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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT01858584
Other study ID # STDMG2013
Secondary ID
Status Recruiting
Phase N/A
First received May 17, 2013
Last updated May 29, 2013
Start date February 2013

Study information

Verified date May 2013
Source Federico II University
Contact Annamaria Staiano
Phone +39 081 7462669
Email staiano@unina.it
Is FDA regulated No
Health authority Italy: Ethics Committee of the University of Naples Federico II
Study type Interventional

Clinical Trial Summary

The results on the efficacy of the formulations based on alginic acid are controversial. Corvaglia et al demonstrated a significant reduction in reflux episodes in preterm infants by evaluation with pH-impedance analysis. This study concludes that the use of alginic acid reduces the acidity of the gastroesophageal reflux (GER) and has a non-systemic effect and a lesser presence of side effects compared to the use of H2-receptor antagonist(H2RA) and proton pump inhibitor (PPI).


Description:

Primary outcomes This prospective, randomized, controlled trial aims to determine, in a population of infants within one year of life, suffering from gastroesophageal reflux (GER) the effectiveness of magnesium alginate. The clinical improvement of the patient will be evaluated based on the negativity of the symptom score (4.3.1), assessed using a validated questionnaire on symptoms of GER (I-GERQ Annex A).

Secondary outcomes To compare the efficacy of Magnesium Alginate on GER in infants compared with those of thickened feeding and reassurance, basing on questionnaire results.


Recruitment information / eligibility

Status Recruiting
Enrollment 75
Est. completion date
Est. primary completion date December 2013
Accepts healthy volunteers No
Gender Both
Age group N/A to 12 Months
Eligibility Inclusion Criteria:

- Age < 1 year

- Suggestive symptoms of gastroesophageal reflux (I-GERQ score > 7)

- Absence of clinical evidence of allergy to cow milk protein or other allergic disorder

- No previous intake of thickened formulas, acid suppressants or drugs

- All parents or guardians must sign a document of informed consent

- Patients affected by chronic disease

- Patients affected by hepatic or renal diseases

- Patients affected by cardiac diseases

Exclusion Criteria:

- Patients affected by chronic disease

- Patients affected by hepatic or renal diseases

- Patients affected by cardiac diseases

- Inability or unwillingness to give informed consent

- Patients wth severe neurologic disease

- Patients affected by cow milk protein allergy

- Previous or ongoing intake of thickened formulas, acid suppressants or drugs

Study Design

Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator), Primary Purpose: Treatment


Intervention

Drug:
Gastrotuss
Gastrotuss baby: syrup based on alginate consisting of: magnesium alginate, simethicone, fructose, xanthan gum, honey, D-panthenol, fluid extracts of Althaea officinalis, Papaver rhoeas, zinc oxide, sodium bicarbonate, sodium hydroxide, p-hydroxybenzoate of methyl-sodium, sodium propyl p-hydroxybenzoate, natural flavors, erythrosine (E127), purified water. dosage: Infants weighing <5 kg in 2.5 ml 5-10 min after feeding. In case of regurgitation after administration, 1 ml additional Infants weighing> 5 kg per 5 ml dose after the meal and the evening before putting the baby to sleep The administration should be maximum 3 times per day
Dietary Supplement:
thickened milk
Milk thickened (formulat AR): contains a special thickener derived from corn starch waxy, that maintains its fluidity into the bottle and thickens just inside the stomach of the child, and this makes it easy to use in breastfeeding , as it is usable with a common teat.

Locations

Country Name City State
Italy university of Naples Federico II Naples

Sponsors (1)

Lead Sponsor Collaborator
Federico II University

Country where clinical trial is conducted

Italy, 

Outcome

Type Measure Description Time frame Safety issue
Primary efficacy on GER This prospective, randomized, controlled trial aims to determine, in a population of infants within one year of life, suffering from RGE the effectiveness of magnesium alginate. The clinical improvement of the patient will be evaluated based on the negativity of the symptom score (4.3.1), assessed using a validated questionnaire on symptoms of GER (I-GERQ Annex A). 2 months Yes
Secondary comparison of treatments • To compare the efficacy of Magnesium Alginate on GER in infants compared with those of thickened feeding and reassurance. 2 months Yes
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