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. Author manuscript; available in PMC: 2020 Sep 24.
Published in final edited form as: N Engl J Med. 2020 Sep 24;383(13):1231–1241. doi: 10.1056/NEJMoa1915905

Table 2.

Effect of zinc supplementation dose on diarrhea and vomiting in children with acute diarrhea.

5 mg 10 mg 20 mg
Diarrhea Related Outcomes
Diarrhea > 5 days
(Intention to treat analysis)
n/N (%) 106 /1480 (7.2%) 114 / 1480 (7.7%) 96 / 1479 (6.5%)
Risk difference and upper bound of one-sided 98.75% CI1 0.7% (2.8%) 1.2% (3.3%) Ref
Non-inferiority one-sided p-value (+4% margin) <0.001 0.002 Ref
Diarrhea > 5 days
(Per protocol analysis)
n/N (%) 102 / 1431 (7.1%) 109 /1437 (7.6%) 93 /1440 (6.5%)
Risk difference and upper bound of one-sided 98.75% CI 0.7% (2.8%) 1.1% (3.3%) Ref.
Total loose or watery stools after enrolment (Intention to treat analysis) N 1496 1488 1490
Mean + SD 10.8 ± 8.9 10.9 ± 9.2 10.7 ± 8.7
Mean difference and upper bound of one-sided 98.75% CI1 0.1 (0.8) 0.3 (1.0) Ref
Non-inferiority one-sided p-value
(+2 stool margin)
<0.001 <0.001
Total loose or watery stools after enrolment (Per protocol analysis) N 1431 1437 1410
Mean + SD 10.8 ± 8.9 11.0 ± 9.3 10.6 ± 8.2
Mean difference and upper bound of one-sided 98.75% CI 0.2 (0.9) 0.3 (1.1) Ref.
Vomiting Related Outcomes

Proportion of children who ever vomited over 14 days within 30 minutes of dosing n/N% 206 / 1504 (13.7) 233 / 1498 (15.6) 289 / 1498 (19.3)
Relative risk (97.5% CI)2 0.71 (0.59-0.86) 0.81 (0.67-0.96) Ref.
Superiority two-sided p-value2 <0.001 0.007
Proportion of children who ever vomited over 14 days after 30 minutes of dosing) n/N% 301 / 1496 (20.1) 333 / 1488 (22.4) 403 / 1490 (27.0)
Relative risk (95% CI) 0.74 (0.65-0.85) 0.83(0.73-0.94) Ref.
1

A post-hoc Bonferroni correction was applied to the primary efficacy outcomes account for tests of the two efficacy outcomes and two treatment arms; 98.75% confidence intervals are presented and statistical significance of P-values should be assessed at a P < 0.0125 (0.05 / 4 tests).

2

A post-hoc Bonferroni correction was applied to the primary safety outcome account for tests of the two treatment arms; 97.5% confidence intervals are presented and statistical significance of P-values should be assessed at a P < 0.025 (0.05 / 2 tests).