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Clinical Trial of Efficacy and Safety of Levopront® 30 mg/5 ml in Patients With Dry Cough (LDP0114)

Primary Purpose

Cough

Status
Completed
Phase
Phase 3
Locations
Russian Federation
Study Type
Interventional
Intervention
Levopront® syrup 30 mg/5 ml
Libexin®
Sponsored by
Dompé Farmaceutici S.p.A
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Cough

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

Subjects should meet the following inclusion criteria to be included into this clinical trial:

  1. Signed Informed Consent Form
  2. Male or female aged from 18 to 65 (inclusive)
  3. Dry non-productive cough as a symptom of acute upper respiratory infection (IDC codes J00-J06)
  4. Daytime cough symptom score ≥ 3 points according to the "Six-point daytime and nighttime cough assessment scale"
  5. Pre-bronchodilator FEV1 ≥ 70% of the predicted values, post-bronchodilator FEV1 increase of ≤ 12% or ≤ 200 ml compared to the baseline, FEV1/FVC (Tiffeneau index) ≥ 0.7
  6. Patient's consent to follow the protocol procedures, including the completion of the patient's diary
  7. Patient's consent to use the adequate contraception methods throughout the study period. The adequate birth control methods are as follows:

    • Oral or transdermal contraceptives
    • Condoms or diaphragms (barrier method) with spermicide
    • Intrauterine contraceptive devices

Exclusion Criteria:

Subjects with any of the following conditions will be excluded from the study:

  1. Hypersensitivity or individual contraindications to Levodropropizine, Prenoxdiazine or additives of the study drug
  2. Hereditary fructose intolerance, glucose-lactose malabsorption, lactase deficiency, sucrose-isomaltose deficiency
  3. Tuberculosis, bronchial asthma, malignant tumors of lungs or bronchi, COPD, severe respiratory failure (cyanosis, need for respiratory support) or other lung pathology at screening or in history
  4. Inhalation anesthesia within 3 months before screening
  5. Smoking history of more than 10 pack-years
  6. Previous use of cough medicines, ACE inhibitors or amiodarone within 30 days before screening
  7. Contraindications or inability to perform spirometry
  8. Necessity (in the Investigator's opinion) of prescribing mucolytic agents, expectorants, antibiotics or other medications prohibited by the protocol during the study
  9. Excessive mucous excretion which (in the Investigator's opinion) could be a contraindication to prescribing anti-cough medicines; decreased mucociliary function (Kartagener's syndrome, ciliary dyskinesia)
  10. Malignant tumors in the past 5 years (except for the basal cell carcinoma)
  11. Serious cardiovascular disease at the moment or within 12 months prior to screening, including: Chronic heart failure class III or IV (according to the classification of the New York Heart Association), severe arrhythmias requiring treatment with antiarrhythmic drugs class Ia, Ib, Ic or III, unstable angina, myocardial infarction, heart surgery and coronary arteries, serious valvular heart disease, transient ischemic attack or stroke, uncontrolled hypertension with systolic blood pressure > 180 mmHg and diastolic blood pressure > 110 mmHg, pulmonary embolism or deep vein thrombosis
  12. Gastric or duodenal ulcers, gastroesophageal reflux disease within a period of 12 months before screening
  13. Systemic autoimmune disorders and connective tissue diseases that require (currently or previously) administration of systemic glucocorticosteroids, cytostatic medications or penicillamine
  14. Signs of intensive non-controlled concurrent disease, including disorders of the nervous system, endocrine system, kidneys, liver or gastrointestinal tract, which (in the Investigator's opinion) could prevent the patient's participation in the study
  15. History of alcohol or drug abuse at screening or in the past, which results in the inability of the patient to participate in the study at the Investigator's discretion
  16. Taking part in another clinical trial or use of study drug within 30 days before screening
  17. Pregnant or breast-feeding women or women planning pregnancy during the clinical trial; women of childbearing potential (including not sterilized operatively and in postmenopausal period of less than 2 years), not using appropriate methods of contraception
  18. Inability to read or write; unwillingness to understand and follow the procedures of the study protocol; violation of the drug administration regimen or procedure execution that, at the discretion of the Investigator, can impact he results of the study or safety of the patient and interfere his further participation in the study; any other concomitant medical or serious mental conditions that make the patient unsuitable for participation in the clinical study, limit the validity of receiving an informed consent or may affect the patient's ability to participate in the study.

Sites / Locations

  • State Public Healthcare Institution of Moscow "City Clinical Hospital # 71 of Moscow Healthcare Department"
  • The Laboratory of Pulmonology, State Budgetary Educational Institution of Higher Professional Education "Moscow State Medical-Stomatological University n.a. A.I. Evdokimov" under Ministry of Health of the Russian Federation (Clinical base of state budget
  • State Budgetary Educational Institution of Higher Professional Education "Ryazan' State Medical University n.a. academician I.P. Pavlov" under Ministry of Health of the Russian Federation
  • "Institute of Medical Research" LLC
  • Saint-Petersburg State Healthcare Institution "Nikolaevskaya Hospital"
  • State Healthcare Institution "Regional Clinical Hospital"
  • LLC Treatment-and-prophylactic institution on the "Smolensk clinic"
  • State Autonomous Healthcare Institution of Yaroslavl Region "Clinical Hospital of Emergency care n.a. N.V. Solovyev"

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Levopront® syrup 30 mg/5 ml

Libexin® 100 mg tablets

Arm Description

Levopront® (levodropropizine) syrup 30 mg/5 ml 10 ml t.i.d. for 7 days The study drugs will be taken t.i.d. (with the interval of not less than 6 hours, between meals) during 7 days.

Libexin® (prenoxdiazine) 100 mg tablets 1 tablet t.i.d. for 7 days.

Outcomes

Primary Outcome Measures

Daytime cough resolution rate by Day 8 - Levopront® vs Libexin®
The daytime cough symptoms resolution corresponds to 0 or 1 points on the "Six-point daytime and nighttime cough assessment scale".

Secondary Outcome Measures

Nighttime cough resolution rate by Day 8 - Levopront® vs Libexin®
Efficacy comparative assessment
Daytime and nighttime cough symptoms resolution daytime and nighttime cough assessment scale
Daytime cough (scoring during >08:00 up to 22:00 h) evaluated on a 6-point scale: 5 = no cough during the day to 0 = distressing coughs most of the day. Night-time cough (scoring during >22:00 up to 08:00 h) evaluated on a 6-point scale: 5 = no cough during the night to 0 = distressing coughs preventing any sleep.
Change in severity and frequency of daytime and nighttime cough according to "Six-point daytime and nighttime cough assessment scale"
Daytime cough (scoring during >08:00 up to 22:00 h) evaluated on a 6-point scale: 5 = no cough during the day to 0 = distressing coughs most of the day. Night-time cough (scoring during >22:00 up to 08:00 h) evaluated on a 6-point scale: 5 = no cough during the night to 0 = distressing coughs preventing any sleep.
Cough intensity change according to the visual-analogue scale.
A 100 mm scale between 'no cough' (0) and 'the worst cough severity' (100)
Change of FEV1 on Day 8 from baseline values.
Forced expiratory volume in 1 second.

Full Information

First Posted
January 28, 2019
Last Updated
February 11, 2019
Sponsor
Dompé Farmaceutici S.p.A
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1. Study Identification

Unique Protocol Identification Number
NCT03837938
Brief Title
Clinical Trial of Efficacy and Safety of Levopront® 30 mg/5 ml in Patients With Dry Cough
Acronym
LDP0114
Official Title
Multicenter Open-label Randomized Clinical Trial of the Efficacy and Safety of Levopront® Syrup 30 mg/5 ml in Comparison With Libexin® 100 mg Tablets in Patients With Dry Non-productive Cough Caused by Acute Upper Respiratory Infection
Study Type
Interventional

2. Study Status

Record Verification Date
May 2018
Overall Recruitment Status
Completed
Study Start Date
November 9, 2016 (Actual)
Primary Completion Date
March 6, 2018 (Actual)
Study Completion Date
July 31, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Dompé Farmaceutici S.p.A

4. Oversight

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

5. Study Description

Brief Summary
Primary objective: To assess the efficacy of Levopront® in comparison with Libexin® based on daytime cough resolution rate by Day 8. The daytime cough symptoms resolution corresponds to 0 or 1 points on the "Six-point daytime and nighttime cough assessment scale". Secondary objectives: Treatment effect assessment in terms of the following efficacy and safety parameters: To assess the efficacy of Levopront® in comparison with Libexin® based on nighttime cough resolution rate by Day 8. Daytime and nighttime cough symptoms resolution according to "Six-point daytime and nighttime cough assessment scale" by Day 4. Change in severity and frequency of daytime and nighttime cough according to "Six-point daytime and nighttime cough assessment scale" on Day 4 and Day 8 from baseline on Day 1. Cough intensity change according to the visual-analogue scale on Day 4 and Day 8 from baseline on Day 1. Change of FEV1 on Day 8 from baseline values on Day 1. Rate of Adverse events (AE) and Serious Adverse Events (SAE) of the various severity according to subjective complaints, laboratory test results, physical examination, vital signs and spirometry
Detailed Description
This is a multicenter, open-label, randomized, clinical trial to assess the efficacy and safety of Levopront® syrup 30 mg/5 ml in comparison with Libexin® 100 mg tablets in patients suffering from dry non-productive cough caused by acute upper respiratory infection

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Masking Description
It is an open-label clinical trial
Allocation
Randomized
Enrollment
184 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Levopront® syrup 30 mg/5 ml
Arm Type
Experimental
Arm Description
Levopront® (levodropropizine) syrup 30 mg/5 ml 10 ml t.i.d. for 7 days The study drugs will be taken t.i.d. (with the interval of not less than 6 hours, between meals) during 7 days.
Arm Title
Libexin® 100 mg tablets
Arm Type
Active Comparator
Arm Description
Libexin® (prenoxdiazine) 100 mg tablets 1 tablet t.i.d. for 7 days.
Intervention Type
Drug
Intervention Name(s)
Levopront® syrup 30 mg/5 ml
Other Intervention Name(s)
levodropropizine
Intervention Description
The first study drug administration will be performed at the clinical site on the day of randomization; the last study drug administration will be performed in the evening before Day 8 (±1).
Intervention Type
Drug
Intervention Name(s)
Libexin®
Other Intervention Name(s)
prenoxdiazine
Intervention Description
The first study drug administration will be performed at the clinical site on the day of randomization; the last study drug administration will be performed in the evening before Day 8 (±1).
Primary Outcome Measure Information:
Title
Daytime cough resolution rate by Day 8 - Levopront® vs Libexin®
Description
The daytime cough symptoms resolution corresponds to 0 or 1 points on the "Six-point daytime and nighttime cough assessment scale".
Time Frame
Daytime by Day 8
Secondary Outcome Measure Information:
Title
Nighttime cough resolution rate by Day 8 - Levopront® vs Libexin®
Description
Efficacy comparative assessment
Time Frame
Nighttime by Day 8
Title
Daytime and nighttime cough symptoms resolution daytime and nighttime cough assessment scale
Description
Daytime cough (scoring during >08:00 up to 22:00 h) evaluated on a 6-point scale: 5 = no cough during the day to 0 = distressing coughs most of the day. Night-time cough (scoring during >22:00 up to 08:00 h) evaluated on a 6-point scale: 5 = no cough during the night to 0 = distressing coughs preventing any sleep.
Time Frame
Daytime by Day 4
Title
Change in severity and frequency of daytime and nighttime cough according to "Six-point daytime and nighttime cough assessment scale"
Description
Daytime cough (scoring during >08:00 up to 22:00 h) evaluated on a 6-point scale: 5 = no cough during the day to 0 = distressing coughs most of the day. Night-time cough (scoring during >22:00 up to 08:00 h) evaluated on a 6-point scale: 5 = no cough during the night to 0 = distressing coughs preventing any sleep.
Time Frame
Day 4 and Day 8
Title
Cough intensity change according to the visual-analogue scale.
Description
A 100 mm scale between 'no cough' (0) and 'the worst cough severity' (100)
Time Frame
Day 4 and Day 8
Title
Change of FEV1 on Day 8 from baseline values.
Description
Forced expiratory volume in 1 second.
Time Frame
Day 8

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subjects should meet the following inclusion criteria to be included into this clinical trial: Signed Informed Consent Form Male or female aged from 18 to 65 (inclusive) Dry non-productive cough as a symptom of acute upper respiratory infection (IDC codes J00-J06) Daytime cough symptom score ≥ 3 points according to the "Six-point daytime and nighttime cough assessment scale" Pre-bronchodilator FEV1 ≥ 70% of the predicted values, post-bronchodilator FEV1 increase of ≤ 12% or ≤ 200 ml compared to the baseline, FEV1/FVC (Tiffeneau index) ≥ 0.7 Patient's consent to follow the protocol procedures, including the completion of the patient's diary Patient's consent to use the adequate contraception methods throughout the study period. The adequate birth control methods are as follows: Oral or transdermal contraceptives Condoms or diaphragms (barrier method) with spermicide Intrauterine contraceptive devices Exclusion Criteria: Subjects with any of the following conditions will be excluded from the study: Hypersensitivity or individual contraindications to Levodropropizine, Prenoxdiazine or additives of the study drug Hereditary fructose intolerance, glucose-lactose malabsorption, lactase deficiency, sucrose-isomaltose deficiency Tuberculosis, bronchial asthma, malignant tumors of lungs or bronchi, COPD, severe respiratory failure (cyanosis, need for respiratory support) or other lung pathology at screening or in history Inhalation anesthesia within 3 months before screening Smoking history of more than 10 pack-years Previous use of cough medicines, ACE inhibitors or amiodarone within 30 days before screening Contraindications or inability to perform spirometry Necessity (in the Investigator's opinion) of prescribing mucolytic agents, expectorants, antibiotics or other medications prohibited by the protocol during the study Excessive mucous excretion which (in the Investigator's opinion) could be a contraindication to prescribing anti-cough medicines; decreased mucociliary function (Kartagener's syndrome, ciliary dyskinesia) Malignant tumors in the past 5 years (except for the basal cell carcinoma) Serious cardiovascular disease at the moment or within 12 months prior to screening, including: Chronic heart failure class III or IV (according to the classification of the New York Heart Association), severe arrhythmias requiring treatment with antiarrhythmic drugs class Ia, Ib, Ic or III, unstable angina, myocardial infarction, heart surgery and coronary arteries, serious valvular heart disease, transient ischemic attack or stroke, uncontrolled hypertension with systolic blood pressure > 180 mmHg and diastolic blood pressure > 110 mmHg, pulmonary embolism or deep vein thrombosis Gastric or duodenal ulcers, gastroesophageal reflux disease within a period of 12 months before screening Systemic autoimmune disorders and connective tissue diseases that require (currently or previously) administration of systemic glucocorticosteroids, cytostatic medications or penicillamine Signs of intensive non-controlled concurrent disease, including disorders of the nervous system, endocrine system, kidneys, liver or gastrointestinal tract, which (in the Investigator's opinion) could prevent the patient's participation in the study History of alcohol or drug abuse at screening or in the past, which results in the inability of the patient to participate in the study at the Investigator's discretion Taking part in another clinical trial or use of study drug within 30 days before screening Pregnant or breast-feeding women or women planning pregnancy during the clinical trial; women of childbearing potential (including not sterilized operatively and in postmenopausal period of less than 2 years), not using appropriate methods of contraception Inability to read or write; unwillingness to understand and follow the procedures of the study protocol; violation of the drug administration regimen or procedure execution that, at the discretion of the Investigator, can impact he results of the study or safety of the patient and interfere his further participation in the study; any other concomitant medical or serious mental conditions that make the patient unsuitable for participation in the clinical study, limit the validity of receiving an informed consent or may affect the patient's ability to participate in the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Mauro P Ferrari, Pharm D
Organizational Affiliation
Dompé SpA Milan
Official's Role
Study Director
Facility Information:
Facility Name
State Public Healthcare Institution of Moscow "City Clinical Hospital # 71 of Moscow Healthcare Department"
City
Moscow
ZIP/Postal Code
121374
Country
Russian Federation
Facility Name
The Laboratory of Pulmonology, State Budgetary Educational Institution of Higher Professional Education "Moscow State Medical-Stomatological University n.a. A.I. Evdokimov" under Ministry of Health of the Russian Federation (Clinical base of state budget
City
Moscow
ZIP/Postal Code
127473
Country
Russian Federation
Facility Name
State Budgetary Educational Institution of Higher Professional Education "Ryazan' State Medical University n.a. academician I.P. Pavlov" under Ministry of Health of the Russian Federation
City
Ryazan
ZIP/Postal Code
390026
Country
Russian Federation
Facility Name
"Institute of Medical Research" LLC
City
Saint-Petersburg
ZIP/Postal Code
196084
Country
Russian Federation
Facility Name
Saint-Petersburg State Healthcare Institution "Nikolaevskaya Hospital"
City
Saint-Petersburg
ZIP/Postal Code
198510
Country
Russian Federation
Facility Name
State Healthcare Institution "Regional Clinical Hospital"
City
Saratov
ZIP/Postal Code
410053
Country
Russian Federation
Facility Name
LLC Treatment-and-prophylactic institution on the "Smolensk clinic"
City
Smolensk
ZIP/Postal Code
214016
Country
Russian Federation
Facility Name
State Autonomous Healthcare Institution of Yaroslavl Region "Clinical Hospital of Emergency care n.a. N.V. Solovyev"
City
Yaroslavl
ZIP/Postal Code
150003
Country
Russian Federation

12. IPD Sharing Statement

Learn more about this trial

Clinical Trial of Efficacy and Safety of Levopront® 30 mg/5 ml in Patients With Dry Cough

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