AzTrials
AzTrials

Respiratory Tract DiseasesPhase 3NCT03843541

A Clinical Trial to Compare the Efficacy and Safety of 1-week Treatment of Intravenous N-acetylcysteine (NAC) 600 mg Twice Daily, Ambroxol Hydrochloride 30 mg Twice Daily and Placebo as Expectorant Therapies in Adult Chinese Patients With Respiratory Tract Diseases and Abnormal Mucus Secretions

A Phase 3 study testing N-acetylcysteine (NAC) 600 mg and Ambroxol hydrochloride 30 mg in people with Respiratory Tract Diseases and Abnormal Mucus Secretions, run by Zambon SpA at 32 sites in China.

Completed

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

Official record
Search all trials

Trial summary

This is a phase 3, multicenter, randomized, rater- and patient-blind, placebo- and active-controlled, 3-arm parallel group clinical trial. Patients will be randomized to N-acetylcysteine (NAC) or ambroxol or placebo in a 1:1:1 ratio. A total of approximately 333 patients in China will be randomized. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
N-acetylcysteine (NAC) 600 mg and Ambroxol hydrochloride 30 mg
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
333 participants
Where
32 sitesChina
Study dates
25 Jun 2019to 5 Feb 2021
Phase
Phase 3
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

  • Male or female adult (≥18 years old) hospitalized patients with respiratory tract diseases and abnormal mucus secretions such as: acute bronchitis, chronic bronchitis and exacerbations, emphysema, mucoviscidosis and bronchiectasis.
  • Chinese ethnicity and/or Chinese
  • Signed the informed consent form before any study-related procedure
  • Sputum viscosity score ≥ 2 at randomization visit
  • Expectoration difficulty score ≥ 2 at randomization visit
  • Willingness and ability to comply with study procedures

Who cannot join

  • Intolerance or contra-indication to treatment with NAC or ambroxol or allergy to any component of the study treatments
  • (For female patients) ongoing pregnancy or lactation, or childbearing potential but unwillingness to adopt abstinence or contraception measures during the study
  • Intake of an investigational drug within 1 month before the screening visit
  • Use of expectorants or drugs with expectorant effect within 2 days before randomization visit
  • Diagnosis of active tuberculosis, lung cancer, pulmonary fibrosis, acute pulmonary thromboembolism or any other respiratory condition that might, in the opinion of the investigator, compromise the safety of the patient or affect the interpretation of the results
  • Medical history of and/or illness (including laboratory abnormality) and/or treatment that in the investigator's opinion may interfere with the patient's safety, compliance, or study evaluations
Show all 10Show fewer
  • Serum alanine aminotransferase and/or aspartate transaminase more than 3 times above the upper limit of normal at screening visit
  • Serum creatinine more than 3 times above the upper limit of normal at screening visit
  • Addiction to alcohol or drugs
  • Mental illness, or other reasons for non-cooperation in the investigator's opinion

Trial locations and contacts

32 sites in 1 country.

32 sites in 1 country

China32 sites
  • Inner Mongolia Baogang Hospital

    Baotou

  • Beijing Hospital

    Beijing

  • Beijing Tongren Hospital

    Beijing

  • China-Japan Friendship Hospital

    Beijing

  • Peking University Shougang Hospital

    Beijing

  • Jilin Province People's Hospital

    Changchun

  • The First Bethune Hospital of Jilin University

    Changchun

  • Chengdu Fifth People's Hospital

    Chengdu

  • West China Hospital, Sichuan University

    Chengdu

  • The First Affiliated Hospital of Chongqing Medical University

    Chongqing

  • Deyang People's Hospital

    Deyang

  • Inner Mongolia People's Hospital

    Hohhot

  • Jinhua city central hospital/Jinhua hospital ,School of Medicine,Zhejiang UNIVERSITY

    Jinhua

  • Nanchang University-The Second Affiliated Hospital

    Nanchang

  • Nanjing First Hospital

    Nanjing

  • Zhongda Hospital, Southeast University - Pulmonology

    Nanjing

  • Jiangxi Pingxiang People's Hospital

    Pingxiang

  • Qingdao Municipal Hospital

    Qingdao

  • Minhang District Central Hospital

    Shanghai

  • Ruijin Hospital, Shanghai Jiao Tong University School of Medicine

    Shanghai

  • Shanghai General Hospital

    Shanghai

  • Shanghai Pulmonary Hospital

    Shanghai

  • Suining Central Hospital

    Suining

  • First Hospital of Shanxi Medical University

    Taiyuan

  • The First Hospital of Shanxi Medical University

    Taiyuan

  • Tongji Hospital, Tongji Medical College of Huazhong University Science and Technology

    Wuhan

  • Wuxi Peoples' Hospital affiliated to Nanjing Medical University

    Wuxi, No. 299, Qing Yang Rd., Wuxi City, Jiangsu

  • Wuxi Peoples' Hospital affiliated to Nanjing Medical University

    Wuxi

  • Yangzhou First People's Hospital

    Yangzhou

  • General Hospital of Ningxia Medical University

    Yinchuan

  • Affiliated Hospital of Guangdong Medical University - Respiration

    Zhanjiang

  • The First People's Hospital of Zigong

    Zigong

Other trials in China

About this study

Official title: A Phase III, Multi-centre, Randomized, Rater- and Patient-blind, Placebo- and Active-controlled, Parallel Group Clinical Trial to Compare the Efficacy and Safety of 1-week Treatment of Intravenous N-acetylcysteine (NAC) 600 mg Twice Daily (Active Test Treatment), Ambroxol Hydrochloride 30 mg Twice Daily (Active Control Treatment) and Placebo as Expectorant Therapies in Adult Chinese Patients With Respiratory Tract Diseases and Abnormal Mucus Secretions

This is a phase 3, multicenter, randomized, rater- and patient-blind, placebo- and active-controlled, 3-arm parallel group clinical trial. Patients will be randomized to N-acetylcysteine (NAC) or ambroxol or placebo in a 1:1:1 ratio. A total of approximately 333 patients in China will be randomized. The total study duration will be approximately 8 months including the enrolment period of approximately 7 months and the patient participation duration of 1 month or 4 weeks. Each patient will undergo a screening period of up to 1 week, a 1-week treatment period and a 2-week follow-up period. This study will be conducted in approximately 15-25 sites in China.

Being tested
N-acetylcysteine (NAC) 600 mg, Ambroxol hydrochloride 30 mg, placebo
Keywords
N-acetylcysteine (NAC), ambroxol hydrochloride, bronchitis, cystic fibrosis, fibrosis bronchiectasis, increased sputum viscosity, cough, Chronic Obstructive Pulmonary Disease (COPD)
Medical subject headings
Respiratory Tract Diseases, Bronchitis, Cystic Fibrosis, Cough, Pulmonary Disease, Chronic Obstructive

What participants receive

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

  • N-acetylcysteine (NAC) 600 mgDrug

    Also called Fluimucil®

    NAC will be administered twice a day, morning and evening, during treatment period.

  • Ambroxol hydrochloride 30 mgDrug

    Also called Mucosolvan®, Fluibron®

    Ambroxol hydrochloride will be administered twice a day, morning and evening, during treatment period.

  • placeboOther

    Placebo will be administered twice a day, morning and evening, during treatment period.

Study groups in NCT03843541
Study groupRoleWhat they receive
Active test treatment-NACExperimentalNAC 600mg will be administered by slow intravenous infusion twice daily for the 1-week treatment period.
Receives: Drug: N-acetylcysteine (NAC) 600 mg
Active control treatment-Ambroxol hydrochlorideActive comparatorAmbroxol hydrochloride 30 mg will be administered by slow intravenous infusion twice daily for the 1-week treatment period.
Receives: Drug: Ambroxol hydrochloride 30 mg
PlaceboPlacebo comparatorPlacebo will be administered by slow intravenous infusion twice daily for the 1-week treatment period.
Receives: Other: placebo

What is being measured

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

  1. Change From Baseline to Day 7 of Mean Sputum Viscosity Score of NAC and Placebo

    The superiority of slow intravenous infusion of NAC to placebo in terms of change from baseline in sputum viscosity score was demonstrated. Sputum viscosity was assessed by ordinal categorical 4-point scales [0 = Liquid (normal viscosity), 1= Fluid (mildly increased viscosity), 2 = Viscous (moderately increased viscosity), 3 = Sticky (severely increased viscosity)] with 0 = best and 3= worst.

    Measured: From baseline upto Day 7

  2. Change From Baseline to Day 7 Treatment of Mean Expectoration Difficulty Score of NAC and Placebo

    The superiority of slow intravenous infusion of NAC 600 mg twice daily to placebo in terms of change from baseline in expectoration difficulty score was demonstrated. Expectoration difficulty was assessed by ordinal categorical 4-point scales [0 = No difficulty, 1 = Mild difficulty, 2 = Moderate difficulty, 3 = Marked difficulty] with 0 = best and 3 = worst.

    Measured: From Baseline upto Day 7

Secondary outcomes (12)
  1. Change From Baseline to Day 3 in Mean Sputum Viscosity Score of NAC and Placebo

    The superiority of slow intravenous infusion of NAC to placebo in terms of change from baseline in sputum viscosity score was demonstrated. Sputum viscosity was assessed by ordinal categorical 4-point scales [0 = Liquid (normal viscosity), 1= Fluid (mildly increased viscosity), 2 = Viscous (moderately increased viscosity), 3 = Sticky (severely increased viscosity)] with 0 = best and 3= worst.

    Measured: From Baseline to Day 3

  2. Change From Baseline to Day 3 in Mean Expectoration Difficulty Score of NAC and Placebo

    The superiority of slow intravenous infusion of NAC to placebo in terms of change from baseline in expectoration difficulty score was demonstrated. Expectoration difficulty was assessed by ordinal categorical 4-point scales [0 = No difficulty, 1 = Mild difficulty, 2 = Moderate difficulty, 3 = Marked difficulty] with 0 = best and 3 = worst.

    Measured: From Baseline to Day 3

  3. Change From Baseline to Day 3 and to Day 7 in Mean Sputum Color Score of NAC and Placebo

    The superiority of the slow intravenous infusion of NAC to placebo in terms of change from baseline in sputum color score was demonstrated. Sputum color was assessed by means of ordinal categorical 4-point scales [0 = Mostly white, 1= Mostly pale yellow, 2 = Mostly dark yellow, 3 = Very dark yellow /green] with 0 = best and 3= worst.

    Measured: From Baseline upto Day 3 and Day 7

  4. Change From Baseline to Day 3 and to Day 7 in Mean Cough Severity Score of NAC and Placebo

    The superiority of the slow intravenous infusion of NAC to placebo in terms of change from baseline in cough score was demonstrated. Cough score was assessed by means of ordinal categorical 4-point scales [0 = No cough, 1= Sporadic and mild cough, 2 = Moderate cough, 3 = Severe Cough] with 0 = best and 3= worst.

    Measured: From Baseline upto Day 3 and Day 7

  5. Change From Baseline to Day 3 and to Day 7 of Mean Sputum Volume of NAC and Placebo

    The superiority of the slow intravenous infusion of NAC to placebo in terms of change from baseline in sputum volume was demonstrated. Patients collected 24-hour sputum (morning to same time of the following morning) in a graduated cup and volume was expressed as mL/24h.

    Measured: From Baseline upto Day 3 and Day 7

  6. Change From Baseline to Day 7 in Mean Sputum Viscosity Score of NAC and Ambroxol Hydrochloride

    The non-inferiority of NAC versus ambroxol in terms of change from baseline to Day 7 of mean sputum viscosity score was demonstrated. Sputum viscosity was assessed by ordinal categorical 4-point scales [0 = Liquid (normal viscosity), 1= Fluid (mildly increased viscosity), 2 = Viscous (moderately increased viscosity), 3 = Sticky (severely increased viscosity)] with 0 = best and 3= worst.

    Measured: From baseline upto Day 7

  7. Change From Baseline to Day 7 in Mean Expectoration Difficulty Score of NAC and Ambroxol Hydrochloride

    The non-inferiority of NAC versus ambroxol in terms of change from baseline to Day 7 of mean expectoration difficulty score was demonstrated. Expectoration difficulty was assessed by ordinal categorical 4-point scales [0 = No difficulty, 1 = Mild difficulty, 2 = Moderate difficulty, 3 = Marked difficulty] with 0 = best and 3= worst

    Measured: From Baseline upto Day 7

  8. Change From Baseline to Day 3 and to Day 7 in Mean Sputum Viscosity Score of Ambroxol Hydrochloride and Placebo

    The superiority of the slow intravenous infusion ambroxol hydrochloride to placebo in terms of change from baseline in sputum viscosity score was demonstrated. Sputum viscosity was assessed by ordinal categorical 4-point scales [0 = Liquid (normal viscosity), 1= Fluid (mildly increased viscosity), 2 = Viscous (moderately increased viscosity), 3 = Sticky (severely increased viscosity)] with 0 = best and 3= worst.

    Measured: From Baseline upto Day 3 and Day 7

  9. Change From Baseline to Day 3 and to Day 7 in Mean Expectoration Difficulty Score of Ambroxol Hydrochloride and Placebo

    The superiority of the slow intravenous infusion of ambroxol hydrochloride to placebo in terms of change from baseline in expectoration difficulty score was demonstrated. Expectoration difficulty was assessed by ordinal categorical 4-point scales [0 = No difficulty, 1 = Mild difficulty, 2 = Moderate difficulty, 3 = Marked difficulty] with 0 = best and 3 = worst.

    Measured: From Baseline upto Day 3 and Day 7

  10. Change From Baseline to Day 3 and to Day 7 in Mean Sputum Color Score of Ambroxol Hydrochloride and Placebo

    The superiority of slow intravenous infusion of ambroxol hydrochloride to placebo in terms of change from baseline in sputum color was demonstrated. Sputum color was assessed by means of ordinal categorical 4-point scales [0 = Mostly white, 1= Mostly pale yellow, 2 = Mostly dark yellow, 3 = Very dark yellow /green] with 0 = best and 3= worst.

    Measured: From Baseline upto Day 3 and Day 7

  11. Change From Baseline to Day 3 and to Day 7 in Mean Cough Severity Score of Ambroxol Hydrochloride and Placebo

    The superiority of slow intravenous infusion of ambroxol hydrochloride to placebo in terms of change from baseline in cough score was demonstrated. Cough score was assessed by means of ordinal categorical 4-point scales [0 = No cough, 1= Sporadic and mild cough, 2 = Moderate cough, 3 = Severe Cough] with 0 = best and 3= worst.

    Measured: From Baseline upto Day 3 and Day 7

  12. Change From Baseline to Day 3 and to Day 7 in Mean Sputum Volume of Ambroxol Hydrochloride and Placebo

    The superiority of slow intravenous infusion of ambroxol hydrochloride to placebo in terms of change from baseline in mean sputum volume was demonstrated. Patients collected 24-hour sputum (morning to same time of the following morning) in a graduated cup and volume was expressed as mL/24h.

    Measured: From Baseline upto Day 3 and Day 7

Timeline

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

  1. First posted18 Feb 2019
  2. Study start25 Jun 2019
  3. Primary completion23 Jan 2021
  4. Study completion5 Feb 2021

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
There will be 3 treatment groups of NAC, ambroxol and placebo. A total of 333 patients will be randomized to NAC or ambroxol or placebo in a 1:1:1 ratio. Approximately 111 patients will be randomized in each treatment group.
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
333 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03843541
Sponsor's protocol ID
Z7244L01
Status last verified
Sep 2025
First submitted
13 Feb 2019
Last updated
5 Sep 2025
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing N-acetylcysteine (NAC) 600 mg and Ambroxol hydrochloride 30 mg in people with Respiratory Tract Diseases and Abnormal Mucus Secretions, run by Zambon SpA at 32 sites in China.

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 6 inclusion and 10 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 5 Sep 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 32 sites in China. 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. Some participants in this study may receive a placebo. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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 5 Jan 2023). 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 From Baseline to Day 7 of Mean Sputum Viscosity Score of NAC and Placebo (time frame: From baseline upto Day 7). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 5 Sep 2025.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in