The Effect of a Multispecies Probiotic on Reducing the Incidence of Antibiotic-associated Diarrhoea in Children.
NCT ID: NCT03334604
Last Updated: 2021-10-07
Study Results
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Basic Information
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COMPLETED
NA
350 participants
INTERVENTIONAL
2018-02-16
2021-05-13
Brief Summary
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Detailed Description
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In this trial, a total of 350 children aged 3 months to 18 years, undergoing antibiotic treatment, will be randomly allocated to receive either a multispecies probiotic consisting of 2 strains of Bifidobacterium (B. bifidum W23, B. lactis W51) and 6 strains of Lactobacillus (L. acidophilus W37, L. acidophilus W55, L. paracasei W20, L. plantarum W62, L. rhamnosus W71, and L. salivarius W24) at a total dose of 10\^10 colony-forming units daily, or a placebo, from the first day of antibiotic treatment until 7 days after antibiotic cessation. The primary outcome measure will be the incidence of AAD, defined as ≥3 loose or watery stools (a score of A on the Amsterdam Infant Stool Scale for children younger than 1 year and a score of 5-7 on the Bristol Stool Form scale for children older than 1 year) in 24 hours, caused either by Clostridium difficile or of otherwise unexplained aetiology (after testing for common diarrhoeal pathogens), occurring during and/or up to 7 days after the end of the antibiotic therapy.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
PREVENTION
QUADRUPLE
Study Groups
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Multispecies probiotic group
175 participants.
Multispecies probiotic
Multispecies probiotic consisting of Bifidobacterium bifidum W23, Bifidobacterium lactis W51, Lactobacillus acidophilus W37, Lactobacillus acidophilus W55, Lactobacillus paracasei W20, Lactobacillus plantarum W62, Lactobacillus rhamnosus W71 and Lactobacillus salivarius W24 at a dose of 5x10\^9 Colony Forming Units (CFU), twice daily, orally.
Control group
175 participants.
Placebo
Placebo identical in taste, smell and color to the multispecies probiotic.
Interventions
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Multispecies probiotic
Multispecies probiotic consisting of Bifidobacterium bifidum W23, Bifidobacterium lactis W51, Lactobacillus acidophilus W37, Lactobacillus acidophilus W55, Lactobacillus paracasei W20, Lactobacillus plantarum W62, Lactobacillus rhamnosus W71 and Lactobacillus salivarius W24 at a dose of 5x10\^9 Colony Forming Units (CFU), twice daily, orally.
Placebo
Placebo identical in taste, smell and color to the multispecies probiotic.
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
3 Months
18 Years
ALL
No
Sponsors
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Winclove Probiotics B.V.
INDUSTRY
Medical University of Warsaw
OTHER
Responsible Party
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Principal Investigators
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Jan Łukasik, MD
Role: PRINCIPAL_INVESTIGATOR
Department of Paediatrics, The Medical University of Warsaw, Poland
Locations
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OLVG location West
Amsterdam, , Netherlands
Amsterdam UMC, location VUmc
Amsterdam, , Netherlands
OLVG location East
Amsterdam, , Netherlands
Amsterdam UMC, location AMC
Amsterdam, , Netherlands
Department of Paediatrics, St. Hedwig of Silesia Hospital
Trzebnica, Silesian Voivodeship, Poland
Department of Paediatrics, The Medical University of Warsaw, Poland
Warsaw, , Poland
Countries
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References
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Dierikx TH, Malinowska AM, Lukasik J, Besseling-van der Vaart I, Belzer C, Szajewska H, de Meij TGJ; Multispecies Probiotic in AAD Study Group. Probiotics and Antibiotic-Induced Microbial Aberrations in Children: A Secondary Analysis of a Randomized Clinical Trial. JAMA Netw Open. 2024 Jul 1;7(7):e2418129. doi: 10.1001/jamanetworkopen.2024.18129.
Lukasik J, Dierikx T, Besseling-van der Vaart I, de Meij T, Szajewska H; Multispecies Probiotic in AAD Study Group. Multispecies Probiotic for the Prevention of Antibiotic-Associated Diarrhea in Children: A Randomized Clinical Trial. JAMA Pediatr. 2022 Sep 1;176(9):860-866. doi: 10.1001/jamapediatrics.2022.1973.
Lukasik J, Szajewska H. Effect of a multispecies probiotic on reducing the incidence of antibiotic-associated diarrhoea in children: a protocol for a randomised controlled trial. BMJ Open. 2018 Jun 4;8(5):e021214. doi: 10.1136/bmjopen-2017-021214.
Other Identifiers
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AAD2017
Identifier Type: -
Identifier Source: org_study_id
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