Randomized, Double-blind, Placebo-controlled Clinical Trial to Evaluate the Efficacy of a Probiotic Preparation in the Prevention of Upper Respiratory Tract Infections in a Healthy Adult Population
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- Bioithas SL
- 入组人数
- 140
- 试验地点
- 2
- 主要终点
- Patients who were diagnosed with at least 1, 2 or 3 URTIs
研究概览
简要总结
Randomized, double-blind, placebo-controlled, parallel-group, clinical trial to assess the efficacy of the intake of a probiotic product composed of Lacticaseibacillus rhamnosus CRL1505 strain in reducing or preventing upper respiratory tract infections (URTIs) in a healthy adult population
详细描述
Randomized, double-blind, placebo-controlled, parallel-group, clinical trial. The study aims to demonstrate the efficacy of the intake of a probiotic product composed of Lacticaseibacillus rhamnosus CRL1505 strain in reducing or preventing upper respiratory tract infections in a healthy adult population.
The study will be focused on a healthy population, so the exclusion criteria will rule out individuals with major acute or chronic illnesses and an immunocompromised state. In addition, those subjects with a regular pharmacological treatment or consumption of food supplements that could influence the outcome of the study in the last 4 weeks prior to inclusión will be excluded. If patients could discontinue this treatment after a washout period and during the intervention period, they would be able to participate in the study. However, the usual medication that is considered not to influence the results of the study will be allowed. Subjects recently vaccinated against influenza will also be excluded, but as the study focuses on a healthy population, a priori vaccination is not recommended and there would be no problem in finding subjects with these characteristics because there is no contradiction.
In addition, subjects included will be asked not to modify their diet or physical activity during the study.
An important data that is not usually recorded in many studies is the use of medication to alleviate the symptoms of URTI, either non-prescription or prescribed by the physician. Only antibiotic medication to treat or prevent bacterial upper respiratory tract coinfections or complications is usually established as a variable (the use of antibiotics is established as a secondary variable in the present study). The investigators consider that it is very important to record the use of these treatments to evaluate if any study group is unbalanced in this regard and/or whether it is a confusion factor when interpreting the results. The investigators could consider the possibility of performing a post hoc analysis of this topic and present it in the final report if the results are interesting.
Similarly, it is important to collect baseline data related to the type of work or continuous contact with people with risk factors such as children or elderly to assess whether the groups are balanced. It will also be collected data about the number of URTIs in the study subjects since 3 months prior to inclusion.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 65 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Healthy men and women between 18 and 65 years.
- •Signed Informed Consent to participate in the study
- •BMI less than 35 kg/m2
排除标准
- •Chronic pathological conditions such as chronic respiratory diseases (asthma, chronic bronchitis, chronic obstructive pulmonary disease etc), chronic heart diseases (chronic heart failure etc), chronic neurological diseases (Parkinson´s diseases, multiple esclerosis etc), chronic liver diseases, kidney liver diseases, gastrointestinal diseases, hematologic disorders etc, or other disease or condition that the researcher considers
- •Metabolic disorders (diabetes, obesity with BMI greater than 35.1 kg/m2 etc).
- •Congenital or acquired immune defects (including allergies).
- •Immunocompromised individuals (HIV infection, chemotherapy, post-trasplant, chronic corticosteroid treatment etc).
- •Presence of nasal ulcers/nasal polyps or other conditions that could cause nasal obstruction.
- •Abuse of alcohol, tobacco or other drugs.
- •Pregnancy or lactation.
- •Regular intake of products that could influence the study outcome (immune suppressants/immune stimulants including paramedication such as Echinacea, analgesics, antiinflammatories, antitussives/expectorants, influenza remedies, mouth or throat therapeutics, decongestants, antibiotics, antihistaminergic drugs, probiotics) within the last 4 weeks prior to the study start.
- •Influenza vaccination in the last 6 monts.
结局指标
主要结局
Patients who were diagnosed with at least 1, 2 or 3 URTIs
时间窗: 16 weeks
Difference in the proportion of patients who were diagnosed with at least 1, 2 or 3 URTIs during the intervention (12 weeks) and follow-up period (16 weeks) between the study groups
Number of URTIs per patient
时间窗: 16 weeks
Difference in the mean number of URTIs per patient between the study groups during the intervention period (12 weeks) and follow-up period (16 weeks)
Patients who were diagnosed of common cold and influenza
时间窗: 16 weeks
Difference in the proportion of patients who were diagnosed of common cold and influenza during the intervention (12 weeks) and follow-up period (16 weeks) between the study groups.
次要结局
- Participants using symptomatic treatment(16 weeks)
- Number of days with symptomatic treatment during the study(16 weeks)
- Number of days until the occurrence of the first URTI episode(12 weeks)
- Number of days with URTI episode per participant(16 weeks)
- Duration of URTI episode(16 weeks)
- URTI-Free Time Rate(16 weeks)
- Participants who presented gastrointestinal infections(16 weeks)
- Number of gastrointestinal infections(16 weeks)
- Salivary IgA concentrations(12 weeks)
- Participants using antibiotics(16 weeks)
- Number of days with antibiotics treatment(16 weeks)
- Participants who presented URTI complications(16 weeks)
- Number of URTI complications(16 weeks)
- Number of days until the occurrence of the first URTI episode(12 weeks)
- Number of days with URTI episode per participant(16 weeks)
- Duration of URTI episode(16 weeks)
- URTI-Free Time Rate(16 weeks)
- Participants who presented gastrointestinal infections(16 weeks)
- Number of gastrointestinal infections(16 weeks)
- Salivary IgA concentrations(12 weeks)
- Participants using antibiotics(16 weeks)
- Number of days with antibiotics treatment(16 weeks)
- Participants using symptomatic treatment(16 weeks)
- Number of days with symptomatic treatment during the study(16 weeks)
- "Common cold episode day" Wisconsin Upper Respiratory Symptom Survey - 21 item score (WURSS-21 score)(16 weeks)
