Efficacy of Lactobacillus Reuteri DSM 17938 for the Treatment of Acute Gastroenteritis in Children
1 other identifier
interventional
100
1 country
1
Brief Summary
Acute gastroenteritis (AGE) is one of the most common diseases among children. Oral rehydration therapy is the key treatment. According to the 2014 guidelines developed by the ESPGHAN probiotics may be considered in the management of children with AGE in addition to rehydration therapy. Considering that evidence on L reuteri remains limited, the investigators aim to assess the efficacy of L reuteri DSM 17938 for the treatment of AGE in children. Children vaccinated and not vaccinated against rotavirus will be evaluated separately. Two independent reports (rotavirus-vaccinated and non-vaccinated children) are planned.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Jan 2017
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
December 1, 2016
CompletedFirst Posted
Study publicly available on registry
December 12, 2016
CompletedStudy Start
First participant enrolled
January 16, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2018
CompletedJanuary 30, 2019
January 1, 2019
1.8 years
December 1, 2016
January 28, 2019
Conditions
Outcome Measures
Primary Outcomes (1)
Duration of diarrhea
(measured in hours) - time until the normalisation of stool consistency according to the Bristol Stool Form Scale(BSF) or Amsterdam Infant Stool Scale (ASF) - (in BSF scale, numbers 1, 2, 3, 4 and 5; in ASF scale, letters B or C), or the time until the normalisation of the number of stools (compared with the period before the onset of diarrhoea).and the presence of normal stools for 48 h.
8 days
Secondary Outcomes (9)
Need for intravenous rehydration
8 days
Duration of intravenous rehydration
8 days
Need for hospitalisation of outpatients
8 days
Number of watery stools per day
8 days
Vomiting
8 days
- +4 more secondary outcomes
Study Arms (2)
Lactobacillus reuteri DSM 17938
ACTIVE COMPARATOR2 x 10(8) CFU. Both L reuteri DSM 17938 and placebo will be taken orally, twice daily 5 drops, for consecutive 5 days.
Placebo
PLACEBO COMPARATORPlacebo consists of an identical formulation, except active substance.
Interventions
Lactobacillus reuteri DSM 17938 vs Placebo
Eligibility Criteria
You may qualify if:
- Acute gastroenteritis (AGE) defined as a change in stool consistency to loose or liquid form (according to the Bristol Stool Form (BSF) scale or in the case of infants, the Amsterdam Stool Form (ASF) scale) and/or an increase in the frequency of evacuations (typically ≥3 in 24 h), lasting for no longer than 5 days.
- Age: older than 1 month and younger than 60 months.
- A caregiver must provide written informed consent.
You may not qualify if:
- Use of antibiotics within two weeks prior to enrolment.
- Use of gelatine tannate, diosmectite, probiotics, racecadotril, or zinc (including zinc containing ORS) within a week prior to enrolment (a single dose is allowed).
- Breast feeding (\>50%)
- Chronic diarrhoeal gastrointestinal disease (e.g., inflammatory bowel disease, cystic fibrosis, coeliac disease, food allergy)
- Immunodeficiency
- Malnutrition (weight/height/length under 3rd percentile) (WHO Child Growth Standards will be used)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Szpiatal im.Świętej Jadwigi Śląskiej
Trzebnica, 55-100, Poland
Related Publications (1)
Szymanski H, Szajewska H. Efficacy of Lactobacillus Reuteri DSM 17938 for the Treatment of Acute Gastroenteritis in Children: Protocol of a Randomized Controlled Trial. JMIR Res Protoc. 2017 Aug 23;6(8):e164. doi: 10.2196/resprot.7924.
PMID: 28835355DERIVED
Related Links
Study Officials
- PRINCIPAL INVESTIGATOR
Henryk Szymański, MD PhD
Szpital im.Świętej Jadwigi Śląskiej, Trzebnica, Poland
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- MD PhD
Study Record Dates
First Submitted
December 1, 2016
First Posted
December 12, 2016
Study Start
January 16, 2017
Primary Completion
November 1, 2018
Study Completion
November 1, 2018
Last Updated
January 30, 2019
Record last verified: 2019-01