A Clinical Trial to Compare the Efficacy and Safety of 1-week Treatment of Intravenous N-acetylcysteine (NAC) 600 mg Twice Daily, Ambroxol Hydrochloride 30 mg Twice Daily and Placebo as Expectorant Therapies in Adult Chinese Patients With Respiratory Tract Diseases and Abnormal Mucus Secretions

NCT ID: NCT03843541

Last Updated: 2025-09-05

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

333 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-06-25

Study Completion Date

2021-02-05

Brief Summary

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This is a phase 3, multicenter, randomized, rater- and patient-blind, placebo- and active-controlled, 3-arm parallel group clinical trial. Patients will be randomized to N-acetylcysteine (NAC) or ambroxol or placebo in a 1:1:1 ratio. A total of approximately 333 patients in China will be randomized. The total study duration will be approximately 8 months including the enrolment period of approximately 7 months and the patient participation duration of 1 month or 4 weeks. Each patient will undergo a screening period of up to 1 week, a 1-week treatment period and a 2-week follow-up period. This study will be conducted in approximately 15-25 sites in China.

Detailed Description

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Conditions

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Respiratory Tract Diseases Abnormal Mucus Secretions

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

There will be 3 treatment groups of NAC, ambroxol and placebo. A total of 333 patients will be randomized to NAC or ambroxol or placebo in a 1:1:1 ratio. Approximately 111 patients will be randomized in each treatment group.
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors
Both rater and patient will be blinded.

Study Groups

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Active test treatment-NAC

NAC 600mg will be administered by slow intravenous infusion twice daily for the 1-week treatment period.

Group Type EXPERIMENTAL

N-acetylcysteine (NAC) 600 mg

Intervention Type DRUG

NAC will be administered twice a day, morning and evening, during treatment period.

Active control treatment-Ambroxol hydrochloride

Ambroxol hydrochloride 30 mg will be administered by slow intravenous infusion twice daily for the 1-week treatment period.

Group Type ACTIVE_COMPARATOR

Ambroxol hydrochloride 30 mg

Intervention Type DRUG

Ambroxol hydrochloride will be administered twice a day, morning and evening, during treatment period.

Placebo

Placebo will be administered by slow intravenous infusion twice daily for the 1-week treatment period.

Group Type PLACEBO_COMPARATOR

placebo

Intervention Type OTHER

Placebo will be administered twice a day, morning and evening, during treatment period.

Interventions

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N-acetylcysteine (NAC) 600 mg

NAC will be administered twice a day, morning and evening, during treatment period.

Intervention Type DRUG

Ambroxol hydrochloride 30 mg

Ambroxol hydrochloride will be administered twice a day, morning and evening, during treatment period.

Intervention Type DRUG

placebo

Placebo will be administered twice a day, morning and evening, during treatment period.

Intervention Type OTHER

Other Intervention Names

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Fluimucil® Mucosolvan® Fluibron®

Eligibility Criteria

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Inclusion Criteria

1. Male or female adult (≥18 years old) hospitalized patients with respiratory tract diseases and abnormal mucus secretions such as: acute bronchitis, chronic bronchitis and exacerbations, emphysema, mucoviscidosis and bronchiectasis.
2. Chinese ethnicity and/or Chinese
3. Signed the informed consent form before any study-related procedure
4. Sputum viscosity score ≥ 2 at randomization visit
5. Expectoration difficulty score ≥ 2 at randomization visit
6. Willingness and ability to comply with study procedures

Exclusion Criteria

1. Intolerance or contra-indication to treatment with NAC or ambroxol or allergy to any component of the study treatments
2. (For female patients) ongoing pregnancy or lactation, or childbearing potential but unwillingness to adopt abstinence or contraception measures during the study
3. Intake of an investigational drug within 1 month before the screening visit
4. Use of expectorants or drugs with expectorant effect within 2 days before randomization visit
5. Diagnosis of active tuberculosis, lung cancer, pulmonary fibrosis, acute pulmonary thromboembolism or any other respiratory condition that might, in the opinion of the investigator, compromise the safety of the patient or affect the interpretation of the results
6. Medical history of and/or illness (including laboratory abnormality) and/or treatment that in the investigator's opinion may interfere with the patient's safety, compliance, or study evaluations
7. Serum alanine aminotransferase and/or aspartate transaminase more than 3 times above the upper limit of normal at screening visit
8. Serum creatinine more than 3 times above the upper limit of normal at screening visit
9. Addiction to alcohol or drugs
10. Mental illness, or other reasons for non-cooperation in the investigator's opinion
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Zambon SpA

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Wuxi Peoples' Hospital affiliated to Nanjing Medical University

Wuxi, No. 299, Qing Yang Rd., Wuxi City, Jiangsu, China

Site Status

Inner Mongolia Baogang Hospital

Baotou, , China

Site Status

Beijing Hospital

Beijing, , China

Site Status

Beijing Tongren Hospital

Beijing, , China

Site Status

China-Japan Friendship Hospital

Beijing, , China

Site Status

Peking University Shougang Hospital

Beijing, , China

Site Status

Jilin Province People's Hospital

Changchun, , China

Site Status

The First Bethune Hospital of Jilin University

Changchun, , China

Site Status

Chengdu Fifth People's Hospital

Chengdu, , China

Site Status

West China Hospital, Sichuan University

Chengdu, , China

Site Status

The First Affiliated Hospital of Chongqing Medical University

Chongqing, , China

Site Status

Deyang People's Hospital

Deyang, , China

Site Status

Inner Mongolia People's Hospital

Hohhot, , China

Site Status

Jinhua city central hospital/Jinhua hospital ,School of Medicine,Zhejiang UNIVERSITY

Jinhua, , China

Site Status

Nanchang University-The Second Affiliated Hospital

Nanchang, , China

Site Status

Nanjing First Hospital

Nanjing, , China

Site Status

Zhongda Hospital, Southeast University - Pulmonology

Nanjing, , China

Site Status

Jiangxi Pingxiang People's Hospital

Pingxiang, , China

Site Status

Qingdao Municipal Hospital

Qingdao, , China

Site Status

Minhang District Central Hospital

Shanghai, , China

Site Status

Ruijin Hospital, Shanghai Jiao Tong University School of Medicine

Shanghai, , China

Site Status

Shanghai General Hospital

Shanghai, , China

Site Status

Shanghai Pulmonary Hospital

Shanghai, , China

Site Status

Suining Central Hospital

Suining, , China

Site Status

First Hospital of Shanxi Medical University

Taiyuan, , China

Site Status

The First Hospital of Shanxi Medical University

Taiyuan, , China

Site Status

Tongji Hospital, Tongji Medical College of Huazhong University Science and Technology

Wuhan, , China

Site Status

Wuxi Peoples' Hospital affiliated to Nanjing Medical University

Wuxi, , China

Site Status

Yangzhou First People's Hospital

Yangzhou, , China

Site Status

General Hospital of Ningxia Medical University

Yinchuan, , China

Site Status

Affiliated Hospital of Guangdong Medical University - Respiration

Zhanjiang, , China

Site Status

The First People's Hospital of Zigong

Zigong, , China

Site Status

Countries

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China

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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Z7244L01

Identifier Type: -

Identifier Source: org_study_id

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