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Randomized Placebo-controlled Study of L. Reuteri NCIMB 30351 in GI Functional Disorders and Food Allergy in Newborns

Not Applicable
Completed
Conditions
Infantile Colic
Constipation
Gastro Esophageal Reflux
Infantile Diarrhea
Interventions
Dietary Supplement: Placebo
Dietary Supplement: Lactobacillus Reuteri
Registration Number
NCT04262648
Lead Sponsor
NovoNatum Ltd
Brief Summary

This study is a randomized, placebo-controlled, single-masked (blinded), post-marketing clinical study of a drug Lactobacillus Reuteri NCIMB 30351 drops in functional disorders of gastrointestinal tract and skin symptoms of food allergies in children between the ages of one and four months inclusive.

The aim of the study is to assess clinical effects of probiotics Lactobacillus Reuteri NCIMB 30351 drops on the symptoms of infantile colic, constipation, diarrhea, gastroesophageal reflux, atopic dermatitis/eczema in full-term newborns during the first months of life, laboratory parameters of microbiome will also be assessed.

A prospective study comparing two treatment groups:

Group 1 (treatment group) - 60 infants. Group 2 (control group) - 30 infants, placebo. The study drug will be taken in 1 time per day within 25 days. Allowed symptomatic therapy includes defoamers (simethicone-based preparations), carminative preparations (dill water (fennel)), etc.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
90
Inclusion Criteria
  1. Parents / guardians speak Russian, understand the essence of study, are informed about the purpose of the study, understand their rights and signed informed consent form (ICF).
  2. Vaginal delivery.
  3. Full-term newborn.
  4. Age at the time of the signing of informed consent form 1-4 months 28 days.
  5. Breast- and formula-fed infants.
  6. Colic , constipation , diarrhea, regurgitation (single symptom or combination of several symptoms).
  7. Infant does not have other deviations in health, which would require the appointment of a specialized diet
  8. Parents / guardians can and ready to regularly fill out the proposed diary form.
Exclusion Criteria
  1. Born by Cesarean section.
  2. Premature newborn.
  3. Congenital abnormalities or other clinical manifestations that may interfere with the study.
  4. Lactase food supplements.
  5. Other probiotic drugs, antibiotics, enteric antiseptics, antifungal and antiprotozoal drugs.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
ControlPlacebo-
TreatmentLactobacillus Reuteri-
Primary Outcome Measures
NameTimeMethod
Change in the number of infantile colics25 days from the start of treatment

Infantile colics are defined according to IV Rome criteria

Secondary Outcome Measures
NameTimeMethod
Presence of skin symptoms of food allergy25 days from the start of treatment

Presence or absence of skin symptoms of food allergy will be assessed by investigator during general skin examination

Change in concentrations of stool carbohydrates25 days from the start of treatment

Carbohydrates concentrations will be measured in stool filtrate

Change in the number of diarrhea cases25 days from the start of treatment

Diarrhea is defined according to IV Rome criteria

Change in the number of gastroesophageal reflux (posseting) cases25 days from the start of treatment

Gastroesophageal reflux is defined according to IV Rome criteria

Change in the number of constipations25 days from the start of treatment

Constipation is defined according to IV Rome criteria

Change in concentrations in stool filtrate of volatile fatty acids25 days from the start of treatment

Following volatile fatty acids concentrations will be assessed: acetic, propionic, butyric, valeric, caproic and their isomers

Change in 16S RNA sequencing25 days from the start of treatment

16S RNA in stool

Trial Locations

Locations (2)

Children's City Clinical Hospital named after Bashlyaeva, Healthcare department of Moscow city

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Moscow, Russian Federation

Medical Center "St. Andrew's Hospitals - NEBOLIT"

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Moscow, Russian Federation

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