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It is a randomized, double-blind, placebo-controlled clinical trial whose general objective of this study is to determine the effects of probiotic administration in multiple sclerosis patients.
80 patients with relapsing-remitting multiple sclerosis will be enrolled in the study. Patients will be randomly assigned to receive either a probiotic (n=40) or a placebo (n=40) stratified by type of medication, gender and use of hormonal contraceptive treatment. They will receive a probiotic (Lactibane Iki) or placebo sachet twice a day for six months.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Lactibane Iki | Experimental |
| |
| Placebo | Placebo Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Lactibane Iki | Dietary Supplement | Patients will receive a probiotic sachet twice a day for six months. The probiotic, Lactibiane iki (Pileje; Paris, France), is composed of Bifidobacterium lactis LA 304, Lactobacillus acidophilus LA 201, and Lactobacillus salivarius LA 302 and contains 4x10E10 CFU/sachet. |
| Measure | Description | Time Frame |
|---|---|---|
| Increase in the percentage of Treg cells | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Immunological profile (percentage of positive cells): Th1 cells; Th17cells; Breg cells; DCs | Immunological profile studied by flow cytometry (percentage of positive cells): Th1 cells; Th17cells; Breg cells; DCs. | 6 months |
| Serum levels of NfL, GFAP, cytokines and CRP |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Centre d'Esclerosi MĂștiple de Catalunya (Cemcat) | Recruiting | Barcelona | Barcelona | 08035 | Spain |
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| ID | Term |
|---|---|
| D009103 | Multiple Sclerosis |
| ID | Term |
|---|---|
| D020278 | Demyelinating Autoimmune Diseases, CNS |
| D020274 | Autoimmune Diseases of the Nervous System |
| D009422 | Nervous System Diseases |
| D003711 | Demyelinating Diseases |
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|
| Placebo | Other | Patients will receive a placebo (starch) sachet twice a day for six months. |
|
Serum levels of NfL and GFAP quantified using a commercially available ultra-sensitive single molecule enzyme-linked immunoarray (SIMOA, Quanterix). |
| 6 months |
| Serum and fecal levels of SCFAs | Serum and fecal levels of SCFAs analyzed using a liquid chromatography tandem mass spectrometry (LC-MS/MS) system. | 6 months |
| Microbiota composition analysis | Bioinformatic analysis of the microbiome by the analysis of the total DNA extraction and sequencing of fecal samples and negative control sample. | 6 months |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |