Original Contribution | Published:

Functional Gi

Efficacy of an Encapsulated Probiotic Bifidobacterium infantis 35624 in Women with Irritable Bowel Syndrome

The American Journal of Gastroenterology volume 101, pages 15811590 (2006) | Download Citation

Subjects

Abstract

BACKGROUND:

Probiotic bacteria exhibit a variety of properties, including immunomodulatory activity, which are unique to a particular strain. Thus, not all species will necessarily have the same therapeutic potential in a particular condition. We have preliminary evidence that Bifidobacterium infantis 35624 may have utility in irritable bowel syndrome (IBS).

OBJECTIVES:

This study was designed to confirm the efficacy of the probiotic bacteria B. infantis 35624 in a large-scale, multicenter, clinical trial of women with IBS. A second objective of the study was to determine the optimal dosage of probiotic for administration in an encapsulated formulation.

METHODS:

After a 2-wk baseline, 362 primary care IBS patients, with any bowel habit subtype, were randomized to either placebo or freeze-dried, encapsulated B. infantis at a dose of 1 × 106, 1 × 108, or 1 × 1010, cfu/mL for 4 wk. IBS symptoms were monitored daily and scored on to a 6-point Likert scale with the primary outcome variable being abdominal pain or discomfort. A composite symptom score, the subject's global assessment of IBS symptom relief, and measures of quality of life (using the IBS-QOL instrument) were also recorded.

RESULTS:

B. infantis 35624 at a dose of 1 × 108 cfu was significantly superior to placebo and all other bifidobacterium doses for the primary efficacy variable of abdominal pain as well as the composite score and scores for bloating, bowel dysfunction, incomplete evacuation, straining, and the passage of gas at the end of the 4-wk study. The improvement in global symptom assessment exceeded placebo by more than 20% (p < 0.02). Two other doses of probiotic (1 × 106 and 1 × 1010) were not significantly different from placebo; of these, the 1 × 1010 dose was associated with significant formulation problems. No significant adverse events were recorded.

CONCLUSIONS:

B. infantis 35624 is a probiotic that specifically relieves many of the symptoms of IBS. At a dosage level of 1 × 108 cfu, it can be delivered by a capsule making it stable, convenient to administer, and amenable to widespread use. The lack of benefits observed with the other dosage levels of the probiotic highlight the need for clinical data in the final dosage form and dose of probiotic before these products should be used in practice.

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Author information

Affiliations

  1. Department of Medicine, University of Manchester, Manchester, UK

    • Peter J Whorwell
  2. The Procter and Gamble Company, Personal Health Care Division, Mason, Ohio

    • Linda Altringer
    • , Jorge Morel
    •  & Duane Charbonneau
  3. Procter & Gamble, Rusham Park Technical Center, Egham, UK

    • Yvonne Bond
  4. Alimentary Pharmabiotic Center, University College, Cork, Ireland

    • Liam O'Mahony
    • , Fergus Shanahan
    •  & Eamonn M M Quigley
  5. Alimentary Health Ltd, Kinsale, Co Cork, Ireland

    • Barry Kiely

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Corresponding author

Correspondence to Eamonn M M Quigley.

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DOI

https://doi.org/10.1111/j.1572-0241.2006.00734.x

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