A Phase 3 interventional study of Angal S, topical spray [Menthol] and ANTI-ANGIN® FORMULA, topical metered spray in Sore Throat, sponsored by Sandoz. Completed at 14 sites in Russian Federation. Open to participants aged 18 Years to 45 Years. Per ClinicalTrials.gov, last updated 2019-03-21.
Sponsored by Sandoz · Phase 3, Interventional, and Treatment
The purpose of this study was to evaluate no less therapeutic efficacy and safety of the Angal S, topical spray [Menthol], 0,5 mg + 2 mg (Sandoz dd, Slovenia) compared to ANTI-ANGIN® FORMULA, topical metered spray, 0,12 mg + 0,24 mg (LLC "Valeant", Russia) in treatment of patients with uncomplicated acute infectious and inflammatory diseases of the pharynx, accompanied by a sore throat.
252 studies on the registry are indexed under Pharyngitis; 36 are open to participants now.
This study's enrollment of 229 is above the median of 144 across 209 interventional studies indexed under Pharyngitis.
Browse Pharyngitis studies →Sandoz is the lead sponsor of 136 studies on the registry; none are open to participants now.
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Exclusion Criteria:
Patients received Angal S, topical spray \[Menthol\], 0,5 mg + 2 mg (Sandoz d.d., Slovenia), administered as three to five consecutive presses on the actuator button, 6-10 times per day, for a maximum 4 days or until full illness resolution
Drug: Angal S, topical spray [Menthol]
Patients received ANTI-ANGIN® FORMULA, topical metered spray, 0,12 mg + 0,24 mg (LLC "Valeant", Russia) administered as three to five consecutive presses on the actuator button, 6-10 times per day, for a maximum 4 days or until full illness resolution
Drug: ANTI-ANGIN® FORMULA, topical metered spray
0,5 mg + 2 mg (Sandoz d.d., Slovenia), administered as three to five consecutive presses on the actuator button, 6-10 times per day, for a maximum 4 days or until full illness resolution
0,12 mg + 0,24 mg (LLC "Valeant", Russia) administered as one to two consecutive presses on the actuator button, up to 6 times per day, , for a maximum 5 days or until full illness resolution
Percentage of Patients Without Sore Throat According to the Tonsillopharyngitis Severity Score (TSS)
The Tonsillopharyngitis Severity Score (TSS) scale consists of the following symptoms: throat pain, difficulty in swallowing, salivation, erythema and fever rated on a 4-point scale (0 = no symptom to 3 = significant symptom). Total score range from 0 - 15.
Time frame: 4 Days
Percentage of Participants With a ≥50% TSS Total Score Reduction
Percentage of participants with a ≥50% TSS Total Score Reduction according to the TSS questionnaire completed by the Investigator as compared to the baseline. The Tonsillopharyngitis Severity Score (TSS) scale consists of the following symptoms: throat pain, difficulty in swallowing, salivation, erythema and fever rated on a 4-point scale (0 = no symptom to 3 = significant symptom). Total score range from 0 - 15.
Time frame: 4 days
Change From Baseline in TSS Total Score
Change from baseline in TSS total score completed by the Investigator as compared to the baseline. The Tonsillopharyngitis Severity Score (TSS) scale consists of the following symptoms: throat pain, difficulty in swallowing, salivation, erythema and fever rated on a 4-point scale (0 = no symptom to 3 = significant symptom). Total score range from 0 - 15.
Time frame: 4 days
Number of Participants Who Fully Recovered
Number of Participants who Fully Recovered by Day 4 in Group A and by Day 5 in Group B (the outcome of a disease according to the objective evaluation by the Investigator, the total score according to the TSS questionnaire ≤ 2)
Time frame: Group A: 4 days Group B: 5 days
Change in the Sore Throat Intensity by 100 mm VAS
Change in the sore throat intensity by 100 mm VAS (visual analogue scale filled in by the patient) at the start and after 3 days of therapy. The VAS is a 100-mm horizontal line on which the patient's pain intensity is represented by a point between the extremes of "no pain at all" and "worst pain imaginable." The VAS ranges from 0 to 100. A decrease from baseline in the VAS score to reflect pain intensity indicates a decrease in pain intensity.
Time frame: 4 days
Period of Time Required for Disappearance of the Disease Symptoms
A period of time required for disappearance of the disease symptoms, determined according to the patient's diary (subjective patient's evaluation), but no more than 5 days during the trial-for patients who have achieved the corresponding outcome.
Time frame: 5 Days
The trial included a screening period, up to 5 days active treatment, and follow-up visit. The patients had to visit the trial site up to 3 times.
| Milestone | Angal S (Arm A) | ANTI-ANGIN® FORMULA (Arm B) |
|---|---|---|
| Started | 114 | 115 |
| Per protocol population | 112 | 111 |
| Safety population | 114 | 115 |
| Itt population | 114 | 115 |
| Completed | 114 | 114 |
| Not completed | 0 | 1 |
| Withdrew: Adverse event | 0 | 1 |
Percentage of participants with a ≥50% TSS Total Score Reduction according to the TSS questionnaire completed by the Investigator as compared to the baseline. The Tonsillopharyngitis Severity Score (TSS) scale consists of the following symptoms: throat pain, difficulty in swallowing, salivation, erythema and fever rated on a 4-point scale (0 = no symptom to 3 = significant symptom). Total score range from 0 - 15.
| percentage of participants | Angal S (Arm A) | ANTI-ANGIN® FORMULA (Arm B) |
|---|---|---|
| Percentage of Participants With a ≥50% TSS Total Score Reduction | 96.49 (91.26 to 99.04) | 98.26 (93.86 to 99.79) |
Change from baseline in TSS total score completed by the Investigator as compared to the baseline. The Tonsillopharyngitis Severity Score (TSS) scale consists of the following symptoms: throat pain, difficulty in swallowing, salivation, erythema and fever rated on a 4-point scale (0 = no symptom to 3 = significant symptom). Total score range from 0 - 15.
| units on a scale | Angal S (Arm A) | ANTI-ANGIN® FORMULA (Arm B) |
|---|---|---|
| Change From Baseline in TSS Total Score | -6 (-11 to 0) | -6 (-10 to 0) |
Number of Participants who Fully Recovered by Day 4 in Group A and by Day 5 in Group B (the outcome of a disease according to the objective evaluation by the Investigator, the total score according to the TSS questionnaire ≤ 2)
| Participants | Angal S (Arm A) | ANTI-ANGIN® FORMULA (Arm B) |
|---|---|---|
| Number of Participants Who Fully Recovered | 106 | 107 |
Change in the sore throat intensity by 100 mm VAS (visual analogue scale filled in by the patient) at the start and after 3 days of therapy. The VAS is a 100-mm horizontal line on which the patient's pain intensity is represented by a point between the extremes of "no pain at all" and "worst pain imaginable." The VAS ranges from 0 to 100. A decrease from baseline in the VAS score to reflect pain intensity indicates a decrease in pain intensity.
| mm | Angal S (Arm A) | ANTI-ANGIN® FORMULA (Arm B) |
|---|---|---|
| Baseline (Visit 1) | 64.76 ± 16.29 | 65.84 ± 18.36 |
| Day 4 (Visit 2) | 2.99 ± 10.33 | 5.06 ± 11.06 |
A period of time required for disappearance of the disease symptoms, determined according to the patient's diary (subjective patient's evaluation), but no more than 5 days during the trial-for patients who have achieved the corresponding outcome.
| Days | Angal S (Arm A) | ANTI-ANGIN® FORMULA (Arm B) |
|---|---|---|
| Period of Time Required for Disappearance of the Disease Symptoms | 3.75 ± 0.59 | 3.94 ± 0.69 |
The Tonsillopharyngitis Severity Score (TSS) scale consists of the following symptoms: throat pain, difficulty in swallowing, salivation, erythema and fever rated on a 4-point scale (0 = no symptom to 3 = significant symptom). Total score range from 0 - 15.
| Percentage of Participants | Angal S (Arm A) | ANTI-ANGIN® FORMULA (Arm B) |
|---|---|---|
| Score 0 (no sore throat) | 89.47 | 75.65 |
| Score 1 | 7.02 | 19.13 |
| Score 2 | 2.63 | 4.35 |
| Score 3 | 0.88 | 0.87 |
Collected over From signing informed consent (Day 1) until completion of the trial (Day 7).. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Angal S (Arm A) | 0/114 (0%) | 0/114 (0%) | 7/114 (6.1%) |
| ANTI-ANGIN® FORMULA (Arm B) | 0/115 (0%) | 0/115 (0%) | 11/115 (9.6%) |
| Event | Angal S (Arm A) | ANTI-ANGIN® FORMULA (Arm B) |
|---|---|---|
| Oral discomfortGastrointestinal disorders | 1/114 | 3/115 |
| Throat irritationRespiratory, thoracic and mediastinal disorders | 2/114 | 0/115 |
| HeadacheNervous system disorders | 0/114 | 2/115 |
| LeukocytosisBlood and lymphatic system disorders | 1/114 | 0/115 |
| Abdominal pain upperGastrointestinal disorders | 1/114 | 1/115 |
| DyspepsiaGastrointestinal disorders | 1/114 | 0/115 |
| Gingival painGastrointestinal disorders | 1/114 | 0/115 |
| NauseaGastrointestinal disorders | 1/114 | 0/115 |
| Chest painGeneral disorders | 1/114 | 0/115 |
| CoughRespiratory, thoracic and mediastinal disorders | 1/114 | 1/115 |
| Age, Continuous(Years) | Angal S (Arm A) | ANTI-ANGIN® FORMULA (Arm B) | Total |
|---|---|---|---|
| Mean | 31.22 (18 to 45) | 30.54 (18 to 50) | 30.88 (18 to 50) |
| Sex: Female, Male(Participants) | Angal S (Arm A) | ANTI-ANGIN® FORMULA (Arm B) | Total |
|---|---|---|---|
| Female | 75 | 67 | 142 |
| Male | 39 | 48 | 87 |
| Race/Ethnicity, Customized(Participants) | Angal S (Arm A) | ANTI-ANGIN® FORMULA (Arm B) | Total |
|---|---|---|---|
| Caucasian | 114 | 115 | 229 |
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