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Acute Respiratory Viral InfectionPhase 3NCT04918771

Clinical Study of Efficacy and Safety of Raphamin in the Treatment of ARVI in Children 12-18 Years Old

A Phase 3 study testing Raphamin in people with Acute Respiratory Viral Infection, run by Materia Medica Holding at 29 sites in Russia.

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 multicenter double-blind placebo-controlled randomized in parallel-group. The objective of this study is to evaluate efficacy and safety of Raphamin in the treatment of acute respiratory viral infection (ARVI) in children aged 12-18 years old. Read more about this study

Who is it for?
Ages 12 to 18 years
Conditions the study is for
Acute Respiratory Viral Infection
What is being tested?
Raphamin
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
435 participants
Where
29 sitesRussia
Study dates
29 Apr 2021to 21 Jul 2023
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 12 to 18 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • Patients of either gender aged 12 to 18 years.
  • Diagnosis of ARVI based on medical examination: axillary temperature ≥ 37.8°C at examination + non-specific flu-like symptoms score ≥4, nasal/throat/chest symptom score ≥2.
  • The first 24 hours after ARVI onset.
  • Contraceptive measures by sexually active adolescents of both genders during the study.
  • Patient information sheet (informed consent form) signed by one parent/adoptive parent of the patient and there is also a signed patient information sheet (informed consent form) for children aged 14 and over.

Who cannot join

  • Clinical symptoms of severe influenza/ARVI requiring hospitalization.
  • Positive SARS-CoV-2 (COVID-19/Coronavirusdisease2019) antigen test.
  • Suspected pneumonia, bacterial infection (including otitis media, sinusitis, urinary tract infection, meningitis, sepsis, etc.) requiring administration of antibiotics from the first day of illness.
  • Suspected initial manifestations of diseases with symptoms similar to ARVI at onset (other infectious diseases, flu-like syndrome at the onset of systemic connective tissue diseases, and other pathology).
  • Patients requiring antiviral medication prohibited within the study.
  • Medical history of primary and secondary immunodeficiency.
Show all 17Show fewer
  • Medical history/suspicion of oncology of any localization (except for benign neoplasms).
  • Aggravation or decompensation of chronic diseases (diabetes mellitus, infantile cerebral paralysis, cystic fibrosis, primary ciliary dyskinesia, bronchopulmonary dysplasia, respiratory and ENT congenital defects, etc.) affecting a patient's ability to participate in the clinical trial.
  • Malabsorption syndrome, including congenital or acquired lactase or other disaccharidase deficiency, galactosemia.
  • Allergy/ hypersensitivity to any component of the study drugs used in the treatment.
  • Pregnancy. Breast-feeding.
  • Use of medications specified in the section "Prohibited Concomitant Therapy" within two weeks prior to inclusion in the study.
  • Patients whose parents/adopters, from the investigator's point of view, will not comply with the observation requirements during the study or follow the procedure for taking the study drugs.
  • Medical history of mental diseases of the patient or their parent(s)/adoptive parents.
  • Participation in other clinical trials for 3 months prior to enrollment in this study.
  • Patient's parents/adopters who are related to any of the on-site research personnel directly involved in the study or are an immediate relative of the investigator. 'Immediate relative' means husband, wife, parent, son, daughter, brother, or sister (regardless of whether they are natural or adopted).
  • The patient's parent/adopter who work for OOO "NPF "MATERIA MEDICA HOLDING" (i.e. the company's employees, temporary contract workers, designated officials responsible for carrying out the research or any immediate relatives of the aforementioned).

Trial locations and contacts

29 sites in 1 country.

29 sites in 1 country

Russia29 sites
  • Kazan State Medical University

    Kazan', 420012

  • Llc "Medlight"

    Kazan', 420097

  • Specialized Clinical Hospital for Infectious Diseases

    Krasnodar, 350015

  • Llc "Olla-Med"

    Moscow, 105554

  • Russian National Research Medical University named after N.I. Pirogov

    Moscow, 117997

  • Morozovskaya Children's City Clinical Hospital of the Moscow Department of Health

    Moscow, 119049

  • Federal Scientific and Clinical Center for Physical and Chemical Medicine of the Federal Medical and Biological Agency

    Moscow, 119435

  • Llc "Diagnostics and Vaccines"

    Moscow, 129515

  • Novosibirsk State Medical University

    Novosibirsk, 630091

  • City Children's Clinical Polyclinic # 5

    Perm, 614066

  • LLC "Professorial Clinic"

    Perm, 614070

  • Clinical and diagnostic center "Health" of the city of Rostov-on-Don

    Rostov-on-Don, 344011

  • Children's City Hospital #1 of Rostov-on-Don city

    Rostov-on-Don, 344019

  • Rostov State Medical University

    Rostov-on-Don, 344022

  • Ryazan State Medical University named after academician I.P. Pavlov

    Ryazan, 390026

  • Children's city polyclinic # 44

    Saint Petersburg, 191144

  • LLC "Energy of health"

    Saint Petersburg, 194156

  • Children's city polyclinic # 35

    Saint Petersburg, 196191

  • Research Institute of Influenza named after A.A. Smorodintsev

    Saint Petersburg, 197376

  • Samara Regional Children's Clinical Hospital named after N.N. Ivanova

    Samara, 443079

  • National Research Mordovian State University named after N.P. Ogarev

    Saransk, 430005

  • LLC "DNA Research Center"

    Saratov, 410005

  • Smolensk State Medical University

    Smolensk, 214019

  • Bashkir State Medical University/Department of Outpatient and Emergency Pediatrics

    Ufa, 450008

  • Volgograd State Medical University/Department of Pediatrics and Neonatology

    Volgograd, 400131

  • Yaroslavl State Medical University/Department of Pediatrics IPGE

    Yaroslavl, 150000

  • Yaroslavl State Medical University/Department of Pediatrics № 2

    Yaroslavl, 150000

  • Clinical Hospital # 2

    Yaroslavl, 150030

  • LLC "European Medical Center "UMMC-Health"

    Yekaterinburg, 620144

Other trials in Russia

About this study

Official title: Multicenter Double Blind Placebo-controlled Parallel-group Randomized Clinical Study of Efficacy and Safety of Raphamin in the Treatment of Acute Respiratory Viral Infection in Children Aged 12-18 Years Old

The multicenter double-blind placebo-controlled randomized in parallel-group. The objective of this study is to evaluate efficacy and safety of Raphamin in the treatment of acute respiratory viral infection (ARVI) in children aged 12-18 years old.

Read the detailed description

Design: a multicenter, double-blind, placebo-controlled, parallel-group randomized clinical trial.

The study will enroll outpatient subjects of either gender aged 12-18 old years with clinical manifestations of acute respiratory viral infection (ARVI) within the first days after the onset of the disease. The patients will be recruited during seasonal ARVI morbidity. Collection of history, thermometry, objective examination, laboratory tests, recording concomitant therapy will be made after parent/adoptive parent signing information sheet and informed consent form for the child participation in the clinical study, for children ≥14 years old after signing patient information sheet and informed consent form for children ≥14 years old to participate in the clinical study. The severity of ARVI symptoms will be evaluated with a 4-point scale.

The nasopharyngeal swabs for PCR diagnosis and verification of respiratory viruses will be performed prior to therapy to confirm the viral etiology of ARVI. To rule out the infection caused by the new coronavirus COVID-19 (Coronavirus disease 2019), a rapid test for SARS-CoV-2 antigen will be made. In case of a positive SARS-CoV-2 test, the physician will act in accordance with the current version of the RF MoH Temporary methodological recommendations "Prevention, diagnosis, and therapy of new coronavirus infection (COVID-19)".

If a patient meets all inclusion criteria and does not have any exclusion criteria, at Visit 1 (Day 1), he/she will be randomized into one of two groups: patients of group 1 will take Raphamin according to the dosage regimen for 5 days; patients of group 2 will take Placebo using Raphamin 5-day regimen.

The study will use an electronic patient diary (EPD) for recording morning and evening axillary body temperature (using a classic mercury-free thermometer) and disease symptoms (Symptom Severity Score). Besides, antipyretic dosing (if applicable) and any deterioration in a patient's condition (if applicable, for safety evaluation/AE documentation) will also be recorded in a patient diary. The investigator will provide instructions on filling the diary. At Visit 1 the parent/adoptive parent together with an investigator will record ARVI symptom severity and body temperature in the diary.

Patients will be observed for 14 days (screening, randomization - up to 1 day, treatment period - 5 days, follow-up - up to 2 days; deferred "phone visit" - day 14).

During the treatment and follow-up period the patients/physicians will make 3 visits and the fourth "phone visit" will be scheduled additionally: 1) visits by physician/patient - on Days 1, 5, and 7 (Visits 1, 2, and 3) - in a study center or at home; 2) "phone visit" (Visit 4) - on Day 14.

At Visits 2 and 3, the investigator will perform an objective examination, document changes in the symptoms and concomitant medications, and check patient diaries. At Visit 3 laboratory tests will be performed and compliance will be checked.

"Phone visit" will be performed to interview parents/adoptive parents about the patient's condition, presence/absence of secondary bacterial/viral complications, and use of antibiotics.

During the study, symptomatic therapy and therapy for their co-morbidities are allowed with the exception of the drugs indicated in the section "Prohibited Concomitant Treatment".

Being tested
Raphamin, Placebo

What participants receive

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

  • RaphaminDrug

    Oral administration - not with food. Keep the tablet in the mouth until it is completely dissolved.

    On the 1st day of treatment, 8 tablets are taken according to the following scheme: 1 tablet every 30 minutes in the first 2 hours (a total of 5 tablets in 2 hours), then during the same day, take another 1 tablet 3 times at regular intervals. On the 2nd day and then take 1 tablet 3 times a day. The duration of treatment is 5 days.

  • PlaceboDrug

    Oral administration - not with food. Placebo using Raphamin scheme.

Study groups in NCT04918771
Study groupRoleWhat they receive
RaphaminExperimentalTablet for oral use.
Receives: Drug: Raphamin
PlaceboPlacebo comparatorTablet for oral use.
Receives: Drug: Placebo

What is being measured

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

  1. Time to Resolution of Acute Respiratory Viral Infection (ARVI) Symptoms (ARVI, Confirmed by Polymerase Chain Reaction (PCR)).

    Outcome Measure is evaluated on the basis of ARVI, confirmed by Polymerase chain reaction (PCR), i.e virus detection.

    ARVI's resolution criteria: temperature ≤37.3°С + total symptom score (TSS) ≤2. Axillar temperature, 6 flu-like nonspecific symptoms (headache, chills, sweating, weakness, muscle pain, drowsiness) and 7 nasal/throat/chest symptoms (runny nose, nasal congestion, sneezing, hoarseness, sore throat, cough, pain/heaviness in chest) were registered for TSS according to the 4-point scale for each of them (0 = no symptom; 1 = mild symptom; 2 = moderate symptom; 3 = severe symptom). To calculate TSS absolute axillar temperature (in degrees Celsius) was converted to relative units (or points) using the following scale: ≤37.3 С=0 points; 37.4-38.0 С=1 point; 38.1-39.0 С=2 points; ≥39.1 С=3 points. So the range of TSS was from "0" to "42". The TSS higher score is the worse outcome.

    Measured: 14 days of observation

Secondary outcomes (11)
  1. Severity of ARVI (Clinically Diagnosed and/or PCR-confirmed).

    The outcome measure is based on the area under the curve (AUC) for the TSS (Total symptoms score).

    TSS is calculated as a sum of scores for 14 different symptoms. 13 of them are different ARVI manifestations, each of them is evaluated on a scale: 0 (none), 1 (mild), 2 (moderate), 3 (severe). 14th symptom is body temperature (temp) which is converted to its score using following rules:

    if temp <= 37.3 then score = 0 (none) if 37.3 < temp <= 38.0 then score = 1 (mild) if 38.0 < temp <= 39.0 then score = 2 (moderate) if 39.0 < temp then score = 3 (severe) So it is 14 symptoms and the score for each of them varies between 0 and 3. Minimum TSS is 0, maximum is 42 (higher TSS score is worse). AUC is calculated for all timepoints available for patient.

    Measured: Day1 through Day6 of the treatment and observation

  2. Percentage of Patients With Resolution of ARVI Symptoms (Clinically Diagnosed and/or PCR-confirmed).

    ARVI's resolution criteria: temperature ≤37.3°С + total symptom score (TSS) ≤2. Axillar temperature, 6 flu-like nonspecific symptoms (headache, chills, sweating, weakness, muscle pain, drowsiness) and 7 nasal/throat/chest symptoms (runny nose, nasal congestion, sneezing, hoarseness, sore throat, cough, pain/heaviness in chest) were registered for TSS according to the 4-point scale for each of them (0 = no symptom; 1 = mild symptom; 2 = moderate symptom; 3 = severe symptom). To calculate TSS absolute axillar temperature (in degrees Celsius) was converted to relative units (or points) using the following scale: ≤37.3 С=0 points; 37.4-38.0 С=1 point; 38.1-39.0 С=2 points; ≥39.1 С=3 points. So the range of TSS was from "0" to "42". The TSS higher score is the worse outcome.

    Measured: 14 days of observation

  3. Time to Resolution of ARVI Symptoms (Clinically Diagnosed and/or PCR-confirmed).

    ARVI's resolution criteria: temperature ≤37.3°С + total symptom score (TSS) ≤2. Axillar temperature, 6 flu-like nonspecific symptoms (headache, chills, sweating, weakness, muscle pain, drowsiness) and 7 nasal/throat/chest symptoms (runny nose, nasal congestion, sneezing, hoarseness, sore throat, cough, pain/heaviness in chest) were registered for TSS according to the 4-point scale for each of them (0 = no symptom; 1 = mild symptom; 2 = moderate symptom; 3 = severe symptom). To calculate TSS absolute axillar temperature (in degrees Celsius) was converted to relative units (or points) using the following scale: ≤37.3 С=0 points; 37.4-38.0 С=1 point; 38.1-39.0 С=2 points; ≥39.1 С=3 points. So the range of TSS was from "0" to "42". The TSS higher score is the worse outcome.

    Measured: 14 days of observation

  4. Percentage of Patients With Resolution of ARVI Symptoms (PCR-confirmed).

    Outcome Measure is based on the Percentage of Patients With Resolution of ARVI, confirmed by Polymerase chain reaction (PCR), i.e virus detection.

    ARVI's resolution criteria: temperature ≤37.3°С + total symptom score (TSS) ≤2. Axillar temperature, 6 flu-like nonspecific symptoms (headache, chills, sweating, weakness, muscle pain, drowsiness) and 7 nasal/throat/chest symptoms (runny nose, nasal congestion, sneezing, hoarseness, sore throat, cough, pain/heaviness in chest) were registered for TSS according to the 4-point scale for each of them (0 = no symptom; 1 = mild symptom; 2 = moderate symptom; 3 = severe symptom). To calculate TSS absolute axillar temperature (in degrees Celsius) was converted to relative units (or points) using the following scale: ≤37.3 С=0 points; 37.4-38.0 С=1 point; 38.1-39.0 С=2 points; ≥39.1 С=3 points. So the range of TSS was from "0" to "42". The TSS higher score is the worse outcome.

    Measured: 14 days of observation

  5. Dosing Frequency of Antipyretics.

    Outcome Measure is based on the rates of antipyretic use per patient during days 1 to 3 of therapy according to the electronic patient diary.

    Measured: 3 days of therapy

  6. Percentage of Patients Reporting Worsening of Illness.

    Outcome Measure is based on the rates of Complications that require the use of antibiotics or hospitalization.

    Measured: Day 4 through day 14 of the treatment and observation period

  7. Occurrence and Type of Adverse Events (AE) During the Treatment. AE Severity.

    1. The intensity (severity) of adverse events.
    2. Causal relationship of AEs to the sudy drug.
    3. Outcome of AEs. Based on medical records.

    Measured: 14 days of observation

  8. Changes in Vital Signs: Pulse Rate/Heart Rate in Beats Per Minute (Bpm).

    The outcome measure is based on the medical records. The patient's heart rate (heart rate) is measured by the physician in every visit (on days 1, 5, and 7).

    Measured: Day 1 through day 7 of the treatment and observation period.

  9. Changes in Vital Signs: Respiration Rate/Breathing Rate in Breaths Per Minute.

    Outcome Measure is based on the medical records. The patient's respiration rate (breathing rate) is measured by physician in every visit (on days 1, 5, and 7).

    Measured: Day 1 through day 7 of the treatment and observation period.

  10. Changes in Vital Signs: Blood Pressure in Units of Millimeters of Mercury (mmHg).

    Outcome Measure is based on the medical records. The patient's blood pressure is measured by the physician in every visit (on days 1, 5, and 7).

    Measured: Day 1 through day 7 of the treatment and observation period.

  11. Percentage of Patients With Clinically Relevant Abnormal Laboratory Findings.

    Outcome Measure is based on the Hematology, blood chemistry, and urinalysis parameters, which are beyond the reference values at the end of treatment.

    Measured: Day 1 through day 7 of the treatment and observation period.

Timeline

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

  1. First posted9 Jun 2021
  2. Study start29 Apr 2021
  3. Primary completion21 Jul 2023
  4. Study completion21 Jul 2023

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
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
435 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04918771
Sponsor's protocol ID
MMH-407-003
Status last verified
Aug 2023
First submitted
21 May 2021
Last updated
15 Oct 2024
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 Raphamin in people with Acute Respiratory Viral Infection, run by Materia Medica Holding at 29 sites in Russia.

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 5 inclusion and 17 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 15 Oct 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 29 sites in Russia. 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 15 Oct 2024). 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?

Time to Resolution of Acute Respiratory Viral Infection (ARVI) Symptoms (ARVI, Confirmed by Polymerase Chain Reaction (PCR)). (time frame: 14 days of observation). 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 15 Oct 2024.

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