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regulatory issues
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Proof-of-concept study with a novel nasal spray in chronic rhinitis or chronic sinusitis. The study will involve 25 patients completing the study for a per protocol analysis.
Visit 1 (Day 0): Screening visit. Assessment of outcome measures
Visit 2 (Day 7): Enrollment visit after a 1-week wash-out period. Enrolled to the Study are only patients who show a severe enough and stable disease (SNOT score >20 and change of SNOT score <15% compared to Visit 1, respectively).
Visit 3 (Day 21): Assessment of outcome measures after 2-week treatment phase
Visit 4 (Day 49): Follow-up visit
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Jantar-1 (JT-1), 7% (w/w) aqueous solution | Experimental | Dosing regimen: ad libitum between at least 2 doses, in the morning and in the evening, and at most 10 doses per day. A dose corresponds to two strokes of 100ul each per nostril. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| JT-1 | Drug | JT-1 is a physiological salt with recently detected pharmacological properties that warrant testing for its therapeutic potential in chronic rhinitis and chronic sinusitis. |
| Measure | Description | Time Frame |
|---|---|---|
| Change of Sino-Nasal Outcome Test (SNOT) score from baseline | Questionnaire of 22 questions on the subjective clinical symptoms of chronic rhinitis and chronic sinusitis, score between 0 (no symptoms) and 120 (worst possible disease) | Baseline (enrollment visit) and after 2-week treatment phase |
| Measure | Description | Time Frame |
|---|---|---|
| Change of Peak Nasal Inspiratory Flow (PNIF) from baseline | The PNIF meter measures the nasal airway patency in L/min. | Baseline (enrollment visit) and after 2-week treatment phase |
| Change of Smell Diskettes Olfactory Test from baseline |
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Inclusion Criteria:
Exclusion Criteria:
Severely purulent forms of sinusitis
History of medication during the last four weeks
Patient has a status of moderate or severe polyp activity in the nose
Patient had sinus surgery in the past 6 months
Patient needs O2 substitution
Patient has cystic fibrosis
Patient has primary ciliary dyskinesia
Patient is demented or otherwise incapable of judgement
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| Name | Affiliation | Role |
|---|---|---|
| Hans Rudolf Briner, KD MD | ORL-Center, Clinic Hirslanden, Zurich, Switzerland | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Clinic Hirslanden, ORL-Center | Zurich | Canton of Zurich | 8032 | Switzerland |
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| ID | Term |
|---|---|
| D012220 | Rhinitis |
| D012852 | Sinusitis |
| D000096825 | Rhinosinusitis |
| ID | Term |
|---|---|
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
| D009668 | Nose Diseases |
| D012140 | Respiratory Tract Diseases |
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Single-arm proof-of-concept study
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Standardized 8-item odor (forced multiple choice) identification test (score of 0 to 8 correct answers)
| Baseline (enrollment visit) and after 2-week treatment phase |
| Change of Visual Analog Scale (VAS) of Headache Intensity | VAS is a method to measure the symptom severity. Patients mark a spot on a 100mm long line between no pain (left end) and worst possible pain (right end) which corresponds to their current pain level. The distance between the left end and the mark measures the subjective severity of pain. Minimum value: 0; maximum value: 100. A lower score after treatment compared to baseline means improved outcome. | Baseline (enrollment visit) and after 2-week treatment phase |
| Change of Visual Analog Scale (VAS) of Nasal Discomfort | VAS is a method to measure the symptom severity. Patients mark a spot on a 100mm long line between no discomfort (left end) and worst possible discomfort (right end) which corresponds to their current level of discomfort. The distance between the left end and the mark measures the subjective severity of nasal discomfort. Minimum value: 0; maximum value: 100. A lower score after treatment compared to baseline means improved outcome. | Baseline (enrollment visit) and after 2-week treatment phase |
| D010038 |
| Otorhinolaryngologic Diseases |
| D010254 | Paranasal Sinus Diseases |