Schaefer Axel, Ludwig Fanny, Giannetti Bruno M, Bulitta Michael, Wacker Anja
Medizentrum-Essen-Borbeck, Essen, Germany.
Engelhard Arzneimittel GmbH & Co. KG, Niederdorfelden, Germany.
ERJ Open Res. 2019 Dec 8;5(4). doi: 10.1183/23120541.00019-2019. eCollection 2019 Oct.
The results of a clinical trial published in 2016 showed the efficacy of ivy leaves dry extract EA 575 placebo in the treatment of patients suffering from acute cough. A clinical trial with a very similar design was conducted to not only show the reproducibility of former results but also to investigate an alternative dosing scheme.
This randomised, placebo-controlled, multicentre, double-blind clinical trial was conducted to assess the efficacy and safety of a liquid containing EA 575 in the treatment of acute bronchitis. A total of 209 patients were treated with a liquid containing EA 575 as an active investigational medicinal product (verum) either two (7.5 mL) or three (5 mL) times a day or placebo in the respective dosing scheme for 1 week, with a total observational period of 2 weeks. The primary efficacy outcome was a change in Bronchitis Severity Score (BSS) of the pooled placebo and pooled verum groups between visits 1 and 5. Additional secondary parameters were assessed, including, for example, change in cough severity as assessed by a visual analogue scale (VAS) and the Verbal Category Descriptive (VCD) score.
Superiority of verum over placebo was during and at the end of treatment, as measured by BSS. No significant differences between the dosing schemes were observed. VCD scores and VAS measurements also showed the superiority of verum over placebo.
The existing data on the clinical efficacy of EA 575 were confirmed. Furthermore, a new dosing scheme was shown to be noninferior to the currently used scheme while maintaining the safety and tolerability of the well-established cough liquid containing EA 575.
2016年发表的一项临床试验结果显示,常春藤叶干提取物EA 575在治疗急性咳嗽患者方面优于安慰剂。为了不仅证明先前结果的可重复性,还为了研究一种替代给药方案,开展了一项设计非常相似的临床试验。
本随机、安慰剂对照、多中心、双盲临床试验旨在评估含EA 575的液体治疗急性支气管炎的疗效和安全性。共有209例患者接受治疗,其中一组作为活性试验药物(试验组),每天服用含EA 575的液体两次(7.5毫升)或三次(5毫升),另一组服用安慰剂,给药方案相同,持续1周,总观察期为2周。主要疗效指标是联合安慰剂组和联合试验组在第1次和第5次访视之间支气管炎严重程度评分(BSS)的变化。还评估了其他次要参数,例如通过视觉模拟量表(VAS)和言语分类描述(VCD)评分评估的咳嗽严重程度变化。
通过BSS测量,试验组在治疗期间和治疗结束时均优于安慰剂。未观察到给药方案之间存在显著差异。VCD评分和VAS测量结果也显示试验组优于安慰剂。
EA 575临床疗效的现有数据得到了证实。此外,新的给药方案被证明不劣于目前使用的方案,同时保持了含EA 575的成熟咳嗽液的安全性和耐受性。