Trial To Assess Efficacy and Safety of PediaFlu® in Children With Acute Tonsillopharyngitis / Rhinopharyngitis

NCT04899401 | Completed

• 1 other identifier: OPPED/0120/FS
• Study Type: interventional
• Target: 130
• Locations: 1 country
• Sites: 3

Brief Summary

Sore throat or acute tonsillopharyngitis, often referred to as angina catarrhalis in Central and Eastern Europe, affects mainly children, adolescents and young adults and represents one of the most common reasons to consult a family physician. While most patients complaining of sore throats have an infection, it has been estimated that fewer than 20% present with a clear indication for antibiotic therapy, i.e., are positive for hemolytic streptococcus. Acute tonsillopharyngitis (ATP) is a highly prevalent, seasonal infective disorder characterized by an inflammation of the pharynx and the palatine tonsils, which occurs in all age groups and accounts for about 5% of all visits in pediatric care. Common symptoms of ATP include sore throat, dysphagia, red pharynx, enlarged tonsils sometimes covered with exudate, fever with sudden onset, malaise, gastrointestinal complaints, halitosis, rhinorrhea and cough. Children with non-streptococcal tonsillopharyngitis are often over-treated with antibiotics. The scientific literature currently available shows that the extract of Pelargonium sidoides may be effective in the treatment of disorders affecting the respiratory tract. Evidence shows that zinc is beneficial for the common cold in healthy children and adults living in high-income countries and it may inhibit replication of the virus. In addition, zinc (lozenges or syrup) reduces the average duration of the common cold in healthy people assuming zinc within 24 hours of onset of symptoms Propolis has been widely investigated for its antibacterial, antiviral, and anti-inflammatory properties and is administered as an add-on therapy during watchful waiting for better control of symptoms in non-streptococcal pharyngitis. The above-mentioned considerations, have suggested Pediatrica Srl to develop a food supplement specific for pediatric age for the well-being of the airways (PediaFlù®). This product is actually on the market as adjuvant in seasonal diseases. The present clinical investigation is planned to verify and confirm these encouraging results in a setting of standard clinical practice. This is a randomized, open, controlled study to evaluate the efficacy and safety of PediaFlù® (dietary supplement) along with standard of care in children with acute tonsillopharyngitis / rhinopharyngitis versus standard of care only. The primary objective is to evaluate the efficacy and safety of the tested dietary supplement administered along with standard care vs standard care alone in children affected by acute tonsillopharyngitis (ATP). The secondary objectives of the study are the assessment of the use of rescue medicine (Ibuprofen or high dose of Paracetamol) and the evaluation of the overall improvement symptoms.

Conditions

Tonsillopharyngitis; Rhinopharyngitis

Keywords

ATP; tonsillopharyngitis; Rhinopharyngitis; PediaFlù®; Pelargonium sidoides; Propolis

Outcome Measures

Primary Outcomes (3)

• Tonsillitis severity score

  Tonsillitis severity score (TSS) Intensity score in between 0 and 3. The results will be compared in terms of absolute change of tonsillitis severity score from baseline to final visit, between groups and intra-groups;

  6 days

• Number of treatment failure

  The result of using rescue medicine (Ibuprofen or dosage of over 30 mg/Kg/dose daily of paracetamol) will be compared in the two groups.

  6 days

• AE/SAE incidence.

  Adverse Events/Serious Adverse Events incidence.

  6 days

Secondary Outcomes (2)

• Compliance

  6 days

• Symptoms improvement

  6 days

Study Arms (2)

Standard of care +PediaFlù®

EXPERIMENTAL

Dietary Supplement: Standard of care + PediaFlù®

Standard of care

ACTIVE COMPARATOR

Other: Standard of care

Interventions

Standard of care + PediaFlù® DIETARY_SUPPLEMENT

Standard of care: Standard of care for acute tonsillitis / rhinopharyngitis is focused on symptomatic treatment. PediaFlù®: During the 6 days of the clinical investigation, the subjects will administer PediaFlù® 5ml x3 times per day for children below 6 years and 10mlx3 times per day for children above 6 years.

Standard of care +PediaFlù®

Standard of care OTHER

Standard of care for acute tonsillitis / rhinopharyngitis is focused on symptomatic treatment. Standard of care Nasopharyngeal liberation through hydration with drinking fluids to support body fluid excretion, aspiration of secretions, NaCl solution for nasal irrigation, Nasal sprays with sea water, nasal spray with active compound (to be used only at special indication of the medical doctor) Throat spray with Benzydamine hydrochloride (Tantum Verde®), Pediatric use: children over 6 and below 12: 4 sprays 2 - 6 times a day. Children (under 6 years): 1 spray per 4 kg of body weight, a maximum of 4 sprays at once, 2-6 times a day according to the leaflet. Each spray equals 0.17 ml of solution. Acetaminophen (Paracetamol) per os: at need, as antipyretic (\>38,5C), 10 mg/kg/dose, per need every 6-8 hours or according to the leaflet, maximum dosage 80 mg / kg / day. A dosage of over 30 mg/Kg/dose will result in an IP failure;

Standard of care

Eligibility Criteria

• Age: 3 Years - 10 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• male and female (children 3 - 10 years old);
• acute tonsillitis / rhinopharyngitis (sore throat, catarrhal angina), duration of complaints ≤ 48 hours,
• Absence of pharyngeal exudate and/or Mc Isaac score 0-1 + negative rapid test for β-hemolytic streptococcus and SARS-CoV-2 identification
• tonsillitis symptoms score (TSS) ≥ 8 points,
• both parents capable of and freely willing to provide written informed consent prior to participating in the clinical investigation.
• for children above 6 years old capable willing to provide written informed consent prior to participating in the clinical investigation.

You may not qualify if:

• evidence of lacunar or follicular angina.
• more than two episodes of tonsillitis within the last 12 months,
• mandatory indication for therapy with antibiotics (e.g., abscess, septic tonsillitis, history of rheumatic fever, post-streptococcus glomerulonephritis, and chorea minor Sydenham),
• history of close contact with SARS-COV-2 infected individuals in the last 10 days before symptoms onset
• increased hemorrhagic diathesis, chronic diseases (e.g. severe heart, kidney or liver diseases), immunosuppression,
• known or suspected hypersensitivity to study medication,
• concomitant treatment potentially influencing study outcome or known interactions with study medication (e.g., coumarin derivatives),

Sponsors & Collaborators

• Pediatrica S.r.l: lead
• Opera CRO, a TIGERMED Group Company: collaborator

Study Sites (3)

CMMF Dr. Morariu Bordea Maria

Timișoara, Timiș County, 300210, Romania

Location

CM Dr. Herteg Dorina

Timișoara, Timiș County, 300288, Romania

Location

CM Dr. Matei Cristian-Radu

Timișoara, Romania

Location

Related Publications (2)

• Cardinale F, Barattini DF, Centi A, Giuntini G, Bordea MM, Herteg D, Barattini L, Matei CR. Open, Randomised, Controlled Study to Evaluate the Role of a Dietary Supplement Containing Pelargonium sidoides Extract, Honey, Propolis, and Zinc as Adjuvant Treatment in Children with Acute Tonsillopharyngitis. Children (Basel). 2025 Mar 10;12(3):345. doi: 10.3390/children12030345.

  PMID: 40150627 DERIVED

• Cardinale F, Barattini DF, Sbrocca F, Centi A, Giuntini G, Morariu Bordea M, Herteg D, Rosu S, Matei CR. The Effects of a Dietary Supplement (PediaFlu) Plus Standard of Care in Children With Acute Tonsillopharyngitis/Rhinopharyngitis: Protocol for a Randomized Controlled Trial. JMIR Res Protoc. 2024 May 31;13:e53703. doi: 10.2196/53703.

  PMID: 38819917 DERIVED

MeSH Terms

Conditions

Nasopharyngitis

Interventions

Standard of Care

Condition Hierarchy (Ancestors)

Pharyngitis; Respiratory Tract Infections; Infections; Nasopharyngeal Diseases; Pharyngeal Diseases; Stomatognathic Diseases; Respiratory Tract Diseases; Otorhinolaryngologic Diseases

Intervention Hierarchy (Ancestors)

Quality Indicators, Health Care; Quality of Health Care; Health Services Administration; Health Care Quality, Access, and Evaluation

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Randomized, open-label, multicenter clinical investigation, with two parallel groups of subjects.

Study Record Dates

• First Submitted: May 19, 2021
• First Posted: May 24, 2021
• Study Start: June 3, 2021
• Primary Completion: August 12, 2021
• Study Completion: August 12, 2021
• Last Updated: September 8, 2021

Record last verified: 2021-06

Locations

RO (3)