A Comparison of Three Medications to Treat Diarrhea in Adults.

NCT ID: NCT00807326

Last Updated: 2012-07-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

415 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-11-30

Study Completion Date

2009-11-30

Brief Summary

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A comparison of three medications to treat diarrhea in adults.

Detailed Description

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This single (investigator) blind, randomized, 3-arm, parallel-group study design was selected to show non-inferiority of loperamide/simeticone caplets compared to chewable tablets in a heterogeneous subject population aiming at validity of results and reducing bias. The study will also compare the loperamide/simeticone combinations versus a probiotic (Saccharomyces boulardii) in the treatment of acute diarrhea in adults. Probiotics have been used for acute infectious diarrhea to reduce the duration and severity of the illness.

Conditions

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Diarrhea

Keywords

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Antidiarrheals

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Investigators

Study Groups

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Loperamide/simeticone Caplets

Drug (including placebo)

Group Type EXPERIMENTAL

Loperamide/simeticone 2 mg/125 mg caplets

Intervention Type DRUG

Oral, 2 caplets taken initially at investigator site followed by one caplet after each unformed stool, maximum 4 caplets in a 24 hour period for a maximum of 48 hours (per product label)

Loperamide/simeticone Chewable Tablets

Drug (including placebo)

Group Type ACTIVE_COMPARATOR

Loperamide/simeticone 2 mg/125 mg chewable tablets

Intervention Type DRUG

Oral, 2 chewable tablets taken initially at the site followed by one chewable tablet after each unformed stool, maximum 4 chewable tablets in a 24 hour period for a maximum of 48 hours (per product label)

Probiotic Capsules

Drug (including placebo)

Group Type ACTIVE_COMPARATOR

Probiotic Saccharomyces boulardii 250 mg capsules

Intervention Type DRUG

Oral, 1 capsule twice a day, maximum 2 capsules in a 24 hour period for a maximum of 5 days (per product label)

Interventions

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Loperamide/simeticone 2 mg/125 mg caplets

Oral, 2 caplets taken initially at investigator site followed by one caplet after each unformed stool, maximum 4 caplets in a 24 hour period for a maximum of 48 hours (per product label)

Intervention Type DRUG

Loperamide/simeticone 2 mg/125 mg chewable tablets

Oral, 2 chewable tablets taken initially at the site followed by one chewable tablet after each unformed stool, maximum 4 chewable tablets in a 24 hour period for a maximum of 48 hours (per product label)

Intervention Type DRUG

Probiotic Saccharomyces boulardii 250 mg capsules

Oral, 1 capsule twice a day, maximum 2 capsules in a 24 hour period for a maximum of 5 days (per product label)

Intervention Type DRUG

Other Intervention Names

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Imodium® Plus Caplet Imodium® Plus Chewable tablet Perenterol® Forte 250mg capsules

Eligibility Criteria

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Inclusion Criteria

* Male or female at least 18 years of age
* Acute diarrhea illness with symptoms onset within 48 hours of study entry
* Minimum of 3 unformed stools in 24 hours before study entry
* Most recent stool is unformed
* Abdominal discomfort/wind (intensity mild to severe) within 4 hours of study entry
* Women of childbearing potential must have a negative pregnancy test at screening
* Willing to adhere to the prohibitions and restrictions specified in this protocol
* Subjects must have signed an informed consent document indicating that they understand the purpose of and procedures required for the study and are willing to participate in the study

Exclusion Criteria

* Requiring hospital admission, parenteral hydration or antibiotic therapy Axillary temperature \>38.2°C or oral temperature \>38.6°C
* History or clinical evidence of gross blood or pus in stool in current illness
* Signs or symptoms of orthostatic hypotension
* Unable to take medication and fluids by mouth
* History of chronic gastrointestinal disease, hepatic or renal insufficiency, or other significant medical condition that could be aggravated by untreated acute diarrhea
* Immunodeficiency (e.g. those with acquired immunodeficiency syndrome \[AIDS\] or known human immunodeficiency virus \[HIV\] infection, or undergoing chemotherapy or radiotherapy)
* Intake of antibiotics, oral antifungals, quinidine or ritonavir within 7 days, antidiarrhoeal, promotility drugs (e.g., metoclopramide, domperidone), antiflatulents (e.g., simeticone, activated charcoal) or probiotics or bismuth salts within 48 hours, or any analgesic within 6 hours prior to study entry Hypersensitivity to loperamide, yeast, or any component of study formulations
* Pregnant or breast-feeding
* Unable to comply with the protocol requirements and schedule
* Any condition that, in the opinion of the investigator, would compromise the well-being of the subject or the study
* Use of opiates (as 'recreational' drugs and as painkillers)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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McNeil AB

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Elisabeth Kruse, PhD

Role: STUDY_DIRECTOR

McNeil AB

Locations

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Manipal Goa Hospital

Mormugao, Goa, India

Site Status

Vrundavan Hospital & Research Centre

Mormugao, Goa, India

Site Status

North West Medical

San José del Cabo, Baja California Sur, Mexico

Site Status

Dr. Maxwell´s Clinic

San Miguel de Allende, Guanuajuato, Mexico

Site Status

Hospital Amerimed Puerto Vallarta

Puerto Vallarta, Jalisco, Mexico

Site Status

Servicios Medicos de la Bahia

Puerto Vallarta, Jalisco, Mexico

Site Status

Countries

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India Mexico

References

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Cottrell J, Koenig K, Perfekt R, Hofmann R; Loperamide-Simethicone Acute Diarrhoea Study Team. Comparison of Two Forms of Loperamide-Simeticone and a Probiotic Yeast (Saccharomyces boulardii) in the Treatment of Acute Diarrhoea in Adults: A Randomised Non-Inferiority Clinical Trial. Drugs R D. 2015 Dec;15(4):363-73. doi: 10.1007/s40268-015-0111-y.

Reference Type DERIVED
PMID: 26541878 (View on PubMed)

Other Identifiers

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LOPDIR4002

Identifier Type: -

Identifier Source: org_study_id