Constipation Clinical Trial
Official title:
Evaluation of the Impact of a Fermented Milk Containing Lactobacillus Casei Strain Shirota on Stool Consistency, Stool Frequency, Constipation-related Symptoms and Quality of Life in People Who Frequently Have Hard or Lumpy Stools
The objective of this study is to evaluate if consumption of fermented milk containing Lactobacillus casei strain Shirota has an impact on stool consistency, stool frequency, constipation-related symptoms, and quality of life in subjects who frequently have hard or lumpy stools.
Constipation is a common problem affecting approximately 17% of the general population in
Europe. Several reports suggest that production of hard or lumpy stools (HLS) is strongly
associated with the development of constipation. HLS are produced not only by chronic
constipated patient but also by healthy population. Thus, reducing the incidence of HLS
might be beneficial in terms of reducing the incidence of constipation in healthy
population.
The results of two clinical studies conducted in Europe indicate the positive effect of
fermented milk (FM) containing Lactobacillus casei strain Shirota (LcS) to modulate the
hardness or dryness of stools. Koebnick et al. (2003) reported that consumption of the FM
drink containing LcS decreased the occurrence of hard or lumpy stools, and improved the
severity of constipation in patients with chronic constipation in Germany. An open trial
conducted in Ghent, Belgium used commercially available FM containing LcS (Yakult® Light) in
subjects who frequently had hard or lumpy stools, screened by an average Bristol Stool Form
Scale (BS) score < 3.0. After 3 weeks of treatment, the proportion of subjects who produced
hard or lumpy stools (BS score = 1 or 2) ≥ 25% of bowel movements decreased from 73.7% at
baseline to 36.8%, while in the non-intervention control group the proportion increased from
75.0% to 85.0% during the same period. Based on the results of those studies, it was
anticipated that LcS might assist in reducing the production of hard or lumpy stools in the
general population. In order to confirm the efficacy in healthy population, a randomised,
double blind, placebo control study is required.
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Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Treatment
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