Safety and Efficacy of Probiotics in Bangladeshi Infants

NCT ID: NCT01899378

Last Updated: 2016-10-17

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

PHASE1

Total Enrollment

160 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-10-31

Study Completion Date

2014-07-31

Brief Summary

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Here the investigators propose to preliminarily investigate the safety and effects of probiotics in infants in Bangladesh through a pilot randomized clinical trial. The investigators hypothesize that two probiotics are safe for infants in Bangladesh and may have an effect on biomarkers of gut health and immunity. The specific aims of this pilot are: i) to confirm the safety of administering probiotic strains to infants in low-income countries, ii) to determine the effects of dosing frequency on colonization and persistence of probiotics in the GI tract, iii) to measure markers of intestinal and immune function and microbiota structure.

Detailed Description

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Conditions

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Healthy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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daily probiotic

10\^8 CFU Lactobacillus reuteri DSM 17938 and 10\^9 Bifidobacterium longum infantis daily for one month

Group Type EXPERIMENTAL

Lactobacillus reuteri DSM 17938

Intervention Type DIETARY_SUPPLEMENT

10\^8 CFU

Bifidobacterium longum infantis

Intervention Type DIETARY_SUPPLEMENT

10\^9 CFU

weekly probiotic

10\^8 CFU Lactobacillus reuteri DSM 17938 and 10\^9 Bifidobacterium longum infantis weekly for one month

Group Type EXPERIMENTAL

Lactobacillus reuteri DSM 17938

Intervention Type DIETARY_SUPPLEMENT

10\^8 CFU

Bifidobacterium longum infantis

Intervention Type DIETARY_SUPPLEMENT

10\^9 CFU

bi-weekly probiotic

10\^8 CFU Lactobacillus reuteri DSM 17938 and 10\^9 Bifidobacterium longum infantis bi-weekly for one month

Group Type EXPERIMENTAL

Lactobacillus reuteri DSM 17938

Intervention Type DIETARY_SUPPLEMENT

10\^8 CFU

Bifidobacterium longum infantis

Intervention Type DIETARY_SUPPLEMENT

10\^9 CFU

control

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Lactobacillus reuteri DSM 17938

10\^8 CFU

Intervention Type DIETARY_SUPPLEMENT

Bifidobacterium longum infantis

10\^9 CFU

Intervention Type DIETARY_SUPPLEMENT

Other Intervention Names

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BioGaia Protectis Baby Align

Eligibility Criteria

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Inclusion Criteria

* Healthy infants.
* Infants 1 -3 months of age at the beginning of the study.
* Parents/guardians of each subject are able to understand study procedures and agree to participate in the study by giving consent.
* Parents and child are planning to remain in Dhaka for the next four months.

Exclusion Criteria

* Infants with known birth defects.
* Infants who have been hospitalized.
* Infants who have an acute infection or illness at the time of enrolment.
* Infants who are currently taking antibiotics
* Infants \<1 month of age or \>3 months of age.
* Infants three standard deviations below mean on anthropometric measures (will be referred for medical care).
* Infants who are already receiving a probiotic product or treatment.
* A diagnosis or suspicion of immunodeficiency disorder.
* A diagnosis or suspicion of bleeding disorder that would contraindicate venipuncture.
* Family residence outside of Dhaka or families expecting to move outside of Dhaka in the next 4 months.
Minimum Eligible Age

1 Month

Maximum Eligible Age

3 Months

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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International Centre for Diarrhoeal Disease Research, Bangladesh

OTHER

Sponsor Role collaborator

Thrasher Research Fund

OTHER

Sponsor Role collaborator

Stanford University

OTHER

Sponsor Role lead

Responsible Party

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Julie Parsonnet

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Yana Emmy E Hoy-Schulz, PhD

Role: STUDY_DIRECTOR

Stanford University

Julie Parsonnet, MD

Role: PRINCIPAL_INVESTIGATOR

Stanford University

Stephen Luby, MD

Role: PRINCIPAL_INVESTIGATOR

Stanford University

Leanne Unicomb, PhD

Role: PRINCIPAL_INVESTIGATOR

International Center for Diarrheal Disease Research, Bangladesh

Kaniz Jannat, MBBS

Role: STUDY_DIRECTOR

International Center for Diarrheal Disease Research, Bangladesh

Locations

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International Center for Diarrheal Disease Research, Bangladesh

Dhaka, , Bangladesh

Site Status

Countries

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Bangladesh

References

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Roberts TJ, Hoy-Schulz YE, Jannat K, Parsonnet J. Evidence of inflated exclusive breastfeeding estimates from a clinical trial in Bangladesh. Int Breastfeed J. 2018 Aug 22;13:39. doi: 10.1186/s13006-018-0179-4. eCollection 2018.

Reference Type DERIVED
PMID: 30159001 (View on PubMed)

Hoy-Schulz YE, Jannat K, Roberts T, Zaidi SH, Unicomb L, Luby S, Parsonnet J. Safety and acceptability of Lactobacillus reuteri DSM 17938 and Bifidobacterium longum subspecies infantis 35624 in Bangladeshi infants: a phase I randomized clinical trial. BMC Complement Altern Med. 2016 Feb 2;16:44. doi: 10.1186/s12906-016-1016-1.

Reference Type DERIVED
PMID: 26832746 (View on PubMed)

Other Identifiers

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SPO109949

Identifier Type: -

Identifier Source: org_study_id

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