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The Effect of Paracetamol, Pseudoephedrine Hydrochloride, Dextromethorphan Hydrobromide and Chlorpheniramine Maleate Tablets Compared to Placebo in Subjects Suffering From the Common Cold or Influenza.

A Double-Blind, Randomised, Placebo-Controlled, Parallelgroup, Single-Dose Study to Evaluate Effect of Paracetamol, Pseudoephedrine Hydrochloride, Dextromethorphan Hydrobromide and Chlorpheniramine Maleate Tablets Compared to Placebo in Subjects Suffering From the Common Cold or Influenza Over a 4 Hour Period

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02246166
Enrollment
53
Registered
2014-09-22
Start date
2015-01-31
Completion date
2015-02-28
Last updated
2016-09-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Common Cold

Brief summary

This phase IV multi-centre, randomised, double-blind, placebo-controlled, parallel-group, single-dose study will assess the efficacy and tolerability of the active tablets versus placebo in participants suffering from cold and influenza. Eligible participants will be randomly assigned to one of 2 treatment groups (active or placebo tablets) and enter a four-hour (hr) treatment phase. Each participant will be administered only once during each study period. Participants will use a questionnaire to record the symptom severity scores as described, as well as time.

Interventions

DRUGTest tablet

The active tablet will be administered orally. Product administration will occur within 30mins of the baseline assessment of symptom severity

OTHERPlacebo

The placebo tablet will be administered orally. Product administration will occur within 30mins of the baseline assessment of symptom severity

Sponsors

Sino-American Tianjin Smith Kline & French Laboratories Ltd
CollaboratorUNKNOWN
GlaxoSmithKline
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No

Inclusion criteria

* Aged at least 18 years and less than 65 years * Good general and mental health in the opinion of the investigator * Participants diagnosed with a common cold or flu and must have the following symptoms of at least moderate in intensity (≥ 2) at the screening visit (baseline), with a minimum total symptom score of 6: (i) At least one of pain symptoms: sore throat, headache, or extremities pain (ii) Mandatory: Nasal congestion (iii) At least one of catarrh symptoms: runny nose or sneezing * Onset of first symptoms of cold must have occurred within 48 hours of screening.

Exclusion criteria

* Pregnant or breast feeding women * History of seasonal or perennial allergic rhinitis or acute, sub-chronic, or chronic cough due to any condition other than a common cold or flu, as determined by the investigator * Concurrent illness or medical history that is contraindicated or cautioned about in the drug label * Anatomical factors causing nasal congestion * Fever with body temperature \>38.5°C at baseline * Have used any medication or herbal remedies to treat cold prior to screening (antibiotics in the last 7 days, antihistamines in the last 72 hours, analgesics or antipyretics in the last 24 hours, decongestant in the last 12 hours, antitussive, medicated lozenge or throat spray in the last 8 hours) * Any medication that has potential drug-drug interactions with study medications * Known or suspected intolerance or hypersensitivity to the study materials * Have a positive drug urine test or recent history (within the last 2 years) of alcohol or other substance abuse

Design outcomes

Primary

MeasureTime frameDescription
Symptom Severity Assessment at 15 Minutes15 minutesSymptom severity assessment was determined by Total Sum Score (TSS), TSS ranged from 0 to 21 with less severity score at the given time point represented a better outcome measure. TSS was calculated as the sum of the non missing scores (all on a 0-3 scale measuring worsening or severity) of the following common cold symptoms: sore throat, headache, extremities pain, nasal congestion, runny nose, sneezing, and cough post treatment administration. Participants self assessed symptoms severity using 4 points (0 = absent, 1 = mild, 2 = moderate, and 3 = severe) categorical scale at 15 minutes post product use.
Symptom Severity Assessment at 30 Minutes30 minutesSymptom severity assessment was determined by TSS, TSS ranged from 0 to 21 with less severity score at the given time point represented a better outcome measure. TSS was calculated as the sum of the non missing scores (all on a 0-3 scale measuring worsening or severity) of the following common cold symptoms: sore throat, headache, extremities pain, nasal congestion, runny nose, sneezing, and cough post treatment administration. Participants self assessed symptoms severity using 4 points (0 = absent, 1 = mild, 2 = moderate, and 3 = severe) categorical scale at 30 minutes post product use.
Symptom Severity Assessment at 1 Hour1 hourSymptom severity assessment was determined by TSS, TSS ranged from 0 to 21 with less severity score at the given time point represented a better outcome measure. TSS was calculated as the sum of the non missing scores (all on a 0-3 scale measuring worsening or severity) of the following common cold symptoms: sore throat, headache, extremities pain, nasal congestion, runny nose, sneezing, and cough post treatment administration. Participants self assessed symptoms severity using 4 points (0 = absent, 1 = mild, 2 = moderate, and 3 = severe) categorical scale at 1hour post product use.
Symptom Severity Assessment at 2 Hours2 hoursSymptom severity assessment was determined by TSS, TSS ranged from 0 to 21 with less severity score at the given time point represented a better outcome measure. TSS was calculated as the sum of the non missing scores (all on a 0-3 scale measuring worsening or severity) of the following common cold symptoms: sore throat, headache, extremities pain, nasal congestion, runny nose, sneezing, and cough post treatment administration. Participants self assessed symptoms severity using 4 points (0 = absent, 1 = mild, 2 = moderate, and 3 = severe) categorical scale at 2 hours post product use.
Symptom Severity Assessment at 3 Hours3 hoursSymptom severity assessment was determined by TSS, TSS ranged from 0 to 21 with less severity score at the given time point represented a better outcome measure. TSS was calculated as the sum of the non missing scores (all on a 0-3 scale measuring worsening or severity) of the following common cold symptoms: sore throat, headache, extremities pain, nasal congestion, runny nose, sneezing, and cough post treatment administration. Participants self assessed symptoms severity using 4 points (0 = absent, 1 = mild, 2 = moderate, and 3 = severe) categorical scale at 3 hours post product use.
Symptom Severity Assessment at 4 Hours4 hoursSymptom severity assessment was determined by TSS, TSS ranged from 0 to 21 with less severity score at the given time point represented a better outcome measure. TSS was calculated as the sum of the non missing scores (all on a 0-3 scale measuring worsening or severity) of the following common cold symptoms: sore throat, headache, extremities pain, nasal congestion, runny nose, sneezing, and cough post treatment administration. Participants self assessed symptoms severity using 4 points (0 = absent, 1 = mild, 2 = moderate, and 3 = severe) categorical scale at 4 hours post product use.

Secondary

MeasureTime frameDescription
Sneezing Severity AssessmentChange from baseline in 15, 30, 60,120, 180, and 240 minutesParticipants self-assessed sneezing severity using 4 points (0 = absent, 1 = mild, 2 = moderate, and 3 = severe) categorical scale at baseline and at 15, 30, 60, 120,180 and 240 minutes post product administration. All sneezing severity assessment values were recorded in a questionnaire and tabulated. A reduction in severity score from baseline represented a better outcome measure.
Global Assessment of Treatment4 hoursAfter completing the 4 hours symptom severity assessments, participants evaluated their treatment response on a 5-point scale by answering the question: How well did the test medication control your symptoms? (0-ineffective, 1-poor, 2-fair, 3-good, or 4-excellent).
Body Temperature ReductionChange from baseline in 15, 30, 60,120, 180, and 240 minutesSummary statistics for body temperature was presented at baseline and at 15, 30, 60, 120,180 and 240 minutes post treatment. Wilcoxon Rank Sum test was used to investigate if there are any significant treatment differences.
Cough Severity AssessmentChange from baseline in 15, 30, 60,120, 180, and 240 minutesParticipants self-assessed cough severity using 4 points (0 = absent, 1 = mild, 2 = moderate, and 3 = severe) categorical scale at baseline and at 15, 30, 60, 120,180 and 240 minutes post product administration. All cough severity assessment values were recorded in a questionnaire and tabulated. A reduction in severity score from baseline represented a better outcome measure.
Sore Throat Severity AssessmentChange from baseline in 15, 30, 60,120, 180, and 240 minutesParticipants self-assessed sore throat severity using 4 points (0 = absent, 1 = mild, 2 = moderate, and 3 = severe) categorical scale at baseline and at 15, 30, 60, 120,180 and 240 minutes post product administration. All sore throat severity assessment values were recorded in questionnaire and tabulated. A reduction in severity score from baseline represented a better outcome measure.
Headache Severity AssessmentChange from baseline in 15, 30, 60,120, 180, and 240 minutesParticipants self-assessed headache severity using 4 points (0 = absent, 1 = mild, 2 = moderate, and 3 = severe) categorical scale at baseline and at 15, 30, 60, 120,180 and 240 minutes post product administration. All headache severity assessment values were recorded in questionnaire and tabulated. A reduction in severity score from baseline represented a better outcome measure.
Extremities Pain Severity AssessmentChange from baseline in 15, 30, 60,120, 180, and 240 minutesParticipants self-assessed extremities pain severity using 4 points (0 = absent, 1 = mild, 2 = moderate, and 3 = severe) categorical scale at baseline and at 15, 30, 60, 120,180 and 240 minutes post product administration. All extremities pain severity assessment values were recorded in a questionnaire and tabulated. A reduction in severity score from baseline represented a better outcome measure.
Nasal Congestion Severity AssessmentChange from baseline in 15, 30, 60,120, 180, and 240 minutesParticipants self-assessed nasal congestion severity using 4 points (0 = absent, 1 = mild, 2 = moderate, and 3 = severe) categorical scale at baseline and at 15, 30, 60, 120,180 and 240 minutes post product administration. All nasal congestion severity assessment values were recorded in a questionnaire and tabulated. A reduction in severity score from baseline represented a better outcome measure.
Runny Nose Severity AssessmentChange from baseline in 15, 30, 60,120, 180, and 240 minutesParticipants self-assessed runny nose severity using 4 points (0 = absent, 1 = mild, 2 = moderate, and 3 = severe) categorical scale at baseline and at 15, 30, 60, 120,180 and 240 minutes post product administration. All runny nose severity assessment values were recorded in questionnaire and tabulated. A reduction in severity score from baseline represented a better outcome measure.

Countries

China

Participant flow

Recruitment details

The participants were recruited at 2 clinical sites in China

Participants by arm

ArmCount
Test Tablet
Tablet containing Paracetamol, Pseudoephedrine Hydrochloride, Dextromethorphan Hydrobromide and Chlorpheniramine Maleate Tablets (II) (Paracetamol 500mg, pseudoephedrine 30mg, chlorpheniramine 2mg and dextromethorphan 15mg).
25
Placebo
Matching placebo tablet
27
Total52

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyProtocol Violation10

Baseline characteristics

CharacteristicTest TabletPlaceboTotal
Age, Continuous37.8 Years
STANDARD_DEVIATION 11.97
38.5 Years
STANDARD_DEVIATION 11.06
38.2 Years
STANDARD_DEVIATION 11.4
Sex: Female, Male
Female
21 Participants19 Participants40 Participants
Sex: Female, Male
Male
4 Participants8 Participants12 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
1 / 253 / 27
serious
Total, serious adverse events
0 / 250 / 27

Outcome results

Primary

Symptom Severity Assessment at 15 Minutes

Symptom severity assessment was determined by Total Sum Score (TSS), TSS ranged from 0 to 21 with less severity score at the given time point represented a better outcome measure. TSS was calculated as the sum of the non missing scores (all on a 0-3 scale measuring worsening or severity) of the following common cold symptoms: sore throat, headache, extremities pain, nasal congestion, runny nose, sneezing, and cough post treatment administration. Participants self assessed symptoms severity using 4 points (0 = absent, 1 = mild, 2 = moderate, and 3 = severe) categorical scale at 15 minutes post product use.

Time frame: 15 minutes

Population: The primary population for assessment of efficacy was the intent to treat (ITT) population. The ITT population was defined as all participants who were randomized and received at least one dose of treatment during the study and provide at least one post baseline assessment of efficacy.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Test TabletSymptom Severity Assessment at 15 MinutesObserved value10.66 Score on scaleStandard Error 0.309
Test TabletSymptom Severity Assessment at 15 MinutesChange from baseline-1.11 Score on scaleStandard Error 0.309
PlaceboSymptom Severity Assessment at 15 MinutesObserved value10.64 Score on scaleStandard Error 0.304
PlaceboSymptom Severity Assessment at 15 MinutesChange from baseline-1.13 Score on scaleStandard Error 0.304
p-value: 0.947395% CI: [-0.77, 0.83]ANCOVA
Primary

Symptom Severity Assessment at 1 Hour

Symptom severity assessment was determined by TSS, TSS ranged from 0 to 21 with less severity score at the given time point represented a better outcome measure. TSS was calculated as the sum of the non missing scores (all on a 0-3 scale measuring worsening or severity) of the following common cold symptoms: sore throat, headache, extremities pain, nasal congestion, runny nose, sneezing, and cough post treatment administration. Participants self assessed symptoms severity using 4 points (0 = absent, 1 = mild, 2 = moderate, and 3 = severe) categorical scale at 1hour post product use.

Time frame: 1 hour

Population: The primary population for assessment of efficacy was the intent to treat (ITT) population. The intent-to-treat (ITT) population was defined as all participants who were randomized and received at least one dose of treatment during the study and provide at least one post baseline assessment of efficacy.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Test TabletSymptom Severity Assessment at 1 HourObserved value8.73 Score on scaleStandard Error 0.495
Test TabletSymptom Severity Assessment at 1 HourChange from baseline-3.04 Score on scaleStandard Error 0.495
PlaceboSymptom Severity Assessment at 1 HourObserved value8.52 Score on scaleStandard Error 0.487
PlaceboSymptom Severity Assessment at 1 HourChange from baseline-3.25 Score on scaleStandard Error 0.487
p-value: 0.744595% CI: [-1.07, 1.49]ANCOVA
Primary

Symptom Severity Assessment at 2 Hours

Symptom severity assessment was determined by TSS, TSS ranged from 0 to 21 with less severity score at the given time point represented a better outcome measure. TSS was calculated as the sum of the non missing scores (all on a 0-3 scale measuring worsening or severity) of the following common cold symptoms: sore throat, headache, extremities pain, nasal congestion, runny nose, sneezing, and cough post treatment administration. Participants self assessed symptoms severity using 4 points (0 = absent, 1 = mild, 2 = moderate, and 3 = severe) categorical scale at 2 hours post product use.

Time frame: 2 hours

Population: The primary population for assessment of efficacy was the intent to treat (ITT) population. The ITT population was defined as all participants who were randomized and received at least one dose of treatment during the study and provide at least one post baseline assessment of efficacy.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Test TabletSymptom Severity Assessment at 2 HoursObserved value7.54 Score on scaleStandard Error 0.596
Test TabletSymptom Severity Assessment at 2 HoursChange from baseline-4.23 Score on scaleStandard Error 0.596
PlaceboSymptom Severity Assessment at 2 HoursObserved value7.31 Score on scaleStandard Error 0.587
PlaceboSymptom Severity Assessment at 2 HoursChange from baseline-4.46 Score on scaleStandard Error 0.587
p-value: 0.766295% CI: [-1.32, 1.78]ANCOVA
Primary

Symptom Severity Assessment at 30 Minutes

Symptom severity assessment was determined by TSS, TSS ranged from 0 to 21 with less severity score at the given time point represented a better outcome measure. TSS was calculated as the sum of the non missing scores (all on a 0-3 scale measuring worsening or severity) of the following common cold symptoms: sore throat, headache, extremities pain, nasal congestion, runny nose, sneezing, and cough post treatment administration. Participants self assessed symptoms severity using 4 points (0 = absent, 1 = mild, 2 = moderate, and 3 = severe) categorical scale at 30 minutes post product use.

Time frame: 30 minutes

Population: The primary population for assessment of efficacy was the intent to treat (ITT) population. The intent-to-treat (ITT) population was defined as all participants who were randomized and received at least one dose of treatment during the study and provide at least one post baseline assessment of efficacy.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Test TabletSymptom Severity Assessment at 30 MinutesObserved value9.55 Score on scaleStandard Error 0.402
Test TabletSymptom Severity Assessment at 30 MinutesChange from baseline-2.22 Score on scaleStandard Error 0.402
PlaceboSymptom Severity Assessment at 30 MinutesObserved value9.74 Score on scaleStandard Error 0.396
PlaceboSymptom Severity Assessment at 30 MinutesChange from baseline-2.03 Score on scaleStandard Error 0.396
p-value: 0.72195% CI: [-1.23, 0.86]ANCOVA
Primary

Symptom Severity Assessment at 3 Hours

Symptom severity assessment was determined by TSS, TSS ranged from 0 to 21 with less severity score at the given time point represented a better outcome measure. TSS was calculated as the sum of the non missing scores (all on a 0-3 scale measuring worsening or severity) of the following common cold symptoms: sore throat, headache, extremities pain, nasal congestion, runny nose, sneezing, and cough post treatment administration. Participants self assessed symptoms severity using 4 points (0 = absent, 1 = mild, 2 = moderate, and 3 = severe) categorical scale at 3 hours post product use.

Time frame: 3 hours

Population: The primary population for assessment of efficacy was the intent to treat (ITT) population. The ITT population was defined as all participants who were randomized and received at least one dose of treatment during the study and provide at least one post baseline assessment of efficacy.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Test TabletSymptom Severity Assessment at 3 HoursObserved value6.80 Score on scaleStandard Error 0.669
Test TabletSymptom Severity Assessment at 3 HoursChange from baseline-4.97 Score on scaleStandard Error 0.669
PlaceboSymptom Severity Assessment at 3 HoursObserved value6.25 Score on scaleStandard Error 0.659
PlaceboSymptom Severity Assessment at 3 HoursChange from baseline-5.52 Score on scaleStandard Error 0.659
p-value: 0.520895% CI: [-1.18, 2.29]ANCOVA
Primary

Symptom Severity Assessment at 4 Hours

Symptom severity assessment was determined by TSS, TSS ranged from 0 to 21 with less severity score at the given time point represented a better outcome measure. TSS was calculated as the sum of the non missing scores (all on a 0-3 scale measuring worsening or severity) of the following common cold symptoms: sore throat, headache, extremities pain, nasal congestion, runny nose, sneezing, and cough post treatment administration. Participants self assessed symptoms severity using 4 points (0 = absent, 1 = mild, 2 = moderate, and 3 = severe) categorical scale at 4 hours post product use.

Time frame: 4 hours

Population: The primary population for assessment of efficacy was the intent to treat (ITT) population. The ITT population was defined as all participants who were randomized and received at least one dose of treatment during the study and provide at least one post baseline assessment of efficacy.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Test TabletSymptom Severity Assessment at 4 HoursObserved value5.94 Score on scaleStandard Error 0.702
Test TabletSymptom Severity Assessment at 4 HoursChange from baseline-5.83 Score on scaleStandard Error 0.702
PlaceboSymptom Severity Assessment at 4 HoursObserved value5.82 Score on scaleStandard Error 0.692
PlaceboSymptom Severity Assessment at 4 HoursChange from baseline-5.95 Score on scaleStandard Error 0.692
p-value: 0.899395% CI: [-1.71, 1.94]ANCOVA
Secondary

Body Temperature Reduction

Summary statistics for body temperature was presented at baseline and at 15, 30, 60, 120,180 and 240 minutes post treatment. Wilcoxon Rank Sum test was used to investigate if there are any significant treatment differences.

Time frame: Change from baseline in 15, 30, 60,120, 180, and 240 minutes

Population: The primary population for assessment of efficacy was the intent to treat (ITT) population. The ITT population was defined as all participants who were randomized and received at least one dose of treatment during the study and provide at least one post baseline assessment of efficacy.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Test TabletBody Temperature ReductionChange from baseline to 15 minutes-0.02 °C (degree Celsius)Standard Error 0.07
Test TabletBody Temperature ReductionChange from baseline to 30 minutes-0.03 °C (degree Celsius)Standard Error 0.08
Test TabletBody Temperature ReductionChange from baseline to 60 minutes-0.04 °C (degree Celsius)Standard Error 0.081
Test TabletBody Temperature ReductionChange from baseline to 120 minutes-0.09 °C (degree Celsius)Standard Error 0.079
Test TabletBody Temperature ReductionChange from baseline to 180 minutes-0.14 °C (degree Celsius)Standard Error 0.06
Test TabletBody Temperature ReductionChange from baseline to 240 minutes-0.08 °C (degree Celsius)Standard Error 0.058
PlaceboBody Temperature ReductionChange from baseline to 180 minutes-0.09 °C (degree Celsius)Standard Error 0.067
PlaceboBody Temperature ReductionChange from baseline to 15 minutes0.01 °C (degree Celsius)Standard Error 0.047
PlaceboBody Temperature ReductionChange from baseline to 120 minutes-0.04 °C (degree Celsius)Standard Error 0.065
PlaceboBody Temperature ReductionChange from baseline to 30 minutes-0.01 °C (degree Celsius)Standard Error 0.071
PlaceboBody Temperature ReductionChange from baseline to 240 minutes-0.11 °C (degree Celsius)Standard Error 0.066
PlaceboBody Temperature ReductionChange from baseline to 60 minutes0.01 °C (degree Celsius)Standard Error 0.049
Secondary

Cough Severity Assessment

Participants self-assessed cough severity using 4 points (0 = absent, 1 = mild, 2 = moderate, and 3 = severe) categorical scale at baseline and at 15, 30, 60, 120,180 and 240 minutes post product administration. All cough severity assessment values were recorded in a questionnaire and tabulated. A reduction in severity score from baseline represented a better outcome measure.

Time frame: Change from baseline in 15, 30, 60,120, 180, and 240 minutes

Population: The primary population for assessment of efficacy was the intent to treat (ITT) population. The ITT population was defined as all participants who were randomized and received at least one dose of treatment during the study and provide at least one post baseline assessment of efficacy.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Test TabletCough Severity AssessmentChange from baseline in 15 minutes-0.11 Score on scaleStandard Error 0.071
Test TabletCough Severity AssessmentChange from baseline in 30 minutes-0.28 Score on scaleStandard Error 0.077
Test TabletCough Severity AssessmentChange from baseline in 60 minutes-0.49 Score on scaleStandard Error 0.116
Test TabletCough Severity AssessmentChange from baseline in 120 minutes-0.51 Score on scaleStandard Error 0.109
Test TabletCough Severity AssessmentChange from baseline in 180 minutes-0.53 Score on scaleStandard Error 0.116
Test TabletCough Severity AssessmentChange from baseline in 240 minutes-0.72 Score on scaleStandard Error 0.131
PlaceboCough Severity AssessmentChange from baseline in 180 minutes-0.53 Score on scaleStandard Error 0.127
PlaceboCough Severity AssessmentChange from baseline in 15 minutes-0.06 Score on scaleStandard Error 0.078
PlaceboCough Severity AssessmentChange from baseline in 120 minutes-0.45 Score on scaleStandard Error 0.119
PlaceboCough Severity AssessmentChange from baseline in 30 minutes-0.25 Score on scaleStandard Error 0.084
PlaceboCough Severity AssessmentChange from baseline in 240 minutes-0.59 Score on scaleStandard Error 0.143
PlaceboCough Severity AssessmentChange from baseline in 60 minutes-0.33 Score on scaleStandard Error 0.126
Secondary

Extremities Pain Severity Assessment

Participants self-assessed extremities pain severity using 4 points (0 = absent, 1 = mild, 2 = moderate, and 3 = severe) categorical scale at baseline and at 15, 30, 60, 120,180 and 240 minutes post product administration. All extremities pain severity assessment values were recorded in a questionnaire and tabulated. A reduction in severity score from baseline represented a better outcome measure.

Time frame: Change from baseline in 15, 30, 60,120, 180, and 240 minutes

Population: The primary population for assessment of efficacy was the intent to treat (ITT) population. The ITT population was defined as all participants who were randomized and received at least one dose of treatment during the study and provide at least one post baseline assessment of efficacy.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Test TabletExtremities Pain Severity AssessmentChange from baseline in 15 minutes-0.21 Score on scaleStandard Error 0.101
Test TabletExtremities Pain Severity AssessmentChange from baseline in 30 minutes-0.22 Score on scaleStandard Error 0.1
Test TabletExtremities Pain Severity AssessmentChange from baseline in 60 minutes-0.32 Score on scaleStandard Error 0.104
Test TabletExtremities Pain Severity AssessmentChange from baseline in 120 minutes-0.47 Score on scaleStandard Error 0.11
Test TabletExtremities Pain Severity AssessmentChange from baseline in 180 minutes-0.58 Score on scaleStandard Error 0.126
Test TabletExtremities Pain Severity AssessmentChange from baseline in 240 minutes-0.64 Score on scaleStandard Error 0.126
PlaceboExtremities Pain Severity AssessmentChange from baseline in 180 minutes-0.57 Score on scaleStandard Error 0.124
PlaceboExtremities Pain Severity AssessmentChange from baseline in 15 minutes-0.10 Score on scaleStandard Error 0.099
PlaceboExtremities Pain Severity AssessmentChange from baseline in 120 minutes-0.46 Score on scaleStandard Error 0.108
PlaceboExtremities Pain Severity AssessmentChange from baseline in 30 minutes-0.19 Score on scaleStandard Error 0.099
PlaceboExtremities Pain Severity AssessmentChange from baseline in 240 minutes-0.60 Score on scaleStandard Error 0.124
PlaceboExtremities Pain Severity AssessmentChange from baseline in 60 minutes-0.32 Score on scaleStandard Error 0.102
Secondary

Global Assessment of Treatment

After completing the 4 hours symptom severity assessments, participants evaluated their treatment response on a 5-point scale by answering the question: How well did the test medication control your symptoms? (0-ineffective, 1-poor, 2-fair, 3-good, or 4-excellent).

Time frame: 4 hours

Population: The primary population for assessment of efficacy was the intent to treat (ITT) population. The ITT population was defined as all participants who were randomized and received at least one dose of treatment during the study and provide at least one post baseline assessment of efficacy.

ArmMeasureGroupValue (NUMBER)
Test TabletGlobal Assessment of TreatmentPoor (1)1 Participants
Test TabletGlobal Assessment of TreatmentGood (3)10 Participants
Test TabletGlobal Assessment of TreatmentFair (2)9 Participants
Test TabletGlobal Assessment of TreatmentExcellent (4)4 Participants
Test TabletGlobal Assessment of TreatmentIneffective (0)1 Participants
PlaceboGlobal Assessment of TreatmentExcellent (4)2 Participants
PlaceboGlobal Assessment of TreatmentIneffective (0)2 Participants
PlaceboGlobal Assessment of TreatmentPoor (1)3 Participants
PlaceboGlobal Assessment of TreatmentFair (2)3 Participants
PlaceboGlobal Assessment of TreatmentGood (3)17 Participants
Secondary

Headache Severity Assessment

Participants self-assessed headache severity using 4 points (0 = absent, 1 = mild, 2 = moderate, and 3 = severe) categorical scale at baseline and at 15, 30, 60, 120,180 and 240 minutes post product administration. All headache severity assessment values were recorded in questionnaire and tabulated. A reduction in severity score from baseline represented a better outcome measure.

Time frame: Change from baseline in 15, 30, 60,120, 180, and 240 minutes

Population: The primary population for assessment of efficacy was the intent to treat (ITT) population. The ITT population was defined as all participants who were randomized and received at least one dose of treatment during the study and provide at least one post baseline assessment of efficacy.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Test TabletHeadache Severity AssessmentChange from baseline in 15 minutes-0.17 Score on scaleStandard Error 0.094
Test TabletHeadache Severity AssessmentChange from baseline in 30 minutes-0.31 Score on scaleStandard Error 0.113
Test TabletHeadache Severity AssessmentChange from baseline in 60 minutes-0.47 Score on scaleStandard Error 0.13
Test TabletHeadache Severity AssessmentChange from baseline in 120 minutes-0.72 Score on scaleStandard Error 0.123
Test TabletHeadache Severity AssessmentChange from baseline in 180 minutes-0.89 Score on scaleStandard Error 0.13
Test TabletHeadache Severity AssessmentChange from baseline in 240 minutes-0.99 Score on scaleStandard Error 0.125
PlaceboHeadache Severity AssessmentChange from baseline in 180 minutes-0.88 Score on scaleStandard Error 0.123
PlaceboHeadache Severity AssessmentChange from baseline in 15 minutes-0.14 Score on scaleStandard Error 0.09
PlaceboHeadache Severity AssessmentChange from baseline in 120 minutes-0.71 Score on scaleStandard Error 0.117
PlaceboHeadache Severity AssessmentChange from baseline in 30 minutes-0.16 Score on scaleStandard Error 0.108
PlaceboHeadache Severity AssessmentChange from baseline in 240 minutes-0.96 Score on scaleStandard Error 0.118
PlaceboHeadache Severity AssessmentChange from baseline in 60 minutes-0.51 Score on scaleStandard Error 0.123
Secondary

Nasal Congestion Severity Assessment

Participants self-assessed nasal congestion severity using 4 points (0 = absent, 1 = mild, 2 = moderate, and 3 = severe) categorical scale at baseline and at 15, 30, 60, 120,180 and 240 minutes post product administration. All nasal congestion severity assessment values were recorded in a questionnaire and tabulated. A reduction in severity score from baseline represented a better outcome measure.

Time frame: Change from baseline in 15, 30, 60,120, 180, and 240 minutes

Population: The primary population for assessment of efficacy was the intent to treat (ITT) population. The ITT population was defined as all participants who were randomized and received at least one dose of treatment during the study and provide at least one post baseline assessment of efficacy.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Test TabletNasal Congestion Severity AssessmentChange from baseline in 15 minutes-0.32 Score on scaleStandard Error 0.086
Test TabletNasal Congestion Severity AssessmentChange from baseline in 30 minutes-0.59 Score on scaleStandard Error 0.119
Test TabletNasal Congestion Severity AssessmentChange from baseline in 60 minutes-0.61 Score on scaleStandard Error 0.127
Test TabletNasal Congestion Severity AssessmentChange from baseline in 120 minutes-0.91 Score on scaleStandard Error 0.138
Test TabletNasal Congestion Severity AssessmentChange from baseline in 180 minutes-1.04 Score on scaleStandard Error 0.156
Test TabletNasal Congestion Severity AssessmentChange from baseline in 240 minutes-1.19 Score on scaleStandard Error 0.162
PlaceboNasal Congestion Severity AssessmentChange from baseline in 180 minutes-1.14 Score on scaleStandard Error 0.152
PlaceboNasal Congestion Severity AssessmentChange from baseline in 15 minutes-0.31 Score on scaleStandard Error 0.084
PlaceboNasal Congestion Severity AssessmentChange from baseline in 120 minutes-1.02 Score on scaleStandard Error 0.134
PlaceboNasal Congestion Severity AssessmentChange from baseline in 30 minutes-0.60 Score on scaleStandard Error 0.115
PlaceboNasal Congestion Severity AssessmentChange from baseline in 240 minutes-1.20 Score on scaleStandard Error 0.157
PlaceboNasal Congestion Severity AssessmentChange from baseline in 60 minutes-0.68 Score on scaleStandard Error 0.124
Secondary

Runny Nose Severity Assessment

Participants self-assessed runny nose severity using 4 points (0 = absent, 1 = mild, 2 = moderate, and 3 = severe) categorical scale at baseline and at 15, 30, 60, 120,180 and 240 minutes post product administration. All runny nose severity assessment values were recorded in questionnaire and tabulated. A reduction in severity score from baseline represented a better outcome measure.

Time frame: Change from baseline in 15, 30, 60,120, 180, and 240 minutes

Population: The primary population for assessment of efficacy was the intent to treat (ITT) population. The ITT population was defined as all participants who were randomized and received at least one dose of treatment during the study and provide at least one post baseline assessment of efficacy.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Test TabletRunny Nose Severity AssessmentChange from baseline in 15 minutes-0.20 Score on scaleStandard Error 0.081
Test TabletRunny Nose Severity AssessmentChange from baseline in 30 minutes-0.48 Score on scaleStandard Error 0.116
Test TabletRunny Nose Severity AssessmentChange from baseline in 60 minutes-0.54 Score on scaleStandard Error 0.145
Test TabletRunny Nose Severity AssessmentChange from baseline in 120 minutes-0.78 Score on scaleStandard Error 0.148
Test TabletRunny Nose Severity AssessmentChange from baseline in 180 minutes-0.89 Score on scaleStandard Error 0.161
Test TabletRunny Nose Severity AssessmentChange from baseline in 240 minutes-1.12 Score on scaleStandard Error 0.149
PlaceboRunny Nose Severity AssessmentChange from baseline in 180 minutes-0.98 Score on scaleStandard Error 0.159
PlaceboRunny Nose Severity AssessmentChange from baseline in 15 minutes-0.18 Score on scaleStandard Error 0.08
PlaceboRunny Nose Severity AssessmentChange from baseline in 120 minutes-0.65 Score on scaleStandard Error 0.146
PlaceboRunny Nose Severity AssessmentChange from baseline in 30 minutes-0.32 Score on scaleStandard Error 0.114
PlaceboRunny Nose Severity AssessmentChange from baseline in 240 minutes-0.97 Score on scaleStandard Error 0.147
PlaceboRunny Nose Severity AssessmentChange from baseline in 60 minutes-0.61 Score on scaleStandard Error 0.143
Secondary

Sneezing Severity Assessment

Participants self-assessed sneezing severity using 4 points (0 = absent, 1 = mild, 2 = moderate, and 3 = severe) categorical scale at baseline and at 15, 30, 60, 120,180 and 240 minutes post product administration. All sneezing severity assessment values were recorded in a questionnaire and tabulated. A reduction in severity score from baseline represented a better outcome measure.

Time frame: Change from baseline in 15, 30, 60,120, 180, and 240 minutes

Population: The primary population for assessment of efficacy was the intent to treat (ITT) population. The ITT population was defined as all participants who were randomized and received at least one dose of treatment during the study and provide at least one post baseline assessment of efficacy.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Test TabletSneezing Severity AssessmentChange from baseline in 15 minutes-0.10 Score on scaleStandard Error 0.089
Test TabletSneezing Severity AssessmentChange from baseline in 30 minutes-0.25 Score on scaleStandard Error 0.103
Test TabletSneezing Severity AssessmentChange from baseline in 60 minutes-0.50 Score on scaleStandard Error 0.126
Test TabletSneezing Severity AssessmentChange from baseline in 120 minutes-0.67 Score on scaleStandard Error 0.138
Test TabletSneezing Severity AssessmentChange from baseline in 180 minutes-0.83 Score on scaleStandard Error 0.138
Test TabletSneezing Severity AssessmentChange from baseline in 240 minutes-0.88 Score on scaleStandard Error 0.135
PlaceboSneezing Severity AssessmentChange from baseline in 180 minutes-1.03 Score on scaleStandard Error 0.136
PlaceboSneezing Severity AssessmentChange from baseline in 15 minutes-0.24 Score on scaleStandard Error 0.088
PlaceboSneezing Severity AssessmentChange from baseline in 120 minutes-0.86 Score on scaleStandard Error 0.136
PlaceboSneezing Severity AssessmentChange from baseline in 30 minutes-0.42 Score on scaleStandard Error 0.102
PlaceboSneezing Severity AssessmentChange from baseline in 240 minutes-1.11 Score on scaleStandard Error 0.133
PlaceboSneezing Severity AssessmentChange from baseline in 60 minutes-0.80 Score on scaleStandard Error 0.124
Secondary

Sore Throat Severity Assessment

Participants self-assessed sore throat severity using 4 points (0 = absent, 1 = mild, 2 = moderate, and 3 = severe) categorical scale at baseline and at 15, 30, 60, 120,180 and 240 minutes post product administration. All sore throat severity assessment values were recorded in questionnaire and tabulated. A reduction in severity score from baseline represented a better outcome measure.

Time frame: Change from baseline in 15, 30, 60,120, 180, and 240 minutes

Population: The primary population for assessment of efficacy was the intent to treat (ITT) population. The ITT population was defined as all participants who were randomized and received at least one dose of treatment during the study and provide at least one post baseline assessment of efficacy.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Test TabletSore Throat Severity AssessmentChange from baseline in 15 minutes-0.12 Score on scaleStandard Error 0.076
Test TabletSore Throat Severity AssessmentChange from baseline in 30 minutes-0.21 Score on scaleStandard Error 0.082
Test TabletSore Throat Severity AssessmentChange from baseline in 60 minutes-0.27 Score on scaleStandard Error 0.099
Test TabletSore Throat Severity AssessmentChange from baseline in 120 minutes-0.33 Score on scaleStandard Error 0.124
Test TabletSore Throat Severity AssessmentChange from baseline in 180 minutes-0.33 Score on scaleStandard Error 0.132
Test TabletSore Throat Severity AssessmentChange from baseline in 240 minutes-0.46 Score on scaleStandard Error 0.137
PlaceboSore Throat Severity AssessmentChange from baseline in 180 minutes-0.53 Score on scaleStandard Error 0.128
PlaceboSore Throat Severity AssessmentChange from baseline in 15 minutes-0.28 Score on scaleStandard Error 0.073
PlaceboSore Throat Severity AssessmentChange from baseline in 120 minutes-0.49 Score on scaleStandard Error 0.12
PlaceboSore Throat Severity AssessmentChange from baseline in 30 minutes-0.29 Score on scaleStandard Error 0.08
PlaceboSore Throat Severity AssessmentChange from baseline in 240 minutes-0.71 Score on scaleStandard Error 0.133
PlaceboSore Throat Severity AssessmentChange from baseline in 60 minutes-0.29 Score on scaleStandard Error 0.096

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026