MedPath

Effect Of Probiotic Lactobacillus Paracasei Lp-33 For The Management Of Rhinitis In People Sensitized To Allergens

Phase 3
Completed
Conditions
Rhinitis
Interventions
Dietary Supplement: Placebo
Dietary Supplement: Lactobacillus paracasei LP-33
Registration Number
NCT01096615
Lead Sponsor
Merck Medication Familiale
Brief Summary

The aim of the study is to show an improvement of quality of life on the 5th week of product consumption (probiotic Lactobacillus paracasei LP-33)(as assessed by RQLQ global score) in subjects with persistent allergic rhinitis currently treated with Loratadine or oral anti-histaminic treatment.

Detailed Description

Oral H1-antihistamines are first treatment recommended for allergic rhinitis (Bousquet et al, 2008) however they do not completely alleviate symptoms. This new study will therefore assess the effect of Lactobacillus paracasei LP-33 in the management of nasal and ocular symptoms, in addition to H1-antihistamines treatment. The main objective is to evaluate the effect of Lactobacillus paracasei LP-33 on quality of life. Additionally allergic rhinitis symptoms (nasal and eye symptoms) and immunological parameters will be evaluated, before and during the supplementation. Lactobacillus paracasei LP-33 is targeting the general population and improving quality of life of people sensitized to allergens. The study will be conducted in Europe on adult subjects with persistent allergic rhinitis.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
500
Inclusion Criteria
  • Male and female subjects;
  • Aged 18 to 60 years;
  • People with nasal and ocular discomfort at least sensitized to grass pollen;
  • Subject with PER allergy (persistent form) as defined by ARIA guidelines or with a recurrent history of seasonal allergic rhinitis documented by treatment intakes in his medical dossier.
  • Previous positive skin prick test or presence of specific serum IgE antibodies class II or above against timothy grass in the last 5 years. If no data are available, a test for detection of timothy grass specific serum IgE antibodies (Phadia CAP System) will be performed at the pre-inclusion visit;
  • With RQLQ score ≥ 2;
  • Subjects agree to stop consumption of probiotics (food or dietary supplement containing probiotics) and vitamins and/or minerals during the study (D-10/D-7 to D49).

Female subjects with efficient contraception and asthmatic subjects (with a controlled disease and without oral corticosteroid) can be included in the study.

The baseline period prior to treatment with Lactobacillus paracasei LP-33 is 7 days. On recommendations of the consulted experts, Pr Bousquet and Pr Hamelmann, a wash-out period of 3 additional days is recommended before baseline for subject using intranasal corticosteroid before their inclusion. As a consequence, the baseline may be extended to 10 days for these subjects In case the subject consumed an anti-H1 (other than Loratadine) before his (her) inclusion, he (she) will have to switch to Loratadine to be included.

Exclusion Criteria
  • Taking part in another clinical trial or being in the exclusion period of a previous clinical trial;

    • Presenting a psychological incapability or having a bad comprehension of the language (French or German according to the concerned country) to understand the information letter and then to sign the informed consent;
    • Refusing to sign the informed consent;
    • Adult under legal protection (guardianship, wardship) or deprived from his rights following administrative or judicial decision;
    • Pregnant or breastfeeding women;
    • Use of medication which could interfere with the study in the investigator's opinion (antibiotics, etc...);
    • Subject who does not agree to stop his/her consumption of dietary supplements and foods containing probiotics and his/her supplementation of vitamins/minerals during the study (D-10/D-7 to D49).

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Comparative product : placeboPlaceboEach patient will be randomly assigned to either tested product or comparative product (placebo) in accordance with a randomisation table .
Tested product: Lactobacillus paracasei LP-33Lactobacillus paracasei LP-33Each patient will be randomly assigned to either tested product or comparative product (placebo) in accordance with a randomisation table
Primary Outcome Measures
NameTimeMethod
The primary criterion is the RQLQ global score measured at the end of Week 0 and Week 5.Week 0 and Week 5

The RQLQ includes 28 questions (completed between 10-15 min). Subjects are asked to recall their experiences during the previous week and to respond to each question on a 7-point scale (0 = no impairment, 6 = severe impairment). The RQLQ score ranges from 0 to 6. This questionnaire will be filled in by volunteers on D0 and D35.

The aim of the study is to show an improvement of quality of life on the 5th week of product consumption (as assessed by RQLQ global score) in subjects with persistent allergic rhinitis currently treated with Loratadine or oral anti-histaminic treatment.

Secondary Outcome Measures
NameTimeMethod
To show a decrease in allergic rhinitis symptoms on the 5th week of product consumption (as assessed by RQLQ and RTSS-5)Week 0-Week 5
To show an increase in the time of 1st exacerbation of symptoms of rhinitis symptom with Lactobacillus paracasei LP-33Week 5- Week 7

Trial Locations

Locations (125)

François LE HINGRAT

🇫🇷

Calvisson, France

Béatrice LOGNOS-FOLCO

🇫🇷

Saint Georges D'orques, France

Olivier BAISSAS

🇫🇷

Rouen, France

Jean-Yves DOERR

🇫🇷

Saint Sebastien de Morsent, France

Laurent TENNEZE

🇫🇷

Sommieres, France

Sylvie OLLIVIER

🇫🇷

Rousson, France

Martine FERRE

🇫🇷

Saint Siffret, France

Gil MEYRAND

🇫🇷

Sainte Anastasie, France

Raymond ATTUIL

🇫🇷

Schilttigheim, France

Dominique GENOUD

🇫🇷

Rousson, France

Véronique PEREZ

🇫🇷

Strasbourg, France

Jean Baptiste THIBERT

🇫🇷

Salses Le Chateau, France

Patrick VERDAVOINE

🇫🇷

Rugles, France

Nathan ABENHAIM

🇫🇷

Strasbourg, France

Roland BENEDIC

🇫🇷

Strasbourg, France

Léa ABOAF

🇫🇷

Schilttigheim, France

Catherine MERCEY

🇫🇷

Saint Genis Des Fontaines, France

Charles LOUSQUI

🇫🇷

Strasbourg, France

Yves MERCEY

🇫🇷

Saint Genis Des Fontaines, France

Luc ECHINARD

🇫🇷

Sete, France

Claire ROLLAND-JACQUEMIN

🇫🇷

Strasbourg, France

Joël ETIENNEZ

🇫🇷

Strasbourg, France

Monique LESCOUTE

🇫🇷

Schilttigheim, France

Judah TOLEDANO

🇫🇷

Strasbourg, France

Corinne SION

🇫🇷

Aix En Provence, France

Alain FAUDIN

🇫🇷

Ales, France

Philippe PIAT

🇫🇷

Ales, France

Sylvie CHABROL-RIVIERE

🇫🇷

Ales, France

Daniel FERET

🇫🇷

Aubevoye, France

Florian KOMAC

🇫🇷

Aubord, France

Alain GIACOMINO

🇫🇷

Avoine, France

Sébastien CONVENT

🇫🇷

Beauvoisin, France

Jean DEFLAUX

🇫🇷

Beaucaire, France

Catherine BRUNET-CAZOT

🇫🇷

Beziers, France

Emmanuel DEJOUX

🇫🇷

Beziers, France

Gabriel VENTURINI

🇫🇷

Beziers, France

Nicolas BRETON

🇫🇷

Beziers, France

Robert COMBET

🇫🇷

Beziers, France

Thierry STEFANAGGI

🇫🇷

Beziers, France

Olivier BISCH

🇫🇷

Bischeim, France

Sabine GRUTTER

🇫🇷

Bischeim, France

Jacques RAMBAUD

🇫🇷

Bompas, France

Sophie ROSENBERG

🇫🇷

Bischeim, France

Chantal MARTIN

🇫🇷

Bouillargues, France

Catherine AYRAL

🇫🇷

Boujan Sur Libron, France

Laurence DAGES

🇫🇷

Bourg Achard, France

Dominique EDET

🇫🇷

Bretteville L'orgueilleuse, France

Didier CADINOT

🇫🇷

Broglie, France

Bernadette CHAUFFAILLE

🇫🇷

Castelnau Le Lez, France

Georges BINET

🇫🇷

Castelnaudary, France

Hervé VILAREM

🇫🇷

Castelnaudary, France

Gladys HAVARD

🇫🇷

Clarensac, France

Marc GARCIA

🇫🇷

Clarensac, France

Michel AMOUYAL

🇫🇷

Codognan, France

Nicole FERRIER

🇫🇷

Codognan, France

Philippe GRUJARD

🇫🇷

Colombelles, France

Philippe HEUZE

🇫🇷

Cournonsec, France

Gregoire MARTOCQ

🇫🇷

Cournonterrac, France

Bruno DAUBIN

🇫🇷

Coursan, France

Jean-Baptiste DE LEMOS

🇫🇷

Damville, France

Thierry CANALI

🇫🇷

Evreux, France

Marcel RUETSCH

🇫🇷

Dessenheim, France

Christian DAUGENET

🇫🇷

Equeurdreville Hainneville, France

Gérard DUGNY

🇫🇷

Evreux, France

Frédéric RENOU

🇫🇷

Fecamp, France

Pascal MABIRE

🇫🇷

Fleury Sur Orne, France

Alain LION

🇫🇷

Gambsheim, France

Raymond WESTERFELD

🇫🇷

Hangenbieten, France

Gérard TELLIER

🇫🇷

Hautot Sur Mer, France

Marc BUR

🇫🇷

Herlisheim, France

Jean Pascal SASTOURNE

🇫🇷

Ille Sur Tet, France

Irène LAFONT

🇫🇷

Lasalle, France

Reinhard RENNER

🇫🇷

Laroque Des Alberes, France

Christian FLAISSIER

🇫🇷

Lasalle, France

Patrick DUTILLEUL

🇫🇷

Le Cailar, France

Claude BRUNAUD

🇫🇷

Lignan Sur Orb, France

Jean-Philippe RICHTER

🇫🇷

Lingolsheim, France

Stéphane BOURGHOL

🇫🇷

Marguerittes, France

Maurice GAY

🇫🇷

Maurin, France

Patrick OLOMBEL

🇫🇷

Meze, France

Cécile BELIN-SAUGET

🇫🇷

Montpellier, France

Jean François GUILLEM

🇫🇷

Montpellier, France

Jean Roch ALEA

🇫🇷

Montpellier, France

Marie Pascale DEMOLY

🇫🇷

Montpellier, France

MONGIN

🇫🇷

Montpellier, France

Thierry AUTARD

🇫🇷

Montpellier, France

Victor BASTIDE

🇫🇷

Montpellier, France

Michel CHASSAGNE

🇫🇷

Montpellier, France

Philippe CAYRON

🇫🇷

Montpellier, France

Jean Pierre CANO

🇫🇷

Montpellier, France

Patrick VOGT

🇫🇷

Mulhouse, France

Jean-Louis WURTZ

🇫🇷

Mundolsheim, France

Nasser GOUCHENE

🇫🇷

Nimes, France

Paul REGNIER-VIGOUROUX

🇫🇷

Nimes, France

Claude BERNAT

🇫🇷

Nimes, France

Dominique BLOT

🇫🇷

Nimes, France

Marie Christine BONS-GALLET

🇫🇷

Nimes, France

Philippe IMBERT

🇫🇷

Nimes, France

COSTA

🇫🇷

Nîmes, France

Georgios MARKIDIS

🇫🇷

Obernai, France

Natacha HEITZ

🇫🇷

Obernai, France

Yves-Olivier SCHLECHT

🇫🇷

Obernai, France

Guy BIRRY

🇫🇷

Ottrott, France

Bernard PRIJAC

🇫🇷

Pacy Sur Eure, France

Alain GUERRI

🇫🇷

Perpignan, France

Chantal MALZAC

🇫🇷

Perpignan, France

Sonia COURTOIS

🇫🇷

Pont de L'arche, France

Gérard BOURREL

🇫🇷

Perpignan, France

Serge ELIE

🇫🇷

Pompignan, France

Bernard GABBAI

🇫🇷

Pont Saint Esprit, France

Geneviève DURANT

🇫🇷

Rivesaltes, France

Baudoin PINSON

🇫🇷

Rouen, France

Claire PFRUNNER-SCHNEIDER

🇫🇷

Strasbourg, France

Hervé MOREL

🇫🇷

Tilly Sur Seulles, France

Bernard CLARY

🇫🇷

Trebes, France

Hélène STURCHLER

🇫🇷

Strasbourg, France

Patrick KORMANN

🇫🇷

Strasbourg, France

Philippe MARMOR

🇫🇷

Strasbourg, France

Maxime BOUMANDIL

🇫🇷

Strasbourg, France

Jacques GRAVES

🇫🇷

Trebes, France

Philippe BOISSON

🇫🇷

Ville, France

Christian GIRARD

🇫🇷

Uchaud, France

Eric LIOTARD

🇫🇷

Uchaud, France

Olivier CHAIX

🇫🇷

Uzes, France

François BAYLE

🇫🇷

Valleraugue, France

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