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Trial registered on ANZCTR
Registration number
ACTRN12610000566033
Ethics application status
Approved
Date submitted
22/06/2010
Date registered
13/07/2010
Date last updated
13/07/2010
Type of registration
Retrospectively registered
Titles & IDs
Public title
effect of Lactobacillus GG on tolerance acquisition in children with cow's milk allergy
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Scientific title
A randomised controlled trial on the effect of extensively hydrolyzed casein formula containing Lactobacillus GG (LGG) versus extensively hydrolyzed casein formula on time of tolerance acquisition in children with cow's milk allergy
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Secondary ID [1]
252075
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none
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Universal Trial Number (UTN)
U1111-1115-5667
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Children with cow's milk allergy
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Condition category
Condition code
Oral and Gastrointestinal
257791
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0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Diet and Nutrition
257859
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0
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Other diet and nutrition disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The intervention will consist in a oral administration of a commercially avaliable extensively hydrolyzed casein formula (EHCF) containing LGG (concentration was 2,50x 10 7 to 5x10 8 colony-forming units /CFU/g).
The amount of EHCF ranged from 500 to 1000 ml per day depending on the body weight and age of children. Children enrolled will receive this dietary intervention untill tolerance will be acquired as demonstrated by oral food challenge (OFC)
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Intervention code [1]
256700
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Treatment: Other
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Comparator / control treatment
The control group will receive commercially avaliable extensively hydrolyzed casein formula (EHCF) with the same composition with the exception of absence of LGG
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Control group
Active
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Outcomes
Primary outcome [1]
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time of tolerance acquisition in children affected by cow's milk allergy (CMA). This outcome is assessed by performing oral food challenge (OFC)
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Assessment method [1]
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Timepoint [1]
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Every 3 months starting from baselin until the appearance of oral tolerance in a period of 12 months
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Secondary outcome [1]
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nil
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Assessment method [1]
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Timepoint [1]
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nil
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Eligibility
Key inclusion criteria
children consecutively referred to our tertiary Pediatric Gastroenterology and Allergology Center for suspected CMA-related gastrointestinal symptoms (vomiting, diarrhea, abdominal pain, blood and mucus in the stool)
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Minimum age
1
Months
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Maximum age
24
Months
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Children with chronic systemic diseases, congenital cardiac defects, active tuberculosis, autoimmune diseases, immunodeficiency, chronic inflammatory bowel diseases, celiac disease, cystic fibrosis, metabolic diseases, malignancy, chronic pulmonary diseases and malformations of the gastrointestinal tract
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Patients will be allocated into one of the 2 groups according to a computer-generated randomization list.
The list will be concealed and parents of enrolled children received a sealed opaque envelope containing instruction about dietary product to be used
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Randomisation by using block randomisation created by computer software
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Date of first participant enrolment
Anticipated
1/10/2008
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
66
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
2705
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Italy
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State/province [1]
2705
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Napoli
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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Mead Johnson
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Address [1]
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2400 West Lloyd Expressway Evansville, IN 47721
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Country [1]
257166
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United States of America
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Primary sponsor type
University
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Name
Dipartment of Pediatrics University of Naples Federico II
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Address
via Pansini 5 80131, Napoli
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Country
Italy
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
256423
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Ethics committee address [1]
259208
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Ethics committee country [1]
259208
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Italy
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Date submitted for ethics approval [1]
259208
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05/06/2008
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Approval date [1]
259208
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11/06/2008
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Ethics approval number [1]
259208
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Summary
Brief summary
BACKGROUND. Lactobacillus GG (LGG) modulates immune function and has been proposed in the prevention and treatment of pediatric allergic diseases. AIM. We investigated whether the addition of LGG to an extensively hydrolyzed casein formula (EHCF) could be able to influence the time of tolerance acquisition in children affected by cow’s milk allergy (CMA). METHODS. Children (1-24 months of age) affected by immunoglobulin E (IgE) and non immunoglobulin E (non-IgE) mediated CMA, confirmed by oral food challenge, were randomly allocated to two different dietary interventions: 1, EHCF (Nutramigen'Registered Trademark (R)', Mead Johnson, Italy); 2, EHCF containing LGG for at least 1x106 CFU/g of formula powder LGG (Nutramigen LGG 'Registered Trademark (R)', Mead Johnson, Italy). To investigate the possible tolerance acquisition an oral food challenge was performed every 3 months after diagnosis for 12 months.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Prof. R. Berni Canani
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Address
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via Pansini 5 80131 Napoli, Italia
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Country
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Italy
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Phone
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+0039 0817462680
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Fax
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+00 39 0817462680
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Email
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[email protected]
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Contact person for scientific queries
Name
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Prof. R. Berni Canani
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Address
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via Pansini 5 80131 Napoli, Italia
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Country
5493
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Italy
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Phone
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+00 39 0817462680
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Fax
5493
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+00 39 0817462680
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Email
5493
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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