A Clinical Trial to Compare the Efficacy and Safety of 1-week Treatment of Intravenous N-acetylcysteine (NAC) 600 mg Twice Daily, Ambroxol Hydrochloride 30 mg Twice Daily and Placebo as Expectorant Therapies in Adult Chinese Patients With Respiratory Tract Diseases and Abnormal Mucus Secretions
Respiratory Tract Diseases, Abnormal Mucus Secretions
About this trial
This is an interventional treatment trial for Respiratory Tract Diseases focused on measuring N-acetylcysteine (NAC), ambroxol hydrochloride, bronchitis, cystic fibrosis, fibrosis bronchiectasis, increased sputum viscosity, cough, Chronic Obstructive Pulmonary Disease (COPD)
Eligibility Criteria
Inclusion Criteria:
- Male or female adult (≥18 years old) hospitalized patients with respiratory tract diseases and abnormal mucus secretions such as: acute bronchitis, chronic bronchitis and exacerbations, emphysema, mucoviscidosis and bronchiectasis.
- Chinese ethnicity and/or Chinese
- Signed the informed consent form before any study-related procedure
- Sputum viscosity score ≥ 2 at randomization visit
- Expectoration difficulty score ≥ 2 at randomization visit
- Willingness and ability to comply with study procedures
Exclusion Criteria:
- Intolerance or contra-indication to treatment with NAC or ambroxol or allergy to any component of the study treatments
- (For female patients) ongoing pregnancy or lactation, or childbearing potential but unwillingness to adopt abstinence or contraception measures during the study
- Intake of an investigational drug within 1 month before the screening visit
- Use of expectorants or drugs with expectorant effect within 2 days before randomization visit
- Diagnosis of active tuberculosis, lung cancer, pulmonary fibrosis, acute pulmonary thromboembolism or any other respiratory condition that might, in the opinion of the investigator, compromise the safety of the patient or affect the interpretation of the results
- Medical history of and/or illness (including laboratory abnormality) and/or treatment that in the investigator's opinion may interfere with the patient's safety, compliance, or study evaluations
- Serum alanine aminotransferase and/or aspartate transaminase more than 3 times above the upper limit of normal at screening visit
- Serum creatinine more than 3 times above the upper limit of normal at screening visit
- Addiction to alcohol or drugs
- Mental illness, or other reasons for non-cooperation in the investigator's opinion
Sites / Locations
- Wuxi Peoples' Hospital affiliated to Nanjing Medical University
- Inner Mongolia Baogang Hospital
- Beijing Hospital
- Beijing Tongren Hospital
- China-Japan Friendship Hospital
- Peking University Shougang Hospital
- Jilin Province People's Hospital
- The First Bethune Hospital of Jilin University
- Chengdu Fifth People's Hospital
- West China Hospital, Sichuan University
- The First Affiliated Hospital of Chongqing Medical University
- Deyang People's Hospital
- Inner Mongolia People's Hospital
- Jinhua city central hospital/Jinhua hospital ,School of Medicine,Zhejiang UNIVERSITY
- Nanchang University-The Second Affiliated Hospital
- Nanjing First Hospital
- Zhongda Hospital, Southeast University - Pulmonology
- Jiangxi Pingxiang People's Hospital
- Qingdao Municipal Hospital
- Minhang District Central Hospital
- Ruijin Hospital, Shanghai Jiao Tong University School of Medicine
- Shanghai General Hospital
- Shanghai Pulmonary Hospital
- Suining Central Hospital
- First Hospital of Shanxi Medical University
- The First Hospital of Shanxi Medical University
- Tongji Hospital, Tongji Medical College of Huazhong University Science and Technology
- Wuxi Peoples' Hospital affiliated to Nanjing Medical University
- Yangzhou First People's Hospital
- General Hospital of Ningxia Medical University
- Affiliated Hospital of Guangdong Medical University - Respiration
- The First People's Hospital of Zigong
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Active Comparator
Placebo Comparator
Active test treatment-NAC
Active control treatment-Ambroxol hydrochloride
Placebo
NAC 600mg will be administered by slow intravenous infusion twice daily for the 1-week treatment period.
Ambroxol hydrochloride 30 mg will be administered by slow intravenous infusion twice daily for the 1-week treatment period.
Placebo will be administered by slow intravenous infusion twice daily for the 1-week treatment period.