Efficacy of Lactobacillus Reuteri Protectis on Functional Abdominal Pain (FAP) in Children 8-14 Years Old (LactoFAP)
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Purpose
The present clinical trial will examine the use of L. reuteri Protectis in children with functional abdominal pain. The aim of the study is to evaluate the use of L. reuteri Protectis on pain (severity and frequency) in children of 8-14 years old and with diagnosis of functional abdominal pain (FAP).
| Condition | Intervention | Phase |
|---|---|---|
|
Abdominal Pain |
Dietary Supplement: L. reuteri protectis Dietary Supplement: Placebo tablet |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Crossover Assignment Masking: Double Blind (Subject, Caregiver, Investigator) Primary Purpose: Treatment |
| Official Title: | Efficacy of Lactobacillus Reuteri Protectis on Functional Abdominal Pain (FAP) in Children 8-14 Years Old |
- Primary endpoint [ Time Frame: 4 weeks ] [ Designated as safety issue: No ]Pain frequency measured by a subject diary, in the L. reuteri Protectis group and the placebo group, expressed as area under the pain-frequency curve and comparing L. reuteri Protectis vs. placebo over the 4-week supplementation period.
- Secondary endpoint [ Time Frame: 56 days ] [ Designated as safety issue: No ]Pain frequency measured by subject diary and expressed as area under the curve, comparing L. reuteri protectis vs. placebo over the initial 2 weeks of the supplementation period. Pain severity measured by the face score system by Wong-Baker at day 14, 28 and 56 (follow up) vs baseline, and area under the curve for weeks 1-4 and 1-2. Treatment success, defined as ≥ 50% reduction in pain frequency in weeks 1-4. Reduction in days of absence from school. Parents' absence from work. Need of rescue medication.
| Enrollment: | 9 |
| Study Start Date: | December 2011 |
| Primary Completion Date: | April 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: L. reuteri protectis tablets
one tablet a day for 4 weeks
|
Dietary Supplement: L. reuteri protectis
1 tablet once daily for 4 weeks
Other Name: L. reuteri protectis
|
|
Placebo Comparator: Placebo tablet
one tablet a day for 4 weeks
|
Dietary Supplement: Placebo tablet
1 tablet once daily for 4 weeks
Other Name: Placebo
|
Detailed Description:
Subject will be asked to consume a tablet every day for 4 weeks. Supplementation will be stopped after 4 weeks, and the subjects will be followed up for an additional 4 weeks. The subjects will complete a diary to record frequency and intensity of pain, use of medication, deviation from the usual diet, physical activities, and absence from school and other activities. Gastrointestinal symptoms are assessed.
Eligibility| Ages Eligible for Study: | 8 Years to 14 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- FAP (Functional Abdominal Pain) according to Rome III criteria for
- Child/Adolescent (Rasquin, 2006);
- 1 or more abdominal pain episodes per week over the past 8 weeks;
- Informed consent by study participant and at least one parent / legal guardian;
- Age 8-14 years;
- Pain severity at study entry must be at least 40 mm on a 100 mm VAS scale;
- Ability to understand and comply with the requirements of the trial;
- Stated availability throughout the study period.
Exclusion Criteria:
- Chronic illness;
- Surgery of Gastrointestinal tract;
- Any organic symptoms and/or clinical signs of disorder or disease other than FAP;
- Weight loss of 5% or more in body weight over the preceding 3 months;
- Any abnormal result of laboratory assays, also including screening for celiac disease, lactose intolerance;
- Exposure to any drug or medication (antidepressants, SSRIs, laxatives) in the past 3 months or regular use of this medication;
- Exposure to probiotics or antibiotics within 4 weeks prior to study; subjects can be included following a wash-out period of 4 weeks.
- Participation in other clinical trials in the past 3 months;
- Subjects with anemia;
- Subjects with special dietary needs
Contacts and Locations| Italy | |
| AO Niguarda Ca' granda | |
| Milan, Italy, 20162 | |
| AO "San Paolo" | |
| Milano, Italy, 201442 | |
| Principal Investigator: | Costantino DeGiacomo, MD | Niguarda Hospital |
More Information
No publications provided
| Responsible Party: | BioGaia AB |
| ClinicalTrials.gov Identifier: | NCT01498666 History of Changes |
| Other Study ID Numbers: | Q-PRE-0111-CLI-018 |
| Study First Received: | December 19, 2011 |
| Last Updated: | April 4, 2013 |
| Health Authority: | Italy: Ethics Committee |
Additional relevant MeSH terms:
|
Abdominal Pain Pain Signs and Symptoms Signs and Symptoms, Digestive |
ClinicalTrials.gov processed this record on May 21, 2013