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Children, OnlyPhase 1NCT06044376

Ingestion Effect of Formula Milk With Triple Bifidobacteria Strains on Fecal Quality and Metabolites in Healthy Children

A Phase 1 study testing Formula milk with triple Bifidobacterium probiotic strain and Formula milk in people with Children, Only, run by Gadjah Mada University at 10 sites in Indonesia.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The goal of this clinical trial is to compare healthy children between 1 to 3 years old. The main question it aims to answer is 1. Is there an effect towards fecal quality after consuming milk formula supplemented with the triple Bifidobacteria strains (Bifidobacterium longum BB536, Bifidobacterium breve M-16V, and… Read more about this study

Who is it for?
Ages 12 to 36 monthsHealthy volunteers can take part
Conditions the study is for
Children, Only
What is being tested?
Formula milk with triple Bifidobacterium probiotic strain and Formula milk
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
103 participants
Where
10 sitesIndonesia
Study dates
2 May 2023to 31 Mar 2024
Phase
Phase 1
Are there results?
None posted in the registry

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 12 to 36 months
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Age between 12 - 36 months
  • Normal nutritional status (z-score height-for-age or z-score weight-for-height: -2 SD < X < 2 SD)
  • Has no dairy allergies
  • Does not consume breastmilk anymore during the intervention period
  • Willing to participate through the whole research period
  • Obtain consent from parents or guardians by signing the informed consent form

Who cannot join

  • Has a history of lactose intolerance, congenital and chronic diseases including irritable bowel syndrome, etc.
  • Receive antibiotic or other probiotic supplementation during the 14 day of baseline period.

Trial locations and contacts

10 sites in 1 country.

10 sites in 1 country

Indonesia10 sites
  • PAUD Hiber Rotowijayan

    Yogyakarta, Special Region of Yogyakarta, 55132

  • Paud Kunir Ceria Tegalgendu Kotagede

    Yogyakarta, Special Region of Yogyakarta, 55172

  • Puskesmas Mlati 2

    Yogyakarta, 55286

  • Paud Bodeh

    Yogyakarta, 55294

  • Paud Gamping Lor

    Yogyakarta, 55294

  • Paud Matahari Mejing 3

    Yogyakarta, 55294

  • Paud Pereng Dawe

    Yogyakarta, 55295

  • Paud Pereng Kembang

    Yogyakarta, 55295

  • Paud Sembung

    Yogyakarta, 55295

  • Paud Sumber

    Yogyakarta, 55295

Other trials in Indonesia

About this study

Official title: The Consumption Effect of Formula Milk With Triple Bifidobacteria Strains (Bifidobacterium Longum BB536, Bifidobacterium Breve M-16V, and Bifidobacterium Longum Subsp. Infantis M-63) on Fecal Quality and Metabolites in Healthy Children

The goal of this clinical trial is to compare healthy children between 1 to 3 years old. The main question it aims to answer is

  1. Is there an effect towards fecal quality after consuming milk formula supplemented with the triple Bifidobacteria strains (Bifidobacterium longum BB536, Bifidobacterium breve M-16V, and Bifidobacterium longum subsp. infantis M-63)?
  2. Is there an effect towards short-chain fatty acid composition after consuming milk formula supplemented with the triple Bifidobacteria strains (Bifidobacterium longum BB536, Bifidobacterium breve M-16V, and Bifidobacterium longum subsp. infantis M-63)?
  3. Is there an effect towards clinical profile after consuming milk formula supplemented with the triple Bifidobacteria strains (Bifidobacterium longum BB536, Bifidobacterium breve M-16V, and Bifidobacterium longum subsp. infantis M-63)?
Read more

The clinical trial period started off with all the participants consuming a milk formula three times a day, for 14 days as a baseline period. Afterwards, the participants were randomly assigned to one of two groups: probiotic and placebo. Following the baseline period, participants in the probiotic group consumed formulated milk supplemented with the triple Bifidobacteria strains, while the placebo group ingested the same formulated milk without adding triple Bifidobacteria strains for 90 days.

Researchers will compare the probiotic and placebo groups to see if there are any effects towards the fecal quality, short-chain fatty acid level and clinical profile after consuming the milk formula.

Read the detailed description

This clinical trial is a study of 3 strains of Bifidobacterium was conducted in infants aged 1-3 years in Indonesia. The general objective of this study was to determine the benefits of combined supplementation of Bifidobacteria strains (B. longum BB536, B. breve M-16V, and B. longum subsp. infantis M-63) in healthy children aged 1-3 years. The study is conducted for 104 days with a baseline period of 14 days and continued with an intervention period of 90 days. Participants is divided into two groups, which are the intervention group and the placebo group. The study will be conducted using a double-blind randomized, placebo-controlled trial design. A total of 100 participants will be selected based on inclusion and exclusion criteria.

During the screening period (day 0), socialization of the research and signing of informed consent will be carried out for participants who are willing to participate. Participants were asked not to consume fermented milk products, probiotics and prebiotic fortified food/drinks while participating in research activities.

During the baseline period (Day 14), the participants were asked to consume control milk and, represented by their parents, were also asked to fill out research diaries in the form of diet records, records of probiotic products and prebiotic fortified food/drinks consumed, type and frequency of bowel movements, health complaints felt (discomfort, headaches, stomachaches, respiratory tract-related illnesses and fever), medication consumption records, days where the participants refused to eat. Participants were asked to collect research documents and collect stool samples on day 14 +/- 1.

During the intervention period, from day 15 to day 104, participants consumed 36 grams of the test product or placebo dissolved in 180 ml per serving with a consumption frequency of 3 times per day. Product consumption will be recorded in the product consumption logbook and on the subject's diary record form. Once every 2 weeks a health profile measurement (weight, height, arm circumference, head circumference, skinfold thickness) and sleep quality will be measured. Participants were asked to collect research documents and stool samples on day 104 +/- 1 with the same procedure as in the baseline period.

Conditions
Children, Only
Being tested
Formula milk with triple Bifidobacterium probiotic strain, Formula milk
Keywords
Children, Fecal sample, Triple Bifidobacterium strains, Probiotic, Formula milk, Indonesia

What participants receive

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

  • Formula milk with triple Bifidobacterium probiotic strainCombination product

    Formula milk with triple Bifidobacterium strain containing Bifidobacterium longum BB536 (6.9 x 10^7 CFU/serving), Bifidobacterium breve M16-V (6.9 x 10^7 CFU/serving), Bifidobacterium longum subsp. infantis M-63 (6.9 x 10^7 CFU/serving).

  • Formula milkOther

    Formula milk without any addition of probiotic strain

Study groups in NCT06044376
Study groupRoleWhat they receive
Probiotic GroupActive comparatorDuring the baseline period, all participants consumed milk formula without any addition of probiotics three servings per day for 14 days. One serving of milk formula consists of 36 gram that is diluted in 180 mL lukewarm water. The participants in the probiotic group consumed milk formula added with triple Bifidobacterium strain containing Bifidobacterium longum BB536 (6.9 x 10^7 CFU/serving), Bifidobacterium breve M16-V (6.9 x 10^7 CFU/serving), Bifidobacterium longum subsp. infantis M-63 (6.9 x 10^7 CFU/serving). The milk formula is consumed three servings per day for 90 days during the intervention period. One serving of milk formula consists of 36 gram that is diluted in 180 mL lukewarm water.
Receives: Combination Product: Formula milk with triple Bifidobacterium probiotic strain
Placebo GroupPlacebo comparatorDuring the research period (both baseline and intervention period), all participants consumed milk formula without any addition of probiotics three servings per day for 104 days. One serving of milk formula consists of 36 gram that is diluted in 180 mL lukewarm water.
Receives: Other: Formula milk

What is being measured

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

  1. Fecal characteristics

    Observed the shape, color and consistency of fecal samples that will be combined to be reported as fecal type according to the Bristol Stool Chart

    Measured: Before and after intervention period (day 13 and day 105)

  2. Fecal pH

    The pH of obtained fecal samples were measured using potential of hydrogen (pH) meter

    Measured: Before and after intervention period (day 13 and day 105)

  3. Bacterial colony characteristics

    From the fecal samples obtained, direct plating using the selective media for Bifidobacterium (Bifidobacterium Selective Medium or BSM) and Enterobacteriaceae (MacConkey Agar) is conducted. Colony bacterial characterization is based on the cell morphology and Gram strain characteristics under the microscope.

    Measured: Before and after intervention period (day 13 and day 105)

  4. Bifidobacterium's cell count

    The cell number is a total of Bifidobacteria cells obtained from DNA extraction of stool samples counted using quantitative PCR (qPCR). Cell count will be expressed in colony forming unit per gram (CFU/g).

    Measured: Before and after intervention period (day 13 and day 105)

  5. Enterobactericaeae's cell count

    The cell number is a total of Enterobacteriaceae's cells obtained from DNA extraction of stool samples counted using quantitative PCR (qPCR). Cell count will be expressed in colony forming unit per gram (CFU/g)

    Measured: Before and after intervention period (day 13 and day 105)

  6. Short chain fatty acids analysis

    The analysis includes the measurement of acetate, propionate, and butyrate. The analysis uses gas chromatography method.

    Measured: Before and after intervention period (day 13 and day 105)

  7. Biomarker of immune systems

    The analysis on immune systems' biomarker uses the fecal water obtained from diluting the fecal samples into phosphate buffer. The fecal water is then added with protease inhibitor to keep fecal samples stable during the analysis. The immune system analyzed are interleukin 6 (IL6), interleukin 8 (IL8), interleukin 10 (IL10) and secretory immunoglobulin A (SIgA). All immune systems are read using the enzyme-linked Immunosorbent Assay (ELISA) Reader BioRad iMark.

    Measured: Before and after intervention period (day 13 and day 105)

Secondary outcomes (17)
  1. Defecation frequency records

    Participants, represented by their parents or guardian, record their defecation frequency in a daily record.

    Measured: Everyday during the research period (104 days)

  2. Dietary pattern records

    Participants, represented by their parents or guardian, record their dietary patterns in a daily record. The dietary pattern recorded includes type and portion of the foods, snacks and beverages.

    Measured: Four days every two weeks, consists of two weekdays and two weekend days during the research period

  3. Health complaint and medical records

    Participants, represented by their parents or guardian, record their health complaint and medical records in a daily record.

    Measured: Everyday during the research period (104 days)

  4. Health profile record

    Participants, represented by their parents or guardian, filled a questionnaire about recent respiratory health conditions.

    Measured: Before and after intervention period (day 13 and day 105)

  5. Gastrointestinal disorder record

    Participants, represented by their parents or guardian, filled a questionnaire about recent gastrointestinal health conditions.

    Measured: Before and after intervention period (day 13 and day 105)

  6. Sleep quality

    Participants, represented by their parents or guardian, filled a questionnaire about recent history of the participant's sleep quality.

    Measured: Before and after intervention period (day 13 and day 105)

  7. Behaviour assesment

    Participants, represented by their parents or guardian, filled a questionnaire about how the participants behave especially how they express their emotions.

    Measured: Before and after intervention period (day 13 and day 105)

  8. Development screening

    Participants, represented by their parents or guardian, filled a questionnaire about recent gastrointestinal health conditions. The Ages and Questionnaires (ASQ-3) were used based on the participant's current age.

    Measured: Before and after intervention period (day 13 and day 105)

  9. Psychosocial problems

    Participants, represented by their parents or guardian, filled a questionnaire about possible psychosocial problems. The Pediatric Symptom Checklist (PSC) was used for this measure.

    Measured: Before and after intervention period (day 13 and day 105)

  10. Weight

    The participants were measured for their weight in kilograms.

    Measured: Once every two weeks for 105 days

  11. Height

    The participants were measured for their height in cm.

    Measured: Once every two weeks for 105 days

  12. Body Mass Index (BMI)

    The measurement of weight and height were combined into BMI and expressed in kg/m^2

    Measured: Once every two weeks for 105 days

  13. Arm circumference

    The participants were measured for their arm circumference in cm.

    Measured: Once every two weeks for 105 days

  14. Head circumference

    The participants were measured for their head circumference in cm.

    Measured: Once every two weeks for 105 days

  15. Subcutaneous fat thickness

    The participants were measured for their subcutaneous fat thickness in mm.

    Measured: Once every two weeks for 105 days

  16. Triceps thickness

    The participants were measured for their triceps thickness in mm.

    Measured: Once every two weeks for 105 days

  17. Medical check up

    An on-site medical professional will check the health condition of the participant.

    Measured: Once every two weeks for 105 days

Timeline

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

  1. First posted21 Sep 2023
  2. Study start2 May 2023
  3. Primary completion9 Nov 2023 (estimated)
  4. Study completion31 Mar 2024 (estimated)

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 1
Primary purpose
Other
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
103 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06044376
Sponsor's protocol ID
PUIPTProbiotikUGM_P002
Status last verified
Sep 2023
First submitted
5 Sep 2023
Last updated
21 Sep 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: No individual participant data will be made available to other researchers. During the screening period, all participants' guardian signed informed consent that states the data will not be shared to others aside from the current researcher and sponsors in the study.

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Formula milk with triple Bifidobacterium probiotic strain and Formula milk in people with Children, Only, run by Gadjah Mada University at 10 sites in Indonesia.

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 6 inclusion and 2 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: status not confirmed, as of the sponsor's last update on 21 Sep 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 10 sites in Indonesia. 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.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Results are not available in the source record.

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?

Fecal characteristics (time frame: Before and after intervention period (day 13 and day 105)). The study lists 7 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 21 Sep 2023.

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