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11 February 2012 
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Dietary oligofructose in the prevention of antibiotic associated diarrhoea in elderly patients
ISRCTN ISRCTN33188590
ClinicalTrials.gov identifier
Public title Dietary oligofructose in the prevention of antibiotic associated diarrhoea in elderly patients
Scientific title
Acronym N/A
Serial number at source N0544103828
Study hypothesis The purpose of this study is to see if the incidence of antibiotic related diarrhoea in elderly patients can be reduced by increasing colonic bifidobacteria concentrations with the concomitant prescription of oligofructose. Patients for the study will be identified by asking the Medical and Department for the Elderly teams if they had admitted any suitable patients. A brief clinical and drug history would be taken.
Lay summary
Ethics approval Not provided at time of registration
Study design Randomised controlled trial
Countries of recruitment United Kingdom
Disease/condition/study domain Digestive System: Diarrhoea
Participants - inclusion criteria 250 volunteers >65 years old.
Participants - exclusion criteria Not provided at time of registration
Anticipated start date 16/06/2000
Anticipated end date 15/06/2003
Status of trial Completed
Patient information material
Target number of participants 250
Interventions The volunteers would then be randomly allocated to one of two groups.

Group A will take a placebo (10 g/day of sucrose powder) or group B 10 g/day of oligofructose. The trial powders will be administered by the ward nursing staff along with the volunteers' normal medication. Volunteers will take the trial powders for the length of time they are taking antibiotics and for a further 7 days after stopping antibiotics. Volunteers will be assessed continuously by recording on a stool form using a four point scale (1 hard, 2 lumpy, 3 mushy and 4 loose) and interdefecatory intervals. Both give an indication of intestinal transit rate. Recordings will be done by the patient or nursing staff as appropriate. The volunteers will be followed up for 7 days after stopping the oligofructose or placebo. The volunteer will have further stool samples sent to be analysed for the presence of Clostridium difficile toxin if they develop diarrhoea during the study. The study's end point is the occurrence of diarrhoea due to Clostridium difficile.
Primary outcome measure(s) Not provided at time of registration
Secondary outcome measure(s) Not provided at time of registration
Sources of funding Cambridge Consortium - Addenbrooke's (UK)
Trial website
Publications 2005 results in http://www.ncbi.nlm.nih.gov/pubmed/15709999
Contact name Dr  Stephen  Lewis
  Address Box No 201A
Department of Gastroenterology
Addenbrooke's NHS Trust
  City/town Cambridge
  Zip/Postcode CB2 2QQ
  Country United Kingdom
  Tel +44 (0)7669 008 863
  Email
Sponsor Record provided by the NHS Trusts Clinical Trials Register - Department of Health (UK)
  Address The Department of Health
Richmond House
79 Whitehall
  City/town London
  Zip/Postcode SW1A 2NL
  Country United Kingdom
  Tel +44 (0)207 307 2622
  Fax +44 (0)207 307 2623
  Email dhmail@doh.gsi.org.uk
  Sponsor website: http://www.doh.gov.uk
Date applied 12/09/2003
Last edited 06/01/2009
Date ISRCTN assigned 12/09/2003
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