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Double-Blind, Parallel, Randomised Study to Investigate the Effect of Oral Probiotics in Infants With Atopic Dermatitis

Primary Purpose

Atopic Dermatitis, Atopic Eczema, Infantile Eczema

Status
Completed
Phase
Not Applicable
Locations
Netherlands
Study Type
Interventional
Intervention
probiotics: Lactobacillus GG, lactobacillus Rhamnosus
Sponsored by
Groningen Research Institute for Asthma and COPD
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Atopic Dermatitis focused on measuring Atopic Dermatitis, SCORAD, probiotics, cytokines, Infant

Eligibility Criteria

0 Years - 5 Months (Child)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Term infants fulfilling the Hanifin (1989) criteria for atopic dermatitis Suggestive of CMA (one additional symptom) Scorad index (total) >20 at study entry Below 5 months of age Formula, not breast fed Written informed consent from the parents Exclusion Criteria: • Previous or current use of anti-histamines, oral corticosteroids, probiotics Use of systemic antibiotic or anti-mycotic drugs in the previous 4 weeks Congenital intestinal abnormality (eg. Hirschsprung's disease, intestinal atresia) Other GI disease with intestinal inflammation and/or increased intestinal permeability Skin disorder, not atopic dermatitis Participation in another clinical study

Sites / Locations

  • Beatrix Children's Hospital, University Medical Center Groningen

Outcomes

Primary Outcome Measures

Significant decrease of SCORAD score in treated infants compared to placebo

Secondary Outcome Measures

IL-4, IL-5 and IFN-gamma production of stimulated peripheral blood mononuclear cells
change in fecal TNF-α and α-1-antitrypsin, urinary EDN
effect on faecal bacteria after probiotics

Full Information

First Posted
September 13, 2005
Last Updated
September 26, 2006
Sponsor
Groningen Research Institute for Asthma and COPD
Collaborators
Numico Research Wageningen, the Netherlands
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1. Study Identification

Unique Protocol Identification Number
NCT00224432
Brief Title
Double-Blind, Parallel, Randomised Study to Investigate the Effect of Oral Probiotics in Infants With Atopic Dermatitis
Official Title
Double-Blind, Parallel, Randomised Study to Investigate the Clinical and Immunological Effects of Oral Administration of Probiotic Bacteria in Infants With Atopic Dermatitis With and Without Cow's Milk Allergy.
Study Type
Interventional

2. Study Status

Record Verification Date
September 2006
Overall Recruitment Status
Completed
Study Start Date
March 2001 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
September 2002 (undefined)

3. Sponsor/Collaborators

Name of the Sponsor
Groningen Research Institute for Asthma and COPD
Collaborators
Numico Research Wageningen, the Netherlands

4. Oversight

5. Study Description

Brief Summary
To study the effect of supplementation of a hydrolyzed formula with probiotic bacteria on clinical and immunological parameters in infants with AD with and without CMA and to compare effectiveness of different strains of probiotics.
Detailed Description
To determine the effect of supplementation of a hydrolyzed formula with probiotic bacteria on clinical and immunological parameters in infants with AD with and without CMA To determine the effect of supplementation of a hydrolyzed formula with probiotic bacteria on clinical and immunological reactivity to cow' milk challenge in infants with AD with CMA To compare the effectiveness of different strains of probiotic bacteria in improving clinical and immunological outcome in these infants

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Atopic Dermatitis, Atopic Eczema, Infantile Eczema
Keywords
Atopic Dermatitis, SCORAD, probiotics, cytokines, Infant

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Double
Allocation
Randomized
Enrollment
45 (false)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
probiotics: Lactobacillus GG, lactobacillus Rhamnosus
Primary Outcome Measure Information:
Title
Significant decrease of SCORAD score in treated infants compared to placebo
Secondary Outcome Measure Information:
Title
IL-4, IL-5 and IFN-gamma production of stimulated peripheral blood mononuclear cells
Title
change in fecal TNF-α and α-1-antitrypsin, urinary EDN
Title
effect on faecal bacteria after probiotics

10. Eligibility

Sex
All
Minimum Age & Unit of Time
0 Years
Maximum Age & Unit of Time
5 Months
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Term infants fulfilling the Hanifin (1989) criteria for atopic dermatitis Suggestive of CMA (one additional symptom) Scorad index (total) >20 at study entry Below 5 months of age Formula, not breast fed Written informed consent from the parents Exclusion Criteria: • Previous or current use of anti-histamines, oral corticosteroids, probiotics Use of systemic antibiotic or anti-mycotic drugs in the previous 4 weeks Congenital intestinal abnormality (eg. Hirschsprung's disease, intestinal atresia) Other GI disease with intestinal inflammation and/or increased intestinal permeability Skin disorder, not atopic dermatitis Participation in another clinical study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Eric J Duiverman, MD, PhD
Organizational Affiliation
Dept of Pediatric Pulmonology, University Medical Center Groningen, The Netherlands
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Marianne L Brouwer, MD
Organizational Affiliation
Dept of Pediatric Pulmonology, University Medical Center Groningen, The Netherlands
Official's Role
Principal Investigator
Facility Information:
Facility Name
Beatrix Children's Hospital, University Medical Center Groningen
City
Groningen
ZIP/Postal Code
9700 RB
Country
Netherlands

12. IPD Sharing Statement

Citations:
PubMed Identifier
16839405
Citation
Brouwer ML, Wolt-Plompen SA, Dubois AE, van der Heide S, Jansen DF, Hoijer MA, Kauffman HF, Duiverman EJ. No effects of probiotics on atopic dermatitis in infancy: a randomized placebo-controlled trial. Clin Exp Allergy. 2006 Jul;36(7):899-906. doi: 10.1111/j.1365-2222.2006.02513.x.
Results Reference
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Double-Blind, Parallel, Randomised Study to Investigate the Effect of Oral Probiotics in Infants With Atopic Dermatitis

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