ClinicalTrials.gg
Status unknownNCT02577133Updated Oct 16, 2015

Prevention of Colic With the Probiotic Lactobacillus Reuteri

A Phase 2/3 interventional study of Lactobacillus reuteri DSM 17938 and Placebo in Colic, sponsored by Hospital General Naval de Alta Especialidad - Escuela Medico Naval. Status unknown. Open to participants aged 1 Day to 1 Week. Per ClinicalTrials.gov, last updated 2015-10-16.

Sponsored by Hospital General Naval de Alta Especialidad - Escuela Medico Naval · Phase 2/3, Interventional, and Prevention

The sponsor has not verified this record recently (last verified Oct 2015), so the status shown — last known as Not yet recruiting — may be out of date.
Phase
Phase 2/3
Study type
Interventional
Enrollment
478
Allocation
Randomized
Ages
1 Day to 1 Week
Sex
All
01

Study summary

Colic is a term for inconsolable crying happened in the first months of life. Its etiology is multifactorial and caregiver and pediatrician generates among other problems: anxiety, risk of child abuse as well as economic costs.

There is now enough evidence for the treatment of colic using probiotics, especially Lactobacillus reuteri.

The investigators study aims to demonstrate the utility for the prevention of colic with L. reuteri and thereby avoid the problems caused by this pathology.

Objective: Compare the number of events of colic among infants with oral probiotic Lactobacillus reuteri during the first month of life versus infants with placebo

Study Design. Double blind, randomized, controlled, 492 neonates of 37-42 gestational age, breast or formula fed, will receive L. reuteri 5 drops (1x108 CFU) daily or placebo for 28 days. The investigators trial will be performed at Naval Hospital in Mexico City.

Read the detailed description

Methods:

This study is planned for October 2015 to October 2016 aiming newborns born population in Naval Hospital

Inclusion:

  • Term Healthy Newborns (RN) ≥38 weeks and ≤ 41 weeks of gestation
  • Appropriate weight for gestational age
  • ≥than 8 Apgar at 5 minutes
  • Egress at the first 24-48 hours of life of the newborn with the mother of hospital
  • No congenital or physical abnormalities on physical examination at birth.
  • Availability during the study period.
  • Thorough understanding of the protocol by parents
  • Informed Consent is signed by both parents.

Exclusion:

  • Administration of antibiotics to the mother for a week before the birth of the newborn.
  • Administration of probiotics newborn before inclusion or consumption by the mother during these last two trimesters.
  • Medication Management newborn different routine prescribed at birth.

Elimination

  • Loss of monitoring
  • Abandonment by parents
  • Diagnosis of allergy to cow's milk protein (confirmed by resolution of symptoms after switching to Formula hypo allergenic or free feeding cow's milk by the mother in breastfed children).
  • Diagnosis of structural alterations or gastrointestinal illness to explain the symptoms of colic in the following months after the inclusion

Interventions:

The patients enrolled will receive probiotics (1000000000 CFU per day) or placebo every days for 28 days

Weekly, each patient will be called twice to interrogate the number of events colic as well as the different variables under study

After birth, on 15, 30, 45 and 60 of life will be cited for clinical examination and review and weight dropper bottle of probiotic

  • Principal: Number of events or inconsolable crying
  • Secondary: Average or evacuations / day Average or regurgitation / day Drugs to decrease excessive crying Medical reviews for excessive crying Changes feeding for excessive crying Level of satisfaction with the care of the newborn (numerical scale from 0: the worst possible, 10: completely satisfied)
  • Universal variables

Weight:

Size:

Gender Weeks gestation Type of birth Feeding of formula / breast-

02

Conditions studied

  • Colic

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Keywords

  • colic
  • probiotic
  • Lactobacillus reuteri
  • prevention
03

In context

Colic

153 studies on the registry are indexed under Colic; 19 are open to participants now.

This study's planned enrollment of 478 is above the median of 80 across 127 interventional studies indexed under Colic.

Browse Colic studies →

Lead sponsor

Hospital General Naval de Alta Especialidad - Escuela Medico Naval is the lead sponsor of 10 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
1 Day to 1 Week
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Term Healthy Newborns (RN) ≥38 weeks and ≤ 41 weeks of gestation.
  • Appropriate weight for gestational age
  • ≥than 8 Apgar at 5 minutes
  • Egress at the first 24-48 hours of life of the newborn with the mother of hospital
  • No congenital or physical abnormalities on physical examination at birth.
  • Availability during the study period.
  • Thorough understanding of the protocol by parents
  • Informed Consent is signed by both parents.

Exclusion criteria

Exclusion Criteria:

  • Administration of antibiotics to the mother for a week before the birth of the newborn.
  • Administration of probiotics newborn before inclusion or consumption by the mother during these last two trimesters.
  • Medication Management newborn different routine prescribed at birth.
05

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
478 participants (estimated)

Study arms

  • Active comparator
    Lactobacillus reuteri group

    Lactobacillus reuteri DSM 17938 1,000,000,000 CFU per day (5 drops) for 28 days

    Dietary Supplement: Lactobacillus reuteri DSM 17938

  • Placebo comparator
    Placebo group

    Placebo (5 drops) for 28 days

    Dietary Supplement: Placebo

Interventions

  • Lactobacillus reuteri DSM 17938 1,000,000,000 CFU per day (5 drops) for 28 days

    Also known as: BioGaia

  • Dietary supplementPlacebo

    The placebo consisted of an identical bottle with distilled water

06

What researchers measure

Primary outcomes

  1. Event number of colic

    Time frame: 3 months

07

Study locations

No study locations are listed for this record.

08

References and documents

Publications

  • Hyman PE, Milla PJ, Benninga MA, Davidson GP, Fleisher DF, Taminiau J. Childhood functional gastrointestinal disorders: neonate/toddler. Gastroenterology. 2006 Apr;130(5):1519-26. doi: 10.1053/j.gastro.2005.11.065. PubMed 16678565 ↗
  • WESSEL MA, COBB JC, JACKSON EB, HARRIS GS Jr, DETWILER AC. Paroxysmal fussing in infancy, sometimes called colic. Pediatrics. 1954 Nov;14(5):421-35. No abstract available. PubMed 13214956 ↗
  • Douglas P, Hill P. Managing infants who cry excessively in the first few months of life. BMJ. 2011 Dec 15;343:d7772. doi: 10.1136/bmj.d7772. No abstract available. PubMed 22174332 ↗
  • E. Ortega Páeza , D. Barroso Espaderob Flashes pediátricos AEpap Cólico del lactante Rev Pediatr Aten Primaria Supl. 2013;(22):81-7
  • Wolke D, Samara M, Alvarez Wolke M. Meta-analysis of fuss/cry durations and colic prevalence across countries: Proceedings of the11th International Infant Cry Research Workshop, June, 2011, The Netherlands.
  • Cohen GM, Albertini LW. Colic. Pediatr Rev. 2012 Jul;33(7):332-3; discussion 333. doi: 10.1542/pir.33-7-332. No abstract available. PubMed 22753793 ↗
  • Barr RG, Rotman A, Yaremko J, Leduc D, Francoeur TE. The crying of infants with colic: a controlled empirical description. Pediatrics. 1992 Jul;90(1 Pt 1):14-21. PubMed 1614771 ↗
  • Romanello S, Spiri D, Marcuzzi E, Zanin A, Boizeau P, Riviere S, Vizeneux A, Moretti R, Carbajal R, Mercier JC, Wood C, Zuccotti GV, Crichiutti G, Alberti C, Titomanlio L. Association between childhood migraine and history of infantile colic. JAMA. 2013 Apr 17;309(15):1607-12. doi: 10.1001/jama.2013.747. PubMed 23592105 ↗
  • Savino F, Cordisco L, Tarasco V, Calabrese R, Palumeri E, Matteuzzi D. Molecular identification of coliform bacteria from colicky breastfed infants. Acta Paediatr. 2009 Oct;98(10):1582-8. doi: 10.1111/j.1651-2227.2009.01419.x. Epub 2009 Jul 9. PubMed 19604166 ↗
  • de Weerth C, Fuentes S, Puylaert P, de Vos WM. Intestinal microbiota of infants with colic: development and specific signatures. Pediatrics. 2013 Feb;131(2):e550-8. doi: 10.1542/peds.2012-1449. Epub 2013 Jan 14. PubMed 23319531 ↗
  • Savino F, Cresi F, Pautasso S, Palumeri E, Tullio V, Roana J, Silvestro L, Oggero R. Intestinal microflora in breastfed colicky and non-colicky infants. Acta Paediatr. 2004 Jun;93(6):825-9. PubMed 15244234 ↗
  • Iacono G, Merolla R, D'Amico D, Bonci E, Cavataio F, Di Prima L, Scalici C, Indinnimeo L, Averna MR, Carroccio A; Paediatric Study Group on Gastrointestinal Symptoms in Infancy. Gastrointestinal symptoms in infancy: a population-based prospective study. Dig Liver Dis. 2005 Jun;37(6):432-8. doi: 10.1016/j.dld.2005.01.009. Epub 2005 Mar 2. PubMed 15893282 ↗
  • Drossman DA. The functional gastrointestinal disorders and the Rome III process. Gastroenterology. 2006 Apr;130(5):1377-90. doi: 10.1053/j.gastro.2006.03.008. No abstract available. PubMed 16678553 ↗
  • Charrois TL, Sandhu G, Vohra S. Probiotics. Pediatr Rev. 2006 Apr;27(4):137-9. doi: 10.1542/pir.27-4-137. No abstract available. PubMed 16581954 ↗
  • http://www.biogaia.com/lactobacillus-reuter
  • Talarico TL, Casas IA, Chung TC, Dobrogosz WJ. Production and isolation of reuterin, a growth inhibitor produced by Lactobacillus reuteri. Antimicrob Agents Chemother. 1988 Dec;32(12):1854-8. doi: 10.1128/AAC.32.12.1854. PubMed 3245697 ↗
  • Morelli L, Capurso L. FAO/WHO guidelines on probiotics: 10 years later. J Clin Gastroenterol. 2012 Oct;46 Suppl:S1-2. doi: 10.1097/MCG.0b013e318269fdd5. No abstract available. PubMed 22955349 ↗
  • Lifschitz C. Probiotics: Implications for Paediatric Health, Nestlé Nutrition Institute, South Asia Workshop Proceedings Vol. 1, Issue 1, 2013
  • Savino F, Pelle E, Palumeri E, Oggero R, Miniero R. Lactobacillus reuteri (American Type Culture Collection Strain 55730) versus simethicone in the treatment of infantile colic: a prospective randomized study. Pediatrics. 2007 Jan;119(1):e124-30. doi: 10.1542/peds.2006-1222. PubMed 17200238 ↗
  • Savino F, Cordisco L, Tarasco V, Palumeri E, Calabrese R, Oggero R, Roos S, Matteuzzi D. Lactobacillus reuteri DSM 17938 in infantile colic: a randomized, double-blind, placebo-controlled trial. Pediatrics. 2010 Sep;126(3):e526-33. doi: 10.1542/peds.2010-0433. Epub 2010 Aug 16. PubMed 20713478 ↗
  • Chumpitazi BP, Shulman RJ. Five probiotic drops a day to keep infantile colic away? JAMA Pediatr. 2014 Mar;168(3):204-5. doi: 10.1001/jamapediatrics.2013.5002. No abstract available. PubMed 24424486 ↗
  • Sung V, Collett S, de Gooyer T, Hiscock H, Tang M, Wake M. Probiotics to prevent or treat excessive infant crying: systematic review and meta-analysis. JAMA Pediatr. 2013 Dec;167(12):1150-7. doi: 10.1001/jamapediatrics.2013.2572. PubMed 24100440 ↗
  • Indrio F, Di Mauro A, Riezzo G, Civardi E, Intini C, Corvaglia L, Ballardini E, Bisceglia M, Cinquetti M, Brazzoduro E, Del Vecchio A, Tafuri S, Francavilla R. Prophylactic use of a probiotic in the prevention of colic, regurgitation, and functional constipation: a randomized clinical trial. JAMA Pediatr. 2014 Mar;168(3):228-33. doi: 10.1001/jamapediatrics.2013.4367. PubMed 24424513 ↗
09

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Oct 2015, a primary completion of Jan 2016 and a completion of Oct 2016. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 14, 2015
First posted
Oct 16, 2015
Start
Oct 2015
Primary completionEst.
Jan 2016
CompletionEst.
Oct 2016
Last update
Oct 16, 2015
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Oct 16, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02577133
Lead sponsor
Hospital General Naval de Alta Especialidad - Escuela Medico Naval
Responsible party
Dr. Jorge Ivan Valencia Moncada (Prevention of colic with the probiotic Lactobacillus reuteri DSM 17938 in Mexican infants: randomized, double-blind study, Hospital General Naval de Alta Especialidad - Escuela Medico Naval) — Principal investigator
First posted
Oct 16, 2015
Start date
Oct 2015
Primary completion
Jan 2016 (estimated)
Completion
Oct 2016 (estimated)
Last update
Oct 16, 2015

Study contacts

Héctor Javier Varona Bobadilla, Dr.
Contact
kavel_555@hotmail.com
(52) 55 56 24 65 00 ext. 5423
Héctor Javier Varona Bobadilla, Dr.
principal investigator · Secretaria de Marina-Armada de México (Mexican Navy)

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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