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Not yet recruitingNCT07936656Updated Nov 13, 2026

Probiotic Bifidobacterium Breve PRL2020 in Oral Drops in Preventing Side Effects From Amoxicillin or Amoxicillin/Clavulanic Acid Antibiotic Use

An interventional study of Brevicillin® gocce (Bifidobacterium breve PRL2020) and Placebo (matching oil drops) in Antibiotic-associated Diarrhea, sponsored by Liaquat University of Medical & Health Sciences. Not yet recruiting at 20 sites in Italy. Open to participants aged 0 Years to 12 Years. Per ClinicalTrials.gov, last updated 2026-11-13.

Sponsored by Liaquat University of Medical & Health Sciences · Not applicable, Interventional, and Prevention

Updated Nov 13, 2026Newly registeredGo to Updates ↓

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Phase
Not applicable
Study type
Interventional
Enrollment
1,024
Allocation
Randomized
Ages
0 Years to 12 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 26 studies in Diarrhea with a site in Italy — 4 open to participants now, 4 under way, none of them phase 3. Diarrhea · Italy.

Planned enrollment
2nd of 22
1,024 · median 117
Started
2026
the only one that year
No phase
15 of 26
3 open now
Registered
26th of 26
by date
Lead sponsor
3 of 26
Liaquat University of Medical & Health Sciences

Among the 26 studies in Diarrhea with a site in Italy, this one is the 2nd largest by planned enrollment of the 22 interventional ones that give a count, is the only one that started in 2026, is one of 15 with no phase, and was the 26th registered.

Diarrhea

878 studies on the registry are indexed under Diarrhea; 77 are open to participants now.

Browse Diarrhea studies →

Open to participants now

4 of the 26 studies in Diarrhea with a site in Italy are open now. Recruiting first, the newest first:

All 4 open studies →

A study can be open while its sites in Italy have not opened yet or have stopped. Only those recruiting at a site in Italy →

Who these studies take

Of the 45 Diarrhea studies recruiting now, 21 (47%) set no upper age limit and 22 (49%) stop at 75 or younger; 19 take children under 18; 15 take healthy volunteers.

This study: 0 Years to 12 Years · all sexes · no healthy volunteers.

The full table on the hub →

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 26 studies in Diarrhea with a site in Italy, or all of them as a file.
02

Study summary

This multicenter, randomized, double-blind, placebo-controlled clinical trial will evaluate the efficacy and safety of the probiotic Bifidobacterium breve PRL2020 (Brevicillin® gocce) in preventing gastrointestinal side effects associated with antibiotic therapy using amoxicillin or amoxicillin/clavulanic acid in pediatric patients aged 0-12 years. Participants will be randomized 1:1 to receive either the probiotic supplement or placebo during standard antibiotic treatment for 6-10 days, followed by a post-treatment observation period up to day 15 without probiotic or placebo administration. The primary objective is to assess the reduction in the incidence of antibiotic-associated diarrhea (AAD).

Read the detailed description

Antibiotic therapy with amoxicillin or amoxicillin/clavulanic acid is widely prescribed in pediatric populations but is frequently associated with gastrointestinal adverse effects, particularly diarrhea. These effects are linked to disruption of the gut microbiota and a reduction in bifidobacterial populations. Bifidobacterium breve PRL2020 is a probiotic strain with demonstrated intrinsic, non-transferable resistance to these antibiotics and has been developed to mitigate antibiotic-induced dysbiosis.

This study is a multicenter, prospective, randomized, double-blind, placebo-controlled, non-profit trial conducted in pediatric centers across Italy. The study aims to evaluate the clinical efficacy and safety of Bifidobacterium breve PRL2020 in reducing the incidence and severity of antibiotic-associated diarrhea (AAD) in children receiving amoxicillin or amoxicillin/clavulanic acid.

A total of 1024 participants will be enrolled. Participants will be randomized 1:1 to receive either Brevicillin® gocce (5 drops 2-3 times daily, containing 5 billion CFU of B. breve PRL2020 per dose) or matching placebo only during antibiotic therapy (6-10 days). After completion of antibiotic treatment, participants will enter a follow-up period until day 15 without probiotic or placebo administration.

The primary outcome is the incidence of AAD, defined as ≥3 diarrheal episodes in one day during antibiotic treatment (Bristol Stool Scale 5-7).

Secondary outcomes include the incidence and duration of diarrhea, daily bowel movements, stool consistency, gastrointestinal and extra-intestinal symptoms (such as nausea, vomiting, abdominal pain), treatment compliance, and adverse events.

03

Conditions studied

  • Antibiotic-associated Diarrhea

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04

Who can participate

Ages eligible
0 Years to 12 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

  • Patients of either sex
  • Age ≤ 12 years
  • Requirement to undergo antibiotic treatment with amoxicillin or amoxicillin/clavulanic acid

Exclusion criteria

Exclusion Criteria:

  • Use of antibiotic therapy in the 4 weeks prior to enrolment in the study.
  • Use of other probiotic products or products containing lactic acid bacteria during the study period.
  • Presence of pre-existing diarrhoea in the 4 weeks prior to enrolment.
  • Presence of chronic inflammatory bowel disease.
  • Presence of immunodeficiency.
  • Failure to obtain from the parent or legal guardian for participation in the study.
  • Known allergy to the in the formulation
Terms in these criteria, in plain language(2)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
1,024 participants (estimated)

Study arms

  • Experimental
    Brevicillin® gocce (Bifidobacterium breve PRL2020)

    Participants will receive Brevicillin® gocce, a probiotic food supplement containing Bifidobacterium breve PRL2020 (LMG S-32458), alongside standard antibiotic therapy with amoxicillin or amoxicillin/clavulanic acid. Dosage and administration: 5 drops, 2-3 times per day (depending on antibiotic dosing schedule), administered during the antibiotic treatment period (6-10 days). After completion of antibiotic therapy, participants will enter a follow-up period until day 15 without probiotic administration.

    Dietary Supplement: Brevicillin® gocce (Bifidobacterium breve PRL2020)

  • Placebo comparator
    Placebo

    Participants will receive a placebo formulation matched in appearance, packaging, and dosing schedule to Brevicillin® gocce, administered alongside standard antibiotic therapy with amoxicillin or amoxicillin/clavulanic acid. The placebo will be given at the same frequency (5 drops, 2-3 times per day) and duration as the experimental product during the antibiotic treatment period (6-10 days). After antibiotic completion, participants will enter a follow-up period until day 15 without placebo administration.

    Other: Placebo (matching oil drops)

Interventions

  • Dietary supplementBrevicillin® gocce (Bifidobacterium breve PRL2020)

    Brevicillin® gocce is a probiotic dietary supplement in oily drops containing the bacterial strain Bifidobacterium breve PRL2020 (LMG S-32458). Each 5-drop dose contains approximately 5 billion live cells. The supplement is administered orally 2-3 times per day, in parallel with antibiotic therapy (amoxicillin or amoxicillin/clavulanic acid), for 6-10 days only (during the antibiotic course). After completion of antibiotic therapy, participants enter a follow-up period until day 15 without probiotic administration. The product is manufactured by PharmExtracta S.p.A., Pontenure, Italy.

  • OtherPlacebo (matching oil drops)

    The placebo is a formulation identical in appearance, packaging, and administration schedule to Brevicillin® gocce but without the Bifidobacterium breve PRL2020 strain. It is administered orally 2-3 times per day only during the antibiotic treatment period (6-10 days). After antibiotic completion, participants enter a follow-up period until day 15 without placebo administration.

06

What researchers measure

Primary outcomes

  1. Incidence of Antibiotic-Associated Diarrhea (AAD)

    Evaluation of the efficacy of Bifidobacterium breve PRL2020 (Brevicillin® gocce) in reducing the incidence of antibiotic-associated diarrhea (AAD), defined as ≥3 diarrheal episodes within one day of antibiotic treatment, with stool consistency corresponding to types 5-7 on the Bristol Stool Scale. Data will be collected through a daily diary completed by the parent or legal guardian.

    Time frame: 15 days

Secondary outcomes

  1. Incidence of children with at least one episode of diarrhea

    Number of participants experiencing at least one episode of diarrhea during the study period, as recorded in the daily diary.

    Time frame: 15 days

  2. Number of daily defecations

    Average number of daily bowel movements recorded by the parent or guardian during the study period, using the child's daily diary.

    Time frame: 15 days

  3. Number of days with diarrhea

    Total number of days in which diarrhea occurs during the observation period, recorded by the parent or guardian.

    Time frame: 15 days

  4. Stool consistency

    Assessment of stool consistency using the Bristol Stool Scale (BSS) to evaluate changes in bowel habits during and after antibiotic treatment.

    Time frame: 15 days

  5. Abdominal pain During and After Antibiotic Treatment

    Assessment of abdominal pain related to antibiotic use, as recorded in daily diary entries completed by the parent or guardian.

    Time frame: 15 days

  6. Nausea During and After Antibiotic Treatment

    Assessment of nausea related to antibiotic use, as recorded in daily diary entries completed by the parent or guardian.

    Time frame: 15 days

  7. Vomiting During and After Antibiotic Treatment

    Assessment of vomiting related to antibiotic use, as recorded in daily diary entries completed by the parent or guardian.

    Time frame: 15 days

  8. Treatment compliance

    Assessment of adherence to the probiotic or placebo regimen, graded by the pediatrician on a scale from "poor" to "excellent" at the end of the study period.

    Time frame: 15 days

  9. Adverse events

    Documentation and evaluation of any adverse events reported during treatment and follow-up, as recorded in the child's daily diary and verified by the study physician.

    Time frame: 15 days

07

Study locations

20 sites
  • NERO ANNA MARIA Centro Salute Galattica - Via Giovanni Gronchi, 1
    Lamezia Terme, Catanzaro 88046, Italy
  • ANTONELLI LUCIETTA Studio medico - Vico Montaniera 27
    Casoli, Chieti 66043, Italy
  • OMETTO MARIANGELA studio pediatrico associato - via Al Monte 4
    Cantù, Como 22063, Italy
  • D'AVERSA IRENE Studio medico - VIALE REGINA MARGHERITA 7
    Anagni, Frosinone 03012, Italy
  • NOTO CRISTIAN Studio medico - VIA TARTARALTA DI SOTTO 25
    Anagni, Frosinone 03012, Italy
  • NARDINI FLAVIA studio medico - Via Portico della Tessitura 3/1
    Piazzola sul Brenta, Padova 35016, Italy
  • MANCUSO GIUSEPPINA Studio medico - Via De Spuches 14
    Bagheria, Palermo, Italy
  • RASTELLI STEFANIA studio medico - Via Foligno 23
    Bastia umbra, Perugia 06083, Italy
  • CAMPUS MARIA GIULIA studio medico - Via Aspromonte SNC
    Foligno, Perugia 06034, Italy
  • SATARIANO IRENE studio medico - Largo S.Luca 2
    Mira, Venezia 30034, Italy
  • GROSSO CATERINA Studio medico - Spalto Marengo 92
    Alessandria, 15121, Italy
  • VALARAUDI PIERA Studio medico - Via Galimberti 25
    Alessandria, 15121, Italy
  • MORGANTI GIANFRANCO Studio medico - Via Rossini Gioachino 9
    Busto Arsizio, 21052, Italy
  • MARIANI PAOLO Studio medico - VIA AMERICA LATINA 135
    Frosinone, 03100, Italy
  • POGGI ELENA Studio medico - Via Montevideo 8
    Genova, 16129, Italy
  • BARBALACE ANDREA Studio medico - Via Nino Bixio 76
    Messina, 98123, Italy
  • INFERRERA RAMONA Studio medico - Via Trieste 19
    Messina, 98123, Italy
  • PACCHIAROTTI ALESSIA Studio medico - VIA FIUMINATA 4
    Roma, 00156, Italy
  • ROVELLI ILARIA Studio medico - Via Baltimora 86
    Torino, 10137, Italy
  • COLLI GIOVANNI studio medico privato - via Caracciolo 54
    Varese, 21100, Italy
08

Timeline

1 registry update 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

Start is estimated for Nov 2026; primary completion for Mar 2027, 3 months later.

Of 129 non-industry interventional studies with no phase under Diarrhea, half reached primary completion within 17 months of starting (the median), counting those still running; a quarter within 6 and three quarters within 36. This study's planned 3 months is below that.

Counting every sponsor, half of 164 studies reached it within 14 months; a quarter within 5 and three quarters within 35.

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

Registered
Nov 6, 2026
First posted
Nov 13, 2026
StartEst.
Nov 16, 2026
Primary completionEst.
Mar 1, 2027
CompletionEst.
Mar 1, 2027
Last update
Nov 13, 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.
Registered
First appeared on the registry. No changes since
Nov 13, 2026
Show all 1 update
  1. Nov 13, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT07936656
Lead sponsor
Liaquat University of Medical & Health Sciences
Collaborators
University of Urbino "Carlo Bo"
Responsible party
Dr. Amjad Khan (Professor of Clinical Biochemistry and Experimental Medicine, Liaquat University of Medical & Health Sciences) — Principal investigator
First posted
Nov 13, 2026
Start date
Nov 16, 2026 (estimated)
Primary completion
Mar 1, 2027 (estimated)
Completion
Mar 1, 2027 (estimated)
Last update
Nov 13, 2026

Study contacts

Davide Sisti, PhD
Contact
davide.sisti@uniurb.it
+39 0722 303301

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 Nov 2026. You cannot join it, but the record below documents what was studied.

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