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Effect of probiotics in acute childhood diarrhea
ISRCTN ISRCTN30646529
ClinicalTrials.gov identifier NCT00463190
Public title Effect of probiotics in acute childhood diarrhea
Scientific title Effect of probiotics (Bio-Three®) in children's enterocolitis
Acronym N/A
Serial number at source N/A
Study hypothesis Probiotics have been shown to be effective in the treatment of these conditions. There are many mechanisms by which probiotics enhance intestinal health, including stimulation of immunity, competition for limited nutrients, inhibition of epithelial and mucosal adherence, inhibition of epithelial invasion and production of antimicrobial substances.

Hypothesis:
Probiotics medication (Bio-Three®) could inhibit gastrointestinal infection and reduce its inflammatory response in the intestine. We plan to explore the bacterial count (microbiology) and subsequent immune response in probiotic inhibition of enterocolitis in children.
Ethics approval Institutional Review Board of Chang Gung Memorial Hospital, Taoyuan, Taiwan. Date of approval: 10/01/2006
Study design Randomised, double-blind (subject, caregiver, investigator), placebo-controlled, parallel-assignment, safety/efficacy, single-centre study
Countries of recruitment Taiwan
Disease/condition/study domain Enterocolitis
Participants - inclusion criteria 1. Age: From 3 months to 12 years, both male and female children
2. Clinical symptom of diarrhoea less than 3 days
Participants - exclusion criteria 1. Severe abdominal distension with risk of bowel perforation
2. Risk of sepsis
3. Past history of surgical operation of gastrointestinal tracts
Anticipated start date 01/02/2006
Anticipated end date 30/11/2007
Status of trial Completed
Patient information material
Target number of participants 300
Interventions Treatment group: Oral probiotics (Bio-Three®) 3 times daily for 7 days
Control group: Placebo 3 times daily for 7 days

Bio-three® contains a mixture of Bacillus mesentericus, Streptococcus faecalis and Clostridium butyricium. Total bacterial count: 1.5 x 10^8 colony forming units (cfu) per tablet.
Primary outcome measure(s) To determine whether probiotics medication Bio-Three® inhibits gastrointestinal infection and reduce its inflammatory response in the intestine. The following were assessed:
1. Clinical symptoms 2 days after medication
2. Microbiology study 3 days and one week after medication

The time and the consistency of every stool were recorded and the total hospital duration was calculated.

Severity of diarrhoea was evaluated according to the following parameters: number of stools, fecal consistency, the presence or absence of mucus, and blood in stools.
Secondary outcome measure(s) Other clinical symptoms/signs including fever, vomiting, dehydration, abdominal pain, bloating, daily dietary intake and appetite were also recorded for 7 to 10 days.
Sources of funding 1. Chang Gung Memorial Hospital (Taiwan)
2. Maywufa Company Ltd (Taiwan)
Trial website
Publications
Contact name Dr  Chien-Chang  Chen
  Address 5, Fu-Hsing Street
Kwei-Shan
  City/town Taoyuan
  Zip/Postcode 333
  Country Taiwan
Sponsor Maywufa Company Ltd (Taiwan)
  Address 5F, 167, Fu-Hsing North Road
  City/town Taipei
  Zip/Postcode 105
  Country Taiwan
Date applied 25/04/2008
Last edited 07/05/2008
Date ISRCTN assigned 01/05/2008
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