Effect of Probiotic Limosilactobacillus Reuteri (L. Reuteri) on Crying and Fussing Time in Infants With Colic

Infantile Colic Clinical Trial

Official title:

A Double-blind, Randomised, Placebo-controlled, Parallel-group Study Evaluating the Effect of Probiotic Limosilactobacillus Reuteri (L. Reuteri) on Crying and Fussing Time in Infants With Colic

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT06462651
• Other study ID #: CSUB0214
• Status: Not yet recruiting
• Phase: N/A
• Start date: October 2024
• Est. completion date: August 2025

Study information

• Verified date: June 2024
• Source: BioGaia AB
• Contact: Petra J Lierud
• Phone: +46724504400
• Email: pjl[@]biogaia.se
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This is a double-blind, randomized, placebo-controlled, parallel-group study in infants with colic with the primary objective to evaluate crying and fussing time.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 50
• Est. completion date: August 2025
• Est. primary completion date: June 2025
• Accepts healthy volunteers: No
• Gender: All
• Age group: 3 Weeks to 12 Weeks

Eligibility

Inclusion Criteria:

1. Aged between 3-12 weeks at screening.

2. Gestational age 37+0 weeks - 42+0 weeks at birth.

3. Birth weight appropriate for gestational age (AGA - weight between 10th and 90th percentile) or Large for Gestational Age (LGA - weight above the 90th percentile) determined using WHO Weight-for Age percentile guides.

4. Parents/caregivers/legal guardians are >18 years.

5. Exclusively or predominantly breastfed infants (> 50 % breast fed).

6. Willing to maintain current feeding patterns (not change formula/not change ratio of formula:breast milk etc.).

7. Readiness and the opportunity for parents/caregivers/legal guardians to fill out a study diary, questionnaires.

8. Infantile colic diagnosed according to Rome IV criteria (face-to-face consult with a physician, parents/caregivers/legal guardians must report that their infant has cried or fussed for 3 or more hours per day, during 3 or more days in the preceding week). At Visit 2, this will be confirmed by Baby's Day Diary®, at least one 24-hour period should show 3 or more hours of crying/fussing time.

9. Parents/caregivers/legal guardians with ability to understand and comply with the requirements of the study, as judged by the Investigator.

10. Parents/caregivers/legal guardians willing and able to give informed consent for their and their infant's participation in the study.

11. The mother of the infant must be willing to attend Visit 2 (Day 0), Visit 3 (Day 8), and Visit 4 (Day 22).

12. Infant is considered healthy, in the opinion of the investigator following physical exam.

Exclusion Criteria:

1. Infants with severe gastroesophageal reflux (throwing up or spitting up more than a teaspoon of milk > 8 times daily, projectile, bilious or bloody emesis).

2. Infants with failure to thrive, intrauterine growth retardation, haematochezia (blood in the stools), diarrhoea (watery stools that takes the shape of a container > 12x in breastfed and >5 in partially breastfed infants daily), or fever (38.0 degrees), as reported by parents/caregivers/ legal guardians.

3. Infants with congenital heart disease, immunodeficiency, asplenia, cancer, cystic fibrosis, and those with liver disease.

4. Infants with reported exposure to probiotics in the 7 days prior to Screening Visit (V1) and throughout the study period.

5. Infants with reported exposure to oral and/or systemic antibiotics in the 7 days prior to Screening Visit (V1) and throughout the study period.

6. Infants with reported exposure to medications, therapies, or products with the aim to relieve infantile colic including proton pump inhibitors in the 7 days prior to Screening Visit (V1) and throughout the study period.

Related Conditions & MeSH terms

• Colic
• Infantile Colic

Intervention

Dietary Supplement:
• L. reuteri
Supplementation with drops containing L. reuteri once daily for 21 consecutive days
• Placebo
Supplementation with identical drops without L. reuteri once daily for 21 consecutive days

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
BioGaia AB

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Crying and fussing time	To evaluate crying and fussing time after 7 days of supplementation with L. reuteri in infants with colic.	[Time Frame: From baseline to Day 7]
Secondary	Crying and fussing time	Change in mean daily crying and fussing time measured by Baby´s Day Diary	[Time Frame: From baseline up to Day 21]
Secondary	Crying time	Change in mean daily crying time measured by Baby´s Day Diary	[Time Frame: From baseline up to Day 21]
Secondary	Number of responders	Proportion of responders defined as reduction of daily average crying time with 50 % compared to baseline	[Time Frame: From baseline up to Day 21]
Secondary	Family quality of life (family QoL)	Change in family QoL measured by the PedsQL Family Impact Module (Acute) - Total Score	[Time Frame: From baseline up to Day 21]
Secondary	Sleeping time	Change in mean sleeping time measured by Baby´s Day Diary	[Time Frame: From baseline up to Day 21]
Secondary	Maternal depression	Change in maternal depression measured by the Edinburgh Postnatal Depression Scale Total Score	[Time Frame: From baseline up to Day 21]