NCT07030855

Brief Summary

The aim of this study is to evaluate the efficacy and safety of Elixirium thymi compositum (Formulae Normales (FoNo) VIII.) compared to a placebo in children between 6 and 17 years old to treat their acute bronchitis. The main question it aims to answer is: Is Elixirium thymi compositum (FoNo VIII.) safe and effective in the treatment of acute bronchitis compared to placebo?

Trial Health

75
On Track

Trial Health Score

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

Enrollment
56

participants targeted

Target at P25-P50 for phase_4

Timeline
19mo left

Started Jul 2025

Typical duration for phase_4

Geographic Reach
1 country

1 active site

Status
enrolling by invitation

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 Progress35%
Jul 2025Dec 2027

First Submitted

Initial submission to the registry

June 12, 2025

Completed
10 days until next milestone

First Posted

Study publicly available on registry

June 22, 2025

Completed
9 days until next milestone

Study Start

First participant enrolled

July 1, 2025

Completed
1.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2027

Expected
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2027

Last Updated

June 26, 2025

Status Verified

June 1, 2025

Enrollment Period

1.9 years

First QC Date

June 12, 2025

Last Update Submit

June 23, 2025

Conditions

Keywords

Elixirium thymi compositumthymeBronchitis Severity Scorepediatricbronchitis

Outcome Measures

Primary Outcomes (1)

  • Bronchitis Severity Score

    The Bronchitis Severity Scale (BSS) is a tool that assesses the five most important symptoms of acute bronchitis: cough, sputum production, wheezing, chest pain on coughing, and dyspnea. The assessment is based on the examiner's clinical judgment and patient feedback. The examiner rates each parameter of the BSS on a 5-point verbal scale from 0 to 4 (0: absent; 1: mild; 2: moderate; 3: severe; 4: very severe). The total BSS score is the sum of the ratings of the five symptoms, with a maximum score of 20.

    From enrollment to the end of study at 7 days, measured on Day 0, Day 3 and Day 7.

Secondary Outcomes (2)

  • Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]

    From enrollment to the end of study at 7 days.

  • Quality of life in acute bronchitis

    From enrollment to the end of study at 7 days.

Study Arms (2)

Elixirium thymi compositum

EXPERIMENTAL

For 6-9 years old patients, 6 ml oral solution three times a day for 5 days. For 9-15 years old patients, 8 ml oral solution three times a day for 5 days. For 15-17 years old patients, 10 ml oral solution three times a day for 5 days.

Combination Product: Elixirium thymi compositum (FoNo VIII.)

Elixirium thymi compositum placebo

PLACEBO COMPARATOR

A placebo identical in appearance (color) and taste to the investigational product, without the active ingredient (thyme tincture). For 6-9 years old patients, 6 ml oral solution three times a day for 5 days. For 9-15 years old patients, 8 ml oral solution three times a day for 5 days. For 15-17 years old patients, 10 ml oral solution three times a day for 5 days.

Combination Product: Elixirium thymi compositum (FoNo VIII.) placebo

Interventions

During the study, the dosage is for children and adolescents as follows: 6 ml three times a day for 6-9 years, 8 ml three times a day for 9-15 years, and 10 ml three times a day for 15-17 years.

Elixirium thymi compositum

During the study, the dosage is for children and adolescents as follows: 6 ml three times a day for 6-9 years, 8 ml three times a day for 9-15 years, and 10 ml three times a day for 15-17 years.

Elixirium thymi compositum placebo

Eligibility Criteria

Age6 Years - 17 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17)

You may qualify if:

  • age 6-17 years,
  • diagnosis of acute bronchitis and the Total Bronchitis Severity Score of the patient is between 5-12 points,
  • informed consent form and patient information leaflet signed by the patient and the parent or legal guardian, and
  • no pregnancy, no planned pregnancy, and no breastfeeding.

You may not qualify if:

  • allergy to the active ingredients or any other components of Elixirium thymi compositum,
  • hypersensitivity to plants of the Lamiaceae family,
  • chronic respiratory diseases such as asthma, chronic bronchitis, and chronic obstructive pulmonary disease,
  • pneumonia in the last year,
  • a history of recurrent or severe laryngotracheal stenosis due to inflammation,.
  • active or chronic inflammatory bowel disease (e.g., Crohn's disease, ulcerative colitis) or infectious enterocolitis,
  • heart failure (New York Heart Association Class II-IV),
  • smoking (the patient currently smokes or has smoked at least one cigarette, cigar, or pipe daily),
  • a diagnosis or history of lung cancer,
  • a history of lung or chest surgery,
  • epilepsy,
  • any viral infection in the last 6-8 weeks,
  • immunostimulant medications, antibiotics, or systemic steroid treatments in the past month,
  • antihistamines, expectorants, or local steroids applied in the last two weeks,
  • hereditary fructose intolerance, glucose-galactose malabsorption, or sucrase-isomaltase deficiency,
  • +2 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Noé Medical Center

Szeged, Hungary

Location

Related Publications (15)

  • Saust LT, Bjerrum L, Siersma V, Arpi M, Hansen MP. Quality assessment in general practice: diagnosis and antibiotic treatment of acute respiratory tract infections. Scand J Prim Health Care. 2018 Dec;36(4):372-379. doi: 10.1080/02813432.2018.1523996. Epub 2018 Oct 8.

    PMID: 30296885BACKGROUND
  • Braman SS. Chronic cough due to acute bronchitis: ACCP evidence-based clinical practice guidelines. Chest. 2006 Jan;129(1 Suppl):95S-103S. doi: 10.1378/chest.129.1_suppl.95S.

    PMID: 16428698BACKGROUND
  • Cutrera R, Baraldi E, Indinnimeo L, Miraglia Del Giudice M, Piacentini G, Scaglione F, Ullmann N, Moschino L, Galdo F, Duse M. Management of acute respiratory diseases in the pediatric population: the role of oral corticosteroids. Ital J Pediatr. 2017 Mar 23;43(1):31. doi: 10.1186/s13052-017-0348-x.

    PMID: 28335827BACKGROUND
  • Gonzales R, Sande MA. Uncomplicated acute bronchitis. Ann Intern Med. 2000 Dec 19;133(12):981-91. doi: 10.7326/0003-4819-133-12-200012190-00014.

    PMID: 11119400BACKGROUND
  • Snyder RL, King LM, Hersh AL, Fleming-Dutra KE. Unnecessary antibiotic prescribing in pediatric ambulatory care visits for bronchitis and bronchiolitis in the United States, 2006-2015. Infect Control Hosp Epidemiol. 2021 May;42(5):612-615. doi: 10.1017/ice.2020.1231. Epub 2020 Oct 16.

    PMID: 33059780BACKGROUND
  • Wenzel RP, Fowler AA 3rd. Clinical practice. Acute bronchitis. N Engl J Med. 2006 Nov 16;355(20):2125-30. doi: 10.1056/NEJMcp061493. No abstract available.

    PMID: 17108344BACKGROUND
  • Gonzales R, Bartlett JG, Besser RE, Cooper RJ, Hickner JM, Hoffman JR, Sande MA; Centers for Disease Control and Prevention. Principles of appropriate antibiotic use for treatment of uncomplicated acute bronchitis: background. Ann Emerg Med. 2001 Jun;37(6):720-7. doi: 10.1067/S0196-0644(01)70091-1.

    PMID: 11385346BACKGROUND
  • Kowalczyk A, Przychodna M, Sopata S, Bodalska A, Fecka I. Thymol and Thyme Essential Oil-New Insights into Selected Therapeutic Applications. Molecules. 2020 Sep 9;25(18):4125. doi: 10.3390/molecules25184125.

    PMID: 32917001BACKGROUND
  • Ludwig S, Stier H, Weykam S. Evaluation of Blood Alcohol Concentrations after Oral Administration of a Fixed Combination of Thyme Herb and Primrose Root Fluid Extract to Children with Acute Bronchitis. Drug Res (Stuttg). 2016 Feb;66(2):69-73. doi: 10.1055/s-0034-1398543. Epub 2015 Feb 17.

    PMID: 25823507BACKGROUND
  • Kamin W, Maydannik VG, Malek FA, Kieser M. Efficacy and tolerability of EPs 7630 in patients (aged 6-18 years old) with acute bronchitis. Acta Paediatr. 2010 Apr;99(4):537-43. doi: 10.1111/j.1651-2227.2009.01656.x. Epub 2010 Jan 11.

    PMID: 20070280BACKGROUND
  • Gruenwald J, Graubaum HJ, Busch R. Evaluation of the non-inferiority of a fixed combination of thyme fluid- and primrose root extract in comparison to a fixed combination of thyme fluid extract and primrose root tincture in patients with acute bronchitis. A single-blind, randomized, bi-centric clinical trial. Arzneimittelforschung. 2006;56(8):574-81. doi: 10.1055/s-0031-1296754.

    PMID: 17009838BACKGROUND
  • Kardos P, Bittner CB, Seibel J, Abramov-Sommariva D, Birring SS. Effectiveness and tolerability of the thyme/ivy herbal fluid extract BNO 1200 for the treatment of acute cough: an observational pharmacy-based study. Curr Med Res Opin. 2021 Oct;37(10):1837-1844. doi: 10.1080/03007995.2021.1960493. Epub 2021 Aug 13.

    PMID: 34340607BACKGROUND
  • Kemmerich B, Eberhardt R, Stammer H. Efficacy and tolerability of a fluid extract combination of thyme herb and ivy leaves and matched placebo in adults suffering from acute bronchitis with productive cough. A prospective, double-blind, placebo-controlled clinical trial. Arzneimittelforschung. 2006;56(9):652-60. doi: 10.1055/s-0031-1296767.

    PMID: 17063641BACKGROUND
  • Haidvogl M, Heger M. Treatment effect and safety of EPs 7630-solution in acute bronchitis in childhood: report of a multicentre observational study. Phytomedicine. 2007;14 Suppl 6:60-4. doi: 10.1016/j.phymed.2006.11.014. Epub 2006 Dec 20.

    PMID: 17184982BACKGROUND
  • Matthys H, Kamin W, Funk P, Heger M. Pelargonium sidoides preparation (EPs 7630) in the treatment of acute bronchitis in adults and children. Phytomedicine. 2007;14 Suppl 6:69-73. doi: 10.1016/j.phymed.2006.11.015. Epub 2006 Dec 20.

    PMID: 17184981BACKGROUND

MeSH Terms

Conditions

Bronchitis

Condition Hierarchy (Ancestors)

Respiratory Tract InfectionsInfectionsBronchial DiseasesRespiratory Tract DiseasesLung Diseases, ObstructiveLung Diseases

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: Double-blind, randomized, placebo-controlled study
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 12, 2025

First Posted

June 22, 2025

Study Start

July 1, 2025

Primary Completion (Estimated)

June 1, 2027

Study Completion (Estimated)

December 1, 2027

Last Updated

June 26, 2025

Record last verified: 2025-06

Data Sharing

IPD Sharing
Will not share

There is not a plan to make individual participant data (IPD) available for this study. The informed consent form, in compliance with the EU General Data Protection Regulation (GDPR) and relevant Hungarian laws, specifically informs participants that their data will be handled confidentially, stored anonymously, and presented only in aggregate, anonymized form in any resulting publications. The consent does not include permission for broader sharing of individual-level data outside the study team or approved data processors.

Locations