Probiotics for Eradication of Carbapenem Resistant Klebsiella Pneumonia

Study Overview
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Brief Summary
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Infection by Klebsiella pneumonia producing class A carbapenemases is a major clinical and public health problem in Israel and worldwide. The aim of this study is to determine the safety and efficacy of alteration of the gut microflora by probiotics, alone or in combination with mechanical bowel cleansing, as a strategy to eradicate colonization of the gastrointestinal tract by CRKP. We hypothesize that administration of probiotics will decrease the rate of GI colonization by CRKP.

Detailed Description
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CRKP colonization will be determined by culture and PCR of rectal swabs. The study will include 3 arms - no intervention, probiotics and mechanical bowel cleansing + probiotics. Followup examination of rectal swab samples for the presence of CRKP will be performed at 4 weeks and 12 weeks from study entry.

Official Title
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Safety and Efficacy Study of Eradication of Carbapenem Resistant Klebsiella Pneumonia From the Gastrointestinal Tract by Probiotics.

Conditions
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Anti-Biotic Resistance, Klebsiella Pneumoniae

Intervention / Treatment
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* Dietary Supplement: VSL#3
* Drug: Polyethylene glycol


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Subjects who are > 18 years of age. Signing of informed consent by subject or legal custodian. Colonization of the gastrointestinal tract by CRKP as determined by stool culture or PCR of stool for the blakpc gene. Negative cultures for CRKP from extra-intestinal sites excluding urine. Exclusion Criteria: Subjects who have participated in another clinical trial within the last three months. Women with childbearing potential unless using adequate contraception (IUD, oral or depot contraceptive or barrier plus spermicide). Subjects who are pregnant or breast feeding. Subjects who will be unavailable for the duration of the trial, are likely to be non-compliant with the protocol, or who are felt to be unsuitable by the investigator for any other reason. Subjects with chronic diarrhea (>4 weeks). Subjects with inflammatory bowel disease. Subjects whose stool is positive for Clostridium difficile toxin. Subjects receiving immunosuppressive treatment (i.e. corticosteroids; azathioprine or 6-MP; cyclosporine; tacrolimus; OKT3, methotrexate; anti TNF agents; chemotherapy). Subjects who underwent solid organ or hematopoietic stem cell transplantation. Subjects with primary or secondary immunodeficiency disorders, including HIV. Subjects with chronic advanced cardiac, respiratory, renal or liver disease. Subjects with advanced malignant disease. Subjects with severe acute organ failure. Subjects in whom CRKP is isolated from sites other than stool or urine (i.e. blood, sputum or wound cultures).

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: A<br> | |
| Experimental: B<br>VSL#3 for 4 weeks | Dietary Supplement: VSL#3<br>* A probiotic preparation.<br>|
| Experimental: C<br>Mechanical bowel cleansing followed by VSL#3 for 4 weeks. | Dietary Supplement: VSL#3<br>* A probiotic preparation.<br>Drug: Polyethylene glycol<br>* Oral ingestion of 3 liters of polyethylene glycol solution.<br>* Other names: Precolonoscopy solution.;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| A negative stool culture for Carbapenem resistant Klebsiella pneumonia. |  | 4 weeks. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| A negative stool culture and/or PCR assay for CRKP at twelve weeks after initiation of probiotics (i.e - 8 weeks after cessation of probiotic treatment). |  | 12 weeks beginning of intervention. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Carbapenem, resistant, Klebsiella pneumoniae, Carpapenemases, Probiotics, VSL3