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Otitis MediaPhase 3DoSe iTNCT04016051

Acceptance of Clarithromycin in a Straw Compared to Syrup in Children With Upper Respiratory Tract Infections

A Phase 3 study testing Clarithromycin DST (125 mg), Clarithromycin DST (187.5 mg) and Clarithromycin DST (250 mg) in people with Otitis Media and Tonsillitis, run by Grünenthal GmbH at 20 sites in 2 countries.

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

This study was performed in children with upper respiratory tract infections (acute ear infection, infection of the tonsils or throat, or bacterial inflammation of the bronchi) who needed treatment with an antibiotic (clarithromycin). Read more about this study

Who is it for?
Ages 2 to 12 years
Conditions the study is for
Otitis Media, Tonsillitis, Pharyngitis
What is being tested?
Clarithromycin DST (125 mg), Clarithromycin DST (187.5 mg) and Clarithromycin DST (250 mg)
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
265 participants
Where
20 sitesin 2 countries
Study dates
22 Sep 2004to 23 Dec 2004
Phase
Phase 3
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 2 to 12 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Male and female children weighing 12-40 kg.
  • Age 2 -12 years.
  • Written informed consent (parents).
  • Diagnosis of acute otitis media, tonsillitis, pharyngitis, or acute bacterial bronchitis requiring antibiotic treatment.

Who cannot join

  • Participation in another study of investigational products or of devices parallel to, or less than 4 weeks before study entry, or previous participation in this study (for safety reasons).
  • Known to or suspected of not being able to comply with the study protocol and the use of clarithromycin.
  • Requirement for, or current use of, systemic antibacterial agents not specified in the protocol.
  • Necessity of dose reduction due to any concomitant disease.
  • Known human immunodeficiency virus (HIV) positive.
  • Other inflammatory/infectious diseases of the ear, the upper respiratory tract or the nose and throat.
Show all 11Show fewer
  • History or presence of disease or concomitant medication contraindicating the use of clarithromycin.
  • Known or suspected intolerance / hypersensitivity to macrolides.
  • Contraindications according to the clarithromycin Summary of Product Characteristics (SmPC).
  • Indication for antibiotic treatment for less than 7 days or more than 10 days.
  • If known before entry, bacterial isolate resistant to clarithromycin.

Trial locations and contacts

20 sites in 2 countries.

20 sites in 2 countries

Germany14 sites
  • DE11

    Balve, 58802

  • DE10

    Beckum, 59269

  • DE09

    Hamelin, 31785

  • DE08

    Hanover, 30625

  • DE12

    Künzing, 94550

  • DE14

    München, 80393

  • DE05

    München, 81241

  • DE06

    München, 81543

  • DE03

    München, 81669

  • DE02

    München, 81675

  • DE13

    München, 81739

  • DE04

    Olching, 82140

  • DE07

    Pullach im Isartal, 82049

  • DE01

    Unterhaching, 82008

Other trials in Germany

Poland6 sites
  • PL03

    Koziegłowy

  • PL06

    Krakow

  • PL01

    LÓDZ

  • PL04

    Otwock

  • PL05

    Warsaw

  • PL02

    Wroclaw

Other trials in Poland

About this study

Official title: Comparison of Treatment Satisfaction and Treatment Adherence of a Novel Application Form "Dose Sipping Technology" (DST) of Oral Clarithromycin vs. Clarithromycin Syrup in Children Suffering From Acute Otitis Media, Tonsillitis, Pharyngitis, or Acute Bacterial Bronchitis (DoSe iT)

This study was performed in children with upper respiratory tract infections (acute ear infection, infection of the tonsils or throat, or bacterial inflammation of the bronchi) who needed treatment with an antibiotic (clarithromycin). The study investigated a new technology which delivers the antibiotic in a straw (dose sipping technology, DST) in comparison to a marketed syrup.

Read the detailed description

The study population were children aged 2-12 years (weight 12-40 kg) suffering from upper respiratory tract infections (acute otitis media, tonsillitis, pharyngitis, or acute bacterial bronchitis) and who needed antibiotic treatment. The study compared treatment satisfaction and treatment adherence of oral clarithromycin DST (125 mg, 187.5 mg, or 250 mg twice daily) with the established oral clarithromycin syrup administered via a graduated syringe (Klacid Syrup Forte®, 250 mg/5mL) at the same fixed daily doses.

Fixed doses of 125 mg, 187.5 mg and 250 mg of clarithromycin DST offer the pediatrician the flexibility to treat children of different body weight and age adequately at the recommended daily dose of 15 (12.5-20) mg/kg. All children were treated for 7 to 10 day (14 to 20 doses). Treatment satisfaction by the guardian/caregiver in terms of handling and administration of the clarithromycin DST straw and the comparator clarithromycin syrup, convenience of the administration, acceptance of taste and aftertaste, and treatment satisfaction with respect to future use was evaluated by means of a Parents' Questionnaire once on either Day 3, 4, or 5 and once on either Day 11, 12, 13, or 14. In addition, treatment adherence/willingness of medication intake and the child's health status were assessed. The safety program comprised recording and evaluation of adverse events and countermeasures.

Being tested
Clarithromycin DST (125 mg), Clarithromycin DST (187.5 mg), Clarithromycin DST (250 mg), Clarithromycin Syrup (125 mg), Clarithromycin Syrup (187.5 mg)
Medical subject headings
Otitis Media, Tonsillitis, Pharyngitis, Bronchitis

What participants receive

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

  • Clarithromycin DST (125 mg)Drug

    Clarithromycin DST (125.0 mg clarithromycin / straw).

  • Clarithromycin DST (187.5 mg)Drug

    Clarithromycin DST (187.5 mg clarithromycin / straw).

  • Clarithromycin DST (250 mg)Drug

    Clarithromycin DST (250.0 mg clarithromycin / straw).

  • Clarithromycin Syrup (125 mg)Drug

    Also called Klacid Syrup® Forte 250 mg/5mL

    Clarithromycin Syrup 2.5 ml (125 mg).

  • Clarithromycin Syrup (187.5 mg)Drug

    Also called Klacid Syrup® Forte 250 mg/5mL

    Clarithromycin Syrup 3.75 ml (187.5 mg).

  • Clarithromycin Syrup (250 mg)Drug

    Also called Klacid Syrup® Forte 250 mg/5mL

    Clarithromycin Syrup 5 ml (250 mg).

Study groups in NCT04016051
Study groupRoleWhat they receive
Clarithromycin DSTExperimentalParticipants received oral administration of Clarithromycin DST twice a day: * 125.0 mg straw, participants with body weight between 12 and 19 kg (approximate age 2-4 years). * 187.5 mg straw, participants with body weight between 20 and 29 kg (approximate age 4-8 years). * 250.0 mg straw, participants with body weight between 30 and 40 kg (approximate age 8-12 years). For oral intake of DST granules, the lower end of the straw was to be dipped into a glass with a clear, cool or lukewarm, preferably flavored beverage of participant choice. Suitable beverages were lemonade (carbonated or not), clear fruit juices without pulp, tea or water. The beverage was to be sipped smoothly through the straw.
Receives: Drug: Clarithromycin DST (125 mg); Drug: Clarithromycin DST (187.5 mg); Drug: Clarithromycin DST (250 mg)
Clarithromycin SyrupActive comparatorParticipants received oral administration of Clarithromycin Syrup twice a day: * 2.5 ml (125 mg) participants with body weight between 12 and 19 kg (approximate age 2-4 years). * 3.75 ml (187.5 mg) participants with body weight between 20 and 29 kg (approximate age 4-8 years). * 5 ml (250 mg) participants with body weight between 30 and 40 kg (approximate age 8-12 years).
Receives: Drug: Clarithromycin Syrup (125 mg); Drug: Clarithromycin Syrup (187.5 mg); Drug: Clarithromycin Syrup (250 mg)

What is being measured

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

  1. Preparation of the medication (during treatment)

    This was analyzed by a Parents' Questionnaire by means of the question "How was the preparation of the medication?" Parents were asked to respond once on either Day 3, 4, or 5. Possible answers (tick one only) were "very simple", "simple", "complicated" and "very complicated". The best outcome was "very simple", the worst "very complicated". The percentage of responses for each of the possible answers was calculated.

    Measured: Day 3-5

  2. Preparation of the medication (after treatment)

    This was analyzed by a Parents' Questionnaire by means of the question "How was the preparation of the medication?". Parents were asked to respond once on either Day 11, 12, 13, or 14. Possible answers (tick one only) were "very simple", "simple", "complicated" and "very complicated". The best outcome was "very simple", the worst "very complicated". The percentage of responses for each of the possible answers was calculated.

    Measured: Day 11-14

  3. Dosing accuracy (during treatment)

    This was analyzed by a Parents' Questionnaire by means of the question "How do you rate giving the right dose?". Parents were asked to respond once on either Day 3, 4, or 5. Possible answers (tick one only) were "very simple", "simple", "difficult" and "very difficult". The best outcome was "very simple", the worst "very difficult". The percentage of responses for each of the possible answers was calculated.

    Measured: Day 3-5

  4. Dosing accuracy (after treatment)

    This was analyzed by a Parents' Questionnaire by means of the question "How do you rate giving the right dose?" Parents were asked to respond once on either Day 11, 12, 13, or 14. Possible answers (tick one only) were "very simple", "simple", "difficult" and "very difficult". The best outcome was "very simple", the worst "very difficult". The percentage of responses for each of the possible answers was calculated.

    Measured: Day 11-14

  5. Handling of the medication (during treatment)

    This was analyzed by a Parents' Questionnaire by means of the question "How satisfied are you with the handling of the medication?" Parents were asked to respond once on either Day 3, 4, or 5. Possible answers (tick one only) were "very satisfied", "satisfied", "less satisfied" and "not satisfied". The best outcome was "very satisfied", the worst "not satisfied". The percentage of responses for each of the possible answers was calculated.

    Measured: Day 3-5

  6. Handling of the medication (after treatment)

    This was analyzed by a Parents' Questionnaire by means of the question "How satisfied are you with the handling of the medication?" Parents were asked to respond once on either Day 11, 12, 13, or 14. Possible answers (tick one only) were "very satisfied", "satisfied", "less satisfied" and "not satisfied". The best outcome was "very satisfied", the worst "not satisfied". The percentage of responses for each of the possible answers was calculated.

    Measured: Day 11-14

  7. Administration of the medication (during treatment)

    This was analyzed by a Parents' Questionnaire by means of the question "How do you judge the administration of the medication?" Parents were asked to respond once on either Day 3, 4, or 5. Possible answers (tick one only) were "very simple", "simple", "complicated" and "very complicated". The best outcome was "very simple", the worst "very complicated". The percentage of responses for each of the possible answers was calculated.

    Measured: Day 3-5

  8. Administration of the medication (after treatment)

    This was analyzed by a Parents' Questionnaire by means of the question "How do you judge the administration of the medication?" Parents were asked to respond once on either Day 11, 12, 13, or 14.

    Possible answers (tick one only) were "very simple", "simple", "complicated" and "very complicated". The best outcome was "very simple", the worst "very complicated". The percentage of responses for each of the possible answers was calculated.

    Measured: Day 11-14

  9. Ease to follow the prescribed dosing schedule (during treatment)

    This was analyzed by a Parents' Questionnaire by means of the question "How easy is it to follow the dosing schedule?" Parents were asked to respond once on either Day 3, 4, or 5. Possible answers (tick one only) were "very simple", "simple", "complicated" and "very complicated". The best outcome was "very simple", the worst "very complicated". The percentage of responses for each of the possible answers was calculated.

    Measured: Day 3-5

  10. Ease to follow the prescribed dosing schedule (after treatment)

    This was analyzed by a Parents' Questionnaire by means of the question "How easy is it to follow the dosing schedule?" Parents were asked to respond once on either Day 11, 12, 13, or 14. Possible answers (tick one only) were "very simple", "simple", "complicated" and "very complicated". The best outcome was "very simple", the worst "very complicated". The percentage of responses for each of the possible answers was calculated.

    Measured: Day 11-14

  11. Child's feeling about the taste of the medication (during treatment)

    This was analyzed by a Parents' Questionnaire by means of the question "What does your child feel about the taste of the medication?".

    Possible answers (tick one only) were "very good", "good", "acceptable", "bad", "very bad" and "no comment". The best outcome was "very good", the worst "very bad". The percentage of responses for each of the possible answers was calculated.

    Measured: Day 3-5

  12. Child's feeling about the taste of the medication (after treatment)

    This was analyzed by a Parents' Questionnaire by means of the question "What does your child feel about the taste of the medication?" Parents were asked to respond once on either Day 11, 12, 13, or 14.

    Possible answers (tick one only) were "very good", "good", "acceptable", "bad", "very bad" and "no comment". The best outcome was "very good", the worst "very bad". The percentage of responses for each of the possible answers was calculated.

    Measured: Day 11-14

  13. Child's feeling about aftertaste of the medication (during treatment)

    This was analyzed by a Parents' Questionnaire by means of the question "What does your child feel about the aftertaste of the medication?" Parents were asked to respond once on either Day 3, 4, or 5.

    Possible answers (tick one only) were "very good", "good", "acceptable", "bad", "very bad" and "no comment". The best outcome was "very good", the worst "very bad". The percentage of responses for each of the possible answers was calculated.

    Measured: Day 3-5

  14. Child's feeling about the aftertaste of the medication (after treatment)

    This was analyzed by a Parents' Questionnaire by means of the question "What does your child feel about the aftertaste of the medication?" Parents were asked to respond once on either Day 11, 12, 13, or 14.

    Possible answers (tick one only) were "very good", "good", "acceptable", "bad", "very bad" and "no comment". The best outcome was "very good", the worst "very bad". The percentage of responses for each of the possible answers was calculated.

    Measured: Day 11-14

  15. Optimal administration form

    This was analyzed by a Parents' Questionnaire by means of the question "Do you think the administration form is optimal for your child?". Parents were asked to respond once on either Day 11, 12, 13, or 14.

    Possible answers (tick one only) were "Yes", "No", and "Do not know". The percentage of responses for each of the possible answers was calculated.

    Measured: Day 11-14

  16. Treatment preference

    Treatment preference was analyzed by a Parents' Questionnaire by means of the question "Would you or your child prefer this administration form next time?" Parents were asked to respond once on either Day 11, 12, 13, or 14.

    Possible answers (tick one only) were "Yes" and "No". The percentage of responses for each of the possible answers was calculated.

    Measured: Day 11-14

  17. Treatment adherence

    The child's adherence to the prescribed course of therapy was checked by determining the number of unused straws or the residual volume in the medication bottles, respectively, when unused study medication was returned to the site on Day 11, 12, 13, or 14. A participant was considered to be:

    • Fully treatment adherent: >90 % of prescribed doses taken within the prescribed course of therapy.
    • Partially treatment adherent: 70-90% of prescribed doses taken within the prescribed course of therapy.
    • Non adherent: Omission of 2 or more consecutive doses or <70% of prescribed doses taken within the prescribed course of therapy.

    The percentage of participants in each of the 3 categories was calculated.

    Measured: Day 11-14

Secondary outcomes (2)
  1. Child's Health Status compared to Baseline (during treatment)

    The participant's overall health status compared to baseline (= acute infection requiring antibiotic treatment) was assessed by the investigator as "cured", "improved", "no changes", or "deteriorated". The clinical assessment was made during a phone interview with the parent/caregiver on either Day 3, 4, or 5. The best outcome was "cured", the worst was "deteriorated". The percentage of participants per outcome category was calculated.

    Measured: Day 3-5

  2. Child's Health Status compared to Baseline (after treatment)

    The participant's overall health status compared to baseline (= acute infection requiring antibiotic treatment) was assessed by the investigator as "cured", "improved", "no changes", or "deteriorated". The clinical assessment was made once at a site visit on either Day 11, 12, 13. or 14. The best outcome was "cured", the worst was "deteriorated". The percentage of participants per outcome category was calculated.

    Measured: Day 11-14

Timeline

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

  1. First posted11 Jul 2019
  2. Study start22 Sep 2004
  3. Primary completion23 Dec 2004
  4. Study completion23 Dec 2004

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
Masking
None (open label)
Enrolment
265 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04016051
Sponsor's protocol ID
KF-DSTCLA/01
Acronym
DoSe iT
Status last verified
Jul 2019
First submitted
5 Jun 2019
Last updated
11 Jul 2019
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Clarithromycin DST (125 mg), Clarithromycin DST (187.5 mg) and Clarithromycin DST (250 mg) in people with Otitis Media and Tonsillitis, run by Grünenthal GmbH at 20 sites in 2 countries.

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 4 inclusion and 11 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 11 Jul 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 20 sites in Germany, Poland. 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 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?

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?

Preparation of the medication (during treatment) (time frame: Day 3-5). The study lists 17 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 11 Jul 2019.

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