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Phase 4 Completed N=39 Randomized Quadruple-blind Basic Science

Gastric Acid Suppression and Probiotic Colonization

Probiotics
Source: ClinicalTrials.gov NCT03327051 ↗
Enrolled (actual)
39
Serious AEs
0.0%
Results posted
Jan 2020
Primary outcomePrimary: Relative Abundance of VSL#3 Probiotic Bacterial Strains When Ingested in the Presence or Absence of the Proton Pump Inhibitor (PPI) Omeprazole at Week 4. — 1.002; 0.8186 percentage of abundance — p=0.04
◆ Published Evidence
Established
28citations · ~7 / year
The effect of gastric acid suppression on probiotic colonization in a double blinded randomized clinical trial.
Clinical nutrition ESPEN · 2022 · Likely link

Summary

Probiotics are over-the-counter dietary products with microorganisms that are generally consumed for health benefit. However, the durability of these microorganisms is unclear, particularly when they pass through the highly acidic environment of the stomach. We will test the colonization of these microorganisms among individuals who consume probiotics with and without acid suppression therapy.

Linked Publications

  • The effect of gastric acid suppression on probiotic colonization in a double blinded randomized clinical trial.
    Clinical nutrition ESPEN · 2022 · 28 citations · Likely link

Outcome Measures

OutcomeResultp-value
PRIMARY
Relative Abundance of VSL#3 Probiotic Bacterial Strains When Ingested in the Presence or Absence of the Proton Pump Inhibitor (PPI) Omeprazole at Week 4.
1.002; 0.8186 0.04 sig
SECONDARY
Number of Participants With Symptoms Related to VSL#3 Treatment.
0; 2; 2; 0; 2; 0
SECONDARY
Relative Abundance (Mean Value) of Most Abundant Bacterial Phylum Before and After VSL#3 Probiotic Administration
66.4; 65.6; 66.2; 68.1; 25.6; 27.2
SECONDARY
Change in Peak Intensity of the Metabolite 1H-Indole-4-carbaldehyde Before and After VSL#3 Probiotic Administration (Omeprazole and VSL #3).
80809.5; 286707.9
SECONDARY
Change in Peak Intensity of Metabolites of Interest Before and After VSL#3 Probiotic Administration (Placebo and VSL#3 Group).
95819.8; 4726.2; 539032.9; 249632.3; 87765.6; 22405.5

Eligibility Criteria

Inclusion Criteria

  • Healthy volunteers ages 18 years and ≤ 75 years.
  • Able to visit the study Doctor's office 3 times, answer 3 questionnaires, and provide stools and blood samples.

Exclusion Criteria

  • Gastric cancer, Barrett's esophagus cancer, any gastrointestinal condition, or soy or gluten sensitivity
  • Previous abdominal surgery
  • Currently pregnant or nursing
  • Had H. Pylori Infection
  • Diagnosed with any chronic medical condition other than hypertension or hyperlipidemia
  • Currently consuming herbs or probiotics
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03327051) and the linked publication. Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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