Cough Clinical Trial
Official title:
A Randomized, Double-blind Study to Evaluate the Efficacy and Tolerability of a Cough Syrup Containing Specific Plant Extracts (Poliflav M.A.) and Honey Versus Placebo in Cough Due to Upper Respiratory Tract Infection
The intent of this study is to see how boys and girls aged 1-5 and coughing since 1-2 days due to common cold respond to a specific protective cough syrup taken before going to bed for one night, with respect to a similar but not specific syrup (placebo). The symptoms evaluated include especially cough frequency but also cough intensity, bother, and sleep quality of the child and parents.
Cough is a life saving reflex, therefore it is important, especially in pediatrics, to calm
cough spells without sedating the reflex. Looking into mechanisms for cough management
different from mucolytics, or sedatives, such as protection of irritated pharynx mucosa from
post nasal drip or other irritating substances is theoretically sound and shows practical
interesting results. A parallel comparison of efficacy and tolerability between such
protective mechanism (acting through a barrier and radical scavenging action) due to natural
substances (honey, plantago lanceolata and thymus vulgaris) and placebo has been looked at
specifically on the clinically critical population of children coughing since 1-2 days and
not more, including very young children of one year old. The intent of this study is to use
the protective syrup versus placebo in children with moderate to severe night and daily
cough, measured with a validated parent questionnaire. Daily cough is assessed to better
describe and select the general condition of the child however only night cough parameters
due to treatment are assessed. The degree of disturbance of cough is followed immediately
after one night administration on all night parameters, with special interest to frequency.
Assessment of effectiveness of the protective cough syrup as compared to placebo is
considered very interesting due to the mechanism of the remedy. The study looks at the effect
of the syrup/placebo on the first night in order to well focus the "first" effect of a
treatment on the ascending phase of the illness, such as to reduce to a minimum any
interference due to natural regression of the symptom due to illness progression.
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