Effect of a New Probiotic Strain on Recurrent Acute Otitis Media in Children (PROMAR)
PROMAR
A Randomized, Double-blind, Placebo-controlled Study to Evaluate the Effect of a Probiotic on Recurrent Acute Otitis Media (rAOM) in Children
1 other identifier
interventional
222
1 country
1
Brief Summary
An interventional, randomized, double-blind, placebo-controlled study will be conducted to investigate the effect of a new probiotic strain Lactobacillus salivarius PS7 on Acute Otitis Media (AOM) in children with recurrent AOM history. The study duration will be 7 months, which includes a 6-month product administration and a 1-month follow-up period. Participants will be randomized assigned to one of the three study groups: the control group; a 3 months probiotic +3 months placebo consumption group and a 6 months probiotic consumption group. The efficacy of the probiotic strain to reduce the incidence of AOM episodes will be assessed by counting AOM episodes occurring in study participants, during the entire intervention and follow-up periods, by bilateral comparison of each of the treatment groups with the control group according to the following hypothesis: "The number of AOM episodes occurring in participants who take the probiotic is the same as that for the participants in the control group. λc = λe". Where λc is the mean incidence of AOM in the control group and λe is the mean incidence of AOM in the groups taking the probiotic strain Lactobacillus salivarius PS7 obtained with 95% confidence interval.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Oct 2018
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
July 30, 2018
CompletedFirst Posted
Study publicly available on registry
August 3, 2018
CompletedStudy Start
First participant enrolled
October 2, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 6, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
July 6, 2020
CompletedOctober 22, 2020
October 1, 2020
1.8 years
July 30, 2018
October 20, 2020
Conditions
Outcome Measures
Primary Outcomes (1)
Number of AOM episodes
Number of AOM episodes suffered by participants
7 months
Secondary Outcomes (4)
Patients (%) with at least one AOM episode during the intervention and follow-up periods.
7 months
Number of AOM episodes after 3 months of product intake.
3 months
Time from onset of first AOM episode to the onset of the next episode.
7 months
Adverse events and/or serious adverse events
7 months
Other Outcomes (1)
Variables assessing compliance with the protocol
7 months
Study Arms (3)
L.salivarius PS7 6-months
ACTIVE COMPARATORLactobacillus salivarius PS7 during 6-months; approximately 1\*10E9 colony forming unit (CFU) of L. salivarius PS7 in 1 sachet per day to be diluted in water by mouth for 6-months.
L. salivarius PS7 + placebo (3+3)
ACTIVE COMPARATORLactobacillus salivarius PS7 during 3 months; approximately 1\*10E9 CFU of L. salivarius PS7 in 1 sachet per day to be diluted in water by mouth for 3-months followed by 3 months oral administration of 1sachet per day of placebo supplement to be diluted in water.
Control group
PLACEBO COMPARATORPlacebo supplement in 1 sachet per day to be diluted in water by mouth for 6-months.
Interventions
7 months intervention study: A 6 months intervention period and 1 month follow-up after intervention finishing time. During the 6 months of intervention the participants will intake one daily dose of the product that contains 1\*10E9 CFU of L. salivarius PS7. Then, a 1 month follow-up period will be completed.
7 months intervention study: A 6 months intervention period and 1 month follow-up after intervention finishing time. During the 3 months of intervention the participants will intake one daily dose of the product that contains 1\*10E9 CFU of L. salivarius PS7. After that, the participants will intake one daily dose of the placebo. Then, a 1 month follow-up period will be completed.
7 months intervention study: A 6 months intervention period and 1 month follow-up after intervention finishing time. During the 6 months of intervention the participants will intake one daily dose of placebo supplement.Then, a 1 month follow-up period will be completed.
Eligibility Criteria
You may qualify if:
- Children 1 to 4 years of age with rAOM (3 episodes of AOM in the last 6 months, or 4 in the last 12 months).
- Written informed consent signed by one of parents or legal guardian with the express or tacit consent of the other.
You may not qualify if:
- chronic conditions under regular medication, such as asthma, allergic rhinitis…
- congenital or acquired immunodeficiency,
- taking systemic corticoid in the last 3 months for longer than 1 month
- under present prophylactic antibiotic treatment
- Down syndrome,
- cleft lip or palate,
- chronic tympanic perforation,
- craniofacial abnormalities,
- sleep apnea syndrome,
- planned tympanostomy or tonsillectomy during the months of the study,
- short bowel syndrome or any surgery in the gastrointestinal tract,
- intestinal epithelial barrier defect (e.g., chronic diarrhea, intestinal inflammation),
- metabolic disorders (diabetes, etc.),
- heart failure and cardiac medical history (e.g. artificial heart valve, medical history of infective endocarditis, rheumatic fever or cardiac malformation),
- uncertainty of the investigator regarding the willingness or capacity of the parents or legal guardian of the child to comply with the requirements of the protocol.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- ProbiSearch SLlead
- Casen Recordati S.L.collaborator
Study Sites (1)
Hospital Universitario QuirónSalud Pozuelo
Pozuelo de Alarcón, Madrid, 28223, Spain
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Susana Manzano, PhD
ProbiSearch SL
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 30, 2018
First Posted
August 3, 2018
Study Start
October 2, 2018
Primary Completion
July 6, 2020
Study Completion
July 6, 2020
Last Updated
October 22, 2020
Record last verified: 2020-10