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The purpose of this study is:
Design: multicenter double-blind placebo-controlled parallel-group randomized clinical trial.
The study will enrol outpatient subjects of either gender aged 18-60 years with clinical manifestations of upper respiratory tract infections (URTI) during seasonal morbidity who are presented to the doctor within the first day of the disease onset. Signed information sheet for the patient is obtained from all participants prior to the screening procedures. Medical history, concomitant medication, tympanic thermometry, patient examination by a doctor, assessment of URTI symptoms severity are performed at screening visit.
URTI symptoms severity examination by the physician is based on Common Cold Questionnaire (CCQ) (PLoS One. 2008; 3(3): e1802. Published online 2008 Mar 19. doi: 10.1371/journal.pone.0001802).
If a patient meets the inclusion criteria and does not have any exclusion criteria, at Visit 1 (Day 1), he/she is randomized into one of two groups: the 1st group (Ergoferon group) patients receive Ergoferon according to the scheme for 5 days; the 2nd group (Placebo group) patients receive placebo according to Ergoferon dosage regimen for 5 days.
The patients are provided with a patient diary where they record tympanic temperature (using tympanic thermometer provided by sponsor) twice a day and URTI symptoms severity according to the Wisconsin Upper Respiratory Symptom Survey - 21 - Daily Symptom Report (WURSS-21©, Wisconsin Upper Respiratory Symptom Survey, 2004.
Created by Bruce Barrett MD PhD et al., UW Department of Family Medicine, 777 S. Mills St. Madison, WI 53715, USA).
In addition, antipyretic administration (if applicable), as well as any possible worsening of the patient's condition (if applicable, for Adverse Events (AEs) evaluation), are also be recorded in a patient diary. An investigator provides the instructions on filling out the diary and helps the patient to make first records of URTI symptoms severity and tympanic temperature in the diary.
Patients are observed up for 7 days (screening and randomization for 1 day, study therapy 1-5 days, the follow-up period for 2 days). During treatment and follow-up period two visits are scheduled (at home or at the study site) on days 3 (Visit 2) and day 7 (Visit 3). At Visits 2 and 3, the investigator will carry out a physical examination, record dynamics of URTI symptoms severity (according to CCQ) and concomitant therapy, and check patient diaries. Treatment compliance is evaluated at Visit 3.
During the study, symptomatic therapy and therapy for underlying chronic conditions are allowed with the exception of the drugs indicated in the section "Prohibited Concomitant Treatment".
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Ergoferon (5 ml 3 times a day) | Experimental | Oral use. Dose per administration: 1 dosing spoon (5ml) without food. For best effect, the solution should be held in the mouth before swallowing. Dosing scheme. One dose every 30 minutes for the first 2 hours, followed by three more doses spaced regularly during the rest of the day. From day 2 to 5: 1 spoon taken 3 times daily. |
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| Placebo (5 ml 3 times a day) | Placebo Comparator | Oral use. Placebo using Ergoferon scheme. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ergoferon | Drug | 5 ml 3 times a day |
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| Placebo |
| Measure | Description | Time Frame |
|---|---|---|
| Average Duration of Fever. | Primary outcome measure is based on the indicators of tympanic thermometry recorded by the patient in the diary during the period of treatment and observation. Thermometry is performed twice a day (morning and evening). The criterion of Duration of Fever is the time from enrollment to the first return to the afebrile state or the normalization of tympanic temperature (tympanic temperature ≤37.0 degree Celsius [°C]). | 1-7 days |
| Measure | Description | Time Frame |
|---|---|---|
| Dynamics of Acute Upper Respiratory Tract Infections (URTI) Symptoms Severity According to the Physical Examination by the Doctor. | Acute URTI symptoms severity is based on the Common Cold Questionnaire (CCQ) and assessed using the "Area under the curve" (AUC) for the total scores on days 1, 3, and 7 of treatment according to the physical examination by the doctor. AUC is calculated by trapezoidal rule. CCQ includes 3 General Symptoms (fevers, chills, muscle pains), 3 Nasal Symptoms (Watery eyes, Runny nose, Sneezing), 1 Throat Symptom (Sore throat), and 2 Chest Symptoms (Cough, Chest pain). Every CCQ symptom is estimated according to the 4-point scoring: none = 0, mild = 1, moderate = 2, severe = 3. Total CCQ scores equal the sum of all scores. The minimum value is 0, and the maximum value is 162. Higher scores mean a worse outcome. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Non-governmental Health Care Institution "Road Clinical Hospital at the train station Chelyabinsk of OJSC "Russian Railways" | Chelyabinsk | 454091 | Russia |
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| ID | Title | Description |
|---|---|---|
| FG000 | Ergoferon (5 ml 3 Times a Day) | Oral use. Dose per administration: 1 dosing spoon (5ml) without food. For best effect, the solution should be held in the mouth before swallowing. Dosing scheme. One dose every 30 minutes for the first 2 hours, followed by three more doses spaced regularly during the rest of the day. From day 2 to 5: 1 spoon taken 3 times daily. Ergoferon: 5 ml 3 times a day |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
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| Drug |
5 ml 3 times a day |
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| Day 1, 3, and 7. |
| Dynamics of Acute URTI Symptoms Severity According to the Daily Wisconsin Upper Respiratory Symptom Survey - 21 (WURSS-21) Assessment of the Patient (Including the Total WURSS-21 Score, "Symptoms" Domain Score, and "Ability" Domain Score). | Dynamics of symptoms severity according to the WURSS-21 is assessed using the Area under the curve (AUC) for the score for 8 days of the treatment. AUC is calculated by trapezoidal rule. WURSS-21 consists of 21 items (2 questions and 2 domains. Symptoms domain consists of 10 items: Runny nose, Plugged nose, Sneezing, Sore throat, Scratchy throat, Cough, Hoarseness, Head congestion, Chest congestion, Feeling tired. Ability domain consists of 9 items: Think clearly, Sleep well, Breathe easily, Walk, climb stairs, exercise, Accomplish daily activities, Work outside the home, Work inside the home, Interact with others, Live your personal life. The first 20 items are scored according to the 8-point scale (from 0 to 7). The last item is scored according to the 7-point scale: (from 0 to 6). Total WURSS-21 AUC min score=0, max=1169. Symptoms domain min score=0, max=560. Ability domain min score=0, max=504. Higher scores mean a worse outcome. | Days 1 to 8. |
| Percentage of Patients Who Used Antipyretics. | Based on the patient's diary. The outcome is calculated according to the number of patients who were administered the antipyretics due to the fever. | Days 1, 2, 3, 4, and 5. |
| Percentage of Patients Who Have a Worsening of Disease. | The number of patients with the appearance of the lower respiratory tract symptoms, development of complications requiring antibiotics or hospitalization. | Days 1, 2, 3, 4.,5, 6, and 7. |
| State Budgetary Educational Institution of Higher Professional Education "Kazan State Medical University" | Kazan' | 420012 | Russia |
| Federal State Budgetary Institution "Scientific Research Institute for Vaccines and Serum named after I.I.Mechnikov" of Russian Academy of Medical Science | Moscow | 105064 | Russia |
| State Budgetary Educational Institution of Higher Professional Education "The Russian National Research Medical University named after N.I. Pirogov"/Outpatient Therapy Department of Medicine Faculty | Moscow | 117997 | Russia |
| State Budgetary Educational Institution of Higher Professional Education "The Russian National Research Medical University named after N.I. Pirogov" | Moscow | 117997 | Russia |
| Federal State Budgetary Institution "Polyclinic № 3" of Affairs Management Department of the President of Russian Federation | Moscow | 129090 | Russia |
| Municipal Health Care Institution "Podolsk city clinical hospital №3" | Podolsk | 142105 | Russia |
| St. Petersburg State Budgetary Health Care Institution " Nevsky Region Сity Polyclinic №25" | Saint Petersburg | 193312 | Russia |
| St. Petersburg State Budgetary Health Care Institution "Сity Polyclinic № 117" | Saint Petersburg | 194358 | Russia |
| St. Petersburg State Budgetary Health Care Institution "Medical Exercises Dispensary" of Krasnogvardeysky District | Saint Petersburg | 195112 | Russia |
| The Non-governmental Health Care Institution "Road Hospital of the Open Joint Stock Company" Russian Railways" | Saint Petersburg | 19527 | Russia |
| State Budgetary Educational Institution of Higher Professional Education "St. Petersburg State Medical University named after I.P. Pavlov" | Saint Petersburg | 197022 | Russia |
| Federal State Budgetary Health Care Institution Policlinic № 1 of the Russian Academy of Sciences | Saint Petersburg | 199034 | Russia |
| St. Petersburg State Budgetary Health Care Institution "Сity Polyclinic № 4" | Saint Petersburg | 199178 | Russia |
| Regional State Budgetary Health Care Institution "Policlinic № 6" | Smolensk | 214000 | Russia |
| State Educational Institution of Higher Professional Education "Voronezh State Medical Academy of N. N. Burdenko" Ministry of Health of the Russian Federation | Voronezh | 394036 | Russia |
| State Budgetary Educational Institution of Higher Professional Education "Yaroslavl State Medical Academy" | Yaroslavl | 150000 | Russia |
| State Budgetary Health Care Institution of the Yaroslavl region "Regional Clinical Hospital" | Yaroslavl | 150062 | Russia |
| FG001 | Placebo (5 ml 3 Times a Day) | Oral use. Placebo using Ergoferon scheme. Placebo: 5 ml 3 times a day |
| COMPLETED |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | Ergoferon (5 ml 3 Times a Day) | Oral use. Dose per administration: 1 dosing spoon (5ml) without food. For best effect, the solution should be held in the mouth before swallowing. Dosing scheme. One dose every 30 minutes for the first 2 hours, followed by three more doses spaced regularly during the rest of the day. From day 2 to 5: 1 spoon taken 3 times daily. Ergoferon: 5 ml 3 times a day |
| BG001 | Placebo (5 ml 3 Times a Day) | Oral use. Placebo using Ergoferon scheme. Placebo: 5 ml 3 times a day |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants | Participants |
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| Age, Continuous | Mean | Standard Deviation | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Race and Ethnicity Not Collected | Race and Ethnicity were not collected from any participant. | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Average Duration of Fever. | Primary outcome measure is based on the indicators of tympanic thermometry recorded by the patient in the diary during the period of treatment and observation. Thermometry is performed twice a day (morning and evening). The criterion of Duration of Fever is the time from enrollment to the first return to the afebrile state or the normalization of tympanic temperature (tympanic temperature ≤37.0 degree Celsius [°C]). | One patient in the placebo group did not have enough source data for primary outcome analysis. | Posted | Mean | Standard Deviation | days | 1-7 days |
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| Secondary | Dynamics of Acute Upper Respiratory Tract Infections (URTI) Symptoms Severity According to the Physical Examination by the Doctor. | Acute URTI symptoms severity is based on the Common Cold Questionnaire (CCQ) and assessed using the "Area under the curve" (AUC) for the total scores on days 1, 3, and 7 of treatment according to the physical examination by the doctor. AUC is calculated by trapezoidal rule. CCQ includes 3 General Symptoms (fevers, chills, muscle pains), 3 Nasal Symptoms (Watery eyes, Runny nose, Sneezing), 1 Throat Symptom (Sore throat), and 2 Chest Symptoms (Cough, Chest pain). Every CCQ symptom is estimated according to the 4-point scoring: none = 0, mild = 1, moderate = 2, severe = 3. Total CCQ scores equal the sum of all scores. The minimum value is 0, and the maximum value is 162. Higher scores mean a worse outcome. | One patient in the placebo group and one patient in Ergoferon group did not have enough source data for secondary outcome analysis. | Posted | Mean | Standard Deviation | score on a scale*day | Day 1, 3, and 7. |
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| Secondary | Dynamics of Acute URTI Symptoms Severity According to the Daily Wisconsin Upper Respiratory Symptom Survey - 21 (WURSS-21) Assessment of the Patient (Including the Total WURSS-21 Score, "Symptoms" Domain Score, and "Ability" Domain Score). | Dynamics of symptoms severity according to the WURSS-21 is assessed using the Area under the curve (AUC) for the score for 8 days of the treatment. AUC is calculated by trapezoidal rule. WURSS-21 consists of 21 items (2 questions and 2 domains. Symptoms domain consists of 10 items: Runny nose, Plugged nose, Sneezing, Sore throat, Scratchy throat, Cough, Hoarseness, Head congestion, Chest congestion, Feeling tired. Ability domain consists of 9 items: Think clearly, Sleep well, Breathe easily, Walk, climb stairs, exercise, Accomplish daily activities, Work outside the home, Work inside the home, Interact with others, Live your personal life. The first 20 items are scored according to the 8-point scale (from 0 to 7). The last item is scored according to the 7-point scale: (from 0 to 6). Total WURSS-21 AUC min score=0, max=1169. Symptoms domain min score=0, max=560. Ability domain min score=0, max=504. Higher scores mean a worse outcome. | One patient in the placebo group did not have enough source data for secondary outcome analysis. | Posted | Mean | Standard Deviation | score on a scale*day | Days 1 to 8. |
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| Secondary | Percentage of Patients Who Used Antipyretics. | Based on the patient's diary. The outcome is calculated according to the number of patients who were administered the antipyretics due to the fever. | One patient in the placebo group did not have enough source data for secondary outcome analysis. | Posted | Count of Participants | Participants | Days 1, 2, 3, 4, and 5. |
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| Secondary | Percentage of Patients Who Have a Worsening of Disease. | The number of patients with the appearance of the lower respiratory tract symptoms, development of complications requiring antibiotics or hospitalization. | Posted | Count of Participants | Participants | Days 1, 2, 3, 4.,5, 6, and 7. |
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8 days (during the study).
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Ergoferon (5 ml 3 Times a Day) | Oral use. Dose per administration: 1 dosing spoon (5ml) without food. For best effect, the solution should be held in the mouth before swallowing. Dosing scheme. One dose every 30 minutes for the first 2 hours, followed by three more doses spaced regularly during the rest of the day. From day 2 to 5: 1 spoon taken 3 times daily. Ergoferon: 5 ml 3 times a day | 0 | 169 | 0 | 169 | 7 | 169 |
| EG001 | Placebo (5 ml 3 Times a Day) | Oral use. Placebo using Ergoferon scheme. Placebo: 5 ml 3 times a day | 0 | 173 | 0 | 173 | 6 | 173 |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Acute anal fissure | Gastrointestinal disorders | MedDRA | Systematic Assessment |
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| Increased lymphocytes | Blood and lymphatic system disorders | MedDRA | Systematic Assessment |
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| Decreased level of segmented neutrophils | Blood and lymphatic system disorders | MedDRA | Systematic Assessment |
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| Increased levels of transaminases (ALT, AST) | Blood and lymphatic system disorders | MedDRA | Systematic Assessment |
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| A large amount of salts in the urine (urates) | Renal and urinary disorders | MedDRA | Systematic Assessment |
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| Increased red blood cells in the urine | Renal and urinary disorders | MedDRA | Systematic Assessment |
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| The presence of mucus in the urine | Renal and urinary disorders | MedDRA | Systematic Assessment |
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| Sinusitis | Infections and infestations | MedDRA | Systematic Assessment | Genyantritis |
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| Acute bilateral rhinosinusitis | Respiratory, thoracic and mediastinal disorders | MedDRA | Systematic Assessment |
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| Acute bronchitis | Respiratory, thoracic and mediastinal disorders | MedDRA | Systematic Assessment |
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| Community-acquired pneumonia of the lower lobe of the right lung | Infections and infestations | MedDRA | Systematic Assessment |
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| Urticaria | Skin and subcutaneous tissue disorders | MedDRA | Systematic Assessment | Hives |
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| Facial hyperemia | Skin and subcutaneous tissue disorders | MedDRA | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Mikhail Putilovskiy, MD, PhD, Clinical and Medical Department Director | Materia Medica Holding | +74952761571 | 302 | PutilovskiyMA@materiamedica.ru |
| ID | Term |
|---|---|
| C000621422 | ergoferon |
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| Between 18 and 65 years |
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| >=65 years |
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Oral use. Placebo using Ergoferon scheme.
Placebo: 5 ml 3 times a day
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| OG001 | Placebo (5 ml 3 Times a Day) | Oral use. Placebo using Ergoferon scheme. Placebo: 5 ml 3 times a day |
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