The goal of the study is to investigate the efficacy and safety of Lenodiar Pediatric (product under investigation) for the treatment of Chronic Diarrhoea (functional or post-infective diarrhoea) in children aged 1-5 years old, through a randomized, double blind, placebo-controlled clinical investigation
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
136
Medical Device made of natural substance
Product appearance similar to verum without clinical efficacy
Azienda Ospedaliera Universitaria "Federico II",
Napoli, Italia, Italy
RECRUITINGASST Papa Giovanni XXIII
Bergamo, Italy
Change from baseline in stool consistency averaged over the 2-week Treatment Period
Stool consistency will be assessed using the Bristol Stool Form Scale (BSFS) on a range from 1 (Hard Lumps) to 7 (Watery).
Time frame: Up to 2 weeks vs Baseline
Change for daily daytime and nighttime stool consistency scores
Change for daily daytime and nighttime stool consistency scores assessed using the Bristol Stool Form Scale (BSFS) on a range from 1 (Hard Lumps) to 7 (Watery).
Time frame: (Week1 to Week4) vs Baseline
Change for 24-hour abdominal pain scores
Abdominal Pain is scored on a five-point ordinal scale, with 0 meaning no pain, and 4 meaning a lot of pain.
Time frame: (Week1 to Week4) vs Baseline
Change for daytime, nighttime, and 24-hour bowel movement frequency
Change for daytime, nighttime, and 24-hour bowel movement frequency
Time frame: (Week1 to Week4) vs Baseline
Change for daytime, nighttime, and 24-hour urgency-free days
Change for daytime, nighttime, and 24-hour urgency-free days (only for patients who have removed the diaper and have received training toilet)
Time frame: (Week1 to Week4) vs Baseline
Time to event, with the event defined as the first week in which a reduction ≥50% of loose or watery stools as compared to baseline occurs.
Time to event is defined as the time elapsed (days) from the date of randomization to the date of the first week in which a reduction ≥50% of loose or watery stools as compared to baseline occurs. This endpoint will be assessed through electronic diary.
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Azienda Ospedaliera Cannizzaro, UOC Pediatria e PS Pediatrico
Catania, Italy
RECRUITINGPoliclinico "SS. Annunziata" Clinica Pediatrica Via dei Vestini, Località colle dell'Ara 66100, Chieti
Chieti, Italy
RECRUITINGIRCCS AOU Meyer SOC Gastroenterologia e Nutrizione, Viale Gaetano Pieraccini 24
Florence, Italy
RECRUITINGAzienda Socio Sanitaria Territoriale Santi Paolo e Carlo Presidio San Carlo, Ambulatorio di Gastroenterologia Pediatrica
Milan, Italy
RECRUITINGAzienda Ospedaliera Universitaria- Università degli Studi della Campania "Luigi Vanvitelli", I Clinica Pediatrica
Napoli, Italy
RECRUITINGARNAS Ospedale Civico e Benfratelli G Cristina e M Ascoli, Pediatria ad Indirizzo Gastroenterologico
Palermo, Italy
NOT_YET_RECRUITINGFondazione IRCCS Policlinico San Matteo, Pediatria
Pavia, Italy
RECRUITINGOspedale S. Maria della Misericordia
Perugia, Italy
NOT_YET_RECRUITING...and 2 more locations
Time frame: through study completion, an average of 4 weeks
Use of other treatments (proportion of users) for diarrhea relief, evaluated by means of the electronic patient diaries;
Use of other treatments (proportion of users and quantity) for diarrhea relief, evaluated through a electronic patient diaries;
Time frame: through study completion, an average of 4 weeks
Use of other treatments (quantity of other treatments) for diarrhea relief, evaluated by means of the electronic patient diaries;
Use of other treatments (proportion of users and quantity) for diarrhea relief, evaluated through a electronic patient diaries;
Time frame: through study completion, an average of 4 weeks
Change in results of the Pediatric Quality of Life Questionnaires
Change in results of the Pediatric Quality of Life Questionnaires assessed through a validated questionnaire
Time frame: Visit 1 (day 14); Visit 2 (day 28);
Change in results of the patient happiness using a weekly smiley likert scale
Parents/legal guardians will report, on a weekly basis, the happiness of the patients using a smiley face likert scale (Very happy; Happy; Slightly happy; Neutral; Slightly unhappy)
Time frame: through study completion, an average of 4 weeks
Change in results in parent Quality of Life (100 mm VAS)
Change in results in parent Quality of Life using a 100 mm Visual Analogie Scale, ranging from "0" (corresponds to a quality of life "very low") and the value "100" (corresponds to a quality of life "very high")
Time frame: Baseline to Visit 1 (day 14) and Visit 2 (day 28) and Visit 1 (day 14) to Visit 2 (day 28)
Time to event, with the event defined as the first day in which loose or watery stools are not observed.
Time to event is defined as the time elapsed (days) from the date of randomization to the date of the first day in which loose or watery stools are not observed.
Time frame: through study completion, an average of 4 weeks
Change in patients' lifestyle
Change in patients' lifestyle assessed through a lifestyle questionnaire
Time frame: Baseline to Visit 1 (day 14) and Visit 2 (day 28) and Visit 1 (day 14) to Visit 2 (day 28)
Time to event, with the event defined as the third day of the first consecutive three days in which diagnostic criteria for chronic diarrhoea are no more met.
Time to event is defined as the time elapsed (days) from the date of randomization to the date of the third of the first consecutive three days in which diagnostic criteria for chronic diarrhoea are no more met
Time frame: through study completion, an average of 4 weeks
Change from baseline in stool consistency at day 3, day 7 and day 10.
Change from baseline in stool consistency at day 3, day 7 and day 10. Stool consistency will be assessed using the Bristol Stool Form Scale (BSFS) on a range from 1 (Hard Lumps) to 7 (Watery).
Time frame: Baseline to day 3, day 7 and day 10
Adverse Event
Incidence of adverse events (AEs)
Time frame: through study completion, an average of 4 weeks
Serious Adverse Event
Incidence of serious adverse events (SAEs)
Time frame: through study completion, an average of 4 weeks
Adverse device effects
Incidence of adverse device effects (ADEs)
Time frame: through study completion, an average of 4 weeks
Serious adverse device effects
Incidence of a serious adverse device effects (SADEs)
Time frame: through study completion, an average of 4 weeks
Unexpected serious adverse device effects
Incidence of unexpected serious adverse device effects (USADEs)
Time frame: through study completion, an average of 4 weeks
Early withdrawal rate due to AEs
Incidence of early withdrawal rate due to AEs, whether serious or not
Time frame: through study completion, an average of 4 weeks
Safety Endpoints - early withdrawal rate due to ADEs
Incidence of early withdrawal rate due to ADEs, whether serious or not.
Time frame: through study completion, an average of 4 weeks
Systolic/diastolic blood pressure
Change from baseline in clinical examination findings (systolic/diastolic blood pressure)
Time frame: Baseline to Visit 1 (day 14) and Visit 2 (day 28) and Visit 1 (day 14) to Visit 2 (day 28)
Pulse
Change from baseline in clinical examination findings (pulse)
Time frame: Baseline to Visit 1 (day 14) and Visit 2 (day 28) and Visit 1 (day 14) to Visit 2 (day 28)
Weight
Change from baseline in clinical examination findings (weight)
Time frame: Baseline to Visit 1 (day 14) and Visit 2 (day 28) and Visit 1 (day 14) to Visit 2 (day 28)
Body Mass Index
Change from baseline in clinical examination findings (Body Mass Index)
Time frame: Baseline to Visit 1 (day 14) and Visit 2 (day 28) and Visit 1 (day 14) to Visit 2 (day 28)
Waist circumference
Change from baseline in clinical examination findings (waist circumference)
Time frame: Baseline to Visit 1 (day 14) and Visit 2 (day 28) and Visit 1 (day 14) to Visit 2 (day 28)