PMID- 30264164 OWN - NLM STAT- MEDLINE DCOM- 20190403 LR - 20200225 IS - 1432-1041 (Electronic) IS - 0031-6970 (Linking) VI - 75 IP - 1 DP - 2019 Jan TI - A prospective, interventional, randomized, double-blind, placebo-controlled clinical study to evaluate the efficacy and safety of Bacillus coagulans LBSC in the treatment of acute diarrhea with abdominal discomfort. PG - 21-31 LID - 10.1007/s00228-018-2562-x [doi] AB - PURPOSE: Increasing resistance towards antibiotics has augmented the use of probiotics for the treatment of diarrhea and associated symptoms. Probiotics are active microorganisms which exert some health benefits when consumed in the right amount. This randomized, double-blind, placebo-controlled clinical trial was conducted on 60 "intention to treat" subjects to evaluate the safety and efficacy of probiotic preparation Lactic Acid Bacillus (LAB containing active ingredient Bacillus coagulans strain LBSC) for the treatment of acute diarrhea with abdominal discomfort. METHODS: The Test-A arm (n = 30) was on B. coagulans LBSC [2 billion/g] and Placebo-B arm (n = 30) was on the carrier. The primary outcomes were the time to last unformed stool (TTLUS), number of unformed stools, change in severity of abdominal pain, time to complete resolution of abdominal discomfort, complete remission of diarrhea, and quality of life (QoL). The secondary outcomes were physical examination and vitals, hematological analysis, and assessment of reported adverse events (AEs) or serious adverse events (SAEs). RESULTS: Trial data showed that the LAB was well-tolerated by participants at the dose provided. The LAB was effective in recovering from acute diarrhea with abdominal pain and discomforts and exhibited improved cluster of QoL. No AEs or SAEs were reported during the trial. CONCLUSIONS: It is evident that the test drug, i.e., LAB (B. coagulans strain LBSC) is safe and effective for improving the pathophysiological conditions related to acute diarrhea and abdominal discomfort evaluated through stage-II clinical trial. FAU - Maity, Chiranjit AU - Maity C AUID- ORCID: 0000-0001-9400-3947 AD - Probiotics Laboratory, Advanced Enzyme Technologies Ltd., 5th Floor, A-Wing, Sun Magnetica, LIC Service Road, Louiswadi, Thane (W), Maharashtra, 400 604, India. chiranjit@advancedenzymes.com. FAU - Gupta, Anil Kumar AU - Gupta AK AD - Probiotics Laboratory, Advanced Enzyme Technologies Ltd., 5th Floor, A-Wing, Sun Magnetica, LIC Service Road, Louiswadi, Thane (W), Maharashtra, 400 604, India. LA - eng GR - NTRC/WO No. 2142601/Advanced Enzyme Technologies Ltd./ PT - Journal Article PT - Randomized Controlled Trial DEP - 20180928 PL - Germany TA - Eur J Clin Pharmacol JT - European journal of clinical pharmacology JID - 1256165 SB - IM MH - Abdominal Pain/etiology/*therapy MH - Adolescent MH - Adult MH - *Bacillus coagulans MH - Diarrhea/*therapy MH - Double-Blind Method MH - Female MH - Humans MH - Male MH - Middle Aged MH - Probiotics/*administration & dosage/adverse effects MH - Prospective Studies MH - Quality of Life MH - Treatment Outcome MH - Young Adult OTO - NOTNLM OT - Abdominal pain OT - Bacillus coagulans OT - Bristol stool scale OT - Diarrhea OT - Quality of life EDAT- 2018/09/29 06:00 MHDA- 2019/04/04 06:00 CRDT- 2018/09/29 06:00 PHST- 2018/08/18 00:00 [received] PHST- 2018/09/21 00:00 [accepted] PHST- 2018/09/29 06:00 [pubmed] PHST- 2019/04/04 06:00 [medline] PHST- 2018/09/29 06:00 [entrez] AID - 10.1007/s00228-018-2562-x [pii] AID - 10.1007/s00228-018-2562-x [doi] PST - ppublish SO - Eur J Clin Pharmacol. 2019 Jan;75(1):21-31. doi: 10.1007/s00228-018-2562-x. Epub 2018 Sep 28.