Gut bacteria vs. spinal arthritis: can a probiotic calm inflammation?
NCT ID NCT07834788
First seen Sep 22, 2026 · Last updated Sep 23, 2026 · Updated 1 time
Summary
Researchers are testing whether a daily probiotic, Lacticaseibacillus rhamnosus GG, can reduce disease activity and inflammation in adults with active ankylosing spondylitis. Thirty-one participants take either the probiotic or a placebo capsule for eight weeks while continuing their usual arthritis medication. The study measures changes in disease activity, physical function, and blood markers of inflammation called CRP and ESR.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Lacticaseibacillus rhamnosus GG, a probiotic bacterium
- What this could lead to
- If the probiotic helps, it could offer a low-cost, low-risk add-on for people whose ankylosing spondylitis remains active despite standard treatment.
- What could go wrong
- This is a small, short study of 31 people, and gut bacteria may not influence spinal inflammation enough to change symptoms. Probiotics can cause mild digestive upset.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
-
31 people
The number who actually took part.
- Started
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Oct 2018
- Finished
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Mar 2019
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
25 to 65 years
- Sex
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Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: Adults aged 25-65 years Physician-established diagnosis of ankylosing spondylitis Active-phase disease at screening, defined by all of the following: BASDAI \> 3 BASFI \> 3 C-reactive protein (CRP) \> 5 mg/L Erythrocyte sedimentation rate (ESR) \> 15 mm/h Exclusion Criteria: Use of any prebiotic, probiotic, or synbiotic product within the preceding 3 months Pregnancy or lactation Presence of any other chronic disease
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Çukurova University Balcalı Hospital
Adana, Balcalı, 01330, Turkey (Türkiye)
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