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To Evaluate the Efficacy of Supplementation With L. Reuteri + Vit. D3 in Asthmatic Children

Phase 3
Completed
Conditions
Asthma
Interventions
Drug: Reuterin D3 drops
Other: Placebo
Registration Number
NCT02734446
Lead Sponsor
University of Campania "Luigi Vanvitelli"
Brief Summary

The purpose of this project is to evaluate in a randomized clinical trial, double-blind, controlled, the effects of a dietary supplement containing Lactobacillus reuteri DSM 17938 and vitamin D3 in reducing bronchial inflammation and improve asthma control in patients in children with mild / moderate persistent asthma .

Detailed Description

To evaluate if the supplementation for three months with Lactobacillus reuteri DSM 17938 (108 CFU) + Vitamin D3 (400 IU) result in a reduction of the degree of allergic bronchial inflammation, measured with the Fractional exhaled nitric oxide (FeNO) and with a series of markers of bronchial inflammation (measured at 'beginning and at the end of the treatment on exhaled condensate): Interleukin 2(IL-2); Interleukin 4 (IL-4); Interleukin 10(IL-10); Interferon γ (IFN-γ).

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
52
Inclusion Criteria
  • Patients aged between 6 and 14 years old, of both sexes
  • Diagnosis of mild / moderate persistent asthma (GINA step 2/3)
  • Allergy mite (Dermatophagoides farinae and pteronyssinus + + + / + + + +)
  • Levels of vitamin 25 (OH) D <30 ng / ml
  • Signature of the informed consent of one parent or a legal representative
Exclusion Criteria
  • Cardiovascular disease or systemic
  • anatomical abnormalities
  • Other respiratory diseases
  • Taking probiotics and / or prebiotics in the previous 2 weeks
  • Taking vitamin D or systemic corticosteroids within 4 weeks
  • Participation in other clinical trials

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Reuterin D3 dropsReuterin D3 dropsLactobacillus reuteri DSM 17938 (108 CFU) + Vitamin D3 (400 IU) 5 drops/day for 3 months (Reuterin D3 drops)
PlaceboPlaceboThe patients will receive 5 drops/day of placebo for 3 months
Primary Outcome Measures
NameTimeMethod
Reduction of allergic bronchial inflammationUp to 3 months

Reduction of a series of markers of bronchial inflammation: IL-2; IL-4; IL-10; IFN-γ.

Secondary Outcome Measures
NameTimeMethod
Improvement of asthma control by C-ACTUp to 3 months

Improvement in asthma control assessed by:

C-ACT (Scores \> 19)

Improvement of asthma control by reduction of bronchodilatorUp to 3 months

Improvement in asthma control assessed by:

Reduction use of bronchodilator

Improvement of asthma control by improvement of FEV-1Up to 3 months

Improvement in asthma control assessed by:

Improvement of Forced Expiratory Volume in 1 second (FEV-1)

Trial Locations

Locations (1)

Second University of Naples

🇮🇹

Naples, Italy

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