Evaluation of Efficacy and Safety in Control Cough and the Relief of Nasal Symptoms in Children 2-12 Years Old,Suffering From Cough and Acute Rhinitis
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Purpose
Multicenter clinical trial, phase III, controlled by active medicine, open, randomized, enroll 962 children, 2 to 12 years old, that suffer acute inflammation upper airway characterized by non-productive cough, daytime/nighttime, with duration for at least 3 and no more than 5 consecutive days (without systemic/topic use of medication during this period) followed by nasal congestion, with or without associate other nasal symptoms (sneezing, runny nose, nasal itching and/or mouth breathing). The subjects will be allocated in 2 parallel groups, and will receive the medicines of study, according of the randomization.
| Condition | Intervention | Phase |
|---|---|---|
|
Inflammation Cough Rhinitis |
Drug: diphenhydramine + dropropizine + pseudoephedrine Drug: Dropropizine and fixed dose combination of pseudoephedrine hydrochloride + brompheniramine maleate (Dimetapp® elixir). |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Multicenter Clinical Trial, Phase III, Controlled, Open, Parallel Group, Randomized, Comparing the Fixed Dose Combination of Diphenhydramine + Dropropizine + Pseudoephedrine and the Combined Use of Dropropizine and Fixed Dose Combination of Pseudoephedrine Hydrochloride + Brompheniramine Maleate Used Orally for Evaluation of Efficacy and Safety in Control Cough and the Relief of Nasal Symptoms in Children 2 to 12 Years Old, Suffering From Non-productive Cough and Acute Rhinitis. |
- Improvement of nasal congestion and cough [ Time Frame: Evaluated on the day 2 after beginning treatment ] [ Designated as safety issue: No ]Participants were evaluated (by a parent/guardian/caregivers) for pain intensity by using a 4-point rating scale: 0=none, 1=mild, 2=moderate, and 3=severe.
- Improvement of nasal congestion and cough [ Time Frame: Evaluated on the 7(±1) day after beginning treatment ] [ Designated as safety issue: No ]Participants were evaluated (by a parent/guardian/caregivers) for pain intensity by using a 4-point rating scale: 0=none, 1=mild, 2=moderate, and 3=severe.
- Improvement of non-obstructive nasal symptoms [ Time Frame: Evaluated on the day 2 and 7 (±1) after beginning treatment ] [ Designated as safety issue: No ]Participants were evaluated (by a parent/guardian/caregivers for pain intensity by using a sum of 4-point rating scale: 0=none, 1=mild, 2=moderate, and 3=severe.
- Reduction of the frequency of nighttime awakenings of parent/guardian/roommate of the child [ Time Frame: Evaluated on the day 2 and 7 (±1) after beginning treatment ] [ Designated as safety issue: No ]
- Reduction of vomiting frequency episodes triggered by coughing [ Time Frame: Evaluated on the day 2 and 7 (±1) after beginning treatment ] [ Designated as safety issue: No ]
- Improvement of acute rhinitis signs [ Time Frame: Evaluated on the day 2 and 7 (±1) after beginning treatment ] [ Designated as safety issue: No ]Assessed by anterior rhinoscopy and application of specific clinical scores
- Use of rescue medication [ Time Frame: Evaluated on the day 2 and 7 (±1) after beginning treatment ] [ Designated as safety issue: No ]
- Overall impression of improvement by the investigator [ Time Frame: Evaluated on the day 2 and 7 (±1) after beginning treatment ] [ Designated as safety issue: No ]Specific scale and overall impression of improvement by a parent/guardian/ caregiver of the child
- Safety descriptive about occurence of adverse events, evaluation of results of general physical examination. [ Time Frame: Will be evaluated during the 7(± 1) days of treatment ] [ Designated as safety issue: Yes ]Collection of safety data throughout the whole study period
| Estimated Enrollment: | 962 |
| Study Start Date: | October 2011 |
| Estimated Primary Completion Date: | April 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Notuss® syrup
Group 1: fixed dose combination of diphenhydramine + dropropizine + pseudoephedrine (Notuss® syrup).
|
Drug: diphenhydramine + dropropizine + pseudoephedrine
Group 1: fixed dose combination of diphenhydramine + dropropizine + pseudoephedrine (Notuss® syrup). Posology: The medicine treat will be as follows: - Notuss® syrup Age: 2-5 years / Dosage: 5,0 mL Age: 6-12 years / Dosage: 10,0 ml |
|
Active Comparator: Dropropizine + Pseudoephedrine and brompheniramine
Group 2: combined use of dropropizine and fixed dose combination of pseudoephedrine hydrochloride + brompheniramine maleate.
|
Drug: Dropropizine and fixed dose combination of pseudoephedrine hydrochloride + brompheniramine maleate (Dimetapp® elixir).
Dropropizine: Age: 2 - 3 years / Dosage: 5,0 ml Age: 4 - 12 years / Dosage: 10,0 ml Pseudoephedrine hydrochloride + brompheniramine maleate: Age: 2 - 3 years / Dosage: 2,5 ml Age: 4 - 6 years / Dosage: 5,0 ml Age: 7 - 9 years / Dosage: 7,5 ml Age: 10 - 12 years / Dosage: 10,0 ml |
Eligibility| Ages Eligible for Study: | 2 Years to 12 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Patients between 2 and 12 years old, of both sexes;
- Clinical condition compatible with acute rhinitis accompanied by nasal obstruction;
- Non-productive cough, daytime and/or nighttime with at least 3 and up 5 consecutive days in duration;
- Score greater than or equal to 3 points on the cough severity score (As per item 4.1.2);
- Score greater than or equal to 2 points on the nasal obstruction severity score (As per item 4.1.3);
- ICF signed by a parent/caregiver/representant;
- Parent/Caregiver/Representant capacity, according to investigator evaluation, for compliance at the treatment and protocol requirements, fulfilling the regular visits;
Exclusion Criteria:
- Non-productive cough with purulent smear, fever (axillar temperature superior than 37,8°C/100°F), purulent runny nose and other signs and symptoms of bacteria infection of upper and lower airways at 7 days before the screening/randomization visit;
- Septal deviation level III (in any region and any nasal cavity) and/or nasal polyps or other determinants conditions of nasal congestion;
- Previous diagnosis of asthma;
- Patients under treatment for chronic allergy;
- Presence of purulent or mucopurulent secretion, nasal vault or mal formations (cleft lip or cleft nasolabial corrected or not) in nasal vestibule;
- Current use of systemic antibiotics for any reason;
- Use of prohibited medicine within the prescribed period before V0 as shown in item 9.3 of this protocol;
- Participation in last one year of clinical protocols;
- Any psychiatric diseases, including major depression;
- Presence of mental retardation from any cause;
- Diagnosis of renal or hepatic failure;
- History of hypersensitivity to any component of the study drugs;
- Relatives of sponsor´s or study site´s employee;
- Current evidence of clinically significant diseases: hematopoietic, gastrointestinal, cardiovascular, hepatic, renal, neurological, endocrine, psychiatric, autoimmune, pulmonary, or another disease that block the patient participation;
- Patient or parent/caregiver/representant with a history of lack of compliance to treatment or previous treatment protocols;
- Any finding of clinical observation (anamnesis and physical exam) laboratory abnormality (eg, blood glucose, blood count), disease (for example, liver, cardiovascular system, lung) or therapy that, in opinion of the investigator, may endanger the patient or interfere with the endpoints of study.
Contacts and Locations
More Information
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| Responsible Party: | Carla Rosana Goulart Silva Peron, MD, Ache Laboratorios Farmaceuticos S.A |
| ClinicalTrials.gov Identifier: | NCT01177852 History of Changes |
| Other Study ID Numbers: | ACH-NTS-03(02/10) |
| Study First Received: | August 6, 2010 |
| Last Updated: | July 12, 2011 |
| Health Authority: | Brazil: ANVISA - Health Authority |
Keywords provided by Ache Laboratorios Farmaceuticos S.A.:
|
cough, acute rhinitis, common cold, nasal symptoms, children. Acute inflammation upper airway |
Additional relevant MeSH terms:
|
Cough Common Cold Inflammation Rhinitis Stress, Psychological Picornaviridae Infections RNA Virus Infections Virus Diseases Respiratory Tract Infections Respiratory Tract Diseases Respiration Disorders Signs and Symptoms, Respiratory Signs and Symptoms Pathologic Processes Nose Diseases |
Otorhinolaryngologic Diseases Behavioral Symptoms Diphenhydramine Promethazine Brompheniramine Pseudoephedrine Ephedrine Dipropizine Maleic acid Antiemetics Autonomic Agents Peripheral Nervous System Agents Physiological Effects of Drugs Pharmacologic Actions Central Nervous System Agents |
ClinicalTrials.gov processed this record on May 23, 2013