Ascites Clinical Trial
Official title:
The Effect of Probiotics on the Incidence of Spontaneous Bacterial Peritonitis in Patients With Cirrhosis and Ascites
Research question: Do oral probiotics in patients with cirrhosis and ascites reduce
intestinal bacterial concentrations, ascitic bacterial DNA, SBP and bacteraemia compared to
antibiotics or placebo?
This study is designed to investigate the effects of an oral probiotic (VSL#3; a mixture of
"healthy" bacteria for the intestines) compared to an antibiotic or placebo in preventing
infection developing in the abdominal fluid ("ascites") that collects in patients with
advanced liver disease ("cirrhosis"). Patients already having had infection will be excluded
from the study. Clear inclusion and exclusion criteria will be met and patients will be
monitored throughout the study to examine whether they have required more hospitalisations,
their rate infection in abdominal fluid or elsewhere and the level of liver function.
Status | Terminated |
Enrollment | 10 |
Est. completion date | October 2014 |
Est. primary completion date | October 2014 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 18 Years and older |
Eligibility |
Inclusion criteria: - Participant is willing and able to give informed consent for participation in the study. - Male or Female, aged 18 years or above. - Diagnosed with required disease/severity/symptoms as outlined in 6.3.1. - Stable dose of current regular medication (e.g. diuretics, beta-blockers, vitamin supplementation) for at least 4 weeks prior to study entry. - Female participants of child bearing potential and male participants whose partner is of child bearing potential must be willing to ensure that they or their partner use effective contraception during the study and for 3 months thereafter - Participants have clinically acceptable laboratory tests and ECG within 14 days of enrolment. - Able (in the Investigators opinion) and willing to comply with all study requirements. Willing to allow their General Practitioner and consultant Exclusion criteria: - Female participants who is pregnant, lactating or planning pregnancy during the course of the study. - Presence of hepatocellular carcinoma - Scheduled elective surgery or other procedures requiring general anaesthesia during the study. - Participant who is terminally ill - Any other significant disease or disorder which, in the opinion of the Investigator, may either put the participants at risk because of participation in the study, or may influence the result of the study, or the participant's ability to participate in the study. - Use of antibiotics or probiotics in the last 2 weeks - Known hypersensitivity to trimethoprim, sulphonamides or any other ingredients in co-trimoxazole tablet. - History of acute porphyria or serious haematological disorder. - Participants who have participated in another research study involving an investigational product in the past 12 weeks |
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
United Kingdom | NUH NHS Trust | Nottingham | Nottinghamshire |
Lead Sponsor | Collaborator |
---|---|
Nottingham University Hospitals NHS Trust | VSL Pharmaceuticals |
United Kingdom,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Liver-related mortality and liver related morbidity | 12 months | Yes | |
Secondary | Incidence of SBP, variceal bleeding, any non-SBP sepsis (e.g. pneumonia, urinary tract infection), clinical episodes of encephalopathy and the incidence of C. difficile infection. | 12 months | Yes |
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