Healthy Clinical Trial
Official title:
Safety of Lactobacillus Reuteri in Healthy Children Ages 2 to 5 Years in Peru
This is a Phase 1 study to assess the safety and tolerability of Lactobacillus reuteri (Lr) strain DSM 17938 in healthy children in Peru. It is a preliminary study in support of a clinical trial to assess safety and efficacy of L. reuteri for treatment of pediatric diarrhea in Peru.
This is a phase I blinded randomized study of the safety and tolerability of Lactobacillus
reuteri DSM 17938 given daily for a period of five consecutive days. Upon enrollment
subjects will be randomized to one of two treatment groups in a ratio of treatment to
placebo of 2:1. Subjects will be randomized to receive either:
A. Lactobacillus reuteri (Lr): 108 (100 million) organisms of Lactobacillus reuteri per
dose, given once daily for a five-day treatment period that corresponds to a dose of the
closely related L. reuteri ATCC 55730 strain that has shown to be therapeutic for infantile
colic. The strain used in this study (DSM 17938) has been cured of an antibiotic resistance
plasmid found in the original BioGaia strain (L. reuteri ATCC 55730).
B. Placebo oil preparation, administered as 5 drops of the oil vehicle used in manufacturing
the Lr suspension, given once daily for a five-day study period (BioGaia AB, Stockholm,
Sweden).
In the first 30 subjects randomized, administration of each dose of the study preparation
drops (A or B above) will be immediately followed by offering 2 ounces of flavored PediaSure
® (Abbott Laboratories) nutritional supplement to each child. The second 30 subjects
enrolled will not be offered PediaSure ® after product administration. This format will also
allow us to assess the impact of concurrent administration of a buffering non-lactose
containing formula with prebiotic nutritional properties on intestinal colonization with L.
reuteri by PCR.
;
Allocation: Randomized, Endpoint Classification: Safety Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator), Primary Purpose: Treatment
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