E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Acute rhinosinusitis: with a rhinsinusitis symptom score >= 13 points (of maximal 25 points) using a 6 point-rating scala for the following symptoms which arose within up to 3 days prior to visit 1: Facial pain or pressure Anterior or posterior discharge or both Nasal congestion Reduced productivity Wake up at night |
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MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 9.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10052106 |
E.1.2 | Term | Rhinosinusitis |
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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 |
To investigate the efficacy of a 14 days treatment with the pineapple enzyme preparation Wobenzym mono using three different dosages compared to placebo for the treatment of acute rhinosinusitis on the basis of 5 main rhinosinusitis symptoms assessed twice daily by the patient. |
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E.2.2 | Secondary objectives of the trial |
·To determine the optimal dose with the best efficacy. ·To assess the safety of Wobenzym mono compared to placebo applied in patients with acute rhinosinusitis.
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. Patients who have given their signed declaration of consent and data protection declaration 2. Males and females at the age of 18 – 70 years 3. Patients with a diagnosis of acute rhinosinusitis ·characterised by a rhinosinusitis symptom sum score ≥ 13 points (minimum 0, maximum 25 points) using a 6-point rating scale for the following symptoms which arose within up to 3 days prior to visit 1: At visit 1 the patient will assess the rhinosinusitis symptoms for Day -1 in the evening (retrospectively) and for Day 0 in the morning. The rhinosinusitis symptom sum score is the sum of the mean scores each for
- Facial pain or pressure sensation (Day -1, evening / Day 0, morning)* - Anterior or posterior discharge or both (Day -1, evening / Day 0, morning)* - Nasal congestion (Day -1, evening / Day 0, morning)* plus score for - Reduced productivity (Day -1, evening) - Wake up during night (Day 0, morning) and evaluated by ultrasonography of paranasal sinuses. * At least two of these 3 symptoms must be of at least moderate severity (score ≥ 3).
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E.4 | Principal exclusion criteria |
Medical history and medications 1. Chronic rhinosinusitis with or without nasal polyps 2. Acute exacerbation of a chronic rhinosinusitis 3. History of surgery of paranasal sinuses 4. History or presence of type 1 allergy (e.g. allergic rhinitis, allergic conjunctivitis, allergic bronchial asthma) 5. Non-allergic perennial rhinitis 6. Known intolerance against drug substance and / or excipient of the tablets (especially pineapple, lactose) 7. Pregnancy and /or lactation period 8. Current or participation in a clinical trial less than 30 days ago or participation in the same trial 9. Previous and concomitant medication like systemic, inhaled or nasal corticosteroids (beginning 4 weeks prior to visit 1), antibiotics, antihistamines, phytotherapeuticals and others for upper airway diseases incl. α-adrenergic agonists (beginning 7 day prior to visit 1) 10. Hemorrhagic diathesis 11. Concomitant medication likely to increase risk of bleeding (e.g. anticoagulants, platelet aggregation inhibitors) 12. History of palpitations 13. Severe diseases of liver or kidney; immunodeficiency, mucoviscidosis, asthma 14. Severe somatopathic, neurological and / or psychiatric diseases 15. Malignant growth (actual, condition after carcinoma not longer than 5 years without relapse) 16. History of alcohol and / or drug of abuse
General 17. Known to be, or suspected of being unable to comply with the study protocol (e.g. no permanent address, history of drug abuse, known to be non-compliant or presenting an unstable psychiatric history) 18. Legal incapacity and / or other circumstances rendering the patient unable to understand the nature, scope and possible impact of the study 19. Patients in custody by juridical or official order 20. Evidence of an uncooperative attitude (non-compliance) 21. Patients who have difficulties in understanding the language in which the patient information is given 22. Patients who do not agree to the transmission of their pseudonymous data within the liability of documentation and notification
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E.5 End points |
E.5.1 | Primary end point(s) |
The primary endpoint is: Time to relevant (50%) improvement of the rhinosinusitis symptom sum score. Each of the 5 individual symptoms will be rated in the diary by a 6-point rating scale. Due to a possible undulant course of the morning and evening sum score from day to day, the rhinosinusitis symptom sum score will be calculated using the scores of the morning and evening assessment in the following way: Mean scores of evening and subsequent morning assessment each for - Facial pain or pressure sensation - Anterior or posterior discharge or both - Nasal congestion plus score of evening assessment for - Reduced productivity plus score of subsequent morning assessment for - Wake up during night
According to this procedure the baseline value of the rhinosinusitis symptoms sum score will be calculated from the assessments of Day -1 in the evening (retrospectively) and Day 0 in the morning (office assessments).
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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 | Yes |
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 | Yes |
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) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
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.8.3 |
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 | 30 |
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 | Information not present in EudraCT |
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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End of trial will be mith of April 2008 at last patient out of alltogether 468 enrolled patients |
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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 | 0 |
E.8.9.1 | In the Member State concerned months | 7 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 0 |
E.8.9.2 | In all countries concerned by the trial months | 7 |
E.8.9.2 | In all countries concerned by the trial days | 0 |