Probiotics for Chalaziosis Treatment in Children

NCT ID: NCT04322500

Last Updated: 2020-05-05

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

26 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-02-01

Study Completion Date

2020-02-29

Brief Summary

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There is growing evidence encouraging the use of probiotics in many conditions in children. The aim of the investigator's study is to define the possible beneficial impact of probiotics on paediatric patients affected by chalaziosis.

Detailed Description

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Prospective comparative pilot study on 26 children suffering from chalaziosis. They will be randomly divided in two groups. One group will receive conservative treatment and the other one will receive conservative treatment and a daily supplementation of probiotics. All patients will be evaluated at 2-week intervals for 3 months. If the lesion will not disappear or decrease in size to 1 mm or less in diameter on subsequent visits, the same procedure will be repeated for another 3-months cycle. The follow up periods extend from 3 to 6 months according to the results.

Conditions

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Chalazion

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Prospective comparative pilot study with two groups randomly divided
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

TRIPLE

Caregivers Investigators Outcome Assessors

Study Groups

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Group A: conservative

conservative treatment

Group Type OTHER

conservative treatment

Intervention Type OTHER

lid hygiene, warm compression, and dexamethasone/tobramycin ointment for at least 20 days

Group B: probiotics

in addition to the conservative treatment they receive a probiotics mixture (Streptococcus thermophilus ST10, Lactococcus lactis LLCO2 and Lactobacillus delbrueckii subsp. bulgaricus LDB01)

Group Type EXPERIMENTAL

probiotics

Intervention Type DIETARY_SUPPLEMENT

use specific probiotics in addiction to conservative treatment to modify the intestinal microbiome to ameliorate the clinical course of chalaziosis in children by re-establishing intestinal and immune homeostasis

conservative treatment

Intervention Type OTHER

lid hygiene, warm compression, and dexamethasone/tobramycin ointment for at least 20 days

Interventions

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probiotics

use specific probiotics in addiction to conservative treatment to modify the intestinal microbiome to ameliorate the clinical course of chalaziosis in children by re-establishing intestinal and immune homeostasis

Intervention Type DIETARY_SUPPLEMENT

conservative treatment

lid hygiene, warm compression, and dexamethasone/tobramycin ointment for at least 20 days

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* paediatric patients
* presence of one or more eyelid mass lesions (history of rapid onset of painful inflamed mass that had reached a stationary size for more than 2 months)

Exclusion Criteria

* eyelid infection
* chalazion duration \< 1 month
* nonpalpable chalazion
* suspicion of malignancy
Minimum Eligible Age

3 Years

Maximum Eligible Age

14 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Molise

OTHER

Sponsor Role lead

Responsible Party

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Ciro Costagliola

Full Professor in Ophthalmology

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Ciro Costagliola, Full Professor

Role: PRINCIPAL_INVESTIGATOR

University of Molise

Locations

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University of Molise

Campobasso, , Italy

Site Status

Countries

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Italy

References

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Kerry RG, Patra JK, Gouda S, Park Y, Shin HS, Das G. Benefaction of probiotics for human health: A review. J Food Drug Anal. 2018 Jul;26(3):927-939. doi: 10.1016/j.jfda.2018.01.002. Epub 2018 Feb 2.

Reference Type BACKGROUND
PMID: 29976412 (View on PubMed)

McLean MH, Dieguez D Jr, Miller LM, Young HA. Does the microbiota play a role in the pathogenesis of autoimmune diseases? Gut. 2015 Feb;64(2):332-41. doi: 10.1136/gutjnl-2014-308514. Epub 2014 Nov 21.

Reference Type BACKGROUND
PMID: 25416067 (View on PubMed)

Scher JU, Littman DR, Abramson SB. Microbiome in Inflammatory Arthritis and Human Rheumatic Diseases. Arthritis Rheumatol. 2016 Jan;68(1):35-45. doi: 10.1002/art.39259. No abstract available.

Reference Type BACKGROUND
PMID: 26331579 (View on PubMed)

Ochoa-Reparaz J, Kasper LH. The influence of gut-derived CD39 regulatory T cells in CNS demyelinating disease. Transl Res. 2017 Jan;179:126-138. doi: 10.1016/j.trsl.2016.07.016. Epub 2016 Jul 28.

Reference Type BACKGROUND
PMID: 27519147 (View on PubMed)

Kalyana Chakravarthy S, Jayasudha R, Sai Prashanthi G, Ali MH, Sharma S, Tyagi M, Shivaji S. Dysbiosis in the Gut Bacterial Microbiome of Patients with Uveitis, an Inflammatory Disease of the Eye. Indian J Microbiol. 2018 Dec;58(4):457-469. doi: 10.1007/s12088-018-0746-9. Epub 2018 Jun 4.

Reference Type BACKGROUND
PMID: 30262956 (View on PubMed)

Iovieno A, Lambiase A, Sacchetti M, Stampachiacchiere B, Micera A, Bonini S. Preliminary evidence of the efficacy of probiotic eye-drop treatment in patients with vernal keratoconjunctivitis. Graefes Arch Clin Exp Ophthalmol. 2008 Mar;246(3):435-41. doi: 10.1007/s00417-007-0682-6. Epub 2007 Nov 27.

Reference Type BACKGROUND
PMID: 18040708 (View on PubMed)

Tavakoli A, Flanagan JL. The Case for a More Holistic Approach to Dry Eye Disease: Is It Time to Move beyond Antibiotics? Antibiotics (Basel). 2019 Jun 30;8(3):88. doi: 10.3390/antibiotics8030088.

Reference Type BACKGROUND
PMID: 31262073 (View on PubMed)

Lin P. The role of the intestinal microbiome in ocular inflammatory disease. Curr Opin Ophthalmol. 2018 May;29(3):261-266. doi: 10.1097/ICU.0000000000000465.

Reference Type BACKGROUND
PMID: 29538183 (View on PubMed)

Baim AD, Movahedan A, Farooq AV, Skondra D. The microbiome and ophthalmic disease. Exp Biol Med (Maywood). 2019 Apr;244(6):419-429. doi: 10.1177/1535370218813616. Epub 2018 Nov 21.

Reference Type BACKGROUND
PMID: 30463439 (View on PubMed)

Kugadas A, Gadjeva M. Impact of Microbiome on Ocular Health. Ocul Surf. 2016 Jul;14(3):342-9. doi: 10.1016/j.jtos.2016.04.004. Epub 2016 May 14.

Reference Type BACKGROUND
PMID: 27189865 (View on PubMed)

Lin P. Importance of the intestinal microbiota in ocular inflammatory diseases: A review. Clin Exp Ophthalmol. 2019 Apr;47(3):418-422. doi: 10.1111/ceo.13493. Epub 2019 Mar 25.

Reference Type BACKGROUND
PMID: 30834680 (View on PubMed)

Sansotta N, Peroni DG, Romano S, Rugiano A, Vuilleumier P, Baviera G; Italian Society of Pediatric Allergy, Immunology (SIAIP), Microbiota Committee, Italy. The good bugs: the use of probiotics in pediatrics. Curr Opin Pediatr. 2019 Oct;31(5):661-669. doi: 10.1097/MOP.0000000000000808.

Reference Type BACKGROUND
PMID: 31356353 (View on PubMed)

Sklar BA, Gervasio KA, Leng S, Ghosh A, Chari A, Wu AY. Management and outcomes of proteasome inhibitor associated chalazia and blepharitis: a case series. BMC Ophthalmol. 2019 May 14;19(1):110. doi: 10.1186/s12886-019-1118-x.

Reference Type BACKGROUND
PMID: 31088416 (View on PubMed)

Malekahmadi M, Farrahi F, Tajdini A. Serum Vitamin A Levels in Patients with Chalazion. Med Hypothesis Discov Innov Ophthalmol. 2017 Fall;6(3):63-66.

Reference Type BACKGROUND
PMID: 29392144 (View on PubMed)

Yam JC, Tang BS, Chan TM, Cheng AC. Ocular demodicidosis as a risk factor of adult recurrent chalazion. Eur J Ophthalmol. 2014 Mar-Apr;24(2):159-63. doi: 10.5301/ejo.5000341. Epub 2013 Jul 16.

Reference Type BACKGROUND
PMID: 23873491 (View on PubMed)

Lu LJ, Liu J. Human Microbiota and Ophthalmic Disease. Yale J Biol Med. 2016 Sep 30;89(3):325-330. eCollection 2016 Sep.

Reference Type BACKGROUND
PMID: 27698616 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Related Links

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http://fao.org/3/a-a0512e.pdf

probiotics definition

Other Identifiers

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07/2019

Identifier Type: -

Identifier Source: org_study_id

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