NCT01124448

Brief Summary

In this study, the investigators will try to confirm if application of probiotic strains isolated from breast milk actually have a beneficial effect on women suffering lactational mastitis. This project has been design to offer an integrated vision of the effects of probiotherapy (Lactobacillus salivarius PS2) on the human host. Therefore, the investigators propose a multidisciplinary approach involving the application of microbiological, immunological, genomic, metagenomic, transcriptomic and metabolomic techniques. The hypothesis is that probiotherapy will cause different effects on the host, and the objective is the finding of markers that may support the beneficial effect of the strain in such condition.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
40

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Mar 2011

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

May 14, 2010

Completed
3 days until next milestone

First Posted

Study publicly available on registry

May 17, 2010

Completed
10 months until next milestone

Study Start

First participant enrolled

March 1, 2011

Completed
2.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2013

Completed
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2013

Completed
9 months until next milestone

Results Posted

Study results publicly available

August 20, 2014

Completed
Last Updated

August 20, 2014

Status Verified

August 1, 2014

Enrollment Period

2.5 years

First QC Date

May 14, 2010

Results QC Date

July 3, 2014

Last Update Submit

August 19, 2014

Conditions

Outcome Measures

Primary Outcomes (1)

  • Evidence of Clinically Definite Mastitis Confirmed by Microbiological Cultures and Somatic Cell Counts

    Total milk bacterial count at the end of the study (after probiotic administration for 21 days), measured as log10 of the number of colony-forming units per mL of milk

    one week

Secondary Outcomes (4)

  • Evidence of Changes in Gene Expression of Somatic Cells Obtained From Milk Samples

    one year

  • Evidence of Changes in the Metabolic Profile of Urine

    One year

  • Evidence of Changes in the Macronutrient and Electrolyte Profiles of Milk

    One year

  • Evidence of Changes in the Immunological Profile of Milk

    one year

Study Arms (2)

Lactobacillus salivarius PS2

EXPERIMENTAL

Women with mastitis (n=25) receiving Lactobacillus salivarius PS2 (9.5 log per day, 21 days)

Biological: Lactobacillus salivarius PS2

Lactobacillus salivarius PS2B

ACTIVE COMPARATOR

Lactating women without mastitis (n=15)

Biological: Lactobacillus salivarius PS2

Interventions

9.5 log10 (colony-forming units), freeze-dried powder, daily for 21 days

Lactobacillus salivarius PS2

Eligibility Criteria

Age18 Years - 45 Years
Sexfemale
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Normal term pregnancy
  • Lactating women
  • Healthy breastfed infant
  • Women with mastitis:
  • Clinical symptoms of mastitis
  • Painful breastfeeding
  • Count of staphylococci, streptococci and/or corynebacteria in milk higher than 3,000 colony-forming units/mL
  • Leukocyte count in milk higher 6 log10/mL
  • Women without mastitis:
  • No clinical symptoms of mastitis
  • No painful breastfeeding
  • Count of staphylococci, streptococci and/or corynebacteria in milk lower than 500 colony-forming units/mL
  • Leukocyte count in milk lower 5 log10/mL

You may not qualify if:

  • Allergy to cow's milk protein
  • Intolerance to lactose
  • Antibiotic treatment
  • Breast abscess
  • Raynaud syndrome
  • Any parallel disease

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Dpt. Nutricion, Bromatologia y Tecnologia de los Alimentos

Madrid, Madrid, 28040, Spain

Location

Related Publications (3)

  • Arroyo R, Martin V, Maldonado A, Jimenez E, Fernandez L, Rodriguez JM. Treatment of infectious mastitis during lactation: antibiotics versus oral administration of Lactobacilli isolated from breast milk. Clin Infect Dis. 2010 Jun 15;50(12):1551-8. doi: 10.1086/652763.

    PMID: 20455694BACKGROUND
  • Jimenez E, Fernandez L, Maldonado A, Martin R, Olivares M, Xaus J, Rodriguez JM. Oral administration of Lactobacillus strains isolated from breast milk as an alternative for the treatment of infectious mastitis during lactation. Appl Environ Microbiol. 2008 Aug;74(15):4650-5. doi: 10.1128/AEM.02599-07. Epub 2008 Jun 6.

    PMID: 18539795BACKGROUND
  • Vazquez-Fresno R, Llorach R, Marinic J, Tulipani S, Garcia-Aloy M, Espinosa-Martos I, Jimenez E, Rodriguez JM, Andres-Lacueva C. Urinary metabolomic fingerprinting after consumption of a probiotic strain in women with mastitis. Pharmacol Res. 2014 Sep;87:160-5. doi: 10.1016/j.phrs.2014.05.010. Epub 2014 May 29.

MeSH Terms

Conditions

Mastitis

Condition Hierarchy (Ancestors)

Puerperal DisordersPregnancy ComplicationsFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesBreast DiseasesSkin DiseasesSkin and Connective Tissue Diseases

Results Point of Contact

Title
Dr. Juan M Rodríguez
Organization
Complutense University Madrid

Study Officials

  • Juan M Rodríguez, PhD

    Universidad Complutense de Madrid

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
Yes
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
BASIC SCIENCE
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor, PhD

Study Record Dates

First Submitted

May 14, 2010

First Posted

May 17, 2010

Study Start

March 1, 2011

Primary Completion

September 1, 2013

Study Completion

December 1, 2013

Last Updated

August 20, 2014

Results First Posted

August 20, 2014

Record last verified: 2014-08

Locations