Skip to main content
OpenTrials
Completed

NCT Number: NCT03081845

A1 Versus A2® Milk on the Gastrointestinal Physiology, Symptoms and Cognitive Behaviour for the Preschool Children

This is a multiple-sites, double-blinded, randomized, controlled, parallel-designed, cross-over study among healthy preschoolers with 5 days consumption of A2 or A1 milk to compare the effects on gut inflammation, gastrointestinal symptoms and behavioral well-being.

Completed

Looking for future studies?

Notify Me

Key information

Conditions

Age range

5 year–6 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 4

About this study

Gut inflammation is reflected by serum C-Reactive Protein (CRP), hemoglobin (HB), interleukin-4 (IL-4), Immunoglobulin G (IgG), Immunoglobulin E (IgE), Immunoglobulin G1 (IgG1), Immunoglobulin G2a (IgG2a), β-Casomorphin-7 (BCM-7), Glutathione, calcium (Ca), iron (Fe) and zinc (Zn) concentration; gastrointestinal (GI) symptoms are measured via Visual Analog Scale (VAS) for gut tolerance, including borborygmus, bloating, break wind, abdominal pain, and diarrhea; behavioral well-being is assessed using Subtle Cognitive Impairment Test (SCIT).

The total duration of study was 24 weeks, including subject enrollment, study intervention, laboratory testing, and providing clinical study report. The cross-over study consisted of 5 days of each product intervention; 10 days of wash-out in phase 1 and phase 2, respectively; and then followed by 6 weeks of statistical analysis and clinical report completion.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Non-regular milk drinker;
  • Suffered from mild to moderate milk intolerance;
  • Agree not to take any medication, supplements, nutrition or other dairy products including acidophilus milk;
  • Parent(s) or legal guardian's consent to the study and willing to comply with study procedures;
  • Parent(s) or guardian of infant agrees not to enroll infant another clinical study while participating in this study;
  • Fully understand the nature, objective, benefit and the potential risks and side effects of the study.

Exclusion criteria

  • Have known dairy allergy;
  • Suffered from severe milk intolerance;
  • Unable to give written informed consent;
  • Use of antibiotics at the time of screening, or during the past two weeks;
  • Have history of fecal impaction;
  • Trying to lose weight by following a diet or exercise regimen designed for weight loss, or taking any drug influencing appetite and any drug for weight loss for the last three months;
  • Have participated in similar dairy or probiotics-containing product's clinical trials within 3 months before the screening;
  • Currently taking medicines for cardiovascular or metabolic disease;
  • Have history of or be diagnosed of any of the following diseases that may affect the study results: gastrointestinal disorders, hepatopathy, nephropathy, endocrine disease, blood disorders, respiratory and cardiovascular diseases;
  • Currently suffering from any gastrointestinal disorders or gastrointestinal disease , including but not limited to: irritable bowel syndrome, colitis, ulcerative colitis, celiac disease, irritable bowel syndrome (IBS);
  • Had hospitalizations within 3 months before screening;
  • According to investigator's judgment, current frequent users of drugs may affect the gastrointestinal function or immune system.

Treatment and study plan

Oral consumption of milk A1 in study phase 1

Dietary Supplement

Oral consumption of 250 ml of milk containing both A1 and A2 type beta casein 2 times per day after meal for 5 days in study phase 1.

Oral consumption of milk A2 in study phase 1

Dietary Supplement

Oral consumption of 250 ml of milk containing only A2 type beta casein 2 times per day after meal for 5 days in study phase 1.

Oral consumption of milk A1 in study phase 2

Dietary Supplement

Oral consumption of 250 ml of milk containing both A1 and A2 type beta casein 2 times per day after meal for 5 days in study phase 2.

Oral consumption of milk A2 in study phase 2

Dietary Supplement

Oral consumption of 250 ml of milk containing only A2 type beta casein 2 times per day after meal for 5 days in study phase 2.

Primary outcomes

  1. Change from baseline of gastrointestinal symptom VAS scores

    Time frame: Baseline (day 1 for phase 1 and day 15 for phase 2, before product consumption), at the end of the 5-day product consumption (day 5 for phase 1 and day 19 for phase 2)

    were self-measured by study subjects on a scale from 0 (never) to 3 (always) at baseline (day 1 for phase 1 and day 15 for phase 2, before product consumption) and at the end of the 5-day product consumption (day 5 for phase 1 and day 19 for phase 2).

Secondary outcomes

  1. Stool frequency

    Time frame: Day -4, -3, -2, -1, 0, 1, 2, 3, 4, 5, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19

    In each study phase, the number of defecation per day measured during the last 5 days of wash-out period (day -4, -3, -2, -1, 0 in phase 1 and day 10, 11, 12, 13, 14 in phase 2) and the 5 days of product intervention (day 1, 2, 3, 4, 5 in phase 1 and day 15, 16, 17, 18, 19 in phase 2).

  2. Stool consistency

    Time frame: Day -4, -3, -2, -1, 0, 1, 2, 3, 4, 5, 10, 11, 12, 13, 14, 5, 16, 17, 18, 19

    In each study phase, the score of stool consistency assessed using Bristol Stool Chart during the last 5 days of wash-out period (day -4, -3, -2, -1, 0 in phase 1 and day 10, 11, 12, 13, 14 in phase 2) and the 5 days of product intervention (day 1, 2, 3, 4, 5 in phase 1 and day 15, 16, 17, 18, 19 in phase 2).

  3. Serum C-reactive protein (CRP) concentration

    Time frame: Day 1 before intervention (baseline), and day 5 (post-intervention)

    Only measured in phase 1

  4. Serum Hemoglobin (HGB) concentration

    Time frame: Day 1 before intervention (baseline), and day 5 (post-intervention)

    Only measured in phase 1

  5. Serum Interleukin-4 (IL-4) concentration

    Time frame: Day 1 before intervention (baseline), and day 5 (post-intervention)

    Only measured in phase 1

  6. Serum Immunoglobulin G (IgG) concentration

    Time frame: Day 1 before intervention (baseline), and day 5 (post-intervention)

    Only measured in phase 1

  7. Serum Immunoglobulin E (IgE) concentration

    Time frame: Day 1 before intervention (baseline), and day 5 (post-intervention)

    Only measured in phase 1

  8. Serum Immunoglobulin G1 (IgG1) concentration

    Time frame: Day 1 before intervention (baseline), and day 5 (post-intervention)

    Only measured in phase 1

  9. Serum Immunoglobulin G2a (IgG2a) concentration

    Time frame: Day 1 before intervention (baseline), and day 5 (post-intervention)

    Only measured in phase 1

  10. Serum β-Casomorphin-7 (BCM-7) concentration

    Time frame: Day 1 before intervention (baseline), and day 5 (post-intervention)

    Only measured in phase 1

  11. Serum Glutathione concentration

    Time frame: Day 1 before intervention (baseline), and day 5 (post-intervention)

    Only measured in phase 1

  12. Serum calcium (Ca) concentration

    Time frame: Day 1 before intervention (baseline), and day 5 (post-intervention)

    Only measured in phase 1

  13. Serum iron (Fe) concentration

    Time frame: Day 1 before intervention (baseline), and day 5 (post-intervention)

    Only measured in phase 1

  14. Serum zinc (Zn) concentration

    Time frame: Day 1 before intervention (baseline), and day 5 (post-intervention)

    Only measured in phase 1

  15. Fecal short chain fatty acids (SCFA) concentration

    Time frame: Day 1, Day 5, Day 15, Day 19

    Measured at baseline and post-intervention in each study phase

  16. myeloperoxidase (MPO)

    Time frame: Day 1, Day 5, Day 15, Day 19

    Measured at baseline and post-intervention in each study phase

  17. Subtle Cognitive Impairment Test (SCIT)

    Time frame: 16, 32, 48, 64, 80, 96, 112 and 128 millisecond on day 1; 16, 32, 48, 64, 80, 96, 112 and 128 millisecond on day 5; 16, 32, 48, 64, 80, 96, 112 and 128 millisecond on day 15; 16, 32, 48, 64, 80, 96, 112 and 128 millisecond on day 19

    Subject response time and error rate at stimulus exposure duration of 16, 32, 48, 64, 80, 96, 112 and 128 millisecond, as well as their head and tail means were recorded at baseline (day 1 for phase 1 and day 15 for phase 2) and the end of intervention (day 5 for phase 1 and day 19 for phase 2).

Sponsors and collaborators

Lead sponsor

a2 Milk Company Ltd.

Industry

Registry information

Official study title

Comparative Effects of A1 Versus A2® Milk on the Gastrointestinal Physiology, Symptoms and Cognitive Behaviour for the Preschool Children: a Double-blinded Randomized Controlled Cross-over Study

Important dates

Study start
2016
Primary completion
2016
Study completion
2017
First posted
Mar 16, 2017
Registry last updated
Mar 16, 2017

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.