Evidence map›Paper›PMID 40596900›Full record

Trial reportBMC infectious diseases2025

Efficacy and safety of inhaled ambroxol hydrochloride solution in patients with lower respiratory tract infectious diseases: a randomized, double-blind, placebo-controlled, multicentre clinical trial.

Di Wu, Xiuhua Fu, Faguang Jin, Hui Li, Zhiqiang Qin, Haoyan Wang, Hongmei Yue, Jie Zhang, Zhaolong Cao

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in BMC infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Di WuDepartment of General Medicine, Peking University People's Hospital, Beijing, 100044, China.
Xiuhua FuDepartment of Respiratory Medicine, The Affiliated Hospital of Inner Mongolia Medical University, Hohhot, 010030, China.
Faguang JinDepartment of Respiratory Medicine, Tangdu Hospital, Air Force Medical University, Xi'an, 710038, China.
Hui LiDepartment of Respiratory Medicine, Jilin Province People's Hospital, Changchun, 130012, China.
Zhiqiang QinDepartment of Respiratory Medicine, The People's Hospital of Guangxi Zhuang Autonomous Region/Foresea Life Insurance Guangxi Hospital, Nanning, 530000, China.
Haoyan WangDepartment of Respiratory Medicine, Beijing Friendship Hospital, Capital Medical University, Beijing, 100050, China.
Hongmei YueDepartment of Respiratory Medicine, First Hospital of Lanzhou University, Lanzhou, 730000, China.
Jie ZhangDepartment of Respiratory Medicine, The Second Hospital of Jilin University, Changchun, 130041, China.
Zhaolong CaoDepartment of Respiratory Medicine, Peking University People's Hospital, No. 11 Xizhimen South Street, Xicheng District, Beijing, 100044, China. caozhaolong@yeah.net.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAmbroxol is a widely used mucoactive agent, but the efficacy of inhaled ambroxol in patients with lower respiratory tract infectious (LRTI) disease is poorly understood. This trial aimed to compare the efficacy and safety of inhaled ambroxol with those of placebo in patients with LRTI diseases.

methodsIn this randomized, double-blind, placebo-controlled, multicentre clinical trial, 240 patients with LRTI diseases were randomized to receive inhaled ambroxol hydrochloride solution (ambroxol group, N = 120) or placebo (placebo group, N = 120) twice daily for 7 days.

resultsCompared with the placebo group, the ambroxol group had lower sputum trait scores and greater changes in sputum trait scores from Day 2 to Day 8. Compared with the placebo group, the ambroxol group presented lower expectoration difficulty scores and greater changes in expectoration difficulty scores on Days 2, 3, and 6. The sputum volume scores on Days 6, 7, and 8 were lower in the ambroxol group than in the placebo group, but the change in the sputum volume score was not different between the groups. Compared with the placebo group, the ambroxol group had lower cough scores on Days 3, 5, 6, and 7, as well as greater changes in cough scores on Days 2, 3, and 5. The incidences of adverse events (10.8% versus 6.7%), serious adverse events (0.8% versus 0.0%), and adverse reactions (4.2% versus 3.3%) were not different between the ambroxol group and the placebo group.

conclusionsInhaled ambroxol is better at ameliorating respiratory symptoms and has comparable safety to placebo in patients with LRTI diseases.

Indexed as

AmbroxolExpectorantsRespiratory Tract InfectionsAdministration, InhalationAdultAgedDouble-Blind MethodFemaleHumansMaleMiddle AgedSputumTreatment OutcomeYoung AdultAmbroxolExpectorantsAmbroxolEfficacyInhalationLower respiratory tract infectious diseasesSafety

Identifiers

PMID40596900
PMCPMC12211132

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.