Efficacy of Oral HA35 for Rapid Relief of Oral Pain and Pungent Sensation

September 6, 2026 updated by: Nakhia Impex LLC

A Prospective, Single-Arm, Open-Label Pilot Clinical Study of Oral 10% 35 kDa Hyaluronan for Rapid Relief of Capsaicin/AITC-Induced Oral Pain and Pungent Sensation

This prospective, open-label, controlled pilot study evaluates oral 10% 35 kDa hyaluronan (HA35) versus four control interventions (C60 grapeseed oil,normal saline) for relief of capsaicin/AITC-induced oral pain and pungent sensation. Healthy participants receive standardized pain induction followed by single oral intervention. Pain/pungency assessed at 30 sec/60 sec/120 sec. Safety monitored throughout. Minimal-risk, non-invasive oral study.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

This prospective, single-center, open-label, controlled pilot clinical study evaluates the rapid analgesic and anti-pungent effects of oral 10% 35 kDa hyaluronan (HA35) compared with two control interventions in healthy adults with capsaicin/AITC-induced oral pain and pungent sensation.

Eligible participants undergo standardized pain induction:

Capsaicin (chili) challenge: Oral capsaicin exposure induces oral pain. AITC (wasabi/horseradish) challenge: Oral AITC exposure induces pain and pungency.

After induction, participants are assigned to 6 parallel groups:

HA35:20 mL 10% HA35 oral solution Control 1:20 mL 4 mg/L C60 grapeseed oil Control 2:20 mL normal saline All interventions administered orally, held 3-30 seconds then swallowed.

Outcome assessments:

Oral pain (0-10 NRS) Pungent/irritant sensation (0-10 NRS) Time points: Baseline, 30 sec, 60 sec, 120 sec Safety: Oral adverse events and tolerability monitored throughout. Minimal-risk, non-invasive oral intervention. All procedures follow Declaration of Helsinki; written informed consent obtained.

Study Type

Interventional

Enrollment (Actual)

30

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

    • Shandong
      • Qingdao, Shandong, China, 266000
        • HA35

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • Age 18-65 years, healthy adults
  • Able to tolerate capsaicin/AITC oral challenge
  • Able to complete NRS assessments
  • Signed informed consent

Exclusion Criteria:

  • Oral ulcers, lesions, or mucosal disease
  • Known hyaluronan allergy
  • Severe systemic disease
  • Pregnancy/lactation
  • Recent oral analgesic use (≤24h)

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Supportive Care
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: 辣椒素挑战+10%35kDa透明质酸(HA35)
Participants undergo standardized oral capsaicin challenge to induce oral pain and pungent sensation, followed by administration of 20 mL of 10% 35 kDa hyaluronan (HA35) oral solution. The solution is held in the mouth for 3-30 seconds and then swallowed.
A standardized oral capsaicin challenge administered to induce transient oral pain and pungent sensation before the assigned oral intervention.
Other Names:
  • HA35 Oral Pain Relief Solution; Anti-Pungent Oral HA35 Solution
20 mL oral solution containing 10% 35 kDa hyaluronan (HA35). The solution is held in the mouth for 3-30 seconds and then swallowed following the assigned oral challenge.
Active Comparator: 辣椒素挑战+4毫克/升C60葡萄籽油
Participants undergo standardized oral capsaicin challenge to induce oral pain and pungent sensation, followed by administration of 20 mL of 4 mg/L C60 grapeseed oil oral solution. The solution is held in the mouth for 3-30 seconds and then swallowed.
A standardized oral capsaicin challenge administered to induce transient oral pain and pungent sensation before the assigned oral intervention.
Other Names:
  • HA35 Oral Pain Relief Solution; Anti-Pungent Oral HA35 Solution
20 mL preparation containing 4 mg/L C60 fullerene in grapeseed oil. The preparation is held in the mouth for 3-30 seconds and then swallowed following the assigned oral challenge.
Placebo Comparator: 辣椒素挑战+0.9%正常生理盐水
Participants undergo standardized oral capsaicin challenge to induce oral pain and pungent sensation, followed by administration of 20 mL of 0.9% normal saline. The solution is held in the mouth for 3-30 seconds and then swallowed.
A standardized oral capsaicin challenge administered to induce transient oral pain and pungent sensation before the assigned oral intervention.
Other Names:
  • HA35 Oral Pain Relief Solution; Anti-Pungent Oral HA35 Solution
20 mL of 0.9% sodium chloride solution. The solution is held in the mouth for 3-30 seconds and then swallowed following the assigned oral challenge.
Experimental: AITC挑战+10%35kDa透明质酸(HA35)
Participants undergo standardized oral allyl isothiocyanate (AITC) challenge to induce oral pain and pungent sensation, followed by administration of 20 mL of 10% 35 kDa hyaluronan (HA35) oral solution. The solution is held in the mouth for 3-30 seconds and then swallowed.
20 mL oral solution containing 10% 35 kDa hyaluronan (HA35). The solution is held in the mouth for 3-30 seconds and then swallowed following the assigned oral challenge.
A standardized oral allyl isothiocyanate (AITC) challenge administered to induce transient oral pain and pungent/irritant sensation before the assigned oral intervention.
Active Comparator: AITC挑战+4毫克/升C60葡萄籽油
Participants undergo standardized oral allyl isothiocyanate (AITC) challenge to induce oral pain and pungent sensation, followed by administration of 20 mL of 4 mg/L C60 grapeseed oil oral solution. The solution is held in the mouth for 3-30 seconds and then swallowed.
20 mL preparation containing 4 mg/L C60 fullerene in grapeseed oil. The preparation is held in the mouth for 3-30 seconds and then swallowed following the assigned oral challenge.
A standardized oral allyl isothiocyanate (AITC) challenge administered to induce transient oral pain and pungent/irritant sensation before the assigned oral intervention.
Placebo Comparator: AITC挑战+0.9%正常盐水
Participants undergo standardized oral allyl isothiocyanate (AITC) challenge to induce oral pain and pungent sensation, followed by administration of 20 mL of 0.9% normal saline. The solution is held in the mouth for 3-30 seconds and then swallowed.
20 mL of 0.9% sodium chloride solution. The solution is held in the mouth for 3-30 seconds and then swallowed following the assigned oral challenge.
A standardized oral allyl isothiocyanate (AITC) challenge administered to induce transient oral pain and pungent/irritant sensation before the assigned oral intervention.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change in Oral and Upper-Airway Discomfort Intensity After Horseradish Stimulation (0-10 NRS)
Time Frame: Baseline and 3 seconds and 30 seconds after treatment.
Change in overall oral and upper-airway discomfort induced by commercially available horseradish, assessed using an 11-point Numerical Rating Scale (NRS) ranging from 0 to 10, where 0 indicates no pain or irritation-related discomfort and 10 indicates the worst imaginable pain or irritation. The assessed sensation includes oral and lingual pain, nasal pungency, pharyngeal irritation, and cough-related discomfort.
Baseline and 3 seconds and 30 seconds after treatment.
Change in Oral Burning Pain Intensity After Chili Oil Stimulation (0-10 NRS)
Time Frame: Baseline and 30 seconds, 60 seconds, and 120 seconds after treatment.
Change in oral burning pain induced by commercially available chili oil, assessed using an 11-point Numerical Rating Scale (NRS) ranging from 0 to 10, where 0 indicates no pain and 10 indicates the worst imaginable oral pain.
Baseline and 30 seconds, 60 seconds, and 120 seconds after treatment.

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

June 5, 2026

Primary Completion (Actual)

June 30, 2026

Study Completion (Actual)

July 10, 2026

Study Registration Dates

First Submitted

May 22, 2026

First Submitted That Met QC Criteria

June 1, 2026

First Posted (Actual)

June 5, 2026

Study Record Updates

Last Update Posted (Actual)

September 10, 2026

Last Update Submitted That Met QC Criteria

September 6, 2026

Last Verified

May 1, 2026

More Information

Terms related to this study

Other Study ID Numbers

  • HA35202610

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

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