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CTRI Number  CTRI/2022/03/041394 [Registered on: 25/03/2022] Trial Registered Prospectively
Last Modified On: 19/07/2022
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   A clinical study to assess the efficacy and safety of combination of Noscapine plus Chlorpheniramine Syrup in patients for the treatment of cough with running nose. 
Scientific Title of Study   “A Phase III, Prospective, Randomized, Double Blind, Active-Controlled, Comparative, Parallel Group, Multicentric Clinical Study to Evaluate the Efficacy, Safety and Tolerability of FDC of Noscapine and Chlorpheniramine Maleate Oral Syrup in Patients for the Treatment of Dry, Irritating Cough Associated with Running Nose.” 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
CT/2022/02, Version No.: 00 and Dated Jan 28, 2022  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Rajasekhara Reddy Tamma 
Designation  Managing Director 
Affiliation  Clinwave Research Pvt. Ltd. 
Address  Clinwave Research Pvt. Ltd., # H. No.: 4-32-41/13, Plot No.: 38, Kamala Prasanna Nagar, Near Ramalayam Temple, Kukatpally, Hyderabad-500072, Telangana.

Hyderabad
TELANGANA
500072
India 
Phone  7989233379  
Fax    
Email  dr.sekhar@clinwave.co.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr Siddalingaiah N 
Designation  Deputy General Manager - Medico Marketing 
Affiliation  Biological E Limited 
Address  Biological E Limited, Plot No.623-H, Jubilee Hills, Hyderabad-500033.

Hyderabad
TELANGANA
500033
India 
Phone  04071216234  
Fax    
Email  Siddalingaiah.Ningaiah@biologicale.com  
 
Details of Contact Person
Public Query
 
Name  Dr Siddalingaiah N 
Designation  Deputy General Manager - Medico Marketing 
Affiliation  Biological E Limited 
Address  Biological E Limited, Plot No.623-H, Jubilee Hills, Hyderabad-500033.

Hyderabad
TELANGANA
500033
India 
Phone  04071216234  
Fax    
Email  Siddalingaiah.Ningaiah@biologicale.com  
 
Source of Monetary or Material Support  
Biological E Limited 
 
Primary Sponsor  
Name  Biological E Limited 
Address  18/1 & 3, Azamabad, Hyderabad-500020, Telangana, India. 
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study
Modification(s)  
No of Sites = 12  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Amitava Pal  College of Medicine and Sagore Dutta Hospital  Department of Chest Medicine, 578, B.T Road, Kamarhati, Kolkata-700058.
Kolkata
WEST BENGAL 
8981563716

amitava85@gmail.com 
Dr Swapnav Borthakur  Down Town Hospital  Research Room, Dispur, G.S. Road, Guwahati-781006.
Kamrup
ASSAM 
9864038704

swapnav.borthakur@gmail.com 
Dr MG Krishna Murthy  Gandhi Medical College and Hospital  Department of Respiratory Medicine, 8th Floor, In Patient Block, Musheerabad, Secunderabad-500003.
Hyderabad
TELANGANA 
9849135461

imkrishna@rediffmail.com 
Dr Raghumanda Sunil Kumar  Government Medical College & Government General Hospital (Old RIMSGGH)  Department of Pulmonology, Srikakulam-532001.
Srikakulam
ANDHRA PRADESH 
9849126543

drsunilkumarrims@gmail.com 
Dr Sanjay Verma  GSVM Medical College  Department of Pulmonology, Swaroop Nagar, Kanpur-208002.
Kanpur Nagar
UTTAR PRADESH 
9415075458

drskverma78@rediffmail.com 
Dr Neeraj Gupta  Jawahar Lal Nehru (J.L.N) Medical College  Department of Pulmonary Medicine, Kala Bagh, Ajmer-305001.
Ajmer
RAJASTHAN 
9829101942

drneerajajmer@yahoo.com 
Dr Manish Kumar Jain  Maharaja Agrasen Superspeciality Hospital  Room No. 109, Basement, Central Spine, Agrasen Aspatal Marg, Sector 7, Vidyadhar Nagar, Jaipur-302039.
Jaipur
RAJASTHAN 
9414414834

doctormanishjain2@gmail.com 
Dr Raja Bhattacharya  Medical College and Hospital, Kolkata  Department of Medicine, MCH Building, 4th Floor, 88 College Street, Kolkata-700073.
Kolkata
WEST BENGAL 
9477305539

rbrbhattacharya@gmail.com 
Dr Vijaykumar Bhagwan Barge  Rajarshee Chhatrapati Shahu Maharaj GMC and Chhatrapati Pramila Raje General Hospital  Department of Medicine, Dasara Chowk, Town Hall, Bhausingji Road, Kolhapur-416002.
Kolhapur
MAHARASHTRA 
8080328480

rcsmgmc.research@gmail.com 
Dr Vivek Eknath Redkar  Redkar Hospital and Research Centre  Research Room, Mumbai-Goa Highway, Oxelbag, Dhargal, Tal-Pernem, Goa-403513.
North Goa
GOA 
9422633506

redkar.research@gmail.com 
Dr Harendra Yadav  Vidhya Hospitals & Trauma Centre  Department of Pulmonology, Harikansgadi, Mohanlalganj, Raebareli Road, Lucknow-226301.
Lucknow
UTTAR PRADESH 
8953323348

vidhyahospitals980@gmail.com 
Dr Neeraj Gupta  W Pratiksha Hospital  Research Room, Golf Course Ext. Road, Sushant Lok II, Sector 56, Gurugram-122011.
Gurgaon
HARYANA 
7834846143

neeraj.gupta@w-hospital.in 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 12  
Name of Committee  Approval Status 
Ethics Committee, Down Town Hospital  Submittted/Under Review 
Ethics Committee, GSVM Medical College  Approved 
Institutional Ethics Committee for Human Research Medical College  Approved 
Institutional Ethics Committee, College of Medicine & Sagore Dutta Hospital  Submittted/Under Review 
Institutional Ethics Committee, Gandhi Medical College / Hospital  Approved 
Institutional Ethics Committee, Government Medical College & Government General Hospital (Old RIMSGGH)  Approved 
Institutional Ethics Committee, Jawahar Lal Nehru Medical College  Approved 
Institutional Ethics Committee, Maharaja Agrasen Superspeciality Hospital  Approved 
North East Healthcare Private Limited, W Pratiksha Hospital  Approved 
Rajarshee Chhatrapati Shahu Maharaj Govt. Medical College and Chhatrapati Pramila Raje General Hospital, Kolhapur Institutional Ethics Committee 2 (RCSMGMCIEC2)   Approved 
Redkar Hospital Institutional Ethics Committee (RHIEC)  Approved 
Vidhya Hospital and Trauma Centre Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: J988||Other specified respiratory disorders,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  FDC of Dextromethorphan 10 mg plus Chlorpheniramine Maleate 4 mg Oral Syrup  Patients will be advised to take 5 mL of oral syrup 4 times daily for 7 days. 
Intervention  FDC of Noscapine 15 mg plus Chlorpheniramine Maleate 4 mg Oral Syrup  Patients will be advised to take 5 mL of oral syrup 4 times daily for 7 days. 
 
Inclusion Criteria  
Age From  12.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1. Male or female patients aged between 12 to 65 years (both inclusive).
2. Patients with a diagnosis of dry, irritating cough associated with running nose at screening visit.
3. Women of childbearing potential (WOCBP) must be using an acceptable method of contraception to avoid pregnancy throughout the study. WOCBP must have a negative urine pregnancy test at screening / baseline visit.
4. Patient with ability to understand and provide written informed consent / assent form, which must have been obtained prior to screening.
5. Patients willing to comply with the protocol requirements throughout the study. 
 
ExclusionCriteria 
Details  1. Patients with hypersensitivity to either of the study medications or any of the ingredients of the formulation.
2. Patients who had initiation of allergen immunotherapy within previous 6 months.
3. Patients with history of Rhinitis medicamentosa or substantial structural nasal obstruction.
4. Patients with the presence of nasal polyps or any clinically important nasal anomaly.
5. Patients with the history of acute and/or chronic sinusitis within 30 days of baseline/screening visit.
6. Patients with the history of eye surgery or intranasal surgery within 3 months of baseline/screening visit.
7. Patients with severe asthma requiring emergency room treatment within 1 month or hospitalization within 3 months before the trial.
8. Female patients who are pregnant or lactating or planning to become pregnant during the study period.
9. Female patients who are not ready to use acceptable contraceptive methods during the study.
10. Patients with known case of HIV, Hepatitis B & C.
11. Patients with medical history of oncological conditions.
12. Patients with current evidence of clinically significant hematopoietic, cardiovascular, hepatic renal, neurologic, psychiatric, autoimmune disease, or other disease that precludes the patient’s participation in the study.
13. Patients with concurrent participation in another clinical trial or any investigational therapy within 30 days prior to screening visit.
14. Patients currently taking prohibited medications(s) listed and inability/unwillingness to discontinue them for the entire study period.
15. Patients with suspected inability or unwillingness to comply with the study procedures.
16. Patients with any condition which, in the judgment of the Investigator, may render the patient unable to complete the study or which may pose a significant risk to the patient. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Pre-numbered or coded identical Containers 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Mean change in cough severity score (CSS) from baseline to end of the study visit.  At Visit 1 / Day 1 and Visit 3 / Day 7. 
 
Secondary Outcome  
Outcome  TimePoints 
Runny nose severity assessment from baseline to end of the study visit.  At Visit 1 / Day 1 and Visit 3 / Day 7. 
Change in Leicester Cough Questionnaire (LCQ) from baseline to end of the study visit.  At Visit 1 / Day 1 and Visit 3 / Day 7. 
Mean change in cough severity score (CSS) from baseline to day 3.  At Visit 1 / Day 1 and Visit 2 / Day 3. 
Percentage change in cough severity score (CSS) from baseline to day 3 and end of the study visit.  At Visit 1 / Day 1, Visit 2 / Day 3 and Visit 3 / Day 7. 
Adverse events or Serious adverse events reported during the study.
 
At Visit 2 / Day 3 and Visit 3 / Day 7. 
Changes in clinical laboratory parameters from baseline to end of the study visit.  At Visit 1 / Day 1 and Visit 3 / Day 7. 
 
Target Sample Size   Total Sample Size="176"
Sample Size from India="176" 
Final Enrollment numbers achieved (Total)= "198"
Final Enrollment numbers achieved (India)="198" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   11/04/2022 
Date of Study Completion (India) 10/06/2022 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="6"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

This trial is a phase III, prospective, randomized, double blind, active-controlled, comparative, parallel group, multicentric clinical study to evaluate the efficacy, safety and tolerability of FDC of Noscapine and Chlorpheniramine Maleate Oral Syrup in patients for the treatment of dry, irritating cough associated with running nose.

 

Patients who are willing and able to participate in the study will sign and date the Informed Consent / Assent Form on the day of screening / baseline visit (Visit 1). During this screening period, patients who are willing to give consent / assent will be evaluated for all the eligibility criteria. Eligible patients with a diagnosis of dry, irritating cough associated with running nose at screening visit will be considered for the study.

 

After confirming the inclusion/exclusion criteria the subject will be randomized and provided with study medication at randomization visit. Subjects will be provided with patient diary at randomization visit, which need to be brought along with in each subsequent visit till the last visit. Follow up visits will be done on day 3 and day 7(±1) (Final Visit) of treatment to assess efficacy, safety and tolerability.

 

Patients will be assigned to either of the two arms i.e., Arm A or Arm B consisting of FDC of Noscapine 15 mg + Chlorpheniramine Maleate 4 mg Oral Syrup or FDC of Dextromethorphan 10 mg + Chlorpheniramine Maleate 4 mg Oral Syrup.

 
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