Impact of Bismuth Subsalicylate on Antimicrobial Use Among Adult Diarrhea Outpatients--Pakistan

NCT ID: NCT02047162

Last Updated: 2019-01-30

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

NA

Total Enrollment

400 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-05-31

Study Completion Date

2014-09-30

Brief Summary

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The purpose of this study is to learn whether bismuth subsalicylate can reduce use of antibiotics among adults with diarrhea in Pakistan.

Detailed Description

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Conditions

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Diarrhea

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Bismuth subsalicylate

Bismuth subsalicylate, 262 mg/chewable tablet, 2 tablets every hour as needed up to 16 tablets per 24 hours, for up to 48 hours.

Group Type EXPERIMENTAL

Bismuth subsalicylate

Intervention Type DRUG

Placebo

Placebo chewable tablets, 2 every hour as needed up to 16 tablets per 24 h, for up to 48 h.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Chewable tablets identical to intervention tablets, but missing the bismuth subsalicylate

Interventions

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Bismuth subsalicylate

Intervention Type DRUG

Placebo

Chewable tablets identical to intervention tablets, but missing the bismuth subsalicylate

Intervention Type OTHER

Other Intervention Names

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Pepto-Bismol

Eligibility Criteria

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Inclusion Criteria

* Persons aged 15 - 65 years old
* Presenting with mild to moderate, non-bloody, acute diarrhea (≥3 loose stools/day for \<3 days) to participating health care settings
* For whom the study physicians recommend antimicrobial treatment

Exclusion Criteria

* Is pregnant
* Requires hospitalization
* Has signs or symptoms of septicemia
* Has a primary complaint of another acute illness
* Has a serious chronic illness
* Has an allergy to aspirin
* Has been exposed to antimicrobial or antidiarrheal medications within 72 hours of enrollment
* Previously enrolled in study
Minimum Eligible Age

15 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Procter and Gamble

INDUSTRY

Sponsor Role collaborator

Health Oriented Preventive Education

OTHER

Sponsor Role collaborator

Centers for Disease Control and Prevention

FED

Sponsor Role lead

Responsible Party

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Anna Bowen

Medical Epidemiologist

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Anna Bowen, MD, MPH

Role: PRINCIPAL_INVESTIGATOR

Centers for Disease Control and Prevention

Locations

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HOPE

Karachi, , Pakistan

Site Status

Countries

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Pakistan

References

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Bowen A, Agboatwalla M, Pitz A, Salahuddin S, Brum J, Plikaytis B. Effect of Bismuth Subsalicylate vs Placebo on Use of Antibiotics Among Adult Outpatients With Diarrhea in Pakistan: A Randomized Clinical Trial. JAMA Netw Open. 2019 Aug 2;2(8):e199441. doi: 10.1001/jamanetworkopen.2019.9441.

Reference Type DERIVED
PMID: 31418805 (View on PubMed)

Other Identifiers

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6469

Identifier Type: -

Identifier Source: org_study_id

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