ClinicalTrials.gg
Not yet recruitingNCT07758933Updated Aug 11, 2026

Safety of Lactobacillus LB Postbiotic in Immunocompromised Paediatric Patients With Diarrhoeal Disease

A Phase 1/2 interventional study of Lactobacillus LB in Diarrhea, sponsored by Hospital Infantil de Mexico Federico Gomez. Not yet recruiting at 1 site in Mexico. Open to participants aged Up to 18 Years. Per ClinicalTrials.gov, last updated 2026-08-11.

Sponsored by Hospital Infantil de Mexico Federico Gomez · Phase 1/2, Interventional, and Treatment

Phase
Phase 1/2
Study type
Interventional
Enrollment
30
Allocation
Not applicable
Ages
Up to 18 Years
Sex
All
01

Study summary

This prospective, interventional, single-center, open-label, phase 1 clinical trial to assess the safety of the Postbiotic Lactobacillus LB in immunocompromised paediatric patients with diarrhoeal disease will be performed at Federico Gomez Children's Hospital of México. Patients will be screened by investigators from hospitalized patients. For eligible children, parents will be invited to participate in the study and provide written consent, in patients of age 8 years and older, informed assent will also be required. Once enrolled, patients' demographic and stratification information will be obtained from the clinical record when applicable, if not, it will be directly collected by the investigator. Patients who have immunocompromise, as per investigator assessment, irrespective of the cause, will receive Lactobacillus LB (Lactéol®) sachets twice daily for 14 days for patients with acute diarrhoeal disease (\<72 hours of onset) and for 28 days for patients with chronic diarrhoea (≥15 days). Patients will continue follow-up while receiving treatment in hospital, whereas patients who are discharged during the treatment period will continue follow-up via phone calls once weekly and a final evaluation of outcome variables in outpatient clinic at the end of the intervention. Data regarding adverse events, as well as the stop of diarrhoea (\<3 bowel movements in 24 hours or return to habitual bowel movement frequency) and improvement in stool consistency (at least one point decrease in Bristol Stool Scale) will be collected in every evaluation. Afterwards, the presence or absence of adverse events will be established with a binomial test. As efficacy evaluation is not the main objective of the study, efficacy will be assessed as exploratory variables as presence or absence of efficacy endpoints with the binomial test. If feasible, results may be stratified according to nutritional status, time of onset of diarrhoea, and treatment compliance.

02

Conditions studied

  • Diarrhea

Browse trials for

Keywords

  • Diarrhoeal disease
  • immunocompromised
03

In context

Diarrhea

877 studies on the registry are indexed under Diarrhea; 76 are open to participants now.

This study's planned enrollment of 30 is below the median of 137 across 738 interventional studies indexed under Diarrhea.

Browse Diarrhea studies →

Lead sponsor

Hospital Infantil de Mexico Federico Gomez is the lead sponsor of 20 studies on the registry; 3 are open to participants now.

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

04

Who can participate

Ages eligible
Up to 18 Years
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

  1. Patients under 18 years of age.
  2. Patients under hospital care in Federico Gomez Children's Hospital of Mexico
  3. Patients with diarrhoea (three or more loose or liquid stools in a 24 hour period, Bristol Stool Scale 5, 6 or 7) and either of two conditions:

    1. patients with diarrhoeal disease within the first 72 hours of initiation
    2. Immunocompromised patients with chronic diarrhoea (≥15 days of diarrhoea onset,
  4. Patients whose parents or guardians give consent to participate and patients who assent to participate (when applicable)

Exclusion criteria

Exclusion Criteria:

  1. Non-viable oral or enteral administration of Lactobacillus LB postbiotic (Lactéol®).
  2. Bacteriemia or sepsis.
  3. Haemodynamic instability.
  4. Severe neurological disturbances.
  5. Clinical signs of severe dehydration (prolonged capillary refill time, positive skin fold test, abnormal respiratory pattern, or absence of tears).
  6. Known intolerance or allergy to intervention components (lactose, fructose, sucrose, silicic acid, banana artificial flavour, orange artificial flavour,).
  7. Any exclusion criteria as per investigator assessment.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
30 participants (estimated)

Study arms

  • Experimental
    Immunocompromised patients

    Immunocompromised patients with diarrhoeal disease

    Dietary Supplement: Lactobacillus LB

Interventions

  • Dietary supplementLactobacillus LB

    In addition to the standard rehydration protocol and nutritional support, Patients will receive a dose of 2x10\^10 bacterial bodies of Lactobacillus LB (Lactéol®) equivalent to one sachet of the commercially available product administered orally or enterally twice daily (every 12 hours) during 14-28 days.

06

What researchers measure

Primary outcomes

  1. Vomiting

    Occurrence of vomiting during the intervention period.

    Time frame: 28 days

  2. Bloating

    Occurrence of bloating during the intervention period

    Time frame: 28 days

  3. Abdominal pain

    Occurrence of abdominal pain during the intervention period

    Time frame: 28 days

  4. Constipation

    Occurrence of constipation during the intervention period

    Time frame: 28 days

  5. Diarrhoeal disease worsening

    Occurrence of diarrhoeal disease worsening during the intervention period

    Time frame: 28 days

  6. Secondary gastrointestinal infection

    Occurrence of secondary gastrointestinal infection during the intervention period

    Time frame: 28 days

  7. Secondary systemic infection or sepsis

    Occurrence of secondary systemic infection or sepsis during the intervention period

    Time frame: 28 days

  8. Self-limited allergic reaction

    Occurrence of self-limited allergic reaction during the intervention period

    Time frame: 28 days

  9. Non-anaphylactic allergic reaction that required medical treatment but no cessation of the intervention

    Occurrence of non-anaphylactic allergic reaction that required medical treatment but no cessation of the intervention during the intervention period

    Time frame: 28 days

  10. Severe allergic reaction that required medical treatment and cessation of the intervention

    Occurrence of severe allergic reaction that required medical treatment and cessation of the intervention during the intervention period

    Time frame: 28 days

  11. Other severe reactions that require medical treatment and cessation of the intervention

    Occurrence of other severe reactions that require medical treatment and cessation of the intervention during the intervention period

    Time frame: 28 days

Other outcomes

  1. Time to diarrhoea cessation

    timeframe in which stool frequency was normalized

    Time frame: 28 days

  2. Time to stool consistency improvement

    timeframe in which stool consistency improved by at least one category of Bristol stool scale

    Time frame: 28 days

07

Study locations

1 site
08

References and documents

Publications

  • Simakachorn N, Pichaipat V, Rithipornpaisarn P, Kongkaew C, Tongpradit P, Varavithya W. Clinical evaluation of the addition of lyophilized, heat-killed Lactobacillus acidophilus LB to oral rehydration therapy in the treatment of acute diarrhea in children. J Pediatr Gastroenterol Nutr. 2000 Jan;30(1):68-72. doi: 10.1097/00005176-200001000-00020. PubMed 10630442 ↗
  • Lievin-Le Moal V, Sarrazin-Davila LE, Servin AL. An experimental study and a randomized, double-blind, placebo-controlled clinical trial to evaluate the antisecretory activity of Lactobacillus acidophilus strain LB against nonrotavirus diarrhea. Pediatrics. 2007 Oct;120(4):e795-803. doi: 10.1542/peds.2006-2930. Epub 2007 Sep 3. PubMed 17768180 ↗
  • Vinderola G, Sanders ME, Cunningham M, Hill C. Frequently asked questions about the ISAPP postbiotic definition. Front Microbiol. 2024 Jan 10;14:1324565. doi: 10.3389/fmicb.2023.1324565. eCollection 2023. PubMed 38268705 ↗
  • Salminen S, Collado MC, Endo A, Hill C, Lebeer S, Quigley EMM, Sanders ME, Shamir R, Swann JR, Szajewska H, Vinderola G. The International Scientific Association of Probiotics and Prebiotics (ISAPP) consensus statement on the definition and scope of postbiotics. Nat Rev Gastroenterol Hepatol. 2021 Sep;18(9):649-667. doi: 10.1038/s41575-021-00440-6. Epub 2021 May 4. PubMed 33948025 ↗
  • Vazquez-Frias R, Vinderola G, Abreu Y Abreu AT, Angulo D, Giler-Parraga N, Ladino L, Ortiz C, Pereira S, Bustamante JP. Postbiotics in pediatric clinical practice: position paper from Special Group of Latin American Society of Pediatric Gastroenterology, Hepatology and Nutrition (LASPGHAN). Front Nutr. 2025 Dec 17;12:1716791. doi: 10.3389/fnut.2025.1716791. eCollection 2025. PubMed 41479668 ↗
  • Levy M, Kolodziejczyk AA, Thaiss CA, Elinav E. Dysbiosis and the immune system. Nat Rev Immunol. 2017 Apr;17(4):219-232. doi: 10.1038/nri.2017.7. Epub 2017 Mar 6. PubMed 28260787 ↗
  • Angarone M, Snydman DR; AST ID Community of Practice. Diagnosis and management of diarrhea in solid-organ transplant recipients: Guidelines from the American Society of Transplantation Infectious Diseases Community of Practice. Clin Transplant. 2019 Sep;33(9):e13550. doi: 10.1111/ctr.13550. Epub 2019 Apr 10. PubMed 30913334 ↗
  • Meier JL. Viral Acute Gastroenteritis in Special Populations. Gastroenterol Clin North Am. 2021 Jun;50(2):305-322. doi: 10.1016/j.gtc.2021.02.003. Epub 2021 Apr 23. PubMed 34024443 ↗
  • Shankar S, Rosenbaum J. Chronic diarrhoea in children: A practical algorithm-based approach. J Paediatr Child Health. 2020 Jul;56(7):1029-1038. doi: 10.1111/jpc.14986. PubMed 32725734 ↗
  • Tripathi PR, Srivastava A. Approach to a Child with Chronic Diarrhea. Indian J Pediatr. 2024 May;91(5):472-480. doi: 10.1007/s12098-023-04587-9. Epub 2023 Jun 27. PubMed 37368219 ↗
  • Guarino A, Ashkenazi S, Gendrel D, Lo Vecchio A, Shamir R, Szajewska H; European Society for Pediatric Gastroenterology, Hepatology, and Nutrition; European Society for Pediatric Infectious Diseases. European Society for Pediatric Gastroenterology, Hepatology, and Nutrition/European Society for Pediatric Infectious Diseases evidence-based guidelines for the management of acute gastroenteritis in children in Europe: update 2014. J Pediatr Gastroenterol Nutr. 2014 Jul;59(1):132-52. doi: 10.1097/MPG.0000000000000375. PubMed 24739189 ↗
  • George S, Aguilera X, Gallardo P, Farfan M, Lucero Y, Torres JP, Vidal R, O'Ryan M. Bacterial Gut Microbiota and Infections During Early Childhood. Front Microbiol. 2022 Jan 5;12:793050. doi: 10.3389/fmicb.2021.793050. eCollection 2021. PubMed 35069488 ↗
  • GBD 2021 Diarrhoeal Diseases Collaborators. Global, regional, and national age-sex-specific burden of diarrhoeal diseases, their risk factors, and aetiologies, 1990-2021, for 204 countries and territories: a systematic analysis for the Global Burden of Disease Study 2021. Lancet Infect Dis. 2025 May;25(5):519-536. doi: 10.1016/S1473-3099(24)00691-1. Epub 2024 Dec 18. PubMed 39708822 ↗

Individual participant data

Plan to share: No — Patient data will not be shared due to privacy protection policies

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Jul 2026; primary completion for Nov 2026, 4 months later.

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

Registered
Aug 4, 2026
First posted
Aug 11, 2026
StartEst.
Jul 13, 2026
Primary completionEst.
Nov 30, 2026
CompletionEst.
Dec 15, 2026
Last update
Aug 11, 2026
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 Aug 11, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07758933
Lead sponsor
Hospital Infantil de Mexico Federico Gomez
Collaborators
DSM-Firmenich AG, Aequitas Medica
Responsible party
Rodrigo Vazquez-Frias (Deputy Director of Research, Hospital Infantil de Mexico Federico Gomez) — Principal investigator
First posted
Aug 11, 2026
Start date
Jul 13, 2026 (estimated)
Primary completion
Nov 30, 2026 (estimated)
Completion
Dec 15, 2026 (estimated)
Last update
Aug 11, 2026

Study contacts

Magali Reyes-Apodaca, Dr
Contact
maghimfg@gmail.com
+52 (55) 5228 9917
Edgar Ramirez-Ramirez, Dr
Contact
edgar.ramirez@aequitasmedica.com
+52 (55) 9990 4315
Rodrigo Vazquez-Frias
principal investigator · Hospital Infantil de Mexico Federico Gomez

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion