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    Clinical Trial Results:
    Open label clinical trial to determine the blood ethanol concentration following repeated administration of Bronchicum Elixir to children (1 to 12 years) with acute bronchitis.

    Summary
    EudraCT number
    2009-014904-73
    Trial protocol
    DE  
    Global end of trial date
    01 Dec 2010

    Results information
    Results version number
    v1(current)
    This version publication date
    02 May 2025
    First version publication date
    02 May 2025
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    CAS/K/00409
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    -
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Cassella-med GmbH & Co. KG
    Sponsor organisation address
    Gereonsmuehlengasse 1, Cologne, Germany, 50670
    Public contact
    Clinical Operations, Cassella-med GmbH & Co.KG, clinical.operations@klosterfrau.de
    Scientific contact
    Clinical Operations, Cassella-med GmbH & Co.KG, clinical.operations@klosterfrau.de
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    28 Apr 2011
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    01 Dec 2010
    Global end of trial reached?
    Yes
    Global end of trial date
    01 Dec 2010
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    The main objective of this open label clinical trial is to determine if blood ethanol concentration reaches a critical value (0,125‰) after repeated administration of a dose of the IMP to children in the age between 1 and 12 years.
    Protection of trial subjects
    Each subject (depending on age) and their legal guardians were fully informed of all aspects of the study and provided informed consent prior to start of any study procedures. Subjects and/or their legal guardians could withdraw from treatment at any time and for any reason. No specific additional measures were required to minimize distress given the nature of study.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    17 Mar 2010
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Germany: 16
    Worldwide total number of subjects
    16
    EEA total number of subjects
    16
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    3
    Children (2-11 years)
    13
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    0
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    All patients came from the patient pool of the investigator's practice.

    Pre-assignment
    Screening details
    Subjects were eligible for inclusion, if the main criteria were met: -acute illness for a maximum of 48 hours; - Bronchitis Severity Score (BSS) ≥ 5 points; - infants and children aged 1 to 12 years; - the custodial parent(s) give their written informed consent

    Period 1
    Period 1 title
    overall (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Age Group I (1-4 years old)
    Arm description
    -
    Arm type
    age

    Investigational medicinal product name
    Bronchicum Elixir
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Oral liquid
    Routes of administration
    Oral use
    Dosage and administration details
    2.5 ml six times a day

    Arm title
    Age Group II (5-12 years old)
    Arm description
    -
    Arm type
    age

    Investigational medicinal product name
    Bronchicum Elixier
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Oral liquid
    Routes of administration
    Oral use
    Dosage and administration details
    7.5 ml four times a day

    Number of subjects in period 1
    Age Group I (1-4 years old) Age Group II (5-12 years old)
    Started
    12
    4
    Completed
    12
    4

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Age Group I (1-4 years old)
    Reporting group description
    -

    Reporting group title
    Age Group II (5-12 years old)
    Reporting group description
    -

    Reporting group values
    Age Group I (1-4 years old) Age Group II (5-12 years old) Total
    Number of subjects
    12 4 16
    Age categorical
    Units: Subjects
        Infants and toddlers (28 days-23 months)
    3 0 3
        Children (2-11 years)
    9 4 13
    Gender categorical
    Units: Subjects
        Female
    6 2 8
        Male
    6 2 8
    Subject analysis sets

    Subject analysis set title
    ITT
    Subject analysis set type
    Intention-to-treat
    Subject analysis set description
    The ITT set consists of all subjects who were randomized and applied at least one dose of study medication. For this study all subjects were included in the safety analysis.

    Subject analysis sets values
    ITT
    Number of subjects
    16
    Age categorical
    Units: Subjects
        Infants and toddlers (28 days-23 months)
    3
        Children (2-11 years)
    13
    Age continuous
    Units:
        
    ( )
    Gender categorical
    Units: Subjects
        Female
    8
        Male
    8

    End points

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    End points reporting groups
    Reporting group title
    Age Group I (1-4 years old)
    Reporting group description
    -

    Reporting group title
    Age Group II (5-12 years old)
    Reporting group description
    -

    Subject analysis set title
    ITT
    Subject analysis set type
    Intention-to-treat
    Subject analysis set description
    The ITT set consists of all subjects who were randomized and applied at least one dose of study medication. For this study all subjects were included in the safety analysis.

    Primary: Blood alcohol determination (after 45 min)

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    End point title
    Blood alcohol determination (after 45 min)
    End point description
    End point type
    Primary
    End point timeframe
    At the second visit, each patient was given the prescribed dose of Bronchicum Elixir for the age group and a blood sample was taken after 45 minutes.
    End point values
    Age Group I (1-4 years old) Age Group II (5-12 years old)
    Number of subjects analysed
    10
    4
    Units: percent weight/volume
        arithmetic mean (standard deviation)
    0.0022 ( 0.0038 )
    0.0048 ( 0.0096 )
    Statistical analysis title
    95% confidence intervals (tolerance ranges)
    Statistical analysis description
    exploratively examined and descriptively analyzed
    Comparison groups
    Age Group I (1-4 years old) v Age Group II (5-12 years old)
    Number of subjects included in analysis
    14
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    ≤ 0.05
    Method
    Wilcoxon (Mann-Whitney)
    Confidence interval

    Secondary: Bronchitis Severity Score (BSS) - relative reduction to V1

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    End point title
    Bronchitis Severity Score (BSS) - relative reduction to V1
    End point description
    End point type
    Secondary
    End point timeframe
    Determination of the therapeutic effect of the investigational product in acute bronchitis by comparing the Bronchitis Severity Score at V1 and V3
    End point values
    Age Group I (1-4 years old) Age Group II (5-12 years old)
    Number of subjects analysed
    9
    4
    Units: %
        arithmetic mean (standard deviation)
    82.9 ( 28.2 )
    87.5 ( 25.0 )
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    V1 (Day 1) to V3 (Day 7-9)
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    unknown
    Dictionary version
    0
    Reporting groups
    Reporting group title
    Intention to treat
    Reporting group description
    -

    Serious adverse events
    Intention to treat
    Total subjects affected by serious adverse events
         subjects affected / exposed
    0 / 16 (0.00%)
         number of deaths (all causes)
    0
         number of deaths resulting from adverse events
    0
    Frequency threshold for reporting non-serious adverse events: 0%
    Non-serious adverse events
    Intention to treat
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    5 / 16 (31.25%)
    Investigations
    Worsening of symptoms
         subjects affected / exposed
    1 / 16 (6.25%)
         occurrences all number
    1
    Injury, poisoning and procedural complications
    Head injury
         subjects affected / exposed
    1 / 16 (6.25%)
         occurrences all number
    1
    General disorders and administration site conditions
    Foreign body ingestion
         subjects affected / exposed
    1 / 16 (6.25%)
         occurrences all number
    1
    Gastrointestinal disorders
    Vomiting
         subjects affected / exposed
    2 / 16 (12.50%)
         occurrences all number
    2

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? No

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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