SafiWorkshop allows you to design, test, debug, and deploy advanced process flow applications (like IVRs) from a single, unified development environment. For database work, it includes a fully featured SQL query editor. SafiWorkshop also includes some Asterisk PBX specific features like an audio prompt editor.
The Taridium ipbx is a complete software-based VoIP PBX system that replaces a traditional proprietary hardware PBX. It runs on Linux without the need for extra software licenses, and is based on the SIP standard. It supports many phones and is available for free in a 5 user version.