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RecruitingNCT06309199PROOFUpdated Jul 2, 2025

Prevalence of FGIDs and Probiotics Study

An interventional study of Biogaia and Placebo in Functional Gastrointestinal Disorders and Infant Conditions, sponsored by Chulalongkorn University. Recruiting at 1 site in Thailand. Open to participants aged 3 Days to 1 Year, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-07-02.

Sponsored by Chulalongkorn University · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
512
Allocation
Randomized
Ages
3 Days to 1 Year
Sex
All
01

Study summary

This is a study to evaluate the prevalence of FGIDs in infants using the Thai version of Rome IV diagnostic questionnaire for functional gastrointestinal disorders in infants and evaluate the efficacy of Limosilactobacillus reuteri DSM 17938 to prevent FGIDs in infants.

Read the detailed description

This is a randomized controlled trial study about the the efficacy of Lactobacillus reuteri DSM 1987 to prevent FGIDs in healthy infants and the effect to gut microbiota diversity. The incidence of FGIDs in Thai infant using Thai version of ROME IV questionnaire (authorized by Rome Foundation) for infant and toddler and the associated factors of FGIDs also evaluate.

Population: target and control populations are the healthy infants born at King Chulalongkorn Memorial Hospital, Bangkok, Thailand, and can come to follow up at the hospital at 1, 2, 4, and 12 months of age Inclusion criteria

  1. Healthy and term (GA 37-41 weeks) infants
  2. Appropriate weight for age
  3. APGAR score more than 8 at 10 minutes of life
  4. Normal physical examination
  5. Mothers have no previous probiotics use Methodology

    • Participants were double-blinded randomized using computer generation in block of four
    • Target population were received Limosilactobacillus reuteri DSM 17938 5 drops (0.185 mL) per day for 60 days
    • Control population were received mixture of sunflower oil and MCT oil 5 drop (0.185 mL) per day for 60 days
    • There were 5 visits at birth, 1, 2, 4, 12 months of life: the demographic data/Rome IV questionnaire for FGIDs in infant and associated factors with FGIDs record, physical examination and stool collection The study will be analyzed (open the randomized group) after all participants complete the 4-month follow-up period
    • Research assistance will telephone to them to take the Rome IV questionnaire for FGIDs at 3, 6, 9 months of life

Biological specimen collection Stool will be collected by rectal stimulation in each visit. The amount of >5 gm stool will be preserved in DNA and kept at -80 °C. All stool specimen will be processed the DNA extraction (DNA > 40 microlitre with concentration >50 ng/L). The DNA extraction for further amplification 16S rRNA using Illumina. The rest of the specimen will be kept up to 10 years for further evaluation.

02

Conditions studied

  • Functional Gastrointestinal Disorders
  • Infant Conditions

Keywords

  • functional gastrointestinal disorder
  • colic
  • regurgitation
  • constipation
  • infant
  • prevalence
03

Who can participate

Ages eligible
3 Days to 1 Year
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  1. Healthy and term (GA 37-41 weeks) infants
  2. Appropriate weight for age
  3. APGAR score more than 8 at 10 minutes of life
  4. Normal physical examination
  5. Mothers have no previous probiotics use

Exclusion criteria

Exclusion Criteria:

  1. not willing to anticipate in the study
  2. cannot come to follow-up until 1 year of age
04

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
512 participants (estimated)

Study arms

  • Experimental
    Probiotics

    Limosilactobacillus reuteri DSM 17938 with sunflower oil and MCT oil were packed into a container. Infants will received 5 drops per day in the morning for 60 +/- 20 days

    Dietary Supplement: Biogaia

  • Placebo comparator
    Placebo

    Sunflower oit and MCT oil were paced into a container. Infants will received 5 drops per day in the morning for 60+/- 20 days

    Other: Placebo

Interventions

  • Dietary supplementBiogaia

    Biogaia is a probiotics product that contain Limosilactobacillus reuteri DSM 17938, sunflower oil and MCT oil

  • OtherPlacebo

    Limosilactobacillus reuteri DSM 17938, sunflower oil and MCT oil

    Also known as: Sunflower oil + MCT oil

05

What researchers measure

Primary outcomes

  1. The prevalence of functional gastrointestinal disorders in the treatment group

    Functional gastrointestinal disorders (colic, regurgitation, constipation, dyschazia and rumination) were assessed using the Thai version of Rome IV diagnostic questionnaire for neonates and toddlers

    Time frame: at birth, 1 month, 2 months, 4 months

Secondary outcomes

  1. The prevalence of functional gastrointestinal disorders in the placebo group

    Functional gastrointestinal disorders (include colic, regurgitation, constipation, dyschazia and rumination) were assessed using the Thai version of Rome IV diagnostic questionnaire for neonates and toddlers

    Time frame: at birth, 1 month, 2 months, 4 months and 1 year (5-time points)

  2. The prevalence of functional gastrointestinal disorders in the treatment group

    Functional gastrointestinal disorders (colic, regurgitation, constipation, dyschazia and rumination) were assessed using the Thai version of Rome IV diagnostic questionnaire for neonates and toddlers

    Time frame: at 1 year of age

Other outcomes

  1. Nutrition associated with functional gastrointestinal disorders in infants

    Amount of food composition (carbohydrate, protein, lipid - present as gm per kg body weight)

    Time frame: at 1 year

  2. Gut microbial profiles associated with functional gastrointestinal disorder in infants

    Comparative metagenomic analysis of gut microbial profiles (diversity, relative abundance, species alteration) in fecal samples among different groups of infants

    Time frame: at birth, 1 month, 2 months, and 4 months

  3. The sleep quality assessed by Brief Infant Sleep Revise Questionnaire of BISQR

    The questionnaire has 33 items in 3 main categories (Infant sleep, parent perception and parent behavior). Scores on each subscale and the total score are scaled from 0 to 100. Higher score denote better sleep quality.

    Time frame: at birth, 1 month, 2 months, 4 months and 1 year (5-time points)

  4. Stool metabolomic substances (i.e microbial conjugation of secondary bile acid, aminoacid) and the stool metabolites alteration

    Fecal metabolomic substances (i.e microbial conjugation of secondary bile acid, aminoacid) were assesse using liquid chromatography-mass spectrometry (LC-MS), gas chromatography-mass spectrometry (GC-MS) and capillary electrophoresis-mass spectrometry (CE-MS)

    Time frame: at birth, 1 month, 2 months and 4 months

  5. Fluid intake associated with functional gastrointestinal disorders in infants

    type of milk (breastfeeding or formula or mixed) and amount (mL per kg body weight)

    Time frame: at birth, 1 month, 2 months and 4 months and 1 year (5-time points)

  6. Stress associated with functional gastrointestinal disorders in infants

    stress in family (i.e divorce, family dept present as yes or no)

    Time frame: at birth and 1 year

  7. Antibiotics associated with functional gastrointestinal disorders in infants

    antibiotics use (yes or no)

    Time frame: at birth, 1 month, 2 months and 4 months and 1 year (5-time points)

  8. Economic status associated with functional gastrointestinal disorders in infants

    Economics status (income in baht)

    Time frame: at birth and 1 year

  9. Education of caregiver associated with functional gastrointestinal disorders in infants

    Education (low, high)

    Time frame: at birth and 1 year

  10. Serious adverse effect during follow-up until end point

    admission, cause of admission, treatment details (intravenous fluid, medication, oxygen supplementation)

    Time frame: 1 month, 2 months, 4 months, 6 months, 9 months, 1 years

  11. skin problems (seborrheic dermatitis, atopic dermatitis, nonspecific dermatitis)

    patient oriented- Scoring atopic dermatitis (it is an application in phone to add the information of skin lesion by doctor or parent examination), examination and record the characteristics and location of skin lesion by doctors

    Time frame: 1 month, 2 months, 4 months, 1 year

06

Study locations

1 of 1 sites recruiting
  • Maha Chakri Sirindhorn Clinical Research Center (Chula CRC)
    Bangkok, Bangkok 10330, Thailand
    • · Contact · 02 251 6704
    Recruiting
07

References and documents

Individual participant data

Plan to share: Undecided — The data were collected anonymous.

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT06309199
Lead sponsor
Chulalongkorn University
Responsible party
Palittiya Sintusek, MD (Director, Head of Center of Excellence in Thai Pediatric Gastroenterology, Hepatology and Immunology, Chulalongkorn University) — Principal investigator
First posted
Mar 13, 2024
Start date
Mar 14, 2024
Primary completion
Feb 2026 (estimated)
Completion
Feb 2026 (estimated)
Last update
Jul 2, 2025

Study contacts

Palittiya Sintusek, PhD
Contact
palittiya.s@chula.ac.th
+66818288082
Sittichoke Prachuapthunyachart, MD
Contact
sittichoke.p@chula.ac.th
+66829740649
Yong Poovorawan, MD
study director · Center of Excellence in Clinical Virology

Oversight

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

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