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Respiratory InflammationPhase 4NCT07518394

Oral Essential Oils Efficacy in Acute Respiratory Symptoms

A Phase 4 study testing essential oils of eucalyptus, thyme, cinnamon, lavender, winter savory, tea tree, camphor tree in people with Respiratory Inflammation, run by University of Sfax at 1 site in Tunisia.

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 goal of this clinical trial is to explore the impact of a dietary supplement containing essential oils on symptom severity in patients presenting to the ED with respiratory complaints. It will also learn about the safety of this diet supplement. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Respiratory Inflammation
What is being tested?
essential oils of eucalyptus, thyme, cinnamon, lavender, winter savory, tea tree, camphor tree
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
105 participants
Where
1 siteTunisia
Study dates
1 Mar 2023to 30 Sep 2024
Phase
Phase 4
Are there results?
None posted in the registry

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

  • Consecutive patients presenting with acute cough and at least one of the following symptoms: sputum production, dyspnea, wheezing, or chest discomfort/pain
  • No alternative explanation for symptoms

Who cannot join

  • Non-communicating patients
  • Pregnant patients
  • Patients with known allergy to study components

Trial locations and contacts

1 site in 1 country.

Tunisia1 site
  • Habib Bourguiba University Hospital, Sfax

    Sfax, Sfax Governorate, 3029

Other trials in Tunisia

About this study

Official title: Using Botanical Ingestible Oils for Treating Infectious Conditions: The UBIOTIC Study on Essential Oils for Lower Respiratory Infections in the Emergency Department

The goal of this clinical trial is to explore the impact of a dietary supplement containing essential oils on symptom severity in patients presenting to the ED with respiratory complaints. It will also learn about the safety of this diet supplement. The main question it aims to answer is :

  • Does Ubiotique lower the severity of symptoms (cough, sputum, fatigue) in patients presenting to the emergency department with respiratory complaints.
Read more

Researchers will compare drug Ubiotique to a placebo (a look-alike substance that contains no drug) to see if drug Ubiotique works to reduce symptoms (Cough, sputum, fatigue).

Participants will:

  • Take Ubiotique or a placebo three times per day for ten days
  • Be phone-called to be followed-up at day 3, 5, and 7post emergency visit
  • Keep a diary of their symptoms and give a score to the severity of each symptom
Read the detailed description

Patients treated with Essential oil treatment and placebo received 1 capsule 3 times per day. At the end of management at the ED, the investigator gave the caps box to the patient and explained the follow-up process. The investigator phoned the patients on days 1, 3, 5, 7, and 10 of the ED visits to complete their follow-up. No other changes in the management were indicated. No extra tests were required for the trial. All the clinical, radiological, and biological data were recorded. There were no further changes in the prescribed treatments at discharge.

Outcomes measures: The primary study endpoint was the benefits of Essential Oil in reducing symptoms' severity (cough, sputum, fatigue). The severity of these symptoms was self-reported by the patient on a 5-point Likert scale (0 = not present, 1 = somewhat present, 2 = present, 3 = present and challenging, 4= Always present and highly challenging). The difference in symptom severity between Day 3, Day 5, Day 7, and the baseline severity of the three main symptoms (Cough, sputum, fatigue) was calculated for each patient. The value was negative if there was a decrease in the symptom severity and positive when the symptom severity increased. These values were compared in the two groups of patients to assess the decrease in symptoms' severity.

The secondary endpoints included safety and adherence to the treatment, and the presence of adverse events. Serious adverse events or reactions (death, life-threatening condition during the study period, unplanned hospitalization, unplanned prolongation of the current hospitalization, persistent disability) were recorded during the follow-up of all the patients. Unfavorable symptoms were also evaluated; the participants were asked if they experienced any changes or symptoms (smell, gastrointestinal symptoms, transit abnormality, urinary tract symptoms). If yes, they were asked to rate the symptom from 0 to 3.

Being tested
essential oils of eucalyptus, thyme, cinnamon, lavender, winter savory, tea tree, camphor tree, placebo of the essential oil capsule
Keywords
Essential Oil, Dietary Supplement, Low Tract Respiratory Infection, Symptom Management, Respiratory Complaints, Emergency Department
Medical subject headings
Emergencies

What participants receive

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

  • essential oils of eucalyptus, thyme, cinnamon, lavender, winter savory, tea tree, camphor treeDietary supplement

    The essential oil capsule used in this study is a commercially available product that can be purchased without a prescription; however, it is not included in conventional or academic treatment protocols for lower respiratory infections and was evaluated in this trial solely for research purposes. Participants randomized to the intervention group received an oral capsule containing a combination of botanical essential oils, including eucalyptus (20 mg), thyme (20 mg), cinnamon (10 mg), lavender (20 mg), winter savory (20 mg), tea tree (20 mg), and camphor tree (20 mg). Participants in the control group received a placebo capsule identical in appearance, taste, smell, consistency, and packaging. Study medication was administered at a dose of one capsule three times daily for a total duration of 10 days. The study capsules were provided by the investigator at the time of emergency department discharge, and participants received standardized instructions regarding treatment administration.

  • placebo of the essential oil capsuleDietary supplement

    the placebo capsule were identical in color, taste, smell, consistency, and packaging and do not contains essential oils.

Study groups in NCT07518394
Study groupRoleWhat they receive
PlaceboPlacebo comparatorthis group will be invited to take a placebo capsule in addition to the standard treatment prescribed at discharge from the emergency department
Receives: Dietary Supplement: placebo of the essential oil capsule
Essential oil groupActive comparatorthis group will be invited to take a capsule containing essential oils in addition to the standard treatment prescribed at discharge from the emergency department
Receives: Dietary Supplement: essential oils of eucalyptus, thyme, cinnamon, lavender, winter savory, tea tree, camphor tree

What is being measured

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

  1. The primary study endpoint was the benefits of Essential Oil in reducing symptoms (cough, sputum, fatigue).

    The severity of these symptoms was self-reported by the patient on a 5-point Likert scale (0 = not present, 1 = somewhat present, 2 = present, 3 = present and challenging, 4= Always present and highly challenging).

    As these symptoms are clinically linked, we calculated the total symptom severity score. The sum of the cough, sputum, and fatigue scores was defined as the composite symptoms score. Based on the calculated score, the severity of the symptoms was considered minor (score under 4), moderate (score between 4 and 8), or severe (score 9 or more). For each patient, the difference in symptoms score was calculated between Day 3, Day 5, Day 7, and the baseline severity. The value is negative when symptom severity decreases, and positive when symptom severity increases. The percentage of symptoms remaining at Day 3 was calculated for each participant as the ratio of the Day 3 symptom score to the baseline score, multiplied by 100.

    Measured: The investigator phoned the patients on days 1, 3, 5, 7, and 10 of the ED visits to complete their follow-up. No other changes in the management were indicated.

Secondary outcomes (1)
  1. secondary outcomes: • the change of each symptom (cough, sputum, fatigue), • Safety and tolerability of the intervention • Adherence to treatment • Incidence of adverse events

    The secondary endpoints were the change of each symptom (cough, sputum, fatigue), safety and adherence to the treatment, and the presence of adverse events. We calculated the difference of each symptom score (cough, sputum, fatigue) between Day 3, Day 5, Day 7, and the baseline for each patient. We recorded serious adverse events or reactions (death, life-threatening conditions during the study period, unplanned hospitalizations, unplanned prolongation of current hospitalizations, persistent disabilities) during the follow-up of all patients. We also assessed unfavourable symptoms; participants were asked whether they experienced any changes or symptoms (smell, gastrointestinal symptoms, transit disturbances, or urinary tract symptoms). If yes, they were asked to rate the symptom from 0 to 3. Approval from the ethics committee was obtained.

    Measured: The followup is conducted on Day 3, Day 5, Day 7, by phone call.

Timeline

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

  1. First posted8 Apr 2026
  2. Study start1 Mar 2023
  3. Primary completion15 Sep 2024
  4. Study completion30 Sep 2024

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
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Outcomes assessor
Enrolment
105 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07518394
Sponsor's protocol ID
USfax
Status last verified
Apr 2026
First submitted
19 Feb 2026
Last updated
8 Apr 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Wu S, Patel KB, Booth LJ, Metcalf JP, Lin HK, Wu W. Protective essential oil attenuates influenza virus infection: an in vitro study in MDCK cells. BMC Complement Altern Med. 2010 Nov 15;10:69. doi: 10.1186/1472-6882-10-69.

    PubMed 21078173
  • Kahler C, Derezinski T, Bocian-Sobkowska J, Keckeis A, Zacke G. Spicae aetheroleum in uncomplicated acute bronchitis: a double-blind, randomised clinical trial. Wien Med Wochenschr. 2019 Apr;169(5-6):137-148. doi: 10.1007/s10354-017-0612-0. Epub 2017 Dec 5.

    PubMed 29209859
  • Horvath G, Acs K. Essential oils in the treatment of respiratory tract diseases highlighting their role in bacterial infections and their anti-inflammatory action: a review. Flavour Fragr J. 2015 Sep;30(5):331-341. doi: 10.1002/ffj.3252. Epub 2015 May 26.

    PubMed 32313366
  • Prall S, Bowles EJ, Bennett K, Cooke CG, Agnew T, Steel A, Hausser T. Effects of essential oils on symptoms and course (duration and severity) of viral respiratory infections in humans: A rapid review. Adv Integr Med. 2020 Dec;7(4):218-221. doi: 10.1016/j.aimed.2020.07.005. Epub 2020 Aug 3.

    PubMed 32837899
  • Wani AR, Yadav K, Khursheed A, Rather MA. An updated and comprehensive review of the antiviral potential of essential oils and their chemical constituents with special focus on their mechanism of action against various influenza and coronaviruses. Microb Pathog. 2021 Mar;152:104620. doi: 10.1016/j.micpath.2020.104620. Epub 2020 Nov 16.

    PubMed 33212200
  • Tariq S, Wani S, Rasool W, Shafi K, Bhat MA, Prabhakar A, Shalla AH, Rather MA. A comprehensive review of the antibacterial, antifungal and antiviral potential of essential oils and their chemical constituents against drug-resistant microbial pathogens. Microb Pathog. 2019 Sep;134:103580. doi: 10.1016/j.micpath.2019.103580. Epub 2019 Jun 11.

    PubMed 31195112
  • Duijker G, Bertsias A, Symvoulakis EK, Moschandreas J, Malliaraki N, Derdas SP, Tsikalas GK, Katerinopoulos HE, Pirintsos SA, Sourvinos G, Castanas E, Lionis C. Reporting effectiveness of an extract of three traditional Cretan herbs on upper respiratory tract infection: results from a double-blind randomized controlled trial. J Ethnopharmacol. 2015 Apr 2;163:157-66. doi: 10.1016/j.jep.2015.01.030. Epub 2015 Jan 30.

    PubMed 25645191
  • Gillissen A, Wittig T, Ehmen M, Krezdorn HG, de Mey C. A multi-centre, randomised, double-blind, placebo-controlled clinical trial on the efficacy and tolerability of GeloMyrtol(R) forte in acute bronchitis. Drug Res (Stuttg). 2013 Jan;63(1):19-27. doi: 10.1055/s-0032-1331182. Epub 2013 Jan 8.

    PubMed 23447044
  • Rousseau G, Keijzers G, van Meer O, Craig S, Karamercan M, Klim S, Body R, Kuan WS, Harjola VP, Jones P, Verschuren F, Holdgate A, Christ M, Golea A, Capsec J, Barletta C, Graham CA, Garcia-Castrillo L, Laribi S, Kelly AM. Epidemiology, treatment and outcome of patients with lower respiratory tract infection presenting to emergency departments with dyspnoea (AANZDEM and EuroDEM studies). Emerg Med Australas. 2021 Feb;33(1):58-66. doi: 10.1111/1742-6723.13567. Epub 2020 Aug 3.

    PubMed 32748553
  • Bel Haj Ali K, Sekma A, Messous S, Trabelsi I, Ben Youssef J, Maghraoui H, Razgallah R, Walha A, Grissa MH, Beltaief K, Mezgar Z, Coubantini A, Bouida W, Msolli MA, Boukef R, Boubaker H, Nouira S. Appropriateness of antibiotic treatment of acute respiratory tract infections in Tunisian primary care and emergency departments: a multicenter cross-sectional study. BMC Prim Care. 2022 Nov 22;23(1):295. doi: 10.1186/s12875-022-01904-7.

    PubMed 36418965

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing essential oils of eucalyptus, thyme, cinnamon, lavender, winter savory, tea tree, camphor tree in people with Respiratory Inflammation, run by University of Sfax at 1 site in Tunisia.

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 3 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 8 Apr 2026. 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 Tunisia. 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 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

The primary study endpoint was the benefits of Essential Oil in reducing symptoms (cough, sputum, fatigue). (time frame: The investigator phoned the patients on days 1, 3, 5, 7, and 10 of the ED visits to complete their follow-up. No other changes in the management were indicated.). 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 NCT07518394, which also lists 10 linked publications.

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 8 Apr 2026.

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