Trial Outcomes & Findings for Clinical Trial of Efficacy and Safety of Anaferon for Children Liquid Dosage Form in the Treatment of Acute Upper Respiratory Infections (NCT NCT03162458)

NCT ID: NCT03162458

Last Updated: 2018-11-28

Results Overview

based on patient diary data

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

142 participants

Primary outcome timeframe

From the time of randomization until the time of recovery/improvement, assessed up to 14 days

Results posted on

2018-11-28

Participant Flow

Participant milestones

Participant milestones
Measure
Anaferon for Children
Anaferon for children (liquid dosage form): 10 drops per dose. Day 1: 10 drops every 30 minutes for the first 2 hours, followed by three more doses regularly spaced during the rest of the day. Day 2 to 5: 10 drops three times daily.
Placebo
Placebo (liquid dosage form): 10 drops per dose. Day 1: 10 drops every 30 minutes for the first 2 hours, followed by three more doses regularly spaced during the rest of the day. Day 2 to 5: 10 drops three times daily.
Overall Study
STARTED
71
71
Overall Study
COMPLETED
71
71
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Clinical Trial of Efficacy and Safety of Anaferon for Children Liquid Dosage Form in the Treatment of Acute Upper Respiratory Infections

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Anaferon for Children
n=71 Participants
Anaferon for children (liquid dosage form): 10 drops per dose. Day 1: 10 drops every 30 minutes for the first 2 hours, followed by three more doses regularly spaced during the rest of the day. Day 2 to 5: 10 drops three times daily.
Placebo
n=71 Participants
Placebo (liquid dosage form): 10 drops per dose. Day 1: 10 drops every 30 minutes for the first 2 hours, followed by three more doses regularly spaced during the rest of the day. Day 2 to 5: 10 drops three times daily.
Total
n=142 Participants
Total of all reporting groups
Age, Continuous
1.8 years
STANDARD_DEVIATION 1.0 • n=5 Participants
1.9 years
STANDARD_DEVIATION 1.0 • n=7 Participants
1.9 years
STANDARD_DEVIATION 1.0 • n=5 Participants
Sex: Female, Male
Female
36 Participants
n=5 Participants
32 Participants
n=7 Participants
68 Participants
n=5 Participants
Sex: Female, Male
Male
35 Participants
n=5 Participants
39 Participants
n=7 Participants
74 Participants
n=5 Participants
Region of Enrollment
Russia
71 Participants
n=5 Participants
71 Participants
n=7 Participants
142 Participants
n=5 Participants

PRIMARY outcome

Timeframe: From the time of randomization until the time of recovery/improvement, assessed up to 14 days

Population: Intention to treat set

based on patient diary data

Outcome measures

Outcome measures
Measure
Anaferon for Children
n=71 Participants
Anaferon for children (liquid dosage form): 10 drops per dose. Day 1: 10 drops every 30 minutes for the first 2 hours, followed by three more doses regularly spaced during the rest of the day. Day 2 to 5: 10 drops three times daily.
Placebo
n=71 Participants
Placebo (liquid dosage form): 10 drops per dose. Day 1: 10 drops every 30 minutes for the first 2 hours, followed by three more doses regularly spaced during the rest of the day. Day 2 to 5: 10 drops three times daily.
Average Illness Duration (the Interval Between the Start of the Trial Treatment and the Time When Recovery/Improvement - Based on Patient Diary Data)
87.7 hours
Standard Deviation 31.5
103.3 hours
Standard Deviation 19.4

PRIMARY outcome

Timeframe: On days 1-5 of observation

Population: Intention to treat set

The TSS was based on the severity of each of acute upper respiratory tract infection (URTI) symptom. The TSS includes 11 symptoms: Body temperature / fever, Non-specific URTI symptoms (Decreased activity / Malaise, Impaired appetite / refusal of feeding, Painful appearance, Sleep disturbance) and Nose /Throat symptoms (Runny nose, Nasal congestion, Sneezing, Hoarseness, Sore throat, Cough). The severity of each URTI symptom was scored on a symptom severity scale (0 = no symptoms; 1 = mild symptoms; 2 = moderate symptoms; 3 = severe symptoms). Minimum score=0; maximum score=33. The severity of URTI symptoms was recorded by one of the patient's parents/adopter on a diary card twice a day (morning and evening) on Days 1-5.

Outcome measures

Outcome measures
Measure
Anaferon for Children
n=71 Participants
Anaferon for children (liquid dosage form): 10 drops per dose. Day 1: 10 drops every 30 minutes for the first 2 hours, followed by three more doses regularly spaced during the rest of the day. Day 2 to 5: 10 drops three times daily.
Placebo
n=71 Participants
Placebo (liquid dosage form): 10 drops per dose. Day 1: 10 drops every 30 minutes for the first 2 hours, followed by three more doses regularly spaced during the rest of the day. Day 2 to 5: 10 drops three times daily.
Severity of the Disease Within 5 Days Was Assessed Using the "Area Under the Curve" for the Total Symptom Score (TSS) at 1-5 Days (According to the Diary of the Patient).
25.6 AUC score*day
Standard Deviation 17.2
33.6 AUC score*day
Standard Deviation 17.7

SECONDARY outcome

Timeframe: On Days 2-5 of the treatment

Population: Intention to treat set

based on patient diary data

Outcome measures

Outcome measures
Measure
Anaferon for Children
n=71 Participants
Anaferon for children (liquid dosage form): 10 drops per dose. Day 1: 10 drops every 30 minutes for the first 2 hours, followed by three more doses regularly spaced during the rest of the day. Day 2 to 5: 10 drops three times daily.
Placebo
n=71 Participants
Placebo (liquid dosage form): 10 drops per dose. Day 1: 10 drops every 30 minutes for the first 2 hours, followed by three more doses regularly spaced during the rest of the day. Day 2 to 5: 10 drops three times daily.
Percentage of Patients With Recovery on Days 2, 3, 4 and 5 of Observation (Based on Patient Diary Data)
Day 4
39.4 percentage of participants
18.3 percentage of participants
Percentage of Patients With Recovery on Days 2, 3, 4 and 5 of Observation (Based on Patient Diary Data)
Day 2
9.9 percentage of participants
0 percentage of participants
Percentage of Patients With Recovery on Days 2, 3, 4 and 5 of Observation (Based on Patient Diary Data)
Day 3
29.6 percentage of participants
4.2 percentage of participants
Percentage of Patients With Recovery on Days 2, 3, 4 and 5 of Observation (Based on Patient Diary Data)
Day 5
64.8 percentage of participants
57.8 percentage of participants

SECONDARY outcome

Timeframe: From the time of randomization until the time of normal body temperature, assessed up to 14 days

Population: Intention to treat set

based on patient diary data

Outcome measures

Outcome measures
Measure
Anaferon for Children
n=71 Participants
Anaferon for children (liquid dosage form): 10 drops per dose. Day 1: 10 drops every 30 minutes for the first 2 hours, followed by three more doses regularly spaced during the rest of the day. Day 2 to 5: 10 drops three times daily.
Placebo
n=71 Participants
Placebo (liquid dosage form): 10 drops per dose. Day 1: 10 drops every 30 minutes for the first 2 hours, followed by three more doses regularly spaced during the rest of the day. Day 2 to 5: 10 drops three times daily.
Average Duration of Fever (i.e. Body Temperature >37.3°С)
47.3 hours
Standard Deviation 30.3
57.0 hours
Standard Deviation 31.6

SECONDARY outcome

Timeframe: On Days 2-5 of the treatment

Population: Intention to treat set

based on patient diary data

Outcome measures

Outcome measures
Measure
Anaferon for Children
n=71 Participants
Anaferon for children (liquid dosage form): 10 drops per dose. Day 1: 10 drops every 30 minutes for the first 2 hours, followed by three more doses regularly spaced during the rest of the day. Day 2 to 5: 10 drops three times daily.
Placebo
n=71 Participants
Placebo (liquid dosage form): 10 drops per dose. Day 1: 10 drops every 30 minutes for the first 2 hours, followed by three more doses regularly spaced during the rest of the day. Day 2 to 5: 10 drops three times daily.
Mean Body Temperatures, Measured in the Morning and Evening on Days 2-5 (Based on Patient Diary Data)
Day 2, Morning
37.4 °C
Standard Deviation 0.7
37.6 °C
Standard Deviation 0.7
Mean Body Temperatures, Measured in the Morning and Evening on Days 2-5 (Based on Patient Diary Data)
Day 3, Morning
37.0 °C
Standard Deviation 0.6
37.1 °C
Standard Deviation 0.5
Mean Body Temperatures, Measured in the Morning and Evening on Days 2-5 (Based on Patient Diary Data)
Day 4, Morning
36.9 °C
Standard Deviation 0.6
36.9 °C
Standard Deviation 0.4
Mean Body Temperatures, Measured in the Morning and Evening on Days 2-5 (Based on Patient Diary Data)
Day 5, Morning
36.7 °C
Standard Deviation 0.5
36.7 °C
Standard Deviation 0.6
Mean Body Temperatures, Measured in the Morning and Evening on Days 2-5 (Based on Patient Diary Data)
Day 2, Evening
37.4 °C
Standard Deviation 0.8
37.5 °C
Standard Deviation 0.8
Mean Body Temperatures, Measured in the Morning and Evening on Days 2-5 (Based on Patient Diary Data)
Day 3, Evening
37.1 °C
Standard Deviation 0.7
37.1 °C
Standard Deviation 0.6
Mean Body Temperatures, Measured in the Morning and Evening on Days 2-5 (Based on Patient Diary Data)
Day 4, Evening
36.9 °C
Standard Deviation 0.6
36.9 °C
Standard Deviation 0.6
Mean Body Temperatures, Measured in the Morning and Evening on Days 2-5 (Based on Patient Diary Data)
Day 5, Evening
36.7 °C
Standard Deviation 0.3
36.8 °C
Standard Deviation 0.5

SECONDARY outcome

Timeframe: On Days 2-5 of observation

Population: Intention to treat set

based on patient diary data

Outcome measures

Outcome measures
Measure
Anaferon for Children
n=71 Participants
Anaferon for children (liquid dosage form): 10 drops per dose. Day 1: 10 drops every 30 minutes for the first 2 hours, followed by three more doses regularly spaced during the rest of the day. Day 2 to 5: 10 drops three times daily.
Placebo
n=71 Participants
Placebo (liquid dosage form): 10 drops per dose. Day 1: 10 drops every 30 minutes for the first 2 hours, followed by three more doses regularly spaced during the rest of the day. Day 2 to 5: 10 drops three times daily.
Percentage of Patients With Body Temperature ≤37.30С on Days 2-5 of Observation
Day 2
28.2 percentage of participants
12.7 percentage of participants
Percentage of Patients With Body Temperature ≤37.30С on Days 2-5 of Observation
Day 3
56.3 percentage of participants
43.7 percentage of participants
Percentage of Patients With Body Temperature ≤37.30С on Days 2-5 of Observation
Day 4
73.2 percentage of participants
74.7 percentage of participants
Percentage of Patients With Body Temperature ≤37.30С on Days 2-5 of Observation
Day 5
88.7 percentage of participants
83.1 percentage of participants

SECONDARY outcome

Timeframe: On Days 1, 3, 6 of the treatment

Population: Intention to treat set

The Total Symptom Score (TSS) was based on the severity of each of acute upper respiratory tract infection (URTI) symptom. The TSS includes 11 symptoms: Body temperature / fever, Non-specific URTI symptoms (Decreased activity / Malaise, Impaired appetite / refusal of feeding, Painful appearance, Sleep disturbance) and Nose /Throat symptoms (Runny nose, Nasal congestion, Sneezing, Hoarseness, Sore throat, Cough). The severity of each URTI symptom was scored on a symptom severity scale (0 = no symptoms; 1 = mild symptoms; 2 = moderate symptoms; 3 = severe symptoms). Minimum score=0; maximum score=33. The severity of URTI symptoms was recorded by the study researchers (pediatricians) on the case record form on Days 1, 3, 6.

Outcome measures

Outcome measures
Measure
Anaferon for Children
n=71 Participants
Anaferon for children (liquid dosage form): 10 drops per dose. Day 1: 10 drops every 30 minutes for the first 2 hours, followed by three more doses regularly spaced during the rest of the day. Day 2 to 5: 10 drops three times daily.
Placebo
n=71 Participants
Placebo (liquid dosage form): 10 drops per dose. Day 1: 10 drops every 30 minutes for the first 2 hours, followed by three more doses regularly spaced during the rest of the day. Day 2 to 5: 10 drops three times daily.
Total Symptom Score on Days 3 and 6 of Observation Based on the Results of Pediatrician's Examination
Day 1
11.8 Score
Standard Deviation 3.9
12.5 Score
Standard Deviation 4.6
Total Symptom Score on Days 3 and 6 of Observation Based on the Results of Pediatrician's Examination
Day 3
6.0 Score
Standard Deviation 4.7
8.0 Score
Standard Deviation 4.6
Total Symptom Score on Days 3 and 6 of Observation Based on the Results of Pediatrician's Examination
Day 6
1.9 Score
Standard Deviation 2.7
2.8 Score
Standard Deviation 4.8

SECONDARY outcome

Timeframe: on Days 1, 3, 6

Population: Intention to treat set

The TSS was based on the severity of each of acute upper respiratory tract infection (URTI) symptom. The TSS includes 11 symptoms: Body temperature / fever, Non-specific URTI symptoms (Decreased activity / Malaise, Impaired appetite / refusal of feeding, Painful appearance, Sleep disturbance) and Nose /Throat symptoms (Runny nose, Nasal congestion, Sneezing, Hoarseness, Sore throat, Cough). The severity of each URTI symptom was scored on a symptom severity scale (0 = no symptoms; 1 = mild symptoms; 2 = moderate symptoms; 3 = severe symptoms). Minimum score=0; maximum score=33. The severity of URTI symptoms was recorded by the study researchers (pediatricians) on the case record form on Days 1, 3, 6.

Outcome measures

Outcome measures
Measure
Anaferon for Children
n=71 Participants
Anaferon for children (liquid dosage form): 10 drops per dose. Day 1: 10 drops every 30 minutes for the first 2 hours, followed by three more doses regularly spaced during the rest of the day. Day 2 to 5: 10 drops three times daily.
Placebo
n=71 Participants
Placebo (liquid dosage form): 10 drops per dose. Day 1: 10 drops every 30 minutes for the first 2 hours, followed by three more doses regularly spaced during the rest of the day. Day 2 to 5: 10 drops three times daily.
Severity of the Disease Within 5 Days Was Assessed Using the "Area Under the Curve" for the Total Symptom Score (TSS) on Days 1, 3, 6 (According to the Results of Pediatrician's Examination)
12.6 AUC score*day
Standard Deviation 7.0
16.0 AUC score*day
Standard Deviation 7.6

SECONDARY outcome

Timeframe: on Days 1-5 of treatment

Population: Intention to treat set

based on patient diary data

Outcome measures

Outcome measures
Measure
Anaferon for Children
n=71 Participants
Anaferon for children (liquid dosage form): 10 drops per dose. Day 1: 10 drops every 30 minutes for the first 2 hours, followed by three more doses regularly spaced during the rest of the day. Day 2 to 5: 10 drops three times daily.
Placebo
n=71 Participants
Placebo (liquid dosage form): 10 drops per dose. Day 1: 10 drops every 30 minutes for the first 2 hours, followed by three more doses regularly spaced during the rest of the day. Day 2 to 5: 10 drops three times daily.
Number of Antipyretic Use (for Prescribed Indications) on Days 1-5 of Treatment (Based on Patient Diary Data)
Day 1
0.8 Number of intakes
Standard Deviation 0.9
0.7 Number of intakes
Standard Deviation 0.9
Number of Antipyretic Use (for Prescribed Indications) on Days 1-5 of Treatment (Based on Patient Diary Data)
Day 2
0.5 Number of intakes
Standard Deviation 1.1
0.5 Number of intakes
Standard Deviation 0.8
Number of Antipyretic Use (for Prescribed Indications) on Days 1-5 of Treatment (Based on Patient Diary Data)
Day 3
0.2 Number of intakes
Standard Deviation 0.7
0.2 Number of intakes
Standard Deviation 0.5
Number of Antipyretic Use (for Prescribed Indications) on Days 1-5 of Treatment (Based on Patient Diary Data)
Day 4
0.2 Number of intakes
Standard Deviation 0.7
0.1 Number of intakes
Standard Deviation 0.5
Number of Antipyretic Use (for Prescribed Indications) on Days 1-5 of Treatment (Based on Patient Diary Data)
Day 5
0.1 Number of intakes
Standard Deviation 0.3
0.1 Number of intakes
Standard Deviation 0.4

SECONDARY outcome

Timeframe: From the time of randomization up to 14 days

Population: Intention to treat

Outcome measures

Outcome measures
Measure
Anaferon for Children
n=71 Participants
Anaferon for children (liquid dosage form): 10 drops per dose. Day 1: 10 drops every 30 minutes for the first 2 hours, followed by three more doses regularly spaced during the rest of the day. Day 2 to 5: 10 drops three times daily.
Placebo
n=71 Participants
Placebo (liquid dosage form): 10 drops per dose. Day 1: 10 drops every 30 minutes for the first 2 hours, followed by three more doses regularly spaced during the rest of the day. Day 2 to 5: 10 drops three times daily.
Percentage of Patients With Complications of Illness, Including Those Requiring Antibiotic Administration or Hospitalization) for 14 Days of Observation
2.8 percentage of participants
4.2 percentage of participants

Adverse Events

Anaferon for Children

Serious events: 0 serious events
Other events: 7 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Anaferon for Children
n=71 participants at risk
Anaferon for children (liquid dosage form): 10 drops per dose. Day 1: 10 drops every 30 minutes for the first 2 hours, followed by three more doses regularly spaced during the rest of the day. Day 2 to 5: 10 drops three times daily.
Placebo
n=71 participants at risk
Placebo (liquid dosage form): 10 drops per dose. Day 1: 10 drops every 30 minutes for the first 2 hours, followed by three more doses regularly spaced during the rest of the day. Day 2 to 5: 10 drops three times daily.
Nervous system disorders
Hyperactivity
1.4%
1/71 • Number of events 1 • Adverse/Serious adverse events were registered from Day 1 to Day 14
Adverse/Serious adverse events were registered in patients of the Full Analysis Set (n=142, Safety Population)
0.00%
0/71 • Adverse/Serious adverse events were registered from Day 1 to Day 14
Adverse/Serious adverse events were registered in patients of the Full Analysis Set (n=142, Safety Population)
Infections and infestations
Herpes Labialis
1.4%
1/71 • Number of events 1 • Adverse/Serious adverse events were registered from Day 1 to Day 14
Adverse/Serious adverse events were registered in patients of the Full Analysis Set (n=142, Safety Population)
0.00%
0/71 • Adverse/Serious adverse events were registered from Day 1 to Day 14
Adverse/Serious adverse events were registered in patients of the Full Analysis Set (n=142, Safety Population)
Skin and subcutaneous tissue disorders
Rash
2.8%
2/71 • Number of events 2 • Adverse/Serious adverse events were registered from Day 1 to Day 14
Adverse/Serious adverse events were registered in patients of the Full Analysis Set (n=142, Safety Population)
0.00%
0/71 • Adverse/Serious adverse events were registered from Day 1 to Day 14
Adverse/Serious adverse events were registered in patients of the Full Analysis Set (n=142, Safety Population)
Gastrointestinal disorders
Diarrhea
1.4%
1/71 • Number of events 1 • Adverse/Serious adverse events were registered from Day 1 to Day 14
Adverse/Serious adverse events were registered in patients of the Full Analysis Set (n=142, Safety Population)
0.00%
0/71 • Adverse/Serious adverse events were registered from Day 1 to Day 14
Adverse/Serious adverse events were registered in patients of the Full Analysis Set (n=142, Safety Population)
Immune system disorders
Administration related reaction
1.4%
1/71 • Number of events 1 • Adverse/Serious adverse events were registered from Day 1 to Day 14
Adverse/Serious adverse events were registered in patients of the Full Analysis Set (n=142, Safety Population)
0.00%
0/71 • Adverse/Serious adverse events were registered from Day 1 to Day 14
Adverse/Serious adverse events were registered in patients of the Full Analysis Set (n=142, Safety Population)
Ear and labyrinth disorders
Eustachitis
1.4%
1/71 • Number of events 1 • Adverse/Serious adverse events were registered from Day 1 to Day 14
Adverse/Serious adverse events were registered in patients of the Full Analysis Set (n=142, Safety Population)
0.00%
0/71 • Adverse/Serious adverse events were registered from Day 1 to Day 14
Adverse/Serious adverse events were registered in patients of the Full Analysis Set (n=142, Safety Population)
Respiratory, thoracic and mediastinal disorders
Rhinitis purulent
2.8%
2/71 • Number of events 2 • Adverse/Serious adverse events were registered from Day 1 to Day 14
Adverse/Serious adverse events were registered in patients of the Full Analysis Set (n=142, Safety Population)
0.00%
0/71 • Adverse/Serious adverse events were registered from Day 1 to Day 14
Adverse/Serious adverse events were registered in patients of the Full Analysis Set (n=142, Safety Population)
Respiratory, thoracic and mediastinal disorders
Acute bronchitis
1.4%
1/71 • Number of events 1 • Adverse/Serious adverse events were registered from Day 1 to Day 14
Adverse/Serious adverse events were registered in patients of the Full Analysis Set (n=142, Safety Population)
0.00%
0/71 • Adverse/Serious adverse events were registered from Day 1 to Day 14
Adverse/Serious adverse events were registered in patients of the Full Analysis Set (n=142, Safety Population)
Nervous system disorders
Daytime sleepiness
0.00%
0/71 • Adverse/Serious adverse events were registered from Day 1 to Day 14
Adverse/Serious adverse events were registered in patients of the Full Analysis Set (n=142, Safety Population)
1.4%
1/71 • Number of events 1 • Adverse/Serious adverse events were registered from Day 1 to Day 14
Adverse/Serious adverse events were registered in patients of the Full Analysis Set (n=142, Safety Population)
Eye disorders
Purulent conjunctivitis
0.00%
0/71 • Adverse/Serious adverse events were registered from Day 1 to Day 14
Adverse/Serious adverse events were registered in patients of the Full Analysis Set (n=142, Safety Population)
1.4%
1/71 • Number of events 1 • Adverse/Serious adverse events were registered from Day 1 to Day 14
Adverse/Serious adverse events were registered in patients of the Full Analysis Set (n=142, Safety Population)
Ear and labyrinth disorders
Right otitis media (acute, non-suppurative)
0.00%
0/71 • Adverse/Serious adverse events were registered from Day 1 to Day 14
Adverse/Serious adverse events were registered in patients of the Full Analysis Set (n=142, Safety Population)
1.4%
1/71 • Number of events 1 • Adverse/Serious adverse events were registered from Day 1 to Day 14
Adverse/Serious adverse events were registered in patients of the Full Analysis Set (n=142, Safety Population)
Ear and labyrinth disorders
Bilateral otitis media
0.00%
0/71 • Adverse/Serious adverse events were registered from Day 1 to Day 14
Adverse/Serious adverse events were registered in patients of the Full Analysis Set (n=142, Safety Population)
1.4%
1/71 • Number of events 1 • Adverse/Serious adverse events were registered from Day 1 to Day 14
Adverse/Serious adverse events were registered in patients of the Full Analysis Set (n=142, Safety Population)

Additional Information

Mikhail Putilovskiy, MD, PhD, Head of department of clinical trials

Materia Medica Holding

Phone: +74952761571

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: OTHER