Warming Sensation and Tolerability Study of Acetylcysteine 2% Oral Solution for Productive Cough
Primary Purpose
Common Cold
Status
Completed
Phase
Phase 3
Locations
Germany
Study Type
Interventional
Intervention
Acetylcystine
Sponsored by

About this trial
This is an interventional treatment trial for Common Cold
Eligibility Criteria
Inclusion Criteria:
- Participants must give written informed consent before any assessment is performed. In the case of adolescents Informed Consent must be signed by one or both parents or legal guardian as per local regulations and an Informed Assent must be signed by the participant.
- Must be males or females ≥ 12 years.
- Willingness and ability to communicate, to comply with all study requirements and to complete the study.
- Productive cough of less than 7 days duration, rated based on interview with the participant as mild to moderate severity on a four- point ordinal scale (not present, mild, moderate, severe) due to upper respiratory tract infection.
Exclusion Criteria:
- Use of other investigational drugs before enrollment, or within 30 days or 5 half-lives before enrollment, whichever is longer.
- Pre-dose productive cough or sore throat rated as severe on a four-point ordinal scale (not present, mild, moderate, severe) based on interview with the participant.
- Pre-dose temperature equal or above 39.4°C at screening measured by oral thermometer.
- History of hypersensitivity to any of the study drugs and the listed excipients or to drugs of similar chemical classes.
- Pregnant , nursing (lactating women) or women with child bearing potential UNLESS they are using effective methods of contraception.
- Use of any medication for sore throat containing a local anaesthetic, methanol or any topical products containing menthol, peppermint, spearmint or within the 6 hours prior to dosing.
- Use of any paracetamol, non-steroidal anti-inflammatory drug (NSAID) or any oral/nasal decongestant within 6 hours prior to dosing.
- Use of substances of abuse, herbal medications, or antihistamines within 48 hours of dosing.
- Hepatic or severe renal impairment, hypertension, hyperthyroidism, diabetes, or heart disease.
- Drinking of tea, coffee or other caffeinated beverages 1 hour prior to dosing.
- Drinking of any hot beverages 1 hour prior to dosing.
- Participant is a current smoker of ≥10 cigarettes per day (or reports equivalent smoking habits using other tobacco products) or smoked or chewed tobacco products within 12 hours before dosing.
- Participant is taking nitroglycerin and nitrate drug treatments.
- Participants who took antibiotic treatments such as semisynthetic penicillins, tetracyclines, cephalosporins and aminoglycosides within 2 hours of dosing. Amoxicillin, doxycycline, erythromycin, thiamphenicol and cefuroxime are allowed without this restriction.
- Participants with gastroduodenal (peptic) ulcers, asthma.
- Participants with intolerance to histamines.
- Participants who have used antitussives (e.g., dextromethorphan, codeine), anticholinergic drugs (atropine-like) within the past 24 hours.
- Participants who have taken heavy metal salts such as calcium, gold and iron within 2 hours of enrollment.
- A history of alcohol abuse or an admission by the participant that they regularly consume alcohol in excess of the recommended weekly limits of 21 units for females and 28 units for males.
- History of malignancy of any organ system (other than localized basal cell carcinoma of the skin), treated or untreated, within the past 5 years, regardless of whether there is evidence of local recurrence or metastases.
Sites / Locations
- GSK Investigational Site
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
2% Acetylcystine Solution
Arm Description
Participants will be orally administered with the clear oral solution containing 2% acetylcysteine (g/mL) in a 100 mL amber glass bottle over 1 minute or less using an oral syringe.
Outcomes
Primary Outcome Measures
Onset of Warming Sensation
Onset and duration of action of warming sensation was measured by two stop watches started when the participants took the oral solution. First watch was stopped at the start of warming sensation and the second watch was stopped at the end. If onset had not occurred by 10 minutes then time to onset was censored at 10 minutes. 53 of the 57 participants had onset within 10 minutes after dosing.
Duration of Warming Sensation
Duration of action of warming sensation was measured by two stop watches started when the participants took the oral solution. First watch was stopped at the start of warming sensation and the second watch was stopped at the end. If onset of warming sensation occurred within 10 minutes of dosing but had not ended by the end of 10 minutes following dosing, then the duration was censored at 10 minutes minus the time to onset
Warming Sensation Intensity at Pre-Dose and 60 Sec (Seconds) Post-Dose
Warming Sensation Intensity was measured on 100 mm visual analogue scale (VAS), marked as "no warming sensation" on the left hand side (= 0 mm) and "strongest possible warming sensation" at the right hand side (=100 mm) at pre-dose.
Secondary Outcome Measures
Number of Participants With Acceptability of Warming Sensation
Acceptability of strength of warming sensation was measured by a scale: 5= Much too strong; 4=Too strong (too warming); 3= Just about right (pleasant warming); 2= Too weak (not warming enough); 1= Much too weak
Number of Participants With Overall Opinion of Warming Sensation
Overall opinion of warming sensation was measured by scale: 9= Like extremely; 8= Like very much; 7= Like moderately; 6= Like slightly; 5= Neither like nor dislike; 4= Dislike slightly; 3= Dislike moderately; 2= Dislike very much; 1= Dislike extremely
Number of Participants With Overall Opinion of Oral Solution
Overall opinion of oral solution was measured by scale: 4 = Excellent; 3 = Good; 2 = Fair; 1 = Poor; 0 = Unacceptable.
Local Oral Tolerability
Local oral tolerability was assessed by performing oropharyngeal examination as follows: Results of oropharyngeal examination (Normal and abnormal); If abnormal, any signs of lesion on oral mucosa or irritation of oral mucosa.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT02822287
Brief Title
Warming Sensation and Tolerability Study of Acetylcysteine 2% Oral Solution for Productive Cough
Official Title
An Open Label Study to Assess the Warming Sensation, Acceptability and Local Oral Tolerability of NCH-GSK Acetylcysteine 2% Oral Solution, Given as a Single Dose in Subjects Suffering From Productive Cough Due to Upper Respiratory Tract Infection
Study Type
Interventional
2. Study Status
Record Verification Date
September 2016
Overall Recruitment Status
Completed
Study Start Date
February 2016 (undefined)
Primary Completion Date
March 2016 (Actual)
Study Completion Date
March 2016 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
GlaxoSmithKline
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
This is a 1-treatment arm, open label design. This 1-day study includes a screening on day of attendance at clinic, followed by a washout period of 30 minutes to 8 hours (if participants are eligible for dosing the same day). The study also includes a supervised dosing with 10 mL oral solution and a 1 hour in-clinic evaluation period.
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
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
58 (Actual)
8. Arms, Groups, and Interventions
Arm Title
2% Acetylcystine Solution
Arm Type
Experimental
Arm Description
Participants will be orally administered with the clear oral solution containing 2% acetylcysteine (g/mL) in a 100 mL amber glass bottle over 1 minute or less using an oral syringe.
Intervention Type
Drug
Intervention Name(s)
Acetylcystine
Intervention Description
Clear oral solution containing 2% acetylcysteine (g/mL) in a 100 mL amber glass bottle.
Primary Outcome Measure Information:
Title
Onset of Warming Sensation
Description
Onset and duration of action of warming sensation was measured by two stop watches started when the participants took the oral solution. First watch was stopped at the start of warming sensation and the second watch was stopped at the end. If onset had not occurred by 10 minutes then time to onset was censored at 10 minutes. 53 of the 57 participants had onset within 10 minutes after dosing.
Time Frame
10 minutes post-dose
Title
Duration of Warming Sensation
Description
Duration of action of warming sensation was measured by two stop watches started when the participants took the oral solution. First watch was stopped at the start of warming sensation and the second watch was stopped at the end. If onset of warming sensation occurred within 10 minutes of dosing but had not ended by the end of 10 minutes following dosing, then the duration was censored at 10 minutes minus the time to onset
Time Frame
10 minutes post-dose
Title
Warming Sensation Intensity at Pre-Dose and 60 Sec (Seconds) Post-Dose
Description
Warming Sensation Intensity was measured on 100 mm visual analogue scale (VAS), marked as "no warming sensation" on the left hand side (= 0 mm) and "strongest possible warming sensation" at the right hand side (=100 mm) at pre-dose.
Time Frame
Pre-dose and 60 sec post-dose
Secondary Outcome Measure Information:
Title
Number of Participants With Acceptability of Warming Sensation
Description
Acceptability of strength of warming sensation was measured by a scale: 5= Much too strong; 4=Too strong (too warming); 3= Just about right (pleasant warming); 2= Too weak (not warming enough); 1= Much too weak
Time Frame
10 minutes post-dose
Title
Number of Participants With Overall Opinion of Warming Sensation
Description
Overall opinion of warming sensation was measured by scale: 9= Like extremely; 8= Like very much; 7= Like moderately; 6= Like slightly; 5= Neither like nor dislike; 4= Dislike slightly; 3= Dislike moderately; 2= Dislike very much; 1= Dislike extremely
Time Frame
10 minutes post-dose
Title
Number of Participants With Overall Opinion of Oral Solution
Description
Overall opinion of oral solution was measured by scale: 4 = Excellent; 3 = Good; 2 = Fair; 1 = Poor; 0 = Unacceptable.
Time Frame
1 hour post-dose
Title
Local Oral Tolerability
Description
Local oral tolerability was assessed by performing oropharyngeal examination as follows: Results of oropharyngeal examination (Normal and abnormal); If abnormal, any signs of lesion on oral mucosa or irritation of oral mucosa.
Time Frame
Day 1 (at screening and end of study)
10. Eligibility
Sex
All
Minimum Age & Unit of Time
12 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Participants must give written informed consent before any assessment is performed. In the case of adolescents Informed Consent must be signed by one or both parents or legal guardian as per local regulations and an Informed Assent must be signed by the participant.
Must be males or females ≥ 12 years.
Willingness and ability to communicate, to comply with all study requirements and to complete the study.
Productive cough of less than 7 days duration, rated based on interview with the participant as mild to moderate severity on a four- point ordinal scale (not present, mild, moderate, severe) due to upper respiratory tract infection.
Exclusion Criteria:
Use of other investigational drugs before enrollment, or within 30 days or 5 half-lives before enrollment, whichever is longer.
Pre-dose productive cough or sore throat rated as severe on a four-point ordinal scale (not present, mild, moderate, severe) based on interview with the participant.
Pre-dose temperature equal or above 39.4°C at screening measured by oral thermometer.
History of hypersensitivity to any of the study drugs and the listed excipients or to drugs of similar chemical classes.
Pregnant , nursing (lactating women) or women with child bearing potential UNLESS they are using effective methods of contraception.
Use of any medication for sore throat containing a local anaesthetic, methanol or any topical products containing menthol, peppermint, spearmint or within the 6 hours prior to dosing.
Use of any paracetamol, non-steroidal anti-inflammatory drug (NSAID) or any oral/nasal decongestant within 6 hours prior to dosing.
Use of substances of abuse, herbal medications, or antihistamines within 48 hours of dosing.
Hepatic or severe renal impairment, hypertension, hyperthyroidism, diabetes, or heart disease.
Drinking of tea, coffee or other caffeinated beverages 1 hour prior to dosing.
Drinking of any hot beverages 1 hour prior to dosing.
Participant is a current smoker of ≥10 cigarettes per day (or reports equivalent smoking habits using other tobacco products) or smoked or chewed tobacco products within 12 hours before dosing.
Participant is taking nitroglycerin and nitrate drug treatments.
Participants who took antibiotic treatments such as semisynthetic penicillins, tetracyclines, cephalosporins and aminoglycosides within 2 hours of dosing. Amoxicillin, doxycycline, erythromycin, thiamphenicol and cefuroxime are allowed without this restriction.
Participants with gastroduodenal (peptic) ulcers, asthma.
Participants with intolerance to histamines.
Participants who have used antitussives (e.g., dextromethorphan, codeine), anticholinergic drugs (atropine-like) within the past 24 hours.
Participants who have taken heavy metal salts such as calcium, gold and iron within 2 hours of enrollment.
A history of alcohol abuse or an admission by the participant that they regularly consume alcohol in excess of the recommended weekly limits of 21 units for females and 28 units for males.
History of malignancy of any organ system (other than localized basal cell carcinoma of the skin), treated or untreated, within the past 5 years, regardless of whether there is evidence of local recurrence or metastases.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
GSK Clinical Trials
Organizational Affiliation
GlaxoSmithKline
Official's Role
Study Director
Facility Information:
Facility Name
GSK Investigational Site
City
Erfurt
State/Province
Thueringen
ZIP/Postal Code
99084
Country
Germany
12. IPD Sharing Statement
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Warming Sensation and Tolerability Study of Acetylcysteine 2% Oral Solution for Productive Cough
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