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the Efficacy and Safety of Probiotics eN-Lac® Capsules of Children With Perennial Allergic Rhinitis (PAR)

Primary Purpose

Perennial Allergic Rhinitis, Probiotics, Lactobacillus Paracasei GMNL-32 (eN-Lac®)

Status
Completed
Phase
Phase 3
Locations
Taiwan
Study Type
Interventional
Intervention
eN-Lac®
Placebo
Sponsored by
GenMont Biotech Incorporation
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Perennial Allergic Rhinitis focused on measuring perennial allergic rhinitis, probiotics, Lactobacillus paracasei GMNL-32 (eN-Lac®), efficacy and safety

Eligibility Criteria

5 Years - 16 Years (Child)All SexesDoes not accept healthy volunteers

Inclusion Criteria

  • Subjects in age of 5-16 years old
  • Subjects with a history of perennial allergic rhinitis for at least 1 year.
  • Subjects with anyone of the following allergy test results (test results within 12 months before study are acceptable)
  • Skin-Prick test:

Wheal diameter 3 mm larger than the negative control (salt water) and at least 1/2 the diameter of the positive control (histamine)

  • Positive reaction determined by the CAP system Positive reaction defined as CAP score≥2
  • Positive reaction determined by the MAST system Positive reaction defined as MAST score≥1
  • Subject's mean nasal total symptom score (NTSS) throughout the screening period (4 to 10 days) should be ≥ 5 and ≤ 10; at least 3 days should be recorded during the screening period
  • Subjects' parents or their legally acceptable representatives have signed the informed consent form.

Exclusion Criteria

  • Subjects have clinically significant laboratory abnormality results (hematology, biochemistry or urinalysis tests) as determined by the investigator (tests performed during 14 days prior to visit 1 or during baseline period can be used for evaluating those criteria).
  • Subjects with acute or significant chronic sinusitis, severe persistent asthma, congenital immunodeficiency, massive wound in oral cavity, use of rhinitis medications, neuropsychiatric disorders, immunocompromised, or chronic use of tricyclic antidepressants.
  • Subjects need to take prohibited medications during the study or take the medications within the corresponding time frame indicated prior to the screening visit:

Parenteral or oral corticosteroids 30 days Nasal corticosteroids 30 days Topical use of flurandrenolide 30 days Topical use of clobetasol propionate 30 days Topical use of halobetasol propionate 30 days Astemizole 30 days Ketotifene 21 days Nedocromil or Sodium cromoglycate 14 days Loratadine 10 days Cetirizine 7 days Antileukotrienes 7 days Other H1 antihistamine 3 days Nasal decongestant 3 days Any food supplements including probiotics 3 days

  • Subjects are undergoing desensitization therapy within 3 months prior to the screening period or subjects with vasomotor rhinitis.
  • Subjects have participated investigational drug trial within 4 weeks before entering this study.
  • Subjects are pregnant, lactating or planning to become pregnant.
  • Subjects with any other serious diseases considered by the investigator that could interfere with the performance of NTSS result.
  • Women of childbearing potential who are unwilling or unable to use an acceptable method to avoid pregnancy for the entire study period.
  • Subjects who is lack of physical integrity of gastrointestinal tract, or malabsorption syndrome, or inability to take oral medication.

Sites / Locations

  • Cardinal Tien Hospital
  • Taipei City Hospital Renai Branch
  • MacKay Memorial Hospital
  • Chang Gung Children's Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Other

Arm Label

eN-Lac® Capsules

Placebo Capsules

Arm Description

Outcomes

Primary Outcome Measures

Evaluate the efficacy profile of probiotics Lactobacillus paracasei GMNL-32 (eN-Lac®) in children with perennial allergic rhinitis.
NTSS is determined by the severity of allergic symptoms, including sneezing, rhinorrhea, nasal itching, and nasal stuffiness. These symptoms are evaluated using a four-point scale, namely, 0 = Absent, 1 = Mild (present but not disturbing), 2 = Moderate (disturbing but not hampering daytime activities and/or sleep), 3 = Severe (hampering daytime activities and/or sleep). NTSS is calculated by the sum of the scores of the symptoms.

Secondary Outcome Measures

The safety features are evaluated through the changes of vital signs, physical examinations, laboratory test result (hematology, biochemistry and urinalysis tests), as well as the occurrence of adverse event.
The incidence of adverse events will be categorized by severity and related to the time of occurrence. Changes in physical examinations, changes in laboratory test results (hematology, biochemistry and urinalysis tests) from screening period, and change of vital signs will be summarized and analyzed by the descriptive statistics.

Full Information

First Posted
April 30, 2010
Last Updated
August 31, 2015
Sponsor
GenMont Biotech Incorporation
Collaborators
Biomedical Development Corporation
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1. Study Identification

Unique Protocol Identification Number
NCT01116778
Brief Title
the Efficacy and Safety of Probiotics eN-Lac® Capsules of Children With Perennial Allergic Rhinitis
Acronym
PAR
Official Title
A Phase III, Double-blind, Randomized, Parallel, Placebo-controlled Study to Evaluate the Efficacy and Safety of Probiotics eN-Lac® Capsules (Lactobacillus Paracasei GMNL-32) for the Treatment of Children With Perennial Allergic Rhinitis
Study Type
Interventional

2. Study Status

Record Verification Date
August 2015
Overall Recruitment Status
Completed
Study Start Date
May 2010 (undefined)
Primary Completion Date
January 2012 (Actual)
Study Completion Date
June 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
GenMont Biotech Incorporation
Collaborators
Biomedical Development Corporation

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to evaluate the efficacy and safety of probiotics eN-Lac® capsules (Lactobacillus paracasei GMNL-32) for the treatment of children with perennial allergic rhinitis(PAR).
Detailed Description
This study is PhaseIII clinical trial. According the results of PhaseII study,we find out the optimal dose and its maximum effectiveness in relieving the nasal symptoms of eN-Lac® (Lactobacillus paracasei GMNL-32) in children with PAR.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Perennial Allergic Rhinitis, Probiotics, Lactobacillus Paracasei GMNL-32 (eN-Lac®)
Keywords
perennial allergic rhinitis, probiotics, Lactobacillus paracasei GMNL-32 (eN-Lac®), efficacy and safety

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
236 (Actual)

8. Arms, Groups, and Interventions

Arm Title
eN-Lac® Capsules
Arm Type
Experimental
Arm Title
Placebo Capsules
Arm Type
Other
Intervention Type
Biological
Intervention Name(s)
eN-Lac®
Other Intervention Name(s)
eN-Lac® Capsules (Lactobacillus paracasei GMNL-32)
Intervention Description
One capsule with 2x10^9 colony forming unit (cfu) LP GMNL-32, once daily, po
Intervention Type
Other
Intervention Name(s)
Placebo
Other Intervention Name(s)
Placebo Capsules
Intervention Description
One placebo capsule, once daily, po
Primary Outcome Measure Information:
Title
Evaluate the efficacy profile of probiotics Lactobacillus paracasei GMNL-32 (eN-Lac®) in children with perennial allergic rhinitis.
Description
NTSS is determined by the severity of allergic symptoms, including sneezing, rhinorrhea, nasal itching, and nasal stuffiness. These symptoms are evaluated using a four-point scale, namely, 0 = Absent, 1 = Mild (present but not disturbing), 2 = Moderate (disturbing but not hampering daytime activities and/or sleep), 3 = Severe (hampering daytime activities and/or sleep). NTSS is calculated by the sum of the scores of the symptoms.
Time Frame
NTSS is recorded daily on subject's DRC (daily record card) at the 8th week from baseline.
Secondary Outcome Measure Information:
Title
The safety features are evaluated through the changes of vital signs, physical examinations, laboratory test result (hematology, biochemistry and urinalysis tests), as well as the occurrence of adverse event.
Description
The incidence of adverse events will be categorized by severity and related to the time of occurrence. Changes in physical examinations, changes in laboratory test results (hematology, biochemistry and urinalysis tests) from screening period, and change of vital signs will be summarized and analyzed by the descriptive statistics.
Time Frame
at 8th week from basline

10. Eligibility

Sex
All
Minimum Age & Unit of Time
5 Years
Maximum Age & Unit of Time
16 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria Subjects in age of 5-16 years old Subjects with a history of perennial allergic rhinitis for at least 1 year. Subjects with anyone of the following allergy test results (test results within 12 months before study are acceptable) Skin-Prick test: Wheal diameter 3 mm larger than the negative control (salt water) and at least 1/2 the diameter of the positive control (histamine) Positive reaction determined by the CAP system Positive reaction defined as CAP score≥2 Positive reaction determined by the MAST system Positive reaction defined as MAST score≥1 Subject's mean nasal total symptom score (NTSS) throughout the screening period (4 to 10 days) should be ≥ 5 and ≤ 10; at least 3 days should be recorded during the screening period Subjects' parents or their legally acceptable representatives have signed the informed consent form. Exclusion Criteria Subjects have clinically significant laboratory abnormality results (hematology, biochemistry or urinalysis tests) as determined by the investigator (tests performed during 14 days prior to visit 1 or during baseline period can be used for evaluating those criteria). Subjects with acute or significant chronic sinusitis, severe persistent asthma, congenital immunodeficiency, massive wound in oral cavity, use of rhinitis medications, neuropsychiatric disorders, immunocompromised, or chronic use of tricyclic antidepressants. Subjects need to take prohibited medications during the study or take the medications within the corresponding time frame indicated prior to the screening visit: Parenteral or oral corticosteroids 30 days Nasal corticosteroids 30 days Topical use of flurandrenolide 30 days Topical use of clobetasol propionate 30 days Topical use of halobetasol propionate 30 days Astemizole 30 days Ketotifene 21 days Nedocromil or Sodium cromoglycate 14 days Loratadine 10 days Cetirizine 7 days Antileukotrienes 7 days Other H1 antihistamine 3 days Nasal decongestant 3 days Any food supplements including probiotics 3 days Subjects are undergoing desensitization therapy within 3 months prior to the screening period or subjects with vasomotor rhinitis. Subjects have participated investigational drug trial within 4 weeks before entering this study. Subjects are pregnant, lactating or planning to become pregnant. Subjects with any other serious diseases considered by the investigator that could interfere with the performance of NTSS result. Women of childbearing potential who are unwilling or unable to use an acceptable method to avoid pregnancy for the entire study period. Subjects who is lack of physical integrity of gastrointestinal tract, or malabsorption syndrome, or inability to take oral medication.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ying-Chen Lu, PhD
Organizational Affiliation
GenMont Biothech Incorporation
Official's Role
Study Director
Facility Information:
Facility Name
Cardinal Tien Hospital
City
Xindian
State/Province
Taipei
ZIP/Postal Code
231
Country
Taiwan
Facility Name
Taipei City Hospital Renai Branch
City
Taipei
ZIP/Postal Code
10341
Country
Taiwan
Facility Name
MacKay Memorial Hospital
City
Taipei
ZIP/Postal Code
10449
Country
Taiwan
Facility Name
Chang Gung Children's Hospital
City
Taipei
ZIP/Postal Code
105
Country
Taiwan

12. IPD Sharing Statement

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the Efficacy and Safety of Probiotics eN-Lac® Capsules of Children With Perennial Allergic Rhinitis

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