Efficacy and Safety of the Combination of Acetylcysteine, Paracetamol and Phenylephrine for the Treatment of Common Cold

Last updated: September 24, 2024
Sponsor: Sandoz
Overall Status: Trial Not Available

Phase

3

Condition

Common Cold

Acute Rhinitis

Treatment

Paracetamol

Phenylephrine

Acetylcysteine

Clinical Study ID

NCT05070650
SAN-0657
  • Ages 18-75
  • All Genders

Study Summary

Prospective, randomized, multinational, multicenter, double-blind trial in 2 parallel groups of patients

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Male or female subjects aged between 18 and 75 years inclusive on the date ofconsent

  2. No fever or (mild) fever below 38.5° C

  3. Total score (sum of all ratings) of 2 or higher based on the rating of the followingsymptoms of common cold (Jackson scale):

  4. Sneezing

  5. Nasal discharge

  6. Nasal obstruction

  7. Sore throat

  8. Cough

  9. Headache

  10. Malaise

  11. Chilliness according to the following rating scale: 0 = absent, 1 = mild, 2 =moderate, or 3 = severe

  12. Presence of cough with thick mucus production

  13. Informed consent to participate in the trial provided in written form

Exclusion

Exclusion Criteria:

  1. Duration of any of the symptoms of common cold of more than 72 hours at the time ofscreening

  2. History of hypersensitivity or intolerance to the active substances or any of theexcipients of the trial medication

  3. Known bronchial asthma or chronic obstructive pulmonary disease

  4. Known duodenal or gastric ulcer

  5. Known hyperthyroidism

  6. Known narrow angle glaucoma

  7. Known pheochromocytoma

  8. Known prostate adenoma with urine retention

  9. Known severe liver failure (Child-Pugh > 9)

  10. Known severe cardio-vascular diseases

  11. Known porphyria

  12. Known glucose-6-phosphate dehydrogenase deficiency

  13. High fever (body temperature above 38.5°C)

  14. Intake of antibiotics, immunosuppressing, immuno-stimulating or immuno-modulatingmedication, within 30 days prior to screening visit

  15. Intranasal or systemic use of corticosteroids within 30 days prior to screeningvisit

  16. Intake of antihistamines or nasal decongestants within 48 hours prior to screeningvisit

  17. Vaccination within 14 days prior to screening visit

  18. Immunocompromised state

  19. Suspicion for acute bacterial infection

  20. Pregnant or breast-feeding female patient

  21. Female patient of childbearing potential (not surgically sterilized/ hysterectomizedor postmenopausal for at least 1 year) who is not currently using (documented atscreening visit) and not willing to use medically reliable methods of contraceptionfor the entire trial duration such as barrier method, oral, injectable orimplantable contraceptives, intrauterine contraceptive devices (IUD), sexualabstinence or vasectomized partner

  22. Any other condition of the patient (e.g. serious or unstable medical orpsychological condition, acute psychosis) that in the opinion of the investigatormay compromise evaluation of the trial treatment or may jeopardize patient's safety,compliance or adherence to protocol requirements

  23. Participation in ANY research study involving another investigational medicinalproduct (IMP) within 30 days prior to screening visit, or simultaneous participationin another clinical study or previous participation in present study

  24. Suspected alcohol/ drug dependence or abuse (including heavy smoking: ≥ 20cigarettes daily)

  25. Legal incapacity and/or other circumstances rendering the patient unable tounderstand the nature, scope and possible consequences of the trial

  26. Subjects who are known or suspected:

  • not to comply with the trial directives

  • not to be reliable or trustworthy

  • to be a dependent person, e.g. a relative, family member, or member/ employeeof the investigator's or sponsor's staff

  • subject is in custody or submitted to an institution due to a judicial order.

Study Design

Treatment Group(s): 3
Primary Treatment: Paracetamol
Phase: 3
Study Start date:
September 20, 2024
Estimated Completion Date:
April 30, 2025

Study Description

This study is a prospective, randomized, multinational, multicenter, double-blind trial in 2 parallel groups of patients.

Patients will undergo screening examinations at Visit 1.

Patients who meet all of the inclusion and none of the exclusion criteria will be randomized to double-blind treatment with one of the following:

  • Group A: Acetylcysteine/Paracetamol/Phenylephrine: one sachet three times per day OR

  • Group B: Paracetamol/Phenylephrine 500 mg/10 mg granules for oral solution: one sachet three times per day.

A control visit (Visit 2) is planned on Day 3 of treatment.

After the end of the double-blind treatment phase, the patients will undergo an end-of-treatment (EOT) examination at Visit 3 on Day 6.