Status:

COMPLETED

Evaluation of Acacia Gum on Microbiome and Bowel Function in Participants With Chronic Constipation

Lead Sponsor:

Alpinia Laudanum GmbH

Collaborating Sponsors:

BioTeSys GmbH

Conditions:

Constipation

Eligibility:

FEMALE

25-60 years

Phase:

NA

Brief Summary

Proof of concept study to investigate the impact of a food supplement consisting of Acacia gum on changes of gut microbiota and production of short chain fatty acids. Additionally, safety, tolerabilit...

Eligibility Criteria

Inclusion

  • Healthy subjects without clinical diagnosed diseases with relevant effect on the gastrointestinal system or on visceral motility
  • Constipation defined as an average of 2 - 3 stools per week (which needs to be confirmed during a prospective run-in phase)
  • At least one of the following criteria:
  • straining during more than 25% of defecations
  • lumpy or hard stools (Bristol Stool Form Scale 1 or 2) present more than 25% of defecations
  • sensation of incomplete evacuation in more than 25% of defecations
  • sensation of anorectal obstruction/ blockage in more than 25% of defecations
  • manual manoeuvre to facilitate more than 25% of defecations (such as digital evacuation or support from pelvic floor)
  • Criteria of constipation for at least the previous 3 months
  • BMI 18.5 - 30 kg/m2
  • Stable body weight (+/- 5%) in the last 3 months (self-reported)
  • Willing to maintain normal background dietary habits \& physical activity levels throughout the study period
  • Written consent to participate in the study

Exclusion

  • Relevant history or presence of any severe medical disorder, potentially interfering with this study in the investigator's judgement (e.g. mal absorption, food intolerance or allergy, chronic gastro-intestinal diseases (e.g. Morbus Crohn, Colitis Ulcerosa), chronic kidney or liver disease, severe depression, immunological disorders, severe cardiovascular disease, diabetes, acute malignant disease within last 3 years except basal cell carcinoma of the skin)
  • Prior abdominal surgery which may present a risk for the subject or confound the study results (according to the investigator's opinion)
  • Currently (or in the last 3 months) suffering from significant stress, anxiety or depression which, in the subjects opinion, interferes with normal daily life (e.g. has the subject missed days of work due to these conditions) and/or which could be responsible for gastrointestinal problems
  • Exclusively vegan or vegetarian diet (high fiber content)
  • Regular laxative use at least once per week
  • Use of hypolipidaemic drugs (e.g. statins, fibrates, resins, ezetimibe, niacin)
  • Subject under prescription for medication or taking dietary supplements possibly interfering with this study (such as anti-spasmodic, laxatives and anti-diarrheic drugs or other digestive auxiliaries, use of PPIs, bismuth salts and/or H2-antagonists, fibers etc.) within 2 weeks prior to study start or during the study; Stable medication (more than 3 months) for hypertension or thyroid gland is allowed.
  • Use of pre- and probiotic supplements
  • Subjects consuming
  • food or drinks claimed as 'probiotic', or 'prebiotic more than once weekly
  • food or drinks claimed as 'rich in fiber' (including specific milk products) more than 3 times per week
  • more than 3 portions of fruits and vegetables (sum) per day
  • Smoker
  • Intake of antibiotics in the last 4 weeks
  • Pregnancy or breastfeeding (also exclude recent pregnancy in the last 3 months). A pregnancy test will be conducted during screening and visits 1 - 3.
  • Currently or recently (within 3 months of study entry) taking any medication, which in the opinion of the investigator, could interfere with the outcome of the study, e.g. opioids, anti-psychotics

Key Trial Info

Start Date :

June 1 2020

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

September 7 2020

Estimated Enrollment :

12 Patients enrolled

Trial Details

Trial ID

NCT04382456

Start Date

June 1 2020

End Date

September 7 2020

Last Update

January 12 2021

Active Locations (1)

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BioTeSys GmbH

Esslingen am Neckar, Germany, 73728