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Evaluation of Probiotic (L.Reuteri) Survival in Presence of Prebiotic Galacto-oligosaccharides

Not Applicable
Terminated
Conditions
Healthy
Registration Number
NCT05555004
Lead Sponsor
Société des Produits Nestlé (SPN)
Brief Summary

This research study will compare the effect of test product #1 (containing a probiotic with the Galacto-OligoSaccharides fiber. GOS) and test product #2 (containing a probiotic without the GOS fiber) to understand how they can contribute to healthy digestion in toddlers between the age of 24 - 36 months. The hypothesis is that L. reuteri from TEST#1 will demonstrate an improved survival in the GIT of toddlers compared to that of TEST#2.

This study is a single-centre, randomized, double-blind, comparator-controlled, parallel group study. The study will be conducted at the Clinical Innovation Lab (CIL) at Nestlé Research.

Detailed Description

Not available

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
25
Inclusion Criteria
  1. Child is between 24 months to 36 months of age.
  2. Singleton, full-term gestational birth (≥ 37 completed weeks of gestation), with a birth weight of ≥ 2.5 kg and ≤ 4.5 kg.
  3. Healthy status based on medical history and physical examination
  4. Weight- for-age and height-for-age within normal range on local childhood growth chart.
  5. Written informed consent are obtained from both parents/legally authorized representative (LAR).
  6. Parents/legally authorized representative must be able to provide evidence of the parental authority and identity.
  7. Parents /legally authorized representative are of legal age of consent and must understand the informed consent and other study documents.
  8. Parents/legally authorized representative are willing and able to fulfill the requirements of the study protocol.
Exclusion Criteria
  1. Known or suspected cows' milk protein intolerance / allergy, or lactose intolerance, or significant food allergies that impact a normal diet.
  2. Prior to study participation, child has shown limited or no interest in drinking toddler milk.
  3. Chronic infectious, gastrointestinal, metabolic, or genetic disease, including any disease/condition that impacts feeding or growth.
  4. Use of systemic antibiotics or anti-mycotic medication in the 4 weeks preceding enrollment.
  5. Child is currently consuming or has consumed any formulas or taking any supplement containing L. reuteri in the past 3 months.
  6. Child is currently consuming or has consumed any formulas or taking any supplement containing GOS within the past 48 hrs prior to product in take, and who are not willing accept a temporary cessation of the consumption during the study period.
  7. Child is currently participating in another investigational clinical trial.
  8. Family or hierarchical relationships with the CIL team.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Colony forming units of feces (CFU/g)Baseline (visit Day 0), Day 2, Day 3, Day4, Day 5, Day6 Day 7 and D21

The primary end point is quantification of L. reuteri DSM 17938 in stool using quantitative polymerase chain reaction (qPCR).

Secondary Outcome Measures
NameTimeMethod
Safety and tolerabilityBetween Day 0 and Day 21

- Adverse events type, incidence, severity, and relationship to TEST1 and TEST2 products.

Gut microbiotaBetween Day 0 and Day 21

Diversity and functionality will be evaluated on at least 8 stools samples using shotgun metagenomic sequencing. Structure and prevalence of microbiota and evaluation of taxa and function in the survival of the probiotic.

Gastrointestinal (GI) tolerance and stooling patternsBetween Day 0 and Day 21

Parent perceptions of GI symptoms and GI-related behaviors using Toddler Gut Comfort Questionnaire (GCQ) and stool frequency and consistency

Assessment of dietary varietyBetween Day 0 and Day 21

Dietary variety assessed using a parent-reported Food Frequency Questionnaire (FFQ)

Trial Locations

Locations (1)

Société des Produits Nestlé S.A.

🇨🇭

Lausanne, Vaud, Switzerland

Société des Produits Nestlé S.A.
🇨🇭Lausanne, Vaud, Switzerland

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