30 Participants Needed

Probiotics for Imbalance of Microbes

YB
AR
Overseen ByAlexandria Ramirez
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Mayo Clinic
Must be taking: Proton pump inhibitors

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests whether the probiotic Lactobacillus rhamnosus GG can balance gut microbes disrupted by the common acid reflux medication omeprazole. The researchers aim to determine if this probiotic positively affects gut health by comparing it to a placebo. Participants will receive either the probiotic or a placebo while taking omeprazole. Healthy individuals without ongoing gut issues who follow a regular diet, free from restrictions or fad diets, might be suitable for this study. As an unphased trial, it offers participants the chance to contribute to understanding the potential benefits of probiotics on gut health.

Will I have to stop taking my current medications?

The trial does not specify if you need to stop taking your current medications, but it excludes those who use medications daily that affect gastrointestinal function.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research has shown that Lactobacillus rhamnosus GG (LGG) is generally safe for people. One study found that LGG is safe and can improve gut health. Another study demonstrated that LGG supports healthy gut bacteria, indicating it is well-tolerated.

Omeprazole, the other treatment in the trial, is an FDA-approved medication for acid reflux that reduces stomach acid. It is commonly prescribed and considered safe for most people, though it can have side effects like any medication.

Overall, evidence supports the safety of both treatments in this trial for human use in other situations.12345

Why are researchers excited about this trial's treatments?

Researchers are excited about using Lactobacillus rhamnosus GG for addressing microbial imbalances because it introduces a probiotic approach, which isn't typically part of standard treatments like antibiotics or acid suppressors such as omeprazole. Unlike these common options that may reduce symptoms by altering stomach acid or directly targeting bacteria, Lactobacillus rhamnosus GG works by promoting the growth of beneficial bacteria, potentially restoring balance naturally. This unique mechanism can lead to fewer side effects and a more holistic restoration of gut health, making it a promising alternative in the field.

What evidence suggests that Lactobacillus rhamnosus GG might be an effective treatment for imbalance of microbes?

Research has shown that Lactobacillus rhamnosus GG (LGG) helps maintain gut health. In individuals with short bowel syndrome, it supports gut health by activating specific bodily processes. LGG increases the production of butyrate, a substance that protects the gut from harmful toxins. It also reduces diarrhea and stomach pain in children with gut issues such as irritable bowel syndrome. In this trial, one group of participants will receive LGG alongside omeprazole to evaluate its effectiveness in maintaining a healthy gut balance, particularly against changes caused by proton pump inhibitors (PPIs).46789

Who Is on the Research Team?

JD

John DiBaise, MD

Principal Investigator

Mayo Clinic

Are You a Good Fit for This Trial?

This trial is for healthy individuals who eat a regular diet with no restrictions and have no chronic gastrointestinal symptoms. Pregnant people, those on daily GI medications, anyone with prior significant GI surgery (except appendectomy), or systemic diseases affecting GI motility are excluded.

Inclusion Criteria

Healthy subjects will be screened for current or chronic GI symptoms using a 16-item questionnaire.
I do not have any symptoms.
Individuals on an unrestricted regular diet with no dietary restrictions (vegan, low FODMAP, gluten free, dairy-free etc) or other fad diets (e.g., keto, intermittent fasting, etc.).

Exclusion Criteria

I do not have any untreated mental health issues or diseases that affect my stomach or intestines' movement.
Pregnancy.
I regularly take medication that affects my stomach or bowel movements.
See 1 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive omeprazole daily for 56 days. After 28 days, they receive either placebo or Lactobacillus rhamnosus GG two capsules daily taken with a meal.

8 weeks

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Lactobacillus rhamnosus GG
  • Omeprazole
  • Placebo
Trial Overview The study examines the effects of Lactobacillus rhamnosus GG (a probiotic) on gut health in participants taking Omeprazole, a medication that reduces stomach acid. Some will receive the probiotic while others will get a placebo to compare outcomes.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Placebo Group
Group I: Lactobacillus rhamnosus GG GroupExperimental Treatment2 Interventions
Group II: Placebo GroupPlacebo Group2 Interventions

Find a Clinic Near You

Who Is Running the Clinical Trial?

Mayo Clinic

Lead Sponsor

Trials
3,427
Recruited
3,221,000+

Citations

Lactobacillus rhamnosus GG maintains gut microbiota ...Lactobacillus rhamnosus GG promotes intestinal adaptation and stabilizes gut microbiota by activating intestinal FXR signaling in short bowel syndrome.
Lactobacillus rhamnosus GG supplementation modulates ...Lactobacillus rhamnosus GG supplementation modulates the gut microbiota to promote butyrate production, protecting against deoxynivalenol exposure in nude mice.
Modulation of Active Gut Microbiota by Lactobacillus ...As one of the most widely studied probiotics the functionality of LGG has been linked to the alleviation of metabolic syndrome, and, in some cases, to an impact ...
The effects of Lacticaseibacillus rhamnosus GG ...LGG supplementation reduces diarrhea risk and duration in children, supported by moderate-certainty evidence and consistent effects across ...
Lactobacillus rhamnosus GG: An Updated Strategy to Use ...LGG treatment has also been shown to reduce abdominal pain in children with functional gastrointestinal disorders, such as irritable bowel syndrome. The ...
Safety and Potential Role of Lactobacillus rhamnosus GG ...The present prospective clinical trial demonstrates, for the first time, that LGG in monotherapy is safe and effective for the induction of ...
Lactobacillus rhamnosus GG maintains gut microbiota ...In this study, we investigated the probiotic Lactobacillus rhamnosus GG (LGG) and its ability to promote intestinal adaptation and stabilize the gut microbiota.
Towards a better understanding of Lactobacillus rhamnosus GGWe believe that a detailed knowledge of the bacterial physiology and the LGG molecules that play a key role in its host-interaction capacity is crucial.
Lactobacillus rhamnosus HDB1258 modulates gut microbiota ...They suggested that Lactobacillus rhamnosus GG may regulate the homeostatic immune response by the modulation of gut microbiota.
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