Clinical Study on the Effectiveness of Antibiotics Combined With Bifidobacterium Quadruple Live Tablets in Treating Cirrhosis With Spontaneous Bacterial Peritonitis and Preventing Recurrence
NCT07686861 · Status: NOT_YET_RECRUITING · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 360
Last updated 2026-07-07
Summary
This is a prospective, randomized, double-blind, placebo-controlled multicenter clinical study targeting cirrhosis patients with Spontaneous Bacterial Peritonitis(SBP), aiming to evaluate whether adding Bifidobacterium quadruple probiotics can improve infection control rates and reduce SBP recurrence. Meanwhile, by extending the follow-up period into a real-world clinical observation phase, the study will assess whether Bifidobacterium quadruple probiotics can lower SBP recurrence and extend the lifespan of cirrhosis patients. The primary endpoint of the study is the recurrence rate of SBP during the double-blind treatment period. The study plans to enroll 360 patients.
Conditions
- Cirrhosis With Spontaneous Bacterial Peritonitis
Interventions
- DRUG
-
Bifidobacterium quadruple live tablets
Take Bifidobacterium quadruple live tablets orally at 4.5 g per dose, which is 9 tablets at a time, once after breakfast, continuously for 2 weeks. After 2 weeks, continue taking Bifidobacterium quadruple live tablets, but switch to 1.5 g per dose, which is 3 tablets per time, three times a day, after meals, and continue until 24 weeks are completed.After the treatment, there's a 24-week open phase where participants can voluntarily take the tablets (1.5g three times a day).
- DRUG
-
Bifidobacterium quadruple live bacteria tablets placebo
Take 4.5 g of Bifidobacterium quadruple live bacteria tablets placebo orally each time, which is 9 tablets at once, after breakfast in the morning, for 2 weeks. After 2 weeks, continue taking the Bifidobacterium quadruple live bacteria tablets placebo, but change to 1.5 g each time, which is 3 tablets, 3 times a day, taken after meals, until the end of 24 weeks.After the treatment, there's a 24-week open phase where participants can voluntarily take the tablets (1.5g three times a day).
Sponsors & Collaborators
-
Peking University First Hospital
lead OTHER
Principal Investigators
-
Guiqiang Wang, Ph.D · Peking University First Hospital
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- TRIPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-07-31
- Primary Completion
- 2027-07-31
- Completion
- 2028-02-28
Countries
- China
Study Locations
More Related Trials
-
Intravenous Ciprofloxacin Versus Intravenous Ceftriaxone: Spontaneous Bacterial Peritonitis in Cirrhosis of Liver
NCT07552870 ·Status: COMPLETED ·Phase: NA
-
Rifaximin for the Secondary Prevention of Spontaneous Bacterial Peritonitis Recurrence in Cirrhotic Patients
NCT02011841 ·Status: WITHDRAWN ·Phase: PHASE3
-
VSL#3 and Spontaneous Bacterial Peritonitis
NCT01701297 ·Status: TERMINATED ·Phase: PHASE2
-
Synbiotics Interventions for Managing Cirrhosis and Its Complications
NCT05687409 ·Status: COMPLETED ·Phase: PHASE4
-
Effect of Sinbiotic With Multispecies Probiotics on Liver Parameters Liver Enzymes, Ultrasound, Elastography and Adipokines in Same Cases) in Patients With Metabolic Associated Steatotic Liver Disease.
NCT07025980 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
Primary Antibiotic Prophylaxis Using Co-trimoxazole to Prevent Spontaneous Bacterial Peritonitis in Cirrhosis
NCT04395365 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE3
-
Study of the Effect of Adjunctive Vivomixx® in Patients With Cirrhosis and Spontaneous Bacterial Peritonitis (SBP)
NCT02552862 ·Status: WITHDRAWN ·Phase: PHASE3
-
Prophylactic Antibiotics in Prevention of Spontaneous Bacterial Peritonitis in Compensated Liver Cirrhosis
NCT04711122 ·Status: UNKNOWN
-
Probiotics in NASH Patients - PROBILIVER TRIAL
NCT03467282 ·Status: UNKNOWN ·Phase: NA
-
Platelet Indices Could Predict Spontaneous Bacterial Peritonitis in Cirrhotic Ascitic Patients
NCT03172013 ·Status: UNKNOWN
-
Lipopolysaccharide Binding Protein and Development of Infectious Events in Cirrhotic Patients
NCT00760032 ·Status: WITHDRAWN ·Phase: PHASE4
-
Fecal Microbiota Therapy Versus Standard Therapy in Decompensated NASH Related Cirrhosis: A Randomized Controlled Trial.
NCT02868164 ·Status: WITHDRAWN ·Phase: NA
-
Gut Microbes and Metabolic Group in Different PBC Patients for UDCA Response
NCT03590886 ·Status: COMPLETED
-
Probiotics for the Prevention of Major Complications of Cirrhosis
NCT00312910 ·Status: COMPLETED ·Phase: NA
-
Rifaximin Prophylaxis for Spontaneous Bacterial Peritonitis and Hepatorenal Syndrome in Cirrhotic Patients
NCT05621005 ·Status: COMPLETED ·Phase: PHASE2
-
Effect of Transjugular Intrahepatic Portosystemic Shunt on Gut Microbiota in Cirrhotic Patients
NCT02427906 ·Status: UNKNOWN
-
Clinical Efficacy and Population Pharmacokinetics of β-lactams in Cirrhotic Patients
NCT07612163 ·Status: RECRUITING
-
Treatment of Nonalcoholic Fatty Liver Disease With Probiotics and Prebiotics
NCT00870012 ·Status: COMPLETED ·Phase: NA
-
Evaluation of Serum-Derived Bovine Immunoglobulin Protein Isolate in Subjects With Decompensated Cirrhosis With Ascites
NCT02608658 ·Status: COMPLETED ·Phase: NA
-
Sitagliptin Versus Placebo in the Treatment of Non-alcoholic Fatty Liver Disease
NCT01963845 ·Status: COMPLETED ·Phase: PHASE2
-
Study to Assess Safety and Efficacy of Ifetroban for Treatment of Portal Hypertension in Cirrhotic Patients
NCT02802228 ·Status: COMPLETED ·Phase: PHASE2
-
Remedial Mechanism of Simvastatin and Ursodeoxycholic Acid in Liver Cirrhosis: Crosstalk of Bile Secretion, Gut Microbiome, and Host Immune Response
NCT07102979 ·Status: TERMINATED ·Phase: NA
-
Fecal Microbiota Therapy Versus Standard Therapy in NASH Related Cirrhosis.
NCT02721264 ·Status: UNKNOWN ·Phase: NA
-
A Study of Experimental Medication BMS-986263 in Adults With Advanced Hepatic Fibrosis After Cure of Hepatitis C
NCT03420768 ·Status: COMPLETED ·Phase: PHASE2
-
Ezetimibe Versus Placebo in the Treatment of Non-alcoholic Steatohepatitis
NCT01766713 ·Status: COMPLETED ·Phase: PHASE2