Efficacy of Zinc Sulfate With Probiotics for the Treatment of Acute Diarrhea in Children

NCT ID: NCT01140074

Last Updated: 2010-06-10

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

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

256 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-07-31

Study Completion Date

2012-06-30

Brief Summary

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Diarrheal disease is one of the major causes of morbidity and mortality in children under five. Disease is treated symptomatically with oral rehydration (ORS) as a basic measure. In children with severe zinc deficiency, diarrhea is common and responds quickly to zinc supplementation. Zinc supplementation may also helpful in diarrheal children without zinc deficiency. Effectiveness of zinc was proven in developing countries but was not in Europe. Objective of our study is to assess whether zinc supplementation given with probiotics and ORS is effective in acute diarrhea in children in Poland.

Detailed Description

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A double-blind, placebo controlled trial

\- We are going to enroll 256 patients (aged \> 1 months to 36 months) with acute watery diarrhea defined as 3 d or more watery stools per day lasting not less than 1 day and not longer than 5 days.

Exclusion criteria:

severe dehydration (\> 10%) Coexisting severe infection (E.g. Sepsis, pneumonia, meningitis) Immune deficiency Chronic digestive tract disease (e.g. celiac diseases, food allergy) Therapy with Antibiotics

Patients will be randomly assigned to 2 groups to receive: (a) zinc sulfate 10-20 mg/day for 10 days plus probiotics for 5 days (b) placebo for 10 days plus probiotics for 5 days. Patients will be observed in ambulatory or in the hospital (if necessary) and followed up for 15 days.

Randomization 1:1

Conditions

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Acute Watery Diarrhoea

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Zinc sulfate

Children in active treatment group will be given zinc sulfate 10-20 mg per day orally plus probiotics

Group Type EXPERIMENTAL

Zinc Sulfate

Intervention Type DRUG

Zinc Sulfate in sugar sirup will be given orally in dosis of 10-20 mg per day for 10 days

Placebo

Children will be given placebo plus probiotics

Group Type PLACEBO_COMPARATOR

Zinc Sulfate

Intervention Type DRUG

Zinc Sulfate in sugar sirup will be given orally in dosis of 10-20 mg per day for 10 days

Interventions

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Zinc Sulfate

Zinc Sulfate in sugar sirup will be given orally in dosis of 10-20 mg per day for 10 days

Intervention Type DRUG

Other Intervention Names

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brand product is not available in Poland

Eligibility Criteria

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Inclusion Criteria

* Age 1-36 months
* Acute diarrhea defined as 3 or more watery stools per day
* Informed consent (parents)

Exclusion Criteria

* Severe dehydration (\> 10%)
* Coexisting severe infection (e.g. sepsis, pneumonia, meningitis)
* Immune deficiency
* Chronic digestive tract disease (e.g. celiac diseases, food allergy)
* Antibiotic therapy
Minimum Eligible Age

1 Month

Maximum Eligible Age

36 Months

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital No 1 Wroclaw

OTHER

Sponsor Role lead

Responsible Party

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Katedra i Klinka Pediatrii i Chorob Infekcyjnych AM we Wroclawiu

Principal Investigators

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Leszek Szenborn, Prof

Role: PRINCIPAL_INVESTIGATOR

Wroclaw Medical University

Locations

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Szpital im Sw Jadwigi w Trzebicy

Trzebnica, , Poland

Site Status

Klinika Pediatrii i Chorob Infekcyjnych Akademii Medycznej we Wroclawiu

Wroclaw, , Poland

Site Status

Countries

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Poland

Central Contacts

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Leszek Szenborn, Prof

Role: CONTACT

++48717703151

Ernest P. Kuchar, MD

Role: CONTACT

++48717703156

Facility Contacts

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Jerzy Pejcz, MD

Role: primary

++48713120913

Leszek Szenborn, Prof

Role: primary

++48717703151

Ernest P. Kuchar, MD

Role: backup

++48717703156

References

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Larson CP, Nasrin D, Saha A, Chowdhury MI, Qadri F. The added benefit of zinc supplementation after zinc treatment of acute childhood diarrhoea: a randomized, double-blind field trial. Trop Med Int Health. 2010 Jun;15(6):754-61. doi: 10.1111/j.1365-3156.2010.02525.x. Epub 2010 Mar 29.

Reference Type BACKGROUND
PMID: 20374562 (View on PubMed)

Fajolu IB, Emokpae A, Oduwole AO, Silva BO, Abidoye RO, Renner JK. Zinc supplementation in children with acute diarrhoea. Nig Q J Hosp Med. 2008 Apr-Jun;18(2):101-3. doi: 10.4314/nqjhm.v18i2.44997.

Reference Type BACKGROUND
PMID: 19068562 (View on PubMed)

Boran P, Tokuc G, Vagas E, Oktem S, Gokduman MK. Impact of zinc supplementation in children with acute diarrhoea in Turkey. Arch Dis Child. 2006 Apr;91(4):296-9. doi: 10.1136/adc.2005.079939. Epub 2005 Dec 14.

Reference Type BACKGROUND
PMID: 16354711 (View on PubMed)

Roy SK, Tomkins AM, Akramuzzaman SM, Behrens RH, Haider R, Mahalanabis D, Fuchs G. Randomised controlled trial of zinc supplementation in malnourished Bangladeshi children with acute diarrhoea. Arch Dis Child. 1997 Sep;77(3):196-200. doi: 10.1136/adc.77.3.196.

Reference Type RESULT
PMID: 9370894 (View on PubMed)

Other Identifiers

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KB-501/2009

Identifier Type: -

Identifier Source: org_study_id

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