search
Back to results

Efficacy and Safety of the Combination of Acetylcysteine, Paracetamol and Phenylephrine for the Treatment of Common Cold

Primary Purpose

Common Cold

Status
Not yet recruiting
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
Acetylcysteine
Paracetamol
Phenylephrine
Sponsored by
Sandoz
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Common Cold

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Male or female subjects aged between 18 and 75 years inclusive on the date of consent
  2. No fever or (mild) fever below 38.5° C
  3. Total score (sum of all ratings) of 2 or higher based on the rating of the following symptoms of common cold (Jackson scale):

    1. Sneezing
    2. Nasal discharge
    3. Nasal obstruction
    4. Sore throat
    5. Cough
    6. Headache
    7. Malaise
    8. Chilliness according to the following rating scale: 0 = absent, 1 = mild, 2 = moderate, or 3 = severe
  4. Presence of cough with thick mucus production
  5. Informed consent to participate in the trial provided in written form

Exclusion Criteria:

  1. Duration of any of the symptoms of common cold of more than 72 hours at the time of screening
  2. History of hypersensitivity or intolerance to the active substances or any of the excipients of the trial medication
  3. Known bronchial asthma or chronic obstructive pulmonary disease
  4. Known duodenal or gastric ulcer
  5. Known hyperthyroidism
  6. Known narrow angle glaucoma
  7. Known pheochromocytoma
  8. Known prostate adenoma with urine retention
  9. Known severe liver failure (Child-Pugh > 9)
  10. Known severe cardio-vascular diseases
  11. Known porphyria
  12. Known glucose-6-phosphate dehydrogenase deficiency
  13. High fever (body temperature above 38.5°C)
  14. Intake of antibiotics, immunosuppressing, immuno-stimulating or immuno-modulating medication, within 30 days prior to screening visit
  15. Intranasal or systemic use of corticosteroids within 30 days prior to screening visit
  16. Intake of antihistamines or nasal decongestants within 48 hours prior to screening visit
  17. Vaccination within 14 days prior to screening visit
  18. Immunocompromised state
  19. Suspicion for acute bacterial infection
  20. Pregnant or breast-feeding female patient
  21. Female patient of childbearing potential (not surgically sterilized/ hysterectomized or postmenopausal for at least 1 year) who is not currently using (documented at screening visit) and not willing to use medically reliable methods of contraception for the entire trial duration such as barrier method, oral, injectable or implantable contraceptives, intrauterine contraceptive devices (IUD), sexual abstinence or vasectomized partner
  22. Any other condition of the patient (e.g. serious or unstable medical or psychological condition, acute psychosis) that in the opinion of the investigator may compromise evaluation of the trial treatment or may jeopardize patient's safety, compliance or adherence to protocol requirements
  23. Participation in ANY research study involving another investigational medicinal product (IMP) within 30 days prior to screening visit, or simultaneous participation in another clinical study or previous participation in present study
  24. Suspected alcohol/ drug dependence or abuse (including heavy smoking: ≥ 20 cigarettes daily)
  25. Legal incapacity and/or other circumstances rendering the patient unable to understand the nature, scope and possible consequences of the trial
  26. Subjects who are known or suspected:

    • not to comply with the trial directives
    • not to be reliable or trustworthy
    • to be a dependent person, e.g. a relative, family member, or member/ employee of the investigator's or sponsor's staff
    • subject is in custody or submitted to an institution due to a judicial order.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Active Comparator

    Arm Label

    Acetylcysteine/Paracetamol/Phenylephrine 200 mg/500 mg/10 mg granules for oral solution

    Paracetamol/Phenylephrine 500 mg/10 mg granules for oral solution

    Arm Description

    Acetylcysteine/Paracetamol/Phenylephrine 200 mg/500 mg/10 mg granules for oral solution: one sachet three times per day

    Paracetamol/Phenylephrine 500 mg/10 mg granules for oral solution: one sachet three times per day

    Outcomes

    Primary Outcome Measures

    Change from baseline in the daily Score of 8 symptoms related to mucus production (SUM8)
    Score of 8 symptoms related to mucus production (SUM8) will be assessed by the patient in a patient's diary at screening (this will constitute the baseline value) and daily on each day of treatment until and including Day 5. For assessing SUM8 the patients will have to answer questions about their cough and phlegm status. The SUM8 consisted of the sum of the answers to the eight core questions. For calculating the SUM8 the lowest rating corresponds to 0 and highest rating corresponds to 4, with 4 representing the greatest severity of symptoms. The SUM8 thus had a scale range of 0-32 with 0 representing best possible symptoms, and 32 representing greatest severity of symptoms.

    Secondary Outcome Measures

    Number of adverse events and serious adverse events
    Assessment of safety and tolerability of the investigational medicinal product against the comparator product for the treatment of common cold
    Time to onset of action
    Time to onset of action defined as first day of treatment with investigational product on which SUM8 shows statistically significant difference from the comparator product will be reported
    Score of 8 symptoms related to mucus production (SUM8) development over the course of the study
    Score of 8 symptoms related to mucus production (SUM8) will be assessed by the patient in a patient's diary at screening (this will constitute the baseline value) and daily on each day of treatment until and including Day 5. For assessing SUM8 the patients will have to answer questions about their cough and phlegm status. The SUM8 consisted of the sum of the answers to the eight core questions. For calculating the SUM8 the lowest rating corresponds to 0 and highest rating corresponds to 4, with 4 representing the greatest severity of symptoms. The SUM8 thus had a scale range of 0-32 with 0 representing best possible symptoms, and 32 representing greatest severity of symptoms.
    Assessment of separate items of Score of 8 symptoms related to mucus production (SUM8)
    Score of 8 symptoms related to mucus production (SUM8) will be assessed by the patient in a patient's diary at screening (this will constitute the baseline value) and daily on each day of treatment until and including Day 5. For assessing SUM8 the patients will have to answer questions about their cough and phlegm status. The SUM8 consisted of the sum of the answers to the eight core questions. For calculating the SUM8 the lowest rating corresponds to 0 and highest rating corresponds to 4, with 4 representing the greatest severity of symptoms. The SUM8 thus had a scale range of 0-32 with 0 representing best possible symptoms, and 32 representing greatest severity of symptoms.
    Sum of changes from baseline in the daily Wisconsin Upper Respiratory Symptom Survey (WURSS-21)
    The Wisconsin Upper Respiratory Symptom Survey-21 (WURSS-21) Questionnaire is an evaluative illness-specific outcomes instrument designed to assess the severity of cold symptoms and the impact of the common cold (range 0-140), with higher scores indicating more symptoms and functional impairment.
    Assessment of separate items of Wisconsin Upper Respiratory Symptom Survey (WURSS-21)
    The Wisconsin Upper Respiratory Symptom Survey-21 (WURSS-21) Questionnaire is an evaluative illness-specific outcomes instrument designed to assess the severity of cold symptoms and the impact of the common cold (range 0-140), with higher scores indicating more symptoms and functional impairment.
    Percentage of responders and non-responders to treatment
    Percentage of responders and non-responders to treatment based on the assessment of overall response to treatment by the investigator will be reported.

    Full Information

    First Posted
    September 27, 2021
    Last Updated
    August 28, 2023
    Sponsor
    Sandoz
    search

    1. Study Identification

    Unique Protocol Identification Number
    NCT05070650
    Brief Title
    Efficacy and Safety of the Combination of Acetylcysteine, Paracetamol and Phenylephrine for the Treatment of Common Cold
    Official Title
    Efficacy and Safety of the Combination of Acetylcysteine, Paracetamol and Phenylephrine for the Treatment of Common Cold: a Prospective, Randomized, Double-blind, Controlled Trial
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    August 2023
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    September 20, 2024 (Anticipated)
    Primary Completion Date
    April 30, 2025 (Anticipated)
    Study Completion Date
    April 30, 2025 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Sandoz

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No

    5. Study Description

    Brief Summary
    Prospective, randomized, multinational, multicenter, double-blind trial in 2 parallel groups of patients
    Detailed Description
    This study is a prospective, randomized, multinational, multicenter, double-blind trial in 2 parallel groups of patients. Patients will undergo screening examinations at Visit 1. Patients who meet all of the inclusion and none of the exclusion criteria will be randomized to double-blind treatment with one of the following: Group A: Acetylcysteine/Paracetamol/Phenylephrine: one sachet three times per day OR Group B: Paracetamol/Phenylephrine 500 mg/10 mg granules for oral solution: one sachet three times per day. A control visit (Visit 2) is planned on Day 3 of treatment. After the end of the double-blind treatment phase, the patients will undergo an end-of-treatment (EOT) examination at Visit 3 on Day 6.

    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 3
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantInvestigator
    Allocation
    Randomized
    Enrollment
    1002 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Acetylcysteine/Paracetamol/Phenylephrine 200 mg/500 mg/10 mg granules for oral solution
    Arm Type
    Experimental
    Arm Description
    Acetylcysteine/Paracetamol/Phenylephrine 200 mg/500 mg/10 mg granules for oral solution: one sachet three times per day
    Arm Title
    Paracetamol/Phenylephrine 500 mg/10 mg granules for oral solution
    Arm Type
    Active Comparator
    Arm Description
    Paracetamol/Phenylephrine 500 mg/10 mg granules for oral solution: one sachet three times per day
    Intervention Type
    Drug
    Intervention Name(s)
    Acetylcysteine
    Intervention Description
    200 mg/500 mg/10 mg granules for oral solution: one sachet three times per day
    Intervention Type
    Drug
    Intervention Name(s)
    Paracetamol
    Intervention Description
    500 mg/10 mg granules for oral solution: one sachet three times per day
    Intervention Type
    Drug
    Intervention Name(s)
    Phenylephrine
    Intervention Description
    500 mg/10 mg granules for oral solution
    Primary Outcome Measure Information:
    Title
    Change from baseline in the daily Score of 8 symptoms related to mucus production (SUM8)
    Description
    Score of 8 symptoms related to mucus production (SUM8) will be assessed by the patient in a patient's diary at screening (this will constitute the baseline value) and daily on each day of treatment until and including Day 5. For assessing SUM8 the patients will have to answer questions about their cough and phlegm status. The SUM8 consisted of the sum of the answers to the eight core questions. For calculating the SUM8 the lowest rating corresponds to 0 and highest rating corresponds to 4, with 4 representing the greatest severity of symptoms. The SUM8 thus had a scale range of 0-32 with 0 representing best possible symptoms, and 32 representing greatest severity of symptoms.
    Time Frame
    Baseline, Day 5
    Secondary Outcome Measure Information:
    Title
    Number of adverse events and serious adverse events
    Description
    Assessment of safety and tolerability of the investigational medicinal product against the comparator product for the treatment of common cold
    Time Frame
    Until Day 6, or earlier in case of premature termination
    Title
    Time to onset of action
    Description
    Time to onset of action defined as first day of treatment with investigational product on which SUM8 shows statistically significant difference from the comparator product will be reported
    Time Frame
    Day 1 to Day 5
    Title
    Score of 8 symptoms related to mucus production (SUM8) development over the course of the study
    Description
    Score of 8 symptoms related to mucus production (SUM8) will be assessed by the patient in a patient's diary at screening (this will constitute the baseline value) and daily on each day of treatment until and including Day 5. For assessing SUM8 the patients will have to answer questions about their cough and phlegm status. The SUM8 consisted of the sum of the answers to the eight core questions. For calculating the SUM8 the lowest rating corresponds to 0 and highest rating corresponds to 4, with 4 representing the greatest severity of symptoms. The SUM8 thus had a scale range of 0-32 with 0 representing best possible symptoms, and 32 representing greatest severity of symptoms.
    Time Frame
    Baseline, Day 1 to Day 5
    Title
    Assessment of separate items of Score of 8 symptoms related to mucus production (SUM8)
    Description
    Score of 8 symptoms related to mucus production (SUM8) will be assessed by the patient in a patient's diary at screening (this will constitute the baseline value) and daily on each day of treatment until and including Day 5. For assessing SUM8 the patients will have to answer questions about their cough and phlegm status. The SUM8 consisted of the sum of the answers to the eight core questions. For calculating the SUM8 the lowest rating corresponds to 0 and highest rating corresponds to 4, with 4 representing the greatest severity of symptoms. The SUM8 thus had a scale range of 0-32 with 0 representing best possible symptoms, and 32 representing greatest severity of symptoms.
    Time Frame
    Baseline, Day 1 to Day 5
    Title
    Sum of changes from baseline in the daily Wisconsin Upper Respiratory Symptom Survey (WURSS-21)
    Description
    The Wisconsin Upper Respiratory Symptom Survey-21 (WURSS-21) Questionnaire is an evaluative illness-specific outcomes instrument designed to assess the severity of cold symptoms and the impact of the common cold (range 0-140), with higher scores indicating more symptoms and functional impairment.
    Time Frame
    Baseline, Day 1 to Day 5
    Title
    Assessment of separate items of Wisconsin Upper Respiratory Symptom Survey (WURSS-21)
    Description
    The Wisconsin Upper Respiratory Symptom Survey-21 (WURSS-21) Questionnaire is an evaluative illness-specific outcomes instrument designed to assess the severity of cold symptoms and the impact of the common cold (range 0-140), with higher scores indicating more symptoms and functional impairment.
    Time Frame
    Baseline, Day 1 to Day 5
    Title
    Percentage of responders and non-responders to treatment
    Description
    Percentage of responders and non-responders to treatment based on the assessment of overall response to treatment by the investigator will be reported.
    Time Frame
    On Day 3, and after the end of treatment on Day 6

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    75 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Male or female subjects aged between 18 and 75 years inclusive on the date of consent No fever or (mild) fever below 38.5° C Total score (sum of all ratings) of 2 or higher based on the rating of the following symptoms of common cold (Jackson scale): Sneezing Nasal discharge Nasal obstruction Sore throat Cough Headache Malaise Chilliness according to the following rating scale: 0 = absent, 1 = mild, 2 = moderate, or 3 = severe Presence of cough with thick mucus production Informed consent to participate in the trial provided in written form Exclusion Criteria: Duration of any of the symptoms of common cold of more than 72 hours at the time of screening History of hypersensitivity or intolerance to the active substances or any of the excipients of the trial medication Known bronchial asthma or chronic obstructive pulmonary disease Known duodenal or gastric ulcer Known hyperthyroidism Known narrow angle glaucoma Known pheochromocytoma Known prostate adenoma with urine retention Known severe liver failure (Child-Pugh > 9) Known severe cardio-vascular diseases Known porphyria Known glucose-6-phosphate dehydrogenase deficiency High fever (body temperature above 38.5°C) Intake of antibiotics, immunosuppressing, immuno-stimulating or immuno-modulating medication, within 30 days prior to screening visit Intranasal or systemic use of corticosteroids within 30 days prior to screening visit Intake of antihistamines or nasal decongestants within 48 hours prior to screening visit Vaccination within 14 days prior to screening visit Immunocompromised state Suspicion for acute bacterial infection Pregnant or breast-feeding female patient Female patient of childbearing potential (not surgically sterilized/ hysterectomized or postmenopausal for at least 1 year) who is not currently using (documented at screening visit) and not willing to use medically reliable methods of contraception for the entire trial duration such as barrier method, oral, injectable or implantable contraceptives, intrauterine contraceptive devices (IUD), sexual abstinence or vasectomized partner Any other condition of the patient (e.g. serious or unstable medical or psychological condition, acute psychosis) that in the opinion of the investigator may compromise evaluation of the trial treatment or may jeopardize patient's safety, compliance or adherence to protocol requirements Participation in ANY research study involving another investigational medicinal product (IMP) within 30 days prior to screening visit, or simultaneous participation in another clinical study or previous participation in present study Suspected alcohol/ drug dependence or abuse (including heavy smoking: ≥ 20 cigarettes daily) Legal incapacity and/or other circumstances rendering the patient unable to understand the nature, scope and possible consequences of the trial Subjects who are known or suspected: not to comply with the trial directives not to be reliable or trustworthy to be a dependent person, e.g. a relative, family member, or member/ employee of the investigator's or sponsor's staff subject is in custody or submitted to an institution due to a judicial order.
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Sandoz
    Phone
    +49 8024 908 0
    Email
    sandoz.disclosure@sandoz.com

    12. IPD Sharing Statement

    Plan to Share IPD
    Yes
    IPD Sharing Plan Description
    Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations.

    Learn more about this trial

    Efficacy and Safety of the Combination of Acetylcysteine, Paracetamol and Phenylephrine for the Treatment of Common Cold

    We'll reach out to this number within 24 hrs