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A multicentre, randomised, placebo controlled trial of lactic acid bacteria in the prevention of antibiotic-associated diarrhoea (AAD) and Clostridium difficile diarrhoea (CDD) in patients aged 65 years and over admitted to hospital and receiving antibiotics (06/39/02)

A multicentre, randomised, placebo controlled trial of lactic acid bacteria in the prevention of antibiotic-associated diarrhoea (AAD) and Clostridium difficile diarrhoea (CDD) in patients aged 65 years and over admitted to hospital and receiving antibiotics (06/39/02)

Status
Active, not recruiting
Phases
Phase 4
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2007-002876-32-GB
Enrollment
2974
Registered
2008-08-19
Start date
2008-10-06
Completion date
Unknown
Last updated
2019-11-25

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

AAD is diarrhoea occurring in association with antibiotic treatment without an alternative cause. It occurs typically 2-8 weeks after exposure to antibiotics. The frequency of AAD varies markedly between studies according to risk factors such as exposure to broad-spectrum antibiotics, nosocomial infections and host factors such as age, health status, gender. MedDRA version: 9.1 Level: PT Classification code 10064065 Term: Prophyla

Interventions

Trade Name: Proven Plus Product Name: Proven Plus Pharmaceutical Form: Powder and solvent for oral solution Other descriptive name: 4 Strains of lactic

Sponsors

University of Wales Swansea
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: • People aged =65 years admitted to hospital without diarrhoea and who have been exposed to one or more antibiotics within the last 7 days or are about to start antibiotic treatment Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) no F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range

Exclusion criteria

Exclusion criteria: • People with known immunosuppressive disorder, prosthetic heart valve or active inflammatory bowel disease (the latter defined as requiring specific treatment in the past 12 months) • People with a previous history of adverse reactions to probiotics • Informed consent not granted by patient or their carer(s)

Design outcomes

Primary

MeasureTime frame
Secondary Objective: Secondary objectives: to assess the acceptability and adverse effects of the probiotic preparation and the effect of the intervention on quality of life.;Main Objective: Primary objectives: to determine the effectiveness and cost-effectiveness of an optimal formulation of lactic acid bacteria and bifidobacteria in preventing or ameliorating AAD and CDD in people aged 65 years and over who are representative of patients admitted to secondary care NHS facilities in the UK and are exposed to oral or intravenous antibiotics; Primary end point(s): Durinig antibiotic treatment and within 8 weeks of stopping antibiotics: a. incidence, severity and duration of AAD b. abdominal symptoms (abdominal pain, bloating, flatus, nausea) c. incidence, severity and uration of CDD and incidence of rrecurrence within the study period d. incidence of PMS, need for colectomy, death e. well-being and quality of life Duration of hospital stay

Countries

United Kingdom

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Feb 4, 2026