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CompletedNCT04167995ADHDUpdated Dec 27, 2022

Assessment of Probiotics Lactobacillus in the Management of Attention Deficit Hyperactive Disorder

An Early Phase 1 interventional study of Probiotic Formula lacteal forte in Inattentive, Hyperactivity and Impulsivity, sponsored by Ain Shams University. Completed at 1 site in Egypt. Open to participants aged 6 Years to 16 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-12-27.

Sponsored by Ain Shams University · Early Phase 1, Interventional, and Treatment

Phase
Early Phase 1
Study type
Interventional
Enrollment
80
Allocation
Randomized
Ages
6 Years to 16 Years
Sex
All
01

Study summary

ADHD is a neurodevelopmental disorder characterized by persistent symptoms of inattention and/or hyperactivity and impulsivity that are present before age 18. These symptoms must be evident across ADHD treatment is currently based on a multimodal approach with the combination of psychotherapy and pharmacotherapy, but no reliable markers of treatment response have been identified yet and 20-35% of subjects in clinical trials may have an inadequate response to the treatment The gut microbiome refers to the microbial ecosystem found in the gastrointestinal system of the human species Probiotics are a type of beneficial bacteria that improve health and facilitate intestinal microbial balance Increasing evidence suggests that the gut microbiota plays a key role in the gut-brain communication axis by influencing metabolism, inflammation, the hypothalamic-pituitary-adrenal axis, and neurotransmission multiple domains and cause Impairment in functioning in order to meet the diagnostic criteria for ADHD

Read the detailed description

All patients will be randomly distributed into two equal groups using a random number generator from computer-based randomization software. the probiotic group (n=40) received probiotic preparation twice daily (Lacteol Forte; Rameda, Egypt) as sachets containing 10 billion colony-forming units (CFU) of Lactobacillus fermentum and Lactobacillus delbruekii for 12 weeks added to a weight-dependent dose of standard treatment (Atomoxetine), and the 40 patients in the control group will not receive the probiotic and on a weight-dependent dose of atomoxetine.

02

Conditions studied

  • Inattentive
  • Hyperactivity
  • Impulsivity

Keywords

  • Hyperactivity
  • Inattention
  • Probiotics
03

In context

Hyperkinesis

729 studies on the registry are indexed under Hyperkinesis; 25 are open to participants now.

This study's enrollment of 80 is close to the median of 80 across 583 interventional studies indexed under Hyperkinesis.

Browse Hyperkinesis studies →

Lead sponsor

Ain Shams University is the lead sponsor of 1,876 studies on the registry; 423 are open to participants now.

Of its 32 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

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

04

Who can participate

Ages eligible
6 Years to 16 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Age from 6 to 16 years old.
  • Children fulfilled DSM(V) Criteria for ADHD syndrome.

Exclusion criteria

Exclusion Criteria:

  • Intelligence quotient (IQ) less than 80% .
  • Presence of other medical conditions as chronic medical or neuropsychiatric disorders e.g diabetes mellitus, epilepsy.....etc. hearing or visual impairment, or medications side effects.
  • currently taking probiotics or antibiotics
05

Study design

Phase
Early Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Investigator, Outcomes assessor)
Enrollment
80 participants (actual)

Study arms

  • Active comparator
    Patient with attention deficit hyperactive disorser

    patients (n=40) will receive probiotic preparation twice daily (Lacteol Forte; Rameda, Egypt) as sachets containing 10 billion colony forming units (CFU) of Lactobacillus fermentum and Lactobacillus delbruekii for 12 weeks added to standard treatment

    Drug: Probiotic Formula lacteal forte

  • No intervention
    ADHD not receiving probiotics

    ADHD patient (40) on standard treatment

Interventions

  • DrugProbiotic Formula lacteal forte

    Active Comparator: Patient with attention deficit hyperactive disorder patients (n=40) will receive probiotic preparation twice daily (Lacteol Forte; Rameda, Egypt) as sachets containing 10 billion colony forming units (CFU) of Lactobacillus fermentum and Lactobacillus delbruekii for 12 weeks .

    Also known as: Lacteal forte

06

What researchers measure

Primary outcomes

  1. Conner's Parent Rating Scales-Revised (CRS-R):for follow up

    This tool is used in order to assess the profile and severity of symptoms, response to treatment and follow up studies. Items are scored on 14 subscales of symptoms including opposition, cognitive problems, inattention, and hyperactivity.It is usually considered normal when T-scores are less than 60, while scores above 60 are signs of academic, behavioral, or social issues. There are several different classes as well

    Time frame: 3 months

  2. Child behavior checklist

    Parent form to asses the associated internalizing and externalizing behaviour

    Time frame: 3 months

Secondary outcomes

  1. Conners Continuous Performance Test (CPT)

    To asses sustained attention and impulsivity

    Time frame: 3 months

  2. Wisconsin (Berg) Card Sort Test (WCST)

    To evaluate executive function

    Time frame: 3 months

07

Study locations

1 site
  • Reham Ibrahim
    Cairo, 11757, Egypt
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 27, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04167995
Lead sponsor
Ain Shams University
Responsible party
Reham Ibrahim (Associate professor of pediatrics Ain Shams University, Ain Shams University) — Principal investigator
First posted
Nov 19, 2019
Start date
Jun 9, 2020
Primary completion
Nov 9, 2020
Completion
Oct 30, 2021
Last update
Dec 27, 2022

Study contacts

Reham Ibrahim
study director · Ain Shams University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Dec 2022. You cannot join it, but the record below documents what was studied.

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