Efficacy & Tolerability of a Specific Plantain,Thyme and Honey Cough Syrup vs Placebo in Child Cough Due to Common Cold

NCT ID: NCT02486835

Last Updated: 2018-01-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-12-23

Study Completion Date

2016-04-06

Brief Summary

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Cough is a life saving reflex, therefore it is important, especially in pediatrics, to calm cough spells without sedating the reflex. The intent of this study is to use a protective syrup with does not act as a sedative or as a potent mucolytic and measure its efficacy and safety versus placebo in children with moderate to severe night and daily cough. Cough is assessed with a validated parent questionnaire. The degree of disturbance of cough is followed immediately after one night administration of the study products and daily for 4 nights, 3 days.

Detailed Description

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Cough is a life saving reflex, therefore it is important, especially in pediatrics, to calm cough spells without sedating the reflex. Looking into mechanisms for cough management different from mucolytics, or sedatives, such as protection of irritated pharynx mucosa from post nasal drip or other irritating substances is theoretically sound and shows practical interesting results.

A parallel comparison of efficacy and tolerability between such protective mechanism (acting through a barrier and radical scavenging action) due to natural substances (honey, plantago lanceolata and thymus vulgaris) and placebo has not been done so far, in very young children, especially in a time frame of 4 days. The intent of this study is to use the protective syrup versus placebo in children with moderate to severe night and daily cough, measured with a validated parent questionnaire. The degree of disturbance of cough is followed immediately after one night administration of the study products and daily for 4 nights, 3 days.

Assessment of effectiveness of the protective cough syrup as compared to placebo is considered very interesting due to the mechanism of the remedy.

Conditions

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Cough

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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"Cough Syrup for adults and children"

Marked (authorized) medical device acting by protecting the oropharynx, in a non pharmacological way, to reduce cough. It contains honey, plantago lanceolata, thymus vulgaris.Dosage form: syrup Dosage: 5 ml three times a day. Frequency: the duration of the study for each patient is 4 nights, 3 days.

Group Type EXPERIMENTAL

Cough syrup for adults and children

Intervention Type DEVICE

Dosage is 5 ml three times a day for 4 nights, 3 days

Placebo

The placebo intervention is a syrup of same taste and colour without the protective components. Dosage form: syrup. Dosage: 5 ml three times a day Frequency: the duration of the study for each patient is 4 nights, 3 days.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DEVICE

Dosage is 5 ml three times a day for 4 nights, 3 days

Interventions

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Cough syrup for adults and children

Dosage is 5 ml three times a day for 4 nights, 3 days

Intervention Type DEVICE

Placebo

Dosage is 5 ml three times a day for 4 nights, 3 days

Intervention Type DEVICE

Other Intervention Names

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Poliflav M.A.-honey cough syrup

Eligibility Criteria

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Inclusion Criteria

* cough attributed to infection of the upper respiratory tract since less or equal than 7 days,
* children aged 1 to 5 years
* score of three or more of al least two of the following three questions relating to night cough, frequency of nocturnal cough, impact on sleep of child and impact on sleep of parent,
* score of at least three of all questions assessing daytime cough considering the day prior to study entry
* written consent by a parent.

Exclusion Criteria

* Children with a diagnosis of acute laryngotracheal bronchitis, pneumonia, asthma, sinusitis, allergic rhinitis, as well as chronic cardiac condition, or cystic fibrosis or any anatomical respiratory tract anomalies,
* Children who received antihistamines or any cough medicine the day prior to study entry,
* The administration of any steroid preparation by oral administration or inhalation on the day prior to study entry,
* Known sensitivity to any component of placebo or to Plantago lanceolata or Thymus vulgaris, honey or any other component of the cough syrup.
Minimum Eligible Age

1 Year

Maximum Eligible Age

5 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Clalit Health Services

OTHER

Sponsor Role lead

Responsible Party

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Avner Herman Cohen

Prof. Herman Avner Cohen

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Herman A Cohen, Prof.

Role: PRINCIPAL_INVESTIGATOR

Clalit HS

Locations

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Pediatric Ambulatory Clinic Bat-Yam

Bat Yam, , Israel

Site Status

Pediatric Ambulatory Clinic Kfar-Saba

Kfar Saba, , Israel

Site Status

Pediatric Community Ambulatory Clinic - Petach-Tikva

Petah Tikva, , Israel

Site Status

Pediatric Ambulatory Clinic Ramat Aviv Gimel

Tel Aviv, , Israel

Site Status

Countries

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Israel

References

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Middleton KR, Hing E. National Hospital Ambulatory Medical Care Survey: 2004 outpatient department summary. Adv Data. 2006 Jun 23;(373):1-27.

Reference Type BACKGROUND
PMID: 16841784 (View on PubMed)

Paul IM, Yoder KE, Crowell KR, Shaffer ML, McMillan HS, Carlson LC, Dilworth DA, Berlin CM Jr. Effect of dextromethorphan, diphenhydramine, and placebo on nocturnal cough and sleep quality for coughing children and their parents. Pediatrics. 2004 Jul;114(1):e85-90. doi: 10.1542/peds.114.1.e85.

Reference Type BACKGROUND
PMID: 15231978 (View on PubMed)

Paul IM, Beiler J, McMonagle A, Shaffer ML, Duda L, Berlin CM Jr. Effect of honey, dextromethorphan, and no treatment on nocturnal cough and sleep quality for coughing children and their parents. Arch Pediatr Adolesc Med. 2007 Dec;161(12):1140-6. doi: 10.1001/archpedi.161.12.1140.

Reference Type BACKGROUND
PMID: 18056558 (View on PubMed)

Wegener T, Kraft K. [Plantain (Plantago lanceolata L.): anti-inflammatory action in upper respiratory tract infections]. Wien Med Wochenschr. 1999;149(8-10):211-6. German.

Reference Type BACKGROUND
PMID: 10483683 (View on PubMed)

Canciani M, Murgia V, Caimmi D, Anapurapu S, Licari A, Marseglia GL. Efficacy of Grintuss(R) pediatric syrup in treating cough in children: a randomized, multicenter, double blind, placebo-controlled clinical trial. Ital J Pediatr. 2014 Jun 10;40:56. doi: 10.1186/1824-7288-40-56.

Reference Type BACKGROUND
PMID: 24917119 (View on PubMed)

Rimsza ME, Newberry S. Unexpected infant deaths associated with use of cough and cold medications. Pediatrics. 2008 Aug;122(2):e318-22. doi: 10.1542/peds.2007-3813.

Reference Type BACKGROUND
PMID: 18676517 (View on PubMed)

Schramm DD, Karim M, Schrader HR, Holt RR, Cardetti M, Keen CL. Honey with high levels of antioxidants can provide protection to healthy human subjects. J Agric Food Chem. 2003 Mar 12;51(6):1732-5. doi: 10.1021/jf025928k.

Reference Type BACKGROUND
PMID: 12617614 (View on PubMed)

Bogdanov S, Jurendic T, Sieber R, Gallmann P. Honey for nutrition and health: a review. J Am Coll Nutr. 2008 Dec;27(6):677-89. doi: 10.1080/07315724.2008.10719745.

Reference Type BACKGROUND
PMID: 19155427 (View on PubMed)

Cohen HA, Rozen J, Kristal H, Laks Y, Berkovitch M, Uziel Y, Kozer E, Pomeranz A, Efrat H. Effect of honey on nocturnal cough and sleep quality: a double-blind, randomized, placebo-controlled study. Pediatrics. 2012 Sep;130(3):465-71. doi: 10.1542/peds.2011-3075. Epub 2012 Aug 6.

Reference Type BACKGROUND
PMID: 22869830 (View on PubMed)

Other Identifiers

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ABO-cough-2015

Identifier Type: -

Identifier Source: org_study_id

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