A Controlled Trial to Evaluate the Effects of GanedenBC30 on the Immune System

Improvement in the rate of bacterial translocation may lead to a decrease in a chronic inflammatory response thereby decreasing CD4 destruction and HIV proliferation.

By the addition of probiotics we hope to show a reduction in LPS leading to a decrease in chronic inflammation and therefore an improvement in immune markers.

Study Overview

• Status: Completed
• Conditions: HIV Infection; Gastrointestinal Symptoms
• Intervention / Treatment: Dietary supplement: GanedenBC30, GBI-30, PTA-6086; Drug: Placebo

• Study Type: Interventional
• Enrollment (Actual): 24
• Phase: Phase 2

Contacts and Locations

Study Locations

• United States
  • California
    • Beverly Hills, California, United States, 90211
      • AHF Research Center

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (ADULT, OLDER_ADULT)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Patient is male or non-pregnant, non-lactating female.
• Adults 18 years or older.
• Is able to provide written, informed consent to participate in the study.
• Serological documentation of HIV infection at any time prior to study entry and is clinically stable.
• Stable CD4 count greater than or equal to 250 cells/cubic mm for six months prior to study entry (+/- 50 cells/cubic mm).
• HIV-1 RNA ≤50 copies/mL for six months prior to study entry.
• Karnofsky performance status - 60%.

• Adequate laboratory parameters within the last 30 days:

  1. absolute neutrophil count >1000 cells/cubic mm
  2. hemoglobin >9.0 g/dL
  3. platelets >75,000/cubic mm
  4. creatinine <1.5 x upper limit of normal
  5. SGOT/SGPT <3.0 x upper limit of normal
  6. bilirubin <2.0 mg/dL
• Patients with documented GI symptoms to include but are not limited to: flatulence, diarrhea, bloating, gastroesophageal reflux disease, nausea, and constipation.
• If females are of childbearing potential, they must be practicing an effective method of contraception and agree to use birth control while on protocol and for 1 month after completion of study. Women of Child Bearing Potential (WOCBP) must have a negative serum or urine pregnancy test (minimum sensitivity 25 IU/L or equivalent units of HCG) within 72 hours prior to start of study medication. WOCBP include any female who has experienced menarche and who has not undergone successful surgical sterilization (hysterectomy, bilateral tubal ligation or bilateral oophorectomy) or is not. postmenopausal [defined as amenorrhea for 12 consecutive months; or women on hormone replacement therapy (HRT) with documented serum follicle stimulating hormone (FSH) level > 35 mIU/mL]. Even women who are using oral, implanted or, injectable contraceptive hormones or mechanical products such as an intrauterine device or barrier methods (diaphragm, condoms, spermicides) to prevent pregnancy or practicing abstinence or where partner is sterile (e.g., vasectomy), should be considered to be of child bearing potential.
• Must agree to practice protected sexual activity (via barrier method) during course of the study.
• In the opinion of the investigator, is willing and able to comply with the study requirements.

Exclusion Criteria:

• Active opportunistic infection, which is progressive, or imminently disabling or life threatening, in the judgment of the Principal Investigator with exception of Kaposi Sarcoma.
• Cytotoxic chemotherapy, interferon treatment, or radiation therapy within the preceding 3 weeks (subjects who have received intralesional chemotherapy will not be excluded, however).
• Any antibiotic therapy within 30 days of enrollment
• Any probiotic formulation within 30 days of enrollment
• Any immunization within 30 days of enrollment
• Known history of allergic reactions to any of the investigational products or their ingredients.
• Chronic treatment with immunosuppressant drugs, including corticosteroids, except for the treatment of adrenal insufficiency. Topical steroids are permitted.
• History of or known current malabsorption syndrome.
• Any grade 3 or 4 lab abnormalities as defined by a standardized grading scheme based on the DAIDS table (see Appendix B) with the following exceptions:
• Pre-existing diabetes with glucose toxicity elevations ≥ grade 3
• Triglyceride or total cholesterol elevations ≥ grade 3
• Clinical or laboratory evidence of clinically significant liver impairment/ dysfunction, disease or cirrhosis.
• Life expectancy < 6 months in the opinion of the investigator.
• Active substance abuse or significant psychiatric illness that in the opinion of the investigator might interfere with study compliance.
• Female subject of childbearing potential not using effective non-hormonal birth control methods or not willing to continue practicing these birth control methods from screening until the last trial related activity.
• Subject is pregnant or lactating.
• Any condition that in the Principal Investigator's opinion may render the subject unable to complete the study or which may pose significant risk to the subject.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: TREATMENT
• Allocation: RANDOMIZED
• Interventional Model: PARALLEL
• Masking: QUADRUPLE

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
PLACEBO_COMPARATOR: Placebo	Drug: Placebo; 1 capsule per day for 90 days.
EXPERIMENTAL: GanedenBC30, GBI-30, PTA-6086	Dietary supplement: GanedenBC30, GBI-30, PTA-6086; 1 capsule per day containing 2 billion CFU of GanedenBC30, GBI-30, PTA-6086 for 90 days.; Other Names: Probiotics; Bacillus coagulans

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Effects of Daily Consumption of GanedenBC30 on Immune Function and Gastro-intestinal Issues	The primary endpoint measurement of safety is measured based on the number of adverse events reported relative to the expected number adverse events prior to the start of the study based on a risk analysis. The primary endpoint measurement of immune function is measured based on biological markers including CRP, IL-8 and TNF-alpha between the two groups. The primary endpoint measurement of gastro-intestinal issues is measured based on the number of reported symptoms relative to the expected number of gastro-intestinal issues prior to the start of the study based on a risk analysis.	30, 60, and 90 days.

Collaborators and Investigators

• Sponsor: AIDS Healthcare Foundation
• Collaborators: Ganeden Biotech, Inc.

Study record dates

Study Major Dates

• Study Start: August 1, 2010
• Primary Completion (ACTUAL): July 1, 2012
• Study Completion (ACTUAL): July 1, 2012

Study Registration Dates

• First Submitted: August 17, 2010
• First Submitted That Met QC Criteria: August 17, 2010
• First Posted (ESTIMATE): August 19, 2010

Study Record Updates

• Last Update Posted (ACTUAL): January 13, 2021
• Last Update Submitted That Met QC Criteria: January 11, 2021
• Last Verified: January 1, 2021

More Information

Terms related to this study

• Keywords: HIV; Acquired Immunodeficiency Syndrome; AIDS; Human Immunodeficiency Virus
• Additional Relevant MeSH Terms: RNA Virus Infections; Virus Diseases; Infections; Blood-Borne Infections; Communicable Diseases; Sexually Transmitted Diseases, Viral; Sexually Transmitted Diseases; Lentivirus Infections; Retroviridae Infections; Immunologic Deficiency Syndromes; Immune System Diseases; HIV Infections
• Other Study ID Numbers: AHF-GAN01