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CTRI Number  CTRI/2022/06/043239 [Registered on: 14/06/2022] Trial Registered Prospectively
Last Modified On: 12/08/2022
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Nutraceutical 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   Bacillus coagulans MTCC 5856 in management of acute diarrhea in children 
Scientific Title of Study   A randomized, double-blind, placebo-controlled study to evaluate efficacy and safety of Bacillus coagulans MTCC 5856 in management of acute diarrhea in children 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
CW/97/BCG_ADRH/II/MAR/21 Ver.No.1.0 date 24-03-2022   Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr A Thumjaa 
Designation  Professor, Dept of Paediatrics 
Affiliation  Aarupadai Veedu medical College & Hospital 
Address  Aarupadai Veedu medical College & Hospital Cuddalore Main Road, Kirumampakkam, Puducherry-607403
Cuddalore Main Road, Kirumampakkam, Puducherry-607403
Pondicherry
PONDICHERRY
607403
India 
Phone  9841573725  
Fax    
Email  thumjaa.annamalai@avmc.edu.in  
 
Details of Contact Person
Scientific Query
 
Name  Shaji Paulose 
Designation  General Manager 
Affiliation  Sami-Sabinsa Group Limited 
Address  Sami-Sabinsa Group Limited 19/1 & 19/2 â…  Main, Peenya II Phase, Peenya, Bengaluru, Karnataka 560058
19/1 & 19/2 â…  Main, Peenya II Phase, Peenya, Bengaluru, Karnataka 560058
Bangalore
KARNATAKA
560058
India 
Phone  08028397973  
Fax    
Email  shaji@clinworld.net  
 
Details of Contact Person
Public Query
 
Name  Dr Alphons Philips 
Designation  Vice President 
Affiliation  Sami-Sabinsa Group Limited 
Address  Sami-Sabinsa Group Limited 19/1 & 19/2 â…  Main, Peenya II Phase, Peenya, Bengaluru, Karnataka 560058
19/1 & 19/2 â…  Main, Peenya II Phase, Peenya, Bengaluru, Karnataka 560058
Bangalore
KARNATAKA
560058
India 
Phone  08028397973  
Fax    
Email  alphons@clinworld.net  
 
Source of Monetary or Material Support  
Sami-Sabinsa Group Limited 19/1 & 19/2, I Main, II Phase, Peenya Industrial Area, Bangalore, Karnataka. 560058. 
 
Primary Sponsor  
Name  Sami Sabinsa Group Limited 
Address  19/1 & 19/2, I Main, Peenya II Phase, Bengaluru, Karnataka  
Type of Sponsor  Other [[Manufactures and markets phytonutrients, standardized herbal extracts and nutritional supplements] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 3  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr A Thumjaa  Aarupadai Veedu medical College & Hospital  Aarupadai Veedu medical College & Hospital Cuddalore Main Road, Kirumampakkam, Puducherry-607403
Pondicherry
PONDICHERRY 
9841573725

thumjaa.annamalai@avmc.edu.in 
Dr Chadalavada Nagarjuna  Aditya Multi Speciality Hospital   13-3-52, 3rd Line, Gunturivari Thota, Kothapet Beside Peoples Trauma
Guntur
ANDHRA PRADESH 
8500454689
08632220395
naanichadalavada@gmail.com 
Dr Jyotsna Seepana  Government Medical college & Government General Hospital (Old RIMSGGH)  Department of Paediatrics, Government Medical college & Government General Hospital, Srikakulam - 532001
Srikakulam
ANDHRA PRADESH 
9966612126
08942-279033
drjyotsnaggh@yahoo.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 3  
Name of Committee  Approval Status 
Aarupadai veedu Medical College & Hospital   Approved 
IEC Aditya Multispeciality Hospital  Approved 
Institutional Ethics Committe   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  acute diarrhea in children 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Lactospore® (Bacillus coagulans MTCC 5856 Spores)  4 Hundred Million Bacillus coagulans MTCC 5856 CFU + ORS + Zinc, twice daily for 5days 
Comparator Agent  Placebo (Maltodextrin)  Placebo + ORS + Zinc, twice daily for 5days 
 
Inclusion Criteria  
Age From  1.00 Year(s)
Age To  10.00 Year(s)
Gender  Both 
Details  1.Children aged 1 to 10 years diagnosed with acute diarrhea.
2.Children who experienced more than 3 watery stools within last 24 hours.
3.Signed informed consent from one of the parents/legal guardians.
4.Children aged above 7 years willing to provide verbal assent will be counter signed by Parents.
5.Parents’/legal guardians’ willing to comply with all its procedures.
 
 
ExclusionCriteria 
Details  1.Subjects who require antibiotics treatment.
2.Subject who require intravenous fluid therapy.
3.Severe diarrhea which requires treatment other than ORS.
4.Severe dehydration as per WHO dehydration scale.
5.Immunodeficiency.
6.Malnourished (weight for height < 3 SD of WHO charts).
7.Surgery within one month prior to inclusion.
8.Children suffering from severe chronic illness.
9.Chronic pathologies (e.g.: cardiopathies, nephropathies, chronic gastrointestinal pathologies, endocrinopathies).
10.No consumption of commercial products containing probiotics including Yakult, during the study period.
11.Participation in any other clinical trial within 4 weeks prior to entry into the study.
12.Children Hospitalized for Pneumonia and acute gastroenteritis.
13.Children having bilious vomiting, hematochezia, pancreatic dysfunction or insufficiency judged by medical history.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Pre-numbered or coded identical Containers 
Blinding/Masking   Participant, Investigator and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
a)Mean duration of diarrhea (expressed in hours), as counted from the time of randomization up to recovery (the first normal stool as recorded according to Bristol score a score 5 is described as normalization of stool)
b)Mean diarrhea frequency per day after initiation of treatment
 
1 Day 3 & Day 5
2 Day 3 & Day 5 
 
Secondary Outcome  
Outcome  TimePoints 
a)Perceived efficacy among caregivers per perceived efficacy scale.
b)Dehydration status evaluated as per WHO classification.
c)Occurrence of adverse events.
 
Day 3 & Day 5 
 
Target Sample Size   Total Sample Size="110"
Sample Size from India="110" 
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)   30/07/2022 
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="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details
Modification(s)  
NIL 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary
Modification(s)  

At screening visit, demographics, vital signs, physical examination, medical and medication history will be done to assess the eligibility criteria by the Pediatrician.

The eligibility criteria will be verified. If the subject is found eligible, he/she will be randomized, and Investigational product will be dispensed to the parents or legal guardian to administer orally twice daily to the children. Stool sample will be collected for rotavirus and adenovirus screening. Children will be under observation of study team for six hours post 1st dose. Parents will be given subject diary and will be instructed to record diarrhea frequency and duration of diarrhea as well as investigational product compliance on daily basis. Information regarding the reporting of adverse events will be provided to the parents and will be instructed to visit site on day 3 and day 5. On day 3 and 5, vitals, physical examination, concomitant medication will be recorded. Duration and frequency of the diarrhea will be recorded in diary for all 5 days. Bristol stool chart will be assessed for all the episodes for all 5 days in a diary. Perceived efficacy scale of caregivers will be assessed on day 3 and day 5. Investigational product accountability will be done on day 5. The subject diary will be collected on day 5. 
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