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The Effect of Probiotics in Infantile Colic (CSUB0214)

5. november 2026 opdateret af: Roberto Berni Canani, MD, PhD, Federico II University

Double-blind, Randomized, Placebo-controlled, Parallel-group Study to Evaluate the Effect of L. Reuteri on Crying and Fussing Time in Infants With Infantile Colic

Academic, independent, non-commercial, multicenter study sponsored by the Department of Translational Medical Sciences (DISMET), University of Naples Federico II. The study evaluates whether daily oral supplementation with L reuteri reduces crying and fussing time more rapidly than an indistinguishable placebo in otherwise healthy infants with Rome IV infantile colic.

Studieoversigt

Status

Rekruttering

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

Eligible participants will meet the clinical description for having infant colic. Participants will be assessed for eligibility at the screening visit and must meet all specified inclusion and exclusion criteria. Based on screening examinations, the individual Family Pediatrician (PLS) is solely responsible for determining clinical eligibility and making the final enrollment decision, which will be documented on the Participant Screening and Enrolment Log. The Scientific Coordinator will exclusively monitor aggregate screening logs and enrollment targets across all active sites, without direct involvement in the clinical selection. Fifty infants will be randomized 1:1 to probiotic or placebo. Each participant will complete a 7-day run-in, 21 days of treatment and 7 days of safety follow-up.

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

50

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

  • Navn: Robeto Berni Canani, PhD, MD
  • Telefonnummer: +390817462680
  • E-mail: berni@unina.it

Studiesteder

      • Naples, Italien, 80100
        • Rekruttering
        • Family pediatricians
        • Kontakt:
          • Roberto Berni Canani, MD, PhD
          • Telefonnummer: +390817462680
          • E-mail: berni@unina.it

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

3 uger til 2 måneder (Barn)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • Age 3-12 weeks at screening;
  • gestational age 37+0 to 42+0 weeks;
  • birth weight appropriate or large for gestational age;
  • parent/caregiver/legal guardian older than 18 years;
  • exclusive or predominant breastfeeding (>50%);
  • willingness to maintain feeding pattern and complete diaries and questionnaires;
  • physician-confirmed Rome IV infantile colic, parental report of ≥3 hours of crying/fussing per day on ≥3 days in the prior week, and ≥3 hours in at least one 24-hour period documented in the run-in diary;
  • written informed consent; mother available for scheduled visits; infant otherwise clinically healthy.

Exclusion Criteria:

  • Severe gastroesophageal reflux (as defined in the protocol);
  • failure to thrive;
  • intrauterine growth restriction;
  • hematochezia;
  • significant diarrhea or fever ≥38 °C;
  • congenital heart disease, immunodeficiency, asplenia, malignancy, cystic fibrosis or liver disease;
  • probiotic or systemic/oral antibiotic use in the 7 days before screening or anticipated use during the study;
  • use of treatments for infantile colic; including proton pump inhibitors; in the 7 days before screening or during the study.
  • Infant and mother must not participate concurrently in another interventional clinical study.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Firedobbelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Aktiv komparator: Probiotic

Probiotic: L. reuteri total 2 × 10⁸ CFU/day, 5 oral drops once daily for 21 days

5 oral drops once daily for 21 days.

Placebo komparator: Placebo

Placebo: matching oil formulation without L. reuteri, 5 oral drops once daily for 21 days.

5 oral drops once daily for 21 days.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Daily total crying and fussing time at day 7
Tidsramme: 7 days after initiation of intervention

Total infant crying and fussing time, expressed as hours per 24-hour period, recorded daily by parents on baby's day diary

7 days after initiation of intervention

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Change in daily total crying and fussing time from baseline to day 7
Tidsramme: At Day 0 and at day 7 of intervention

Total infant crying duration and fussing time, expressed as hours per 24-hour period, recorded daily by parents on baby's day diary

At Day 0 and at day 7 of intervention
Change in daily total crying and fussing time from baseline to every day during 21days of treatment
Tidsramme: During 21 days of treatment

Total infant crying duration and fussing time, expressed as hours per 24-hour period, recorded daily by parents on baby's day diary

During 21 days of treatment
Proportion of responder patients assessed using a parent-completed daily sleep diary (Baby's Day Diary)
Tidsramme: During the first 21 days of treatment

Proportion of patients responders to the treatment, defined as the number of infants with ≥50% reduction in crying and fussing time, expressed as hours per 24-hour period, recorded daily by parents on baby's day diary

During the first 21 days of treatment
Sleeping time
Tidsramme: During the first 21 days of treatment

Total infant sleep duration, expressed as hours per 24-hour period, recorded daily by parents on baby's day diary

During the first 21 days of treatment
PedsQL Family Impact Module
Tidsramme: During 21 days of treatment

Changes in PedsQL Family Impact Module range 0-100 (with higher scores reflecting better functioning) from baseline to Days 7 and 21

During 21 days of treatment
Maternal Edinburgh Postnatal Depression Scale score
Tidsramme: During 21 days of treatment

Changes in Maternal Edinburgh Postnatal Depression Scale score evaluation Total score range: 0 to 30 (higher score on the Edinburgh Postnatal Depression Scale (EPDS) indicates a greater severity of symptoms) from baseline to Days 7 and 21

During 21 days of treatment
Number of participants experiencing adverse events and serious adverse events.
Tidsramme: From initiation of the intervention (Day 1) through Day 28.Adverse events, serious adverse events

Number of participants experiencing at least one adverse event (AE) or serious adverse event (SAE) during the study. Events will be recorded and characterized according to type, severity, seriousness, and relationship to the study intervention.

From initiation of the intervention (Day 1) through Day 28.Adverse events, serious adverse events
Body temperature
Tidsramme: At day 0 and 21

body temperature (°C)

At day 0 and 21
Heart rate
Tidsramme: At day 0 and 21

heart rate (BPM)

At day 0 and 21
Respiratory rate
Tidsramme: At day 0 and 21

Respiratory rate/minute

At day 0 and 21
Blood pressure
Tidsramme: At day 0 and 21

blood pressure (mmHg)

At day 0 and 21
Height
Tidsramme: At day 0 and 21

Height in cm

At day 0 and 21
Weight
Tidsramme: At day 0 and 21

Weight in Kg

At day 0 and 21

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

23. september 2026

Primær færdiggørelse (Anslået)

1. juli 2027

Studieafslutning (Anslået)

1. september 2027

Datoer for studieregistrering

Først indsendt

24. september 2026

Først indsendt, der opfyldte QC-kriterier

23. oktober 2026

Først opslået (Faktiske)

26. oktober 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

9. november 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

5. november 2026

Sidst verificeret

1. november 2026

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • 204/26

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

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