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FACT
Focus on Alternative and Complementary Therapies

Safety and tolerability of North American ginseng extract in the treatment of paediatric upper respiratory tract infection: a Phase II randomised controlled trial of two dosing schedules

Vohra S1, Johnston BC1, Laycock KL1,2, Midodzi WK3, Dhunnoo I2, Harris E2, Baydala L4
1Department of Pediatrics, University of Alberta, Complementary and Alternative Research and Education (CARE) Program, Edmonton, Alberta, Canada
2Stollery Children’s Hospital, Department of Pediatrics, University of Alberta, Women’s and Children’s Health Research Institute, Edmonton, Alberta, Canada
3Department of Medicine, University of Alberta, Epidemiology Coordinating and Research (EPICORE) Centre, Edmonton, Alberta, Canada
4Department of Pediatrics, University of Alberta, Misericordia Child Health Clinic Misericordia Hospital, Edmonton, Alberta, Canada

Objective

The aims of this trial were to document the safety and tolerability of two weight-based dosing schedules (standard dose vs. low dose vs. placebo); and to establish a preliminary estimate of the treatment effect of two doses of American ginseng (Panax quinquefolius) extract in reducing the severity and duration of upper respiratory tract infection (URTI) in children.

Materials and methods

The study was a randomised, double-blind, dose-finding, three-arm trial (two dosing schedules of American ginseng extract, with one placebo control) during the winter months (November 2005 to March 2006) in children of 3–12 years of age.

Results

Seventy-five children were pre-recruited from the general population in Edmonton, Alberta. Of these, 46 developed a URTI and were randomised (15 standard dose; 16 low dose; 15 placebo) (one withdrew from the low-dose arm before beginning the intervention). No serious adverse events were reported. The frequency, severity and degree of association between the intervention and reported adverse events were not significantly different between the three treatment arms. Preliminary estimates of treatment effect were measured using a modified Canadian acute respiratory infection flu score (CARIFS). The survival time (until CARIFS dropped below one-quarter of the baseline score) demonstrated a non-significant difference (log-rank) at day 14 (P=0.694).

Conclusion

Standard doses of ginseng were well tolerated and merit further evaluation with regard to treatment of paediatric URTI.

Acknowledgements

SV receives salary support from the Alberta Heritage Foundation for Medical Research and Canadian Institutes of Health Research. BCJ holds a Sick Kids Foundation Duncan L. Gordon Fellowship. Study medication and funding was provided by CV Technologies Inc., Edmonton, Alberta, Canada. The formulation of ginseng used in the study (CVT-E002) is marketed as COLD-fX.

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