Efficacy of Diosmectite (Smecta®) in the Symptomatic Treatment of Acute Diarrhoea in Adults

NCT ID: NCT02704091

Last Updated: 2020-11-05

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

858 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-03-17

Study Completion Date

2019-04-08

Brief Summary

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The purpose of the study is to demonstrate that diosmectite efficacy is superior to placebo regarding time to recovery of an acute diarrhoea episode presumed of infectious origin in adult subjects.

Detailed Description

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Conditions

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Acute Diarrhoea

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Smecta

2 sachets, three times a day (TID), during 5 to 9 days

Group Type ACTIVE_COMPARATOR

Smecta

Intervention Type DRUG

Smecta placebo

2 sachets of placebo, TID, during 5 to 9 days

Group Type PLACEBO_COMPARATOR

Smecta placebo

Intervention Type DRUG

Interventions

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Smecta

Intervention Type DRUG

Smecta placebo

Intervention Type DRUG

Other Intervention Names

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Diosmectite Beaufour

Eligibility Criteria

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Inclusion Criteria

* Provision of written informed consent prior to any study related procedures
* Male or female subject (outpatient) legally considered as an adult (age of majority). In Czech Republic, the upper limit of age will be 70 years inclusive. In Egypt, the upper limit of age will be 60 years inclusive.
* Subject has a diagnosis of acute diarrhoea presumed of infectious origin, defined as the passage of 3 or more unformed loose or watery stools (rated according to the Bristol scale) per day within the last 48 hours without associated alarm symptoms
* Subject has, usually, normal bowel habits (Rome III criteria), i.e. at least 3 stools per week and no more than 3 stools per day
* Subject must be willing and able to comply with study restrictions and willing to return to the clinic for the follow up evaluation(s) as specified in the protocol.

Exclusion Criteria

* At least one of the following alarm symptoms

* Bloody diarrhoea\*,
* pus in the stools\*,
* fever ≥38°C\*,
* moderate or severe dehydration according to World Health Organisation (WHO) definition, requiring intravenous (IV) rehydration\*,
* repeated vomiting\*,
* persistent abdominal pain\* \*These symptoms are considered as alarm symptoms
* other episode of acute watery diarrhoea within the previous 30 days,
* persistent diarrhoea, defined as acutely starting episode of diarrhoea lasting more than 14 days,
* history of chronic diarrhoea (Rome III criteria); i.e. 3 or more loose or watery stools per day for at least 12 weeks, consecutive or not, in the preceding 12 months,
* traveller's diarrhoea defined as a diarrhoeal episode due to contamination experienced by subjects having travelled in at risk countries, or coming from abroad and experiencing locally an acute diarrhoea episode, occurring usually within the first 2 weeks of the stay in a foreign environment.


* Diarrhoea suspected to be induced by drug for example:

* antibiotic therapy, including Clostridium difficile-induced diarrhoea, within 1 week before entry in the study,
* laxative agent
* thyroid hormone (at a nonstabilised dosing),
* intake of other prohibited drugs (as specified in the protocol)
* anti-diarrhoeal agent intake during the last month,
* any subject requiring repeated intake of a drug with a narrow therapeutic margin (as specified in the protocol),
* history of hypersensitivity to diosmectite or its excipients or placebo components,
* subject likely to require treatment during the study with drugs that are not permitted by the study protocol (for example, antibiotic agent, anti-diarrhoeal agent, antiemetic drug, antispasmodic drug),
* use of any investigational medication within the last 30 days before entering this study,
* subject who previously entered in a clinical study within the past 30 days.


* History of gastric or intestinal resection, vagotomy,
* known digestive malabsorption disease, including coeliac disease
* known lactose intolerance,
* any suspicion of abdominal surgery need,
* known inflammatory bowel disease.


* Known Human immunodeficiency virus (HIV) positive status,
* known or suspected immunosuppression,
* known severe renal insufficiency (including e-GFR not less than 45 mL/min) or hepatic insufficiency,
* known endocrine disease or Type II Diabetes Mellitus with HBA1c more than 8,5% or insulin-dependent diabetes,
* history of, or known current, problems with alcohol abuse and/or known drug addiction (cocaine, heroin, hashish…),
* previous enrolment in this study,
* any mental condition rendering the subject unable to understand the nature, scope and possible consequences of the study, and/or evidence of an uncooperative attitude.
* Pregnant or lactating women
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ipsen

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ipsen Medical Director

Role: STUDY_DIRECTOR

Ipsen

Locations

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Cabinet privé, Coopératives El MOSTAKBAL, BIRKHADEM

Algiers, , Algeria

Site Status

CHU Beni Messous

Algiers, , Algeria

Site Status

CHU Mustapha

Algiers, , Algeria

Site Status

Polyclinique d'el Achour

Algiers, , Algeria

Site Status

Polyclinique de Baba Hassen

Algiers, , Algeria

Site Status

Cabinet privé, 29 avenue amara Youcef

Blida, , Algeria

Site Status

EPH Blida

Blida, , Algeria

Site Status

EPH EL Afroun

Blida, , Algeria

Site Status

EPH Bologhine

Bologhine, , Algeria

Site Status

Cabinet privé, cité des 408 lgmts Bt3

Boumerdas, , Algeria

Site Status

CHU BEN BADIS Constantine

Constantine, , Algeria

Site Status

Polyclinique de Dély Brahim

Deli Ibrahim, , Algeria

Site Status

Polyclinique DRARIA

Draria, , Algeria

Site Status

CHU Oran

Oran, , Algeria

Site Status

Ordinace PL pro dospělé

Prague, Karlín, Czechia

Site Status

Ordinace PL pro dospělé

Prague, Nusle, Czechia

Site Status

Ordinace PL pro dospělé

Prague, Vysočany, Czechia

Site Status

Ordinace PL pro dospělé

Čáslav, , Czechia

Site Status

OPL, spol. s r.o.

Hrochův Týnec, , Czechia

Site Status

Ordinace PL pro dospělé

Kladno, , Czechia

Site Status

Ordinace PL pro dospělé, Poliklinika přízemí, Nerudova

Kralupy nad Vltavou, , Czechia

Site Status

AK Medipraktik, s.r.o

Orlová, , Czechia

Site Status

MUDr. Alena Břeňová - PL pro dospělé

Pardubice, , Czechia

Site Status

Ordinace Bělehradská s.r.o

Prague, , Czechia

Site Status

Ordinace PL pro dospělé

Prague, , Czechia

Site Status

Ordinace PL pro dospělé

Prague, , Czechia

Site Status

Ordinace PL pro dospělé

Praha 6, 2.patro, , Czechia

Site Status

Praktický lékař Radotín, s.r.o.

Radotín, , Czechia

Site Status

Ordinace PL pro dospělé

Vrchlabí, , Czechia

Site Status

Clinical Research Center

Alexandria, , Egypt

Site Status

Ain Shams University Hospitals

Cairo, , Egypt

Site Status

Air Force Specialized Hospital

Cairo, , Egypt

Site Status

Al Hussein University Hospital

Cairo, , Egypt

Site Status

Badr University Hospital

Cairo, , Egypt

Site Status

Cairo University

Cairo, , Egypt

Site Status

Tanta University

Tanta, , Egypt

Site Status

Hammoud Hospital University Medical Center

Sidon, , Lebanon

Site Status

Komisji Edukacji Narodowej 3B lok. 1

Bialystok, , Poland

Site Status

Cermed

Bialystok, , Poland

Site Status

KLIMED

Bychawa, , Poland

Site Status

Indywidualna Specjalistyczna Praktyka Lekarska Roman Spyra

Katowice, , Poland

Site Status

MEKMED S.C. Przychodnia Lekarska NZOZ

Katowice, , Poland

Site Status

Lekarska Spółka Partnerska Familia T S A Gugała

Kozienice, , Poland

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Praktyka Lekarzy Rodzinnych NZOZ

Krakow, , Poland

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Niepubliczny Zakład Opieki Zdrowotnej Ugorek sp. z o.o.

Krakow, , Poland

Site Status

Niepubliczny Zakład Opieki Zdrowotnej Centrum Zdrowia i Profilaktyki "Dąbie" spółka z o.o.

Krakow, , Poland

Site Status

Niepubliczny Zakład Opieki Zdrowotnej Praktyka Lekarza Rodzinnego "Eskulap" spółka z o.o.

Lublin, , Poland

Site Status

NZOZ Primed

Malbork, , Poland

Site Status

Solumed Research Site

Poznan, , Poland

Site Status

Centrum Medyczne Pratia S.A

Warsaw, , Poland

Site Status

PrzychodniaLekarska ORLIK Sp. z o.o

Warsaw, , Poland

Site Status

KLIMED

Łomża, , Poland

Site Status

CSB Zouhour

Ben Arous, , Tunisia

Site Status

Hôpital Régional de Ben Arous

Ben Arous, , Tunisia

Site Status

Centre intermédiaire de Santé de Base

La Marsa, , Tunisia

Site Status

Hôpital des Forces de Sécurité Intérieure

La Marsa, , Tunisia

Site Status

CSB Hedi Chaker

Sousse, , Tunisia

Site Status

Hôpital Universitaire Salhoul

Sousse, , Tunisia

Site Status

CSB Akouda

Sousse, , Tunisia

Site Status

CSB Sidi Bou Ali

Sousse, , Tunisia

Site Status

CSB Zouhour

Sousse, , Tunisia

Site Status

CSB Nager

Sousse, , Tunisia

Site Status

CSB Riadh

Sousse, , Tunisia

Site Status

CSB Oued Blibène

Sousse, , Tunisia

Site Status

CSB Kalaa Kébira

Sousse, , Tunisia

Site Status

CSB Zaouia

Sousse, , Tunisia

Site Status

Centre de santé de base Bab Laasal

Tunis, , Tunisia

Site Status

Hopital Militaire Principal d'instructions de Tunis

Tunis, , Tunisia

Site Status

Centre de santé de base Ras Tabia

Tunis, , Tunisia

Site Status

Centre de santé de base Ksar Said

Tunis, , Tunisia

Site Status

Centre de santé de base Ibn Khaldoun

Tunis, , Tunisia

Site Status

Countries

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Algeria Czechia Egypt Lebanon Poland Tunisia

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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2015-001138-10

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

F-FR-00250-105

Identifier Type: -

Identifier Source: org_study_id