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CTRI Number  CTRI/2012/08/002942 [Registered on: 31/08/2012] Trial Registered Retrospectively
Last Modified On: 03/04/2014
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Probiotic 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   Role of Probiotics on growth and diarrhea in children  
Scientific Title of Study   To study the effect of L. paracasei Lpc-37 or B. lactis Bi-07 supplementation for 10 months period, on diarrheal morbidity, febrile episodes, immune function, nutritional status and gut flora in apparently normal children.  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIN-Danisco-ver3-07-IM-10  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr R HEMALATHA 
Designation  Deputy Director/ Scientist E 
Affiliation  NATIONAL INSTITUTE OF NUTRITION 
Address  NATIONAL INSTITUTE OF NUTRITION Indian Council of Medical Research Jamai osmania

Hyderabad
ANDHRA PRADESH
500007
India 
Phone  040-27191297  
Fax  040-27019074  
Email  rhemalathanin@yahoo.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr R HEMALATHA 
Designation  Deputy Director/ Scientist E 
Affiliation  NATIONAL INSTITUTE OF NUTRITION 
Address  NATIONAL INSTITUTE OF NUTRITION Indian Council of Medical Research Jamai osmania

Hyderabad
ANDHRA PRADESH
500007
India 
Phone  040-27191297  
Fax  040-27019074  
Email  rhemalathanin@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Dr R HEMALATHA 
Designation  Deputy Director/ Scientist E 
Affiliation  NATIONAL INSTITUTE OF NUTRITION 
Address  NATIONAL INSTITUTE OF NUTRITION Indian Council of Medical Research Jamai osmania

Hyderabad
ANDHRA PRADESH
500007
India 
Phone  040-27191297  
Fax  040-27019074  
Email  rhemalathanin@yahoo.com  
 
Source of Monetary or Material Support  
Danisco, Finland 
 
Primary Sponsor  
Name  Danisco Finland 
Address  Sokeritehtaantie 20 FIN-02460 Kantvik Finland tel.+358-405956353 fax+358-9-2982203  
Type of Sponsor  Other [International Probiotic Company,Danisco Finland] 
 
Details of Secondary Sponsor  
Name  Address 
NATIONAL INSTITUTE OF NUTRITION   Division of Microbiology National Institute of Nutrition (ICMR) Hyderabad-500007 Ph: 040-27008921 ext: 297  
 
Countries of Recruitment     India
Finland  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr R Hemalatha  Clinical Division, Natinal Institue of Nutrition (Indian Council of Medical Research)   Tarnaka, Secunderabad
Hyderabad
ANDHRA PRADESH 
040-27191297
040-27019074
rhemalathanin@yahoo.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical committee National Institute of Nutrition Hyderabad  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  childeren 2-5yrs 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  B. lactis Bi-07   at a dose of 2-5x10 9 colony forming unit per day. for a period of 10 months.  
Intervention  L. paracasei Lpc-37   at a dose of 2-5x10 9 colony forming unit per day. for a period of 10 months.  
Comparator Agent  Placebo: Rice maltodextrin and silicon dioxide in vegetarian HPMC capsules  supplement for 10 months 
 
Inclusion Criteria  
Age From  3.00 Year(s)
Age To  5.00 Year(s)
Gender  Both 
Details  children aged 3-5 years, Parents willing to add a probiotic supplement or placebo each day for 10 months will be included in the study.  
 
ExclusionCriteria 
Details  Children with major congenital birth deformities, acute illness at enrollment, or chronic conditions affecting food intake or metabolism, Participation in another clinical study, Infants from multiple gestation births (since only one child per family will be included in the study, incorporating a child from a multiple birth would add unnecessary burden to parents by requiring them to administer different formulas to different children), past history with surgical operation of gastrointestinal tracts, Antibiotic therapy prior to enrollment, Evidence or suspicion of clinical sepsis before randomization will be excluded from the study.  
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Pre-numbered or coded identical Containers 
Blinding/Masking   Participant, Investigator, Outcome Assessor and Date-entry Operator Blinded 
Primary Outcome  
Outcome  TimePoints 
Reduction in Diarrhoea prevalence  Everyday Recall 
 
Secondary Outcome  
Outcome  TimePoints 
Effect of probiotics on weight gain and linear growth  monthly weight gain 
 
Target Sample Size   Total Sample Size="360"
Sample Size from India="360" 
Final Enrollment numbers achieved (Total)= ""
Final Enrollment numbers achieved (India)="" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   10/01/2011 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Closed to Recruitment of Participants 
Recruitment Status of Trial (India)  Completed 
Publication Details    
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary  

Specific probiotic strains have been shown to improve, be able to reduce the incidence or shorten the duration of diarrhoea. Some strains have also been shown to reduce the risk for disease. One of the main targets of probiotics is the intestine, but health benefits are not limited to that. Selected probiotics have, among others, been shown to improve immune response providing a mechanism for health benefits not directly associated with the intestine. The intestine is the body’s largest immune organ and changes in the composition and/or activity of the intestinal microflora may be, in part, responsible for an observed change in immune response.

 

The current study proposal therefore aims to investigate the influence of selected probiotics (L. paracasei Lpc-37 or B. lactis Bi-07) on the incidence and duration of acute diarrhoea, as well as immune function, nutritional status and changes in intestinal microflora. Diarrhoeal morbidity (duration and episodes –1 year) will be collected every day recall method. Use of antibiotics and febrile episodes will also be collected.

 Stool microflora (by PCR) and Immune markers like calprotectin and IgA will be done by ELISA. Blood sample will be obtained to assess micronutrient status (vit A, zinc, iron, calcium, Mg) and serum cytokines will be done by ELISA. Diarrheal pathogens will be investigated in children with diarrhea. Growth will be assessed by height weight and skin fold measurement.         
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