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CTRI Number  CTRI/2025/07/091348 [Registered on: 21/07/2025] Trial Registered Prospectively
Last Modified On: 13/07/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Nutraceutical 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Effect of honey in acute diarrhea in young children 
Scientific Title of Study   Effect of honey supplementation in acute diarrhea in children aged 7 months to 5 years. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Gali Tejaswini 
Designation  Junior Resident  
Affiliation  BLDE Deemed Shri B M Patil Medical College Hospital and Research Centre  
Address  Department of Pediatrics 2nd floor Hospital Building BLDE Deemed to be University Shri B M Patil Medical College Hospital and Research Centre Bijapur

Bijapur
KARNATAKA
586103
India 
Phone  8885166685  
Fax    
Email  teju.g8@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Hidayatullah Bijapure 
Designation  Associate Professor 
Affiliation  BLDE Deemed Shri B M Patil Medical College Hospital and Research Centre  
Address  Department of Pediatrics 2nd Floor Hospital Building BLDE Deemed to be University Shri B M Patil Medical College Hospital and Research Centre Bijapur

Bijapur
KARNATAKA
586103
India 
Phone  9987376749  
Fax    
Email  Hr.bijapure@bldedu.ac.in  
 
Details of Contact Person
Public Query
 
Name  Gali Tejaswini 
Designation  Junior Resident  
Affiliation  BLDE Deemed Shri B M Patil Medical College Hospital and Research Centre  
Address  Department of Paediatrics 2nd floor Hospital Building BLDE Deemed to be University Shri B M Patil Medical College Hospital and Research Centre Bijapur

Bijapur
KARNATAKA
586103
India 
Phone  8885166685  
Fax    
Email  teju.g8@gmail.com  
 
Source of Monetary or Material Support  
Shri B M Patil Medical College, Hospital and Research Centre Bangaramma Sajjan Campus Solapur Road Bijapur 586103 Karnataka State India  
 
Primary Sponsor  
Name  BLDE Deemed to be University Shri B M Patil Medical College Hospital and Research Centre  
Address  Shri B M Patil Medical College, Hospital and Research Centre Bangaramma Sajjan Campus Solapur Road Bijapur 586103 Karnataka State India  
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Gali Tejaswini  BLDE Deemed to be University Shri B M Patil Medical College Hospital and Research Centre  Pediatrics ward, Ward No.401, Hospital Building BLDE Deemed to be University Shri B M Patil Medical College Hospital and Research Centre Bijapur KARNATAKA
Bijapur
KARNATAKA 
8885166685

teju.g8@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTEE S B M P M C  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: R197||Diarrhea, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  ORS + Zinc + Honey  Honey 1.5ml 6th hourly to children aged 1-3 years and 2ml 6th hourly a day to children aged 3-5 years. Duration of honey : Until recovery or max 5 days  
Comparator Agent  ORS + Zinc as per WHO protocol   With out honey supplementation 
 
Inclusion Criteria  
Age From  7.00 Month(s)
Age To  5.00 Year(s)
Gender  Both 
Details  Acute non bloody diarrhea (more than or equal to 3 loose stools per day)
Age between 7 months and 5 years
Mild to moderate dehydration (WHO IMNCI criteria)
Informed parental consent  
 
ExclusionCriteria 
Details  Severe dehydration.
Malnutrition (weight for height Z score less than 3 standard deviation)
H/O Allergy to honey
Underlying immunodeficiency or chronic GI disease 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Duration (in hours) from enrolment to last unformed stool  5 days 
 
Secondary Outcome  
Outcome  TimePoints 
Daily stool frequency
Stool consistency (Bristol Stool Chart)
Time to recovery (return to normal diet/activity)
Weight gain/loss during illness
Se Na (Hypernatremia or hyponatremia)
Adverse events (Vomiting, Rash)
 
5 days 
 
Target Sample Size   Total Sample Size="80"
Sample Size from India="80" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   01/08/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

Acute diarrhea remains a significant cause of morbidity and mortality in children, especially in low- and middle-income countries. The World Health Organization emphasizes oral rehydration therapy (ORS) and zinc supplementation as cornerstones of management. However, there is a growing interest in adjunctive natural therapies that may improve outcomes.

Honey, a natural substance rich in antioxidants, enzymes, and antimicrobial agents, has been used traditionally to treat gastrointestinal illnesses.

Studies suggest that honey:

· Promotes water and electrolyte absorption in the intestine.

· Exhibits bacteriostatic and bactericidal effects against common diarrheal pathogens.

· May help reduce the duration, frequency, and severity of diarrhea.

Yet, evidence on its clinical use in pediatric acute diarrhea remains limited and underexplored. This study aims to assess the effectiveness of oral honey supplementation as an adjunct to standard therapy in children with acute diarrhea 
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