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Cough Reflex SensitivityPhase 4NCT02062710

Antitussive Effect of a Naturally Flavored Syrup Containing Diphenhydramine, Compared With Dextromethorphan and Placebo

A Phase 4 study of Cough Reflex Sensitivity, run by Montefiore Medical Center at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to evaluate the antitussive (cough-suppressing) effects of two liquid medications: a combination of diphenhydramine and phenylephrine in a naturally cocoa flavoring, and, dextromethorphan syrup, compared with placebo. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Cough Reflex Sensitivity
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
22 participants
Where
1 siteUnited States
Study dates
Jan 2014to Jun 2014
Phase
Phase 4
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • healthy adult nonsmokers
  • onset of acute, viral upper respiratory tract infection (common cold) within 72 hours of enrollment

Who cannot join

  • smokers
  • history of asthma or other respiratory disorders

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Einstein Division/Montefiore Medical Center

    The Bronx, New York, 10461

Other trials in United States

About this study

Official title: Antitussive Effect of a Naturally Flavored, Multi-Component Syrup Containing Diphenhydramine, Compared With Dextromethorphan and Placebo

The purpose of this study is to evaluate the antitussive (cough-suppressing) effects of two liquid medications: a combination of diphenhydramine and phenylephrine in a naturally cocoa flavoring, and, dextromethorphan syrup, compared with placebo.

Being tested
diphenhydramine/phenylephrine/cocoa; dextromethorophan; placebo, diphenhydramine/phenylephrine/cocoa; placebo; dextromethorphan, dextromethorphan; diphenhydramine/phenylephrine/cocoa; placebo, dextromethorophan; placebo; diphenhydramine/phenylephrine/cocoa, placebo; diphenhydramine/phenylephrine/cocoa; dextromethorphan
Keywords
cough, cough reflex, capsaicin, diphenhydramine, phenylephrine, dextromethorphan, placebo
Medical subject headings
Cough

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • diphenhydramine/phenylephrine/cocoa; dextromethorophan; placeboDrug

    diphenhydramine 25 mg and phenylephrine 10 mg; dextromethorphan 30 mg; placebo.

  • diphenhydramine/phenylephrine/cocoa; placebo; dextromethorphanDrug

    diphenhydramine 25 mg and phenylephrine 10 mg; placebo; dextromethorphan 30 mg.

  • dextromethorphan; diphenhydramine/phenylephrine/cocoa; placeboDrug

    dextromethorphan 30 mg; diphenhydramine 25 mg and phenylephrine 10 mg; placebo

  • dextromethorophan; placebo; diphenhydramine/phenylephrine/cocoaDrug

    dextromethorphan 30 mg; placebo; diphenhydramine 25 mg and phenylephrine 10 mg

  • placebo; diphenhydramine/phenylephrine/cocoa; dextromethorphanDrug

    placebo; diphenhydramine 25 mg and phenylephrine 10 mg; dextromethorphan 30 mg

  • placebo; dextromethorphan; diphenhydramine/phenylephrine/cocoaDrug

    placebo; dextromethorphan 30 mg; diphenhydramine 25 mg and phenylephrine 10 mg

Study groups in NCT02062710
Study groupRoleWhat they receive
A, B, then CExperimentalSubjects received the following: Period 1: single oral dose of diphenhydramine 25 mg and phenylephrine 10 mg, in naturally-flavored cocoa syrup (treatment A). Period 2: dextromethorphan syrup 30 mg (treatment B); Period 3: placebo liquid, dextrose in water, 20 mL (treatment C). Intervention: capsaicin cough challenge testing 2 hours after study drug ingestion.Each dosing period separated by 1-2 day washout period.
Receives: Drug: diphenhydramine/phenylephrine/cocoa; dextromethorophan; placebo; Drug: diphenhydramine/phenylephrine/cocoa; placebo; dextromethorphan; Drug: dextromethorphan; diphenhydramine/phenylephrine/cocoa; placebo; Drug: dextromethorophan; placebo; diphenhydramine/phenylephrine/cocoa; Drug: placebo; diphenhydramine/phenylephrine/cocoa; dextromethorphan; Drug: placebo; dextromethorphan; diphenhydramine/phenylephrine/cocoa
A, C, then BExperimentalSubjects received the following: Period 1: single oral doce of diphenhydramine 25 mg and phenylephrine 10 mg, in naturally-flavored cocoa syrup (treatment A); Period 2: placebo liquid, dextrose in watwer, 20 mL (treatment C); Period 3: dextromethorphan syrup 30 mg (treatment B). Intervention: capsaicin cough challenge testing 2 hours after study drug ingestion.Each dosing period separated by 1-2 day washout period.
Receives: Drug: diphenhydramine/phenylephrine/cocoa; dextromethorophan; placebo; Drug: diphenhydramine/phenylephrine/cocoa; placebo; dextromethorphan; Drug: dextromethorphan; diphenhydramine/phenylephrine/cocoa; placebo; Drug: dextromethorophan; placebo; diphenhydramine/phenylephrine/cocoa; Drug: placebo; diphenhydramine/phenylephrine/cocoa; dextromethorphan; Drug: placebo; dextromethorphan; diphenhydramine/phenylephrine/cocoa
B, A, then CExperimentalSubjects received the following: Period 1: dextromethorphan syrup 30 mg (treatment B); Period 2: single dose of oral diphenhydramine 25 mg and phenylephrine 10 mg, in a naturally-flavored cocoa syrup (treatment A); Period 3: placebo liquid, dextrose in water, 20 mL (treatment C). Intervention: capsaicin cough challenge testing 2 hours after study drug ingestion. Each dosing period separated by 1-2 day washout period.
Receives: Drug: diphenhydramine/phenylephrine/cocoa; dextromethorophan; placebo; Drug: diphenhydramine/phenylephrine/cocoa; placebo; dextromethorphan; Drug: dextromethorphan; diphenhydramine/phenylephrine/cocoa; placebo; Drug: dextromethorophan; placebo; diphenhydramine/phenylephrine/cocoa; Drug: placebo; diphenhydramine/phenylephrine/cocoa; dextromethorphan; Drug: placebo; dextromethorphan; diphenhydramine/phenylephrine/cocoa
B, C, then AExperimentalSubjects received the following: Period 1: dextromethorphan 30 mg syrup (treatment B); Period 2: placebo liquid, dextrose in water, 20 mL (treatment C); Period 3: single dose of oral diphenhydramine 25 mg and phenylephrine 10 mg in a naturally-flavored cocoa syrup (treatment A). Intervention: capsaicin cough challenge testing 2 hours after study drug ingestion. Each dosing period separated by 1-2 day washout period.
Receives: Drug: diphenhydramine/phenylephrine/cocoa; dextromethorophan; placebo; Drug: diphenhydramine/phenylephrine/cocoa; placebo; dextromethorphan; Drug: dextromethorphan; diphenhydramine/phenylephrine/cocoa; placebo; Drug: dextromethorophan; placebo; diphenhydramine/phenylephrine/cocoa; Drug: placebo; diphenhydramine/phenylephrine/cocoa; dextromethorphan; Drug: placebo; dextromethorphan; diphenhydramine/phenylephrine/cocoa
C, A, then BExperimentalSubjects received the following: Period 1: placebo liquid, dextrose in water, 20 mL (treatment C); Period 2: a single oral dose of diphenhydramine 25 mg and phenylephrine 10 mg in a naturally-flavored cocoa syrup (treatment A); Period 3: dextromethorphan 30 mg syrup (treatment B). Intervention: capsaicin cough challenge testing 2 hours after study drug ingestion. Each dosing period separated by 1-2 day washout period.
Receives: Drug: diphenhydramine/phenylephrine/cocoa; dextromethorophan; placebo; Drug: diphenhydramine/phenylephrine/cocoa; placebo; dextromethorphan; Drug: dextromethorphan; diphenhydramine/phenylephrine/cocoa; placebo; Drug: dextromethorophan; placebo; diphenhydramine/phenylephrine/cocoa; Drug: placebo; diphenhydramine/phenylephrine/cocoa; dextromethorphan; Drug: placebo; dextromethorphan; diphenhydramine/phenylephrine/cocoa
C, B, then AExperimentalSubjects received the following: Period 1: placebo liquid, dextrose in water, 20 mL (treatment C); Period 2: dextromethorphan 30 mg syrup (treatment B); Period 3: a single oral dose of diphenhydramine 25 mg and phenylephrine 10 mg in a naturally-flavored cocoa syrup (treatment A). Intervention: capsaicin cough challenge testing 2 hours after study drug ingestion. Each dosing period separated by 1-2 day washout period.
Receives: Drug: diphenhydramine/phenylephrine/cocoa; dextromethorophan; placebo; Drug: diphenhydramine/phenylephrine/cocoa; placebo; dextromethorphan; Drug: dextromethorphan; diphenhydramine/phenylephrine/cocoa; placebo; Drug: dextromethorophan; placebo; diphenhydramine/phenylephrine/cocoa; Drug: placebo; diphenhydramine/phenylephrine/cocoa; dextromethorphan; Drug: placebo; dextromethorphan; diphenhydramine/phenylephrine/cocoa

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in Cough Reflex Sensitivity to Capsaicin

    increase in C5 (decrease in cough reflex sensitivity). Capsaicin cough challenge involves subjects breathing in incremental doubling concentrations of aerosolized capsaicin, 1 minute apart, until the concentration of capsaicin (micromolar) inducing 5 or more coughs (C5) is reached.

    Measured: 2 hours after study drug administration

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted14 Feb 2014 (estimated)
  2. Study startJan 2014
  3. Primary completionJun 2014
  4. Study completionJun 2014

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Crossover
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
22 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02062710
Sponsor's protocol ID
MMC-IRB-13-10-170
Status last verified
Feb 2018
First submitted
31 Jan 2014
Last updated
28 Feb 2018
Data monitoring committee
Yes

Publications

  • Dicpinigaitis PV, Dhar S, Johnson A, Gayle Y, Brew J, Caparros-Wanderley W. Inhibition of cough reflex sensitivity by diphenhydramine during acute viral respiratory tract infection. Int J Clin Pharm. 2015 Jun;37(3):471-4. doi: 10.1007/s11096-015-0081-8. Epub 2015 Feb 12.

    PubMed 25673148

Questions about this trial

What is this clinical trial studying?

A Phase 4 study of Cough Reflex Sensitivity, run by Montefiore Medical Center at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 28 Feb 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 28 Apr 2015). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Cough Reflex Sensitivity to Capsaicin (time frame: 2 hours after study drug administration). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02062710, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Feb 2018.

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