LGG for Prevention of Infectious Complications During PPI Treatment in Children

October 30, 2013 updated by: Hanna Szajewska, Medical University of Warsaw

Effectiveness of Lactobacillus GG in the Prevention of Gastrointestinal and Respiratory Tract Infections in Children With Gastroesophageal Reflux Disease Treated With Proton Pump Inhibitors: Randomized Double - Blind Placebo, Controlled Trial.

Background: Proton pump inhibitors (PPI) are effective for treating gastroesophageal reflux disease (GERD). However, they may be associated with an increased risk of gastrointestinal and respiratory tract infections.

Aim: To determine if Lactobacillus GG (LGG) is an effective adjunct to PPI for reducing the risk of gastrointestinal and respiratory tract infections in children with GERD.

Study design: Randomized, double-blind, placebo controlled trial.

Study Overview

Detailed Description

Patients with GERD treated with PPI will be randomly assigned to receive LGG in dose of 10(9) Colony Forming Units (CFU) twice daily for 6 weeks or a comparable placebo twice daily for 6 weeks.

Study Type

Interventional

Enrollment (Anticipated)

120

Phase

  • Phase 4

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

      • Warsaw, Poland, 02-091
        • Recruiting
        • Medical University of Warsaw
        • Contact:
        • Contact:
          • Piotr Dziechciarz, MD
          • Phone Number: +48224523292
        • Principal Investigator:
          • Katarzyna Krenke, MD
        • Sub-Investigator:
          • Piotr Dziechciarz, MD
        • Sub-Investigator:
          • Hania Szajewska, MD
        • Sub-Investigator:
          • Andrea Horvath, MD

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

1 month to 5 years (Child)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • age <5,
  • clinical symptoms of GERD
  • treatment with proton pump inhibitors
  • signed informed consent

Exclusion Criteria:

  • treatment with PPI within the last 4 weeks for at least 2 weeks
  • administration of probiotics within 7 days prior to the study
  • acute or chronic respiratory tract infections
  • acute or chronic gastrointestinal tract infections
  • neurological disorders
  • immunodeficiency

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Prevention
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Triple

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Lactobacillus GG
Lactobacillus GG given for six weeks two times per day.
Other Names:
  • Dicoflor
Placebo Comparator: Placebo
Placebo two times per day for six weeks
Other Names:
  • Dicoflor

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Respiratory tract infections
Time Frame: up to 3 months after termination of intervention
Number of upper and lower respiratory tract infections during intervention plus 3 months after termination of the intervention
up to 3 months after termination of intervention
Gastrointestinal tract infections
Time Frame: up to 3 months after termination of intervention
Number of gastrointestinal tract infections during during intervention plus 3 months after termination of the intervention
up to 3 months after termination of intervention

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Number of pneumonias
Time Frame: up to 3 months after termination of intervention
during intervention plus 3 months after termination of the intervention
up to 3 months after termination of intervention
Adverse events
Time Frame: up to 3 months after termination of intervention
Number and character of adverse events during intervention plus 3 months after termination of the intervention.
up to 3 months after termination of intervention

Other Outcome Measures

Outcome Measure
Time Frame
serum level of 25OHD
Time Frame: at 6 weeks
at 6 weeks
serum level of ferritin
Time Frame: at 6 weeks
at 6 weeks
Total iron binding capacity
Time Frame: at 6 weeks
at 6 weeks
serum level of ferrum
Time Frame: at 6 weeks
at 6 weeks
fecal calprotectin
Time Frame: at 6 weeks
at 6 weeks

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

February 1, 2013

Primary Completion (Anticipated)

June 1, 2014

Study Completion (Anticipated)

July 1, 2014

Study Registration Dates

First Submitted

January 21, 2013

First Submitted That Met QC Criteria

January 30, 2013

First Posted (Estimate)

February 1, 2013

Study Record Updates

Last Update Posted (Estimate)

October 31, 2013

Last Update Submitted That Met QC Criteria

October 30, 2013

Last Verified

October 1, 2013

More Information

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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