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Trial registered on ANZCTR
Registration number
ACTRN12609000429257
Ethics application status
Approved
Date submitted
5/04/2009
Date registered
10/06/2009
Date last updated
5/08/2009
Type of registration
Prospectively registered
Titles & IDs
Public title
Probiotic treatment for the prevention of antibiotic-associated diarrhea in geriatric patients.
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Scientific title
Probiotics (Lactobacillus casei Shirota strain, Yakult) for the prevention of antibiotic-associated diarrhea in geriatric patients admitted to subacute units.
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
diarrhea
4565
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Condition category
Condition code
Oral and Gastrointestinal
4858
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0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Administration of 65mL probiotic drink containing Lactobacillus casei Shirota strain twice a day everyday during the participant's admission (average length of stay is 25days).
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Intervention code [1]
4328
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Prevention
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Comparator / control treatment
Placebo- same 65mL drink without the active probiotic strain administered twice a day everyday during their admission (average length of admission is 25 days).
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Diarrhea defined as three or more bowel motions of type 6 or 7 consistency as defined by the Bristol Stool Chart during a 24 hr period for 2 consecutive days.
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Assessment method [1]
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Timepoint [1]
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During the participant's admission to the subacute ward their bowel motions will be recorded at least three times a day (once each nursing shift). The bowel chart will be audited on multiple occasions during their admission and all documented bowel motions will be reviewed.
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Secondary outcome [1]
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nil
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Assessment method [1]
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Timepoint [1]
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n/a
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Eligibility
Key inclusion criteria
All consented participants admitted to a subacute 'geriatric evaluation and management' bed at St Vincent's and St George's hospital during the trial period.
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Minimum age
65
Years
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Maximum age
105
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Exclusion criteria includes participants who have had recent bowel surgery, history of an artificial heart valve or rheumatic heart disease, previous infective endocarditis, artificial feeding via a nasogastric tube, severe life threatening illness, immunosuppression or intolerance to cow milk protein and citrus intolerance.
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
5/08/2009
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
350
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment postcode(s) [1]
1579
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3065
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Funding & Sponsors
Funding source category [1]
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Hospital
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Name [1]
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St Vincent's Health, Victoria
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Address [1]
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41 Victoria Parade
Fitzroy
Victoria
3065
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
St Vincent's Health
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Address
41 Victoria Parade
Fitzroy
Victoria
3065
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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n/a
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Address [1]
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n/a
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Country [1]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Research and Grants Unit
St Vincent's Hospital
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Ethics committee address [1]
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41 Victoria Parade Fitzroy Victoria 3065
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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24/04/2009
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Approval date [1]
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29/06/2009
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Ethics approval number [1]
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HREC-A 048/09
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Summary
Brief summary
We plan a randomised controlled double blinded trial to answer the question; does the regular use of a commercially available probiotic (Yakult) reduce the incidence and duration of diarrhea amongst geriatric inpatients (people aged =65yo)? The study population is all patients admitted to the sub-acute wards of St Vincent’s Hospital and St George’s Hospital during the period of the study. Recent antibiotic use in the last 2-8 weeks can commonly cause the complication of diarrhea. This can extend inpatient stay by 3-7 days, increase morbidity including dehydration and deconditioning due to illness, increase mortality by 2-3 times and cause hospital outbreaks of diarrhea in the general hospitalised population. The geriatric population admitted to subacute wards are frailer and have multiple co-morbidities. They have a higher incidence of recent antibiotic use and increased risk of complications developing secondary to diarrhea. All patients admitted to the subacute wards who meet the inclusion criteria will be invited to participate. They will be encouraged to drink the 65ml milk product twice a day which will be randomised as to whether it contains the probiotic. Basic demographic data will be collected from the patient chart including age, gender, medical co-morbidities, recent antibiotic use, and current medications. The patient bowel charts will be monitored to ascertain the incidence of diarrhea.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Dr Kelly Wright
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Address
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c/-Geriatric Department
St George's Hospital
283 Cotham Rd
Kew
Victoria 3101
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Country
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Australia
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Phone
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+ 61 3 83451212
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr Kelly Wright
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Address
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c/- Geriatric Department
St George's Hospital
283 Cotham Rd
Kew
Victoria 3101
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Country
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Australia
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Phone
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+61 3 83451212
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Fax
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+61 3 8345 1449
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Probiotic treatment for the prevention of antibiotic-associated diarrhoea in geriatric patients: a multicentre randomised controlled pilot study.
2015
https://dx.doi.org/10.1111/ajag.12116
N.B. These documents automatically identified may not have been verified by the study sponsor.
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