Homeopathic Cold Remedy for Children Study

Sponsor
University of Washington (Other)
Overall Status
Completed
CT.gov ID
NCT01257503
Collaborator
Standard Homeopathic Company (Industry)
263
1
2
36
7.3

Study Details

Study Description

Brief Summary

A randomized controlled trial of a commercially available homeopathic cold remedy will be conducted. A total of 400 children, 2-5 years old, diagnosed with an upper respiratory tract infection will be randomized to receive either the homeopathic remedy or placebo. Parents of study children will administer 5 ml of the study medication up to 6 times per day as needed to treat cold symptoms. One hour after giving a dose the parent will rate change in symptoms (for up to the first 10 doses). In addition, parents will rate their child's overall symptom severity and functional status over the first 3 days of the cold. It is postulated that children receiving the active homeopathic remedy will have better symptom relief and that their symptom severity and functional status will improve more rapidly than those receiving placebo.

Condition or Disease Intervention/Treatment Phase
  • Drug: Hyland's Cold 'n Cough 4 kids
  • Drug: placebo
N/A

Study Design

Study Type:
Interventional
Actual Enrollment :
263 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
Randomized Controlled Trial of a Homeopathic Cold Remedy for Children
Study Start Date :
Dec 1, 2010
Actual Primary Completion Date :
Aug 1, 2013
Actual Study Completion Date :
Dec 1, 2013

Arms and Interventions

Arm Intervention/Treatment
Experimental: Homeopathic cold remedy

5 ml of homeopathic cold remedy given by mouth up to 6 times per day as needed for cold symptoms

Drug: Hyland's Cold 'n Cough 4 kids
5 ml PO q4h prn cold symptoms

Placebo Comparator: placebo

5 ml of placebo given by mouth up to 6 times per day as needed for cold symptoms

Drug: placebo
liquid made to look like the active homeopathic remedy

Outcome Measures

Primary Outcome Measures

  1. Change in Severity of Cold Symptoms [Parents assessed change in symptom 1 hour after a dose of study medication]

    Parents measured change in runny nose, cough, nasal congestion and sneezing severity one hour after administering a dose of study medication up to the first 10 doses of study medication. Change in symptom rated from 0 to 6, with 0 indicative of the symptom being much worse and 6 indicative of the symptom being much improved. The unit of analysis for each outcome was doses of medication. Each participant could contribute data on 0 - 10 doses.

Secondary Outcome Measures

  1. Change in Non-specific Symptoms [Parents assessed change in symptom 1 hour after dose of study medication]

    Parents measured change in severity of irritability, lethargy, fussiness, and appetite one hour after administering a dose of study medication up to the first 10 doses of study medication. Change in symptom rated from 0 to 6, with 0 indicative of the symptom being much worse and 6 indicative of the symptom being much improved. The unit of analysis for each outcome was doses of medication. Each participant could contribute data on 0 - 10 doses.

  2. Functional Status [10 days]

    Change in functional status of child during the 7-10 days after the index visit for an upper respiratory tract infection. Parents rated 5 activities (vigorous activity, activities that require concentration, activities with family or friends, appetite and sleep) daily for 3 days in their child and again at the 7-10 day follow-up. Functional status scores range from 0 to 15, with higher scores indicative of better functional status.

  3. Health Status [10 days]

    Change in health status of child during the 7-10 days after the index visit for an upper respiratory tract infection. Parents rated health status on 1-10 scale with 1 indicating perfect health and 10 indicating very sick. Health status rated on first 3 days of study and again at the 7-10 day follow-up

  4. Overall Symptom Severity [10 days]

    Change in cold symptoms of child during the 7-10 days after the index visit for an upper respiratory tract infection. Parents assessed severity of runny nose, cough, sneeze and congestion in their child using a 0-3 scale for each symptom, 0=none to 3= severe. Cold score is sum of scores for each symptom. Parents assessed cold score twice daily on study days 1-3 and at the 7-10 day follow-up

Eligibility Criteria

Criteria

Ages Eligible for Study:
2 Years to 5 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • clinical diagnosis of upper respiratory tract infection

  • duration of symptoms < 7 days

  • Parent who speaks English

Exclusion Criteria:
  • history of asthma

  • on any prescribed medication

  • prescribed any medication other than acetaminophen or ibuprofen at index visit

  • use of homeopathic remedy within 48 hours of index visit

Contacts and Locations

Locations

Site City State Country Postal Code
1 University of Washington Medical Center- Roosevelt Pediatric Care Center Seattle Washington United States 98105

Sponsors and Collaborators

  • University of Washington
  • Standard Homeopathic Company

Investigators

  • Principal Investigator: James A Taylor, MD, University of Washington

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
James Taylor, Professor, University of Washington
ClinicalTrials.gov Identifier:
NCT01257503
Other Study ID Numbers:
  • 39489-D
First Posted:
Dec 9, 2010
Last Update Posted:
Jan 14, 2015
Last Verified:
Dec 1, 2014
Keywords provided by James Taylor, Professor, University of Washington
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details
Pre-assignment Detail
Arm/Group Title Homeopathic Cold Remedy Placebo
Arm/Group Description 5 ml of homeopathic cold remedy given by mouth up to 6 times per day as needed for cold symptoms Hyland's Cold 'n Cough 4 kids: 5 ml PO q4h prn cold symptoms 5 ml of placebo given by mouth up to 6 times per day as needed for cold symptoms placebo: liquid made to look like the active homeopathic remedy
Period Title: Overall Study
STARTED 133 130
Returned Symptom Diaries 80 83
Returned Dosage Logbooks 75 80
COMPLETED 125 119
NOT COMPLETED 8 11

Baseline Characteristics

Arm/Group Title Homeopathic Cold Remedy Placebo Total
Arm/Group Description 5 ml of homeopathic cold remedy given by mouth up to 6 times per day as needed for cold symptoms Hyland's Cold 'n Cough 4 kids: 5 ml PO q4h prn cold symptoms 5 ml of placebo given by mouth up to 6 times per day as needed for cold symptoms placebo: liquid made to look like the active homeopathic remedy Total of all reporting groups
Overall Participants 132 129 261
Age (Count of Participants)
<=18 years
132
100%
129
100%
261
100%
Between 18 and 65 years
0
0%
0
0%
0
0%
>=65 years
0
0%
0
0%
0
0%
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
3.4
(1.1)
3.5
(1.1)
3.5
(1.1)
Gender (participants) [Number]
Female
64
48.5%
62
48.1%
126
48.3%
Male
67
50.8%
67
51.9%
134
51.3%
Region of Enrollment (participants) [Number]
United States
132
100%
129
100%
261
100%
baseline cold symptom score (units on a scale) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [units on a scale]
5.4
(1.8)
5.2
(1.8)
5.3
(1.8)

Outcome Measures

1. Primary Outcome
Title Change in Severity of Cold Symptoms
Description Parents measured change in runny nose, cough, nasal congestion and sneezing severity one hour after administering a dose of study medication up to the first 10 doses of study medication. Change in symptom rated from 0 to 6, with 0 indicative of the symptom being much worse and 6 indicative of the symptom being much improved. The unit of analysis for each outcome was doses of medication. Each participant could contribute data on 0 - 10 doses.
Time Frame Parents assessed change in symptom 1 hour after a dose of study medication

Outcome Measure Data

Analysis Population Description
Data are from logbooks returned by participants. For each participant, data on response to up to 10 doses were collected. Not every symptom was present at each dose. Change in runny nose assessed after 819 doses, sneeze 456 doses, cough 772 doses, congestion 845. For category title, first n= homeopathic cold remedy, second n= placebo.
Arm/Group Title Homeopathic Cold Remedy Placebo
Arm/Group Description 5 ml of homeopathic cold remedy given by mouth up to 6 times per day as needed for cold symptoms Hyland's Cold 'n Cough 4 kids: 5 ml PO q4h prn cold symptoms 5 ml of placebo given by mouth up to 6 times per day as needed for cold symptoms placebo: liquid made to look like the active homeopathic remedy
Measure Participants 75 80
Measure doses 502 480
runny nose (n=433, 386)
3.7
(1.3)
3.7
(1.0)
sneeze (n=219, 237)
3.9
(1.2)
3.9
(1.2)
cough (n=399, 373)
3.8
(1.2)
3.8
(1.2)
congestion (n=409, 436)
3.8
(1.1)
3.7
(1.0)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Homeopathic Cold Remedy, Placebo
Comments change in runny nose
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value .86
Comments
Method Regression, Linear
Comments generalized estimating equations used to account for multiple doses in same participant
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Homeopathic Cold Remedy, Placebo
Comments change in sneeze
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value .89
Comments
Method Regression, Linear
Comments generalized estimating equations used to account for multiple doses in single participant
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Homeopathic Cold Remedy, Placebo
Comments change in cough
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value .45
Comments
Method Regression, Linear
Comments generalized estimating equations used to account for multiple doses in single participant
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Homeopathic Cold Remedy, Placebo
Comments change in congestion
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value .82
Comments
Method Regression, Linear
Comments generalized estimating equations used to account for multiple doses in single participant
2. Secondary Outcome
Title Change in Non-specific Symptoms
Description Parents measured change in severity of irritability, lethargy, fussiness, and appetite one hour after administering a dose of study medication up to the first 10 doses of study medication. Change in symptom rated from 0 to 6, with 0 indicative of the symptom being much worse and 6 indicative of the symptom being much improved. The unit of analysis for each outcome was doses of medication. Each participant could contribute data on 0 - 10 doses.
Time Frame Parents assessed change in symptom 1 hour after dose of study medication

Outcome Measure Data

Analysis Population Description
Data are from logbooks returned by participants. For each participant, data on response to up to 10 doses were collected. Not every symptom was present at each dose. Change in irritability assessed after 510 doses, lethargy 414, fussiness 501, appetite 618. For category title, first n= homeopathic cold remedy, second n= placebo.
Arm/Group Title Homeopathic Cold Remedy Placebo
Arm/Group Description 5 ml of homeopathic cold remedy given by mouth up to 6 times per day as needed for cold symptoms Hyland's Cold 'n Cough 4 kids: 5 ml PO q4h prn cold symptoms 5 ml of placebo given by mouth up to 6 times per day as needed for cold symptoms placebo: liquid made to look like the active homeopathic remedy
Measure Participants 75 80
Measure doses 502 480
irritability (n= 272, 238)
3.6
(1.1)
3.5
(1.2)
lethargy (n=213, 201)
3.6
(1.1)
3.6
(1.1)
fussiness (n=262, 239)
3.6
(1.2)
3.5
(1.2)
appetite (n=312, 306)
3.6
(1.0)
3.5
(1.1)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Homeopathic Cold Remedy, Placebo
Comments change in irritability
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value .61
Comments
Method Regression, Linear
Comments Generalized estimating equations used to account for multiple doses in single participant.
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Homeopathic Cold Remedy, Placebo
Comments change in lethargy
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value .97
Comments
Method Regression, Linear
Comments Generalized estimating equations used to account for multiple doses in single participant.
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Homeopathic Cold Remedy, Placebo
Comments change in fussiness
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value .79
Comments
Method Regression, Linear
Comments Generalized estimating equations used to account for multiple doses in single participant.
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Homeopathic Cold Remedy, Placebo
Comments change in appetite
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value .81
Comments
Method Regression, Linear
Comments Generalized estimating equations used to account for multiple doses in single participant.
3. Secondary Outcome
Title Functional Status
Description Change in functional status of child during the 7-10 days after the index visit for an upper respiratory tract infection. Parents rated 5 activities (vigorous activity, activities that require concentration, activities with family or friends, appetite and sleep) daily for 3 days in their child and again at the 7-10 day follow-up. Functional status scores range from 0 to 15, with higher scores indicative of better functional status.
Time Frame 10 days

Outcome Measure Data

Analysis Population Description
Participants who completed follow-up and had valid data for functional outcome. Data on functional status analyzed on days 1-3 for participants who returned symptom diaries including 145 on day 1, 142 on day 2 and 130 on day 3. For category title, first n= homeopathic cold remedy, second n= placebo.
Arm/Group Title Homeopathic Cold Remedy Placebo
Arm/Group Description 5 ml of homeopathic cold remedy given by mouth up to 6 times per day as needed for cold symptoms Hyland's Cold 'n Cough 4 kids: 5 ml PO q4h prn cold symptoms 5 ml of placebo given by mouth up to 6 times per day as needed for cold symptoms placebo: liquid made to look like the active homeopathic remedy
Measure Participants 123 117
functional status day 1 (n=68, 77)
11.0
(3.5)
10.4
(3.1)
functional status day 2 (n=72, 70)
11.7
(3.4)
11.8
(3.4)
functional status day 3 (n= 62, 68)
12.7
(3.0)
12.5
(3.0)
functional status at follow-up (n=123, 117)
14.2
(1.7)
13.7
(2.7)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Homeopathic Cold Remedy, Placebo
Comments functional status day 1
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value .16
Comments
Method Wilcoxon (Mann-Whitney)
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Homeopathic Cold Remedy, Placebo
Comments functional status day 2
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value .70
Comments
Method Wilcoxon (Mann-Whitney)
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Homeopathic Cold Remedy, Placebo
Comments functional status day 3
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value .77
Comments
Method Wilcoxon (Mann-Whitney)
Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Homeopathic Cold Remedy, Placebo
Comments functional status at 7-10 day follow-up
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value .41
Comments
Method Wilcoxon (Mann-Whitney)
Comments
4. Secondary Outcome
Title Health Status
Description Change in health status of child during the 7-10 days after the index visit for an upper respiratory tract infection. Parents rated health status on 1-10 scale with 1 indicating perfect health and 10 indicating very sick. Health status rated on first 3 days of study and again at the 7-10 day follow-up
Time Frame 10 days

Outcome Measure Data

Analysis Population Description
Health status on those with follow-up data and a valid score for health status. Health status also assessed in participants who returned symptom diaries including 152 on day 1, 142 on day 2 and 132 on day 3. For category title, first n= homeopathic cold remedy, second n= placebo.
Arm/Group Title Homeopathic Cold Remedy Placebo
Arm/Group Description 5 ml of homeopathic cold remedy given by mouth up to 6 times per day as needed for cold symptoms Hyland's Cold 'n Cough 4 kids: 5 ml PO q4h prn cold symptoms 5 ml of placebo given by mouth up to 6 times per day as needed for cold symptoms placebo: liquid made to look like the active homeopathic remedy
Measure Participants 125 117
health status day 1 (n=75, 77)
4.4
(1.9)
4.9
(2.0)
health status day 2 (n=72,70)
3.8
(1.9)
4.1
(1.8)
health status day 3 (n=63, 69)
3.2
(2.0)
3.4
(1.7)
health status at follow-up (n=125, 117)
2.5
(1.7)
2.5
(1.6)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Homeopathic Cold Remedy, Placebo
Comments health status day 1
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value .10
Comments
Method Wilcoxon (Mann-Whitney)
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Homeopathic Cold Remedy, Placebo
Comments health status day 2
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value .28
Comments
Method Wilcoxon (Mann-Whitney)
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Homeopathic Cold Remedy, Placebo
Comments health status day 3
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value .26
Comments
Method Wilcoxon (Mann-Whitney)
Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Homeopathic Cold Remedy, Placebo
Comments health status at follow-up
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value .88
Comments
Method Wilcoxon (Mann-Whitney)
Comments
5. Secondary Outcome
Title Overall Symptom Severity
Description Change in cold symptoms of child during the 7-10 days after the index visit for an upper respiratory tract infection. Parents assessed severity of runny nose, cough, sneeze and congestion in their child using a 0-3 scale for each symptom, 0=none to 3= severe. Cold score is sum of scores for each symptom. Parents assessed cold score twice daily on study days 1-3 and at the 7-10 day follow-up
Time Frame 10 days

Outcome Measure Data

Analysis Population Description
Data analyzed on participant who completed 7-10 day follow-up and had valid cold scores. Data also analyzed twice daily on those participants who returned symptom diaries including: day 1 (153, 148), day 2 (146,138), and day 3 (136, 126). For category title, first n= homeopathic cold remedy, second n= placebo.
Arm/Group Title Homeopathic Cold Remedy Placebo
Arm/Group Description 5 ml of homeopathic cold remedy given by mouth up to 6 times per day as needed for cold symptoms Hyland's Cold 'n Cough 4 kids: 5 ml PO q4h prn cold symptoms 5 ml of placebo given by mouth up to 6 times per day as needed for cold symptoms placebo: liquid made to look like the active homeopathic remedy
Measure Participants 123 117
day 1 assessment 1 (n=73, 80)
4.6
(2.2)
5.5
(2.3)
day 1 assessment 2 (n=72, 76)
4.2
(2.4)
5.0
(2.0)
day 2 assessment 1 (n=73, 73)
3.7
(2.2)
4.0
(2.0)
day 2 assessment 2 (n=69, 69)
3.4
(2.3)
4.0
(2.2)
day 3 assessment 1 (n=68, 68)
3.0
(2.5)
3.0
(2.3)
day 3 assessment 2 (n= 60, 66)
2.8
(2.5)
3.0
(2.3)
follow-up (n= 123, 117)
2.4
(2.6)
2.0
(2.0)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Homeopathic Cold Remedy, Placebo
Comments cold score day 1 assessment 1
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value .02
Comments
Method Wilcoxon (Mann-Whitney)
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Homeopathic Cold Remedy, Placebo
Comments cold score day 1 assessment 2
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value .01
Comments
Method Wilcoxon (Mann-Whitney)
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Homeopathic Cold Remedy, Placebo
Comments day 2 assessment 1
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value .25
Comments
Method Wilcoxon (Mann-Whitney)
Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Homeopathic Cold Remedy, Placebo
Comments cold score day 2 assessment 2
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value .15
Comments
Method Wilcoxon (Mann-Whitney)
Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Homeopathic Cold Remedy, Placebo
Comments cold score day 3 assessment 1
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value .88
Comments
Method Wilcoxon (Mann-Whitney)
Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Homeopathic Cold Remedy, Placebo
Comments cold score day 3 assessment 2
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value .35
Comments
Method Wilcoxon (Mann-Whitney)
Comments
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection Homeopathic Cold Remedy, Placebo
Comments cold score at 7-10 day follow-up
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value .36
Comments
Method Wilcoxon (Mann-Whitney)
Comments

Adverse Events

Time Frame Data were collected during the study period and at the follow-up phone call scheduled 7-10 days after enrollment
Adverse Event Reporting Description Parents were asked to record any side effects after each dose of study medications. Parents also asked about side effects during follow-up phone call.
Arm/Group Title Homeopathic Cold Remedy Placebo
Arm/Group Description 5 ml of homeopathic cold remedy given by mouth up to 6 times per day as needed for cold symptoms Hyland's Cold 'n Cough 4 kids: 5 ml PO q4h prn cold symptoms 5 ml of placebo given by mouth up to 6 times per day as needed for cold symptoms placebo: liquid made to look like the active homeopathic remedy
All Cause Mortality
Homeopathic Cold Remedy Placebo
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN)
Serious Adverse Events
Homeopathic Cold Remedy Placebo
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 0/133 (0%) 0/130 (0%)
Other (Not Including Serious) Adverse Events
Homeopathic Cold Remedy Placebo
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 0/133 (0%) 0/130 (0%)

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is more than 60 days but less than or equal to 180 days. The sponsor cannot require changes to the communication and cannot extend the embargo.

Results Point of Contact

Name/Title James A Taylor
Organization University of Washington
Phone 206-616-1206
Email uncjat@uw.edu
Responsible Party:
James Taylor, Professor, University of Washington
ClinicalTrials.gov Identifier:
NCT01257503
Other Study ID Numbers:
  • 39489-D
First Posted:
Dec 9, 2010
Last Update Posted:
Jan 14, 2015
Last Verified:
Dec 1, 2014