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Status unknownNCT01804959Updated Sep 10, 2018

Clinical Trial of Probiotics in Systemic Sclerosis Associated Gastrointestinal Disease

A Phase 2 interventional study of Vivomixx probiotics in Systemic Sclerosis, sponsored by Singapore General Hospital. Status unknown at 1 site in Singapore. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2018-09-10.

Sponsored by Singapore General Hospital · Phase 2, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Sep 2018), so the status shown — last known as Active, not recruiting — may be out of date.
Phase
Phase 2
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

SSc-associated gastrointestinal (GI) involvement is common, with no effective treatment. Probiotics may have beneficial effects on symptoms as supported by one small open-label study (n=10) that demonstrated decreased bloating symptoms in SSc patients after 2 months of probiotics. This study aims to determine (i) whether 60 days of Vivomixx probiotics result in greater GI symptom improvement than placebo in SSc outpatients, assessed using an interview-administered 34-item Gastrointestinal Tract (GIT) questionnaire and (ii) whether 60 days versus 120 days of probiotics result in greater GI symptom improvement in SSc outpatients, assessed using the GIT questionnaire.

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Conditions studied

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In context

Gastrointestinal Diseases

628 studies on the registry are indexed under Gastrointestinal Diseases; 128 are open to participants now.

This study's enrollment of 40 is below the median of 77 across 422 interventional studies indexed under Gastrointestinal Diseases.

Browse Gastrointestinal Diseases studies →

Lead sponsor

Singapore General Hospital is the lead sponsor of 266 studies on the registry; 57 are open to participants now.

Of its 8 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • SSc that fulfills the American College of Rheumatology (ACR, 1990) classification criteria or the proposed European League Against Rheumatism (EULAR) criteria for very early diagnosis of systemic sclerosis.
  • SSc overlap syndromes (ie SSc occurring in overlap with other connective tissue diseases)
  • SSc-associated GI symptoms (heartburn, dysphagia, vomiting, bloating/distension, faecal soilage, diarrhoea, constipation) not due to other causes as determined by clinical evaluation, with a total GIT score of at least 0.10
  • Stable doses of immunosuppressive treatment, corticosteroids, and GI medications for 30 days.

Exclusion criteria

Exclusion Criteria:

  • On anti-biotics or probiotics within the last 30 days
  • Current serious infections requiring hospitalization
  • Long-term indwelling catheter, including patients on total parenteral nutrition
  • Females who are lactating or pregnant
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Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
40 participants (actual)

Study arms

  • Placebo comparator
    Active vs Placebo

    In phase I, subjects will be randomized into either the Vivomixx probiotics or placebo arm of the study at a 1:1 ratio. All randomized subjects will receive probiotics (4 sachets/ day or 1800 billion bacteria/day) or placebo (4 placebo sachets/day) for the first 60 days.

    Dietary Supplement: Vivomixx probiotics

  • Active comparator
    60 days of Active vs 120 days of Active

    In phase II, subjects from both arms in phase I will receive Vivomixx probiotics 4 sachets/ day for another 60 days. Comparison will be made between the arm receiving 60 days of Vivomixx probiotics vs 120 days of Vivomixx probiotics

    Dietary Supplement: Vivomixx probiotics

Interventions

  • Dietary supplementVivomixx probiotics
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What researchers measure

Primary outcomes

  1. mean difference between probiotics group versus placebo group in gastrointestinal change score from baseline to day 60 of treatment.

    Time frame: After 60 days of either placebo treatment or active drug treatment

Secondary outcomes

  1. mean difference between 60 days of probiotics versus 120 days of probiotics in gastrointestinal change score from baseline to day 120 of treatment.

    Time frame: After 120 days of placebo treatment or active drug treatment

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Study locations

1 site
  • Singapore General Hospital
    Singapore, 169856, Singapore
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References and documents

Publications

  • Low AHL, Teng GG, Pettersson S, de Sessions PF, Ho EXP, Fan Q, Chu CW, Law AHN, Santosa A, Lim AYN, Wang YT, Haaland B, Thumboo J. A double-blind randomized placebo-controlled trial of probiotics in systemic sclerosis associated gastrointestinal disease. Semin Arthritis Rheum. 2019 Dec;49(3):411-419. doi: 10.1016/j.semarthrit.2019.05.006. Epub 2019 May 23. PubMed 31208714 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 10, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01804959
Lead sponsor
Singapore General Hospital
Responsible party
Sponsor
First posted
Mar 5, 2013
Start date
May 2013
Primary completion
Nov 2017
Completion
Dec 2020 (estimated)
Last update
Sep 10, 2018

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Sep 2018. You cannot join it, but the record below documents what was studied.

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