Trial Outcomes & Findings for Efficacy and Safety Study in the Prevention of Antibiotic-Associated Diarrhea (AAD) and Clostridium Difficile-Associated Diarrhea (CDAD) in Hospitalized Adult Patients Exposed to Nosocomial Infection (NCT NCT00958308)

NCT ID: NCT00958308

Last Updated: 2012-03-13

Results Overview

Incidence of AAD data were collected using questionnaire and diaries given to participants upon discharge. Diagnosis of AAD was made when a patient produced three or more liquid stools in a 24h period after antibiotic treatment with no other obvious reason for diarrhea.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

255 participants

Primary outcome timeframe

Up to 40 days

Results posted on

2012-03-13

Participant Flow

1120 patients screened, 255 enrolled at the Xinhua/Yuyao Hospital, Shangai Jiao Tong University, China between Oct. 2008 and March 2009.

Inclusion \& exclusion criterias were used to randomized patients.

Participant milestones

Participant milestones
Measure
Placebo
Two capsules of placebo (devoid of microorganisms) per day. Patients took their daily dose 2h after breakfast and antibiotic administration each day. Patients were then followed for an additionnal 21 days after completion of the assigned intervention.
BIO-K+ CL-1285® & Placebo
One capsule of probiotic (BIO-K+ CL-1285® with 50 billion colony forming units (CFU)) and one capsule of placebo (devoid of microorganisms) per day. Patients took their daily dose 2h after breakfast and antibiotic administration each day. Patients were then followed for an additionnal 21 days after completion of the assigned intervention.
BIO-K+ CL-1285
Two capsules of probiotic(BIO-K+ CL-1285® - each capsule contains 50 billion CFU) per day. Patients took their daily dose 2h after breakfast and antibiotic administration each day. Patients were then followed for an additionnal 21 days after completion of the assigned intervention.
Overall Study
STARTED
84
85
86
Overall Study
COMPLETED
84
85
86
Overall Study
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Efficacy and Safety Study in the Prevention of Antibiotic-Associated Diarrhea (AAD) and Clostridium Difficile-Associated Diarrhea (CDAD) in Hospitalized Adult Patients Exposed to Nosocomial Infection

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo
n=84 Participants
Two capsules of placebo (devoid of microorganisms) per day. Patients took their daily dose 2h after breakfast and antibiotic administration each day. Patients were then followed for an additionnal 21 days after completion of the assigned intervention.
BIO-K+ CL-1285® & Placebo
n=85 Participants
One capsule of probiotic (BIO-K+ CL-1285® with 50 billion colony forming units (CFU)) and one capsule of placebo (devoid of microorganisms) per day. Patients took their daily dose 2h after breakfast and antibiotic administration each day. Patients were then followed for an additionnal 21 days after completion of the assigned intervention.
BIO-K+ CL-1285
n=86 Participants
Two capsules of probiotic(BIO-K+ CL-1285® - each capsule contains 50 billion CFU) per day. Patients took their daily dose 2h after breakfast and antibiotic administration each day. Patients were then followed for an additionnal 21 days after completion of the assigned intervention.
Total
n=255 Participants
Total of all reporting groups
Age Continuous
60.4 years
STANDARD_DEVIATION 5.88 • n=5 Participants
60.2 years
STANDARD_DEVIATION 6.03 • n=7 Participants
60.0 years
STANDARD_DEVIATION 6.32 • n=5 Participants
60 years
STANDARD_DEVIATION 6 • n=4 Participants
Sex: Female, Male
Female
42 Participants
n=5 Participants
42 Participants
n=7 Participants
40 Participants
n=5 Participants
124 Participants
n=4 Participants
Sex: Female, Male
Male
42 Participants
n=5 Participants
43 Participants
n=7 Participants
46 Participants
n=5 Participants
131 Participants
n=4 Participants
Region of Enrollment
China
84 participants
n=5 Participants
85 participants
n=7 Participants
86 participants
n=5 Participants
255 participants
n=4 Participants

PRIMARY outcome

Timeframe: Up to 40 days

Incidence of AAD data were collected using questionnaire and diaries given to participants upon discharge. Diagnosis of AAD was made when a patient produced three or more liquid stools in a 24h period after antibiotic treatment with no other obvious reason for diarrhea.

Outcome measures

Outcome measures
Measure
Placebo
n=84 Participants
Two capsules of placebo (devoid of microorganisms)per day. Patients took their daily dose 2h after breakfast and antibiotic administration each day. Patients were then followed for an additionnal 21 days after completion of the assigned intervention.
BIO-K+ CL-1285® & Placebo
n=85 Participants
One capsule of probiotic (BIO-K+ CL-1285® with 50 billion colony forming units (CFU)) and one capsule of placebo (devoid of microorganisms) per day. Patients took their daily dose 2h after breakfast and antibiotic administration each day. Patients were then followed for an additionnal 21 days after completion of the assigned intervention.
BIO-K+ CL-1285
n=86 Participants
Two capsules of probiotic (each capsule contains 50 billion CFU) per day. Patients took their daily dose 2h after breakfast and antibiotic administration each day. Patients were then followed for an additionnal 21 days after completion of the assigned intervention.
To Assess if Probiotic Prophylaxis (BIO-K+CL1285®) is Effective for the Prevention of AAD in Hospitalized Patients.
84 participants
85 participants
86 participants

SECONDARY outcome

Timeframe: Up to 40 days

Duration of diarrhea was determined by number of continuous days of diarrhea. Average number of liquid stools per day was determined by the sum of the number of liquid stools per day in the AAD episode divided by the duration of diarrhea in days.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Up to 40 days

If diarrhea occured while hospitalized, patients provided a stool sample for C. difficile analysis of Toxin A and/or B. All episodes were recorded by a nurse of clinician on a case report form using the seven-item Bristol Stool Form Scale (Riegler et al., 2001). A diarrhea episode was described as a bowel movement consisting of watery stool with or without solids.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Up to 40 days

Adverse events were reported by patients in the three study groups.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Up to 40 days

Episodes of gastrointestinal disorders during hospitalization were recorded by patient interview and were confirmed by review of patient diaries.

Outcome measures

Outcome data not reported

Adverse Events

Placebo

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

BIO-K+ CL-1285® & Placebo

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

BIO-K+ CL-1285

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Placebo
n=84 participants at risk
Two capsules of placebo (devoid of microorganisms) per day. Patients took their daily dose 2h after breakfast and antibiotic administration each day. Patients were then followed for an additionnal 21 days after completion of the assigned intervention.
BIO-K+ CL-1285® & Placebo
n=85 participants at risk
One capsule of probiotic (BIO-K+ CL-1285® with 50 billion colony forming units (CFU)) and one capsule of placebo (devoid of microorganisms) per day. Patients took their daily dose 2h after breakfast and antibiotic administration each day. Patients were then followed for an additionnal 21 days after completion of the assigned intervention.
BIO-K+ CL-1285
n=86 participants at risk
Two capsules of probiotic(BIO-K+ CL-1285® - each capsule contains 50 billion CFU) per day. Patients took their daily dose 2h after breakfast and antibiotic administration each day. Patients were then followed for an additionnal 21 days after completion of the assigned intervention.
General disorders
Fever and hematochezia
2.4%
2/84
0.00%
0/85
1.2%
1/86

Additional Information

Dr. Serge Carrière

Bio-K+ International. Inc.

Phone: 450-978-2465

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60