Clinical Trial Results:
A Placebo-Controlled, Double-Blind, Randomized, Parallel Group Pilot Study to Evaluate the Efficacy of Dextromethorphan Hydrobromide on Acute Cough in a Pediatric Population
Summary
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EudraCT number |
2020-003216-28 |
Trial protocol |
Outside EU/EEA |
Global end of trial date |
19 Mar 2020
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Results information
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Results version number |
v1(current) |
This version publication date |
30 Sep 2020
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First version publication date |
30 Sep 2020
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Other versions |
Trial Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
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Trial identification
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Sponsor protocol code |
A6531002
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Additional study identifiers
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ISRCTN number |
- | ||
US NCT number |
NCT02651116 | ||
WHO universal trial number (UTN) |
- | ||
Other trial identifiers |
Alias Study Number: CHPA DXM | ||
Sponsors
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Sponsor organisation name |
Pfizer Inc.
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Sponsor organisation address |
235 E 42nd Street, New York, United States, NY 10017
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Public contact |
Pfizer ClinicalTrials.gov Call Center, Pfizer Inc., 001 8007181021, ClinicalTrials.gov_Inquiries@pfizer.com
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Scientific contact |
Pfizer ClinicalTrials.gov Call Center, Pfizer Inc., 001 8007181021, ClinicalTrials.gov_Inquiries@pfizer.com
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Paediatric regulatory details
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Is trial part of an agreed paediatric investigation plan (PIP) |
No
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Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial? |
Yes
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Results analysis stage
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Analysis stage |
Final
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Date of interim/final analysis |
18 Jun 2020
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Is this the analysis of the primary completion data? |
No
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Global end of trial reached? |
Yes
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Global end of trial date |
19 Mar 2020
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Was the trial ended prematurely? |
Yes
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General information about the trial
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Main objective of the trial |
The objective of this pilot study was to evaluate the endpoints and analyses that might be most appropriate to evaluate the efficacy of dextromethorphan hydrobromide (DXM HBr) 15 milligram (mg) per 10 millilitre (mL) versus placebo in children aged 6 to 11 years in a future study.
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Protection of trial subjects |
The study was in compliance with the ethical principles derived from the Declaration of Helsinki and in compliance with all International Council for Harmonization (ICH) Good Clinical Practice (GCP) Guidelines. All the local regulatory requirements pertinent to safety of trial subjects were followed.
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Background therapy |
- | ||
Evidence for comparator |
- | ||
Actual start date of recruitment |
25 Feb 2016
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Long term follow-up planned |
No
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Independent data monitoring committee (IDMC) involvement? |
Yes
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Population of trial subjects
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Number of subjects enrolled per country |
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Country: Number of subjects enrolled |
United States: 131
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Worldwide total number of subjects |
131
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EEA total number of subjects |
0
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Number of subjects enrolled per age group |
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In utero |
0
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Preterm newborn - gestational age < 37 wk |
0
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Newborns (0-27 days) |
0
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Infants and toddlers (28 days-23 months) |
0
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Children (2-11 years) |
131
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Adolescents (12-17 years) |
0
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Adults (18-64 years) |
0
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From 65 to 84 years |
0
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85 years and over |
0
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Recruitment
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Recruitment details |
Study was conducted in the United States from 25 February 2016 to 19 March 2020. | |||||||||||||||||||||
Pre-assignment
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Screening details |
142 subjects were enrolled in a 2 hour run-in period, where they received 10 mL of non-medicinal liquid oral confection for once, and fitted with cough counting device VitaloJAKTM. Subjects who completed run-in period and qualified, were randomised to either dextromethorphan hydrobromide or placebo in a 4-day treatment period. | |||||||||||||||||||||
Period 1
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Period 1 title |
Overall Study (overall period)
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Is this the baseline period? |
Yes | |||||||||||||||||||||
Allocation method |
Randomised - controlled
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Blinding used |
Double blind | |||||||||||||||||||||
Roles blinded |
Subject, Investigator, Carer | |||||||||||||||||||||
Arms
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Are arms mutually exclusive |
Yes
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Arm title
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Dextromethorphan Hydrobromide | |||||||||||||||||||||
Arm description |
Subjects were randomised to receive 9 doses of DXM HBr (15 mg/10 mL) over the course of 4 day study treatment and were fitted with the cough recording device VitaloJAKTM for the first 24 hours of treatment. On Day 1, subjects received a single 10 mL oral dose of DXM HBr syrup each in afternoon and evening. On Day 2 and 3, subjects received a single 10 mL oral dose of DXM HBr syrup each in morning, afternoon and evening. On Day 4, subjects received a single 10 mL oral dose of DXM HBr syrup in morning. Subjects were followed up for 14 days after last dose of study medication. | |||||||||||||||||||||
Arm type |
Experimental | |||||||||||||||||||||
Investigational medicinal product name |
Dextromethorphan Hydrobromide
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Investigational medicinal product code |
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Other name |
PF-02450388
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Pharmaceutical forms |
Syrup
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Routes of administration |
Oral use
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Dosage and administration details |
On Day 1, subjects received a single 10 mL oral dose of DXM HBr syrup each in afternoon and evening. On Day 2 and 3, subjects received a single 10 mL oral dose of DXM HBr syrup each in morning, afternoon and evening. On Day 4, subjects received a single 10 mL oral dose of DXM HBr syrup in morning.
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Arm title
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Placebo | |||||||||||||||||||||
Arm description |
Subjects were randomised to receive 9 doses of placebo matched to 15 mg/10 mL DXM HBr over the course of 4 day study treatment and were fitted with the cough recording device VitaloJAKTM for the first 24 hours of treatment. On Day 1, subjects received a single 10 mL oral dose of placebo syrup each in afternoon and evening. On Day 2 and 3, subjects received a single 10 mL oral dose of placebo syrup each in morning, afternoon and evening. On Day 4, subjects received a single 10 mL oral dose of placebo syrup in morning. Subjects were followed up for 14 days after last dose of study medication. | |||||||||||||||||||||
Arm type |
Placebo | |||||||||||||||||||||
Investigational medicinal product name |
Placebo
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Syrup
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Routes of administration |
Oral use
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Dosage and administration details |
On Day 1, subjects received a single 10 mL oral dose of placebo syrup matched to DXM HBr each in afternoon and evening. On Day 2 and 3, subjects received a single 10 mL oral dose of placebo syrup each in morning, afternoon and evening. On Day 4, subjects received a single 10 mL oral dose of placebo syrup in morning.
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Baseline characteristics reporting groups
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Reporting group title |
Dextromethorphan Hydrobromide
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Reporting group description |
Subjects were randomised to receive 9 doses of DXM HBr (15 mg/10 mL) over the course of 4 day study treatment and were fitted with the cough recording device VitaloJAKTM for the first 24 hours of treatment. On Day 1, subjects received a single 10 mL oral dose of DXM HBr syrup each in afternoon and evening. On Day 2 and 3, subjects received a single 10 mL oral dose of DXM HBr syrup each in morning, afternoon and evening. On Day 4, subjects received a single 10 mL oral dose of DXM HBr syrup in morning. Subjects were followed up for 14 days after last dose of study medication. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Placebo
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Reporting group description |
Subjects were randomised to receive 9 doses of placebo matched to 15 mg/10 mL DXM HBr over the course of 4 day study treatment and were fitted with the cough recording device VitaloJAKTM for the first 24 hours of treatment. On Day 1, subjects received a single 10 mL oral dose of placebo syrup each in afternoon and evening. On Day 2 and 3, subjects received a single 10 mL oral dose of placebo syrup each in morning, afternoon and evening. On Day 4, subjects received a single 10 mL oral dose of placebo syrup in morning. Subjects were followed up for 14 days after last dose of study medication. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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End points reporting groups
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Reporting group title |
Dextromethorphan Hydrobromide
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Reporting group description |
Subjects were randomised to receive 9 doses of DXM HBr (15 mg/10 mL) over the course of 4 day study treatment and were fitted with the cough recording device VitaloJAKTM for the first 24 hours of treatment. On Day 1, subjects received a single 10 mL oral dose of DXM HBr syrup each in afternoon and evening. On Day 2 and 3, subjects received a single 10 mL oral dose of DXM HBr syrup each in morning, afternoon and evening. On Day 4, subjects received a single 10 mL oral dose of DXM HBr syrup in morning. Subjects were followed up for 14 days after last dose of study medication. | ||
Reporting group title |
Placebo
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Reporting group description |
Subjects were randomised to receive 9 doses of placebo matched to 15 mg/10 mL DXM HBr over the course of 4 day study treatment and were fitted with the cough recording device VitaloJAKTM for the first 24 hours of treatment. On Day 1, subjects received a single 10 mL oral dose of placebo syrup each in afternoon and evening. On Day 2 and 3, subjects received a single 10 mL oral dose of placebo syrup each in morning, afternoon and evening. On Day 4, subjects received a single 10 mL oral dose of placebo syrup in morning. Subjects were followed up for 14 days after last dose of study medication. |
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End point title |
Mean of Total Cough Counts: Over 24 Hours Post-First Dose on Day 1 | ||||||||||||
End point description |
Total cough count was collected by the cough recording device VitaloJAKTM in an ambulatory setting. The VitaloJAKTM device recorded continuous digital audio obtained through both a lapel microphone clipped to the subject’s clothing at the neck or upper chest level, and a chest wall sensor attached to the subject’s chest at the top of the sternum. Data were captured on a data card and the vitalograph analyst evaluated cough counts. Full analysis set included all subjects who were randomised, took Dose 1, had a valid baseline cough count assessment, and provided any post-dosing efficacy data.
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End point type |
Primary
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End point timeframe |
Within 24 hours post-first dose on Day 1
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Statistical analysis title |
Dextromethorphan Hydrobromide vs Placebo | ||||||||||||
Statistical analysis description |
Estimated rate ratio, and corresponding 95% confidence interval (CI) for DXM HBr versus placebo was obtained from negative binomial model with treatment, study site (pooled), age group, and log-transformed baseline average cough count per hour as factors, with logarithm of the time over which the cough count was evaluated as the offset parameter. Rate ratio refers to, ratio of rate of cough counts per 24 hours for DXM HBr to placebo.
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Comparison groups |
Dextromethorphan Hydrobromide v Placebo
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Number of subjects included in analysis |
128
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Analysis specification |
Pre-specified
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Analysis type |
superiority | ||||||||||||
P-value |
≤ 0.0449 [1] | ||||||||||||
Method |
Negative Binomial Regression | ||||||||||||
Parameter type |
Ratio of rates | ||||||||||||
Point estimate |
0.7899
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Confidence interval |
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level |
95% | ||||||||||||
sides |
2-sided
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lower limit |
0.6273 | ||||||||||||
upper limit |
0.9947 | ||||||||||||
Variability estimate |
Standard error of the mean
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Dispersion value |
0.0929
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Notes [1] - P-Value <=0.05 level was considered significantly better and P-Value lying between 0.05<p<=0.1 level was considered marginally significantly better. |
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End point title |
Mean of Total Cough Counts: Between Dose 1 to Dose 2 on Day 1 | ||||||||||||
End point description |
Total cough count was collected by the cough recording device VitaloJAKTM in an ambulatory setting. The VitaloJAKTM device recorded continuous digital audio obtained through both a lapel microphone clipped to the subject’s clothing at the neck or upper chest level, and a chest wall sensor attached to the subject’s chest at the top of the sternum. Data were captured on a data card and the vitalograph analyst evaluated cough counts. Full analysis set included all subjects who were randomised, took Dose 1, had a valid baseline cough count assessment, and provided any post-dosing efficacy data. Here ‘Number of Subjects Analysed’ signifies subjects evaluable for this endpoint.
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End point type |
Secondary
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End point timeframe |
Between dose 1 to dose 2 on Day 1
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Statistical analysis title |
Dextromethorphan Hydrobromide vs Placebo | ||||||||||||
Statistical analysis description |
Estimated rate ratio, and corresponding 95% CI for DXM HBr versus placebo was obtained from negative binomial model with treatment, study site (pooled), age group, and log-transformed baseline average cough count per hour as factors, with logarithm of the time over which the cough count was evaluated as the offset parameter. Rate ratio refers to, ratio of rate of cough counts per specified duration (used in evaluation of this endpoint) for DXM HBr to placebo.
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Comparison groups |
Dextromethorphan Hydrobromide v Placebo
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Number of subjects included in analysis |
127
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Analysis specification |
Pre-specified
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Analysis type |
superiority | ||||||||||||
P-value |
≤ 0.0552 [2] | ||||||||||||
Method |
Negative Binomial Regression | ||||||||||||
Parameter type |
Ratio of rates | ||||||||||||
Point estimate |
0.8048
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Confidence interval |
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level |
95% | ||||||||||||
sides |
2-sided
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lower limit |
0.6446 | ||||||||||||
upper limit |
1.0049 | ||||||||||||
Variability estimate |
Standard error of the mean
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Dispersion value |
0.0912
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Notes [2] - P-Value <=0.05 level was considered significantly better and P-Value lying between 0.05<p<=0.1 level was considered marginally significantly better. |
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End point title |
Mean of Total Cough Counts: Between Dose 2 on Day 1 to Dose 3 on Day 2 | ||||||||||||
End point description |
Total cough count was collected by the cough recording device VitaloJAKTM in an ambulatory setting. The VitaloJAKTM device recorded continuous digital audio obtained through both a lapel microphone clipped to the subject’s clothing at the neck or upper chest level, and a chest wall sensor attached to the subject’s chest at the top of the sternum. Data were captured on a data card and the vitalograph analyst evaluated cough counts. Full analysis set included all subjects who were randomised, took Dose 1, had a valid baseline cough count assessment, and provided any post-dosing efficacy data. Here ‘Number of Subjects Analysed’ signifies subjects evaluable for this endpoint.
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End point type |
Secondary
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End point timeframe |
Between dose 2 on Day 1 to dose 3 on Day 2 (second dose of Day 1 to first dose of Day 2)
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Statistical analysis title |
Dextromethorphan Hydrobromide vs Placebo | ||||||||||||
Statistical analysis description |
Estimated rate ratio, and corresponding 95% CI for DXM HBr versus placebo was obtained from negative binomial model with treatment, study site (pooled), age group, and log-transformed baseline average cough count per hour as factors, with logarithm of the time over which the cough count was evaluated as the offset parameter. Rate ratio refers to, ratio of rate of cough counts per specified duration (used in evaluation of this endpoint) for DXM HBr to placebo.
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Comparison groups |
Dextromethorphan Hydrobromide v Placebo
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Number of subjects included in analysis |
126
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Analysis specification |
Pre-specified
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Analysis type |
superiority | ||||||||||||
P-value |
≤ 0.7684 [3] | ||||||||||||
Method |
Negative Binomial Regression | ||||||||||||
Parameter type |
Ratio of rates | ||||||||||||
Point estimate |
0.9551
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Confidence interval |
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level |
95% | ||||||||||||
sides |
2-sided
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lower limit |
0.7032 | ||||||||||||
upper limit |
1.2971 | ||||||||||||
Variability estimate |
Standard error of the mean
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Dispersion value |
0.1491
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Notes [3] - P-Value <=0.05 level was considered significantly better and P-Value lying between 0.05<p<=0.1 level was considered marginally significantly better. |
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End point title |
Mean of Total Cough Counts: Between Dose 3 to Dose 4 on Day 2 | ||||||||||||
End point description |
Total cough count was collected by the cough recording device VitaloJAKTM in an ambulatory setting. The VitaloJAKTM device recorded continuous digital audio obtained through both a lapel microphone clipped to the subject’s clothing at the neck or upper chest level, and a chest wall sensor attached to the subject’s chest at the top of the sternum. Data were captured on a data card and the vitalograph analyst evaluated cough counts. Full analysis set included all subjects who were randomised, took Dose 1, had a valid baseline cough count assessment, and provided any post-dosing efficacy data. Here ‘Number of Subjects Analysed’ signifies subjects evaluable for this endpoint.
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End point type |
Secondary
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End point timeframe |
Between dose 3 to dose 4 on Day 2 (between first and second dose of Day 2)
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Statistical analysis title |
Dextromethorphan Hydrobromide vs Placebo | ||||||||||||
Statistical analysis description |
Estimated rate ratio, and corresponding 95% CI for DXM HBr versus placebo was obtained from negative binomial model with treatment, study site (pooled), age group, and log-transformed baseline average cough count per hour as factors, with logarithm of the time over which the cough count was evaluated as the offset parameter. Rate ratio refers to, ratio of rate of cough counts per specified duration (used in evaluation of this endpoint) for DXM HBr to placebo.
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Comparison groups |
Dextromethorphan Hydrobromide v Placebo
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Number of subjects included in analysis |
125
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Analysis specification |
Pre-specified
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Analysis type |
superiority | ||||||||||||
P-value |
≤ 0.022 [4] | ||||||||||||
Method |
Negative Binomial Regression | ||||||||||||
Parameter type |
Ratio of rates | ||||||||||||
Point estimate |
0.7014
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Confidence interval |
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level |
95% | ||||||||||||
sides |
2-sided
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lower limit |
0.5178 | ||||||||||||
upper limit |
0.95 | ||||||||||||
Variability estimate |
Standard error of the mean
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Dispersion value |
0.1086
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Notes [4] - P-Value <=0.05 level was considered significantly better and P-Value lying between 0.05<p<=0.1 level was considered marginally significantly better. |
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End point title |
Mean of Total Cough Counts: Between Dose 1 to Dose 2 on Day 1, and Between Dose 3 to Dose 4 on Day 2 | ||||||||||||
End point description |
Total cough count was collected by the cough recording device VitaloJAKTM in an ambulatory setting. The VitaloJAKTM device recorded continuous digital audio obtained through both a lapel microphone clipped to the subject’s clothing at the neck or upper chest level, and a chest wall sensor attached to the subject’s chest at the top of the sternum. Data were captured on a data card and the vitalograph analyst evaluated cough counts. In this endpoint, as planned combined data is reported for first dosing interval (dose 1 to dose 2) on Day 1 and first dosing interval (dose 3 to dose 4) on Day 2. Full analysis set included all subjects who were randomised, took Dose 1, had a valid baseline cough count assessment, and provided any post-dosing efficacy data. Here ‘Number of Subjects Analysed’ signifies subjects evaluable for this endpoint.
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End point type |
Secondary
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End point timeframe |
Between dose 1 to dose 2 on Day 1 (between first and second dose of Day 1) and between dose 3 to dose 4 on Day 2 (between first and second dose of Day 2)
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Statistical analysis title |
Dextromethorphan Hydrobromide vs Placebo | ||||||||||||
Statistical analysis description |
Estimated rate ratio, and corresponding 95% CI for DXM HBr versus placebo was obtained from negative binomial model with treatment, study site (pooled), age group, and log-transformed baseline average cough count per hour as factors, with logarithm of the time over which the cough count was evaluated as the offset parameter. Rate ratio refers to, ratio of rate of cough counts per specified duration (used in evaluation of this endpoint) for DXM HBr to placebo.
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Comparison groups |
Dextromethorphan Hydrobromide v Placebo
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Number of subjects included in analysis |
127
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Analysis specification |
Pre-specified
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Analysis type |
superiority | ||||||||||||
P-value |
≤ 0.0098 [5] | ||||||||||||
Method |
Negative Binomial Regression | ||||||||||||
Parameter type |
Ratio of rates | ||||||||||||
Point estimate |
0.7454
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Confidence interval |
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level |
95% | ||||||||||||
sides |
2-sided
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lower limit |
0.5964 | ||||||||||||
upper limit |
0.9316 | ||||||||||||
Variability estimate |
Standard error of the mean
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Dispersion value |
0.0848
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Notes [5] - P-Value <=0.05 level was considered significantly better and P-Value lying between 0.05<p<=0.1 level was considered marginally significantly better. |
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End point title |
Mean of Total Cough Time Accumulated Over a 24-Hour Period Post-First Dose on Day 1 | ||||||||||||
End point description |
Time (in seconds) accumulated over a 24-hour period when cough events occurred was collected by the cough recording device VitaloJAKTM in an ambulatory setting. The VitaloJAKTM device recorded continuous digital audio obtained through both a lapel microphone clipped to the subject’s clothing at the neck or upper chest level, and a chest wall sensor attached to the subject’s chest at the top of the sternum. Data were captured on a data card and the vitalograph analyst evaluated total cough time accumulated. Full analysis set included all subjects who were randomised, took Dose 1, had a valid baseline cough count assessment, and provided any post-dosing efficacy data.
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End point type |
Secondary
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End point timeframe |
Within 24 hours post-first dose on Day 1
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Statistical analysis title |
Dextromethorphan Hydrobromide vs Placebo | ||||||||||||
Statistical analysis description |
Analysis of covariance (ANCOVA) model contained treatment, study site (pooled), log-transformed baseline cough time and age group terms as factors.
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Comparison groups |
Dextromethorphan Hydrobromide v Placebo
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Number of subjects included in analysis |
128
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Analysis specification |
Pre-specified
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Analysis type |
superiority | ||||||||||||
P-value |
≤ 0.0977 [6] | ||||||||||||
Method |
ANCOVA | ||||||||||||
Parameter type |
Difference in least squares mean | ||||||||||||
Point estimate |
-0.221
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Confidence interval |
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level |
95% | ||||||||||||
sides |
2-sided
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lower limit |
-0.4831 | ||||||||||||
upper limit |
0.0411 | ||||||||||||
Variability estimate |
Standard error of the mean
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Dispersion value |
0.1324
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Notes [6] - P-Value <=0.05 level was considered significantly better and P-Value lying between 0.05<p<=0.1 level was considered marginally significantly better. |
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End point title |
Change From Baseline in Morning Cough Frequency at Day 2, 3, and 4 | ||||||||||||||||||||||||
End point description |
Subjects on specified time points were asked to respond to “from when you woke up this morning until now, how much have you been coughing”, on a 5-point scale: 0= not at all, 1= a tiny bit, 2= a little, 3= some and 4= a lot. Higher scores indicated higher frequency of cough in morning time. Full analysis set included all subjects who were randomised, took Dose 1, had a valid baseline cough count assessment, and provided any post-dosing efficacy data. Here 'n' signifies number of subjects evaluable for specified time points.
|
||||||||||||||||||||||||
End point type |
Other pre-specified
|
||||||||||||||||||||||||
End point timeframe |
Baseline (morning screening visit on Day 1), Within 30 minutes of waking and before morning dose on Days 2, 3, and 4
|
||||||||||||||||||||||||
|
|||||||||||||||||||||||||
Statistical analysis title |
Dextromethorphan Hydrobromide vs Placebo | ||||||||||||||||||||||||
Statistical analysis description |
Analysis of variance (ANOVA) model contained treatment, study site (pooled), the corresponding morning baseline cough frequency by subject, and age group included in the model.
|
||||||||||||||||||||||||
Comparison groups |
Dextromethorphan Hydrobromide v Placebo
|
||||||||||||||||||||||||
Number of subjects included in analysis |
128
|
||||||||||||||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||||||||||||||
Analysis type |
superiority | ||||||||||||||||||||||||
P-value |
≤ 0.0191 [7] | ||||||||||||||||||||||||
Method |
ANOVA | ||||||||||||||||||||||||
Parameter type |
Difference in least squares mean | ||||||||||||||||||||||||
Point estimate |
-0.2881
|
||||||||||||||||||||||||
Confidence interval |
|||||||||||||||||||||||||
level |
95% | ||||||||||||||||||||||||
sides |
2-sided
|
||||||||||||||||||||||||
lower limit |
-0.5287 | ||||||||||||||||||||||||
upper limit |
-0.0475 | ||||||||||||||||||||||||
Variability estimate |
Standard error of the mean
|
||||||||||||||||||||||||
Dispersion value |
0.1224
|
||||||||||||||||||||||||
Notes [7] - P-Value <=0.05 level was considered significantly better and P-Value lying between 0.05<p<=0.1 level was considered marginally significantly better. |
|
|||||||||||||||||||||||||
End point title |
Change From Baseline in Morning Cough Severity at Day 2, 3, and 4 | ||||||||||||||||||||||||
End point description |
Subjects on specified time points were asked to respond to “how bad is your cough this morning”, on a 5-point scale: 0= no cough, 1= a tiny bit bad, 2= a little bad, 3= bad and 4= very bad. Higher scores indicated more severe cough in morning time. Full analysis set included all subjects who were randomised, took Dose 1, had a valid baseline cough count assessment, and provided any post-dosing efficacy data. Here 'n' signifies number of subjects evaluable for specified time points.
|
||||||||||||||||||||||||
End point type |
Other pre-specified
|
||||||||||||||||||||||||
End point timeframe |
Baseline (morning screening visit on Day 1), Within 30 minutes of waking and before morning dose on Days 2, 3, and 4
|
||||||||||||||||||||||||
|
|||||||||||||||||||||||||
Statistical analysis title |
Dextromethorphan Hydrobromide vs Placebo | ||||||||||||||||||||||||
Statistical analysis description |
ANOVA model contained treatment, study site (pooled), the corresponding morning baseline cough severity by subject, and age group included in the model.
|
||||||||||||||||||||||||
Comparison groups |
Dextromethorphan Hydrobromide v Placebo
|
||||||||||||||||||||||||
Number of subjects included in analysis |
128
|
||||||||||||||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||||||||||||||
Analysis type |
superiority | ||||||||||||||||||||||||
P-value |
≤ 0.0049 [8] | ||||||||||||||||||||||||
Method |
ANOVA | ||||||||||||||||||||||||
Parameter type |
Difference in least squares mean | ||||||||||||||||||||||||
Point estimate |
-0.3128
|
||||||||||||||||||||||||
Confidence interval |
|||||||||||||||||||||||||
level |
95% | ||||||||||||||||||||||||
sides |
2-sided
|
||||||||||||||||||||||||
lower limit |
-0.5299 | ||||||||||||||||||||||||
upper limit |
-0.0956 | ||||||||||||||||||||||||
Variability estimate |
Standard error of the mean
|
||||||||||||||||||||||||
Dispersion value |
0.1104
|
||||||||||||||||||||||||
Notes [8] - P-Value <=0.05 level was considered significantly better and P-Value lying between 0.05<p<=0.1 level was considered marginally significantly better. |
|
|||||||||||||||||||||||||
End point title |
Change From Baseline in Impact of Cough on Sleep at Day 2, 3, and 4 | ||||||||||||||||||||||||
End point description |
Subjects on specified time points were asked to respond to “last night in bed, how much did your cough keep you awake”, on a 5-point scale: 0= not at all, 1= a tiny bit, 2= a little, 3= some and 4= a lot. Higher scores indicated worse impact of cough on sleep. Full analysis set included all subjects who were randomised, took Dose 1, had a valid baseline cough count assessment, and provided any post-dosing efficacy data. Here 'n' signifies number of subjects evaluable for specified time points.
|
||||||||||||||||||||||||
End point type |
Other pre-specified
|
||||||||||||||||||||||||
End point timeframe |
Baseline (morning screening visit on Day 1), Within 30 minutes of waking and before morning dose on Days 2, 3, and 4
|
||||||||||||||||||||||||
|
|||||||||||||||||||||||||
Statistical analysis title |
Dextromethorphan Hydrobromide vs Placebo | ||||||||||||||||||||||||
Statistical analysis description |
ANOVA model contained treatment, study site (pooled), the corresponding morning baseline impact on sleep by subject, and age group included in the model.
|
||||||||||||||||||||||||
Comparison groups |
Dextromethorphan Hydrobromide v Placebo
|
||||||||||||||||||||||||
Number of subjects included in analysis |
128
|
||||||||||||||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||||||||||||||
Analysis type |
superiority | ||||||||||||||||||||||||
P-value |
≤ 0.2679 [9] | ||||||||||||||||||||||||
Method |
ANOVA | ||||||||||||||||||||||||
Parameter type |
Difference in least squares mean | ||||||||||||||||||||||||
Point estimate |
-0.1483
|
||||||||||||||||||||||||
Confidence interval |
|||||||||||||||||||||||||
level |
95% | ||||||||||||||||||||||||
sides |
2-sided
|
||||||||||||||||||||||||
lower limit |
-0.4112 | ||||||||||||||||||||||||
upper limit |
0.1146 | ||||||||||||||||||||||||
Variability estimate |
Standard error of the mean
|
||||||||||||||||||||||||
Dispersion value |
0.1337
|
||||||||||||||||||||||||
Notes [9] - P-Value <=0.05 level was considered significantly better and P-Value lying between 0.05<p<=0.1 level was considered marginally significantly better. |
|
|||||||||||||||||||||||||
End point title |
Change From Baseline in Afternoon Cough Frequency at Day 2, 3, and 4 | ||||||||||||||||||||||||
End point description |
Subjects on specified time points were asked to respond to “how much have you been coughing this afternoon” on a 5-point scale: 0= not at all, 1= a tiny bit, 2= a little, 3= some and 4= a lot. Higher scores indicated higher frequency of cough in afternoon time. Full analysis set included all subjects who were randomised, took Dose 1, had a valid baseline cough count assessment, and provided any post-dosing efficacy data. Here 'n' signifies number of subjects evaluable for specified time points.
|
||||||||||||||||||||||||
End point type |
Other pre-specified
|
||||||||||||||||||||||||
End point timeframe |
Baseline (afternoon visit on Day 1 before first dose), Before the afternoon dose on Days 2, and 3, Afternoon of Day 4
|
||||||||||||||||||||||||
|
|||||||||||||||||||||||||
Statistical analysis title |
Dextromethorphan Hydrobromide vs Placebo | ||||||||||||||||||||||||
Statistical analysis description |
ANOVA model contained treatment, study site (pooled), the corresponding afternoon baseline cough frequency by subject, and age group included in the model.
|
||||||||||||||||||||||||
Comparison groups |
Dextromethorphan Hydrobromide v Placebo
|
||||||||||||||||||||||||
Number of subjects included in analysis |
128
|
||||||||||||||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||||||||||||||
Analysis type |
superiority | ||||||||||||||||||||||||
P-value |
≤ 0.0242 [10] | ||||||||||||||||||||||||
Method |
ANOVA | ||||||||||||||||||||||||
Parameter type |
Difference in least squares mean | ||||||||||||||||||||||||
Point estimate |
-0.2812
|
||||||||||||||||||||||||
Confidence interval |
|||||||||||||||||||||||||
level |
95% | ||||||||||||||||||||||||
sides |
2-sided
|
||||||||||||||||||||||||
lower limit |
-0.5255 | ||||||||||||||||||||||||
upper limit |
-0.0369 | ||||||||||||||||||||||||
Variability estimate |
Standard error of the mean
|
||||||||||||||||||||||||
Dispersion value |
0.1242
|
||||||||||||||||||||||||
Notes [10] - P-Value <=0.05 level was considered significantly better and P-Value lying between 0.05<p<=0.1 level was considered marginally significantly better. |
|
|||||||||||||||||||||||||
End point title |
Change From Baseline in Afternoon Cough Severity at Day 2, 3, and 4 | ||||||||||||||||||||||||
End point description |
Subjects on specified time points were asked to respond to “how bad is your cough this afternoon” on a 5-point scale: 0= no cough, 1= a tiny bit bad, 2= a little bad, 3= bad and 4= very bad. Higher scores indicated more severe cough in afternoon time. Full analysis set included all subjects who were randomised, took Dose 1, had a valid baseline cough count assessment, and provided any post-dosing efficacy data. Here 'n' signifies number of subjects evaluable for specified time points.
|
||||||||||||||||||||||||
End point type |
Other pre-specified
|
||||||||||||||||||||||||
End point timeframe |
Baseline (afternoon visit on Day 1 before first dose), Before the afternoon dose on Days 2, and 3, Anytime in afternoon of Day 4
|
||||||||||||||||||||||||
|
|||||||||||||||||||||||||
Statistical analysis title |
Dextromethorphan Hydrobromide vs Placebo | ||||||||||||||||||||||||
Statistical analysis description |
ANOVA model contained treatment, study site (pooled), the corresponding afternoon baseline cough severity by subject, and age group included in the model.
|
||||||||||||||||||||||||
Comparison groups |
Dextromethorphan Hydrobromide v Placebo
|
||||||||||||||||||||||||
Number of subjects included in analysis |
128
|
||||||||||||||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||||||||||||||
Analysis type |
superiority | ||||||||||||||||||||||||
P-value |
≤ 0.0063 [11] | ||||||||||||||||||||||||
Method |
ANOVA | ||||||||||||||||||||||||
Parameter type |
Difference in least squares mean | ||||||||||||||||||||||||
Point estimate |
-0.3014
|
||||||||||||||||||||||||
Confidence interval |
|||||||||||||||||||||||||
level |
95% | ||||||||||||||||||||||||
sides |
2-sided
|
||||||||||||||||||||||||
lower limit |
-0.517 | ||||||||||||||||||||||||
upper limit |
-0.0858 | ||||||||||||||||||||||||
Variability estimate |
Standard error of the mean
|
||||||||||||||||||||||||
Dispersion value |
0.1096
|
||||||||||||||||||||||||
Notes [11] - P-Value <=0.05 level was considered significantly better and P-Value lying between 0.05<p<=0.1 level was considered marginally significantly better. |
|
|||||||||||||||||||||||||
End point title |
Change From Baseline in Child Global Question at Day 2, 3, and 4 | ||||||||||||||||||||||||
End point description |
Subjects on specified time points were asked to respond on “how bad is your cold today”, on a 5-point scale; 0= no cold, 1= a tiny bit bad, 2= a little bad, 3= bad, and 4= very bad. Higher scores indicated worse cold. Full analysis set included all subjects who were randomised, took Dose 1, had a valid baseline cough count assessment, and provided any post-dosing efficacy data. Here 'n' signifies number of subjects evaluable for specified time points.
|
||||||||||||||||||||||||
End point type |
Other pre-specified
|
||||||||||||||||||||||||
End point timeframe |
Baseline (afternoon visit on Day 1 before first dose), Before the afternoon dose on Day 2, and 3, Anytime in afternoon of Day 4
|
||||||||||||||||||||||||
|
|||||||||||||||||||||||||
Statistical analysis title |
Dextromethorphan Hydrobromide vs Placebo | ||||||||||||||||||||||||
Statistical analysis description |
ANOVA model with treatment, study site (pooled), the baseline assessment in child global question cold assessment by subject and age group included in the model.
|
||||||||||||||||||||||||
Comparison groups |
Dextromethorphan Hydrobromide v Placebo
|
||||||||||||||||||||||||
Number of subjects included in analysis |
128
|
||||||||||||||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||||||||||||||
Analysis type |
superiority | ||||||||||||||||||||||||
P-value |
≤ 0.0247 [12] | ||||||||||||||||||||||||
Method |
ANOVA | ||||||||||||||||||||||||
Parameter type |
Difference in least squares mean | ||||||||||||||||||||||||
Point estimate |
-0.2535
|
||||||||||||||||||||||||
Confidence interval |
|||||||||||||||||||||||||
level |
95% | ||||||||||||||||||||||||
sides |
2-sided
|
||||||||||||||||||||||||
lower limit |
-0.4745 | ||||||||||||||||||||||||
upper limit |
-0.0325 | ||||||||||||||||||||||||
Variability estimate |
Standard error of the mean
|
||||||||||||||||||||||||
Dispersion value |
0.1124
|
||||||||||||||||||||||||
Notes [12] - P-Value <=0.05 level was considered significantly better and P-Value lying between 0.05<p<=0.1 level was considered marginally significantly better. |
|
|||||||||||||||||||
End point title |
Pediatric Global Assessment of Satisfaction With Study Medication: By Subject, and Caregiver | ||||||||||||||||||
End point description |
Subjects at the end of the study were asked to respond to “How would you rate the study medication for taking away your cough?” on a 7-point scale: 0= excellent, 1= very good, 2= good, 3= fair, 4= poor, 5= very poor, and 6= terrible. Higher scores indicated poorer satisfaction with study medication. Within 20 minutes after subjects completed the assessment parents/legally acceptable representative were asked to respond to “How would you rate the study medication for taking away your child’s cough?” on a 7-point scale: 0= excellent, 1= very good, 2= good, 3= fair, 4= poor, 5= very poor, and 6= terrible. Higher scores indicated poorer satisfaction with study medication. Full analysis set included all subjects who were randomised, took Dose 1, had a valid baseline cough count assessment, and provided any post-dosing efficacy data. Here ‘Number of Subjects Analysed’ signifies subjects evaluable for this endpoint.
|
||||||||||||||||||
End point type |
Other pre-specified
|
||||||||||||||||||
End point timeframe |
For subjects: at the end of the study on Day 4; For parents/legally acceptable representatives: within 20 minutes after subject completed assessment at the end of the study on Day 4
|
||||||||||||||||||
|
|||||||||||||||||||
Statistical analysis title |
Dextromethorphan HBr vs Placebo (Subject) | ||||||||||||||||||
Statistical analysis description |
ANOVA model with treatment, study site (pooled), and age group included in the model.
|
||||||||||||||||||
Comparison groups |
Dextromethorphan Hydrobromide v Placebo
|
||||||||||||||||||
Number of subjects included in analysis |
127
|
||||||||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||||||||
Analysis type |
superiority | ||||||||||||||||||
P-value |
≤ 0.5652 [13] | ||||||||||||||||||
Method |
ANOVA | ||||||||||||||||||
Parameter type |
Difference in least squares mean | ||||||||||||||||||
Point estimate |
0.1266
|
||||||||||||||||||
Confidence interval |
|||||||||||||||||||
level |
95% | ||||||||||||||||||
sides |
2-sided
|
||||||||||||||||||
lower limit |
-0.3081 | ||||||||||||||||||
upper limit |
0.5614 | ||||||||||||||||||
Variability estimate |
Standard error of the mean
|
||||||||||||||||||
Dispersion value |
0.2196
|
||||||||||||||||||
Notes [13] - P-Value <=0.05 level was considered significantly better and P-Value lying between 0.05<p<=0.1 level was considered marginally significantly better. |
|||||||||||||||||||
Statistical analysis title |
Dextromethorphan HBr vs Placebo (Caregiver) | ||||||||||||||||||
Statistical analysis description |
ANOVA model with treatment, study site (pooled), and age group included in the model.
|
||||||||||||||||||
Comparison groups |
Dextromethorphan Hydrobromide v Placebo
|
||||||||||||||||||
Number of subjects included in analysis |
127
|
||||||||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||||||||
Analysis type |
superiority | ||||||||||||||||||
P-value |
≤ 0.4914 [14] | ||||||||||||||||||
Method |
ANOVA | ||||||||||||||||||
Parameter type |
Difference in least squares mean | ||||||||||||||||||
Point estimate |
-0.1368
|
||||||||||||||||||
Confidence interval |
|||||||||||||||||||
level |
95% | ||||||||||||||||||
sides |
2-sided
|
||||||||||||||||||
lower limit |
-0.5292 | ||||||||||||||||||
upper limit |
0.2556 | ||||||||||||||||||
Variability estimate |
Standard error of the mean
|
||||||||||||||||||
Dispersion value |
0.1982
|
||||||||||||||||||
Notes [14] - P-Value <=0.05 level was considered significantly better and P-Value lying between 0.05<p<=0.1 level was considered marginally significantly better. |
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Adverse events information
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Timeframe for reporting adverse events |
Day 1 up to 14 days after last dose of study medication (up to 18 days)
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Adverse event reporting additional description |
Same event may appear as Adverse Event (AE) and Serious Adverse Events (SAE), what is presented are distinct events. Event may be categorised as serious in 1 subject and as non-serious in another subject or 1 subject may have experienced both serious and non-serious event during study. Evaluated on all subjects who received the study drug.
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Assessment type |
Non-systematic | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary used for adverse event reporting
|
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Dictionary name |
MedDRA | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary version |
23.1
|
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Reporting groups
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Placebo
|
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Reporting group description |
Subjects were randomised to receive 9 doses of placebo matched to 15 mg/10 mL DXM HBr over the course of 4 day study treatment and were fitted with the cough recording device VitaloJAKTM for the first 24 hours of treatment. On Day 1, subjects received a single 10 mL oral dose of placebo syrup each in afternoon and evening. On Day 2 and 3, subjects received a single 10 mL oral dose of placebo syrup each in morning, afternoon and evening. On Day 4, subjects received a single 10 mL oral dose of placebo syrup in morning. Subjects were followed up for 14 days after last dose of study medication. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Dextromethorphan Hydrobromide
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Reporting group description |
Subjects were randomised to receive 9 doses of DXM HBr (15 mg/10 mL) over the course of 4 day study treatment and were fitted with the cough recording device VitaloJAKTM for the first 24 hours of treatment. On Day 1, subjects received a single 10 mL oral dose of DXM HBr syrup each in afternoon and evening. On Day 2 and 3, subjects received a single 10 mL oral dose of DXM HBr syrup each in morning, afternoon and evening. On Day 4, subjects received a single 10 mL oral dose of DXM HBr syrup in morning. Subjects were followed up for 14 days after last dose of study medication. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Frequency threshold for reporting non-serious adverse events: 0% | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Substantial protocol amendments (globally) |
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Were there any global substantial amendments to the protocol? No | |||
Interruptions (globally) |
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Were there any global interruptions to the trial? No | |||
Limitations and caveats |
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Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data. | |||
None reported |