Trial Outcomes & Findings for Probiotic Saccharomyces Boulardii for the Prevention of Antibiotic-associated Diarrhoea (NCT NCT01143272)

NCT ID: NCT01143272

Last Updated: 2016-07-18

Results Overview

Recruitment status

TERMINATED

Study phase

PHASE3

Target enrollment

477 participants

Primary outcome timeframe

29 months

Results posted on

2016-07-18

Participant Flow

Participant milestones

Participant milestones
Measure
Saccharomyces Boulardii
Participants received Saccharomyces boulardii 250 mg capsules twice per day within 24 hours of initiating antibiotic treatment and continued treatment for 7 days after antibiotic discontinuation Saccharomyces boulardii: Units: 500 mg per day Route of administration : Oral Use Hard-Capsule
Microcristallin Cellulose
Participants received matching placebo twice per day within 24 hours of initiating antibiotic treatment and continued treatment for 7 days after antibiotic discontinuation Placebo: Placebo
Overall Study
STARTED
246
231
Overall Study
COMPLETED
246
231
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Probiotic Saccharomyces Boulardii for the Prevention of Antibiotic-associated Diarrhoea

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Saccharomyces Boulardii
n=246 Participants
Participants received Saccharomyces boulardii 250 mg capsules twice per day within 24 hours of initiating antibiotic treatment and continued treatment for 7 days after antibiotic discontinuation Saccharomyces boulardii: Units: 500 mg per day Route of administration : Oral Use Hard-Capsule
Microcristallin Cellulose
n=231 Participants
Participants received matching placebo twice per day within 24 hours of initiating antibiotic treatment and continued treatment for 7 days after antibiotic discontinuation Placebo: Placebo
Total
n=477 Participants
Total of all reporting groups
Age, Continuous
60.1 years
STANDARD_DEVIATION 16.5 • n=5 Participants
56.5 years
STANDARD_DEVIATION 17.8 • n=7 Participants
58.4 years
STANDARD_DEVIATION 17.2 • n=5 Participants
Sex: Female, Male
Female
106 Participants
n=5 Participants
102 Participants
n=7 Participants
208 Participants
n=5 Participants
Sex: Female, Male
Male
140 Participants
n=5 Participants
129 Participants
n=7 Participants
269 Participants
n=5 Participants
Region of Enrollment
Germany
246 participants
n=5 Participants
231 participants
n=7 Participants
477 participants
n=5 Participants
Body height
171.8 cm
STANDARD_DEVIATION 9.4 • n=5 Participants
171.7 cm
STANDARD_DEVIATION 10.0 • n=7 Participants
171.7 cm
STANDARD_DEVIATION 9.7 • n=5 Participants
Body weight
83.1 kg
STANDARD_DEVIATION 17.0 • n=5 Participants
83.0 kg
STANDARD_DEVIATION 18.1 • n=7 Participants
83.0 kg
STANDARD_DEVIATION 17.5 • n=5 Participants
Body mass index
28.1 kg/m^2
STANDARD_DEVIATION 5.2 • n=5 Participants
28.1 kg/m^2
STANDARD_DEVIATION 5.6 • n=7 Participants
28.1 kg/m^2
STANDARD_DEVIATION 5.4 • n=5 Participants
C-reactive protein (CRP)
71.0 mg/L
STANDARD_DEVIATION 89.3 • n=5 Participants
72.2 mg/L
STANDARD_DEVIATION 98.9 • n=7 Participants
71.6 mg/L
STANDARD_DEVIATION 93.9 • n=5 Participants
Leukocyte count
10.3 10^9 cells/L
STANDARD_DEVIATION 4.6 • n=5 Participants
11.4 10^9 cells/L
STANDARD_DEVIATION 6.7 • n=7 Participants
10.8 10^9 cells/L
STANDARD_DEVIATION 5.7 • n=5 Participants

PRIMARY outcome

Timeframe: 29 months

Outcome measures

Outcome measures
Measure
Saccharomyces Boulardii
n=246 Participants
Participants received Saccharomyces boulardii 250 mg capsules twice per day within 24 hours of initiating antibiotic treatment and continued treatment for 7 days after antibiotic discontinuation Saccharomyces boulardii: Units: 500 mg per day Route of administration : Oral Use Hard-Capsule
Microcristallin Cellulose
n=231 Participants
Participants received matching placebo twice per day within 24 hours of initiating antibiotic treatment and continued treatment for 7 days after antibiotic discontinuation Placebo: Placebo
Total Number of Antibiotic-associated Diarrhea Episodes
21 Episodes
19 Episodes

SECONDARY outcome

Timeframe: 29 months

Outcome measures

Outcome measures
Measure
Saccharomyces Boulardii
n=246 Participants
Participants received Saccharomyces boulardii 250 mg capsules twice per day within 24 hours of initiating antibiotic treatment and continued treatment for 7 days after antibiotic discontinuation Saccharomyces boulardii: Units: 500 mg per day Route of administration : Oral Use Hard-Capsule
Microcristallin Cellulose
n=231 Participants
Participants received matching placebo twice per day within 24 hours of initiating antibiotic treatment and continued treatment for 7 days after antibiotic discontinuation Placebo: Placebo
Total Number of Clostridium Difficile-associated Diarrhea Episodes
2 episodes
2 episodes

SECONDARY outcome

Timeframe: 29 months

Outcome measures

Outcome measures
Measure
Saccharomyces Boulardii
n=246 Participants
Participants received Saccharomyces boulardii 250 mg capsules twice per day within 24 hours of initiating antibiotic treatment and continued treatment for 7 days after antibiotic discontinuation Saccharomyces boulardii: Units: 500 mg per day Route of administration : Oral Use Hard-Capsule
Microcristallin Cellulose
n=231 Participants
Participants received matching placebo twice per day within 24 hours of initiating antibiotic treatment and continued treatment for 7 days after antibiotic discontinuation Placebo: Placebo
Total Number of Antibiotic-associated Diarrhea Episodes Without Evidence of Clostridium Difficile (Toxins)
19 episodes
17 episodes

SECONDARY outcome

Timeframe: 29 months

Outcome measures

Outcome measures
Measure
Saccharomyces Boulardii
n=246 Participants
Participants received Saccharomyces boulardii 250 mg capsules twice per day within 24 hours of initiating antibiotic treatment and continued treatment for 7 days after antibiotic discontinuation Saccharomyces boulardii: Units: 500 mg per day Route of administration : Oral Use Hard-Capsule
Microcristallin Cellulose
n=231 Participants
Participants received matching placebo twice per day within 24 hours of initiating antibiotic treatment and continued treatment for 7 days after antibiotic discontinuation Placebo: Placebo
Incidence Density of Antibiotic-associated Diarrhea
0.78 cases per year
0.64 cases per year

SECONDARY outcome

Timeframe: 29 months

Outcome measures

Outcome measures
Measure
Saccharomyces Boulardii
n=246 Participants
Participants received Saccharomyces boulardii 250 mg capsules twice per day within 24 hours of initiating antibiotic treatment and continued treatment for 7 days after antibiotic discontinuation Saccharomyces boulardii: Units: 500 mg per day Route of administration : Oral Use Hard-Capsule
Microcristallin Cellulose
n=231 Participants
Participants received matching placebo twice per day within 24 hours of initiating antibiotic treatment and continued treatment for 7 days after antibiotic discontinuation Placebo: Placebo
Average Duration of Antibiotic-associated Diarrhoea and Clostridium Difficile-associated Diarrhea
4.48 days
Standard Deviation 4.13
4.26 days
Standard Deviation 3.85

SECONDARY outcome

Timeframe: 29 months

Outcome measures

Outcome measures
Measure
Saccharomyces Boulardii
n=246 Participants
Participants received Saccharomyces boulardii 250 mg capsules twice per day within 24 hours of initiating antibiotic treatment and continued treatment for 7 days after antibiotic discontinuation Saccharomyces boulardii: Units: 500 mg per day Route of administration : Oral Use Hard-Capsule
Microcristallin Cellulose
n=231 Participants
Participants received matching placebo twice per day within 24 hours of initiating antibiotic treatment and continued treatment for 7 days after antibiotic discontinuation Placebo: Placebo
Average Number of Bowel Movements in Patients With Antibiotic-associated Diarrhoea and Clostridium Difficile-associated Diarrhea
4.48 bowel movements per day
Standard Deviation 3.82
4.07 bowel movements per day
Standard Deviation 3.13

SECONDARY outcome

Timeframe: 29 months

Outcome measures

Outcome measures
Measure
Saccharomyces Boulardii
n=246 Participants
Participants received Saccharomyces boulardii 250 mg capsules twice per day within 24 hours of initiating antibiotic treatment and continued treatment for 7 days after antibiotic discontinuation Saccharomyces boulardii: Units: 500 mg per day Route of administration : Oral Use Hard-Capsule
Microcristallin Cellulose
n=231 Participants
Participants received matching placebo twice per day within 24 hours of initiating antibiotic treatment and continued treatment for 7 days after antibiotic discontinuation Placebo: Placebo
Total Number of Discontinuation or Change of Initially Prescribed Antibiotic
14 participants
7 participants

Adverse Events

Saccharomyces Boulardii

Serious events: 9 serious events
Other events: 9 other events
Deaths: 0 deaths

Microcristallin Cellulose

Serious events: 3 serious events
Other events: 9 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Saccharomyces Boulardii
n=245 participants at risk
Participants received Saccharomyces boulardii 250 mg capsules twice per day within 24 hours of initiating antibiotic treatment and continued treatment for 7 days after antibiotic discontinuation Saccharomyces boulardii: Units: 500 mg per day Route of administration : Oral Use Hard-Capsule
Microcristallin Cellulose
n=222 participants at risk
Participants received matching placebo twice per day within 24 hours of initiating antibiotic treatment and continued treatment for 7 days after antibiotic discontinuation Placebo: Placebo
Gastrointestinal disorders
Duodenal perforation
0.41%
1/245 • Number of events 1
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.
0.00%
0/222
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.
Gastrointestinal disorders
Duodenal ulcer haemorrhage
0.41%
1/245 • Number of events 1
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.
0.00%
0/222
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.
Gastrointestinal disorders
Upper gastrointestinal haemorrhage
0.41%
1/245 • Number of events 1
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.
0.00%
0/222
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.
General disorders
Sudden cardiac death
0.41%
1/245 • Number of events 1
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.
0.00%
0/222
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.
Hepatobiliary disorders
Cholecystitis acute
0.41%
1/245 • Number of events 1
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.
0.00%
0/222
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.
Infections and infestations
Sepsis
0.82%
2/245 • Number of events 2
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.
0.00%
0/222
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.
Renal and urinary disorders
Renal failure
0.41%
1/245 • Number of events 1
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.
0.45%
1/222 • Number of events 1
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.
Infections and infestations
Pulmonary empyema
0.41%
1/245 • Number of events 1
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.
0.00%
0/222
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.
Hepatobiliary disorders
Hepatic cirrhosis
0.00%
0/245
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.
0.45%
1/222 • Number of events 1
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Bronchial carcinoma
0.00%
0/245
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.
0.45%
1/222 • Number of events 1
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.

Other adverse events

Other adverse events
Measure
Saccharomyces Boulardii
n=245 participants at risk
Participants received Saccharomyces boulardii 250 mg capsules twice per day within 24 hours of initiating antibiotic treatment and continued treatment for 7 days after antibiotic discontinuation Saccharomyces boulardii: Units: 500 mg per day Route of administration : Oral Use Hard-Capsule
Microcristallin Cellulose
n=222 participants at risk
Participants received matching placebo twice per day within 24 hours of initiating antibiotic treatment and continued treatment for 7 days after antibiotic discontinuation Placebo: Placebo
Gastrointestinal disorders
Gastrointestinal pain
0.41%
1/245 • Number of events 1
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.
0.45%
1/222 • Number of events 1
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.
Gastrointestinal disorders
Gastrointestinal sounds abnormal
0.00%
0/245
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.
0.45%
1/222 • Number of events 1
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.
Gastrointestinal disorders
Diarrhoea
0.41%
1/245 • Number of events 1
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.
0.00%
0/222
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.
Gastrointestinal disorders
Nausea
0.41%
1/245 • Number of events 1
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.
0.90%
2/222 • Number of events 2
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.
Gastrointestinal disorders
Vomiting
0.41%
1/245 • Number of events 1
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.
0.45%
1/222 • Number of events 1
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.
Gastrointestinal disorders
Faecal incontinence
0.41%
1/245 • Number of events 1
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.
0.00%
0/222
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.
Gastrointestinal disorders
Flatulence
0.41%
1/245 • Number of events 1
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.
0.00%
0/222
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.
Gastrointestinal disorders
Glossodynia
0.41%
1/245 • Number of events 1
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.
0.00%
0/222
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.
Gastrointestinal disorders
Ileus paralytic
0.41%
1/245 • Number of events 1
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.
0.00%
0/222
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.
Gastrointestinal disorders
Malaise
0.41%
1/245 • Number of events 1
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.
0.00%
0/222
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.
Investigations
Blood pressure increased
0.41%
1/245 • Number of events 1
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.
0.00%
0/222
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.
Metabolism and nutrition disorders
Decreased appetite
0.41%
1/245 • Number of events 1
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.
0.00%
0/222
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Neoplasm malignant
0.41%
1/245 • Number of events 1
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.
0.00%
0/222
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.
Respiratory, thoracic and mediastinal disorders
Bronchospasm
0.41%
1/245 • Number of events 1
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.
0.00%
0/222
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.
Respiratory, thoracic and mediastinal disorders
Cough
0.41%
1/245 • Number of events 1
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.
0.00%
0/222
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.
Skin and subcutaneous tissue disorders
Drug eruption
0.82%
2/245 • Number of events 2
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.
0.00%
0/222
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.
Skin and subcutaneous tissue disorders
Erythema
0.00%
0/245
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.
0.45%
1/222 • Number of events 1
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.
Infections and infestations
Oral candidiasis
0.00%
0/245
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.
0.45%
1/222 • Number of events 1
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.
Investigations
Body temperature increased
0.00%
0/245
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.
0.45%
1/222 • Number of events 1
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.
Skin and subcutaneous tissue disorders
Dermatitis allergic
0.00%
0/245
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.
0.45%
1/222 • Number of events 1
Ten participants did not take trial drug and were excluded from the safety analysis population. Therefore, the numbers of participants at risk are 245 and 222, while the numbers in the participant flow are 246 and 231.

Additional Information

Stephan Ehrhardt

Johns Hopkins Bloomberg School of Public Health

Phone: 410-502-3872

Results disclosure agreements

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