Lactobacillus Rhamnosus GG Oral Treatment Efficacy on Vernal Keratoconjunctivitis Treatment

NCT ID: NCT00445120

Last Updated: 2009-01-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2/PHASE3

Total Enrollment

48 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-03-31

Study Completion Date

2009-01-31

Brief Summary

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This interventional study aims to evaluate the efficacy of oral administration of Lactobacillus Rhamnosus GG in preventing relapses of ocular inflammation in Vernal Keratoconjunctivitis (VKC) patients.

Detailed Description

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Vernal keratoconjunctivitis (VKC) is a chronic allergic disease, characterised by ocular surface inflammation lasting all year with seasonal relapses. Active phases of VKC are characterised by intense ocular symptoms and require treatment with topical steroids to control inflammation and corneal damage. To date, safe and effective therapies in preventing relapses of VKC are not available. Recently, the use of oral administration of probiotics for allergic diseases have been proposed. No data are available on the effects of probiotics on ocular allergies. This multicenter, double-masked, randomised, controlled clinical trial will allow to obtain more data on the efficacy of oral treatment with Lactobacillus Rhamnosus GG in patients affected by VKC. Patients with VKC will be treated with Lactobacillus Rhamnosus GG or placebo in addition to ketotifen fumarate 0.025% eye drops (standard treatment). The number of relapses per year, signs and symptoms of the disease, total symptom score (TSyS), total sign score (TSS), biochemical and molecular parameters will be evaluated at different time points.

Conditions

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Vernal Keratoconjunctivitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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1

Group Type EXPERIMENTAL

Lactobacillus Rhamnosus GG

Intervention Type DRUG

patients are treated with oral Lactobacillus Rhamnosus GG once daily for six months

2

Group Type PLACEBO_COMPARATOR

placebo (sugar)

Intervention Type DRUG

Placebo will be administered to patients once daily for six months

Interventions

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Lactobacillus Rhamnosus GG

patients are treated with oral Lactobacillus Rhamnosus GG once daily for six months

Intervention Type DRUG

placebo (sugar)

Placebo will be administered to patients once daily for six months

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of VKC performed on the basis of personal and family history of systemic allergic diseases, clinical examination (presence of conjunctival tarsal and/or limbal papillae) and presence of eosinophils in the conjunctival scraping.

Exclusion Criteria

* Contact lens wearers,
* Patients affected by other ocular diseases,
* Patients subjected to ocular surgery in the preceding 6 months,
* Patients under eye drop or systemic treatments for other diseases,
* Patients enrolled in experimental trials in the preceding 6 months.
Minimum Eligible Age

5 Years

Maximum Eligible Age

16 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Genova

OTHER

Sponsor Role collaborator

University of Padova

OTHER

Sponsor Role collaborator

Campus Bio-Medico University

OTHER

Sponsor Role lead

Responsible Party

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University of Rome Campus Bio-Medico

Principal Investigators

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Stefano Bonini, MD

Role: STUDY_DIRECTOR

University Campus Bio-Medico

Locations

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University of Genova

Genova, , Italy

Site Status

University of Padua

Padua, , Italy

Site Status

University Campus Bio-Medico

Rome, , Italy

Site Status

Countries

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Italy

References

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Kalliomaki M, Salminen S, Arvilommi H, Kero P, Koskinen P, Isolauri E. Probiotics in primary prevention of atopic disease: a randomised placebo-controlled trial. Lancet. 2001 Apr 7;357(9262):1076-9. doi: 10.1016/S0140-6736(00)04259-8.

Reference Type BACKGROUND
PMID: 11297958 (View on PubMed)

Kalliomaki M, Salminen S, Poussa T, Arvilommi H, Isolauri E. Probiotics and prevention of atopic disease: 4-year follow-up of a randomised placebo-controlled trial. Lancet. 2003 May 31;361(9372):1869-71. doi: 10.1016/S0140-6736(03)13490-3.

Reference Type BACKGROUND
PMID: 12788576 (View on PubMed)

Boyle RJ, Tang ML. The role of probiotics in the management of allergic disease. Clin Exp Allergy. 2006 May;36(5):568-76. doi: 10.1111/j.1365-2222.2006.02472.x.

Reference Type BACKGROUND
PMID: 16650040 (View on PubMed)

Peng GC, Hsu CH. The efficacy and safety of heat-killed Lactobacillus paracasei for treatment of perennial allergic rhinitis induced by house-dust mite. Pediatr Allergy Immunol. 2005 Aug;16(5):433-8. doi: 10.1111/j.1399-3038.2005.00284.x.

Reference Type BACKGROUND
PMID: 16101937 (View on PubMed)

Viljanen M, Savilahti E, Haahtela T, Juntunen-Backman K, Korpela R, Poussa T, Tuure T, Kuitunen M. Probiotics in the treatment of atopic eczema/dermatitis syndrome in infants: a double-blind placebo-controlled trial. Allergy. 2005 Apr;60(4):494-500. doi: 10.1111/j.1398-9995.2004.00514.x.

Reference Type BACKGROUND
PMID: 15727582 (View on PubMed)

Bonini S, Bonini S, Lambiase A, Marchi S, Pasqualetti P, Zuccaro O, Rama P, Magrini L, Juhas T, Bucci MG. Vernal keratoconjunctivitis revisited: a case series of 195 patients with long-term followup. Ophthalmology. 2000 Jun;107(6):1157-63. doi: 10.1016/s0161-6420(00)00092-0.

Reference Type BACKGROUND
PMID: 10857837 (View on PubMed)

Leonardi A. Vernal keratoconjunctivitis: pathogenesis and treatment. Prog Retin Eye Res. 2002 May;21(3):319-39. doi: 10.1016/s1350-9462(02)00006-x.

Reference Type BACKGROUND
PMID: 12052387 (View on PubMed)

Other Identifiers

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Eudract number 2007-000209-31

Identifier Type: -

Identifier Source: secondary_id

LACTO2

Identifier Type: -

Identifier Source: org_study_id

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