EFFECTS OF A PROPRIETARY BACILLUS COAGULANS PREPARATION ON SYMPTOMS OF DIARRHEA-PREDOMINANT IRRITABLE BOWEL SYNDROME

被引:79
作者
Dolin, B. J. [1 ]
机构
[1] Accelovance Inc, Peoria, IL 61602 USA
来源
METHODS AND FINDINGS IN EXPERIMENTAL AND CLINICAL PHARMACOLOGY | 2009年 / 31卷 / 10期
关键词
Probiotics; Irritable bowel syndrome; Bacillus coagulans; Lactic acid-producing bacteria; Diarrhea; DOUBLE-BLIND; UNITED-STATES; IN-VITRO; PROBIOTICS; PREVALENCE; TRIAL; STRAIN; ACID;
D O I
10.1358/mf.2009.31.10.1441078
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Symptoms of irritable bowel syndrome (IBS) hove a profound impact on quality of life for many patients and current treatments ore sometimes unsatisfactory. This controlled pilot study was conducted to evaluate effects of the proprietary ConedenBC(30) (Bacillus coagulans GBI-30, 6086) probiotic on IBS symptoms, in a randomized, double-blind, placebo-controlled clinical trial including patients with diarrea-predominant IBS (IBS-D). Patients were randomized to receive either B. coagulans CBI-30, 6086 or placebo once a day for 8 weeks. Patients filled out a quality-of-life questionnaire, and self-assessment diaries were provided to record stool count and consistency, symptom severity, and medication consumption. Of the 61 patients enrolled, six did not meet the inclusion criteria and three were lost to follow-up. Of the remaining 52 patients with IBS-D, the average number of bowel movements per day was significantly reduced for patients treated with B. coagulans GBI-30, 6086 when compared to placebo (P = 0.044. Large variability in baseline scores prevented the assessment of severity scores and quality of life. This small pilot study provides evidence that the proprietary B. coagulans GBI-30, 6086 probiotic is safe and effective for reducing daily bowel movements in patients with IBS-D.
引用
收藏
页码:655 / 659
页数:5
相关论文
共 36 条
[1]   Prevalence and demographics of irritable bowel syndrome: results from a large web-based survey [J].
Andrews, EB ;
Eaton, SC ;
Hollis, KA ;
Hopkins, JS ;
Ameen, V ;
Hamm, LR ;
Cook, SF ;
Tennis, P ;
Mangel, AW .
ALIMENTARY PHARMACOLOGY & THERAPEUTICS, 2005, 22 (10) :935-942
[2]  
Ara Katsutoshi, 2002, Microbial Ecology in Health and Disease, V14, P4, DOI 10.1080/089106002760002694
[3]  
Astegiano M, 2006, Minerva Gastroenterol Dietol, V52, P359
[4]   The mechanism of action of probiotics [J].
Boirivant, Monica ;
Strober, Warren .
CURRENT OPINION IN GASTROENTEROLOGY, 2007, 23 (06) :679-692
[5]   Challenges to the Therapeutic Pipeline for Irritable Bowel Syndrome: End Points and Regulatory Hurdles [J].
Camilleri, Michael ;
Chang, Lin .
GASTROENTEROLOGY, 2008, 135 (06) :1877-1891
[6]   Bacillus probiotics:: Spore germination in the gastrointestinal tract [J].
Casula, G ;
Cutting, SM .
APPLIED AND ENVIRONMENTAL MICROBIOLOGY, 2002, 68 (05) :2344-2352
[7]   Activation of the mucosal immune system in irritable bowel syndrome [J].
Chadwick, VS ;
Chen, WX ;
Shu, DR ;
Paulus, B ;
Bethwaite, P ;
Tie, A ;
Wilson, I .
GASTROENTEROLOGY, 2002, 122 (07) :1778-1783
[8]   A case for an immunological basis for irritable bowel syndrome [J].
Collins, SM .
GASTROENTEROLOGY, 2002, 122 (07) :2078-2080
[9]   The Infectious Intestinal Disease Study of England: A prospective evaluation of symptoms and health care use after an acute episode [J].
Cumberland, P ;
Sethi, D ;
Roderick, PJ ;
Wheeler, JG ;
Cowden, JM ;
Roberts, JA ;
Rodrigues, LC ;
Hudson, MJ ;
Tompkins, DS .
EPIDEMIOLOGY AND INFECTION, 2003, 130 (03) :453-460
[10]   UNITED-STATES HOUSEHOLDER SURVEY OF FUNCTIONAL GASTROINTESTINAL DISORDERS - PREVALENCE, SOCIODEMOGRAPHY, AND HEALTH IMPACT [J].
DROSSMAN, DA ;
LI, ZM ;
ANDRUZZI, E ;
TEMPLE, RD ;
TALLEY, NJ ;
THOMPSON, WG ;
WHITEHEAD, WE ;
JANSSENS, J ;
FUNCHJENSEN, P ;
CORAZZIARI, E ;
RICHTER, JE ;
KOCH, GG .
DIGESTIVE DISEASES AND SCIENCES, 1993, 38 (09) :1569-1580