Echinacea Versus Placebo Effect in Common Cold (Physician Echinacea Placebo)
PEP
Placebo: Physician or Pill? A Randomized Trial in a Common Cold Model Funded by NIH NCCAM Under RFA "The Placebo Effect in Clinical Practice"
2 other identifiers
interventional
719
1 country
1
Brief Summary
The design and interpretation of randomized trials is intimately connected to the use of "placebo". The nature and magnitude of placebo effects, however, is very poorly understood. This study will assess and compare placebo effects and physician interaction effects within a community-acquired common cold model. The goal of this study is to assess two kinds of placebo affects and how physician interaction effects;
- 1.The effect of receiving blinded placebo, compared to no treatment; and
- 2.The effect of receiving open-label active Echinacea treatment compared to blinded active treatment.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_3
Started Sep 2003
Longer than P75 for phase_3
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
July 31, 2003
CompletedFirst Posted
Study publicly available on registry
August 1, 2003
CompletedStudy Start
First participant enrolled
September 1, 2003
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2008
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2013
CompletedDecember 4, 2014
December 1, 2014
4.9 years
July 31, 2003
December 3, 2014
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Duration and severity of illness, as assessed by the Wisconsin Upper Respiratory Symptom Survey (WURSS-21)
twice daily during illness
Secondary Outcomes (7)
SF-8 general health-related quality of life
daily during illness
perceived stress PSS-4
daily during illness
optimism LOT
two days after enrollment
patient satisfaction CARE
after doctor patient interaction
feeling thermometer - EuroQol VAS
daily during illness
- +2 more secondary outcomes
Study Arms (4)
A
NO INTERVENTIONNo pills
B
PLACEBO COMPARATORBlinded placebo
C
EXPERIMENTALEchinacea - Blinded
D
EXPERIMENTALEchinacea - Unblinded, Open Label
Interventions
Echinacea phytochemical profile Each tablet is comprised of the equivalent of 1275 mg of echinacea root, as follows: A) Echinacea purpurea - 675 mg root yields 112.5 mg dried extract, standardized to contain 2.1mg alkamides. B) Echinacea angustifolia - 600 mg root yields 150 mg dried extract, standardized to contain 2.0 mg alkamides. Each batch of tablets is analyzed by Reversed Phase - High Peformance Liquid Chromatography to determine the levels of alkamides and caffeic derivatives present. Caffeic acid derivative levels are typically as follows: caftaric acid = 0.5 to 2.0 mg/tablet; cichoric acid = 3.4 to 8.5 mg/tablet; chlorogenic acid = \< 0.5 mg/tablet; dicaffeoyl quinic acids (including cynarin) = 0.7 to 2.0 mg/tablet; echinacoside = 1.0 to 1.7 mg/tablet
Eligibility Criteria
You may qualify if:
- Suspected or known cold
- At least one of the following cold symptoms:
- nasal discharge, nasal congestion, sneezing, or sore throat
- Enrolled in school, for children 12 to 17 years of age
You may not qualify if:
- Pregnancy;
- Symptom duration \> 36 hrs
- Concurrent use of antibiotics, antivirals, nasal steroids, decongestants or antihistamines;
- Anticipated need for symptom-relieving meds during cold
- Autoimmune/deficiency disease
- History of allergic rhinitis with current eye itching/sneezing
- History of asthma w/current cough/SOB
- Prior study entry
- Allergy to Echinacea
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University of Wisconsin-Madison Department of Family Medicine
Madison, Wisconsin, 53706-1490, United States
Related Publications (2)
Montague E, Xu J, Chen PY, Asan O, Barrett BP, Chewning B. Modeling eye gaze patterns in clinician-patient interaction with lag sequential analysis. Hum Factors. 2011 Oct;53(5):502-16. doi: 10.1177/0018720811405986.
PMID: 22046723DERIVEDBarrett B, Brown R, Rakel D, Mundt M, Bone K, Barlow S, Ewers T. Echinacea for treating the common cold: a randomized trial. Ann Intern Med. 2010 Dec 21;153(12):769-77. doi: 10.7326/0003-4819-153-12-201012210-00003.
PMID: 21173411DERIVED
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Bruce Barrett, MD PhD
University of Wisconsin, Madison
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 31, 2003
First Posted
August 1, 2003
Study Start
September 1, 2003
Primary Completion
August 1, 2008
Study Completion
April 1, 2013
Last Updated
December 4, 2014
Record last verified: 2014-12