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Safety, Tolerability and Preliminary Efficacy of Lenodiar Pediatric in Diarrhea

Primary Purpose

Diarrhea, Chronic Diarrhea, Acute Diarrhea

Status
Unknown status
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Actitan-F (7dd)
Actitan-F (28dd)
Sponsored by
Aboca Spa Societa' Agricola
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Diarrhea

Eligibility Criteria

1 Year - 12 Years (Child)All SexesDoes not accept healthy volunteers

Inclusion Criteria

  1. Children of either sex aged between 1-12 years (inclusive);
  2. Evidence of acute (onset <7 days prior to screening visit), prolonged (onset between 7 and 14 days prior to screening visit) or chronic (onset >14 days prior to screening visit) diarrhea.

    • Acute/Prolonged Diarrhea is defined as at least 3 evacuations of loose or watery stools (stools type 6-7 of Bristol scale) occurring in the 24 hours preceding the screening visit.
    • Chronic Diarrhea (>14 days duration), defined by passage of loose or watery stools (Bristol score 6 or 7) with or without an increase in frequency of bowel movements;
  3. Evidence of mild to moderate dehydration, defined as a score 1-4 in the Clinical Dehydration Scale;
  4. Parents/legal guardians availability to fill on a daily basis the electronic daily diary by a smartphone/tablet/laptop.
  5. Parents/legal guardians* have given a written informed consent for participation in the study at the time of enrolment or before. The parent/legal guardian should also have agreed to bring the child for the visits scheduled in the protocol and to provide the requested information during the telephonic follow-up visit;
  6. Parents/legal guardian able to understand the full nature and the purpose of the investigation, including possible risks and side effects, able to cooperate with the Investigator and to comply with the requirements of the entire investigation (ability to attend all the planned investigation visits according to the time limits included) based on Investigator's judgement.

Exclusion Criteria:

Exclusion Criteria

  1. Children of female sex having started menarche;
  2. Evidence of severe dehydration, defined as a score > 4 in the Clinical Dehydration Scale;
  3. Known hypersensitivity to any of the components (active ingredients or excipients) of the investigational product;
  4. Severely malnourished patients, defined as those patients with body weight < 50% for age;
  5. History of immune diseases or conditions known to producing immunodeficiency (AIDS, other congenital immunodeficiency syndromes, anticancer drugs, etc.);
  6. For acute/prolonged diarrhea only, patients who have received any of the following treatments within the 2 weeks before the screening/baseline visit:

    • Drugs with adsorbing properties, e.g. kaolin, pectin, bismuth subsalicylate;
    • Drugs that modify intestinal secretions, e.g. racecadotril;
    • Drugs that modify intestinal motility, e.g. opiates such as loperamide, atropine and other anti-cholinergic agents);
    • Laxatives
    • Antibiotics
  7. History of seizures due to known or unknown causes;
  8. Parents/legal guardians' refusal or inability to give written informed consent to participate in the study;
  9. Parents/legal guardians who, in the opinion of the Investigator, are unable to fill up the electronic patient diary;
  10. Patients who may not be possible to come for the scheduled visits;
  11. Patients who have participated in any other clinical trial in the last 3 months prior to the start of the study.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Experimental

    Arm Label

    Lenodiar Pediatric in Acute/Prolonged Diarrhea

    Lenodiar Pediatric in Chronic Diarrhea

    Arm Description

    LenoDiar Pediatric acts thanks to Actitan-F, a plant-based molecular complex resulting from Aboca research which reduces attacks of diarrhoea and normalises the consistency of stools, helping to rapidly restore a balanced intestinal function. Actitan-F counteracts the inflammation of the intestinal mucous membrane, always present in the case of diarrhoea, through two action mechanisms: a protective action, achieved by forming a barrier-effect film to limit contact with microorganisms and irritants; an antioxidant action on the free radicals which counteracts the irritation of the mucous membrane.

    LenoDiar Pediatric acts thanks to Actitan-F, a plant-based molecular complex resulting from Aboca research which reduces attacks of diarrhoea and normalises the consistency of stools, helping to rapidly restore a balanced intestinal function. Actitan-F counteracts the inflammation of the intestinal mucous membrane, always present in the case of diarrhoea, through two action mechanisms: a protective action, achieved by forming a barrier-effect film to limit contact with microorganisms and irritants; an antioxidant action on the free radicals which counteracts the irritation of the mucous membrane.

    Outcomes

    Primary Outcome Measures

    Acute (onset <7 days) or Prolonged Diarrhea (onset ≥7 and ≤14 days): Response Rate (RR) measured after 4 treatment days.
    Acute (onset <7 days) or Prolonged Diarrhea (onset ≥7 and <14 days): Response Rate (RR) measured after 4 treatment days. Patients will be considered as responders if they have experienced the passage of 2 formed stools or no stool for at least 12 consecutive hours during the 4 days treatment.
    Chronic Diarrhea (onset >14 days): Response Rate (RR) measured across the whole treatment period
    Chronic Diarrhea (onset >14 days): Response Rate (RR) measured across the whole treatment period (4 weeks). Patients will be considered as responders if they have experienced a 50% (or more) reduction in the number of days with at least 1 diarrheic stools (Bristol score 6 or 7) in the whole treatment period (4 weeks) compared to the 7 days prior the treatment (baseline).

    Secondary Outcome Measures

    Number of episodes of daily watery evacuations
    Number of episodes of daily watery evacuations evaluated by means of the electronic patient diaries;
    Number of unformed stools passed per 24-h interval, after the first dose
    Number of unformed stools passed per 24-h interval, after dosing evaluated by means of the electronic patient diaries
    Number of treatment failures
    Number of treatment failures. A treatment failure is defined as clinical deterioration or worsening of symptoms or illness continuing after 120 h following the first dose evaluated by means of the electronic patient diaries
    Difference in body weight
    Difference in body weight between baseline and End of Treatment
    Frequency and severity of diarrhea associated symptoms
    Frequency and severity of diarrhea associated symptoms (nausea, vomiting, abdominal pain). Severity will be evaluated by means of a 0-4 Likert scale (0 = none; 1 = mild; 2 = moderate; 3 = severe; 4 = very severe);
    Treatment Compliance
    Evaluation of the nr of sachets prescribed by the investigators and the % of compliance recorded
    Proportion of patients requiring other (allowed) treatments
    Proportion of patients requiring other treatments in addition to Lenodiar Pediatric or to other concomitant treatments prescribed at baseline visit for diarrhea symptoms relief (e.g. parenteral rehydration and/or other medications) evaluated by means of the electronic patient diaries
    Change in results of the Pediatric Quality of Life Questionnaire (PedsQL)
    Change in results of the Pediatric Quality of Life Questionnaire (PedsQL) between baseline and End of Treatment visits
    Change in results in parent assessment of children Quality of Life (100 mm VAS)
    Change in results in parent assessment of children Quality of Life (100 mm VAS) between baseline and End of Treatment visits
    Safety and tolerability of the treatment: Incidence of adverse events (AEs) and serious adverse events (SAEs), and rate of study discontinuations due to AEs/SAE;
    Incidence of adverse events (AEs) and serious adverse events (SAEs), and rate of study discontinuations due to AEs/SAE;

    Full Information

    First Posted
    July 2, 2018
    Last Updated
    May 31, 2019
    Sponsor
    Aboca Spa Societa' Agricola
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    1. Study Identification

    Unique Protocol Identification Number
    NCT03598010
    Brief Title
    Safety, Tolerability and Preliminary Efficacy of Lenodiar Pediatric in Diarrhea
    Official Title
    Safety, Tolerability and Preliminary Efficacy of Oral Administration of Tannins and Flavonoids in the Management of Pediatric Diarrhea
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    May 2019
    Overall Recruitment Status
    Unknown status
    Study Start Date
    October 2019 (Anticipated)
    Primary Completion Date
    December 2020 (Anticipated)
    Study Completion Date
    March 2021 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Aboca Spa Societa' Agricola

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    Evaluation of the efficacy of a treatment with Actitan-F, a natural molecular complex of tannins (from Agrimony and Tormentil) and flavonoids (Chamomile) in a pediatric population of children affected by acture/prolonged/chronic diarrhea

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Diarrhea, Chronic Diarrhea, Acute Diarrhea, Diarrhea, Infantile

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Non-Randomized
    Enrollment
    240 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Lenodiar Pediatric in Acute/Prolonged Diarrhea
    Arm Type
    Experimental
    Arm Description
    LenoDiar Pediatric acts thanks to Actitan-F, a plant-based molecular complex resulting from Aboca research which reduces attacks of diarrhoea and normalises the consistency of stools, helping to rapidly restore a balanced intestinal function. Actitan-F counteracts the inflammation of the intestinal mucous membrane, always present in the case of diarrhoea, through two action mechanisms: a protective action, achieved by forming a barrier-effect film to limit contact with microorganisms and irritants; an antioxidant action on the free radicals which counteracts the irritation of the mucous membrane.
    Arm Title
    Lenodiar Pediatric in Chronic Diarrhea
    Arm Type
    Experimental
    Arm Description
    LenoDiar Pediatric acts thanks to Actitan-F, a plant-based molecular complex resulting from Aboca research which reduces attacks of diarrhoea and normalises the consistency of stools, helping to rapidly restore a balanced intestinal function. Actitan-F counteracts the inflammation of the intestinal mucous membrane, always present in the case of diarrhoea, through two action mechanisms: a protective action, achieved by forming a barrier-effect film to limit contact with microorganisms and irritants; an antioxidant action on the free radicals which counteracts the irritation of the mucous membrane.
    Intervention Type
    Device
    Intervention Name(s)
    Actitan-F (7dd)
    Intervention Description
    1 sack every 4 hours, maximum 4 sacks/day for 7 days.
    Intervention Type
    Device
    Intervention Name(s)
    Actitan-F (28dd)
    Intervention Description
    1 sack every 4 hours, maximum 4 sacks/day for 28 days.
    Primary Outcome Measure Information:
    Title
    Acute (onset <7 days) or Prolonged Diarrhea (onset ≥7 and ≤14 days): Response Rate (RR) measured after 4 treatment days.
    Description
    Acute (onset <7 days) or Prolonged Diarrhea (onset ≥7 and <14 days): Response Rate (RR) measured after 4 treatment days. Patients will be considered as responders if they have experienced the passage of 2 formed stools or no stool for at least 12 consecutive hours during the 4 days treatment.
    Time Frame
    Day0 to Day4
    Title
    Chronic Diarrhea (onset >14 days): Response Rate (RR) measured across the whole treatment period
    Description
    Chronic Diarrhea (onset >14 days): Response Rate (RR) measured across the whole treatment period (4 weeks). Patients will be considered as responders if they have experienced a 50% (or more) reduction in the number of days with at least 1 diarrheic stools (Bristol score 6 or 7) in the whole treatment period (4 weeks) compared to the 7 days prior the treatment (baseline).
    Time Frame
    Day0 to Day28
    Secondary Outcome Measure Information:
    Title
    Number of episodes of daily watery evacuations
    Description
    Number of episodes of daily watery evacuations evaluated by means of the electronic patient diaries;
    Time Frame
    Day0-Day28
    Title
    Number of unformed stools passed per 24-h interval, after the first dose
    Description
    Number of unformed stools passed per 24-h interval, after dosing evaluated by means of the electronic patient diaries
    Time Frame
    Day0-Day28
    Title
    Number of treatment failures
    Description
    Number of treatment failures. A treatment failure is defined as clinical deterioration or worsening of symptoms or illness continuing after 120 h following the first dose evaluated by means of the electronic patient diaries
    Time Frame
    Day0-Day28
    Title
    Difference in body weight
    Description
    Difference in body weight between baseline and End of Treatment
    Time Frame
    Day0-Day28
    Title
    Frequency and severity of diarrhea associated symptoms
    Description
    Frequency and severity of diarrhea associated symptoms (nausea, vomiting, abdominal pain). Severity will be evaluated by means of a 0-4 Likert scale (0 = none; 1 = mild; 2 = moderate; 3 = severe; 4 = very severe);
    Time Frame
    Day0-Day28
    Title
    Treatment Compliance
    Description
    Evaluation of the nr of sachets prescribed by the investigators and the % of compliance recorded
    Time Frame
    Day0-Day28
    Title
    Proportion of patients requiring other (allowed) treatments
    Description
    Proportion of patients requiring other treatments in addition to Lenodiar Pediatric or to other concomitant treatments prescribed at baseline visit for diarrhea symptoms relief (e.g. parenteral rehydration and/or other medications) evaluated by means of the electronic patient diaries
    Time Frame
    Day0-Day28
    Title
    Change in results of the Pediatric Quality of Life Questionnaire (PedsQL)
    Description
    Change in results of the Pediatric Quality of Life Questionnaire (PedsQL) between baseline and End of Treatment visits
    Time Frame
    Day0-Day28
    Title
    Change in results in parent assessment of children Quality of Life (100 mm VAS)
    Description
    Change in results in parent assessment of children Quality of Life (100 mm VAS) between baseline and End of Treatment visits
    Time Frame
    Day0-Day28
    Title
    Safety and tolerability of the treatment: Incidence of adverse events (AEs) and serious adverse events (SAEs), and rate of study discontinuations due to AEs/SAE;
    Description
    Incidence of adverse events (AEs) and serious adverse events (SAEs), and rate of study discontinuations due to AEs/SAE;
    Time Frame
    Day0-Day28

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    1 Year
    Maximum Age & Unit of Time
    12 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria Children of either sex aged between 1-12 years (inclusive); Evidence of acute (onset <7 days prior to screening visit), prolonged (onset between 7 and 14 days prior to screening visit) or chronic (onset >14 days prior to screening visit) diarrhea. Acute/Prolonged Diarrhea is defined as at least 3 evacuations of loose or watery stools (stools type 6-7 of Bristol scale) occurring in the 24 hours preceding the screening visit. Chronic Diarrhea (>14 days duration), defined by passage of loose or watery stools (Bristol score 6 or 7) with or without an increase in frequency of bowel movements; Evidence of mild to moderate dehydration, defined as a score 1-4 in the Clinical Dehydration Scale; Parents/legal guardians availability to fill on a daily basis the electronic daily diary by a smartphone/tablet/laptop. Parents/legal guardians* have given a written informed consent for participation in the study at the time of enrolment or before. The parent/legal guardian should also have agreed to bring the child for the visits scheduled in the protocol and to provide the requested information during the telephonic follow-up visit; Parents/legal guardian able to understand the full nature and the purpose of the investigation, including possible risks and side effects, able to cooperate with the Investigator and to comply with the requirements of the entire investigation (ability to attend all the planned investigation visits according to the time limits included) based on Investigator's judgement. Exclusion Criteria: Exclusion Criteria Children of female sex having started menarche; Evidence of severe dehydration, defined as a score > 4 in the Clinical Dehydration Scale; Known hypersensitivity to any of the components (active ingredients or excipients) of the investigational product; Severely malnourished patients, defined as those patients with body weight < 50% for age; History of immune diseases or conditions known to producing immunodeficiency (AIDS, other congenital immunodeficiency syndromes, anticancer drugs, etc.); For acute/prolonged diarrhea only, patients who have received any of the following treatments within the 2 weeks before the screening/baseline visit: Drugs with adsorbing properties, e.g. kaolin, pectin, bismuth subsalicylate; Drugs that modify intestinal secretions, e.g. racecadotril; Drugs that modify intestinal motility, e.g. opiates such as loperamide, atropine and other anti-cholinergic agents); Laxatives Antibiotics History of seizures due to known or unknown causes; Parents/legal guardians' refusal or inability to give written informed consent to participate in the study; Parents/legal guardians who, in the opinion of the Investigator, are unable to fill up the electronic patient diary; Patients who may not be possible to come for the scheduled visits; Patients who have participated in any other clinical trial in the last 3 months prior to the start of the study.
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Niccolò Ravenni, PhD
    Phone
    +39 0575 746
    Email
    clinicaltrials@aboca.it

    12. IPD Sharing Statement

    Plan to Share IPD
    No

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    Safety, Tolerability and Preliminary Efficacy of Lenodiar Pediatric in Diarrhea

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