoma
- Proctocolectomy
- Severe disease (SCCI >12, acute severe colitis)
- Steroid dose > 10 mg/j or introduction of steroid (topic or oral) within 4 weeks
- Introduction or dose optimization of TNF antagonist within 4 months
- Introduction or dose optimization of thiopurine
- Hemoglobin level < 11,5 g/dL, Platelets > 400000/mm3, Leukocytosis > 10 000/mm3
- Intolerant to lactose
- Disease extent limited to the rectum
- Mayo endoscopic subscore of 3
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Probiotics
Oral daily take of probiotics in the form of cheese portion (50g) during 8 weeks
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Response rate
Time Frame: Week 8
|
Response rate is defined by a decrease of at least two points of the Simple Clinical Colitis Index (SCCI)
|
Week 8
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Rate of clinical response
Time Frame: Week 4
|
Week 4
|
|
|
Rate of clinical remission
Time Frame: Week 4
|
Clinical remission rate is defined by a SCCI<3
|
Week 4
|
|
Rate of clinical remission
Time Frame: Week 8
|
Clinical remission rate is defined by a SCCI<3
|
Week 8
|
|
Rate of mucosal healing
Time Frame: Week 8
|
Mucosal Healing is defined by a Mayo endoscopic subscore of 0 or 1
|
Week 8
|
|
Rate of deep (clinical and endoscopic) remission
Time Frame: Week 8
|
Deep remission is defined clinically and by endoscopic exams
|
Week 8
|
|
Side effects
Time Frame: Week 8
|
Assessment of adverse events
|
Week 8
|
|
Rate of response based on presence of Proprionibacterium freudenreichii in stools at week 0
Time Frame: Week 8
|
Proprionibacterium freudenreichii analysis in stools
|
Week 8
|
|
Remission rate based on presence of Proprionibacterium freudenreichii in stools at week 0
Time Frame: Week 8
|
Proprionibacterium freudenreichii analysis in stools
|
Week 8
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 2015-000835-34
- 35RC14_9817_EMMENTAL (Other Identifier: CHU de Rennes)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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