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The international multicenter double-blind placebo-controlled randomized clinical study in parallel groups.The objective of this study is to obtain additional data on the efficacy and safety of Ergoferon in the treatment of acute respiratory viral infections (ARVI) in children aged from 6 months to 6 years old.
Study design: international, multicenter double-blind placebo-controlled randomized clinical study in parallel groups.
The study will enroll patients of either gender aged from 6 months to 6 years old with clinical manifestations of ARVI within the first days after the onset of the disease. Patients will be included evenly (1:1 ratio) in accordance with the age group: 6 months - 3 years 11 months 29 days; 4 years - 6 years 11 months 29 days. Signed information sheet for parents/adopters (inform consent form) will be obtained from all participant's parents/ adopters prior to the screening procedures. Medical history, thermometry, patient examination by the doctor, assesment of ARVI symptoms severity and nasopharyngeal swabswill be performed at screening visit (Day 1).
If the inclusion criteria are met and exclusion criteria are absent, the patient is included in the study.
Nasopharyngeal swabs will be analyzed by real-time reverse transcription polymerase chain reaction (RT-PCR) to identify the most common respiratory viruses, including (1) Influenza A virus; (2) Influenza B virus; (3) Influenza A (H1N1)pdm; (4) Human metapneumovirus; (5) Human respiratory syncytial virus; (6) Human rhinovirus; (7) Human adenovirus; (8) Human bocavirus; (9) Human parainfluenza virus 1; (10) Human parainfluenza virus 2; (11) Human parainfluenza virus 3; (12) Human parainfluenza virus 4; (13) Human coronavirus OC43; (14) Human coronavirus 229E; (15) Human coronavirus HKU1; (16) Human coronavirus NL63.
The patients are randomized into one of two groups: the 1st group patients will take Ergoferon according to the dosage regimen for 5 days; the 2nd group patients will take Placebo according to the dosage regimen of Ergoferon for 5 days. Patient's parents/ adoptive parents are provided with diares, where daily in the morning and at hight they record oral temperature (measured by a digital thermometer provided by Sponsor), symptoms of ARVI (according to the 4-points scale), administered drug and concomitant therapy. The doctors instruct parents/ adoptive parents how to fill in the diaries; the first scores of ARVI symptoms severity and oral temperature are made by doctors together with the parents/adoptive parents.
Patients are observed up for 14 days (screening and randomization - up to 1 day, therapy for 5 days, follow-up from 6 to 10 days; delayed telephone "visit" - on day 14).
During the observation period, two visits are planned (at home or at the medical center) on day 3 (Visit 2) and day 6 (Visit 3). If patients still have any symptoms of ARVI/ complications of ARVI, then an additional (unscheduled) Visit 4 is provided on Day 10 of the observation (at the medical center). During Visits 2, 3 (4), doctors carry out an physical examination, record dynamics of ARVI symptoms and concomitant therapy, check patient's diaries, which parents/adoptive parents return back at Visit 3 or 4. At Visit 3 (after 5 days of therapy) compliance with the treatment is additionally assessed. A "telephone visit" (Visit 5, Day 14 ± 1) is carried out to interview parents about the patient's condition, presence/ absence of complications, and possible use of antibiotics.
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 Therapy".
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Ergoferon | Experimental | Tablet for oral use, 1 tablet per intake (outside a meal/feeding). On day 1, five tablets are taken in the first 2 hours (one tablet every 30 min), followed by three more tablets regularly spaced during the rest of the day (total 8 tablets). From day 2, one tablet is taken every 8 hours. The drug is administered outside a meal (in the interval between meals or 15 minutes before meal or fluid intake). Keep the tablet in the mouth, without swallowing, until completely dissolved. For young children (aged 6 months to 3 years old), the tablet is recommended to be dissolved in a small amount (1 tablespoon) of drinking water of room temperature. The therapy lasts for 5 days. |
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| Placebo | Placebo Comparator | Placebo using Ergoferon scheme. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ergoferon | Drug | For oral use. |
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| Placebo |
| Measure | Description | Time Frame |
|---|---|---|
| Time to Alleviation of All ARVI Symptoms. | Based on patient diary data. Criteria of alleviation of all ARVI symptoms: oral temperature ≤37.5С for 24 hours (without subsequent increase within the observation period) + absence of ARVI symptoms /presence of ARVI symptoms with ≤3-point of the total score (TS) according to the 4-point scale (0 = no symptom; 1 = mild symptom; 2 = moderate symptom; 3 = severe symptom, for each flu-like nonspecific and respiratory symptom). TS ranges from 0 to 30, and the higher scores mean a worse outcome. | 14 days of observation. |
| Measure | Description | Time Frame |
|---|---|---|
| Time to Normalization of Body Temperature. | Based on patient diary data. Oral temperature ≤37.5С for 24 hours (without subsequent increase within the observation period). | 14 days of observation. |
| Time to Alleviation of Flu-like Nonspecific Symptoms. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kazakh Medical Continuing Education University | Almaty | 050057 | Kazakhstan | |||
| Astana Medical University |
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| ID | Title | Description |
|---|---|---|
| FG000 | Ergoferon | 1 tablet 3 times a day. Ergoferon: Inside, orally. |
| FG001 | Placebo | 1 tablet 3 times a day. Placebo: Inside, orally. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Dec 3, 2015 |
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| Drug |
For oral use. |
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Based on patient diary data. Absence of flu-like nonspecific symptoms/presence of one mild flu-like nonspecific symptom.
| 14 days of observation. |
| Time to Alleviation of Respiratory Symptoms. | Based on patient diary data. Absence of respiratory symptoms/presence of one mild respiratory symptom. | 14 days of observation. |
| Flu-like Nonspecific and Respiratory Symptoms Total Score (TS) for Days 2-6. | Based on patient diary data. The total score (TS) ranges from 0 to 30 consisting of 4 flu-like nonspecific (decreased activity/weakness, poor appetite/refusal to eat, sick appearance, sleep disturbance) and 6 respiratory (runny nose, stuffy nose/nasal congestion, sneezing, hoarseness, sore throat, cough) symptoms according to the 4-point scale for each symptom (0 = no symptom; 1 = mild symptom; 2 = moderate symptom; 3 = severe symptom). TS ranges from 0 to 30, and the higher scores mean a worse outcome. | On days 2-6 of the observation period. |
| ARVI Severity. | Based on the area under the curve of TS for days 2-6, according to the patient diary. The total score (TS) will be calculated based on the severity of each ARVI symptom (sum of 11 symptoms = body temperature, flu-like nonspecific symptoms (4 symptoms) and respiratory symptoms (6 symptoms) according to the 4-point scale (0 = no symptom; 1 = mild symptom; 2 = moderate symptom; 3 = severe symptom). To calculate TS the absolute oral temperature values, measured in degrees Celsius, will be converted into relative units (or points), given the following gradations: ≤37.5С = 0 point; 37.6-38.1C = 1 point; 38.2-38.8C = 2 points; ≥38.90С = 3 points. For total score minimum and maximum scores are 0 and 33, where higher values represent a worse outcome. | On days 2-6 of the observation period. |
| Percentage of Recovered Patients. | Based on patient diary data. Criteria of recovery/alleviation of all ARVI symptoms: oral temperature ≤37.5С for 24 hours (without subsequent increase within the observation period) + absence of ARVI symptoms /presence of ARVI symptoms with ≤3-point of the total score (TS) according to the 4-point scale for each flu-like nonspecific and respiratory symptom (0 = no symptom; 1 = mild symptom; 2 = moderate symptom; 3 = severe symptom, for each flu-like nonspecific and respiratory symptom). | On days 2-6 of the observation period. |
| Rates of Antipyretics Use Per Patient. | Based on patient diary data. The number of intakes of prescribed antipyretics. | On days 1- 5 of the treatment period. |
| Percentage of Patients With Worsening of Illness. | Based on patient diary data. The disease worsening: ARVI complications, including those requiring antibiotics; hospitalization). | 14 days of observation peiod. |
| Astana |
| 010000 |
| Kazakhstan |
| Karaganda State Medical University | Karaganda | 100000 | Kazakhstan |
| Federal State Budgetary Educational Institution of Higher Education "Kazan Medical University" of the Ministry of Healthcare of the Russian Federation | Kazan' | 420012 | Russia |
| Federal State Budgetary Educational Institution of Higher Education "Pirogov Russian National Research Medical University" of the Ministry of Healthcare of the Russian Federation | Moscow | 117997 | Russia |
| Limited Liability Company "Diagnostics and Vaccines" | Moscow | 129515 | Russia |
| St. Petersburg State Budgetary Health Care Institution "Сity Polyclinic №44" | Moscow | 192071 | Russia |
| Municipal Health Care Institution "City Child Health Clinical Polyclinic №5" | Perm | 614066 | Russia |
| State Budgetary Institution of Healthcare of the Samara Region "Samara City Children's Clinical Hospital named after N.N. Willow New | Samara | 443079 | Russia |
| Volgograd State Medical University | Volgograd | 400131 | Russia |
| Yaroslavl State Medical University/Children's Clinic # 5 | Yaroslavl | 150000 | Russia |
| Yaroslavl State Medical University/Clinical Hospital # 8 | Yaroslavl | 150000 | Russia |
| Municipal autonomous institution "Children's City Clinical Hospital №11" | Yekaterinburg | 620028 | Russia |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | Ergoferon | Ergoferon: Tablet for oral use, 1 tablet per intake (outside a meal/feeding). On day 1, five tablets are taken in the first 2 hours (one tablet every 30 min), followed by three more tablets regularly spaced during the rest of the day (total 8 tablets). From day 2, one tablet is taken every 8 hours. |
| BG001 | Placebo | Placebo: Placebo using Ergoferon scheme. |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | ITT sample | Mean | Standard Deviation | years |
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| Sex: Female, Male | ITT sample | 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 | Count of Participants | 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 | Time to Alleviation of All ARVI Symptoms. | Based on patient diary data. Criteria of alleviation of all ARVI symptoms: oral temperature ≤37.5С for 24 hours (without subsequent increase within the observation period) + absence of ARVI symptoms /presence of ARVI symptoms with ≤3-point of the total score (TS) according to the 4-point scale (0 = no symptom; 1 = mild symptom; 2 = moderate symptom; 3 = severe symptom, for each flu-like nonspecific and respiratory symptom). TS ranges from 0 to 30, and the higher scores mean a worse outcome. | ITT sample | Posted | Mean | 95% Confidence Interval | days | 14 days of observation. |
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| Secondary | Time to Normalization of Body Temperature. | Based on patient diary data. Oral temperature ≤37.5С for 24 hours (without subsequent increase within the observation period). | ITT sample | Posted | Mean | 95% Confidence Interval | days | 14 days of observation. |
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| Secondary | Time to Alleviation of Flu-like Nonspecific Symptoms. | Based on patient diary data. Absence of flu-like nonspecific symptoms/presence of one mild flu-like nonspecific symptom. | ITT sample | Posted | Mean | 95% Confidence Interval | days | 14 days of observation. |
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| Secondary | Time to Alleviation of Respiratory Symptoms. | Based on patient diary data. Absence of respiratory symptoms/presence of one mild respiratory symptom. | ITT sample | Posted | Mean | 95% Confidence Interval | days | 14 days of observation. |
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| Secondary | Flu-like Nonspecific and Respiratory Symptoms Total Score (TS) for Days 2-6. | Based on patient diary data. The total score (TS) ranges from 0 to 30 consisting of 4 flu-like nonspecific (decreased activity/weakness, poor appetite/refusal to eat, sick appearance, sleep disturbance) and 6 respiratory (runny nose, stuffy nose/nasal congestion, sneezing, hoarseness, sore throat, cough) symptoms according to the 4-point scale for each symptom (0 = no symptom; 1 = mild symptom; 2 = moderate symptom; 3 = severe symptom). TS ranges from 0 to 30, and the higher scores mean a worse outcome. | ITT sample | Posted | Mean | 95% Confidence Interval | score on a scale | On days 2-6 of the observation period. |
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| Secondary | ARVI Severity. | Based on the area under the curve of TS for days 2-6, according to the patient diary. The total score (TS) will be calculated based on the severity of each ARVI symptom (sum of 11 symptoms = body temperature, flu-like nonspecific symptoms (4 symptoms) and respiratory symptoms (6 symptoms) according to the 4-point scale (0 = no symptom; 1 = mild symptom; 2 = moderate symptom; 3 = severe symptom). To calculate TS the absolute oral temperature values, measured in degrees Celsius, will be converted into relative units (or points), given the following gradations: ≤37.5С = 0 point; 37.6-38.1C = 1 point; 38.2-38.8C = 2 points; ≥38.90С = 3 points. For total score minimum and maximum scores are 0 and 33, where higher values represent a worse outcome. | ITT sample | Posted | Mean | 95% Confidence Interval | score on a scale*day | On days 2-6 of the observation period. |
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| Secondary | Percentage of Recovered Patients. | Based on patient diary data. Criteria of recovery/alleviation of all ARVI symptoms: oral temperature ≤37.5С for 24 hours (without subsequent increase within the observation period) + absence of ARVI symptoms /presence of ARVI symptoms with ≤3-point of the total score (TS) according to the 4-point scale for each flu-like nonspecific and respiratory symptom (0 = no symptom; 1 = mild symptom; 2 = moderate symptom; 3 = severe symptom, for each flu-like nonspecific and respiratory symptom). | ITT sample | Posted | Count of Participants | Participants | On days 2-6 of the observation period. |
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| Secondary | Rates of Antipyretics Use Per Patient. | Based on patient diary data. The number of intakes of prescribed antipyretics. | ITT sample | Posted | Mean | 95% Confidence Interval | number per patient | On days 1- 5 of the treatment period. |
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| Secondary | Percentage of Patients With Worsening of Illness. | Based on patient diary data. The disease worsening: ARVI complications, including those requiring antibiotics; hospitalization). | ITT sample | Posted | Count of Participants | Participants | 14 days of observation peiod. |
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Adverse/Serious adverse events were registered during 14 days (during the treatment and follow-up periods).
Adverse/Serious adverse events were registered in patients of the Safety population (n=287).
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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 | 1 tablet 3 times a day. Ergoferon: Inside, orally. | 10 | 143 | 0 | 143 | 10 | 143 |
| EG001 | Placebo | 1 tablet 3 times a day. Placebo: Inside, orally. | 27 | 144 | 0 | 144 | 27 | 144 |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Lymphadenitis | Blood and lymphatic system disorders | MedDRA | Systematic Assessment | Bilateral cervical lymphadenitis |
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| Tachycardia | Cardiac disorders | MedDRA | Systematic Assessment | Tachycardia NOS |
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| Eyelid oedema | Eye disorders | MedDRA | Systematic Assessment | Eyelid oedema |
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| Diarrhoea | Gastrointestinal disorders | MedDRA | Systematic Assessment | Diarrhoea |
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| Vomiting | Gastrointestinal disorders | MedDRA | Systematic Assessment | Vomiting |
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| Teething | Gastrointestinal disorders | MedDRA | Systematic Assessment | Teething syndrome |
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| Abdominal pain | Gastrointestinal disorders | MedDRA | Systematic Assessment | Abdominal pain |
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| Hyperthermia | General disorders | MedDRA | Systematic Assessment | Hyperthermia sudden |
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| Condition worsened | General disorders | MedDRA | Systematic Assessment | Condition worsened |
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| Adenoiditis | Infections and infestations | MedDRA | Systematic Assessment | Adenoiditis |
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| Bronchitis | Infections and infestations | MedDRA | Systematic Assessment | Obstructive bronchitis |
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| Gastroenteritis | Infections and infestations | MedDRA | Systematic Assessment | Acute gastroenteritis |
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| Tracheitis | Infections and infestations | MedDRA | Systematic Assessment | Acute laryngotracheitis |
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| Otitis media acute | Infections and infestations | MedDRA | Systematic Assessment | Acute mucoid otitis media |
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| Otitis media acute | Infections and infestations | MedDRA | Systematic Assessment | Otitis media acute |
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| Rhinitis | Infections and infestations | MedDRA | Systematic Assessment | Acute rhinitis |
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| Adenoviral upper respiratory infection | Infections and infestations | MedDRA | Systematic Assessment | Adenoviral upper respiratory infection |
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| Gastroenterocolitis | Infections and infestations | MedDRA | Systematic Assessment | Gastroenterocolitis |
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| Oral herpes | Infections and infestations | MedDRA | Systematic Assessment | Herpes labialis |
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| Infectious mononucleosis | Infections and infestations | MedDRA | Systematic Assessment | Infectious mononucleosis |
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| Pharyngotonsillitis | Infections and infestations | MedDRA | Systematic Assessment | Pharyngotonsillitis |
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| Procedural vomiting | Injury, poisoning and procedural complications | MedDRA | Systematic Assessment | Post procedural vomiting |
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| Myalgia | Musculoskeletal and connective tissue disorders | MedDRA | Systematic Assessment | Myalgia |
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| Muscle twitching | Musculoskeletal and connective tissue disorders | MedDRA | Systematic Assessment | Muscle twitching |
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| Torticollis | Musculoskeletal and connective tissue disorders | MedDRA | Systematic Assessment | Acute torticollis |
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| Rhinorrhoea | Respiratory, thoracic and mediastinal disorders | MedDRA | Systematic Assessment | Nasal discharge |
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| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA | Systematic Assessment | Cough aggravated |
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| Dermatitis atopic | Skin and subcutaneous tissue disorders | MedDRA | Systematic Assessment | Dermatitis atopic aggravated |
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| Urticaria | Skin and subcutaneous tissue disorders | MedDRA | Systematic Assessment | Urticaria |
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| Exfoliative rash | Skin and subcutaneous tissue disorders | MedDRA | Systematic Assessment | Rash desquamating |
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| Rash | Skin and subcutaneous tissue disorders | MedDRA | Systematic Assessment | Localised rash |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Michael Putilovskiy, MD, PhD, Clinical and Medical Department Director | Materia Medica Holding | +74952761571 | 302 | PutilovskiyMA@materiamedica.ru |
| Mar 16, 2020 |
| Prot_SAP_000.pdf |
| ID | Term |
|---|---|
| C000621422 | ergoferon |
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