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CompletedNCT01314976DFPTUpdated Jun 26, 2013

Treatment Study of Metronidazole to Treat Dientamoebiasis in Children

A Phase 4 interventional study of Metronidazole and Placebo in Dientamoebiasis, sponsored by Statens Serum Institut. Completed at 1 site in Denmark. Open to participants aged 3 Years to 12 Years. Per ClinicalTrials.gov, last updated 2013-06-26.

Sponsored by Statens Serum Institut · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
3 Years to 12 Years
Sex
All
01

Study summary

Introduction: Dientamoeba fragilis (DF) is a commonly occurring intestinal protozoan that is considered a possible cause of infectious gastrointestinal disease in adults and children. DF has a particular high prevalence in children, and it is suspected that children present more symptoms in infection than adults. However, evidence of causality is lacking, treatment regimens are largely untested in controlled trials, and the most commonly used antibiotic against DF in Denmark, metronidazole, has never been tested against placebo.

Main objective: To determine the clinical effect of metronidazole in DF-infected children with gastrointestinal complaints, where no other aetiology is known and no other gastrointestinal pathogens could be shown.

02

Conditions studied

  • Dientamoebiasis

Keywords

  • Children
  • parasite
  • intestinal
  • treatment
  • RCT
03

In context

Lead sponsor

Statens Serum Institut is the lead sponsor of 28 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
3 Years to 12 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients with samples investigated at Statens Serum Institut.
  • Faecal sample (index) positive for Dientamoeba fragilis (DF) by realtime PCR, within \< 7 days.
  • No faecal samples positive for DF within the period: 3 months prior to and up to index-sample.
  • Telephone interview to parents no later then 14 days after result from index-sample.
  • Age 3-12 years old.
  • Place of residence: Island of Zealand, incl. capital region.
  • Symptoms consistent with gastrointestinal infection of DF: Either 1) ≥ 2 episodes of diarrhea per week or 2) ≥ 2 episodes of stomach ache per week or 3) ≥ 2 of the following symptoms: Anorexia, Failure to thrive, Anal itching, excessive flatulence, other change in bowel movements.

Exclusion criteria

Exclusion Criteria:

  • Expected non-compliance.
  • Objection to subject participation from referring physician.
  • Underlying illness or comorbidity, incl. known gastrointestinal illness (both infectious and non-infectious), but excluding constipation.
  • Known liver disease or intolerance/allergy to metronidazole.
  • Positive screening for other intestinal pathogens, which may explain subject symptoms.
  • Treatment with metronidazole outside of study within study period.
  • Weight > 50 kg
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
100 participants (estimated)

Study arms

  • Experimental
    Metronidazole

    Active treatment.

    Drug: Metronidazole

  • Placebo comparator
    Placebo

    Passive treatment.

    Drug: Placebo

Interventions

  • DrugMetronidazole

    Metronidazole, oral suspension, 40mg/ml. 1 treatment period of 40mg/kg/day for 10 days, 3 daily dosages. Administered by parents.

    Also known as: Flagyl® (Metronidazole), oral suspension. Sanofi-aventis, ATC-code: P01AB01

  • DrugPlacebo

    Placebo. 1 treatment period of 1ml/kg/day for 10 days, 3 daily dosages. Administered by parents. Placebo formulation is identical to Flagyl® (Metronidazole), oral suspension from Sanofi-Aventis.

06

What researchers measure

Primary outcomes

  1. Overall gastrointestinal symptoms, day 14

    All participants receive 10 days of treatment with study drug (placebo or active). Primary outcome measure is registered on day 14 after end of treatment, using a questionnaire for the parents of the study participant. Measuring will be done using a VAS-score scale, addressing overall level of gastrointestinal symptoms in the previous 14 days. Results will be noted as a value from 0 to 10.

    Time frame: 14 days after end of treatment period

Secondary outcomes

  1. Realtime PCR for D. fragilis, day 14

    Secondary outcome measure will be registered using a specific realtime PCR for D. fragilis, performed on faecal samples collected from study-participant. Results will be noted as either positive or negative.

    Time frame: Sample collection 14 days after end of treatment period

07

Study locations

1 site
  • Statens Serum Institut
    Copenhagen, 2300, Denmark
08

References and documents

Publications

  • Roser D, Simonsen J, Stensvold CR, Olsen KE, Bytzer P, Nielsen HV, Molbak K. Metronidazole therapy for treating dientamoebiasis in children is not associated with better clinical outcomes: a randomized, double-blinded and placebo-controlled clinical trial. Clin Infect Dis. 2014 Jun;58(12):1692-9. doi: 10.1093/cid/ciu188. Epub 2014 Mar 18. PubMed 24647023 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 26, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01314976
Lead sponsor
Statens Serum Institut
Responsible party
Dennis Roser (MD, PhD fellow, Statens Serum Institut) — Principal investigator
First posted
Mar 15, 2011
Start date
Jul 2011
Primary completion
May 2013
Completion
Jun 2013
Last update
Jun 26, 2013

Study contacts

Dennis Röser, MD
principal investigator · Statens Serum Institut
Dennis Röser, MD
study director · Statens Serum Institut

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jun 2013. You cannot join it, but the record below documents what was studied.

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