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CompletedNCT06827405Updated Feb 19, 2025

Comparison of the Effectiveness of Oral Lactase Enzyme and Lactose Free Formula

An interventional study of Lactase enzyme and Lactose-free formula feed in Secondary Lactose Intolerance, sponsored by Muhammad Aamir Latif. Completed at 1 site in Pakistan. Open to participants aged 6 Months to 24 Months. Per ClinicalTrials.gov, last updated 2025-02-19.

Sponsored by Muhammad Aamir Latif · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 2 years 8 months after the study started (first participant enrolled Jun 2022, registered Feb 2025).
Phase
Not applicable
Study type
Interventional
Enrollment
50
Allocation
Randomized
Ages
6 Months to 24 Months
Sex
All
01

Study summary

This study aimed to fill the gaps by comparing the effectiveness of oral lactase enzyme and lactose free formula in the management of secondary lactose intolerance in persistent and severe persistent diarrhea.

Read the detailed description

Although it is well understood that oral lactase enzyme can play a pivotal role in hastening recovery due to secondary lactose intolerance in persistent diarrhea, there is limited local data available in this regard. If exogenous oral lactase enzyme is found to be more effective, it would help children receive uninterrupted milk and milk-based diet during the diarrheal episode, as the former would aid digestion and absorption of lactose, thus providing the necessary nutrients especially (calcium) and vitamins so vital in this period of rapid growth.

02

Conditions studied

  • Secondary Lactose Intolerance

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03

In context

Lactose Intolerance

53 studies on the registry are indexed under Lactose Intolerance; 6 are open to participants now.

This study's enrollment of 50 is above the median of 41 across 41 interventional studies indexed under Lactose Intolerance.

Browse Lactose Intolerance studies →

Lead sponsor

Muhammad Aamir Latif is the lead sponsor of 57 studies on the registry; 9 are open to participants now.

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

04

Who can participate

Ages eligible
6 Months to 24 Months
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

  • Both genders
  • Aged 6-24 months
  • Presented with persistent or severe persistent diarrhea due to secondary lactose intolerance
  • Patients on formula or mixed feeding, or formula/cow/buffalo milk

Exclusion criteria

Exclusion Criteria:

  • Severe acute malnutrition
  • Hemodynamic instability (shock)
  • Those on oral antibiotics or on excessive juices
  • With conditions of malabsorptive states (celiac disease, protein losing enteropathy, or irritable bowel syndrome)
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
50 participants (actual)

Study arms

  • Experimental
    Lactase enzyme group

    In this group, 5 drops of lactase enzyme (200 units lactase/drop)/ounce of milk, was added 5-30 minutes before feeding.

    Dietary Supplement: Lactase enzyme

  • Experimental
    Lactose-free formula feed group

    In this group, lactose-free formula milk/diet was advised.

    Dietary Supplement: Lactose-free formula feed

Interventions

  • Dietary supplementLactase enzyme

    Patients were given 5 drops of lactase enzyme (200 units lactase/drop)/ounce of milk, 5-30 minutes before feeding

  • Dietary supplementLactose-free formula feed

    Patients were advised lactose-free formula milk/diet.

06

What researchers measure

Primary outcomes

  1. Resolution of diarrhea

    It was labeled on the basis of frequency of stools ≤ 4 and consistency of stools ≤ 5 (Bristol Stool Chart, ideal range 3-5)

    Time frame: 5 days

  2. Reduction in abdominal pain

    A score of ≤ 4, assessed on the basis of faces pain score revised chart (FPS-R), was considered as reduction in pain (a higher score indicating more severe pain)

    Time frame: 5 days

  3. Lessening in bloating

    It was assessed on the basis of a decrease in the abdominal girth (≤ 1) at the umbilicus by a non- stretchable measuring tape

    Time frame: 5 days

  4. Resolution of nausea/vomiting no perianal rash or only

    Decrease in the frequency of nausea/vomiting

    Time frame: 5 days

  5. Resolution of perianal rash

    If no perianal rash or only erythema is seen

    Time frame: 5 days

Secondary outcomes

  1. Treatment successful

    The secondary outcome was treatment success assessed on the basis of all 3 conditions fulfilled, i.e., diarrhea (frequency \< 4 stools, consistency \< 5) lasting less than 5 days, stool pH \> 6, and hospital stays \< 5 days.

    Time frame: 6 days

07

Study locations

1 site
  • Ziauddin University Hospital, Kemari
    Karachi, Sindh 75620, Pakistan
08

References and documents

Individual participant data

Plan to share: No — Data can be shared on a reasonable request.

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jun 2022 to primary completion in Jul 2024, 25 months.

Of 22 interventional studies with no phase under Lactose Intolerance, half reached primary completion within 9 months of starting (the median), counting those still running; a quarter within 5 and three quarters within 14. This study's 25 months is above that.

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

Registered
Feb 10, 2025
First posted
Feb 14, 2025
StartActual
Jun 1, 2022
Primary completionActual
Jul 31, 2024
CompletionActual
Jul 31, 2024
Last update
Feb 19, 2025
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 Feb 19, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06827405
Lead sponsor
Muhammad Aamir Latif
Responsible party
Muhammad Aamir Latif (Research Consultant, RESnTEC, Institute of Research) — Sponsor-investigator
First posted
Feb 14, 2025
Start date
Jun 1, 2022
Primary completion
Jul 31, 2024
Completion
Jul 31, 2024
Last update
Feb 19, 2025

Study contacts

Fatima Ghayas, FCPS
principal investigator · Hamdard University Hospital, Karachi
Heena Ghayas, FCPS
study director · Ziauddin University Karachi

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 Feb 2025. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Lactase

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