Safety and Clinical Effectiveness of Oral Probiotic MIYA-BM to Prevent Recurrent Clostridium Difficile Infections

Osel

Status and phase

Withdrawn

Phase 2

Conditions

Clostridium Difficile Infection

Treatments

Drug: Placebo Fine Granules (without CBM588)

Drug: MIYA-BM Fine Granules (CBM588)

Study type

Interventional

Funder types

Industry

Identifiers

NCT01077245

CB-001

Details and patient eligibility

About

Patients with confirmed C. difficile infection (CDI) who meet eligibility requirements will be invited to participate. All study patients must receive treatment for CDI with metronidazole or vancomycin. Enrolled patients will be randomized in a 1:1 ratio to receive MIYA-BM Fines Granules [Clostridium butyricum MIYAIRI 588 Strain (CBM588)] or a placebo orally twice a day for 42 days. Patients will be evaluated for safety and clinical outcomes through Day 180. Occurrence of adverse events (AEs), diarrhea history, and concomitant medications will be evaluated at scheduled study visits and telephone contacts.

Full description

This study is a Phase 2 blinded, placebo-controlled, randomized clinical trial of an oral probiotic product, MIYA-BM Fine Granules [Clostridium butyricum MIYAIRI 588 Strain (CBM588)], in patients diagnosed with CDI and treated with metronidazole or vancomycin. Two hundred patients who meet all eligibility criteria will be randomized in a 1:1 fashion to receive either MIYA-BM (2g/dose) or placebo orally twice daily for 42 days. After randomization, all patients will be followed for a total of 180 days (6 months) for safety and recurrent CDI. If initially hospitalized, patients will be followed daily for diarrhea history, collection of concomitant medications and AEs, and monitored for their response to treatment. Patients will be followed through clinic visits and safety telephone calls. All patients will be given a Diary Card to report AEs, diarrhea history, and concomitant medications on a daily basis. If patients have signs or symptoms of CDI following resolution of the initial episode, they will be instructed to return to the clinic as soon as possible for evaluation of recurrent CDI. If a patient is diagnosed with recurrent CDI, they will discontinue study treatment (MIYA-BM or placebo) and be treated and followed according to the institution's standard of care for recurrent CDI.

Sex

All

Ages

18 to 80 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Adult of either gender, aged 18-80 years old inclusive
Meets the case definition of CDI - recent history of diarrhea with presence of C. difficile toxin or pseudomembranous colitis; and no other known etiology of diarrhea (e.g. other enteric pathogen, other intestinal disease)
CDI treated with metronidazole or vancomycin
If female and of reproductive potential, subject must not be pregnant (negative pregnancy test at time of screening) or breast-feeding, and currently using a reliable method of birth control

Exclusion criteria

Has other known etiology of diarrhea (e.g. other enteric pathogen, other intestinal disease)
Has a history of acute pancreatitis within the last 3 months
Has a history of chronic intestinal disease (e.g. Crohn's disease, ulcerative colitis)
Is unable to complete a daily study diary (mental incapacity, head trauma, etc.)
Has presence of toxic megacolon or ileus
Has presence of colostomy, naso-gastric tube, or indwelling central line
Has history of abdominal surgery within the previous 3 months (from time of enrollment)
Has recent history of other investigational drug use within 30 days of enrollment visit
Has planned investigational drug use while participating in this study
Is known to have HIV infection or AIDS or other immunosuppressive disease
Has taken systemic immunosuppressive drugs within 60 days of enrollment
Is currently taking or is planning to use an oral probiotic, other than yogurt, during the study
Has a known allergy to any component of MIYA-BM Fine Granules or placebo
Is unavailable for follow-up visits
At enrollment, has any social or medical condition, or psychiatric illness that, in the opinion of the investigator, would preclude provision of informed consent, make participation in the study unsafe, complicate interpretation of the study outcome data, or otherwise interfere with achieving the study objectives