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Effect of Lactobacillus Rhamnosus GG (LGG) on Infant Colic

This study is ongoing, but not recruiting participants.
Sponsor:
Collaborator:
Mead Johnson Nutrition
Information provided by (Responsible Party):
J. Marc Rhoads, The University of Texas Health Science Center, Houston
ClinicalTrials.gov Identifier:
NCT01279265
First received: January 12, 2011
Last updated: January 31, 2013
Last verified: January 2013
History of Changes
  Purpose

This study will compare 2 currently marketed formulas in healthy full term babies: Nutramigen A+ (a hypoallergenic formula) and Nutramigen-Enflora (hypoallergenic formula with Lactobacillus GG (LGG)) during 3 months of formula feeding. The investigators' aims are to compare 3 outcomes in these babies: (1) normal baby crying time; (2) the composition of intestinal microbiota (bacteria in the stool); and (3) a lab test which measures the number of white blood cells in the large intestine (fecal calprotectin). The investigators predict that LGG supplementation (Nutramigen-Enflora) will facilitate its establishment as an important component of the neonatal intestinal microbial community and reduce fecal calprotectin.


Condition Intervention
Healthy Infant With Colic Behavior and Fecal Characteristics
 Dietary Supplement: Nutramigen with Enflora
Dietary Supplement: Nutramigen A+

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Caregiver, Investigator)
Primary Purpose: Prevention
Official Title: Effect of Lactobacillus Rhamnosus GG (LGG) on Infant Crying, Intestinal Microbiota, and Intestinal Inflammation in Infants With Colic

Resource links provided by NLM:

MedlinePlus related topics: Bowel Movement
U.S. FDA Resources

Further study details as provided by The University of Texas Health Science Center, Houston:

Primary Outcome Measures:
  • Barr Diary [ Time Frame: 2 years ] [ Designated as safety issue: No ]
    This will measure crying times of infants. It is a daily timeline that records the number of minutes with fussiness and crying. Normal is less than 3 hours of crying + fussing time daily.


Secondary Outcome Measures:
  • Fecal Microbiota [ Time Frame: 2 years ] [ Designated as safety issue: No ]
    Analyze and identify bacteria in the stool of the subjects. We will use pyrosequencing to characterize the bacteria colonizing the stool. We will measure if the probiotic is retained 3 months after stopping the Lactobacillus GG-containing formula.

  • Fecal calprotectin [ Time Frame: 2 years ] [ Designated as safety issue: No ]
    Test intestinal inflammation in the infants. Calprotectin is made by white blood cells called neutrophils. The number of neutrophils in the intestine is reflected by the fecal calprotectin level.


Estimated Enrollment: 60
Study Start Date: September 2011
Estimated Study Completion Date: July 2013
Estimated Primary Completion Date: July 2013 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: Nutramigen Lipil with Enflora Dietary Supplement: Nutramigen with Enflora
Hypoallergenic formula with probiotic - Lactobacillus GG
Placebo Comparator: Nutramigen A+
Hypoallergenic formula without lactobacilli
 Dietary Supplement: Nutramigen A+
Hypoallergenic formula without lactobacillus
Other Name: (Nutramigen Lipil)

  Eligibility

Ages Eligible for Study:   up to 3 Months
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Sixty healthy full-term colicky infants (gestational age 32 wks to 41 wks)

Exclusion Criteria:

  • chronic lung disease,
  • diarrhea (stools that take the shape of a container > 5x daily)
  • fever
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01279265

Locations
United States, Texas
University of Texas Health Science Center at Houston
Houston, Texas, United States, 77030
Sponsors and Collaborators
The University of Texas Health Science Center, Houston
Mead Johnson Nutrition
Investigators
Principal Investigator: J. M Rhoads, M.D. The University of Texas Health Science Center, Houston
  More Information

Publications:

Responsible Party: J. Marc Rhoads, Professor - Pediatrics, Gastroenterology, The University of Texas Health Science Center, Houston
ClinicalTrials.gov Identifier: NCT01279265     History of Changes
Other Study ID Numbers: HSC-MS-10-0048
Study First Received: January 12, 2011
Last Updated: January 31, 2013
Health Authority: United States: Institutional Review Board

Keywords provided by The University of Texas Health Science Center, Houston:
Lactobacillus
Probiotic
Crying time
Fecal microbiota
Calprotectin
 Colic
Infant Crying
Barr Diary
Breath Hydrogen

Additional relevant MeSH terms:
Colic
Abdominal Pain
Pain
Signs and Symptoms
Signs and Symptoms, Digestive

ClinicalTrials.gov processed this record on May 23, 2013