Trial To Assess Efficacy and Safety of PediaFlu® in Children With Acute Tonsillopharyngitis / Rhinopharyngitis
Condition: Tonsillopharyngitis; Rhinopharyngitis
MeSH terms: Nasopharyngitis
Study type: Interventional

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.
    


Intervention name(s): Standard of care + PediaFlù®; Standard of care
Intervention type(s): Dietary Supplement; Other
Intervention description(s): 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 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;
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Randomized, open-label, multicenter clinical investigation, with two parallel groups of subjects.
Masking: None (Open Label)
Primary purpose: Treatment
Keywords: ATP; tonsillopharyngitis; Rhinopharyngitis; PediaFlù®; Pelargonium sidoides; Propolis