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A randomized, double-blind clinical study to evaluate the efficacy and safety of Cephalexin 250mg + Ambroxol hydrochloride 15mg (Cefabroncol®, powder for suspension) compared to Cephalexin 250mg (powder for suspension) in pediatric patients with Acute Bacterial Pharyngotonsillitis.

A randomized, double-blind clinical study to evaluate the efficacy and safety of Cephalexin 250mg + Ambroxol hydrochloride 15mg (Cefabroncol®, powder for suspension) compared to Cephalexin 250mg (powder for suspension) in pediatric patients with Acute Bacterial Pharyngotonsillitis.

Status
Unknown
Phases
Phase 3
Study type
Interventional
Source
REPEC
Registry ID
PER-030-22
Enrollment
258
Registered
2023-11-10
Start date
2023-04-03
Completion date
Unknown
Last updated
2025-05-26

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

Conditions

J030 Streptococcal tonsillitis Streptococcal tonsillitis

Interventions

Each participant will receive 1 dose of Cefabroncol® powder for suspension at 40mg/kg/day every 12 hours for 10 days. - Each participant will receive 1 dose of Cephalexin 250 mg

Sponsors

MEDIFARMA S A
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Female and male patients between 3 - 10 years old. 2. Clinical diagnosis of acute bacterial tonsillopharyngitis under medical criteria and following the recommendations of the American Academy of Pediatrics (1), which states that the patient must have at least 2 or more of the following symptoms: (i) absence of cough, (ii ) presence of tonsillar exudate or inflammation, (iii) history of fever, (iv) presence of swollen and tender anterior cervical lymph nodes, and (v) age less than 15 years. 3. Confirmation of the clinical diagnosis with the positive rapid antigen detection test for GABHS. 4. Signed informed consent form. 5. Signed informed assent form, where applicable (children from 8 to 10 years old). 6. Negative SARS-CoV-2 antigen test. 7. The parent or legal guardian must be able to understand, sign and date an informed consent document in accordance with the guidelines of good clinical practice and local regulations. In addition, she must be committed to comply with the assigned treatment and tests. 8. Desire to adhere to the treatment and follow-up program.

Exclusion criteria

Exclusion criteria: 1. Allergy to cephalosporins. 2. Concomitant respiratory infections such as acute otitis media, acute sinusitis, pneumonia, subpharyngeal infections, or tonsillar abscesses. 3. History of rheumatic heart disease or valvular dysfunction of unknown etiology. 4. Immunosuppression. 5. Skin rash. 6. History of chronic kidney disease or liver failure. 7. History of recurrent or recent pharyngotonsillitis (more than 3 episodes in the last 6 months or 1 episode in the last month). 8. Have received oral antibiotics in the last 7 days, prior to enrollment in the study. 9. History of hypersensitivity to ambroxol. 10. Concurrent treatment with another antibiotic or corticosteroids. 11. History of gastrointestinal disease, especially colitis associated with the use of antibiotics. 12. Patients who are receiving some anticoagulant treatment.

Design outcomes

Primary

MeasureTime frame
Norrby Scale NAME OF THE RESULT: Clinical cure PERIOD OF TIME WHERE TE MEASUREMENT WILL BE CONDUCTED AND WHICH WILL ALLOW OBTAINING THE PRIMARY RESULT: Day 10 ;Rapid antigen detection test for EßGA NAME OF THE RESULT: Microbiological cure PERIOD OF TIME WHERE TE MEASUREMENT WILL BE CONDUCTED AND WHICH WILL ALLOW OBTAINING THE PRIMARY RESULT: Day 15

Secondary

MeasureTime frame
Norrby Scale NAME OF THE RESULT: Clinical cure PERIOD OF TIME WHERE TE MEASUREMENT WILL BE CONDUCTED AND WHICH WILL ALLOW OBTAINING THE PRIMARY RESULT: Day 10 ;Rapid antigen detection test for EßGA NAME OF THE RESULT: Microbiological cure PERIOD OF TIME WHERE TE MEASUREMENT WILL BE CONDUCTED AND WHICH WILL ALLOW OBTAINING THE PRIMARY RESULT: Day 15 ;Wong–Baker scale. NAME OF THE RESULT: Reduction of pain intensity. PERIOD OF TIME WHERE TE MEASUREMENT WILL BE CONDUCTED AND WHICH WILL ALLOW OBTAINING THE PRIMARY RESULT: Day 2, 4 and 10. ;Norrby Scale. NAME OF THE RESULT: Total symptom resolution time. PERIOD OF TIME WHERE TE MEASUREMENT WILL BE CONDUCTED AND WHICH WILL ALLOW OBTAINING THE PRIMARY RESULT: Day 4 and 10. ;Adverse events reported in the CRF. NAME OF THE RESULT: Treatment safety. PERIOD OF TIME WHERE TE MEASUREMENT WILL BE CONDUCTED AND WHICH WILL ALLOW OBTAINING THE PRIMARY RESULT: Day 2, 4, 10 and 15.

Countries

Peru

Contacts

Public ContactRAUL FLORENTINO HERNAN YEPEZ

MEDIFARMA S A

r.yepez@pcr.pe999962145

Outcome results

None listed

Source: REPEC (via WHO ICTRP)