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Chronic constipation is a prevalent, burdensome gastrointestinal disorder whose treatment remains challenging. There exist effective pharmacological therapies for chronic constipation, however, many patients do not well respond to current medications. Evidence suggests that disturbance in the gastrointestinal microbiota may be implicated in chronic constipation. Although, E.coli Nissle 1917 (Mutaflor®) has been used for chronic constipation, there are limited data regarding the efficacy of E.coli Nissle 1917 (Mutaflor®) in these patients. Therefore, this study aimed to investigate the efficacy of E.coli Nissle 1917 (Mutaflor®) in patients with chronic constipation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| E. coli Nissle 1917 (Mutaflor®) | Active Comparator | Mutaflor® group will receive E. coli Nissle 1917 (Mutaflor®) 28mg 2T tid for initial 2 days, then E. coli Nissle 1917, Mutaflor® 4T qd for the next 26 days. |
|
| Matched placebo | Placebo Comparator | Matched placebo group will receive placebo drug 28mg 2T tid for initial 2 days, then placebo 4T qd for the next 26 days. Placebo drug has same shape and size with E. coli Nissle 1917 (Mutaflor®). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| E. coli Nissle 1917(Mutaflor®) | Drug |
| ||
| Placebo |
| Measure | Description | Time Frame |
|---|---|---|
| Relief of constipation defined by improvement of complete spontaneous bowel movements(CSBMs/week) | Subjects will report symptoms by questionnaire | 28days |
| Measure | Description | Time Frame |
|---|---|---|
| Improvement of average number of CSBMs/week | Subjects will report symptoms by questionnaire | 28days |
| The time to 1st CSBM or SBM | Subjects will report symptoms by questionnaire |
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Inclusion Criteria:
A. Must include two or more of the following:
B.Loose stools are rarely present without the use of laxatives. C.There are insufficient criteria for irritable bowel syndrome. *Criteria fulfilled for the last 3 months with symptom onset at least 6 months prior to diagnosis.
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Yoo Jin Lee, Professor | 56 Dalseong-Ro, Jung-Gu, Daegu, Korea | Principal Investigator |
| Jung Eun Shin, Professor | Dankook Univ. Hospotal (31116) 201 Manghyang-ro, Dongnam-gu, Cheonan, Chung Nam, South Korea | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Yoo Jin Lee | Daegu | 700-712 | South Korea |
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| ID | Term |
|---|---|
| D003248 | Constipation |
| ID | Term |
|---|---|
| D012817 | Signs and Symptoms, Digestive |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| Drug |
|
| 28days |
| Improvement of constipation related quality of life | Subjects will report symptoms by questionnaire | 28days |
| Improvement of constipation related symptom | Subjects will report symptoms by questionnaire | 28days |