Study of a Probiotic Strain to Prevent Mastitis and to Eradicate GBS Colonization

NCT ID: NCT01505361

Last Updated: 2012-01-12

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

UNKNOWN

Clinical Phase

PHASE1/PHASE2

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-11-30

Study Completion Date

2012-06-30

Brief Summary

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In previous studies, the investigators have seen that carefully-selected Lactobacillus strains are a good alternative to antibiotics for the treatment of lactational mastitis. The objective of this new study is to check if they can also have a preventive role when administered to women with a history of mastitis with one or more previous infants. Since the investigators have also realized that peripartum antibiotherapy (mainly GBS-targeting intrapartum prophylaxis)is a predisposing factor for mastitis (because of the selection of resistant bacteria), the investigators would also like to test if administration of the strains to GBS-colonized pregnant women may lead to GBS eradication. Therefore, a mastitis-predisposing factor would de avoid.

Detailed Description

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Conditions

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Mastitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Probiotic

Pregnant women at 30 week of pregnancy(n=50) receiving Lactobacillus salivarius PS2(9 log per day, until birth)

Group Type EXPERIMENTAL

Lactobacillus salivarius PS2

Intervention Type BIOLOGICAL

9 log10 (colony-forming units), freeze-dried powder, daily for 30 week of pregnancy until birth

Placebo

Pregnant women at 30 week of pregnancy(n=50) receiving the excipient (once a day, until birth)

Group Type PLACEBO_COMPARATOR

Excipient (milk powder)

Intervention Type BIOLOGICAL

100 mg/once a day from 30 week of pregnancy until birth

Interventions

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Lactobacillus salivarius PS2

9 log10 (colony-forming units), freeze-dried powder, daily for 30 week of pregnancy until birth

Intervention Type BIOLOGICAL

Excipient (milk powder)

100 mg/once a day from 30 week of pregnancy until birth

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Normal pregnancy
* Healthy women
* Lactational mastitis in, at least, a previous lactation period
* No symptomatic vaginal infections

Exclusion Criteria

* Any kind of health problems related to pregnancy
* Symptomatic vaginal infections
* Allergy to cow's milk protein
* Intolerance to lactose
* Antibiotic treatment
Minimum Eligible Age

25 Years

Maximum Eligible Age

35 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Universidad Complutense de Madrid

OTHER

Sponsor Role lead

Responsible Party

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Juan M. Rodríguez

Professor, PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Juan M Rodriguez, PhD

Role: PRINCIPAL_INVESTIGATOR

Complutense University of Madrid, Spain

Locations

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Public Primary Health Care Centers network

Madrid, Madrid, Spain

Site Status RECRUITING

Countries

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Spain

Central Contacts

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Juan M Rodríguez, PhD

Role: CONTACT

34913943837

References

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Arroyo R, Martin V, Maldonado A, Jimenez E, Fernandez L, Rodriguez JM. Treatment of infectious mastitis during lactation: antibiotics versus oral administration of Lactobacilli isolated from breast milk. Clin Infect Dis. 2010 Jun 15;50(12):1551-8. doi: 10.1086/652763.

Reference Type BACKGROUND
PMID: 20455694 (View on PubMed)

Jimenez E, Fernandez L, Maldonado A, Martin R, Olivares M, Xaus J, Rodriguez JM. Oral administration of Lactobacillus strains isolated from breast milk as an alternative for the treatment of infectious mastitis during lactation. Appl Environ Microbiol. 2008 Aug;74(15):4650-5. doi: 10.1128/AEM.02599-07. Epub 2008 Jun 6.

Reference Type BACKGROUND
PMID: 18539795 (View on PubMed)

Crepinsek MA, Taylor EA, Michener K, Stewart F. Interventions for preventing mastitis after childbirth. Cochrane Database Syst Rev. 2020 Sep 29;9(9):CD007239. doi: 10.1002/14651858.CD007239.pub4.

Reference Type DERIVED
PMID: 32987448 (View on PubMed)

Fernandez L, Cardenas N, Arroyo R, Manzano S, Jimenez E, Martin V, Rodriguez JM. Prevention of Infectious Mastitis by Oral Administration of Lactobacillus salivarius PS2 During Late Pregnancy. Clin Infect Dis. 2016 Mar 1;62(5):568-573. doi: 10.1093/cid/civ974. Epub 2015 Nov 26.

Reference Type DERIVED
PMID: 26611780 (View on PubMed)

Other Identifiers

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PROBIOPREG

Identifier Type: -

Identifier Source: org_study_id

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