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Efficacy and Safety of Polyoxidonium, Nasal and Sublingual Spray, 6 mg/ml in Children Aged 1-12 Years With ARI

A Multicenter Prospective, Randomized, Double-blind, Placebo-controlled, Parallel-group Study to Evaluate the Efficacy and Safety of Polyoxidonium, Nasal and Sublingual Spray, 6 mg/ml in Children Aged From 1 to 12 Years With ARI (Acute Respiratory Infection)

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03840135
Enrollment
172
Registered
2019-02-15
Start date
2018-11-07
Completion date
2019-12-10
Last updated
2020-07-29

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

Conditions

Acute Respiratory Infection

Keywords

ARI, acute respiratory infection

Brief summary

The purpose of this study is is to demonstrate superiority of Polyoxidonium, nasal and sublingual spray, 6 mg/ml over placebo in children aged from 1 to 12 years with acute respiratory viral infections. This is a multicenter prospective, randomized, double-blind, placebo-controlled, parallel-group phase 3 study.

Detailed description

This is a multicenter prospective, randomized, double-blind, placebo-controlled, parallel-group phase 3 study to evaluate efficacy of Polyoxidonium spray 6 mg/ml on acute respiratory viral infections symptoms in children population. A study will last for 13 days (maximum) for each participant and will include 6 visits: Day 0 (Screening), Day 1, Day 3, Day 5, Day 8 ±1, Day 12 ±1. Express tests will be performed at the screening visit to exclude subjects with influenza or streptococcal infection. All eligible subjects will be treated with Polyoxidonium spray 6 mg/ml or placebo spray for 7 days. Clinical blood and urine tests will be performed at days 0 and 8 ±1. Symptom Assessment Scale (SAS) will be filled in at days 0, 1, 3, 5 and 8 ±1. Integrative Medicine Outcome Scale (IMOS) will be filled in by investigator and a parent/adopter at day 8 ±1. Adverse events information will be collected at days 1, 3, 8 ±1 and 12 ±1.

Interventions

DRUGPolyoxidonium 6 mg/ml

Nasal and sublingual spray Polyoxidonium 6 mg/ml will be administered at a dose of 0,15 mg/kg daily for 7 days: in children aged from 1 to 2 years - 1 spray sublingually 2 times a day (every 12 hours); in children aged from 2 to 5 years - 1 spray intranasally (in each nasal passage) 2 times a day (every 12 hours; in children aged from 5 to 8 years - 1 spray intranasally (in each nasal passage) 3 times a day (every 8 hours); in children aged from 8 to 12 years - 2 spray intranasally (in each nasal passage) 2 times a day (every 12 hours).

OTHERPlacebo

Placebo nasal and sublingual spray will be administered for 7 days: in children aged from 1 to 2 years - 1 spray sublingually 2 times a day (every 12 hours); in children aged from 2 to 5 years - 1 spray intranasally (in each nasal passage) 2 times a day (every 12 hours; in children aged from 5 to 8 years - 1 spray intranasally (in each nasal passage) 3 times a day (every 8 hours); in children aged from 8 to 12 years - 2 spray intranasally (in each nasal passage) 2 times a day (every 12 hours).

Sponsors

NPO Petrovax
Lead SponsorINDUSTRY

Study design

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

Eligibility

Sex/Gender
ALL
Age
1 Years to 12 Years
Healthy volunteers
No

Inclusion criteria

* Male and female patients aged 1 to 12 years * Diagnosis of acute respiratory viral infection \[International Classification of Diseases (10-th revision) codes: Acute nasopharyngitis \[common cold\], J02 Acute pharyngitis, J02.9 Acute pharyngitis, unspecified, J04 Acute laryngitis and tracheitis, J04.0 Acute laryngitis, J04.1 Acute tracheitis, J04.2 Acute laryngotracheitis, J06 Acute upper respiratory infections of multiple and unspecified sites, J06.0 Acute laryngopharyngitis, J06.9 Acute upper respiratory infection, unspecified\] confirmed by physical examination: axillary temperature ≥ 37,0°C (measured at the moment of physical examination) and Symptoms Assessment Scale total score ≥5 points (not less than 3 of which should be related to ear, or nose, or throat, or upper respiratory tract affection symptoms). * Less than 24 hours from the onset of disease (first respiratory viral infection symptoms) * Informed consent signed by parent/adopter, or a child (applicable for children aged \> 10 years)

Exclusion criteria

* Suspicion on pneumonia, bacterial infection (including meningitis, sepsis, otitis media, sinusitis, sinusitis, urinary tract infection etc.) or a condition that requires antibacterial therapy from the first day of treatment. * Suspicion on other diseases that may simulate acute respiratory viral infection at the moment of onset (other infectious diseases, flu-like syndrome in system collagen and other diseases). * Positive express test for influenza or streptococcal infection. * Clinical signs of serious acute respiratory viral infection, which requires hospitalization (fever ≥ 40°C, sings of airway obstruction, significant hemodynamic or neurological disorders). * History of primary or secondary immunodeficiency. * Cancer. * Acute infectious and non-infectious diseases (except acute respiratory viral infection), exacerbation or decompensation of chronic diseases (diabetes mellitus, infantile cerebral paralysis, cystic fibrosis, primary ciliary dyskinesia, bronchopulmonary dysplasia, malformations of upper respiratory tract,ears, nose, or throat) which may affect an ability of patient to participate in study. * Saccharase/isomaltase deficiency, fructose intolerance, glucose-galactose malabsorption. * History of allergy/hypersensitivity to any component of the study drug (including paracetamol, propacetamol hydrochloride). * Use of protocol-prohibited medications within 1 month prior to study. * Children, who's parents/adopters may fail to follow the protocol procedures and treatment, in investigator's opinion. * Participation in other studies within 3 months to screening. * Pregnancy. * Any other medical or social condition that may interrupt study participation, in investigator's opinion.

Design outcomes

Primary

MeasureTime frameDescription
Fever Duration (With a Superiority Cut-off Level δ=-0,52 Days)Day 8±1Normalization of body temperature (axillary body temperature level ≤ 36,9 °C confirmed by two consecutive measurements (morning-evening/evening-morning)) will be considered as the end of fever

Secondary

MeasureTime frameDescription
Number of Patients (NP) Without Nasal Discharge Symptom by 3 and 5 Day of Treatment, Number of Patients (NP) With Mild/Moderate/Severe Nasal Discharge Symptom by 3 and 5 Day of TreatmentDay 3, Day 5Each symptom was graded by the following points: * 0 points - absent; * 1 point - mild; * 2 points - moderate; * 3 points - severe. Number of patients (NP) without nasal discharge symptom by 3 and 5 day of treatment (score on the scale 0 point), Number of patients (NP) with mild nasal discharge symptom by 3 and 5 day of treatment (score on the scale 1 points) Number of patients (NP) with moderate nasal discharge symptom by 3 and 5 day of treatment (score on the scale 2 points) Number of patients (NP) with severe nasal discharge symptom by 3 and 5 day of treatment (score on the scale 3 points)
Score on Symptoms: Nasal Discharge and Nasal Congestion/Impaired Nasal Airflow Due to Symptom Assessment Scale by 3 and 5 Day of TreatmentDay 3, Day 5Each symptom was graded by the following points: * 0 points - absent; * 1 point - mild; * 2 points - moderate; * 3 points - severe. The higher scores mean worse outcome. The maximum score is 3 points, the minimum score is 0 points.
Total Score on Symptom Assessment Scale by 3 and 5 Day of TreatmentDay 3, Day 5Symptom Assessment Scale (SAS) consists of 3 domains: 1. Domain General intoxication symptoms (altered/increased activity/dysfunctional behavior; altered appetite or food refusal; unhealthy or alter from common appearance; altered or interrupted sleep); 2. Nose symptoms (nasal discharge; nasal congestion/impaired nasal airflow; sneezing); 3. Throat and thoracic symptoms (hoarseness; sore throat; cough). Each symptom may be graded by the following points: * 0 points - absent; * 1 point - mild; * 2 points - moderate; * 3 points - severe. The higher scores mean a worse outcome. The total score is the sum of points of each symptom graded in Symptom Assessment Scale. The maximum possible value of the total score is 30 points, the minimum possible value of the total score is 0 points.
Assessment of Treatment Results With Integrative Medicine Outcome Scale (IMOS) Performed by InvestigatorDay 8±1Integrative Medicine Outcome Scale (IMOS) is used to assess treatment efficacy and has the following gradations of health condition: 0 points - absolute recovery; 1. point - significant improvement; 2. points - slight to moderate improvement; 3. points - unchanged; 4. points - decline. The results is presented in number of patients with 0 points (absolute recovery), number of patients with 1 points (significant improvement), number of patients with 2 points (slight to moderate improvement), number of patients with 3 points (unchanged), number ot patients with 4 points (decline) by day 8 according IMOS.
Changes in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)Day 3A total number of patients (NP) without symptoms due to General intoxication symptoms domain of the Symptom Assessment Scale (SAS) was evaluated. A total number of patients (NP) with mild symptoms due to General intoxication symptoms domain of SAS (1 point according SAS) was evaluated. A total number of patients (NP) with moderate symptoms due to General intoxication symptoms domain of SAS (2 point according SAS) was be evaluated. A total number of patients (NP) with severe symptoms due to General intoxication symptoms domain of SAS (3 point according SAS) was evaluated. Domain General intoxication symptoms includes the following symptoms: * altered/decreased activity; * altered appetite; * unhealthy appearance; * altered or interrupted sleep. Each symptom may be graded by the following points: * 0 points - absent; * 1 point - mild; * 2 points - moderate; * 3 points - severe.
Number of Cases of Antifebrile Agents UseDay 8±1Number of cases of the antipyretic product (paracetamol) consumption for the entire study period
Number of Patients Discontinued From the Study Due to Requirement for Antibacterial TherapyDay 8±1Number of patients who discontinued from the study due to requirement for antibacterial therapy
Number of Patients With Normalization of Body Temperature by 5 Day of TreatmentDay 5Axillary body temperature level ≤ 36,9 °C confirmed by two consecutive measurements (morning-evening/evening-morning will be considered as normalization of body temperature
Number of Patients With Clinical Improvement (Symptom Assessment Scale Total Score ≤ 3) by 5 Day of TreatmentDay 5Symptom Assessment Scale (SAS) consists of 3 domains: 1. Domain General intoxication symptoms (altered/increased activity/dysfunctional behavior; altered appetite or food refusal; unhealthy or alter from common appearance; altered or interrupted sleep); 2. Nose symptoms (nasal discharge; nasal congestion; impaired nasal airflow; sneezing); 3. Throat and thoracic symptoms (hoarseness; sore throat; cough). The higher scores mean a worse outcome. The total score is the sum of points of each symptom graded in Symptom Assessment Scale. The maximum possible value of the total score is 30 points, the minimum possible value of the total score is 0 points. Each symptom may be graded by the following points: * 0 points - absent; * 1 point - mild; * 2 points - moderate; * 3 points - severe.
Assessment of Treatment Results With Integrative Medicine Outcome Scale (IMOS) Performed by Parent/AdopterDay 8±1Integrative Medicine Outcome Scale (IMOS) is used to assess treatment efficacy and has the following gradations of health condition: 0 points - absolute recovery; 1. point - significant improvement; 2. points - slight to moderate improvement; 3. points - unchanged; 4. points - decline. The results is presented in number of patients with 0 points (absolute recovery), number of patients with 1 points (significant improvement), number of patients with 2 points (slight to moderate improvement), number of patients with 3 points (unchanged), number ot patients with 4 points (decline) by day 8 according IMOS.

Countries

Russia

Participant flow

Participants by arm

ArmCount
Polyoxidonium 6 mg/ml
Polyoxidonium 6 mg/ml nasal and sublingual spray - 0,15 mg/kg daily - 7 days. Polyoxidonium 6 mg/ml: Nasal and sublingual spray Polyoxidonium 6 mg/ml will be administered at a dose of 0,15 mg/kg daily for 7 days: in children aged from 1 to 2 years - 1 sublingual spray 2 times a day (every 12 hours); in children aged from 2 to 5 years - 1 intranasal spray (in each nasal passage) 2 times a day (every 12 hours; in children aged from 5 to 8 years - 1 intranasal spray (in each nasal passage) 3 times a day (every 8 hours); in children aged from 8 to 12 years - 2 intranasal spray (in each nasal passage) 2 times a day (every 12 hours).
76
Placebo
Placebo, nasal and sublingual spray - 7 days. Placebo: Placebo nasal and sublingual spray will be administered for 7 days: in children aged from 1 to 2 years - 1 sublingual spray 2 times a day (every 12 hours); in children aged from 2 to 5 years - 1 intranasal spray (in each nasal passage) 2 times a day (every 12 hours; in children aged from 5 to 8 years - 1 intranasal spray (in each nasal passage) 3 times a day (every 8 hours); in children aged from 8 to 12 years - 2 intranasal spray (in each nasal passage) 2 times a day (every 12 hours).
79
Total155

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyProtocol Violation61
Overall StudyWithdrawal by Subject10

Baseline characteristics

CharacteristicPolyoxidonium 6 mg/mlPlaceboTotal
Age, Categorical
<=18 years
76 Participants79 Participants155 Participants
Age, Categorical
>=65 years
0 Participants0 Participants0 Participants
Age, Categorical
Between 18 and 65 years
0 Participants0 Participants0 Participants
Age, Continuous6 years5 years5 years
Body height1.16 m1.12 m1.13 m
Body Mass20.85 kg18 kg19 kg
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
1 Participants1 Participants2 Participants
Race (NIH/OMB)
Black or African American
0 Participants0 Participants0 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
75 Participants78 Participants153 Participants
Region of Enrollment
Russia
76 participants79 participants155 participants
Sex: Female, Male
Female
33 Participants41 Participants74 Participants
Sex: Female, Male
Male
43 Participants38 Participants81 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 840 / 86
other
Total, other adverse events
1 / 846 / 86
serious
Total, serious adverse events
0 / 840 / 86

Outcome results

Primary

Fever Duration (With a Superiority Cut-off Level δ=-0,52 Days)

Normalization of body temperature (axillary body temperature level ≤ 36,9 °C confirmed by two consecutive measurements (morning-evening/evening-morning)) will be considered as the end of fever

Time frame: Day 8±1

ArmMeasureValue (MEAN)
Polyoxidonium 6 mg/mlFever Duration (With a Superiority Cut-off Level δ=-0,52 Days)2.04 day
PlaceboFever Duration (With a Superiority Cut-off Level δ=-0,52 Days)2.26 day
Comparison: The value of δ = -0.52 days was considered as the boundary of superiority. The end of the fever period is considered to have an axillary body temperature of ≤36.9 ° C in two consecutive measurements (morning-evening / evening-morning).p-value: <0.0595% CI: [-0.6, 0.16]t-test, 2 sided
Secondary

Assessment of Treatment Results With Integrative Medicine Outcome Scale (IMOS) Performed by Investigator

Integrative Medicine Outcome Scale (IMOS) is used to assess treatment efficacy and has the following gradations of health condition: 0 points - absolute recovery; 1. point - significant improvement; 2. points - slight to moderate improvement; 3. points - unchanged; 4. points - decline. The results is presented in number of patients with 0 points (absolute recovery), number of patients with 1 points (significant improvement), number of patients with 2 points (slight to moderate improvement), number of patients with 3 points (unchanged), number ot patients with 4 points (decline) by day 8 according IMOS.

Time frame: Day 8±1

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Polyoxidonium 6 mg/mlAssessment of Treatment Results With Integrative Medicine Outcome Scale (IMOS) Performed by Investigatorsignificant improvement12 Participants
Polyoxidonium 6 mg/mlAssessment of Treatment Results With Integrative Medicine Outcome Scale (IMOS) Performed by Investigatorunchanged0 Participants
Polyoxidonium 6 mg/mlAssessment of Treatment Results With Integrative Medicine Outcome Scale (IMOS) Performed by Investigatorslight to moderate improvement2 Participants
Polyoxidonium 6 mg/mlAssessment of Treatment Results With Integrative Medicine Outcome Scale (IMOS) Performed by Investigatordecline0 Participants
Polyoxidonium 6 mg/mlAssessment of Treatment Results With Integrative Medicine Outcome Scale (IMOS) Performed by Investigatorabsolute recovery62 Participants
PlaceboAssessment of Treatment Results With Integrative Medicine Outcome Scale (IMOS) Performed by Investigatordecline0 Participants
PlaceboAssessment of Treatment Results With Integrative Medicine Outcome Scale (IMOS) Performed by Investigatorabsolute recovery60 Participants
PlaceboAssessment of Treatment Results With Integrative Medicine Outcome Scale (IMOS) Performed by Investigatorsignificant improvement14 Participants
PlaceboAssessment of Treatment Results With Integrative Medicine Outcome Scale (IMOS) Performed by Investigatorslight to moderate improvement4 Participants
PlaceboAssessment of Treatment Results With Integrative Medicine Outcome Scale (IMOS) Performed by Investigatorunchanged1 Participants
p-value: <0.05χ2 Pearson criterion
Secondary

Assessment of Treatment Results With Integrative Medicine Outcome Scale (IMOS) Performed by Parent/Adopter

Integrative Medicine Outcome Scale (IMOS) is used to assess treatment efficacy and has the following gradations of health condition: 0 points - absolute recovery; 1. point - significant improvement; 2. points - slight to moderate improvement; 3. points - unchanged; 4. points - decline. The results is presented in number of patients with 0 points (absolute recovery), number of patients with 1 points (significant improvement), number of patients with 2 points (slight to moderate improvement), number of patients with 3 points (unchanged), number ot patients with 4 points (decline) by day 8 according IMOS.

Time frame: Day 8±1

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Polyoxidonium 6 mg/mlAssessment of Treatment Results With Integrative Medicine Outcome Scale (IMOS) Performed by Parent/Adoptersignificant improvement30 Participants
Polyoxidonium 6 mg/mlAssessment of Treatment Results With Integrative Medicine Outcome Scale (IMOS) Performed by Parent/Adopterunchanged0 Participants
Polyoxidonium 6 mg/mlAssessment of Treatment Results With Integrative Medicine Outcome Scale (IMOS) Performed by Parent/Adopterslight to moderate improvement5 Participants
Polyoxidonium 6 mg/mlAssessment of Treatment Results With Integrative Medicine Outcome Scale (IMOS) Performed by Parent/Adopterdecline0 Participants
Polyoxidonium 6 mg/mlAssessment of Treatment Results With Integrative Medicine Outcome Scale (IMOS) Performed by Parent/Adopterabsolute recovery41 Participants
PlaceboAssessment of Treatment Results With Integrative Medicine Outcome Scale (IMOS) Performed by Parent/Adopterdecline0 Participants
PlaceboAssessment of Treatment Results With Integrative Medicine Outcome Scale (IMOS) Performed by Parent/Adopterabsolute recovery35 Participants
PlaceboAssessment of Treatment Results With Integrative Medicine Outcome Scale (IMOS) Performed by Parent/Adoptersignificant improvement30 Participants
PlaceboAssessment of Treatment Results With Integrative Medicine Outcome Scale (IMOS) Performed by Parent/Adopterslight to moderate improvement9 Participants
PlaceboAssessment of Treatment Results With Integrative Medicine Outcome Scale (IMOS) Performed by Parent/Adopterunchanged5 Participants
p-value: <0.05χ2 Pearson criterion
Secondary

Changes in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)

A total number of patients (NP) without symptoms due to General intoxication symptoms domain of the Symptom Assessment Scale (SAS) was evaluated. A total number of patients (NP) with mild symptoms due to General intoxication symptoms domain of SAS (1 point according SAS) was evaluated. A total number of patients (NP) with moderate symptoms due to General intoxication symptoms domain of SAS (2 point according SAS) was be evaluated. A total number of patients (NP) with severe symptoms due to General intoxication symptoms domain of SAS (3 point according SAS) was evaluated. Domain General intoxication symptoms includes the following symptoms: * altered/decreased activity; * altered appetite; * unhealthy appearance; * altered or interrupted sleep. Each symptom may be graded by the following points: * 0 points - absent; * 1 point - mild; * 2 points - moderate; * 3 points - severe.

Time frame: Day 3

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Polyoxidonium 6 mg/mlChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP without altered/decreased activity day 014 Participants
Polyoxidonium 6 mg/mlChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP without unhealthy appearance day 08 Participants
Polyoxidonium 6 mg/mlChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP without altered appetite day 09 Participants
Polyoxidonium 6 mg/mlChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP with mild unhealthy appearance day 050 Participants
Polyoxidonium 6 mg/mlChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP without altered/decreased activity day 352 Participants
Polyoxidonium 6 mg/mlChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP with moderate unhealthy appearance day 018 Participants
Polyoxidonium 6 mg/mlChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP with mild altered appetite day 035 Participants
Polyoxidonium 6 mg/mlChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP with severe mild unhealthy appearance day 00 Participants
Polyoxidonium 6 mg/mlChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP with moderate altered/decreased activity day 022 Participants
Polyoxidonium 6 mg/mlChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP without unhealthy appearance day 359 Participants
Polyoxidonium 6 mg/mlChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP with moderate altered appetite day 031 Participants
Polyoxidonium 6 mg/mlChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP with mild unhealthy appearance day 316 Participants
Polyoxidonium 6 mg/mlChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP with mild altered/decreased activity day 323 Participants
Polyoxidonium 6 mg/mlChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP with moderate unhealthy appearance day 31 Participants
Polyoxidonium 6 mg/mlChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP with severe altered appetite day 01 Participants
Polyoxidonium 6 mg/mlChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP with severe unhealthy appearance day 30 Participants
Polyoxidonium 6 mg/mlChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP with mild altered/decreased activity day 040 Participants
Polyoxidonium 6 mg/mlChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP without altered appetite day 354 Participants
Polyoxidonium 6 mg/mlChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP with mild altered or interrupted sleep day 023 Participants
Polyoxidonium 6 mg/mlChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP with moderate altered/decreased activity day 31 Participants
Polyoxidonium 6 mg/mlChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP with moderate altered or interrupt. sleep day 013 Participants
Polyoxidonium 6 mg/mlChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP with mild altered appetite day 318 Participants
Polyoxidonium 6 mg/mlChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP with severe altered or interrupt. sleep day 00 Participants
Polyoxidonium 6 mg/mlChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP with severe altered/decreased activity day 00 Participants
Polyoxidonium 6 mg/mlChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP without altered or interrupted sleep day 373 Participants
Polyoxidonium 6 mg/mlChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP with moderate altered appetite day 34 Participants
Polyoxidonium 6 mg/mlChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP with mild altered or interrupted sleep day 33 Participants
Polyoxidonium 6 mg/mlChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP with severe altered/decreased activity day 30 Participants
Polyoxidonium 6 mg/mlChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP with moderate altered or interrupt. sleep day 30 Participants
Polyoxidonium 6 mg/mlChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP with severe altered appetite day 30 Participants
Polyoxidonium 6 mg/mlChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP with severe altered or interrupt. sleep day 30 Participants
Polyoxidonium 6 mg/mlChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP without altered or interrupted sleep day 040 Participants
PlaceboChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP with severe altered or interrupt. sleep day 30 Participants
PlaceboChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP without altered/decreased activity day 011 Participants
PlaceboChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP with mild altered/decreased activity day 051 Participants
PlaceboChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP with moderate altered/decreased activity day 017 Participants
PlaceboChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP with severe altered/decreased activity day 00 Participants
PlaceboChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP without altered/decreased activity day 346 Participants
PlaceboChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP with mild altered/decreased activity day 333 Participants
PlaceboChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP with moderate altered/decreased activity day 30 Participants
PlaceboChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP with severe altered/decreased activity day 30 Participants
PlaceboChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP without altered appetite day 010 Participants
PlaceboChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP with mild altered appetite day 044 Participants
PlaceboChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP with moderate altered appetite day 025 Participants
PlaceboChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP with severe altered appetite day 00 Participants
PlaceboChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP without altered appetite day 350 Participants
PlaceboChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP with mild altered appetite day 327 Participants
PlaceboChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP with moderate altered appetite day 32 Participants
PlaceboChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP with severe altered appetite day 30 Participants
PlaceboChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP without unhealthy appearance day 06 Participants
PlaceboChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP with mild unhealthy appearance day 056 Participants
PlaceboChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP with moderate unhealthy appearance day 017 Participants
PlaceboChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP with severe mild unhealthy appearance day 00 Participants
PlaceboChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP without unhealthy appearance day 349 Participants
PlaceboChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP with mild unhealthy appearance day 330 Participants
PlaceboChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP with moderate unhealthy appearance day 30 Participants
PlaceboChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP with severe unhealthy appearance day 30 Participants
PlaceboChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP without altered or interrupted sleep day 046 Participants
PlaceboChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP with mild altered or interrupted sleep day 027 Participants
PlaceboChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP with moderate altered or interrupt. sleep day 06 Participants
PlaceboChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP with severe altered or interrupt. sleep day 00 Participants
PlaceboChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP without altered or interrupted sleep day 371 Participants
PlaceboChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP with mild altered or interrupted sleep day 36 Participants
PlaceboChanges in Intoxication Symptoms by 3 Day of Treatment Due to Symptom Assessment Scale (SAS)NP with moderate altered or interrupt. sleep day 32 Participants
p-value: <0.05χ2 Pearson criterion
Secondary

Number of Cases of Antifebrile Agents Use

Number of cases of the antipyretic product (paracetamol) consumption for the entire study period

Time frame: Day 8±1

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Polyoxidonium 6 mg/mlNumber of Cases of Antifebrile Agents Use8 Participants
PlaceboNumber of Cases of Antifebrile Agents Use10 Participants
Secondary

Number of Patients Discontinued From the Study Due to Requirement for Antibacterial Therapy

Number of patients who discontinued from the study due to requirement for antibacterial therapy

Time frame: Day 8±1

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Polyoxidonium 6 mg/mlNumber of Patients Discontinued From the Study Due to Requirement for Antibacterial Therapy0 Participants
PlaceboNumber of Patients Discontinued From the Study Due to Requirement for Antibacterial Therapy0 Participants
Secondary

Number of Patients (NP) Without Nasal Discharge Symptom by 3 and 5 Day of Treatment, Number of Patients (NP) With Mild/Moderate/Severe Nasal Discharge Symptom by 3 and 5 Day of Treatment

Each symptom was graded by the following points: * 0 points - absent; * 1 point - mild; * 2 points - moderate; * 3 points - severe. Number of patients (NP) without nasal discharge symptom by 3 and 5 day of treatment (score on the scale 0 point), Number of patients (NP) with mild nasal discharge symptom by 3 and 5 day of treatment (score on the scale 1 points) Number of patients (NP) with moderate nasal discharge symptom by 3 and 5 day of treatment (score on the scale 2 points) Number of patients (NP) with severe nasal discharge symptom by 3 and 5 day of treatment (score on the scale 3 points)

Time frame: Day 3, Day 5

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Polyoxidonium 6 mg/mlNumber of Patients (NP) Without Nasal Discharge Symptom by 3 and 5 Day of Treatment, Number of Patients (NP) With Mild/Moderate/Severe Nasal Discharge Symptom by 3 and 5 Day of TreatmentDay 0NP without nasal discharge symptom9 Participants
Polyoxidonium 6 mg/mlNumber of Patients (NP) Without Nasal Discharge Symptom by 3 and 5 Day of Treatment, Number of Patients (NP) With Mild/Moderate/Severe Nasal Discharge Symptom by 3 and 5 Day of TreatmentDay 0NP with mild nasal discharge symptom19 Participants
Polyoxidonium 6 mg/mlNumber of Patients (NP) Without Nasal Discharge Symptom by 3 and 5 Day of Treatment, Number of Patients (NP) With Mild/Moderate/Severe Nasal Discharge Symptom by 3 and 5 Day of TreatmentDay 0NP with moderate nasal discharge symptom46 Participants
Polyoxidonium 6 mg/mlNumber of Patients (NP) Without Nasal Discharge Symptom by 3 and 5 Day of Treatment, Number of Patients (NP) With Mild/Moderate/Severe Nasal Discharge Symptom by 3 and 5 Day of TreatmentDay 0NP with severe nasal discharge symptom2 Participants
Polyoxidonium 6 mg/mlNumber of Patients (NP) Without Nasal Discharge Symptom by 3 and 5 Day of Treatment, Number of Patients (NP) With Mild/Moderate/Severe Nasal Discharge Symptom by 3 and 5 Day of TreatmentDay 3NP without nasal discharge symptom26 Participants
Polyoxidonium 6 mg/mlNumber of Patients (NP) Without Nasal Discharge Symptom by 3 and 5 Day of Treatment, Number of Patients (NP) With Mild/Moderate/Severe Nasal Discharge Symptom by 3 and 5 Day of TreatmentDay 3NP with mild nasal discharge symptom30 Participants
Polyoxidonium 6 mg/mlNumber of Patients (NP) Without Nasal Discharge Symptom by 3 and 5 Day of Treatment, Number of Patients (NP) With Mild/Moderate/Severe Nasal Discharge Symptom by 3 and 5 Day of TreatmentDay 3NP with moderate nasal discharge symptom20 Participants
Polyoxidonium 6 mg/mlNumber of Patients (NP) Without Nasal Discharge Symptom by 3 and 5 Day of Treatment, Number of Patients (NP) With Mild/Moderate/Severe Nasal Discharge Symptom by 3 and 5 Day of TreatmentDay 3NP with severe nasal discharge symptom0 Participants
Polyoxidonium 6 mg/mlNumber of Patients (NP) Without Nasal Discharge Symptom by 3 and 5 Day of Treatment, Number of Patients (NP) With Mild/Moderate/Severe Nasal Discharge Symptom by 3 and 5 Day of TreatmentDay 5NP without nasal discharge symptom40 Participants
Polyoxidonium 6 mg/mlNumber of Patients (NP) Without Nasal Discharge Symptom by 3 and 5 Day of Treatment, Number of Patients (NP) With Mild/Moderate/Severe Nasal Discharge Symptom by 3 and 5 Day of TreatmentDay 5NP with mild nasal discharge symptom29 Participants
Polyoxidonium 6 mg/mlNumber of Patients (NP) Without Nasal Discharge Symptom by 3 and 5 Day of Treatment, Number of Patients (NP) With Mild/Moderate/Severe Nasal Discharge Symptom by 3 and 5 Day of TreatmentDay 5NP with moderate nasal discharge symptom7 Participants
Polyoxidonium 6 mg/mlNumber of Patients (NP) Without Nasal Discharge Symptom by 3 and 5 Day of Treatment, Number of Patients (NP) With Mild/Moderate/Severe Nasal Discharge Symptom by 3 and 5 Day of TreatmentDay 5NP with severe nasal discharge symptom0 Participants
PlaceboNumber of Patients (NP) Without Nasal Discharge Symptom by 3 and 5 Day of Treatment, Number of Patients (NP) With Mild/Moderate/Severe Nasal Discharge Symptom by 3 and 5 Day of TreatmentDay 5NP with moderate nasal discharge symptom17 Participants
PlaceboNumber of Patients (NP) Without Nasal Discharge Symptom by 3 and 5 Day of Treatment, Number of Patients (NP) With Mild/Moderate/Severe Nasal Discharge Symptom by 3 and 5 Day of TreatmentDay 0NP without nasal discharge symptom12 Participants
PlaceboNumber of Patients (NP) Without Nasal Discharge Symptom by 3 and 5 Day of Treatment, Number of Patients (NP) With Mild/Moderate/Severe Nasal Discharge Symptom by 3 and 5 Day of TreatmentDay 3NP with moderate nasal discharge symptom29 Participants
PlaceboNumber of Patients (NP) Without Nasal Discharge Symptom by 3 and 5 Day of Treatment, Number of Patients (NP) With Mild/Moderate/Severe Nasal Discharge Symptom by 3 and 5 Day of TreatmentDay 0NP with mild nasal discharge symptom20 Participants
PlaceboNumber of Patients (NP) Without Nasal Discharge Symptom by 3 and 5 Day of Treatment, Number of Patients (NP) With Mild/Moderate/Severe Nasal Discharge Symptom by 3 and 5 Day of TreatmentDay 5NP with mild nasal discharge symptom38 Participants
PlaceboNumber of Patients (NP) Without Nasal Discharge Symptom by 3 and 5 Day of Treatment, Number of Patients (NP) With Mild/Moderate/Severe Nasal Discharge Symptom by 3 and 5 Day of TreatmentDay 0NP with moderate nasal discharge symptom43 Participants
PlaceboNumber of Patients (NP) Without Nasal Discharge Symptom by 3 and 5 Day of Treatment, Number of Patients (NP) With Mild/Moderate/Severe Nasal Discharge Symptom by 3 and 5 Day of TreatmentDay 3NP with severe nasal discharge symptom0 Participants
PlaceboNumber of Patients (NP) Without Nasal Discharge Symptom by 3 and 5 Day of Treatment, Number of Patients (NP) With Mild/Moderate/Severe Nasal Discharge Symptom by 3 and 5 Day of TreatmentDay 0NP with severe nasal discharge symptom4 Participants
PlaceboNumber of Patients (NP) Without Nasal Discharge Symptom by 3 and 5 Day of Treatment, Number of Patients (NP) With Mild/Moderate/Severe Nasal Discharge Symptom by 3 and 5 Day of TreatmentDay 5NP with severe nasal discharge symptom0 Participants
PlaceboNumber of Patients (NP) Without Nasal Discharge Symptom by 3 and 5 Day of Treatment, Number of Patients (NP) With Mild/Moderate/Severe Nasal Discharge Symptom by 3 and 5 Day of TreatmentDay 3NP without nasal discharge symptom13 Participants
PlaceboNumber of Patients (NP) Without Nasal Discharge Symptom by 3 and 5 Day of Treatment, Number of Patients (NP) With Mild/Moderate/Severe Nasal Discharge Symptom by 3 and 5 Day of TreatmentDay 5NP without nasal discharge symptom24 Participants
PlaceboNumber of Patients (NP) Without Nasal Discharge Symptom by 3 and 5 Day of Treatment, Number of Patients (NP) With Mild/Moderate/Severe Nasal Discharge Symptom by 3 and 5 Day of TreatmentDay 3NP with mild nasal discharge symptom37 Participants
p-value: <0.05χ2 Pearson criterion
Secondary

Number of Patients With Clinical Improvement (Symptom Assessment Scale Total Score ≤ 3) by 5 Day of Treatment

Symptom Assessment Scale (SAS) consists of 3 domains: 1. Domain General intoxication symptoms (altered/increased activity/dysfunctional behavior; altered appetite or food refusal; unhealthy or alter from common appearance; altered or interrupted sleep); 2. Nose symptoms (nasal discharge; nasal congestion; impaired nasal airflow; sneezing); 3. Throat and thoracic symptoms (hoarseness; sore throat; cough). The higher scores mean a worse outcome. The total score is the sum of points of each symptom graded in Symptom Assessment Scale. The maximum possible value of the total score is 30 points, the minimum possible value of the total score is 0 points. Each symptom may be graded by the following points: * 0 points - absent; * 1 point - mild; * 2 points - moderate; * 3 points - severe.

Time frame: Day 5

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Polyoxidonium 6 mg/mlNumber of Patients With Clinical Improvement (Symptom Assessment Scale Total Score ≤ 3) by 5 Day of Treatment56 Participants
PlaceboNumber of Patients With Clinical Improvement (Symptom Assessment Scale Total Score ≤ 3) by 5 Day of Treatment51 Participants
p-value: <0.05Chi-squared
Secondary

Number of Patients With Normalization of Body Temperature by 5 Day of Treatment

Axillary body temperature level ≤ 36,9 °C confirmed by two consecutive measurements (morning-evening/evening-morning will be considered as normalization of body temperature

Time frame: Day 5

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Polyoxidonium 6 mg/mlNumber of Patients With Normalization of Body Temperature by 5 Day of Treatment73 Participants
PlaceboNumber of Patients With Normalization of Body Temperature by 5 Day of Treatment76 Participants
p-value: <0.05Fisher Exact
Secondary

Score on Symptoms: Nasal Discharge and Nasal Congestion/Impaired Nasal Airflow Due to Symptom Assessment Scale by 3 and 5 Day of Treatment

Each symptom was graded by the following points: * 0 points - absent; * 1 point - mild; * 2 points - moderate; * 3 points - severe. The higher scores mean worse outcome. The maximum score is 3 points, the minimum score is 0 points.

Time frame: Day 3, Day 5

ArmMeasureGroupValue (MEDIAN)
Polyoxidonium 6 mg/mlScore on Symptoms: Nasal Discharge and Nasal Congestion/Impaired Nasal Airflow Due to Symptom Assessment Scale by 3 and 5 Day of Treatmentnasal discharge day 02 score on a scale
Polyoxidonium 6 mg/mlScore on Symptoms: Nasal Discharge and Nasal Congestion/Impaired Nasal Airflow Due to Symptom Assessment Scale by 3 and 5 Day of Treatmentnasal discharge by day 31 score on a scale
Polyoxidonium 6 mg/mlScore on Symptoms: Nasal Discharge and Nasal Congestion/Impaired Nasal Airflow Due to Symptom Assessment Scale by 3 and 5 Day of Treatmentnasal discharge by day 50 score on a scale
Polyoxidonium 6 mg/mlScore on Symptoms: Nasal Discharge and Nasal Congestion/Impaired Nasal Airflow Due to Symptom Assessment Scale by 3 and 5 Day of Treatmentnasal congestion/impaired nasal airflow by day 02 score on a scale
Polyoxidonium 6 mg/mlScore on Symptoms: Nasal Discharge and Nasal Congestion/Impaired Nasal Airflow Due to Symptom Assessment Scale by 3 and 5 Day of Treatmentnasal congestion/impaired nasal airflow by day 31 score on a scale
Polyoxidonium 6 mg/mlScore on Symptoms: Nasal Discharge and Nasal Congestion/Impaired Nasal Airflow Due to Symptom Assessment Scale by 3 and 5 Day of Treatmentnasal congestion/impaired nasal airflow by day 50 score on a scale
PlaceboScore on Symptoms: Nasal Discharge and Nasal Congestion/Impaired Nasal Airflow Due to Symptom Assessment Scale by 3 and 5 Day of Treatmentnasal congestion/impaired nasal airflow by day 31 score on a scale
PlaceboScore on Symptoms: Nasal Discharge and Nasal Congestion/Impaired Nasal Airflow Due to Symptom Assessment Scale by 3 and 5 Day of Treatmentnasal discharge day 02 score on a scale
PlaceboScore on Symptoms: Nasal Discharge and Nasal Congestion/Impaired Nasal Airflow Due to Symptom Assessment Scale by 3 and 5 Day of Treatmentnasal congestion/impaired nasal airflow by day 02 score on a scale
PlaceboScore on Symptoms: Nasal Discharge and Nasal Congestion/Impaired Nasal Airflow Due to Symptom Assessment Scale by 3 and 5 Day of Treatmentnasal discharge by day 31 score on a scale
PlaceboScore on Symptoms: Nasal Discharge and Nasal Congestion/Impaired Nasal Airflow Due to Symptom Assessment Scale by 3 and 5 Day of Treatmentnasal congestion/impaired nasal airflow by day 51 score on a scale
PlaceboScore on Symptoms: Nasal Discharge and Nasal Congestion/Impaired Nasal Airflow Due to Symptom Assessment Scale by 3 and 5 Day of Treatmentnasal discharge by day 51 score on a scale
p-value: <0.05χ2 Pearson criterion
Secondary

Total Score on Symptom Assessment Scale by 3 and 5 Day of Treatment

Symptom Assessment Scale (SAS) consists of 3 domains: 1. Domain General intoxication symptoms (altered/increased activity/dysfunctional behavior; altered appetite or food refusal; unhealthy or alter from common appearance; altered or interrupted sleep); 2. Nose symptoms (nasal discharge; nasal congestion/impaired nasal airflow; sneezing); 3. Throat and thoracic symptoms (hoarseness; sore throat; cough). Each symptom may be graded by the following points: * 0 points - absent; * 1 point - mild; * 2 points - moderate; * 3 points - severe. The higher scores mean a worse outcome. The total score is the sum of points of each symptom graded in Symptom Assessment Scale. The maximum possible value of the total score is 30 points, the minimum possible value of the total score is 0 points.

Time frame: Day 3, Day 5

ArmMeasureGroupValue (MEDIAN)
Polyoxidonium 6 mg/mlTotal Score on Symptom Assessment Scale by 3 and 5 Day of TreatmentDay 011 score on a scale
Polyoxidonium 6 mg/mlTotal Score on Symptom Assessment Scale by 3 and 5 Day of TreatmentDay 34.00 score on a scale
Polyoxidonium 6 mg/mlTotal Score on Symptom Assessment Scale by 3 and 5 Day of TreatmentDay 51.00 score on a scale
PlaceboTotal Score on Symptom Assessment Scale by 3 and 5 Day of TreatmentDay 010 score on a scale
PlaceboTotal Score on Symptom Assessment Scale by 3 and 5 Day of TreatmentDay 35.00 score on a scale
PlaceboTotal Score on Symptom Assessment Scale by 3 and 5 Day of TreatmentDay 53.00 score on a scale
p-value: <0.05Wilcoxon (Mann-Whitney)

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