- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04393792
SINUS WASH Pilot Study in Adults Testing Positive for COVID-19
Can a Sinus Rinse and Mouth Wash Reduce Viral Load in COVID-19 Positive Individuals and Their Co-residents?
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
COVID-19 is highly infectious and transmission of the virus is thought to be similar to that of influenza which can be transferred through droplets released when a person coughs, sneezes or talks. Studies have shown that nasal rinsing and mouth washes may be an important way to deliver treatments that could reduce the amount of a virus that reaches other parts of the body. This also could mean that there is less virus available to pass on to others.
We want to see if the use of nasal rinsing and mouth washes will reduce the spread of infection within your household by reducing and removing the virus from your mouth and nose.
Once the participants have been recruited they will be randomly allocated to one of two groups. Each arm will have the same number of participants. The two arms will be :
- nose rinse and mouthwash with Isotonic saline alone. This will be the control arm.
- nose rinse and mouthwash with Povidone-Iodine taken 3 times a days for three days.
Before treatment begins, each participant will have one pre-treatment swab of the back of the nose and the back of the throat taken.
Once allocated each participant will be asked to have 4 further swabs of the mouth and nose taken on days 2,4,7 & 14.
Participants will be patients and healthcare staff who have tested positive for COVID-19. Healthcare staff who are self isolating will also asked their co-residents/family members at home to take the treatment and provide swabs in the same manner.
Participants who are patients and are admitted to hospital will be well enough to perform the nasal rinses and mouth washes as treatments and provide the same swabs.
All participants will be provided with informational videos on how to do the treatments and how to take the swabs. Participants who are not healthcare staff will have swabs taken as part of the local drive through testing service.
All participants will be asked to download a free smartphone app (Umotif) to upload information about daily symptoms and whether they have provided swabs on the required days.
The swabs will be tested for the amount of virus in the labs at Hampshire Hospitals NHS Foundation Trust and analysed to determine if the treatment arm of Povidone-Iodine is reducing the amount of virus compared to the isotonic saline arm.
All results will be anonymised prior to analysis. The study team will know the participants' study-specific data; no personal data about participants will be used without their explicit consent and only for the purposes of protocol adherence and data to answer the study question.
Once the last swab has been taken and delivered to the laboratory, the trial will have ended for that participant. Results of the swabs will be part of the study data and collated in readiness for analysis by the study statistician.
The results will be made available for peer-reviewed publication and presentation at conferences.
Study Type
Enrollment (Anticipated)
Phase
- Phase 1
Contacts and Locations
Study Contact
- Name: Afroze Khan, MBBS MRCS
- Phone Number: +447885903693
- Email: Afroze.Khan@nhs.net
Study Contact Backup
- Name: Matthew Dryden
- Email: matthew.dryden@hhft.nhs.uk
Study Locations
-
-
Hampshire
-
Basingstoke, Hampshire, United Kingdom, RG24 9NA
- Recruiting
- Hampshire Hospitals NHS Foundation Trust
-
Contact:
- Afroze Khan, MBBS MRCS
-
Contact:
- Matthew Dryden
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Healthcare worker OR patient on a general ward who has had a positive COVID-19 test OR a person who is co-residing with an affected staff member or patient who is now at home in self-isolation.
- capable of giving informed consent
- able to self-administer the sinus rinses and mouth washes
- able to have healthcare professional-led swabs OR self-administer the oral and nasopharyngeal swabs
- aged 18 years and over.
Exclusion Criteria:
- not capable of giving informed consent
- unable to self-administer the sinus rinses and mouth washes
- unable to have healthcare professional-led swabs OR self-administer the oral, nasal and/OR nasopharyngeal swabs
- unable to send swabs to the study team via the approved methods described in participant information leaflet and protocol
- under 18 years of age.
- known hypersensitivity to Iodine
- at risk of aspiration due to an unsafe swallow
- hyperthyroidism or other manifest thyroid diseases
- herpetiform dermatitis (Duhring's disease)
- planned or undergoing radioiodine treatment
- actively Breastfeeding
- pregnant
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Povidone-Iodine
0.23% sinus rinse and mouthwash three times daily (tds) for days 1-3 of study
|
0.23% three times daily (tds) for 3 days
Other Names:
|
Placebo Comparator: Normal Saline
sinus rinse and mouthwash three times daily (tds) for days 1-3 of study
|
0.9% three times daily (tds) for 3 days
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in viral load in the oral and nasopharyngeal cavity
Time Frame: Day 0, 2, 3, 7, 14
|
viral load as measured by real time polymerase chain reaction (PCR)
|
Day 0, 2, 3, 7, 14
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Symptom severity in primary participants and co-residents
Time Frame: Days 0 to 14
|
Visual analogue score 1-5 per symptom via a smartphone app
|
Days 0 to 14
|
Collaborators and Investigators
Investigators
- Principal Investigator: Afroze Khan, MBBS MRCS, Hampshire Hospitals NHS Foundation Trust
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Coronaviridae Infections
- Nidovirales Infections
- RNA Virus Infections
- Virus Diseases
- Infections
- Respiratory Tract Infections
- Respiratory Tract Diseases
- Pneumonia, Viral
- Pneumonia
- Lung Diseases
- COVID-19
- Coronavirus Infections
- Anti-Infective Agents, Local
- Anti-Infective Agents
- Plasma Substitutes
- Blood Substitutes
- Povidone-Iodine
- Povidone
Other Study ID Numbers
- SPON-AK-0420
- 2020-001721-31 (EudraCT Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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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