Novel Diagnostics and Probiotics to Improve Management of Paediatric Acute Gastroenteritis

NCT ID: NCT02025452

Last Updated: 2017-03-27

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

76 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-03-31

Study Completion Date

2014-12-31

Brief Summary

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Many children admitted to hospital in Botswana without bloody diarrhoea are presumed to have viral gastroenteritis and so not treated with antibiotics - but they may indeed have a treatable cause for their illness. We will conduct a randomized trial to see if rapid testing using novel methods to identify potentially treatable causes of diarrhoea leads to improved outcomes. We will also be randomizing children to probiotic therapy versus placebo (the standard of care) to see if this treatment decreases the duration of diarrhoea. The proposed study is a pilot trial, necessary before embarking on a large multi-centre trial.

Detailed Description

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Conditions

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Acute Gastroenteritis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Rapid diagnostics and probiotic

Group Type ACTIVE_COMPARATOR

Rapid diagnostic

Intervention Type OTHER

Specimens from rectal mucosa will be obtained using flocked swabs at enrolment. Those in 'rapid diagnostic' groups will have them tested using multiplex PCR the day of enrolment and participants with treatable pathogens will have antimicrobials provided. Those in 'delayed diagnostic' groups will have the swabs batched at tested at the conclusion of the study, being treated as per standard of care.

Probiotic

Intervention Type DIETARY_SUPPLEMENT

Lactobacillus reuteri suspended in vegetable oil, 5 drops/day (1 x 10e8 CFU) x 2 months

Rapid diagnostics and placebo

Group Type PLACEBO_COMPARATOR

Rapid diagnostic

Intervention Type OTHER

Specimens from rectal mucosa will be obtained using flocked swabs at enrolment. Those in 'rapid diagnostic' groups will have them tested using multiplex PCR the day of enrolment and participants with treatable pathogens will have antimicrobials provided. Those in 'delayed diagnostic' groups will have the swabs batched at tested at the conclusion of the study, being treated as per standard of care.

Placebo

Intervention Type OTHER

Identical in appearance to L. reuteri probiotic (same bottle), but simply vegetable oil. Dose is 5 drops/day x 2 months.

Delayed diagnostics and probiotic

Group Type EXPERIMENTAL

Probiotic

Intervention Type DIETARY_SUPPLEMENT

Lactobacillus reuteri suspended in vegetable oil, 5 drops/day (1 x 10e8 CFU) x 2 months

Delayed diagnostics and placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Identical in appearance to L. reuteri probiotic (same bottle), but simply vegetable oil. Dose is 5 drops/day x 2 months.

Interventions

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Rapid diagnostic

Specimens from rectal mucosa will be obtained using flocked swabs at enrolment. Those in 'rapid diagnostic' groups will have them tested using multiplex PCR the day of enrolment and participants with treatable pathogens will have antimicrobials provided. Those in 'delayed diagnostic' groups will have the swabs batched at tested at the conclusion of the study, being treated as per standard of care.

Intervention Type OTHER

Probiotic

Lactobacillus reuteri suspended in vegetable oil, 5 drops/day (1 x 10e8 CFU) x 2 months

Intervention Type DIETARY_SUPPLEMENT

Placebo

Identical in appearance to L. reuteri probiotic (same bottle), but simply vegetable oil. Dose is 5 drops/day x 2 months.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* acute non-bloody gastroenteritis

Exclusion Criteria

* diarrhoea \> 14 days
* sepsis, pneumonia, UTI, meningitis requiring empiric antibiotic therapy
* malignancy, IBD
* known link to another patient with diarrhoea of defined aetiology
* transferred in already on antimicrobials
* live outside study area
* children with severe acute malnutrition will be eligible for diagnostic arm but not probiotic arm
Minimum Eligible Age

2 Months

Maximum Eligible Age

60 Months

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Grand Challenges Canada

OTHER

Sponsor Role collaborator

BioGaia AB

INDUSTRY

Sponsor Role collaborator

Jeffrey Pernica

OTHER

Sponsor Role lead

Responsible Party

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Jeffrey Pernica

Head, Division of Pediatric Infectious Disease

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Jeffrey Pernica, MD

Role: PRINCIPAL_INVESTIGATOR

McMaster University

Locations

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Princess Marina Hospital

Gaborone, , Botswana

Site Status

Scottish Livingstone Hospital

Molepolole, , Botswana

Site Status

Bamalete Lutheran Hospital

Ramotswa, , Botswana

Site Status

Countries

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Botswana

Other Identifiers

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HHS 13-749

Identifier Type: -

Identifier Source: org_study_id

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