- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02988791
Evaluation of a Probiotic (Bifidobacterium in the Treatment of Infantile Colic (IC)
Randomized Clinical Trial to Evaluate the Efficacy of Bifidobacterium in the Treatment of Infantile Colic (IC)
Infantile colic (IC) criteria includes all of the following in subjects aged ≤ 4 months: paroxysms of irritability, fussing, or crying that start and stop without obvious cause; episodes lasting 3 or more hours per day and occurring at least 3 days per week for at least 1 week; and no failure to thrive. The condition is very common in the first 4 months of life (10-30 % of infants) with a peak prevalence at 6-8 weeks and is characterized by excessive and inconsolable crying without an identifiable cause. Infantile colic cause considerable stress for the baby and the family, huge medical expenses (the IC cause 10-20 % of all pediatric visits in the first 4 months of life) and frequent formula changes.
The pathophysiology of IC is still poorly defined, but differences in gut microbiota composition seem to be involved. In particular, differences in the number and species of Lactobacilli spp, Klebsiella spp and Escherichia coli spp have been demonstrated in subjects with IC, and it has been postulated that these alterations could be responsible for an abnormal gas production within gut lumen resulting in distension and abdominal pain. These findings suggest the potential role of probiotics as preventive and therapeutic strategy for the IC.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Naples, Italy, 80131
- University of Naples Federico II
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- exclusively breastfed healthy infants of both sex, aged ≤ 7 weeks;
- Diagnosis of IC according to Rome III criteria
- Written informed consent of the parent/tutor
Exclusion Criteria:
- Birth weight<2500 g
- Gestational age<37 weeks
- APGAR 5 minutes <7
- Formula feeding
- Abnormal body growth/loss of weight (<100 g/weeks from birth to the last reported weight)
- Neurological diseases
- Known or suspected food allergy
- Gastroesophageal reflux disease
- Use of substances that alter gut microbiota (pre/pro/synbiotic, antibiotics, gastric acidity inhibitors) or any anti-colic drug in the last 2 weeks prior the enrollment
- History of fever and/or infectious diseases in the last 2 weeks prior the enrollment
- Ongoing systemic infections
- History of congenital infections
- Chronic intestinal diseases (cystic fibrosis or other forms of pancreatic insufficiency primitive)
- Malformation of the gastrointestinal (such as esophageal atresia, intestinal atresia, short bowel syndrome, malrotation), urinary or respiratory tract
- Metabolic diseases
- Genetic diseases and chromosomal abnormalities
- Primary or secondary immunodeficiencies
- Not sufficient reliability or presence of conditions that may result in non-compliance/adherence of the patient to the Protocol
- Previous participation in this study
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Placebo Comparator: Placebo
|
Placebo
|
Experimental: Probiotic (Bifidobacterium)
Active, Bifidobacterium BB12
|
probiotic (Bifidobacterium, BB-12®)
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
mean daily crying duration
Time Frame: up to 28 days
|
reduction of ≥50% of mean daily crying duration
|
up to 28 days
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
number of regurgitation
Time Frame: up to 28 days
|
up to 28 days
|
|
Evaluation of the gut microbiota modifications
Time Frame: up to 28 days
|
Stool sample
|
up to 28 days
|
fecal production of peptides from innate immune system
Time Frame: up to 28 days
|
Stool sample
|
up to 28 days
|
fecal short chain fatty acids production
Time Frame: 28 days
|
Stool sample
|
28 days
|
evacuative frequency
Time Frame: up to 28 days
|
up to 28 days
|
|
consistency of the fecal mass
Time Frame: up to 28 days
|
assessed by means of Bristol score
|
up to 28 days
|
number of crying episode
Time Frame: up to 28 days
|
up to 28 days
|
|
sleep
Time Frame: up to 28 days
|
duration of sleep
|
up to 28 days
|
Collaborators and Investigators
Sponsor
Collaborators
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 250
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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.
Clinical Trials on Infantile Colic
-
SOFAR S.p.A.CompletedInfantile Colic | Colic, InfantileItaly
-
Federico II UniversityCompleted
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University of NebraskaiHealthTerminatedInfantile ColicUnited States
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Lallemand Health SolutionsProbiSearch SLWithdrawn
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BioGaia ABHopital Universitaire Robert-Debre; Association Clinique Thérapeutique Infantile... and other collaboratorsWithdrawnInfantile ColicFrance
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Nordic Institute of Chiropractic and Clinical BiomechanicsResearch Unit of General Practice, OdenseCompleted
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Innovacion y Desarrollo de Estrategias en SaludBioGaia ABUnknown
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University of BariAntonio Di Mauro; Ruggiero Francavilla; Lorenzo TrovèUnknown
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Nordic Institute of Chiropractic and Clinical BiomechanicsUniversity of Southern Denmark; Foundation for the Advancement of Chiropractic...TerminatedInfantile ColicDenmark
-
Menarini GroupWithdrawn
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