Efficacy of Lactobacillus GG With Diosmectite in Treatment Children With Acute Gastroenteritis

NCT ID: NCT01657032

Last Updated: 2014-04-01

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

88 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-08-31

Study Completion Date

2012-10-31

Brief Summary

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Treatment diarrhea with Lactobacillus GG or smectite has proven efficacy. A randomized, double blind, placebo-control trial was performed to assess the effectiveness of both LGG and smectite in management of children with acute gastroenteritis (AGE).

Detailed Description

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ESPGHAN agreed to use probiotics, with proven efficacy, and smectite in treatment of AGE as an adjunct to standard rehydration therapy. Among probiotics Lactobacillus GG were found to be beneficial in meta-analyses. Treatment with LGG was associated with a significant reduction in diarrhea duration.

A recent review systematically evaluated the efficacy of smectite in treating acute infections diarrhea in infants and children.

Conditions

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Diarrhea

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Lactobacillus GG and Smectite

Children received:

* LGG (ATCC 53103), dose 6×10 9 colony forming units (CFU), once a day for 7 days and
* smectite, dose 3 g, once daily orally until diarrhea stopped

Group Type EXPERIMENTAL

Smectite

Intervention Type DIETARY_SUPPLEMENT

Eligible children received smectite (3g) once a day till diarrhea stop with LGG (ATCC 53103) at a daily dosage of 6×10 9 colony forming units (CFU) in one dose for 7 days.

Lactobacillus GG

Intervention Type DIETARY_SUPPLEMENT

All children received LGG (ATCC 53103), dose 6×10 9 colony forming units (CFU), once a day for 7 days with placebo or smectite

Lactobacillus GG and Placebo

Children received:

* LGG (ATCC 53103), dose 6×10 9 colony forming units (CFU), once a day for 7 days and
* placebo (glucose), dose 3 g, once daily orally until diarrhea stopped

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DIETARY_SUPPLEMENT

Eligible children received placebo: glucose (3g) once a day till diarrhea stop with LGG (ATCC 53103) at a daily dosage of 6×10 9 colony forming units (CFU) in one dose for 7 days.

Lactobacillus GG

Intervention Type DIETARY_SUPPLEMENT

All children received LGG (ATCC 53103), dose 6×10 9 colony forming units (CFU), once a day for 7 days with placebo or smectite

Interventions

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Smectite

Eligible children received smectite (3g) once a day till diarrhea stop with LGG (ATCC 53103) at a daily dosage of 6×10 9 colony forming units (CFU) in one dose for 7 days.

Intervention Type DIETARY_SUPPLEMENT

Placebo

Eligible children received placebo: glucose (3g) once a day till diarrhea stop with LGG (ATCC 53103) at a daily dosage of 6×10 9 colony forming units (CFU) in one dose for 7 days.

Intervention Type DIETARY_SUPPLEMENT

Lactobacillus GG

All children received LGG (ATCC 53103), dose 6×10 9 colony forming units (CFU), once a day for 7 days with placebo or smectite

Intervention Type DIETARY_SUPPLEMENT

Other Intervention Names

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Smecta glucose Dicoflor 30

Eligibility Criteria

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Inclusion Criteria

* children \< 5 years old
* diarrhea (defined as the passage of 3 or more loose or watery stools per day) for \> 1 day but \< 5 days
* inform consent sing

Exclusion Criteria

* diarrhea \< 1 or \> 5 days,
* a recent history of diarrhea indicated either by parents/guardian or hospital case notes,
* underlying chronic gastrointestinal disease,
* undernutrition (weight/height ratio below the 5th percentile),
* systematic infection,
* immune defects or immunosuppressive treatment
Minimum Eligible Age

3 Months

Maximum Eligible Age

5 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Medical University of Warsaw

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Department of Paediatrics, The Medical University of Warsaw

Warsaw, Warsaw, Poland

Site Status

Countries

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Poland

References

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Guarino A, Albano F, Ashkenazi S, Gendrel D, Hoekstra JH, Shamir R, Szajewska H; ESPGHAN/ESPID Evidence-Based Guidelines for the Management of Acute Gastroenteritis in Children in Europe Expert Working Group. European Society for Paediatric Gastroenterology, Hepatology, and Nutrition/European Society for Paediatric Infectious Diseases evidence-based guidelines for the management of acute gastroenteritis in children in Europe: executive summary. J Pediatr Gastroenterol Nutr. 2008 May;46(5):619-21. doi: 10.1097/MPG.0b013e31816e219e. No abstract available.

Reference Type BACKGROUND
PMID: 18493225 (View on PubMed)

Guarner F, Schaafsma GJ. Probiotics. Int J Food Microbiol. 1998 Feb 17;39(3):237-8. doi: 10.1016/s0168-1605(97)00136-0. No abstract available.

Reference Type BACKGROUND
PMID: 9553803 (View on PubMed)

Szajewska H, Skorka A, Ruszczynski M, Gieruszczak-Bialek D. Meta-analysis: Lactobacillus GG for treating acute diarrhoea in children. Aliment Pharmacol Ther. 2007 Apr 15;25(8):871-81. doi: 10.1111/j.1365-2036.2007.03282.x.

Reference Type BACKGROUND
PMID: 17402990 (View on PubMed)

Szajewska H, Dziechciarz P, Mrukowicz J. Meta-analysis: Smectite in the treatment of acute infectious diarrhoea in children. Aliment Pharmacol Ther. 2006 Jan 15;23(2):217-27. doi: 10.1111/j.1365-2036.2006.02760.x.

Reference Type BACKGROUND
PMID: 16393300 (View on PubMed)

Other Identifiers

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KB2010

Identifier Type: -

Identifier Source: org_study_id

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