NCT02062710

Brief Summary

The purpose of this study is to evaluate the antitussive (cough-suppressing) effects of two liquid medications: a combination of diphenhydramine and phenylephrine in a naturally cocoa flavoring, and, dextromethorphan syrup, compared with placebo.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
22

participants targeted

Target at below P25 for phase_4

Timeline
Completed

Started Jan 2014

Shorter than P25 for phase_4

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

January 1, 2014

Completed
1 month until next milestone

First Submitted

Initial submission to the registry

January 31, 2014

Completed
14 days until next milestone

First Posted

Study publicly available on registry

February 14, 2014

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2014

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2014

Completed
11 months until next milestone

Results Posted

Study results publicly available

April 28, 2015

Completed
Last Updated

February 28, 2018

Status Verified

February 1, 2018

Enrollment Period

5 months

First QC Date

January 31, 2014

Results QC Date

September 16, 2014

Last Update Submit

February 26, 2018

Conditions

Keywords

coughcough reflexcapsaicindiphenhydraminephenylephrinedextromethorphanplacebo

Outcome Measures

Primary Outcomes (1)

  • Change in Cough Reflex Sensitivity to Capsaicin

    increase in C5 (decrease in cough reflex sensitivity). Capsaicin cough challenge involves subjects breathing in incremental doubling concentrations of aerosolized capsaicin, 1 minute apart, until the concentration of capsaicin (micromolar) inducing 5 or more coughs (C5) is reached.

    2 hours after study drug administration

Study Arms (6)

A, B, then C

EXPERIMENTAL

Subjects received the following: Period 1: single oral dose of diphenhydramine 25 mg and phenylephrine 10 mg, in naturally-flavored cocoa syrup (treatment A). Period 2: dextromethorphan syrup 30 mg (treatment B); Period 3: placebo liquid, dextrose in water, 20 mL (treatment C). Intervention: capsaicin cough challenge testing 2 hours after study drug ingestion.Each dosing period separated by 1-2 day washout period.

Drug: diphenhydramine/phenylephrine/cocoa; dextromethorophan; placeboDrug: diphenhydramine/phenylephrine/cocoa; placebo; dextromethorphanDrug: dextromethorphan; diphenhydramine/phenylephrine/cocoa; placeboDrug: dextromethorophan; placebo; diphenhydramine/phenylephrine/cocoaDrug: placebo; diphenhydramine/phenylephrine/cocoa; dextromethorphanDrug: placebo; dextromethorphan; diphenhydramine/phenylephrine/cocoa

A, C, then B

EXPERIMENTAL

Subjects received the following: Period 1: single oral doce of diphenhydramine 25 mg and phenylephrine 10 mg, in naturally-flavored cocoa syrup (treatment A); Period 2: placebo liquid, dextrose in watwer, 20 mL (treatment C); Period 3: dextromethorphan syrup 30 mg (treatment B). Intervention: capsaicin cough challenge testing 2 hours after study drug ingestion.Each dosing period separated by 1-2 day washout period.

Drug: diphenhydramine/phenylephrine/cocoa; dextromethorophan; placeboDrug: diphenhydramine/phenylephrine/cocoa; placebo; dextromethorphanDrug: dextromethorphan; diphenhydramine/phenylephrine/cocoa; placeboDrug: dextromethorophan; placebo; diphenhydramine/phenylephrine/cocoaDrug: placebo; diphenhydramine/phenylephrine/cocoa; dextromethorphanDrug: placebo; dextromethorphan; diphenhydramine/phenylephrine/cocoa

B, A, then C

EXPERIMENTAL

Subjects received the following: Period 1: dextromethorphan syrup 30 mg (treatment B); Period 2: single dose of oral diphenhydramine 25 mg and phenylephrine 10 mg, in a naturally-flavored cocoa syrup (treatment A); Period 3: placebo liquid, dextrose in water, 20 mL (treatment C). Intervention: capsaicin cough challenge testing 2 hours after study drug ingestion. Each dosing period separated by 1-2 day washout period.

Drug: diphenhydramine/phenylephrine/cocoa; dextromethorophan; placeboDrug: diphenhydramine/phenylephrine/cocoa; placebo; dextromethorphanDrug: dextromethorphan; diphenhydramine/phenylephrine/cocoa; placeboDrug: dextromethorophan; placebo; diphenhydramine/phenylephrine/cocoaDrug: placebo; diphenhydramine/phenylephrine/cocoa; dextromethorphanDrug: placebo; dextromethorphan; diphenhydramine/phenylephrine/cocoa

B, C, then A

EXPERIMENTAL

Subjects received the following: Period 1: dextromethorphan 30 mg syrup (treatment B); Period 2: placebo liquid, dextrose in water, 20 mL (treatment C); Period 3: single dose of oral diphenhydramine 25 mg and phenylephrine 10 mg in a naturally-flavored cocoa syrup (treatment A). Intervention: capsaicin cough challenge testing 2 hours after study drug ingestion. Each dosing period separated by 1-2 day washout period.

Drug: diphenhydramine/phenylephrine/cocoa; dextromethorophan; placeboDrug: diphenhydramine/phenylephrine/cocoa; placebo; dextromethorphanDrug: dextromethorphan; diphenhydramine/phenylephrine/cocoa; placeboDrug: dextromethorophan; placebo; diphenhydramine/phenylephrine/cocoaDrug: placebo; diphenhydramine/phenylephrine/cocoa; dextromethorphanDrug: placebo; dextromethorphan; diphenhydramine/phenylephrine/cocoa

C, A, then B

EXPERIMENTAL

Subjects received the following: Period 1: placebo liquid, dextrose in water, 20 mL (treatment C); Period 2: a single oral dose of diphenhydramine 25 mg and phenylephrine 10 mg in a naturally-flavored cocoa syrup (treatment A); Period 3: dextromethorphan 30 mg syrup (treatment B). Intervention: capsaicin cough challenge testing 2 hours after study drug ingestion. Each dosing period separated by 1-2 day washout period.

Drug: diphenhydramine/phenylephrine/cocoa; dextromethorophan; placeboDrug: diphenhydramine/phenylephrine/cocoa; placebo; dextromethorphanDrug: dextromethorphan; diphenhydramine/phenylephrine/cocoa; placeboDrug: dextromethorophan; placebo; diphenhydramine/phenylephrine/cocoaDrug: placebo; diphenhydramine/phenylephrine/cocoa; dextromethorphanDrug: placebo; dextromethorphan; diphenhydramine/phenylephrine/cocoa

C, B, then A

EXPERIMENTAL

Subjects received the following: Period 1: placebo liquid, dextrose in water, 20 mL (treatment C); Period 2: dextromethorphan 30 mg syrup (treatment B); Period 3: a single oral dose of diphenhydramine 25 mg and phenylephrine 10 mg in a naturally-flavored cocoa syrup (treatment A). Intervention: capsaicin cough challenge testing 2 hours after study drug ingestion. Each dosing period separated by 1-2 day washout period.

Drug: diphenhydramine/phenylephrine/cocoa; dextromethorophan; placeboDrug: diphenhydramine/phenylephrine/cocoa; placebo; dextromethorphanDrug: dextromethorphan; diphenhydramine/phenylephrine/cocoa; placeboDrug: dextromethorophan; placebo; diphenhydramine/phenylephrine/cocoaDrug: placebo; diphenhydramine/phenylephrine/cocoa; dextromethorphanDrug: placebo; dextromethorphan; diphenhydramine/phenylephrine/cocoa

Interventions

diphenhydramine 25 mg and phenylephrine 10 mg; dextromethorphan 30 mg; placebo.

A, B, then CA, C, then BB, A, then CB, C, then AC, A, then BC, B, then A

diphenhydramine 25 mg and phenylephrine 10 mg; placebo; dextromethorphan 30 mg.

A, B, then CA, C, then BB, A, then CB, C, then AC, A, then BC, B, then A

dextromethorphan 30 mg; diphenhydramine 25 mg and phenylephrine 10 mg; placebo

A, B, then CA, C, then BB, A, then CB, C, then AC, A, then BC, B, then A

dextromethorphan 30 mg; placebo; diphenhydramine 25 mg and phenylephrine 10 mg

A, B, then CA, C, then BB, A, then CB, C, then AC, A, then BC, B, then A

placebo; diphenhydramine 25 mg and phenylephrine 10 mg; dextromethorphan 30 mg

A, B, then CA, C, then BB, A, then CB, C, then AC, A, then BC, B, then A

placebo; dextromethorphan 30 mg; diphenhydramine 25 mg and phenylephrine 10 mg

A, B, then CA, C, then BB, A, then CB, C, then AC, A, then BC, B, then A

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • healthy adult nonsmokers
  • onset of acute, viral upper respiratory tract infection (common cold) within 72 hours of enrollment

You may not qualify if:

  • smokers
  • history of asthma or other respiratory disorders

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Einstein Division/Montefiore Medical Center

The Bronx, New York, 10461, United States

Location

Related Publications (1)

  • Dicpinigaitis PV, Dhar S, Johnson A, Gayle Y, Brew J, Caparros-Wanderley W. Inhibition of cough reflex sensitivity by diphenhydramine during acute viral respiratory tract infection. Int J Clin Pharm. 2015 Jun;37(3):471-4. doi: 10.1007/s11096-015-0081-8. Epub 2015 Feb 12.

MeSH Terms

Conditions

Cough

Interventions

DiphenhydramineDextromethorphan

Condition Hierarchy (Ancestors)

Respiration DisordersRespiratory Tract DiseasesSigns and Symptoms, RespiratorySigns and SymptomsPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

EthylaminesAminesOrganic ChemicalsBenzhydryl CompoundsBenzene DerivativesHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsMorphinansOpiate AlkaloidsAlkaloidsHeterocyclic CompoundsHeterocyclic Compounds, Bridged-RingHeterocyclic Compounds, 4 or More RingsHeterocyclic Compounds, Fused-RingPhenanthrenesPolycyclic Aromatic HydrocarbonsPolycyclic Compounds

Results Point of Contact

Title
Peter Dicpinigaitis, MD
Organization
Montefiore Medcial Center

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
CROSSOVER
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

January 31, 2014

First Posted

February 14, 2014

Study Start

January 1, 2014

Primary Completion

June 1, 2014

Study Completion

June 1, 2014

Last Updated

February 28, 2018

Results First Posted

April 28, 2015

Record last verified: 2018-02

Locations