Research project led by Bailey Hanna, MS, RDN - no affiliate links, ads or sponsored products.
One study has assessed the effectiveness of Lactobacillus plantarum MF1298 in relieving symptoms of irritable bowel syndrome (IBS).(1) Conducted as a randomized double-blind placebo-controlled crossover trial, this study involved 16 IBS subjects who underwent two three-week periods of daily intake of either L. plantarum MF 1298 or placebo, separated by a four-week washout period.
The probiotic dose was 10 billion CFU per day. Results indicated that a significant majority (81%) of participants preferred the placebo over the probiotic. Additionally, the number of weeks with satisfactory symptom relief and the IBS sum score were both notably lower during the period of L. plantarum MF1298 treatment compared to the placebo period. This suggests that L. plantarum MF1298 worsened IBS symptoms, and this effect was notable for the symptoms of diarrhea, abdominal pain, and global IBS symptoms.
Key Takeaway
At this time, evidence suggests that Lactobacillus plantarum MF1298 may worsen IBS symptoms.
Dosing Instructions
References:
There is insufficient evidence demonstrating benefits for IBS with this probiotic. Therefore, we do not provide guidance on finding a commercial product containing this strain/blend.
This probiotic has low to moderate quality studies in IBS populations supporting it. View our evidence evaluation framework to learn how we assess the quality of studies.
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A candidate probiotic with unfavourable effects in subjects with irritable bowel syndrome: a randomised controlled trial
BMC Gastroenterol 10, 16 (2010)
ADULTS 18-75 years
The IBS sum score and the score for diarrhea were significantly higher in the period of L. plantarum MF1298 treatment than with placebo.
There was a statistically significant difference between the placebo and probiotic intervention periods for urgency (p=0.002) with the probiotic producing a worsened symptom profile.
There was no statistically significant difference between the placebo and probiotic intervention periods for straining (p=0.13)
There was no statistically significant difference between the placebo and probiotic intervention periods for normalized stool frequency or consistency.
Thirteen participants (81%; CI 57% to 93%; P = 0.012) preferred placebo to L. plantarum MF1298 treatment. The number of weeks with satisfactory relief of symptoms was statistically significantly higher in the placebo period compared with the L. plantarum MF1298 period.
The IBS sum score in the active period was 6.44 (1.81), in the placebo period 5.35 (1.77), and the correlation between these was 0.66. The difference in IBS sum score between active treatment and placebo was 1.09 (1.47).
The resulting proportion of subjects with a score difference of at least 2 in disfavour of active treatment was 27% (CI 9% to 44%), and the number needed to harm was 3.7 (CI 2.3 to 10.9).
For abdominal pain, there was a statistically significant difference between the probiotic and placebo intervention with worsened scores occurring during the probiotic intervention (p=0.016)
There was no statistically significant difference between the probiotic and placebo for bloating (p=0.69)
No data