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CompletedNCT01086839Updated Dec 2, 2014

Sino-nasal Inhalation of Sodium Chloride 6,0% in Patients With Cystic Fibrosis and Chronic Rhinosinusitis

An interventional study of sodium chloride 6% and sodium chloride 0,9% in Cystic Fibrosis and Rhinosinusitis, sponsored by University of Jena. Completed at 11 sites in Germany. Open to participants aged 8 Years and older. Per ClinicalTrials.gov, last updated 2014-12-02.

Sponsored by University of Jena · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
69
Allocation
Randomized
Ages
8 Years and older
Sex
All
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Study summary

Rhinosinusitis disorders are almost regularly associated to Cystic Fibrosis (CF). The basic defect in CF is a dysfunction of chloride channels in exocrine glands which equally concerns upper airway mucosa. It leads to retention of secretions and consecutive chronic inflammation with bacterial superinfection.

In CF rhinosinusitis can restrict quality of life, give cause to repeated ear, nose, and throat (ENT) surgery and accelerate disease progression by bacterial acquisition into the airways.

The multicenter, randomized, double-blind, placebo-controlled, prospective clinical trial aims at the evaluation of a sino-nasal inhalation of sodium chloride 6% compared to isotonic saline with respect to ENT-related quality of life which is influenced by mucus retention and the resulting inflammation.

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Conditions studied

  • Cystic Fibrosis
  • Rhinosinusitis

Keywords

  • Cystic Fibrosis
  • chronic rhinosinusitis
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In context

Rhinosinusitis

330 studies on the registry are indexed under Rhinosinusitis; 55 are open to participants now.

This study's enrollment of 69 is above the median of 60 across 227 interventional studies indexed under Rhinosinusitis.

Browse Rhinosinusitis studies →

Lead sponsor

University of Jena is the lead sponsor of 89 studies on the registry; 3 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
8 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Subject has a confirmed diagnosis of cystic fibrosis based on: 2 positive sweat chloride tests and/or genetic characterization
  • Subject is 8 years of age or older
  • informed consent of the patient or legal representative
  • Women of childbearing potential are only included into the study, if they are using an effective method of birth control during the protocol (failure rate \<1% e.g. implants, combined oral contraceptives, injectables, some intrauterine devices, sexual abstinence or vasectomised partner)

Exclusion criteria

Exclusion Criteria:

  • Subject has no chronic rhinosinusitis (European Position Paper on Rhinosinusitis and Nasal Polyps (EPOS-criteria)
  • Subject has a critical condition defined as: forced expiratory volume at one second \< 30% and / or arterial oxygen saturation \< 93% without O2-substitution; need of O2-substitution
  • Subject had an ENT surgery within 6 months prior to study
  • Subject participates in another clinical trial within 30 days prior to study entry
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
69 participants (actual)

Study arms

  • Experimental
    sodium chloride 6%

    Cross-Over! "experimental" (days 1 - 28), then Wash-Out (28 days),then "placebo comparator" (days 57 - 85).

    Drug: sodium chloride 6%

  • Placebo comparator
    sodium chloride 0,9%

    Cross-Over! "placebo comparator" (days 1 - 28), then Wash-Out (28 days),then "experimental" (days 57 - 85).

    Drug: sodium chloride 0,9%

Interventions

  • Drugsodium chloride 6%

    * one ampoule sodium chloride 6% per day * inhalation use * for 28 days

  • Drugsodium chloride 0,9%

    * one ampoule sodium chloride 0,9% per day * inhalation use * for 28 days

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What researchers measure

Primary outcomes

  1. Changes in the Sino-nasal-outcome test SNOT-20 adapt CF

    Time frame: days 1, 29, 57 and 85

Secondary outcomes

  1. Changes in the nasal lavage fluid and in the serological markers of inflammation

    Time frame: days 1, 29, 57 and 85

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Study locations

11 sites
  • Zentrum für Kinder- und Jugendmedizin
    Heidelberg, Baden Würtemberg 69120, Germany
  • Universitäts-Kinderklinik
    Tübingen, Baden-Württemberg, Germany
  • Medizinische Klinik Innenstadt
    München, Bayern 80336, Germany
  • Universitätsklinikum Würzburg
    Würzburg, Bayern 97080, Germany
  • Zentrum für Kinder- und Jugendmedizin
    Greifswald, Brandenburg 17487, Germany
  • J.W. Goethe Universität - Abtl. Pneumologie
    Frankfurt, Hessen 60590, Germany
  • Klinik für Kinder- und Jugendmedizin
    Münster, Nordrhein-Westfalen 48149, Germany
  • Universitätsklinikum
    Leipzig, Sachsen 04103, Germany
  • Mukoviszidosezentrum der Friedrich-Schiller-Universität
    Jena, Thüringen, Germany
  • Charité Universitätsmedizin Berlin
    Berlin, 13353, Germany
  • CF-Zentrum
    Hamburg, Germany
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References and documents

Publications

  • Mainz JG, Koitschev A. Management of chronic rhinosinusitis in CF. J Cyst Fibros. 2009 Jun;8 Suppl 1:S10-4. doi: 10.1016/S1569-1993(09)60005-9. PubMed 19460681 ↗
  • Mainz JG, Naehrlich L, Schien M, Kading M, Schiller I, Mayr S, Schneider G, Wiedemann B, Wiehlmann L, Cramer N, Pfister W, Kahl BC, Beck JF, Tummler B. Concordant genotype of upper and lower airways P aeruginosa and S aureus isolates in cystic fibrosis. Thorax. 2009 Jun;64(6):535-40. doi: 10.1136/thx.2008.104711. Epub 2009 Mar 11. PubMed 19282318 ↗
  • Mainz JG, Schien C, Schiller I, Schadlich K, Koitschev A, Koitschev C, Riethmuller J, Graepler-Mainka U, Wiedemann B, Beck JF. Sinonasal inhalation of dornase alfa administered by vibrating aerosol to cystic fibrosis patients: a double-blind placebo-controlled cross-over trial. J Cyst Fibros. 2014 Jul;13(4):461-70. doi: 10.1016/j.jcf.2014.02.005. Epub 2014 Mar 1. PubMed 24594542 ↗
  • Mainz JG, Schadlich K, Schien C, Michl R, Schelhorn-Neise P, Koitschev A, Koitschev C, Keller PM, Riethmuller J, Wiedemann B, Beck JF. Sinonasal inhalation of tobramycin vibrating aerosol in cystic fibrosis patients with upper airway Pseudomonas aeruginosa colonization: results of a randomized, double-blind, placebo-controlled pilot study. Drug Des Devel Ther. 2014 Feb 10;8:209-17. doi: 10.2147/DDDT.S54064. eCollection 2014. PubMed 24596456 ↗
  • Mainz JG, Schumacher U, Schadlich K, Hentschel J, Koitschev C, Koitschev A, Riethmuller J, Prenzel F, Sommerburg O, Wiedemann B, Staab D, Gleiber W, Fischer R, Beck JF, Arnold C; Cooperators. Sino nasal inhalation of isotonic versus hypertonic saline (6.0%) in CF patients with chronic rhinosinusitis - Results of a multicenter, prospective, randomized, double-blind, controlled trial. J Cyst Fibros. 2016 Nov;15(6):e57-e66. doi: 10.1016/j.jcf.2016.05.003. Epub 2016 Jun 5. PubMed 27267518 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 2, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01086839
Lead sponsor
University of Jena
Responsible party
PD Dr. Jochen G. Mainz (PD Dr., University of Jena) — Principal investigator
First posted
Mar 15, 2010
Start date
Mar 2010
Primary completion
Apr 2013
Completion
Jun 2013
Last update
Dec 2, 2014

Study contacts

Jochen Mainz, M.D.
study chair · University of Jena

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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