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Influenza Management With Polyherbal Formulation

Primary Purpose

Influenza

Status
Unknown status
Phase
Not Applicable
Locations
India
Study Type
Interventional
Intervention
polyherbal formulation
Oseltamivir 75mg
Sponsored by
Composite Interceptive Med Science
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Influenza

Eligibility Criteria

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

Inclusion Criteria:

  • Subjects above the age of 18 years, providing written informed consent.
  • Patients with a duration of influenza symptoms confirmed by all of the following:

    1. Fever ≥ 38º C (axillary) during the predose examinations or within the 4 hours prior if antipyretics were taken
    2. At least 1 each of the following general and respiratory symptoms associated with influenza is present with a severity of moderate or greater: i. General symptoms (headache, feverishness or chills, muscle or joint pain, or fatigue) ii. Respiratory symptoms (cough, sore throat, or nasal congestion) Rapid diagnostic test, PCR, or viral culture positive for influenza in the 96 hours prior to first dose
  • The time interval between the onset of symptoms and the predose examinations is 48 hours or less. The onset of symptoms is defined as either:

    1. Time of the first increase in body temperature (an increase of at least 1º C from normal body temperature)
    2. Time when the patient experiences at least 1 new general or respiratory symptom

Exclusion Criteria:

Patients will be considered at high risk of influenza complications due to the presence of at least 1 of the following inclusion criteria:

  1. Asthma or chronic lung disease (such as chronic obstructive pulmonary disease or cystic fibrosis)
  2. Endocrine disorders (including diabetes mellitus)
  3. Residents of long-term care facilities (e.g., nursing homes)
  4. Compromised immune system (including patients receiving corticosteroids not exceeding 20 mg of prednisolone or equivalent, and patients being treated for human immunodeficiency virus (HIV) infection with a cluster of differentiation 4 count > 350 cells/mm³ within the last 6 months)
  5. Neurological and neurodevelopmental disorders (including disorders of the brain, spinal cord, peripheral nerve, and muscle, e.g., cerebral palsy, epilepsy [seizure disorders], stroke, muscular dystrophy, or spinal cord injury)
  6. Heart disease (such as congenital heart disease, congestive heart failure, or coronary artery disease), excluding hypertension without any other heart-related symptoms
  7. Adults aged ≥ 65 years
  8. Blood disorders (such as sickle cell disease)
  9. Metabolic disorders (such as inherited metabolic disorders and mitochondrial disorders)
  10. Morbid obesity (body mass index ≥ 40)

Other Exclusion criteria Any one of the following

  • Influenza vaccination with live attenuated vaccine in the 3 months prior to randomization
  • Antiviral treatment for influenza in 2 weeks prior to randomization
  • Severe Hepatic and renal impairment
  • Pregnant, attempting to conceive, or lactating women

Sites / Locations

  • Mazumdar Shaw Medical CentreRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Intervention Group

Standard Care Group

Arm Description

Each Flu Care capsule consists of combination of seven polyherbal formulation (350 mg). Participant will be instructed to take one capsule thrice daily at a fixed time in the day for the study duration of 7 days along with 75 mg of Oseltamivir.

Standard of care consist of 75 mg of Oseltamivir for five days and any other required provision of care. These will be determined on case by case basis by research clinician.

Outcomes

Primary Outcome Measures

Time to improvement of symptoms
Time to improvement of symptoms is defined as the time from initiation of study treatment to improvement of influenza symptoms for a duration of at least 21.5 hours (24 hours - 10%).

Secondary Outcome Measures

Percentage change in participants positive for influenza virus titer and viral RNA at end of treatment
Defined as the percentage of patients whose virus titer and ribonucleic acid (RNA) load are become less than the lower limit of quantification among those assessed for virus titer and RNA load. RNA load is measured by reverse transcription polymerase chain reaction (RT-PCR).
Time to alleviation of symptoms
Time to alleviation of symptoms is defined as the time between the initiation of the study treatment and the alleviation of influenza symptoms. The alleviation of influenza symptoms is defined as the time when all of 7 influenza symptoms (cough, sore throat, headache, nasal congestion, feverishness or chills, muscle or joint pain, and fatigue) have been assessed by the patient.
Time to improvement in the 4 systemic symptoms
Defined as the time between the initiation of the study treatment and the improvement in the 4 systemic symptoms symptoms (headache, feverishness or chills, muscle or joint pain, and fatigue).
Time to improvement in the 3 respiratory symptoms
Defined as the time between the initiation of the study treatment and the improvement in the 3 respiratory symptoms (cough, sore throat, and nasal congestion).
Time to resolution of fever
Defined as the time between the initiation of the study treatment and the resolution of fever. The resolution of fever is defined as the time when the patient's self-measured temperature becomes less than 37º C.
Percentage of participants with adverse events
Percentage of participants who had been hospitalized
Percentage of participants with influenza-related complications
Defined as the percentage of patients who experience each influenza-related complication (hospitalization, death, sinusitis, otitis media, bronchitis, and radiologically-confirmed pneumonia) as an adverse event after the initiation of study treatment.

Full Information

First Posted
December 2, 2017
Last Updated
April 10, 2018
Sponsor
Composite Interceptive Med Science
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1. Study Identification

Unique Protocol Identification Number
NCT03365336
Brief Title
Influenza Management With Polyherbal Formulation
Official Title
Indian Herbal Medicine for Influenza - Randomized Controlled Study
Study Type
Interventional

2. Study Status

Record Verification Date
April 2018
Overall Recruitment Status
Unknown status
Study Start Date
February 1, 2018 (Actual)
Primary Completion Date
May 15, 2018 (Anticipated)
Study Completion Date
May 15, 2018 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Composite Interceptive Med Science

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
The aim of this study is to determine the efficacy of Flu care polyherbal formulation in the management of acute uncomplicated case of Influenza within 48 hours of symptoms onset.
Detailed Description
Influenza is one of the most common epidemics occurring in India during winter months. Most of the commonly used antiviral have limited efficacy and safety in influenza treatment. Flu Care polyherbal consist of antiviral, antitussive and anti-inflammatory herbal medicine. If this Flu care intervention is shown to be effective, there will be major potential benefits to general population.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Model Description
Parallel follow up of two groups randomly allocated through a central randomization process.
Masking
None (Open Label)
Masking Description
Open label study
Allocation
Randomized
Enrollment
100 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Intervention Group
Arm Type
Experimental
Arm Description
Each Flu Care capsule consists of combination of seven polyherbal formulation (350 mg). Participant will be instructed to take one capsule thrice daily at a fixed time in the day for the study duration of 7 days along with 75 mg of Oseltamivir.
Arm Title
Standard Care Group
Arm Type
Active Comparator
Arm Description
Standard of care consist of 75 mg of Oseltamivir for five days and any other required provision of care. These will be determined on case by case basis by research clinician.
Intervention Type
Drug
Intervention Name(s)
polyherbal formulation
Other Intervention Name(s)
Flu Care
Intervention Description
Each Flu Care consist of 350 mg of polyherbal component
Intervention Type
Drug
Intervention Name(s)
Oseltamivir 75mg
Intervention Description
All the participant has to take 75 mg of oseltamivir for five days.
Primary Outcome Measure Information:
Title
Time to improvement of symptoms
Description
Time to improvement of symptoms is defined as the time from initiation of study treatment to improvement of influenza symptoms for a duration of at least 21.5 hours (24 hours - 10%).
Time Frame
Day 1 pretreatment upto Day 7
Secondary Outcome Measure Information:
Title
Percentage change in participants positive for influenza virus titer and viral RNA at end of treatment
Description
Defined as the percentage of patients whose virus titer and ribonucleic acid (RNA) load are become less than the lower limit of quantification among those assessed for virus titer and RNA load. RNA load is measured by reverse transcription polymerase chain reaction (RT-PCR).
Time Frame
7 days
Title
Time to alleviation of symptoms
Description
Time to alleviation of symptoms is defined as the time between the initiation of the study treatment and the alleviation of influenza symptoms. The alleviation of influenza symptoms is defined as the time when all of 7 influenza symptoms (cough, sore throat, headache, nasal congestion, feverishness or chills, muscle or joint pain, and fatigue) have been assessed by the patient.
Time Frame
Day 1 pretreatment up to Day 7
Title
Time to improvement in the 4 systemic symptoms
Description
Defined as the time between the initiation of the study treatment and the improvement in the 4 systemic symptoms symptoms (headache, feverishness or chills, muscle or joint pain, and fatigue).
Time Frame
Day 1 pretreatment up to Day 7
Title
Time to improvement in the 3 respiratory symptoms
Description
Defined as the time between the initiation of the study treatment and the improvement in the 3 respiratory symptoms (cough, sore throat, and nasal congestion).
Time Frame
Day 1 pretreatment up to Day 7
Title
Time to resolution of fever
Description
Defined as the time between the initiation of the study treatment and the resolution of fever. The resolution of fever is defined as the time when the patient's self-measured temperature becomes less than 37º C.
Time Frame
Day 1 pretreatment up to Day 7
Title
Percentage of participants with adverse events
Time Frame
Baseline up to Day 7
Title
Percentage of participants who had been hospitalized
Time Frame
Baseline up to Day 7
Title
Percentage of participants with influenza-related complications
Description
Defined as the percentage of patients who experience each influenza-related complication (hospitalization, death, sinusitis, otitis media, bronchitis, and radiologically-confirmed pneumonia) as an adverse event after the initiation of study treatment.
Time Frame
Baseline up to Day 7

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subjects above the age of 18 years, providing written informed consent. Patients with a duration of influenza symptoms confirmed by all of the following: Fever ≥ 38º C (axillary) during the predose examinations or within the 4 hours prior if antipyretics were taken At least 1 each of the following general and respiratory symptoms associated with influenza is present with a severity of moderate or greater: i. General symptoms (headache, feverishness or chills, muscle or joint pain, or fatigue) ii. Respiratory symptoms (cough, sore throat, or nasal congestion) Rapid diagnostic test, PCR, or viral culture positive for influenza in the 96 hours prior to first dose The time interval between the onset of symptoms and the predose examinations is 48 hours or less. The onset of symptoms is defined as either: Time of the first increase in body temperature (an increase of at least 1º C from normal body temperature) Time when the patient experiences at least 1 new general or respiratory symptom Exclusion Criteria: Patients will be considered at high risk of influenza complications due to the presence of at least 1 of the following inclusion criteria: Asthma or chronic lung disease (such as chronic obstructive pulmonary disease or cystic fibrosis) Endocrine disorders (including diabetes mellitus) Residents of long-term care facilities (e.g., nursing homes) Compromised immune system (including patients receiving corticosteroids not exceeding 20 mg of prednisolone or equivalent, and patients being treated for human immunodeficiency virus (HIV) infection with a cluster of differentiation 4 count > 350 cells/mm³ within the last 6 months) Neurological and neurodevelopmental disorders (including disorders of the brain, spinal cord, peripheral nerve, and muscle, e.g., cerebral palsy, epilepsy [seizure disorders], stroke, muscular dystrophy, or spinal cord injury) Heart disease (such as congenital heart disease, congestive heart failure, or coronary artery disease), excluding hypertension without any other heart-related symptoms Adults aged ≥ 65 years Blood disorders (such as sickle cell disease) Metabolic disorders (such as inherited metabolic disorders and mitochondrial disorders) Morbid obesity (body mass index ≥ 40) Other Exclusion criteria Any one of the following Influenza vaccination with live attenuated vaccine in the 3 months prior to randomization Antiviral treatment for influenza in 2 weeks prior to randomization Severe Hepatic and renal impairment Pregnant, attempting to conceive, or lactating women
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Alben Sigamani, MD
Phone
8884431444
Email
alben.sigamani.dr@nhhospitals.org
First Name & Middle Initial & Last Name or Official Title & Degree
Sanjaya Chauhan, Pharm.D
Phone
9611252350
Email
drsanjayachauhan49@gmail.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Dayanand B Yaligar, MBBS
Organizational Affiliation
Narayana Hrudayalaya Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Mazumdar Shaw Medical Centre
City
Bangalore
State/Province
Karnataka
ZIP/Postal Code
560099
Country
India
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Alben Sigamani, MD
Phone
8884431444
Email
alben.sigamani.dr@nhhospitals.org
First Name & Middle Initial & Last Name & Degree
Sanjaya Chauhan, Pharm.D
Phone
9611252350
Email
drsanjayachauhan49@gmail.com

12. IPD Sharing Statement

Plan to Share IPD
Undecided

Learn more about this trial

Influenza Management With Polyherbal Formulation

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