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Randomized, Double-blind, Placebo-Controlled, Efficacy Study of a New Formulation of Phenylephrine HCL in the Common Cold (PIER)

Primary Purpose

Common Cold

Status
Terminated
Phase
Phase 2
Locations
Canada
Study Type
Interventional
Intervention
New Formulation Phenylephrine HCl
Marketed Phenylephrine HCl
Placebo
Sponsored by
Johnson & Johnson Consumer Inc. (J&JCI)
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Common Cold

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers
  1. Provide a signed and dated informed consent form before any study-related procedures.
  2. Men or non-pregnant, non-lactating women, aged 18 years or older, who have cold symptoms due to an acute upper respiratory tract infection but are otherwise healthy
  3. Have experienced onset of common cold symptoms (per subject report) within 72 hours before study entry consisting of cold symptoms per the following:

    1. At Visit 1, at least moderate severity (score ≥ 5, on a scale from 0 = none to 7 = severe) for stuffy/congested nose, and
    2. At Visit 1, at least mild (score ≥ 3, on a scale from 0 = none to 7 = severe) for sinus pressure/tenderness, and
    3. Within the past 72 hours, two or more of the following symptoms: runny nose, sore or scratchy throat, sneezing, headache, malaise, or cough.
  4. Are normotensive and have no clinically significant abnormalities identified by medical history or vital sign measurement (except as consistent with the diagnosis of the common cold) as determined by the Investigator at screening.

    • Blood pressure must be within the following limits after sitting for approximately 5 minutes: > 90 and <140 mm Hg systolic, and >50 and <90 mm Hg diastolic, at screening
    • Pulse rate >50 and <90 beats/minute at screening;
    • Body Mass Index (BMI) of 18 to 34 kg/m2 (inclusive);
  5. Willing to use only the study treatment for cold symptom relief during the course of the study and avoid the use of treatments that may affect nasal / cold symptomatology; no other cough, cold, allergy, or analgesic/antipyretic medicines (non-prescription or prescription) or herbal/dietary supplements will be permitted during the study
  6. Females of childbearing potential must have used an effective form of birth control for three months before Screening and a negative urine pregnancy test at the Screening visit.
  7. Female and male subjects must agree to the contraceptive requirement use during the study and for at least 30 days after the last dose (for females) (See Section 10.4.3 ).
  8. Willing and able to comply with the study procedures and visit schedule, which includes remaining at the study site for at least 4 hours after the first dose of study medicine on Day 1.
  9. Able to read and understand English and/or French;

Exclusion criteria:

  1. Currently experiencing nasal congestion due to allergic rhinitis or chronic respiratory disease.
  2. Any ear, nose, throat, or respiratory tract disease, other than the common cold, identified by signs and symptoms reported by the subject, or by medical history or medication history
  3. Presence of asthma.
  4. History of rhinitis medicamentosa, anatomical nasal obstruction or deformity, nasal reconstructive surgery, or chronic sleep apnea.
  5. Fever of ≥ 101.0 °F (38.3 °C).
  6. Heart disease, controlled or uncontrolled hypertension, thyroid disease, diabetes, glaucoma, prostatic hypertrophy, or presence of a disease, which in the opinion of the investigator, would preclude the use of phenylephrine.
  7. Are currently taking, or have taken within two weeks of screening, a monoamine oxidase inhibitor (MAOI).
  8. Have the need to use medications which may impact nasal symptomatology i.e. systemic, inhaled (oral or nasal) corticosteroids, and the following drugs with significant anticholinergic properties: tricyclic antidepressants, paroxetine, medicines used to treat overactive bladder, antipsychotic medication, skeletal muscle relaxants, antiparkinsonian medication, the anticonvulsants carbamazepine and oxcarbazepine, and dicycloverine (dicyclomine), dimenhydrinate, propantheline, atropine, hyoscyamine, belladonna, prochlorperazine and promethazine.
  9. Have a bacterial sinus infection within 2 weeks prior to screening.
  10. Use of systemic antibiotics within the past 7 days prior to screening.
  11. Known or suspected alcohol or substance abuse (e.g., amphetamines, benzodiazepines, cocaine, marijuana, opiates).
  12. Use of marijuana containing substances within the 10 days prior to screening and throughout the study.
  13. Positive Urine Drug Screen.
  14. Use of alcohol throughout the study.
  15. History of smoking tobacco products or use of nicotine-containing substances within the previous three months as determined by subject's medical history or subject's verbal report.
  16. Known sensitivity to the investigational product or any excipients of the drug product.
  17. Before the first dose of study medicine, use of

    1. oral or intranasal cold, cough, allergy, or analgesic/antipyretic medicines within approximately 12 hours;
    2. menthol products, medicated lozenge, humidifier, nasal saline spray or throat spray within approximately 6 hours;
    3. herbal/dietary supplements within approximately 12 hours.
  18. Have difficulty swallowing tablets/capsules or are unable to swallow whole without crushing, chewing, splitting, or dissolving.
  19. Subjects who were previously randomized and received the IP.
  20. Significant unstable or uncontrolled medical condition that may interfere with a subject's participation in the study.
  21. Other severe, acute or chronic, medical or psychiatric condition(s) or laboratory abnormality that may increase the risk associated with study participation or IP administration or may interfere with the interpretation of study results and, in the judgment of the investigator, would make the subject inappropriate for entry into this study.
  22. Currently participating in another clinical trial or has done so in the past 30 days.
  23. Subjects who are related to those persons involved directly or indirectly with the conduct of this study (i.e., principal investigator, sub-investigators, study coordinators, other site personnel, employees of Johnson & Johnson (J&J) subsidiaries, contractors of J&J, and the families of each).

Sites / Locations

  • The Medical Arts Health Research Group
  • Mission Hills Urgent Care Walk in Clinic
  • James Lai, MD, Inc
  • Dawson Road Family Medical Clinic
  • Sunningdale Health and Wellness Centre
  • Bluewater Clinical Research Group, Inc.
  • NEOMO Research
  • Canadian Phase Onward, Inc.
  • PrimeHealth Clinical Research
  • Diex Recherche
  • Diex Recherche

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Active Comparator

Placebo Comparator

Arm Label

New Formulation Phenylephrine HCl

Marketed Phenylephrine HCl

Placebo

Arm Description

Outcomes

Primary Outcome Measures

Mean Change From Baseline in the Nasal Congestion Severity Score
Average change from baseline in the Nasal Congestion Severity Score on an 8 point scale with 0=None and 7=Severe. Change from baseline in the Nasal Congestion Severity Score averaged over assessments at 2, 4, 6, 8, 10, and 12 hours.

Secondary Outcome Measures

Average Change From Baseline in the Nasal Congestion Severity Score
Average change from baseline in the Nasal Congestion Severity Score averaged over hours 8-12. This is an 8 point scale with 0=None and 7=Severe.
Change From Baseline in the Nasal Congestion Severity Score
Change from baseline in the Nasal Congestion Severity Score at 2 hours. This is an 8 point scale with 0=None and 7=Severe.
Change From Baseline in the Nasal Congestion Severity Score
Change from baseline in the Nasal Congestion Severity Score at 4 hours. This is an 8 point scale with 0=None and 7=Severe.
Change From Baseline in the Nasal Congestion Severity Score
Change from baseline in the Nasal Congestion Severity Score at 6 hours. This is an 8 point scale with 0=None and 7=Severe.
Change From Baseline in the Nasal Congestion Severity Score
Change from baseline in the Nasal Congestion Severity Score at 8 hours. This is an 8 point scale with 0=None and 7=Severe.
Change From Baseline in the Nasal Congestion Severity Score
Change from baseline in the Nasal Congestion Severity Score at 10 hours. This is an 8 point scale with 0=None and 7=Severe.
Change From Baseline in the Nasal Congestion Severity Score
Change from baseline in the Nasal Congestion Severity Score at 12 hours. This is an 8 point scale with 0=None and 7=Severe.
Change From Baseline in the Nasal Congestion Severity Score
Change from baseline in the Nasal Congestion Severity Score at 24 hours. This is an 8 point scale with 0=None and 7=Severe.
Average Change From Baseline in Sinus Pressure/Tenderness Scores
Change from baseline in Sinus Pressure/Tenderness Scores averaged over assessments at 2, 4, 6, 8, 10, and 12 hours. This is an 8 point scale with 0=None and 7=Severe.
Change From Baseline in Sinus Pressure/Tenderness Scores
Change from baseline in Sinus Pressure/Tenderness Scores at 2 hours. This is an 8 point scale with 0=None and 7=Severe.
Change From Baseline in Sinus Pressure/Tenderness Scores
Change from baseline in Sinus Pressure/Tenderness Scores at 4 hours.
Change From Baseline in Sinus Pressure/Tenderness Scores
Change from baseline in Sinus Pressure/Tenderness Scores at 6 hours. This is an 8 point scale with 0=None and 7=Severe.
Change From Baseline in Sinus Pressure/Tenderness Scores
Change from baseline in Sinus Pressure/Tenderness Scores at 8 hours. This is an 8 point scale with 0=None and 7=Severe.
Change From Baseline in Sinus Pressure/Tenderness Scores
Change from baseline in Sinus Pressure/Tenderness Scores at 10 hours. This is an 8 point scale with 0=None and 7=Severe.
Change From Baseline in Sinus Pressure/Tenderness Scores
Change from baseline in Sinus Pressure/Tenderness Scores at 12 hours. This is an 8 point scale with 0=None and 7=Severe.
Change From Baseline in Sinus Pressure/Tenderness Scores
Change from baseline in Sinus Pressure/Tenderness Scores at 24 hours. This is an 8 point scale with 0=None and 7=Severe.

Full Information

First Posted
November 8, 2017
Last Updated
June 3, 2019
Sponsor
Johnson & Johnson Consumer Inc. (J&JCI)
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1. Study Identification

Unique Protocol Identification Number
NCT03339726
Brief Title
Randomized, Double-blind, Placebo-Controlled, Efficacy Study of a New Formulation of Phenylephrine HCL in the Common Cold
Acronym
PIER
Official Title
Randomized, Double-blind, Placebo-Controlled Study of the Efficacy of Phenylephrine HCL Extended-Release 30 mg and Phenylephrine HCL Immediate-Release 12 mg Capsules in Subjects With Nasal Congestion Due to the Common Cold
Study Type
Interventional

2. Study Status

Record Verification Date
June 2019
Overall Recruitment Status
Terminated
Why Stopped
did not enroll enough subjects in the 2017/2018 cold season, so the study was terminated
Study Start Date
November 30, 2017 (Actual)
Primary Completion Date
April 16, 2018 (Actual)
Study Completion Date
April 16, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Johnson & Johnson Consumer Inc. (J&JCI)

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
No

5. Study Description

Brief Summary
This will be a randomized, double-blind, placebo controlled, parallel-group Phase 2 study to evaluate the efficacy of a new formulation of phenylephrine HCl and a currently marketed phenylephrine HCl for relief of nasal congestion in subjects with naturally occurring cold symptoms.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Common Cold

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
193 (Actual)

8. Arms, Groups, and Interventions

Arm Title
New Formulation Phenylephrine HCl
Arm Type
Experimental
Arm Title
Marketed Phenylephrine HCl
Arm Type
Active Comparator
Arm Title
Placebo
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
New Formulation Phenylephrine HCl
Intervention Description
2 doses of one tablet 12 hours apart
Intervention Type
Drug
Intervention Name(s)
Marketed Phenylephrine HCl
Intervention Description
4 doses of one capsule 4 hours apart
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
4 doses of placebo capsule and tablet taken 4 hours apart
Primary Outcome Measure Information:
Title
Mean Change From Baseline in the Nasal Congestion Severity Score
Description
Average change from baseline in the Nasal Congestion Severity Score on an 8 point scale with 0=None and 7=Severe. Change from baseline in the Nasal Congestion Severity Score averaged over assessments at 2, 4, 6, 8, 10, and 12 hours.
Time Frame
0-12 hours
Secondary Outcome Measure Information:
Title
Average Change From Baseline in the Nasal Congestion Severity Score
Description
Average change from baseline in the Nasal Congestion Severity Score averaged over hours 8-12. This is an 8 point scale with 0=None and 7=Severe.
Time Frame
0-12 hours
Title
Change From Baseline in the Nasal Congestion Severity Score
Description
Change from baseline in the Nasal Congestion Severity Score at 2 hours. This is an 8 point scale with 0=None and 7=Severe.
Time Frame
0-2 hours
Title
Change From Baseline in the Nasal Congestion Severity Score
Description
Change from baseline in the Nasal Congestion Severity Score at 4 hours. This is an 8 point scale with 0=None and 7=Severe.
Time Frame
0-4 hours
Title
Change From Baseline in the Nasal Congestion Severity Score
Description
Change from baseline in the Nasal Congestion Severity Score at 6 hours. This is an 8 point scale with 0=None and 7=Severe.
Time Frame
0-6 hours
Title
Change From Baseline in the Nasal Congestion Severity Score
Description
Change from baseline in the Nasal Congestion Severity Score at 8 hours. This is an 8 point scale with 0=None and 7=Severe.
Time Frame
0-8 hours
Title
Change From Baseline in the Nasal Congestion Severity Score
Description
Change from baseline in the Nasal Congestion Severity Score at 10 hours. This is an 8 point scale with 0=None and 7=Severe.
Time Frame
0-10 hours
Title
Change From Baseline in the Nasal Congestion Severity Score
Description
Change from baseline in the Nasal Congestion Severity Score at 12 hours. This is an 8 point scale with 0=None and 7=Severe.
Time Frame
0-12 hours
Title
Change From Baseline in the Nasal Congestion Severity Score
Description
Change from baseline in the Nasal Congestion Severity Score at 24 hours. This is an 8 point scale with 0=None and 7=Severe.
Time Frame
0-24 hours
Title
Average Change From Baseline in Sinus Pressure/Tenderness Scores
Description
Change from baseline in Sinus Pressure/Tenderness Scores averaged over assessments at 2, 4, 6, 8, 10, and 12 hours. This is an 8 point scale with 0=None and 7=Severe.
Time Frame
0-12 hours
Title
Change From Baseline in Sinus Pressure/Tenderness Scores
Description
Change from baseline in Sinus Pressure/Tenderness Scores at 2 hours. This is an 8 point scale with 0=None and 7=Severe.
Time Frame
0-2 hours
Title
Change From Baseline in Sinus Pressure/Tenderness Scores
Description
Change from baseline in Sinus Pressure/Tenderness Scores at 4 hours.
Time Frame
0-4 hours
Title
Change From Baseline in Sinus Pressure/Tenderness Scores
Description
Change from baseline in Sinus Pressure/Tenderness Scores at 6 hours. This is an 8 point scale with 0=None and 7=Severe.
Time Frame
0-6 hours
Title
Change From Baseline in Sinus Pressure/Tenderness Scores
Description
Change from baseline in Sinus Pressure/Tenderness Scores at 8 hours. This is an 8 point scale with 0=None and 7=Severe.
Time Frame
0-8 hours
Title
Change From Baseline in Sinus Pressure/Tenderness Scores
Description
Change from baseline in Sinus Pressure/Tenderness Scores at 10 hours. This is an 8 point scale with 0=None and 7=Severe.
Time Frame
0-10 hours
Title
Change From Baseline in Sinus Pressure/Tenderness Scores
Description
Change from baseline in Sinus Pressure/Tenderness Scores at 12 hours. This is an 8 point scale with 0=None and 7=Severe.
Time Frame
0-12 hours
Title
Change From Baseline in Sinus Pressure/Tenderness Scores
Description
Change from baseline in Sinus Pressure/Tenderness Scores at 24 hours. This is an 8 point scale with 0=None and 7=Severe.
Time Frame
0-24 hours

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Provide a signed and dated informed consent form before any study-related procedures. Men or non-pregnant, non-lactating women, aged 18 years or older, who have cold symptoms due to an acute upper respiratory tract infection but are otherwise healthy Have experienced onset of common cold symptoms (per subject report) within 72 hours before study entry consisting of cold symptoms per the following: At Visit 1, at least moderate severity (score ≥ 5, on a scale from 0 = none to 7 = severe) for stuffy/congested nose, and At Visit 1, at least mild (score ≥ 3, on a scale from 0 = none to 7 = severe) for sinus pressure/tenderness, and Within the past 72 hours, two or more of the following symptoms: runny nose, sore or scratchy throat, sneezing, headache, malaise, or cough. Are normotensive and have no clinically significant abnormalities identified by medical history or vital sign measurement (except as consistent with the diagnosis of the common cold) as determined by the Investigator at screening. Blood pressure must be within the following limits after sitting for approximately 5 minutes: > 90 and <140 mm Hg systolic, and >50 and <90 mm Hg diastolic, at screening Pulse rate >50 and <90 beats/minute at screening; Body Mass Index (BMI) of 18 to 34 kg/m2 (inclusive); Willing to use only the study treatment for cold symptom relief during the course of the study and avoid the use of treatments that may affect nasal / cold symptomatology; no other cough, cold, allergy, or analgesic/antipyretic medicines (non-prescription or prescription) or herbal/dietary supplements will be permitted during the study Females of childbearing potential must have used an effective form of birth control for three months before Screening and a negative urine pregnancy test at the Screening visit. Female and male subjects must agree to the contraceptive requirement use during the study and for at least 30 days after the last dose (for females) (See Section 10.4.3 ). Willing and able to comply with the study procedures and visit schedule, which includes remaining at the study site for at least 4 hours after the first dose of study medicine on Day 1. Able to read and understand English and/or French; Exclusion criteria: Currently experiencing nasal congestion due to allergic rhinitis or chronic respiratory disease. Any ear, nose, throat, or respiratory tract disease, other than the common cold, identified by signs and symptoms reported by the subject, or by medical history or medication history Presence of asthma. History of rhinitis medicamentosa, anatomical nasal obstruction or deformity, nasal reconstructive surgery, or chronic sleep apnea. Fever of ≥ 101.0 °F (38.3 °C). Heart disease, controlled or uncontrolled hypertension, thyroid disease, diabetes, glaucoma, prostatic hypertrophy, or presence of a disease, which in the opinion of the investigator, would preclude the use of phenylephrine. Are currently taking, or have taken within two weeks of screening, a monoamine oxidase inhibitor (MAOI). Have the need to use medications which may impact nasal symptomatology i.e. systemic, inhaled (oral or nasal) corticosteroids, and the following drugs with significant anticholinergic properties: tricyclic antidepressants, paroxetine, medicines used to treat overactive bladder, antipsychotic medication, skeletal muscle relaxants, antiparkinsonian medication, the anticonvulsants carbamazepine and oxcarbazepine, and dicycloverine (dicyclomine), dimenhydrinate, propantheline, atropine, hyoscyamine, belladonna, prochlorperazine and promethazine. Have a bacterial sinus infection within 2 weeks prior to screening. Use of systemic antibiotics within the past 7 days prior to screening. Known or suspected alcohol or substance abuse (e.g., amphetamines, benzodiazepines, cocaine, marijuana, opiates). Use of marijuana containing substances within the 10 days prior to screening and throughout the study. Positive Urine Drug Screen. Use of alcohol throughout the study. History of smoking tobacco products or use of nicotine-containing substances within the previous three months as determined by subject's medical history or subject's verbal report. Known sensitivity to the investigational product or any excipients of the drug product. Before the first dose of study medicine, use of oral or intranasal cold, cough, allergy, or analgesic/antipyretic medicines within approximately 12 hours; menthol products, medicated lozenge, humidifier, nasal saline spray or throat spray within approximately 6 hours; herbal/dietary supplements within approximately 12 hours. Have difficulty swallowing tablets/capsules or are unable to swallow whole without crushing, chewing, splitting, or dissolving. Subjects who were previously randomized and received the IP. Significant unstable or uncontrolled medical condition that may interfere with a subject's participation in the study. Other severe, acute or chronic, medical or psychiatric condition(s) or laboratory abnormality that may increase the risk associated with study participation or IP administration or may interfere with the interpretation of study results and, in the judgment of the investigator, would make the subject inappropriate for entry into this study. Currently participating in another clinical trial or has done so in the past 30 days. Subjects who are related to those persons involved directly or indirectly with the conduct of this study (i.e., principal investigator, sub-investigators, study coordinators, other site personnel, employees of Johnson & Johnson (J&J) subsidiaries, contractors of J&J, and the families of each).
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Steve Sacavage
Organizational Affiliation
Johnson and Johnson Consumer, Inc
Official's Role
Study Director
Facility Information:
Facility Name
The Medical Arts Health Research Group
City
Kelowna
State/Province
British Columbia
ZIP/Postal Code
V1Y 4N7
Country
Canada
Facility Name
Mission Hills Urgent Care Walk in Clinic
City
Mission
State/Province
British Columbia
ZIP/Postal Code
V2V 0C8
Country
Canada
Facility Name
James Lai, MD, Inc
City
Vancouver
State/Province
British Columbia
Country
Canada
Facility Name
Dawson Road Family Medical Clinic
City
Guelph
State/Province
Ontario
ZIP/Postal Code
N1H 1B1
Country
Canada
Facility Name
Sunningdale Health and Wellness Centre
City
London
State/Province
Ontario
ZIP/Postal Code
N6G 4W3
Country
Canada
Facility Name
Bluewater Clinical Research Group, Inc.
City
Sarnia
State/Province
Ontario
ZIP/Postal Code
N7T 4X3
Country
Canada
Facility Name
NEOMO Research
City
Sudbury
State/Province
Ontario
ZIP/Postal Code
P3E 6C3
Country
Canada
Facility Name
Canadian Phase Onward, Inc.
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M3J 2C5
Country
Canada
Facility Name
PrimeHealth Clinical Research
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M4S 1Y2
Country
Canada
Facility Name
Diex Recherche
City
Sherbrooke
State/Province
Quebec
ZIP/Postal Code
J1H 1Z1
Country
Canada
Facility Name
Diex Recherche
City
Victoriaville
State/Province
Quebec
ZIP/Postal Code
G6P 6P6
Country
Canada

12. IPD Sharing Statement

Plan to Share IPD
Undecided

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Randomized, Double-blind, Placebo-Controlled, Efficacy Study of a New Formulation of Phenylephrine HCL in the Common Cold

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