This study is a randomized, placebo-controlled, single-masked (blinded), post-marketing clinical study of a drug Lactobacillus Reuteri NCIMB 30351 drops in functional disorders of gastrointestinal tract and skin symptoms of food allergies in children between the ages of one and four months inclusive. The aim of the study is to assess clinical effects of probiotics Lactobacillus Reuteri NCIMB 30351 drops on the symptoms of infantile colic, constipation, diarrhea, gastroesophageal reflux, atopic dermatitis/eczema in full-term newborns during the first months of life, laboratory parameters of microbiome will also be assessed. A prospective study comparing two treatment groups: Group 1 (treatment group) - 60 infants. Group 2 (control group) - 30 infants, placebo. The study drug will be taken in 1 time per day within 25 days. Allowed symptomatic therapy includes defoamers (simethicone-based preparations), carminative preparations (dill water (fennel)), etc.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
90
Lactobacillus Reuteri NCIMB 30351
Sunflower oil
Children's City Clinical Hospital named after Bashlyaeva, Healthcare department of Moscow city
Moscow, Russia
Medical Center "St. Andrew's Hospitals - NEBOLIT"
Moscow, Russia
Change in the number of infantile colics
Infantile colics are defined according to IV Rome criteria
Time frame: 25 days from the start of treatment
Change in the number of constipations
Constipation is defined according to IV Rome criteria
Time frame: 25 days from the start of treatment
Change in the number of diarrhea cases
Diarrhea is defined according to IV Rome criteria
Time frame: 25 days from the start of treatment
Change in the number of gastroesophageal reflux (posseting) cases
Gastroesophageal reflux is defined according to IV Rome criteria
Time frame: 25 days from the start of treatment
Presence of skin symptoms of food allergy
Presence or absence of skin symptoms of food allergy will be assessed by investigator during general skin examination
Time frame: 25 days from the start of treatment
Change in 16S RNA sequencing
16S RNA in stool
Time frame: 25 days from the start of treatment
Change in concentrations of stool carbohydrates
Carbohydrates concentrations will be measured in stool filtrate
Time frame: 25 days from the start of treatment
Change in concentrations in stool filtrate of volatile fatty acids
Following volatile fatty acids concentrations will be assessed: acetic, propionic, butyric, valeric, caproic and their isomers
Time frame: 25 days from the start of treatment
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