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| Name | Class |
|---|---|
| Centro Sperimentale del Latte S.r.l. | UNKNOWN |
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Randomized, double-blind, placebo-controlled, parallel-group, clinical trial to assess the efficacy of the intake of a probiotic product composed of Lacticaseibacillus rhamnosus CRL1505 strain in reducing or preventing upper respiratory tract infections (URTIs) in a healthy paediatric population.
Randomized, double-blind, placebo-controlled, parallel-group, clinical trial.
The study aims to demonstrate the efficacy of the intake of a probiotic product composed of Lacticaseibacillus rhamnosus CRL1505 strain in reducing or preventing upper respiratory tract infections in a healthy paediatric population.
The clinical trial has an intervention period of 12 weeks and a post-treatment follow-up period of 4 additional weeks (16 weeks in total).
The study aims to demonstrate the efficacy and safety of consuming the probiotic strain Lacticaseibacillus rhamnosus CRL1505 in the prevention and reduction of the severity and duration of URTI (upper respiratory tract infections) episodes in a healthy paediatric population.
A total of 268 participants aged 3 to 12 years will be recruited and randomized into two treatment groups in a 1:1 ratio (134 participants in the PROBIOTIC GROUP and 134 participants in the PLACEBO GROUP). The two intervention groups will differ based on the treatment received: probiotic or placebo, both of which will have a similar appearance.
The study will focus on a healthy paediatric population; therefore, the exclusion criteria will eliminate children with significant acute or chronic diseases and those with an immunocompromised condition. Additionally, children receiving continuous pharmacological treatment or those who have consumed dietary supplements that could influence the study results within the four weeks prior to inclusion will be excluded. However, if these children can discontinue such treatments, they may participate in the clinical trial after a washout period. Continuous regular medication that is deemed not to influence the study outcomes regarding the efficacy of the investigational product will be allowed.
Participants will be required not to modify their diet or physical activity during the course of the study.
The inclusion process will take place during winter months, to ensure that the study coincides with the months of highest URTI incidence.
Since this clinical trial will be conducted in minors, continuous evaluation will be the responsibility of the parents. They will be instructed to complete an online questionnaire daily, which will allow data collection to assess the efficacy and safety variables.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PROBIOTIC | Experimental |
| |
| PLACEBO | Placebo Comparator |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Probiotic - Lacticaseibacillus rhamnosus CRL1505 | Dietary Supplement | The probiotic product is provided in 2g sticks containing the strain Lacticaseibacillus rhamnosus CRL1505 at a concentration of ≥ 1.0E+8 CFU/g, with corn starch and maltodextrin as excipients. |
| Measure | Description | Time Frame |
|---|---|---|
| Patients who were diagnosed with at least 1, 2 or 3 URTIs | Difference in the proportion of patients who were diagnosed with at least 1, 2 or 3 URTIs during the intervention (12 weeks) and follow-up period (16 weeks) between the study groups | 12 and 16 weeks |
| Number of URTIs per patient | Difference in the mean number of URTIs per patient between the study groups during the intervention period (12 weeks) and follow-up period (16 weeks) | 12 and 16 weeks |
| Patients who were diagnosed of common cold and influenza | Difference in the proportion of patients who were diagnosed of common cold and influenza during the intervention (12 weeks) and follow-up period (16 weeks) between the study groups. *This analysis will only be performed if a considerable number of URTIs other than the common cold are recorded. | 12 and 16 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Participants who presented URTI complications | Difference in the proportion of participants who experienced URTI complications (bacterial superinfections such as pneumonia, otitis media, and acute sinusitis) during the intervention period (12 weeks) and the total follow-up period (16 weeks) between the study groups. | 12 and 16 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence and severity of all Adverse Events |
| 12 and 16 weeks |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Juan Gabriel Agüera Santos | Contact | +34623022586 | juan.aguera@bioithas.com |
| Name | Affiliation | Role |
|---|---|---|
| Valentina Taverniti | Microbes & Health R&D Leader, Centro Sperimentale del Latte S.r.l. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| MiBioPath Research Group (UCAM) | Recruiting | Murcia | Spain |
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| Placebo | Dietary Supplement | The placebo product is provided in 2g sticks of corn starch and maltodextrin. |
|
| Number of days with a URTI episode per participant |
Difference in the average number of days with a URTI episode per participant (days with URTI/participants) during the intervention period (12 weeks) and the total follow-up period (16 weeks) between the study groups. |
| 12 and 16 weeks |
| Number of days until the first URTI | Difference in the average number of days until the onset of the first URTI episode during the intervention period (12 weeks) between the study groups. | 12 weeks |
| Duration of each URTI episode | Difference in the average duration of each URTI episode (mean ratio of days with URTI/URTI episodes for each participant) during the intervention period (12 weeks) and the total follow-up period (16 weeks) between the study groups. | 12 and 16 weeks |
| URTI-free time rate | Difference in the URTI-free time rate (proportion of accumulated days in which participants do not experience URTI relative to the total number of days) during the intervention period (12 weeks) and the total follow-up period (16 weeks) between the study groups. | 12 and 16 weeks |
| Score of each symptom evaluated on the Jackson scale | Difference in the average score of each symptom evaluated on the Jackson scale per day of common cold episode during the intervention period (12 weeks) and the total follow-up period (16 weeks) between the study groups. The Jackson scale (also known as Jackson criteria or Jackson score) is a tool used to assess and quantify the symptoms of upper respiratory tract infections (URTI), such as the common cold It evaluates 8 main symptoms: Sneezing, Nasal discharge (runny nose), Nasal congestion, Sore throat, Cough, Headache, Malaise, Chilliness/feverishness Each symptom is scored on a 0-3 scale: 0 = absent
Criteria for defining a "cold episode" (URTI case) according to Jackson: At least 2 consecutive days with ≥2 of the following symptoms: runny nose, sore throat, sneezing. Or 1 of these symptoms plus at least one systemic symptom (headache, malaise, chilliness/feverishness). | 12 and 16 weeks |
| Number of days with fever per participant | Difference in the average number of days with fever per participant during the intervention period (12 weeks) and the total follow-up period (16 weeks) between the study groups. | 12 and 16 weeks |
| Participants who received antibiotic treatment | Difference in the proportion of participants who received antibiotic treatment during the intervention period (12 weeks) and the total follow-up period (16 weeks) between the study groups. | 12 and 16 weeks |
| Number of days with antibiotic treatment per participant | Difference in the average number of days with antibiotic treatment per participant during the intervention period (12 weeks) and the total follow-up period (16 weeks) between the study groups. | 12 and 16 weeks |
| Proportion of URTI episodes in which participants received symptomatic medication | Difference in the proportion of URTI episodes in which participants received symptomatic medication (to relieve URTI symptoms) during the intervention period (12 weeks) and the total follow-up period (16 weeks) between the study groups. | 12 and 16 weeks |
| Proportion of URTI days in which participants received symptomatic medication | Difference in the proportion of URTI days in which participants received symptomatic medication (to relieve URTI symptoms) during the intervention period (12 weeks) and the total follow-up period (16 weeks) between the study groups. | 12 and 16 weeks |
| Participants who experienced gastrointestinal infections | Difference in the proportion of participants who experienced gastrointestinal infections during the intervention period (12 weeks) and the total follow-up period (16 weeks) between the study groups. | 12 and 16 weeks |
| School absence rate | Difference in the school absence rate (proportion of accumulated school absence days due to URTI relative to the total number of days) during the intervention period (12 weeks) and the total follow-up period (16 weeks) between the study groups. | 12 and 16 weeks |
| ID | Term |
|---|---|
| D012141 | Respiratory Tract Infections |
| ID | Term |
|---|---|
| D007239 | Infections |
| D012140 | Respiratory Tract Diseases |
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