Oral intake of Kluyveromyces marxianus B0399 plus Lactobacillus rhamnosus CECT 30579 to mitigate symptoms in COVID-19 patients: A randomized open label clinical trial
Vicente Navarro-López , Adriana Hernández-Belmonte , Maria Isabel Pérez Soto , Maikel Ayo-González , Guillermo Losa-Rodríguez , Esther Ros-Sánchez , Maravillas Martínez-Gabarrón , Pedro Sánchez-Pellicer , Juan Aguera-Santos , Eva Núñez-Delegido , Beatriz Ruzafa-Costas , José Antonio Picó-Monllor , Laura Navarro-Moratalla
{"title":"Oral intake of Kluyveromyces marxianus B0399 plus Lactobacillus rhamnosus CECT 30579 to mitigate symptoms in COVID-19 patients: A randomized open label clinical trial","authors":"Vicente Navarro-López , Adriana Hernández-Belmonte , Maria Isabel Pérez Soto , Maikel Ayo-González , Guillermo Losa-Rodríguez , Esther Ros-Sánchez , Maravillas Martínez-Gabarrón , Pedro Sánchez-Pellicer , Juan Aguera-Santos , Eva Núñez-Delegido , Beatriz Ruzafa-Costas , José Antonio Picó-Monllor , Laura Navarro-Moratalla","doi":"10.1016/j.medmic.2022.100061","DOIUrl":null,"url":null,"abstract":"<div><p>At the beginning of the SARS-CoV-2 pandemic, developing of new treatments to control the spread of infection and decrease morbidity and mortality are necessary. This prospective, open-label, case-control intervention study evaluates the impact of the oral intake of the probiotic yeast <em>Kluyveromyces marxianus</em> B0399 together with <em>Lactobacillus rhamnosus</em> CECT 30579, administered for 30 days, on the evolution of COVID-19 patients. Analysis of the digestive symptoms at the end of the follow up shows a benefit of the probiotic in the number of patients without pyrosis (100% vs 33.3%; p 0.05) and without abdominal pain (100% vs 62.5%; p 0.04). Results also show a better evolution when evaluating the difference in the overall number of patients without non-digestive symptoms at the end of the follow-up (41.7%, vs 13%; p 0.06). The percentage of improvement in the digestive symptoms (65% vs 88%; p value 0.06) and the global symptoms (digestive and non-digestive) (88.6% vs 70.8%; p value 0.03) is higher in the probiotic group. The probiotic was well tolerated with no relevant side effects and high adherence among patients. In conclusion, this coadjutant treatment seems to be promising, although results should be confirmed in new studies with higher number of patients.</p></div>","PeriodicalId":36019,"journal":{"name":"Medicine in Microecology","volume":"14 ","pages":"Article 100061"},"PeriodicalIF":0.0000,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9398813/pdf/","citationCount":"10","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Medicine in Microecology","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2590097822000118","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 10
Abstract
At the beginning of the SARS-CoV-2 pandemic, developing of new treatments to control the spread of infection and decrease morbidity and mortality are necessary. This prospective, open-label, case-control intervention study evaluates the impact of the oral intake of the probiotic yeast Kluyveromyces marxianus B0399 together with Lactobacillus rhamnosus CECT 30579, administered for 30 days, on the evolution of COVID-19 patients. Analysis of the digestive symptoms at the end of the follow up shows a benefit of the probiotic in the number of patients without pyrosis (100% vs 33.3%; p 0.05) and without abdominal pain (100% vs 62.5%; p 0.04). Results also show a better evolution when evaluating the difference in the overall number of patients without non-digestive symptoms at the end of the follow-up (41.7%, vs 13%; p 0.06). The percentage of improvement in the digestive symptoms (65% vs 88%; p value 0.06) and the global symptoms (digestive and non-digestive) (88.6% vs 70.8%; p value 0.03) is higher in the probiotic group. The probiotic was well tolerated with no relevant side effects and high adherence among patients. In conclusion, this coadjutant treatment seems to be promising, although results should be confirmed in new studies with higher number of patients.
在SARS-CoV-2大流行开始时,有必要开发新的治疗方法来控制感染的传播并降低发病率和死亡率。这项前瞻性、开放标签、病例对照干预研究评估了口服益生菌酵母菌克卢维酵母(Kluyveromyces marxianus B0399)和鼠李糖乳杆菌(Lactobacillus rhamnosus CECT 30579) 30天对COVID-19患者进化的影响。在随访结束时对消化系统症状的分析显示,益生菌对没有发热的患者有好处(100% vs 33.3%;P 0.05)且无腹痛(100% vs 62.5%;p 0.04)。在评估随访结束时无非消化症状的患者总数的差异时,结果也显示出更好的演变(41.7%,vs 13%;p 0.06)。消化症状改善的百分比(65% vs 88%;P值0.06)和整体症状(消化和非消化)(88.6% vs 70.8%;P值0.03)高于益生菌组。益生菌耐受性良好,无相关副作用,患者依从性高。总之,这种辅助治疗似乎是有希望的,尽管结果需要在更多患者的新研究中得到证实。