Comprehensive studies of a new improved oral rehydration solution for diarrhoeal disease: physiological and molecular studies, clinical trials, and acceptability and efficacy studies in a rural south Indian community

ISRCTN ISRCTN72841333
DOI https://doi.org/10.1186/ISRCTN72841333
Secondary identifying numbers 063150
Submission date
22/07/2005
Registration date
22/07/2005
Last edited
06/02/2015
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Signs and Symptoms
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Mr Balakrishnan S Ramakrishnan
Scientific

Christian Medical College
Williams Research Building
Department of Gastrointestinal Science
Ida Scudder Road
Vellore
632004
India

Phone +91 (0)416 2282052
Email rama@cmcvellore.ac.in

Study information

Study designRandomised single-blinded controlled clinical trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Not specified
Study typeTreatment
Scientific titleComprehensive studies of a new improved oral rehydration solution for diarrhoeal disease: physiological and molecular studies, clinical trials, and acceptability and efficacy studies in a rural south Indian community
Study objectivesThe hypothesis is that addition of amylase resistant starch to a low osmolarity Oral Rehydration Solution (ORS) will reduce the duration and severity of diarrhoea in a variety of diarrhoeal diseases including cholera and non-cholera diarrhoea. The studies consist of two randomised trials in adults and children respectively comparing the newly recommended low osmolar ORS to low osmolar ORS with added amylase resistant starch. The objective is to determine whether subjects in the trial arm will have reduced stool output and duration of diarrhoea.

The overall trial end date was changed from 15/03/2006 to 31/01/2007.
Ethics approval(s)Not provided at time of registration
Health condition(s) or problem(s) studiedDiarrhoea
InterventionEligible subjects will be randomised to one of two treatment arms to receive either reduced osmolarity ORS or reduced osmolarity ORS along with amylase resistant starch. All other treatment measures will be identical in the two groups. ORS will be administered according to World Health Organisation (WHO) treatment guidelines for management of acute diarrhoea. Stool consistency and weight will be determined by personnel unaware of the treatment received by the patient.
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Applicable
Drug / device / biological / vaccine name(s)Amylase resistant starch, low osmolarity Oral Rehydration Solution (ORS)
Primary outcome measure1. Stool weight in successive 12 hour periods
2. Stool weight in the second 24 hours
3. Time to last unformed stool
4. Requirement for unscheduled intravenous fluids
Secondary outcome measuresNo secondary outcome measures
Overall study start date01/01/2005
Completion date31/01/2007

Eligibility

Participant type(s)Patient
Age groupMixed
SexMale
Target number of participantsTo be added
Key inclusion criteriaIn the adult study, all adult male patients presenting to the Emergency Service with acute severe watery diarrhoea of less than three days' duration, with moderate to severe dehydration, will be enrolled after informed written consent.

In a separate trial, male children aged six months to five years with diarrhoea (defined as more than three watery stools/24 hours) of three days or less, with mild or moderate dehydration, or those with severe dehydration who have received intravenous rehydration, will be enrolled after informed written consent from the parent.
Key exclusion criteriaIn the adult trial, subjects without clinical dehydration, those with presence of blood in stool, and presence of significant systemic illness unrelated to the diarrhoea, will be excluded.

In the children's trial, bloody diarrhoea, concurrent severe illness (such as pneumonia, meningitis or infections requiring antibiotics), and severe malnutrition Grade III and IV will be treated as exclusion criteria.
Date of first enrolment01/01/2005
Date of final enrolment31/12/2006

Locations

Countries of recruitment

  • India

Study participating centre

Christian Medical College
Vellore
632004
India

Sponsor information

Christian Medical College (India)
Hospital/treatment centre

c/o George M Chandy
Ida Scudder Road
Vellore
632004
India

Phone +91 (0)416 2282052
Email directorate@cmcvellore.ac.in
Website http://cmcvellore.ac.in
ROR logo "ROR" https://ror.org/00c7kvd80

Funders

Funder type

Charity

Wellcome Trust
Private sector organisation / International organizations
Location
United Kingdom

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 13/02/2008 Yes No