Prescript-assist probiotic-prebiotic treatment for irritable bowel syndrome: an open-label, partially controlled, 1-year extension of a previously published controlled clinical trial

Clin Ther. 2007 Jun;29(6):1153-60. doi: 10.1016/j.clinthera.2007.06.010.

Abstract

Objective: The aim of this study was to extend a previous 2-week assessment of a probiotic-prebiotic complex in patients with irritable bowel syndrome (IBS).

Methods: In this open-label, partially controlled, 1-year (14 [2] months) extension study, data were collected from patients with IBS who continued treatment following a 2-week study of the efficacy of the probiotic-prebiotic complex. Data were collected at 2 and approximately 60 weeks after the end of the original study.

Results: A total of 25 patients entered the 2-week extension and 22 completed the approximately 60-week follow-up study (20 women, 2 men; age range, 20-70 years; all white). Results in the control group 2 weeks after crossover to treatment were similar to those from the original study, with reductions in IBS subsyndromes, as follows: general ill feelings/nausea (P < 0.001), indigestion/flatulence (P < 0.001), and marginally colitis (P < 0.03 [1-tailed]). Treatment was associated with a continued reduction in general ill feelings/nausea at 4 weeks (P < 0.007). At >or=52-week follow-up, the rate of remissions was 81.5% to 100% (P < 0.003).

Conclusion: Based on the results from the present 1-year extension study, treatment with this probiotic-prebiotic complex may be an option for short-term (2-4 weeks) and long-term ( approximately 60-week) reductions in IBS symptoms.

Publication types

  • Clinical Trial
  • Comparative Study
  • Letter
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Analysis of Variance
  • Colitis / prevention & control
  • Cross-Over Studies
  • Double-Blind Method
  • Dyspepsia / prevention & control
  • Female
  • Flatulence / prevention & control
  • Follow-Up Studies
  • Humans
  • Humic Substances / adverse effects
  • Humic Substances / microbiology
  • Irritable Bowel Syndrome / therapy*
  • Male
  • Middle Aged
  • Nausea / prevention & control
  • Probiotics / adverse effects
  • Probiotics / therapeutic use*
  • Time Factors
  • Treatment Outcome

Substances

  • Humic Substances