Efficacy and Safety of an Herbal-Based Medication vs. Placebo in Preventing Acute Otitis Media in Children at High Risk of Recurrence: A Placebo Controlled, Randomized, Double-blinded Parallel-Group Comparison for Superiority
试验速览
- 阶段
- 3 期
- 状态
- 已完成
- 入组人数
- 296
- 试验地点
- 1
- 主要终点
- Number of acute otitis media episodes diagnosed by a physician
研究概览
简要总结
The purpose of this study is to study whether a herbal-based medication is superior to placebo for prevention of acute otitis media in pre-school children with upper respiratory tract infection.
详细描述
This is a prospective, controlled parallel-group comparison for superiority of Otovowen®.
Patient will be identified by screening of patient cards. Patients with recurrent AOM aged 12 to 59 months will be randomly assigned either to Otovowen® or placebo. Randomization will be stratified by age at enrolment (12-35 versus 36-59 months).
The observation period per subject will be 6 months. Data collection and documentation will be performed weekly via online diary by the parents/legal representative(s) and by the investigator via eCRF.
Patients will be seen by the doctor at baseline and at end of study. Unscheduled visits in case of AOM or severe URI or any other disease are initiated by the parents/legal representative(s).
Study medication will be sent to the patient/parents/legal representative(s) after randomization. and will be administered at first signs or symptoms of URI (e. g. elevated temperature, common cold, influenza, coughing, sore throat, hoarse voice, frequent sneezing, running or stuffy nose, sinusitis, fever, headache, etc.) until resolved (maximally 8 weeks of continuous application).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 12 Months 至 59 Months（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Children with at least 3 episodes of acute otitis media (AOM) within 12 months prior to study inclusion as documented in their medical records. Diagnosis criteria for AOM see study protocol
- •parental written consent
排除标准
- •Ongoing acute otitis media or URI
- •Current prophylaxis/treatment for URI or AOM
- •Current use of phytotherapeutic and homeopathic agents with secretolytic, anti-inflammatory or immune enhancing properties
- •Use of tympanostomy tubes
- •Chronic tympanic membrane perforation (TMP)
- •Palatine cleft
- •Parents/legal representative(s) of children unable to follow study procedures, who have no internet access and are not willing to use an online diary on a weekly basis
- •History of hypersensitivity to the investigational drug or to its ingredients.
- •Systemic, severe as well as history of uncontrolled chronic disease or a concurrent clinically significant illness, or medical condition, which in the investigator's opinion, would contraindicate study participation or compliance with protocol mandated procedures.
- •Simultaneous participation in another clinical trial or participation in any clinical trial involving an investigational medicinal product within 30 days prior to written informed consent for this trial.
研究组 & 干预措施
Herbal-based Medication
Trade Name of active comparator: Otovowen® Substances: Aconitum napellus Dil. D6; Capsicum annuum Dil. D4; Chamomilla recutita; Echinacea purpurea; Hydrargyrum bicyanatum Dil. D6; Hydrastis canadensis Dil. D4; Iodum Dil. D4; Natrium tetraboracicum Dil. D4; Sambucus nigra; Sanguinaria canadensis.
Manufacturer: Weber & Weber, Inning/Ammersee Dose: Three times daily 7 drops Mode of Application: orally Duration of Treatment: at first signs of Upper respirtory tract infection until symptoms resolve (maximally 8 weeks of continuous application).
干预措施: Herbal-based medication (Drug)
Placebo
Placebo Substance: Aqueous ethanol solution non-distinguishable from verum. Manufacturer: Weber & Weber, Inning/Ammersee Dose: Three times daily 7 drops Mode of Application: orally Duration of Treatment: at first signs of URI until symptoms resolve (maximally 8 weeks of continuous application).
干预措施: Placebo (Drug)
结局指标
主要结局
Number of acute otitis media episodes diagnosed by a physician
时间窗: within 6 months after enrolment per patient
次要结局
- Number of days with URI(within 6 months after enrolment)
- Occurence of adverse events(within 6 months of enrolment)
- Subjective evaluation of efficacy by parent(at indivdual study completion 6 months after enrolment)
- Number of unscheduled visits due to URI(within 6 months after enrolment)
- Subjective evaluation of tolerability by parent(at indivdual study completion 6 months after enrolment)
- number of days with use of antipyretic, analgesic and antibiotic medication(within 6 months of enrolment)
- Number of absent days from daycare (patient) / work (parent)(within 6 months of enrolment)
- Total number of acute otitis media per treatment group(diagnosed in each patient within 6 months after enrolment)
- Number of unscheduled visits due to AOM(within 6 months after enrolment)
- Number of AOM treated with antibiotics(within 6 months after enrolment)
- Number of URI treated with antibiotics(within 6 months after enrolment)
研究者
Axel Franz
Associate Professor
University Hospital Tuebingen