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| Name | Class |
|---|---|
| Analyze & Realize | NETWORK |
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The main objective of the study is to investigate the effect of probiotic supplementation on lactose maldigestion.
Primary endpoint is defined as the difference in breath hydrogen concentration (BHC, ppm) in lactase and probiotic groups compared to placebo and non-inferiority in breath hydrogen concentration (BHC, ppm) in probiotic group compared to lactase group, measured by the incremental area under curve (iAUC) analysis.
To characterize the benefit of the investigational product (IP) the following secondary endpoints will be analyzed:
Breath test:
Acute gastrointestinal symptoms (severity or presence/absence to be defined on a Likert scale) in lactase and probiotic groups compared to placebo:
Ancillary:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Probiotic | Experimental |
|
|
| Lactrase | Active Comparator |
|
|
| Placebo | Placebo Comparator |
|
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Probiotic | Dietary Supplement | - 6 g sachet containing probiotic powder (1.8 x 10^12 CFU Probiotic) in sachet - One sachet of the investigational product will be consumed with 521 ml of Weihenstephan fat-free milk once in the beginning of a 6-hour challenge at a study visit. |
| Measure | Description | Time Frame |
|---|---|---|
| Difference in breath hydrogen concentration (BHC, ppm) in probiotic group compared to placebo, measured by the iAUC analysis | approximately 40 days | |
| Difference in breath hydrogen concentration (BHC, ppm) in lactase group compared to placebo, measured by the iAUC analysis | approximately 40 days | |
| Non-inferiority in breath hydrogen concentration (BHC, ppm) of probiotic group compared to lactase group (positive control), measured by the iAUC analysis | approximately 40 days |
| Measure | Description | Time Frame |
|---|---|---|
| Difference in breath hydrogen concentration (BHC, ppm) in lactase group compared to placebo, measured by breath hydrogen peak value | approximately 40 days | |
| Difference in breath hydrogen concentration (BHC, ppm) in probiotic group compared to placebo, measured by breath hydrogen peak value |
| Measure | Description | Time Frame |
|---|---|---|
| Difference in baseline fasting BHC (ppm) between the treatments | approximately 40 days | |
| Difference in breath methane concentration (ppm) between the treatments | approximately 40 days | |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ralf Uebelhack, Prof. MD | analyze & realize GmbH | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| analyze & realize GmbH | Berlin | 10369 | Germany |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36149331 | Derived | Rasinkangas P, Forssten SD, Marttinen M, Ibarra A, Bothe G, Junnila J, Uebelhack R, Donazzolo Y, Ouwehand AC. Bifidobacterium animalis subsp. lactis Bi-07 supports lactose digestion in vitro and in randomized, placebo- and lactase-controlled clinical trials. Am J Clin Nutr. 2022 Dec 19;116(6):1580-1594. doi: 10.1093/ajcn/nqac264. |
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| Type | Date | Date Unknown |
|---|---|---|
| Release | Sep 6, 2023 | |
| Reset | Mar 20, 2024 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Sep 6, 2023 | Mar 20, 2024 |
| ID | Term |
|---|---|
| D019936 | Probiotics |
| D001616 | beta-Galactosidase |
| ID | Term |
|---|---|
| D019587 | Dietary Supplements |
| D005502 | Food |
| D000066888 | Diet, Food, and Nutrition |
| D010829 | Physiological Phenomena |
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Crossover Assignment Randomized, double-blind, placebo-controlled, parallel-group study
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| Lactrase | Dietary Supplement | - 6 g sachet containing 4500 Food Chemical Codex (FCC) units of lactase (Lactrase, Oy Verman Ab, Kerava, Finland) and maltodextrin as a carrier - One sachet of the investigational product will be consumed with 521 ml of Weihenstephan fat-free milk once in the beginning of a 6-hour challenge at a study visit. |
|
| Placebo | Other | - 6 g sachet containing placebo powder (maltodextrin) in sachet - One sachet of the investigational product will be consumed with 521 ml of Weihenstephan fat- free milk once in the beginning of a 6-hour challenge at a study visit. |
|
| approximately 40 days |
| Difference in breath hydrogen concentration (BHC, ppm) in lactase group compared to placebo, measured by cumulative breath hydrogen value | approximately 40 days |
| Difference in breath hydrogen concentration (BHC, ppm) in probiotic group compared to placebo, measured by cumulative breath hydrogen value | approximately 40 days |
| Difference in the presence of diarrhea in lactase group compared to placebo, as defined by the gastrointestinal symptom survey | approximately 40 days |
| Difference in the presence of diarrhea in probiotic group compared to placebo, as defined by the gastrointestinal symptom survey | approximately 40 days |
| Difference in the severity of abdominal pain in lactase group compared to placebo, as defined by the gastrointestinal symptom survey | approximately 40 days |
| Difference in the severity of abdominal pain in probiotic group compared to placebo, as defined by the gastrointestinal symptom survey | approximately 40 days |
| Difference in the severity of flatulence in lactase group compared to placebo, as defined by the gastrointestinal symptom survey | approximately 40 days |
| Difference in the severity of flatulence in probiotic group compared to placebo, as defined by the gastrointestinal symptom survey | approximately 40 days |
| Difference in the severity of bloating in lactase group compared to placebo, as defined by the gastrointestinal symptom survey | approximately 40 days |
| Difference in the severity of bloating in probiotic group compared to placebo, as defined by the gastrointestinal symptom survey | approximately 40 days |
| Difference in the severity of nausea in lactase group compared to placebo, as defined by the gastrointestinal symptom survey | approximately 40 days |
| Difference in the severity of nausea in probiotic group compared to placebo, as defined by the gastrointestinal symptom survey | approximately 40 days |
| Difference in the presence of vomiting in lactase group compared to placebo, as defined by the gastrointestinal symptom survey | approximately 40 days |
| Difference in the presence of vomiting in probiotic group compared to placebo, as defined by the gastrointestinal symptom survey | approximately 40 days |
| Difference in the presence of bowel movements in lactase group compared to placebo, as defined by the gastrointestinal symptom survey | approximately 40 days |
| Difference in the presence of bowel movements in probiotic group compared to placebo, as defined by the gastrointestinal symptom survey | approximately 40 days |
| Difference in breath carbon dioxide concentration (ppm) between the treatments |
| approximately 40 days |
| Difference in the quantity of probiotic in fecal samples between the treatments | approximately 40 days |
| Description of the SNP variants in each treatment group | approximately 40 days |
| D019602 |
| Food and Beverages |
| D005696 | Galactosidases |
| D006026 | Glycoside Hydrolases |
| D006867 | Hydrolases |
| D004798 | Enzymes |
| D045762 | Enzymes and Coenzymes |