Comparative Study of Sinol and Sinol-M in Patients With Congestion Due to Allergic Rhinitis (SMAN)

January 21, 2009 updated by: Strategic Biosciences

SINOL + MucoAd™ (SMAN) Evaluation Trial: A Double-Blind, Cross-Over Comparison of SINOL and SMAN in Subjects With Congestion Due to Allergic Rhinitis

The purpose of this study is to demonstrate the equivalence of two homeopathic capsaicin containing nasal sprays (Sinol-M™ and Sinol) in patients with nasal congestion due to allergic rhinitis.

Study Overview

Status

Unknown

Conditions

Intervention / Treatment

Detailed Description

Sinol is an FDA registered, capsaicin-based, over-the-counter homeopathic nasal spray used for the relief of allergy and sinus conditions. It is an all-natural product that the patient uses on an as-needed basis for up to 12 times daily.

Sinol has been available in the US since 2004. In 2009 a second generation product, Sinol-M will be launched. Sinol-M is identical to the original formula but also contains MucoAd MucoAd™ is a patented non-toxic, non-irritating, liquid polymer mucoadhesive carrier that prolongs the contact time between drug and mucosa, thus increasing bioavailability. It can be loaded with nearly any pharmaceutical preparation and delivered a variety of mucosal tissues. Reduced mucociliary clearance of intranasally-applied drugs is desirable to reduce the naturally-occurring washing out of topically applied medications.

The objective of the current Phase IV, randomized, double-blind, cross-over study, was to evaluate the frequency of use and efficacy of SINOL and SINOL + MucoAd™ (Sinol-M) and to demonstrate non-inferiority of Sinol-M versus the existing product Sinol.

Additionally, as most homeopathic drugs are not supported by prospective clinical data there is a belief among many mainstream healthcare practitioners, and some consumers that these products do not work. This study therefore provides an opportunity to demonstrate improved efficacy versus no treatment (during the run-in and washout phases).

Study Type

Interventional

Enrollment (Anticipated)

20

Phase

  • Phase 4

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

  • United States
    • Maryland
      • Wheaton, Maryland, United States, 20902
        • Institute for Allergy and Asthma

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

12 years and older (Child, Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Willing to participate as indicated by providing written informed consent
  • 12 years of age or older, of any gender and any race
  • Have had a positive skin prick and/or intradermal test for a currently prevalent allergen within the past 5 years
  • A history of allergic rhinitis, for at least 2 years
  • Have undergone washout of all medications that could have an influence on the study
  • Willing and able to make required study visits
  • Able to follow instructions and record diary symptoms.
  • Free of significant anatomic abnormalities, infection, bleeding, and mucosal ulcerations on nasal examination
  • Have a TNSS between 4 and 12 averaged over the 7 days immediately prior to V2
  • Have an average individual score for nasal congestion greater than or equal to 2 over the 7 days immediately prior to V2.

Exclusion Criteria:

  • any concurrent disease that could interfere with the investigation or evaluation of the study medications such as: rhinitis medicamentosa or large obstructive nasal polyps
  • any other anatomic nasal deformity that could interfere with their participation in the study
  • asthma, with the exception of mild intermittent asthma
  • congestion that, in the opinion of the study investigator, could interfere with successful nasal drug administration/absorption (in either nostril)
  • use of systemic corticosteroids (oral, parenteral, intravenous, rectal) or inhaled or ocular corticosteroids within the last 30 days
  • be undergoing allergy immunotherapy, unless on a stable dosing regimen throughout the course of the study
  • Be using dermal potent or super-potent topical corticosteroids
  • any systemic disorder that could interfere with the evaluation of the study medication
  • hypersensitivity to the study drugs or any component thereof
  • history of drug or alcohol abuse that would interfere with participation in the study
  • history of severe, unstable, or uncontrolled cardiovascular, hepatic, renal and/or other diseases/illnesses that could be expected to interfere with the study
  • upper or lower respiratory infection within 14 days of Vist 2
  • acute sinusitis within 30 days of Visit 2
  • any history or evidence of nasolacrimal drainage system malfunction
  • Be planning to travel to an area significantly antigenically different for a substantial portion (more than 48 hours) of any given study week.
  • participation in any other investigational study within 30 days before entry into this study or concomitantly with this study
  • chronic or intermittent use of any prescription or over-the-counter (OTC) nasal spray during the study period

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: Treatment
  • Allocation: Randomized
  • Interventional Model: Crossover Assignment
  • Masking: Quadruple

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: 1
Sinol-M
Drug: Sinol or Sinol-M nasal spray
One spray in each nostril up to a maximum of 12 times / day on an "as needed" basis
Other Names:
  • Capsaicin nasal spray
Active Comparator: 2
Sinol
Drug: Sinol or Sinol-M nasal spray
One spray in each nostril up to a maximum of 12 times / day on an "as needed" basis
Other Names:
  • Capsaicin nasal spray

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
Daily Total Nasal Symptom Score (congestion, rhinorrhea, sneezing, nasal itching)
Time Frame: twice daily for 28 days
twice daily for 28 days

Secondary Outcome Measures

Outcome Measure
Time Frame
Number of sprays of study drug used
Time Frame: twice daily for 28 days
twice daily for 28 days

Collaborators and Investigators

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

Sponsor

Strategic Biosciences

Investigators

  • Principal Investigator: Martha White, MD, Institute for Allergy and Asthma

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

September 1, 2008

Primary Completion (Anticipated)

January 1, 2009

Study Completion (Anticipated)

January 1, 2009

Study Registration Dates

First Submitted

January 19, 2009

First Submitted That Met QC Criteria

January 20, 2009

First Posted (Estimate)

January 21, 2009

Study Record Updates

Last Update Posted (Estimate)

January 23, 2009

Last Update Submitted That Met QC Criteria

January 21, 2009

Last Verified

January 1, 2009

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • SMAN-0708

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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