title: [Therapeutic evaluation of Mormoiron attapulgite in acute diarrheas of infants and children. A multicenter study in controlled liberal practice versus placebo in 113 patients].
abstract: A placebo-controlled multicenter study was carried out to evaluate the effectiveness and safety of Actapulgite in infants and children with acute diarrhea. One hundred and thirteen patients, with a mean age of 28 months, were enrolled by pediatricians in the office. As recommended during acute diarrhea, the dosage of Actapulgite was doubled during the first three treatment days (2 to 4 packets a day according to the patient's weight), and reduced by half thereafter. The main effectiveness criteria was passage of the first normally formed stool, which denotes normalization of intestinal transit time. The first normally formed stool was recorded after two days of treatment with Actapulgite and was followed, on the next day, by a second normal stool, denoting complete recovery. The greater effectiveness of Actapulgite as compared with the placebo was demonstrated by the fact that both the first and the second normally formed stools were passed one day earlier with the active treatment (p = 0.01 and p = 0.002, respectively). In addition, resumption of a normal diet occurred significantly earlier with Actapulgite (4.4 days) than with the placebo (5.1 days). In addition to being effective, the study drug proved remarkably well tolerated. This study is especially valuable because of its office setting and the use of exclusively clinical criteria with a strict methodology.
authors.affiliation: Hôpital Trousseau, Paris.
authors.forename: J L
authors.initials: JL
authors.lastname: Charritat
authors.forename: D
authors.initials: D
authors.lastname: Corbineau
authors.forename: S
authors.initials: S
authors.lastname: Guth
authors.forename: M
authors.initials: M
authors.lastname: Meunier
authors.forename: P
authors.initials: P
authors.lastname: Pernin
authors.forename: H
authors.initials: H
authors.lastname: Pflieger
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003967:Diarrhea / Q000188:drug therapy*; D003968:Diarrhea, Infantile / Q000188:drug therapy; D004311:Double-Blind Method; D005260:Female; D006801:Humans; D007223:Infant; D008274:Magnesium / Q000627:therapeutic use*; D017616:Magnesium Compounds; D008297:Male; D010919:Placebos; D012825:Silicon / Q000627:therapeutic use*; D017655:Silicon Compounds
chemical_list: D017616:Magnesium Compounds; D010919:Placebos; D017655:Silicon Compounds; D008274:Magnesium; C026325:attapulgite; D012825:Silicon
vernacular_title: Evaluation thérapeutique de l'attapulgite de Mormoiron dans les diarrhées aiguës du nourrisson et de l'enfant. Etude multicentrique en pratique libérale contrôlée versus placebo chez 113 patients.