NCT05506709

Brief Summary

The study aims to confirm the safety and performance of a hypertonic seawater-based nasal spray enriched with manganese and calcium, in relief/reduction of nasal symptoms (congestion, itchy nose, runny nose and sneezing) among subjects with symptomatic allergic rhinitis. This will be a prospective, longitudinal, single-cell and product blinded clinical trial. A sufficient number (65-70) of adult subjects with allergic rhinitis meeting all eligibility criteria will be enrolled in this study to ensure that approximately 50 subjects complete the study. Subjects will be enrolled during allergy season. The study will consist of four visits with a total duration of 3 weeks (1 week of pre-screening and 2 weeks for investigational product use). The full schedule of events is presented in the CIP. Subjects recruited for this study will be screened for inclusion/exclusion criteria after reading and signing the informed consent form. Eligible subjects who show a positive reaction to the skin prick test at Visit 1/ Day -7 will be enrolled for a one-week pre-run screening period. At baseline (Visit 2/Day 0), those subjects meeting all inclusion criteria including the results of the Total Nasal Symptoms Score will be enrolled in the active study phase. The subjects will use the product during two weeks (from Day 7 to Day 14), applying at least once and maximum 6 times daily per instructions for use. At each visit within intervention period (Visits 2, 3 and 4), the subjects will be asked to assess their nasal and ocular symptoms (using Nasal Symptom Score and Ocular Symptom Score grading tools) before product application, as well as at 1 minute, 10 minutes and 1-hour post-product application. Besides, they will complete Weekly Rhinitis questionnaire for the past week. Additionally, the subjects will complete Daily Diaries to record their nasal and ocular symptoms, sleep disturbance, and need for use of other medication.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
59

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Jul 2022

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

July 13, 2022

Completed
1 month until next milestone

First Submitted

Initial submission to the registry

August 15, 2022

Completed
3 days until next milestone

First Posted

Study publicly available on registry

August 18, 2022

Completed
1 month until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 21, 2022

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 21, 2022

Completed
Last Updated

October 19, 2022

Status Verified

October 1, 2022

Enrollment Period

2 months

First QC Date

August 15, 2022

Last Update Submit

October 17, 2022

Conditions

Outcome Measures

Primary Outcomes (5)

  • Total Nasal Symptom Score (TNSS)

    The Total Nasal Symptom Score (TNSS) is the sum of the 4 individual nasal symptoms scores: nasal itching, congestion, runny nose, sneezing. Symptoms will be assessed by questionnaire with scoring from 0 (none) to 3(severe).

    Through study completion, an average of 3 weeks

  • Nasal Symptom Score (NSS) for (congestion (stuffy/blocked nose)

    Nasal Symptom Score (NSS) will be assessed by questionnaire with scoring from 0 (none) to 3(severe).

    Through study completion, an average of 3 weeks

  • Nasal Symptom Score (NSS) for sneezing

    Nasal Symptom Score (NSS) will be assessed by questionnaire with scoring from 0 (none) to 3(severe).

    Through study completion, an average of 3 weeks

  • Nasal Symptom Score (NSS) for itching

    Nasal Symptom Score (NSS) will be assessed by questionnaire with scoring from 0 (none) to 3(severe).

    Through study completion, an average of 3 weeks

  • Nasal Symptom Score (NSS) for runny nose

    Nasal Symptom Score (NSS) will be assessed by questionnaire with scoring from 0 (none) to 3(severe).

    Through study completion, an average of 3 weeks

Secondary Outcomes (7)

  • Total Ocular Symptom Score (TOSS)

    Through study completion, an average of 3 weeks

  • Ocular Symptom Score (OSS) for itching

    Through study completion, an average of 3 weeks

  • Ocular Symptom Score (OSS) for watering

    Through study completion, an average of 3 weeks

  • Ocular Symptom Score (OSS) for puffy eyes

    Through study completion, an average of 3 weeks

  • Ocular Symptom Score (OSS) for dry/irritated/burning eyes

    Through study completion, an average of 3 weeks

  • +2 more secondary outcomes

Other Outcomes (2)

  • Weekly Rhinitis Control

    Through study completion, an average of 3 weeks

  • Need of other medications

    Through study completion, an average of 3 weeks

Study Arms (1)

Test

EXPERIMENTAL

Subjects receive only the test product (medical device/nasal pump containing moderately hypertonic solution produced based on 100% natural sea water rich of marine trace elements with added manganese and calcium)

Device: Seawater nasal spray

Interventions

Subjects will use the nasal spray (moderately hypertonic solution based on 100% natural sea water rich of marine trace elements with added manganese and calcium) at least once and up to 6 times as necessary per day during the 14-day test period. Each application is composed of two irrigating sprays per nostril for a total of 4 sprays per application.

Test

Eligibility Criteria

Age18 Years - 70 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • years of age.
  • Male or female.
  • Self-reported or medical history of allergic rhinitis during the past 18 months.
  • Having a positive skin puncture test (wheal diameter at least 3 mm greater than saline negative control) to at least one pollen of trees, weeds, and grasses meadows. Specific strains will be noted in the skin prick test report \[Note: Subjects should also receive skin prick/puncture tests for perennial allergens, and they can be polysensitized to perennial allergens (dust mites, house dust, dog dander, cat dander, feather)\].
  • Willingness NOT to use any medications for relief of allergic rhinitis symptoms during the 3 weeks of the study.
  • Being able to read and sign informed consent, as well as fill assessment questionnaire.
  • Daily TNSS ≥6 of possible maximum 12 on at least 3 consecutive days, or daily TNSS ≥5 of possible maximum of 12 with one symptom being severe on at least 3 consecutive days of the 1-week run-in period before the baseline visit (Visit 2/Day 0) (based on the nasal symptoms listed in Appendix I). Daily TNSS is the average of morning (within 15 minutes of awakening) and evening TNSS (within an hour before going to bed) to be calculated by the study staff at baseline (Visit 2/Day 0)

You may not qualify if:

  • Any symptoms of upper or lower respiratory tract infections within 2 weeks prior to the first visit or during the study.
  • Positive COVID -19 test during the past month or during the course of the study.
  • Self-reported history of anaphylaxis.
  • Confirmed diagnosis of urticaria or eczema.
  • Confirmed diagnosis of asthma that requires more than intermittent rescue beta agonist treatment, for example, prior to exercise.
  • Immunotherapy during the past 2 years, or ongoing immunotherapy.
  • Recent nasal or sinus surgery within the last 6 months.
  • Use of any OTC and prescription antihistamine, cromone, decongestant, systemic/topical corticosteroids, leukotriene antagonists, topical antibiotics, non-steroidal anti-inflammatory drugs in the past 2 weeks.
  • Use of other nasal sprays, pump, CPAP machine, nasal irrigation/lavage devices, internal nasal gel or nasal oil within 2 weeks prior to the first visit or during the study.
  • Women who are pregnant and/or breastfeeding or planning to become pregnant during the study and within 30 days after the last application of the study product.
  • Presence of nasal polyposis, chronic sinusitis (assessed by Investigator).
  • Nasal anatomic abnormality (assessed by Investigator), e.g., severe deviated septum, congenital cleft lip/palate, nasal bleeding diathesis.
  • Any clinically significant co-morbid condition, which, in PI's opinion, may affect the patient safety and/or affect participation in the study

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

"Heratsi" Hospital Complex No.1

Yerevan, 0025, Armenia

Location

MeSH Terms

Conditions

Rhinitis, Allergic

Condition Hierarchy (Ancestors)

RhinitisNose DiseasesRespiratory Tract DiseasesRespiratory HypersensitivityOtorhinolaryngologic DiseasesHypersensitivity, ImmediateHypersensitivityImmune System Diseases

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Masking Details
Product-blinded (the brand name of the product is not available for subjects)
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 15, 2022

First Posted

August 18, 2022

Study Start

July 13, 2022

Primary Completion

September 21, 2022

Study Completion

September 21, 2022

Last Updated

October 19, 2022

Record last verified: 2022-10

Locations