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| ID | Type | Description | Link |
|---|---|---|---|
| 2019-A00720-57 | Other Identifier | ID-RCB |
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| Name | Class |
|---|---|
| BioFortis | OTHER |
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This prospective, two-arm (parallel groups), double-blind, randomized, placebo-controlled, multi-center clinical trial will investigate the effects of an 8-week Bifidobacterium lactis HN019 supplementation on stool frequency and on other constipation parameters in adults suffering from functional constipation according to ROME III criteria. The hypothesis is that Bifidobacterium lactis HN019 is superior, in comparison with a placebo, for the increase of stool frequency of at least 1 stool per week.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| probiotic powder, Bifidobacterium lactis | Experimental |
| |
| Placebo | Placebo Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Active product | Dietary Supplement | Bifidobacterium lactis HN019 (probiotic powder). One capsule to consume orally with still water (not sparkling) at room temperature once a day at least 15 minutes before breakfast time. |
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline of stool frequency | Complete Spontaneous Bowel movement / week (reported in daily diaries) | Baseline (Day-15 to Day-9 and Day-7 to Day-1) and Intervention (Day1 to Day28 and Day30 to Day57) |
| Measure | Description | Time Frame |
|---|---|---|
| Stool consistency | For each stool by using the Bristol Stool Scale. classify the form of human faeces into seven categories: ypes 1 and 2 indicate constipation, with 3 and 4 being the ideal stools as they are easy to defecate while not containing excess liquid, 5 tending towards diarrhoea, and 6 and 7 indicate diarrhoea | Baseline (Day-15 to Day-9 and Day-7 to Day-1) and Intervention (Day1 to Day28 and Day30 to Day57) |
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Inclusion Criteria:
Inclusion criteria at visit 1 (D-16)
Free-living females and males of age 18 to 70 years (limits included),
Body mass index between 18.5 and 34.9 kg/m² (limits included),
Meets the ROME III criteria for functional constipation as follows (criteria fulfilled for the last 3 months with symptom onset at least 6 months prior to diagnosis):
a. Must meet 2 or more of the following criteria : i. Straining during at least 25% of defecations, ii. Lumpy or hard stools in at least 25% of defecations, iii. Sensation of incomplete evacuation for at least 25% of defecations, iv. Sensation of anorectal obstruction/blockage for at least 25% of defecations, v. Manual maneuvers to facilitate at least 25% of defecations (e.g., digital evacuation, support of the pelvis floor), vi. Fewer than three defecations per week, b. Loose stools are rarely present without the use of laxatives, c. Insufficient criteria for Irritable Bowel Syndrome (IBS),
Self-reported bowel movement frequency up to 3 stools per week for at least the last 6 months,
Participants who agree to maintain their usual level of activity throughout the trial period,
Participants who agree to maintain their usual dietary habits and level of exercise etc; i.e. maintain their usual life-style throughout the trial period,
Participants who agree not to consume probiotics (except for investigational products), prebiotics, symbiotic, fermented milk, and/or yogurt throughout the trial period,
Females of child-bearing potential who agree to use medically approved methods for birth control those including condoms with spermicides, hormonal contraceptives (estrogen and/or progestin products; either oral, intrauterine or epidermal) or intrauterine device with copper. The contraceptive method should have been in place for at least 3 cycles before the beginning of the study, and should not be modified during the study. Postmenopausal women with or without hormone replacement therapy who have been applying the estrogenic or estrogenic/progestin treatment for at least 3 months before the beginning of the study and who agree not to change the treatment during the study,
Ability of the participant (in the investigator's opinion) to comprehend the full nature and purpose of the study including possible risks and side effects,
Consent to participate in the study and willing to comply with the protocol and study restrictions,
Covered by Health Insurance System and / or in compliance with the recommendations of National Law in force relating to research involving the human person,
Participants who agree to be registered on the national file of the volunteers participating in biomedical research.
Inclusion criteria at visit 2 (D-8)
Inclusion criteria at visit 3 (D0)
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Isabelle Metreau, MD | BioFortis | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CEN | Dijon | 21000 | France | |||
| Eurofins Optimed |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40320938 | Derived | Ala-Jaakkola R, Forssten SD, Cheng J, Griffon F, Metreau I, Sturm Y, Lecerf JM, Donazzolo Y, Junnila J, Nordlund A, Hibberd A, Ouwehand AC, Ibarra A. Effect of an 8-Week Bifidobacterium lactis HN019 Supplementation on Functional Constipation: A Multi-Center, Triple-Blind, Randomized, Placebo-Controlled Trial. Mol Nutr Food Res. 2025 Sep;69(17):e70081. doi: 10.1002/mnfr.70081. Epub 2025 May 5. |
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| ID | Term |
|---|---|
| D035061 | Control Groups |
| ID | Term |
|---|---|
| D015340 | Epidemiologic Research Design |
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D012107 | Research Design |
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| Control product | Dietary Supplement | Placebo. One capsule to consume orally with still water (not sparkling) at room temperature once a day at least 15 minutes before breakfast time. |
|
| Degree of straining | For each stool by using Visual analogue scale, a 100 mm long horizontal VAS, anchored at 0 mm (not at all), 25 mm (a little bit), 50 mm (a moderate amount), 75 mm (a great deal) and 100 mm (an extreme amount). | Baseline (Day-15 to Day-9 and Day-7 to Day-1) and Intervention (Day 1 to Day 28 and Day 30 to D57) |
| Abdominal pain severity | For each stool by using Visual analogue scale, rated using a 100 mm long horizontal VAS, anchored at 0 mm (none), 25 mm (mild), 50 mm (moderate), 75 mm (severe) and 100 mm (very severe). | Baseline (Day-15 to Day-9 and Day-7 to Day-1) and Intervention (Day1 to Day28 and Day30 to Day57) |
| Bloating severity | For each stool by using Visual analogue scale, rated using a 100 mm long horizontal VAS, anchored at 0 mm (none), 25 mm (mild), 50 mm (moderate), 75 mm (severe) and 100 mm (very severe). | Baseline (Day-15 to Day-9 and Day-7 to Day-1) and Intervention (Day1 to Day28 and Day30 to Day57) |
| Constipation symptoms assessment by the participant | Patient Assessment of Constipation SYMptoms (PAC-SYM) questionnaire: global score, abdominal symptoms, rectal symptoms and symptoms associated to stool, measures the severity of constipation symptoms over the past 2 weeks; no symptom, 0; mild, 1;moderate, 2. severe, 3; very severe, 4 | Day 0 (baseline, Visit 3), Day 29 (Visit 4, 4 weeks) and Day 58 (Visit 5, 8 weeks) |
| Quality of life related to constipation assessment by the participant | Patient Assessment Constipation Quality Of Life (PAC-QOL) 28-question survey. The questions are comprised of four subscales (worries and concerns, physical discomfort, psychosocial discomfort, and satisfaction) and an overall scale. Not at all, 0; A little bit, 1; Moderately, 2; Quite a bit, 3; Extremely, 4 | Day 0 (baseline, Visit 3), Day 29 (Visit 4, 4 weeks) and Day 58 (Visit 5, 8 weeks) |
| Use of rescue medication | Need and use of rescue medication (laxative) during the study (reported in daily diaries) | Day 0 (baseline, Visit 3), Day 29 (Visit 4, 4 weeks) and Day 58 (Visit 5, 8 weeks) |
| Gières |
| 38610 |
| France |
| Institut Pasteur de Lille | Lille | 59019 | France |
| Biofortis | Saint-Herblain | 44800 | France |
| D008722 | Methods |