E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
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E.1.1.1 | Medical condition in easily understood language |
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E.1.1.2 | Therapeutic area | Diseases [C] - Ear, nose and throat diseases [C09] |
MedDRA Classification |
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
Mean difference of an investigator-evaluated Major Symptom Score (MSS) of 20% between the verum group and the placebo group after 4 days of full medication dose |
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E.2.2 | Secondary objectives of the trial |
- - Mean difference of an investigator-evaluated Major Symptom Score (MSS) of 20% between the verum group and the placebo group after 7 days of full medication dose - Mean difference of the adapted investigator-evaluated Major Symptom Score (MSS) of 20% between the verum group and the placebo group after 4 days of full medication dose - Mean difference of the adapted investigator-evaluated Major Symptom Score (MSS) of 20% between the verum group and the placebo group after 7 days of full medication dose - % of patients with improvement of health-related QOL score as revealed by SNOT 22 by at least ten score points - Global impact of disease on QOL as assessed by patient - Adverse event rate
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. Adult male and female outpatients aged ≥ 18 - 75 years 2. Acute rhinosinusitis complying with following symptoms: o Rhinorrhea o Postnasal drip o Nasal congestion/stuffiness o Sinus headache o Facial pain o Reduction/loss of smell (hyposmie) 3. Sublingual temperature < 38.3°C, no dental involvement, impairment of general conditions. 4. Major Symptom Score (MSS) (> 5 but < 12) 5. ARS symptoms at enrolment do not exceed 3 days 6. Informed consent and willingness to comply with the protocol
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E.4 | Principal exclusion criteria |
- Signs or symptoms suggestive of acute bacterial rhinosinusitis (sublingual temperature >38.3°C, persistent severe unilateral facial or tooth pain, facial swelling, severe frontal or retroorbital pain radiating to the occiput) or of extrasinus manifestations, such as orbital cellulitis, dental or facial abscess, cavernous vein thrombosis - Chronic recurrent rhinosinusitis with more than 4 episodes of acute rhinosinusitis per year and no complete resolution in-between - Immotile cilia syndrome, atrophic rhinitis, rhinitis medicamentosa - Known or suspected hypersensitivity to the active substance and/or to any of the excipients - Need for antibiotic treatment in patients at high risk of serious complications because of pre-existing comorbidity, including significant heart, lung, renal, liver or neuromuscular disease, immunosuppression, cystic fibrosis, human immunodeficiency virus infection, malignancy other than squamous or basal cell carcinoma of the skin - Antibiotic therapy (local or systemic) at any time during the preceding four weeks - Need for application of concomitant local medications including antibiotics, corticosteroids, antihistaminic agents - Immunosuppressive therapy and/or systemic corticosteroids - Systemic antihistaminic agents - Radiation therapy or chemotherapy within the previous 12 months - Pregnancy or lactating women - History of alcohol or drug abuse likely to lead to uncooperative behavior - History of psychiatric and/or neurological illness likely to lead to uncooperative behavior - Participation in another clinical trial within 1 month - Patients using medication for treatment of common cold like symptoms (excluding nasal douche)
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E.5 End points |
E.5.1 | Primary end point(s) |
Mean difference of an investigator-evaluated Major Symptom Score (MSS) of 20% between the verum group and the placebo group after 4 days of full medication dose
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
after 4 days of full medication dose |
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E.5.2 | Secondary end point(s) |
- - Mean difference of an investigator-evaluated Major Symptom Score (MSS) of 20% between the verum group and the placebo group after 7 days of full medication dose - Mean difference of the adapted investigator-evaluated Major Symptom Score (MSS) of 20% between the verum group and the placebo group after 4 days of full medication dose - Mean difference of the adapted investigator-evaluated Major Symptom Score (MSS) of 20% between the verum group and the placebo group after 7 days of full medication dose - % of patients with improvement of health-related QOL score as revealed by SNOT 22 by at least ten score points - Global impact of disease on QOL as assessed by patient - Adverse event rate
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
at baseline; after 4 and 7 days of full medication dose |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | Yes |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 2 |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 11 |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.7 | Trial has a data monitoring committee | Yes |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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Final assessment (day 7 or at any time in case of discontinuation of treatment) - Reason for discontinuation of therapy - Assessment of failures - Assessment of compliance
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | |
E.8.9.1 | In the Member State concerned months | 8 |
E.8.9.1 | In the Member State concerned days | |