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Infantile ColicNCT03434249

Clinical Trial to Evaluate the Efficacy of Bifidobacterium BB-12® in the Treatment of Infantile Colic

A study testing Bifidobacterium, BB-12® (Bifidolactis Infant) in people with Infantile Colic and Colic, Infantile, run by SOFAR S.p.A. at 1 site in Italy.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This is a single-center, randomized, double blind controlled study to investigate the effects of Bifidobacterium, BB-12® versus placebo in a study group of pediatric patients with infantile colic. Read more about this study

Who is it for?
Ages Up to 7 weeks
Conditions the study is for
Infantile Colic, Colic, Infantile
What is being tested?
Bifidobacterium, BB-12® (Bifidolactis Infant)
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
80 participants
Where
1 siteItaly
Study dates
11 Nov 2016to 6 Nov 2017
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Up to 7 weeks
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Patients are included in the study if they meet all the following criteria:
  • Exclusively breastfed healthy infants of both sexes, aged ≤ 7 weeks.
  • Diagnosis of IC according to Rome III criteria.
  • Written informed consent of the parent/tutor.

Who cannot join

  • Patients are excluded from this study if they meet any of the following criteria:
  • Birth weight < 2500 g.
  • Gestational age < 37 weeks.
  • APGAR 5 minutes < 7.
  • Formula feeding.
  • Stunting/loss of weight (< 100 g/weeks from birth to the last reported weight).
Show all 20Show fewer
  • Neurological diseases.
  • Known or suspected food allergy.
  • Gastroesophageal reflux disease.
  • Use of substances that alter gut microbiota (probiotics, prebiotics, antibiotics, gastric acidity inhibitors) in the last 2 weeks prior the enrollment.
  • History of fever and/or infectious diseases in the last 2 weeks prior to enrollment.
  • Ongoing systemic infections.
  • History of congenital infections.
  • Chronic intestinal diseases (cystic fibrosis or other forms of primitive pancreatic insufficiency)
  • Primitive or secondary malformations of the gastrointestinal tract (such as esophageal atresia, intestinal atresia, short bowel syndrome, malrotation).
  • 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.

Trial locations and contacts

1 site in 1 country.

Italy1 site
  • Dipartimento di Scienze Mediche Traslazionali - Sezione Pediatria - Università degli Studi di napoli "Federico II"

    Naples, 80131

Other trials in Italy

About this study

Official title: Studio Clinico Randomizzato Per Valutare l'Efficacia Del Bifidobacterium BB-12® Nel Trattamento Delle Coliche Infantili

This is a single-center, randomized, double blind controlled study to investigate the effects of Bifidobacterium, BB-12® versus placebo in a study group of pediatric patients with infantile colic.

Being tested
Bifidobacterium, BB-12® (Bifidolactis Infant), Bifidolactis Infant Placebo
Keywords
Bifidobacterium
Medical subject headings
Colic

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Bifidobacterium, BB-12® (Bifidolactis Infant)Dietary supplement

  • Bifidolactis Infant PlaceboDietary supplement

Study groups in NCT03434249
Study groupRoleWhat they receive
Group IExperimentalpatients who take Bifidobacterium BB-12® (Bifidolactis Infant), 6 drops a day (guaranteeing a billion of living cells) for 28 consecutive days;
Receives: Dietary Supplement: Bifidobacterium, BB-12® (Bifidolactis Infant)
Group IIPlacebo comparatorpatients who take Bifidolactis Infant Placebo 6 drops a day for 28 consecutive days.
Receives: Dietary Supplement: Bifidolactis Infant Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants With >=50% Reduction in Mean Weekly Crying Duration

    Treatment success rate was evaluated in terms of reduction of crying duration, comparing mean weekly duration of the last Week (from T4 to T5) and mean weekly duration of Week 1 (from T0 to T1). The daily number and duration of crying episodes has been collected in the 'Evaluation of crying' section of the patient diary.

    Weekly mean is defined as the mean of the calculated average daily durations during the selected week and is described by means of descriptive statistics for continuous data. Mean changes from baseline (i.e. mean of the first Week) to the mean of the selected week will be computed as well.

    The following categories of patients has been defined:

    Success = patients who meet the criteria for the treatment success rate No Success = patients who do not meet the criteria for the treatment success rate Missing = patients who did not do the last visit (Visit T5 - at 28 days from baseline)

    Measured: at 28 days from the baseline (Visit T5)

Secondary outcomes (13)
  1. Number of Crying Episodes

    Weekly mean of cries will be defined as the mean number of cries reported in the "Evaluation of behavior" section during the week (i.e. number of episodes/number of days with episodes) and will be described by means of descriptive statistics for continuous data.

    Mean changes from baseline (i.e. mean of the first Week) to the mean of the selected week will be analyzed too.

    Measured: at 7 days (Visit T1 - baseline) and 28 days from the baseline (Visit T5)

  2. Infectious Diseases Incidence

    Number of infections in respiratory system, gastrointestinal system, urinary tract and skin.

    An infection was defined as an Adverse Event with SOC equal to "Infections and Infestations".

    Measured: at each visit, for 5 weeks starting from the enrollment in the study (Visit T0, T1, T2, T3, T4 and T5)

  3. Bowel Evacuation - Stool Frequency

    Daily frequency of bowel evacuation. The frequency of stools were collected daily in the diary. Stool frequency was evaluated as the mean of total daily stools reported per week.

    Measured: at each weekly visit from baseline (Visit T1, T2, T3, T4 and T5)

  4. Bowel Evacuation - Stool Consistency

    Stool consistency was evaluated as the number and the proportion of patients who reported at least one stool sample of each type per week, according to Bristol scale as follows:

    Type A = separate hard lumps, like nuts (hard to pass) Type B = sausage-shaped, but lumpy Type C = Like a sausage but with cracks on its surface Type D = like a sausage or snake, smooth and soft Only a descriptive statistics Type E = soft blobs with clear-cut edges (passed easily) Type F = fluffy pieces with ragged edges, a mushy stool Type G = watery, no solid pieces (entirely liquid). Patients could report more than one stool consistency per day then the sum of the "Count of Participants" for each group at each visit could be Greater then the "Overall Number of Participants Analyzed"

    Measured: at each weekly visit from baseline (Visit T1, T2, T3, T4 and T5)

  5. Infant's Mood

    The infant's mood (calm, asleep, agitated, irritable) was collected daily in the diary and was evaluated as the number and the proportion of infants who reported at least one mood of each type per week.

    Patients could report more than one mood per day then the sum of the "Count of Participants" for each group at each visit could be greater then the "Overall Number of Participants Analyzed".

    Measured: at each weekly visit from baseline (Visit T1, T2, T3, T4 and T5)

  6. Infant's Sleep

    Duration of sleep (in minutes) was collected daily in the diary during the entire study period. Mean daily duration of sleep by week was defined as the mean of the daily durations during the selected week and was described by means of descriptive statistics for continuous data.

    Measured: at each weekly visit from baseline (Visit T1, T2, T3, T4 and T5)

  7. Infant's Temper

    Duration of temper episodes (in minutes) was collected daily in the diary during the entire study period. Mean daily duration of temper episodes by week was defined as the mean of the daily durations during the selected week and was described by means of descriptive statistics for continuous data.

    Measured: at each weekly visit from baseline (Visit T1, T2, T3, T4 and T5)

  8. Infant's Feeding

    Duration of feeding (in minutes) was collected daily in the diary during the entire study period. Mean daily feeding time by week was defined as the mean of the daily durations during the selected week and was described by means of descriptive statistics for continuous data.

    Measured: at each weekly visit from baseline (Visit T1, T2, T3, T4 and T5)

  9. Calprotectin

    Evaluation of calprotectin levels in fecal samples

    Measured: at 7 days (Visit T1 - baseline) and 28 days from the baseline (Visit T5)

  10. Beta-defensin Type 2

    Evaluation of Beta-defensin type 2 levels in fecal samples

    Measured: at 7 days (Visit T1 - baseline) and 28 days from the baseline (Visit T5)

  11. LL37 Peptide

    Evaluation of LL37 peptide levels in fecal samples

    Measured: at 7 days (Visit T1 - baseline) and 28 days from the baseline (Visit T5)

  12. Short Chain Fatty Acids - Butyrate

    Evaluation of Butyrate levels in fecal samples

    Measured: at 7 days (Visit T1 - baseline) and 28 days from the baseline (Visit T5)

  13. Secretory Immunoglobulin A (SIgA)

    Secretory immunoglobulin A (SIgA) levels in fecal samples

    Measured: at 7 days (Visit T1 - baseline) and 28 days from the baseline (Visit T5)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted15 Feb 2018
  2. Study start11 Nov 2016
  3. Primary completion6 Nov 2017
  4. Study completion6 Nov 2017

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
This is a prospective randomized double blind placebo controlled clinical trial
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
80 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03434249
Sponsor's protocol ID
PSC-DS BIGI
Status last verified
Jan 2020
First submitted
9 Feb 2018
Last updated
23 Jan 2020
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Hyman PE, Milla PJ, Benninga MA, Davidson GP, Fleisher DF, Taminiau J. Childhood functional gastrointestinal disorders: neonate/toddler. Gastroenterology. 2006 Apr;130(5):1519-26. doi: 10.1053/j.gastro.2005.11.065.

    PubMed 16678565
  • Szajewska H, Gyrczuk E, Horvath A. Lactobacillus reuteri DSM 17938 for the management of infantile colic in breastfed infants: a randomized, double-blind, placebo-controlled trial. J Pediatr. 2013 Feb;162(2):257-62. doi: 10.1016/j.jpeds.2012.08.004. Epub 2012 Sep 14.

    PubMed 22981952
  • Kabeerdoss J, Devi RS, Mary RR, Prabhavathi D, Vidya R, Mechenro J, Mahendri NV, Pugazhendhi S, Ramakrishna BS. Effect of yoghurt containing Bifidobacterium lactis Bb12(R) on faecal excretion of secretory immunoglobulin A and human beta-defensin 2 in healthy adult volunteers. Nutr J. 2011 Dec 23;10:138. doi: 10.1186/1475-2891-10-138.

    PubMed 22196482
  • Mohan R, Koebnick C, Schildt J, Mueller M, Radke M, Blaut M. Effects of Bifidobacterium lactis Bb12 supplementation on body weight, fecal pH, acetate, lactate, calprotectin, and IgA in preterm infants. Pediatr Res. 2008 Oct;64(4):418-22. doi: 10.1203/PDR.0b013e318181b7fa.

    PubMed 18552710
  • Mohan R, Koebnick C, Schildt J, Schmidt S, Mueller M, Possner M, Radke M, Blaut M. Effects of Bifidobacterium lactis Bb12 supplementation on intestinal microbiota of preterm infants: a double-blind, placebo-controlled, randomized study. J Clin Microbiol. 2006 Nov;44(11):4025-31. doi: 10.1128/JCM.00767-06. Epub 2006 Sep 13.

    PubMed 16971641
  • Savino F, Cordisco L, Tarasco V, Calabrese R, Palumeri E, Matteuzzi D. Molecular identification of coliform bacteria from colicky breastfed infants. Acta Paediatr. 2009 Oct;98(10):1582-8. doi: 10.1111/j.1651-2227.2009.01419.x. Epub 2009 Jul 9.

    PubMed 19604166
  • Hall B, Chesters J, Robinson A. Infantile colic: a systematic review of medical and conventional therapies. J Paediatr Child Health. 2012 Feb;48(2):128-37. doi: 10.1111/j.1440-1754.2011.02061.x. Epub 2011 Apr 7.

    PubMed 21470331
  • Savino F, Bailo E, Oggero R, Tullio V, Roana J, Carlone N, Cuffini AM, Silvestro L. Bacterial counts of intestinal Lactobacillus species in infants with colic. Pediatr Allergy Immunol. 2005 Feb;16(1):72-5. doi: 10.1111/j.1399-3038.2005.00207.x.

    PubMed 15693915
  • Savino F, Cresi F, Pautasso S, Palumeri E, Tullio V, Roana J, Silvestro L, Oggero R. Intestinal microflora in breastfed colicky and non-colicky infants. Acta Paediatr. 2004 Jun;93(6):825-9.

    PubMed 15244234
  • Gupta SK. Is colic a gastrointestinal disorder? Curr Opin Pediatr. 2002 Oct;14(5):588-92. doi: 10.1097/00008480-200210000-00005.

    PubMed 12352253
  • Lucassen PL, Assendelft WJ, van Eijk JT, Gubbels JW, Douwes AC, van Geldrop WJ. Systematic review of the occurrence of infantile colic in the community. Arch Dis Child. 2001 May;84(5):398-403. doi: 10.1136/adc.84.5.398.

    PubMed 11316682
  • BRAZELTON TB. Crying in infancy. Pediatrics. 1962 Apr;29:579-88. No abstract available.

    PubMed 13872677
  • Iacovou M, Ralston RA, Muir J, Walker KZ, Truby H. Dietary management of infantile colic: a systematic review. Matern Child Health J. 2012 Aug;16(6):1319-31. doi: 10.1007/s10995-011-0842-5.

    PubMed 21710185

Questions about this trial

What is this clinical trial studying?

A study testing Bifidobacterium, BB-12® (Bifidolactis Infant) in people with Infantile Colic and Colic, Infantile, run by SOFAR S.p.A. at 1 site in Italy.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 20 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 23 Jan 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Italy. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 23 Jan 2020). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Participants With >=50% Reduction in Mean Weekly Crying Duration (time frame: at 28 days from the baseline (Visit T5)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03434249, which also lists 13 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Jan 2020.

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