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Whole Grain, Gluten-containing Cereal and PROBIOtics to Evaluate Digestive TOLERAance and Immuno-inflammatory Response (PROBIOTOLERA)

14. december 2020 opdateret af: Laboratorios Ordesa

Study of the Initiation of Complementary Feeding With a Whole Grain, Gluten-containing Infant Cereal and PROBIOtics to Evaluate Digestive TOLERAance and Immuno-inflammatory Response at the Intestinal Level.

This study will assess the development of gastrointestinal health in terms of digestive tolerability and immune-inflammatory response at the intestinal level comparing a conventional gluten-free cereal with a new cereal with prebiotics, probiotics and a very moderate amount of gluten. These are products adapted to infant feeding since 4 Months.

Studieoversigt

Status

Ukendt

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

In 2008 the ESPGHAN recommended not to give gluten cereals before 4 months but not after 7 months. Although the introduction of gluten in this window was linked to a posible preventive effect on celiac disease, the truth is that it has not been demonstrated. In any case, high exposures to gluten since the 4 months have been associated with a higher incidence of celiac disease and current recommendations propose moderate and progressive exposure to gluten between 4 and 6 months old.

Undersøgelsestype

Interventionel

Tilmelding (Forventet)

172

Fase

  • Ikke anvendelig

Kontakter og lokationer

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

Studiesteder

  • Spanien
      • Granada, Spanien, 18071
        • Rekruttering
        • Facultad de Medicina
        • Kontakt:
          • Cristina Campoy, Professor
          • Telefonnummer: 607631601
          • E-mail: ccampoy@ugr.es
        • Kontakt:

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

4 måneder til 4 måneder (Barn)

Tager imod sunde frivillige

Ja

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • Healthy term infants (>37 weeks) vaginal delivery
  • Adequate birth weight for gestational age (10-90 percentile)
  • Infants with normal growth curve (10-90 percentile)
  • Infants who were breastfeeding for at least 4 weeks, and at least half of the takes have been by breastfeeding.
  • Infants aged 4 months (+/- 1 week) at the time of study inclusion no longer following breastfeeding, or mixed breastfeeding and if they are breast-feeding, no more than one shot a day.
  • Availability to continue throughout the study period.
  • Signature of informed consent by partents/guardians.

Exclusion Criteria:

  • Infants who were born by cesarean section
  • Infants born from preconception obese mothers
  • Infants born from diabetic mothers or mothers with gestational diabetes
  • Infants with a family history of celiac disease (parents or siblings)
  • Infants who have had or have some type of allergic manifestation or allergic pathology
  • Infants who have needed antibiotic treatment or have received some type of probiotic (the week before inclusion)
  • Infants with malformations, diseases or conditions and physical disabilities that cause changes in growth and/or nutritional status
  • Infants diagnosed with any immune system-related disease (primary immunodeficiency)
  • Infants with a known allergy and/or intolerance to cow's milk protein
  • Parents' inability to follow study (at the discretion of the researcher)

Studieplan

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

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

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

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Experimental Cereal
Experimental cereal with probiotics, prebiotic fiber and low carbohydrates through all the duration of the study.
Kosttilskud: Experimental cereal
Cereal containing probiotics, prebiotic fiber and low carbohydrates
Aktiv komparator: Conventional cereal
Conventional gluten free cereal between 4 and 6 months old, and conventional gluten cereal between 7 and 12 months old.
Kosttilskud: Conventional cereal
Gluten free conventional cereal (from 4 to 6 months old) and conventional cereal with gluten (from 7 to 12 months old)

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Digestive tolerance
Tidsramme: From 4 to 12 months old
Infant Gastrointestinal Symptom Questionnaire (IGSQ) developed by Riley et al. to be completed by parents/guardians. It contains 13 ítems.For each item there are 5 possible answers in gradation 1 to 5 points and the result is the sum of all of them with minimum scores of 13 (maximum health status) and maximum of 65
From 4 to 12 months old

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Assessing infant feeding habits
Tidsramme: At 4, 5, 6, 9 and 12 months old
Analysis of daily intake through a record of food consumption for 24 hours
At 4, 5, 6, 9 and 12 months old
Infant microbiota study
Tidsramme: Stool sample collected at 4, 6 and 12 months old.
Composition, diversity of microbiota. This procedure will be performed by studying samples of feces.
Stool sample collected at 4, 6 and 12 months old.
Assessment of intestinal health
Tidsramme: Stool sample collected at 4, 6 and 12 months old.
Fecal microbiota profile (fecal pH, butyrate, propionate and acetate) determination
Stool sample collected at 4, 6 and 12 months old.
Assessment of immune-inflammatory response
Tidsramme: At 4, 6 and 12 months old.
Record of the IgA secreted in saliva
At 4, 6 and 12 months old.
Infant infection episodes
Tidsramme: At 4, 5, 6, 9 and 12 months old.
Specific parent-reported infant symptoms of mild respiratory, gastrointestinal, skin and oropharyngeal infections. Parents will have a dairy to report all symptoms.
At 4, 5, 6, 9 and 12 months old.
Assessment of infant growth: weight
Tidsramme: At 4, 5, 6, 9 and 12 months old.
Weight measurements in grams to report anthropometric measures
At 4, 5, 6, 9 and 12 months old.
Assessment of infant growth: lenght
Tidsramme: At 4, 5, 6, 9 and 12 months old.
Lenght measurements in centimeters to report anthropometric measures
At 4, 5, 6, 9 and 12 months old.
Assessment of infant growth: cephalic perimeter
Tidsramme: At 4, 5, 6, 9 and 12 months old.
Cephalic perimeter measurements in centimeters to report anthropometric measures
At 4, 5, 6, 9 and 12 months old.
Evolution of body composition
Tidsramme: At 4, 5, 6, 9 and 12 months old
Anthropometric measures (brachial perimeter (mm), trichital skin folds and sub-scapular (mm) with compass lipometer)
At 4, 5, 6, 9 and 12 months old
Medical history
Tidsramme: At 4 months old
Register of: gestational age, anthropometric measures at birth, lactation data and clinical history of interest
At 4 months old
Demographics
Tidsramme: At 4 months old
Parents' age, parent education level, habits and parents lifestyle, home and social environment
At 4 months old

Samarbejdspartnere og efterforskere

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

Sponsor

Laboratorios Ordesa

Samarbejdspartnere

Ministerio de Ciencia e Innovación, Spain

Efterforskere

  • Ledende efterforsker: Cristina Campoy, Professor, Universidad de Granada

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)

1. september 2019

Primær færdiggørelse (Forventet)

1. juni 2021

Studieafslutning (Forventet)

1. juni 2021

Datoer for studieregistrering

Først indsendt

5. juli 2019

Først indsendt, der opfyldte QC-kriterier

15. juli 2019

Først opslået (Faktiske)

16. juli 2019

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

16. december 2020

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

14. december 2020

Sidst verificeret

1. december 2020

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • PROBIO-TOLERA

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

Studerer et amerikansk FDA-reguleret lægemiddelprodukt

Ingen

Studerer et amerikansk FDA-reguleret enhedsprodukt

Ingen

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Kliniske forsøg med Gastrointestinal lidelse

Kliniske forsøg med Experimental cereal

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