CClinicalTrials.gg
CompletedNCT04322500Updated May 5, 2020Results posted

Probiotics for Chalaziosis Treatment in Children

An interventional study of probiotics and conservative treatment in Chalazion, sponsored by University of Molise. Completed at 1 site in Italy. Open to participants aged 3 Years to 14 Years. Per ClinicalTrials.gov, last updated 2020-05-05.

Sponsored by University of Molise · Not applicable, Interventional, and Supportive care

From the registry’s dates

  • Registered 1 year 1 month after the study started (first participant enrolled Feb 2019, registered Mar 2020).
Phase
Not applicable
Study type
Interventional
Enrollment
26
Allocation
Randomized
Ages
3 Years to 14 Years
Sex
All
01

Study summary

There is growing evidence encouraging the use of probiotics in many conditions in children. The aim of the investigator's study is to define the possible beneficial impact of probiotics on paediatric patients affected by chalaziosis.

Read the detailed description

Prospective comparative pilot study on 26 children suffering from chalaziosis. They will be randomly divided in two groups. One group will receive conservative treatment and the other one will receive conservative treatment and a daily supplementation of probiotics. All patients will be evaluated at 2-week intervals for 3 months. If the lesion will not disappear or decrease in size to 1 mm or less in diameter on subsequent visits, the same procedure will be repeated for another 3-months cycle. The follow up periods extend from 3 to 6 months according to the results.

02

Conditions studied

  • Chalazion

Keywords

  • microbiome/microbiota
  • probiotics
  • chalaziosis
  • children
03

In context

Lead sponsor

University of Molise is the lead sponsor of 18 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
3 Years to 14 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • paediatric patients
  • presence of one or more eyelid mass lesions (history of rapid onset of painful inflamed mass that had reached a stationary size for more than 2 months)

Exclusion criteria

Exclusion Criteria:

  • eyelid infection
  • chalazion duration \< 1 month
  • nonpalpable chalazion
  • suspicion of malignancy
05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Care provider, Investigator, Outcomes assessor)
Enrollment
26 participants (actual)

Study arms

  • Other
    Group A: conservative

    conservative treatment

    Other: conservative treatment

  • Experimental
    Group B: probiotics

    in addition to the conservative treatment they receive a probiotics mixture (Streptococcus thermophilus ST10, Lactococcus lactis LLCO2 and Lactobacillus delbrueckii subsp. bulgaricus LDB01)

    Dietary Supplement: probiotics · Other: conservative treatment

Interventions

  • Dietary supplementprobiotics

    use specific probiotics in addiction to conservative treatment to modify the intestinal microbiome to ameliorate the clinical course of chalaziosis in children by re-establishing intestinal and immune homeostasis

  • Otherconservative treatment

    lid hygiene, warm compression, and dexamethasone/tobramycin ointment for at least 20 days

06

What researchers measure

Primary outcomes

  1. Time Taken for a Complete Resolution of the Chalaziosis

    change in the time taken for complete resolution of chalaziosis (complete disappearance of the eyelid mass lesions)

    Time frame: 3 months

  2. Number of Recurrences

    complete ophthalmological evaluation was done weekly during the first month and then monthly in order to evaluate possible recurrences (presence of a new eyelid mass lesion)

    Time frame: 3 months

07

Results

Posted Apr 24, 2020
Limitations and caveats
Further studies are needed to confirm this first pilot trial (larger cohort, ocular and gut microbiome analysis).

Participant flow

Participant flow — Overall Study
MilestoneGroup A: ConservativeGroup B: Probiotics
Started1313
Completed1313
Not completed00

Outcome measures

PrimaryTime Taken for a Complete Resolution of the Chalaziosis

change in the time taken for complete resolution of chalaziosis (complete disappearance of the eyelid mass lesions)

Time frame:
3 months
Reported as:
Mean · days
Time Taken for a Complete Resolution of the Chalaziosis
daysGroup A: ConservativeGroup B: Probiotics
Time Taken for a Complete Resolution of the Chalaziosis51.2 ± 12.428.4 ± 10.8
PrimaryNumber of Recurrences

complete ophthalmological evaluation was done weekly during the first month and then monthly in order to evaluate possible recurrences (presence of a new eyelid mass lesion)

Time frame:
3 months
Reported as:
Number · recurreces
Number of Recurrences
recurrecesGroup A: ConservativeGroup B: Probiotics
Number of Recurrences00

Adverse events

Collected over 1 year. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Group A: Conservative0/13 (0%)0/13 (0%)0/13 (0%)
Group B: Probiotics0/13 (0%)0/13 (0%)0/13 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)Group A: ConservativeGroup B: ProbioticsTotal
Mean7.9 ± 1.28.6 ± 1.98.3 ± 1.5
Sex: Female, Male
Sex: Female, Male(Participants)Group A: ConservativeGroup B: ProbioticsTotal
Female9817
Male459
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Group A: ConservativeGroup B: ProbioticsTotal
American Indian or Alaska Native000
Asian000
Native Hawaiian or Other Pacific Islander000
Black or African American000
White131326
More than one race000
Unknown or Not Reported000
Region of Enrollment
Region of Enrollment(participants)Group A: ConservativeGroup B: ProbioticsTotal
Italy131326
08

Study locations

1 site
  • University of Molise
    Campobasso, Italy
09

References and documents

Publications

  • Kerry RG, Patra JK, Gouda S, Park Y, Shin HS, Das G. Benefaction of probiotics for human health: A review. J Food Drug Anal. 2018 Jul;26(3):927-939. doi: 10.1016/j.jfda.2018.01.002. Epub 2018 Feb 2. PubMed 29976412 ↗
  • McLean MH, Dieguez D Jr, Miller LM, Young HA. Does the microbiota play a role in the pathogenesis of autoimmune diseases? Gut. 2015 Feb;64(2):332-41. doi: 10.1136/gutjnl-2014-308514. Epub 2014 Nov 21. PubMed 25416067 ↗
  • Scher JU, Littman DR, Abramson SB. Microbiome in Inflammatory Arthritis and Human Rheumatic Diseases. Arthritis Rheumatol. 2016 Jan;68(1):35-45. doi: 10.1002/art.39259. No abstract available. PubMed 26331579 ↗
  • Ochoa-Reparaz J, Kasper LH. The influence of gut-derived CD39 regulatory T cells in CNS demyelinating disease. Transl Res. 2017 Jan;179:126-138. doi: 10.1016/j.trsl.2016.07.016. Epub 2016 Jul 28. PubMed 27519147 ↗
  • Kalyana Chakravarthy S, Jayasudha R, Sai Prashanthi G, Ali MH, Sharma S, Tyagi M, Shivaji S. Dysbiosis in the Gut Bacterial Microbiome of Patients with Uveitis, an Inflammatory Disease of the Eye. Indian J Microbiol. 2018 Dec;58(4):457-469. doi: 10.1007/s12088-018-0746-9. Epub 2018 Jun 4. PubMed 30262956 ↗
  • Iovieno A, Lambiase A, Sacchetti M, Stampachiacchiere B, Micera A, Bonini S. Preliminary evidence of the efficacy of probiotic eye-drop treatment in patients with vernal keratoconjunctivitis. Graefes Arch Clin Exp Ophthalmol. 2008 Mar;246(3):435-41. doi: 10.1007/s00417-007-0682-6. Epub 2007 Nov 27. PubMed 18040708 ↗
  • Tavakoli A, Flanagan JL. The Case for a More Holistic Approach to Dry Eye Disease: Is It Time to Move beyond Antibiotics? Antibiotics (Basel). 2019 Jun 30;8(3):88. doi: 10.3390/antibiotics8030088. PubMed 31262073 ↗
  • Lin P. The role of the intestinal microbiome in ocular inflammatory disease. Curr Opin Ophthalmol. 2018 May;29(3):261-266. doi: 10.1097/ICU.0000000000000465. PubMed 29538183 ↗
  • Baim AD, Movahedan A, Farooq AV, Skondra D. The microbiome and ophthalmic disease. Exp Biol Med (Maywood). 2019 Apr;244(6):419-429. doi: 10.1177/1535370218813616. Epub 2018 Nov 21. PubMed 30463439 ↗
  • Kugadas A, Gadjeva M. Impact of Microbiome on Ocular Health. Ocul Surf. 2016 Jul;14(3):342-9. doi: 10.1016/j.jtos.2016.04.004. Epub 2016 May 14. PubMed 27189865 ↗
  • Lin P. Importance of the intestinal microbiota in ocular inflammatory diseases: A review. Clin Exp Ophthalmol. 2019 Apr;47(3):418-422. doi: 10.1111/ceo.13493. Epub 2019 Mar 25. PubMed 30834680 ↗
  • Sansotta N, Peroni DG, Romano S, Rugiano A, Vuilleumier P, Baviera G; Italian Society of Pediatric Allergy, Immunology (SIAIP), Microbiota Committee, Italy. The good bugs: the use of probiotics in pediatrics. Curr Opin Pediatr. 2019 Oct;31(5):661-669. doi: 10.1097/MOP.0000000000000808. PubMed 31356353 ↗
  • Sklar BA, Gervasio KA, Leng S, Ghosh A, Chari A, Wu AY. Management and outcomes of proteasome inhibitor associated chalazia and blepharitis: a case series. BMC Ophthalmol. 2019 May 14;19(1):110. doi: 10.1186/s12886-019-1118-x. PubMed 31088416 ↗
  • Malekahmadi M, Farrahi F, Tajdini A. Serum Vitamin A Levels in Patients with Chalazion. Med Hypothesis Discov Innov Ophthalmol. 2017 Fall;6(3):63-66. PubMed 29392144 ↗
  • Yam JC, Tang BS, Chan TM, Cheng AC. Ocular demodicidosis as a risk factor of adult recurrent chalazion. Eur J Ophthalmol. 2014 Mar-Apr;24(2):159-63. doi: 10.5301/ejo.5000341. Epub 2013 Jul 16. PubMed 23873491 ↗
  • Lu LJ, Liu J. Human Microbiota and Ophthalmic Disease. Yale J Biol Med. 2016 Sep 30;89(3):325-330. eCollection 2016 Sep. PubMed 27698616 ↗

Study documents

  • Protocol and statistical analysis plan · Jan 7, 2019

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 5, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04322500
Lead sponsor
University of Molise
Responsible party
Ciro Costagliola (Full Professor in Ophthalmology, University of Molise) — Principal investigator
First posted
Mar 26, 2020
Start date
Feb 1, 2019
Primary completion
Feb 29, 2020
Completion
Feb 29, 2020
Results posted
Apr 24, 2020
Last update
May 5, 2020

Study contacts

Ciro Costagliola, Full Professor
principal investigator · University of Molise

Oversight

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

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This study is completed, as verified in Apr 2020. You cannot join it, but the record below documents what was studied.

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