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A Multicenter Study of Pseudoephedrine for the Temporary Relief of Nasal Congestion in Children With the Common Cold

Primary Purpose

Nasal Congestion Associated With the Common Cold

Status
Completed
Phase
Phase 3
Locations
United States
Study Type
Interventional
Intervention
pseudoephedrine hydrochloride 30 mg tablets
Placebo tablets
Sponsored by
Perrigo Company
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Nasal Congestion Associated With the Common Cold

Eligibility Criteria

6 Years - 11 Years (Child)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Male or female subjects, ages 6 through 11 years, are experiencing the common cold, but are otherwise healthy.
  2. Subjects have an onset of cold symptoms within the past 2.5 days before screening and are experiencing self-reported nasal congestion of at least stuffy severity (score = 3 or 4).
  3. Subjects have at least two of the following additional symptoms due to common cold: runny nose, sneezing, sore throat, headache, body achiness, and cough, as deemed by the parent.
  4. Subjects can swallow oral tablets without chewing them (based on a pretest of successfully swallowing a placebo tablet at screening)
  5. Findings from the medical history review and vital signs are within the range of clinical acceptability, as determined by the investigator.
  6. Subject and legally authorized representative are likely to be compliant and complete the study.
  7. Subject's legally authorized representative has signed and dated the informed consent form. Subject has given verbal assent, and has signed and dated the informed assent form.
  8. Female subjects who have reached menarche must have a negative urine pregnancy test at screening. These subjects must have practiced abstinence for at least three months prior to study entry and for the duration of the study. A second pregnancy test will be given when the subject returns to the clinic after the last dose.
  9. Subject and legally authorized representative can read and understand English.
  10. Subject's legally authorized representative who signs informed consent is available to administer all assessments and study medication on days 1 and 2.

Exclusion Criteria:

  1. Have any of the following medical conditions: heart disease, high blood pressure, thyroid disease, diabetes, peripheral vascular disease, increased intraocular pressure, prostatic hypertrophy
  2. Are under treatment for a hyperexcitability disorder with a medication regimen that has not been stable for at least 3 months
  3. Are currently experiencing an asthmatic episode
  4. Are experiencing symptoms of seasonal or perennial allergic rhinitis
  5. Are currently or within the last 24 hours having symptoms of vomiting or diarrhea
  6. Have been exposed to immediate family members with the flu within the past week
  7. Are exhibiting signs or symptoms of, or diagnosed with sinusitis, pneumonia, strep throat, acute otitis media, or influenza
  8. Are experiencing a fever 103˚F or higher at screening
  9. Are from homes where there is smoking in the home around the child.
  10. Are currently taking a monoamine oxidase inhibitor (MAOI), or have taken a MAOI within two weeks of screening (e.g., isocarboxazid - Marplan, phenelzine - Nardil, selegiline - Eldepryl, Emsam, Zelapar, and tranylcypromine - Parnate). Note: subjects may not discontinue taking a MAOI solely of the purposes of qualifying for the study.
  11. Have a known sensitivity or allergy to pseudoephedrine, phenylephrine, or acetaminophen or any of the excipients of the drug product
  12. Have taken any oral cold or allergy medicine within 12 hours of enrollment, or intranasal decongestants within 24 hours of enrollment except for single-ingredient OTC analgesics
  13. Have the need to take additional medications, including cough and cold (i.e., oral or intranasal antihistamines, intranasal steroids, intranasal decongestants), or herbal/dietary supplements during the study, with the exception of acetaminophen, a medication regimen for a hyperexcitability disorder that has been stable for at least three months or a daily vitamin or multivitamin/multimineral supplement
  14. Have participated in another clinical study within 30 days before entry
  15. Have another child from the household currently participating in this study
  16. Have a history of drug, alcohol, or tobacco use (older children)
  17. Are involved directly or indirectly with the conduct and administration of this study (i.e., children of principal investigator, subinvestigator, study coordinators, other study personnel, employees of Perrigo, and the families of each).

Sites / Locations

  • Emmaus Research Center
  • WCCT Global, LLC
  • Advanced Clinical Research - Boise
  • Bluegrass Clinical Research
  • Meridian Clinical Research
  • Rapid Medical Research
  • Carolina Ear, Nose and Throat Clinic
  • Meridian Clinical Research - Dakota Dunes
  • ClinPoint Trials, LLC
  • Chrysalis Clinical Research
  • Advanced Clinical Research - West Jordan

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

pseudoephedrine hydrochloride 30 mg tablets

placebo tablets

Arm Description

Test product

Placebo

Outcomes

Primary Outcome Measures

Nasal Congestion Severity (NCSi) (instantaneous) scores
Weighted sum of change from baseline in Nasal Congestion Severity (NCSi) (instantaneous) scores over the first eight hours of treatment on Day 1

Secondary Outcome Measures

change from baseline in NCSi scores from 0 to 4 hours
Sum of change from baseline in NCSi scores from 0 to 4 hours after the first dose on Day 1
change from baseline in NCSi scores from 6, 7, and 8 hours
Weighted sum of change from baseline in NCSi scores from 6, 7, and 8 hours after the first dose on Day 1
Nasal Congestion Relief (NCR) reflective scores at 4 hours and 8 hours
Sum of Nasal Congestion Relief (NCR) reflective scores at 4 hours and 8 hours on Day 1
NCSi score at each time point from 0 to 8 hours
NCSi score at each time point from 0 to 8 hours after the first dose on Day 1
NCSr (reflective) scores at 6 hours and 12 hours
Sum of NCSr (reflective) scores at 6 hours and 12 hours on Day 2
NCSr scores at 6 and 12 hours
NCSr scores at 6 and 12 hours on Day 2

Full Information

First Posted
December 4, 2012
Last Updated
April 20, 2016
Sponsor
Perrigo Company
Collaborators
McNeil Consumer Healthcare Division of McNEIL-PPC, Inc., Pfizer, GlaxoSmithKline, Chattem, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT01744106
Brief Title
A Multicenter Study of Pseudoephedrine for the Temporary Relief of Nasal Congestion in Children With the Common Cold
Official Title
A Multicenter, Randomized, Placebo-Controlled Study of Pseudoephedrine for the Temporary Relief of Nasal Congestion in Children With the Common Cold
Study Type
Interventional

2. Study Status

Record Verification Date
April 2016
Overall Recruitment Status
Completed
Study Start Date
November 2012 (undefined)
Primary Completion Date
April 2016 (Actual)
Study Completion Date
April 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Perrigo Company
Collaborators
McNeil Consumer Healthcare Division of McNEIL-PPC, Inc., Pfizer, GlaxoSmithKline, Chattem, Inc.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study is designed to confirm the effectiveness of single-ingredient pseudoephedrine in children for the temporary relief of nasal congestion due to the common cold, an indication described under 21 CFR 341.80(b)(1).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Nasal Congestion Associated With the Common Cold

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
565 (Actual)

8. Arms, Groups, and Interventions

Arm Title
pseudoephedrine hydrochloride 30 mg tablets
Arm Type
Experimental
Arm Description
Test product
Arm Title
placebo tablets
Arm Type
Placebo Comparator
Arm Description
Placebo
Intervention Type
Drug
Intervention Name(s)
pseudoephedrine hydrochloride 30 mg tablets
Intervention Type
Drug
Intervention Name(s)
Placebo tablets
Primary Outcome Measure Information:
Title
Nasal Congestion Severity (NCSi) (instantaneous) scores
Description
Weighted sum of change from baseline in Nasal Congestion Severity (NCSi) (instantaneous) scores over the first eight hours of treatment on Day 1
Time Frame
1 Day
Secondary Outcome Measure Information:
Title
change from baseline in NCSi scores from 0 to 4 hours
Description
Sum of change from baseline in NCSi scores from 0 to 4 hours after the first dose on Day 1
Time Frame
Day 1
Title
change from baseline in NCSi scores from 6, 7, and 8 hours
Description
Weighted sum of change from baseline in NCSi scores from 6, 7, and 8 hours after the first dose on Day 1
Time Frame
Day 1
Title
Nasal Congestion Relief (NCR) reflective scores at 4 hours and 8 hours
Description
Sum of Nasal Congestion Relief (NCR) reflective scores at 4 hours and 8 hours on Day 1
Time Frame
Day 1
Title
NCSi score at each time point from 0 to 8 hours
Description
NCSi score at each time point from 0 to 8 hours after the first dose on Day 1
Time Frame
Day 1
Title
NCSr (reflective) scores at 6 hours and 12 hours
Description
Sum of NCSr (reflective) scores at 6 hours and 12 hours on Day 2
Time Frame
Day 2
Title
NCSr scores at 6 and 12 hours
Description
NCSr scores at 6 and 12 hours on Day 2
Time Frame
Day 2
Other Pre-specified Outcome Measures:
Title
change from baseline in the Nasal Symptom and Function (NSF) composite score of NCSi
Description
Weighted sum of change from baseline in the Nasal Symptom and Function (NSF) composite score of NCSi, nasal breathing, and nasal clearing over the first eight hours of treatment on Day 1
Time Frame
Day 1
Title
Sum of change from baseline in NSF composite score from 0 to 4 hours
Description
Sum of change from baseline in NSF composite score from 0 to 4 hours after the first dose on Day 1
Time Frame
Day 1
Title
Weighted sum of change from baseline in NSF composite score from 6, 7, and 8 hours
Description
Weighted sum of change from baseline in NSF composite score from 6, 7, and 8 hours after the first dose on Day 1
Time Frame
Day 1
Title
morning sleep score on Days 2 through 7
Description
Change from baseline in morning sleep score on Days 2 through 7
Time Frame
Day 7
Title
NSF composite score on Days 2 through 7
Description
Change from baseline in NSF composite score on Days 2 through 7
Time Frame
Day 7
Title
NSF + S (sleep) composite score on Days 2 through 7
Description
Change from baseline in the NSF + S (sleep) composite score on Days 2 through 7
Time Frame
Day 7

10. Eligibility

Sex
All
Minimum Age & Unit of Time
6 Years
Maximum Age & Unit of Time
11 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female subjects, ages 6 through 11 years, are experiencing the common cold, but are otherwise healthy. Subjects have an onset of cold symptoms within the past 2.5 days before screening and are experiencing self-reported nasal congestion of at least stuffy severity (score = 3 or 4). Subjects have at least two of the following additional symptoms due to common cold: runny nose, sneezing, sore throat, headache, body achiness, and cough, as deemed by the parent. Subjects can swallow oral tablets without chewing them (based on a pretest of successfully swallowing a placebo tablet at screening) Findings from the medical history review and vital signs are within the range of clinical acceptability, as determined by the investigator. Subject and legally authorized representative are likely to be compliant and complete the study. Subject's legally authorized representative has signed and dated the informed consent form. Subject has given verbal assent, and has signed and dated the informed assent form. Female subjects who have reached menarche must have a negative urine pregnancy test at screening. These subjects must have practiced abstinence for at least three months prior to study entry and for the duration of the study. A second pregnancy test will be given when the subject returns to the clinic after the last dose. Subject and legally authorized representative can read and understand English. Subject's legally authorized representative who signs informed consent is available to administer all assessments and study medication on days 1 and 2. Exclusion Criteria: Have any of the following medical conditions: heart disease, high blood pressure, thyroid disease, diabetes, peripheral vascular disease, increased intraocular pressure, prostatic hypertrophy Are under treatment for a hyperexcitability disorder with a medication regimen that has not been stable for at least 3 months Are currently experiencing an asthmatic episode Are experiencing symptoms of seasonal or perennial allergic rhinitis Are currently or within the last 24 hours having symptoms of vomiting or diarrhea Have been exposed to immediate family members with the flu within the past week Are exhibiting signs or symptoms of, or diagnosed with sinusitis, pneumonia, strep throat, acute otitis media, or influenza Are experiencing a fever 103˚F or higher at screening Are from homes where there is smoking in the home around the child. Are currently taking a monoamine oxidase inhibitor (MAOI), or have taken a MAOI within two weeks of screening (e.g., isocarboxazid - Marplan, phenelzine - Nardil, selegiline - Eldepryl, Emsam, Zelapar, and tranylcypromine - Parnate). Note: subjects may not discontinue taking a MAOI solely of the purposes of qualifying for the study. Have a known sensitivity or allergy to pseudoephedrine, phenylephrine, or acetaminophen or any of the excipients of the drug product Have taken any oral cold or allergy medicine within 12 hours of enrollment, or intranasal decongestants within 24 hours of enrollment except for single-ingredient OTC analgesics Have the need to take additional medications, including cough and cold (i.e., oral or intranasal antihistamines, intranasal steroids, intranasal decongestants), or herbal/dietary supplements during the study, with the exception of acetaminophen, a medication regimen for a hyperexcitability disorder that has been stable for at least three months or a daily vitamin or multivitamin/multimineral supplement Have participated in another clinical study within 30 days before entry Have another child from the household currently participating in this study Have a history of drug, alcohol, or tobacco use (older children) Are involved directly or indirectly with the conduct and administration of this study (i.e., children of principal investigator, subinvestigator, study coordinators, other study personnel, employees of Perrigo, and the families of each).
Facility Information:
Facility Name
Emmaus Research Center
City
Anaheim
State/Province
California
ZIP/Postal Code
92804
Country
United States
Facility Name
WCCT Global, LLC
City
Costa Mesa
State/Province
California
ZIP/Postal Code
92626
Country
United States
Facility Name
Advanced Clinical Research - Boise
City
Boise
State/Province
Idaho
ZIP/Postal Code
83642
Country
United States
Facility Name
Bluegrass Clinical Research
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40291
Country
United States
Facility Name
Meridian Clinical Research
City
Omaha
State/Province
Nebraska
ZIP/Postal Code
68134
Country
United States
Facility Name
Rapid Medical Research
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44122
Country
United States
Facility Name
Carolina Ear, Nose and Throat Clinic
City
Orangeburg
State/Province
South Carolina
ZIP/Postal Code
29118
Country
United States
Facility Name
Meridian Clinical Research - Dakota Dunes
City
Dakota Dunes
State/Province
South Dakota
ZIP/Postal Code
57049
Country
United States
Facility Name
ClinPoint Trials, LLC
City
Waxahachie
State/Province
Texas
ZIP/Postal Code
75165
Country
United States
Facility Name
Chrysalis Clinical Research
City
St. George
State/Province
Utah
ZIP/Postal Code
84790
Country
United States
Facility Name
Advanced Clinical Research - West Jordan
City
West Jordan
State/Province
Utah
ZIP/Postal Code
84088
Country
United States

12. IPD Sharing Statement

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A Multicenter Study of Pseudoephedrine for the Temporary Relief of Nasal Congestion in Children With the Common Cold

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