Gastroesophageal Reflux Disease, Gastrointestinal Infections, Respiratory Tract Infections
Conditions
Brief summary
Background: Proton pump inhibitors (PPI) are effective for treating gastroesophageal reflux disease (GERD). However, they may be associated with an increased risk of gastrointestinal and respiratory tract infections. Aim: To determine if Lactobacillus GG (LGG) is an effective adjunct to PPI for reducing the risk of gastrointestinal and respiratory tract infections in children with GERD. Study design: Randomized, double-blind, placebo controlled trial.
Detailed description
Patients with GERD treated with PPI will be randomly assigned to receive LGG in dose of 10(9) Colony Forming Units (CFU) twice daily for 6 weeks or a comparable placebo twice daily for 6 weeks.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* age \<5, * clinical symptoms of GERD * treatment with proton pump inhibitors * signed informed consent
Exclusion criteria
* treatment with PPI within the last 4 weeks for at least 2 weeks * administration of probiotics within 7 days prior to the study * acute or chronic respiratory tract infections * acute or chronic gastrointestinal tract infections * neurological disorders * immunodeficiency
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Respiratory tract infections | up to 3 months after termination of intervention | Number of upper and lower respiratory tract infections during intervention plus 3 months after termination of the intervention |
| Gastrointestinal tract infections | up to 3 months after termination of intervention | Number of gastrointestinal tract infections during during intervention plus 3 months after termination of the intervention |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of pneumonias | up to 3 months after termination of intervention | during intervention plus 3 months after termination of the intervention |
| Adverse events | up to 3 months after termination of intervention | Number and character of adverse events during intervention plus 3 months after termination of the intervention. |
Other
| Measure | Time frame |
|---|---|
| serum level of 25OHD | at 6 weeks |
| fecal calprotectin | at 6 weeks |
| serum level of ferritin | at 6 weeks |
| Total iron binding capacity | at 6 weeks |
| serum level of ferrum | at 6 weeks |
Countries
Poland