Efficacy of Zinc Sulfate With Probiotics for the Treatment of Acute Diarrhea in Children
Recruitment status was Not yet recruiting
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Purpose
Diarrheal disease is one of the major causes of morbidity and mortality in children under five. Disease is treated symptomatically with oral rehydration (ORS) as a basic measure. In children with severe zinc deficiency, diarrhea is common and responds quickly to zinc supplementation. Zinc supplementation may also helpful in diarrheal children without zinc deficiency. Effectiveness of zinc was proven in developing countries but was not in Europe. Objective of our study is to assess whether zinc supplementation given with probiotics and ORS is effective in acute diarrhea in children in Poland.
| Condition | Intervention | Phase |
|---|---|---|
|
Acute Watery Diarrhoea |
Drug: Zinc Sulfate |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Factorial Assignment Masking: Double Blind (Subject, Caregiver, Investigator) Primary Purpose: Treatment |
| Official Title: | Effectiveness and Efficacy of Zinc With Probiotics for the Treatment of Acute Diarrhea in Young Children |
- Period of diarrhea in hours [ Time Frame: 15 days ] [ Designated as safety issue: No ]The primary endpoint of our study is the time of acute diarrhea
- number of stools in consequent days [ Time Frame: 15 days ] [ Designated as safety issue: Yes ]The secondary end points will be number of stools per day, necessity of hospitalization or not, tolerability and adherence to the therapy
| Estimated Enrollment: | 256 |
| Study Start Date: | July 2010 |
| Estimated Study Completion Date: | June 2012 |
| Estimated Primary Completion Date: | June 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Zinc sulfate
Children in active treatment group will be given zinc sulfate 10-20 mg per day orally plus probiotics
|
Drug: Zinc Sulfate
Zinc Sulfate in sugar sirup will be given orally in dosis of 10-20 mg per day for 10 days
Other Name: brand product is not available in Poland
|
|
Placebo Comparator: Placebo
Children will be given placebo plus probiotics
|
Drug: Zinc Sulfate
Zinc Sulfate in sugar sirup will be given orally in dosis of 10-20 mg per day for 10 days
Other Name: brand product is not available in Poland
|
Detailed Description:
A double-blind, placebo controlled trial
- We are going to enroll 256 patients (aged > 1 months to 36 months) with acute watery diarrhea defined as 3 d or more watery stools per day lasting not less than 1 day and not longer than 5 days.
Exclusion criteria:
severe dehydration (> 10%) Coexisting severe infection (E.g. Sepsis, pneumonia, meningitis) Immune deficiency Chronic digestive tract disease (e.g. celiac diseases, food allergy) Therapy with Antibiotics
Patients will be randomly assigned to 2 groups to receive: (a) zinc sulfate 10-20 mg/day for 10 days plus probiotics for 5 days (b) placebo for 10 days plus probiotics for 5 days. Patients will be observed in ambulatory or in the hospital (if necessary) and followed up for 15 days.
Randomization 1:1
Eligibility| Ages Eligible for Study: | 1 Month to 36 Months |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Age 1-36 months
- Acute diarrhea defined as 3 or more watery stools per day
- Informed consent (parents)
Exclusion Criteria:
- Severe dehydration (> 10%)
- Coexisting severe infection (e.g. sepsis, pneumonia, meningitis)
- Immune deficiency
- Chronic digestive tract disease (e.g. celiac diseases, food allergy)
- Antibiotic therapy
Contacts and Locations| Contact: Leszek Szenborn, Prof | ++48717703151 | szenborn@zak.am.wroc.pl |
| Contact: Ernest P. Kuchar, MD | ++48717703156 | kuchar@zak.am.wroc.pl |
| Poland | |
| Szpital im Sw Jadwigi w Trzebicy | Not yet recruiting |
| Trzebnica, Poland, 55-100 | |
| Contact: Jerzy Pejcz, MD ++48713120913 | |
| Principal Investigator: Jerzy Pejcz, MD | |
| Klinika Pediatrii i Chorob Infekcyjnych Akademii Medycznej we Wroclawiu | Not yet recruiting |
| Wroclaw, Poland, 50-345 | |
| Contact: Leszek Szenborn, Prof ++48717703151 szenborn@zak.am.wroc.pl | |
| Contact: Ernest P. Kuchar, MD ++48717703156 kuchar@zak.am.wroc.pl | |
| Principal Investigator: Leszek Szenborn, Prof | |
| Principal Investigator: | Leszek Szenborn, Prof | Wroclaw Medical University |
More Information
Additional Information:
Publications:
| Responsible Party: | prof Leszek Szenborn, Katedra i Klinka Pediatrii i Chorob Infekcyjnych AM we Wroclawiu |
| ClinicalTrials.gov Identifier: | NCT01140074 History of Changes |
| Other Study ID Numbers: | KB-501/2009 |
| Study First Received: | June 7, 2010 |
| Last Updated: | June 9, 2010 |
| Health Authority: | Poland: Ethics Committee |
Keywords provided by University Hospital No 1 Wroclaw:
|
acute diarrhoea, children |
Additional relevant MeSH terms:
|
Diarrhea Signs and Symptoms, Digestive Signs and Symptoms Zinc Zinc Sulfate Trace Elements Micronutrients |
Growth Substances Physiological Effects of Drugs Pharmacologic Actions Astringents Dermatologic Agents Therapeutic Uses |
ClinicalTrials.gov processed this record on May 19, 2013