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CompletedNCT03095508Updated Mar 21, 2019Results posted

Clinical Study for Comparative Assessment of Efficacy and Safety of Angal S, Topical Spray and ANTI-ANGIN® FORMULA, Topical Metered Spray in Treatment of Patients With Uncomplicated Acute Infectious and Inflammatory Diseases of the Pharynx, Accompanied by a Sore Throat

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

Phase
Phase 3
Study type
Interventional
Enrollment
229
Allocation
Randomized
Ages
18 Years to 45 Years
Sex
All
01

Study summary

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.

02

Conditions studied

  • Sore Throat

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Keywords

  • Angal S
  • ANTI-ANGIN FORMULA
  • Sore Throat
  • no less therapeutic efficacy
03

In context

Pharyngitis

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 →

Lead sponsor

Sandoz is the lead sponsor of 136 studies on the registry; none are open to participants now.

Of its 10 completed or terminated interventional studies of FDA-regulated products, 5 (50%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 45 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Voluntarily signed informed consent for participation in this clinical study;
  • 18 to 45 years old inclusive, male and female;
  • Diagnosed uncomplicated acute infectious and inflammatory diseases of the pharynx, accompanied by a sore throat;
  • Onset of first symptoms of the uncomplicated acute infectious and inflammatory diseases of the pharynx (pharyngitis and/or tonsillitis) less than 48 hours prior to inclusion into the study; Baseline TSS score (Tonsillopharyngitis Severity Score) ≥ 5 (total score);
  • Body temperature 37,5 C (axillary).

Exclusion criteria

Exclusion Criteria:

  • Use of analgesics within \<12 hours prior to the study start or/and inability to cancel them during the study;
  • Use of antibiotics within \<48 hours prior to the study start or/and inability to cancel them during the study;
  • Use of local therapy (sprays, rinses, lozenges) to pharynx within \<12 hours before study start or/and inability to cancel them, besides study medications;
  • Use systemic or inhaled corticosteroids within ≤1 months prior to the study start and planned therapy of them during the study (besides skin means);
  • Presence of symptoms of primary bacterial pharyngitis or secondary bacterial infection (including fever over 37,5 ° C, the presence of purulent raids in the throat, severe intoxication, leukocytosis, neutrophilia, shift leukocyte left (increasing the percentage of neutrophils sticks appearance younger forms of neutrophils), increased ESR 30 mm/hr).
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
229 participants (actual)

Study arms

  • Experimental
    Angal S (Arm A)

    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]

  • Active comparator
    ANTI-ANGIN® FORMULA (Arm B)

    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

Interventions

  • DrugAngal 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

  • DrugANTI-ANGIN® FORMULA, topical metered spray

    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

06

What researchers measure

Primary outcomes

  1. 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

Secondary outcomes

  1. 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

  2. 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

  3. 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

  4. 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

  5. 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

07

Results

Posted Mar 21, 2019

Participant flow

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.

Participant flow — Overall Study
MilestoneAngal S (Arm A)ANTI-ANGIN® FORMULA (Arm B)
Started114115
Per protocol population112111
Safety population114115
Itt population114115
Completed114114
Not completed01
Withdrew: Adverse event01

Outcome measures

SecondaryPercentage 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
Reported as:
Number · percentage of participants
Percentage of Participants With a ≥50% TSS Total Score Reduction
percentage of participantsAngal S (Arm A)ANTI-ANGIN® FORMULA (Arm B)
Percentage of Participants With a ≥50% TSS Total Score Reduction96.49 (91.26 to 99.04)98.26 (93.86 to 99.79)
Statistical analysis
  • Angal S (Arm A) vs ANTI-ANGIN® FORMULA (Arm B) · Fisher Exact · p = 0.446
SecondaryChange 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
Reported as:
Median · units on a scale
Change From Baseline in TSS Total Score
units on a scaleAngal S (Arm A)ANTI-ANGIN® FORMULA (Arm B)
Change From Baseline in TSS Total Score-6 (-11 to 0)-6 (-10 to 0)
SecondaryNumber 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
Reported as:
Count of participants · Participants
Number of Participants Who Fully Recovered
ParticipantsAngal S (Arm A)ANTI-ANGIN® FORMULA (Arm B)
Number of Participants Who Fully Recovered106107
Statistical analysis
  • Angal S (Arm A) vs ANTI-ANGIN® FORMULA (Arm B) · Fisher Exact · p = 1.0
SecondaryChange 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
Reported as:
Mean · mm
Change in the Sore Throat Intensity by 100 mm VAS
mmAngal S (Arm A)ANTI-ANGIN® FORMULA (Arm B)
Baseline (Visit 1)64.76 ± 16.2965.84 ± 18.36
Day 4 (Visit 2)2.99 ± 10.335.06 ± 11.06
Statistical analysis
  • Angal S (Arm A) vs ANTI-ANGIN® FORMULA (Arm B) · t-test, 2 sided · p = 0.145
SecondaryPeriod 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
Reported as:
Mean · Days
Period of Time Required for Disappearance of the Disease Symptoms
DaysAngal S (Arm A)ANTI-ANGIN® FORMULA (Arm B)
Period of Time Required for Disappearance of the Disease Symptoms3.75 ± 0.593.94 ± 0.69
Statistical analysis
  • Angal S (Arm A) vs ANTI-ANGIN® FORMULA (Arm B) · Wilcoxon (Mann-Whitney) · p = 0.188
PrimaryPercentage 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
Reported as:
Number · Percentage of Participants
Percentage of Patients Without Sore Throat According to the Tonsillopharyngitis Severity Score (TSS)
Percentage of ParticipantsAngal S (Arm A)ANTI-ANGIN® FORMULA (Arm B)
Score 0 (no sore throat)89.4775.65
Score 17.0219.13
Score 22.634.35
Score 30.880.87
Statistical analysis
  • Angal S (Arm A) vs ANTI-ANGIN® FORMULA (Arm B) · Fisher Exact · p = 0.00001 (p- value for superiority: 0.021) · Risk difference (rd): 0.14 · 95% CI 0.03 to 0.24

Adverse events

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.

Adverse event summary by group
GroupDeathsSeriousOther
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%)
Most frequent other events
Showing 10 of 16
Most frequent other events
EventAngal S (Arm A)ANTI-ANGIN® FORMULA (Arm B)
Oral discomfortGastrointestinal disorders1/1143/115
Throat irritationRespiratory, thoracic and mediastinal disorders2/1140/115
HeadacheNervous system disorders0/1142/115
LeukocytosisBlood and lymphatic system disorders1/1140/115
Abdominal pain upperGastrointestinal disorders1/1141/115
DyspepsiaGastrointestinal disorders1/1140/115
Gingival painGastrointestinal disorders1/1140/115
NauseaGastrointestinal disorders1/1140/115
Chest painGeneral disorders1/1140/115
CoughRespiratory, thoracic and mediastinal disorders1/1141/115

Baseline characteristics

Age, Continuous
Age, Continuous(Years)Angal S (Arm A)ANTI-ANGIN® FORMULA (Arm B)Total
Mean31.22 (18 to 45)30.54 (18 to 50)30.88 (18 to 50)
Sex: Female, Male
Sex: Female, Male(Participants)Angal S (Arm A)ANTI-ANGIN® FORMULA (Arm B)Total
Female7567142
Male394887
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Angal S (Arm A)ANTI-ANGIN® FORMULA (Arm B)Total
Caucasian114115229
08

Study locations

14 sites
  • Sandoz Investigational Site
    Arkhangel'sk, 163000, Russian Federation
  • Sandoz Investigational Site
    Moscow, 105018, Russian Federation
  • Sandoz Investigational Site
    Moscow, 115280, Russian Federation
  • Sandoz Investigational Site
    Moscow, 119192, Russian Federation
  • Sandoz Investigational Site
    Moscow, 127015, Russian Federation
  • Sandoz Investigational Site
    Moscow, 135215, Russian Federation
  • Sandoz Investigational Site
    Saint Petersburg, 188643, Russian Federation
  • Sandoz Investigational Site
    Saint Petersburg, 191036, Russian Federation
  • Sandoz Investigational Site
    Saint Petersburg, 196143, Russian Federation
  • Sandoz Investigational Site
    Saint Petersburg, 197706, Russian Federation
  • Sandoz Investigational Site
    Saint Petersburg, 198207, Russian Federation
  • Sandoz Investigational Site
    Saint Petersburg, 199178, Russian Federation
  • Sandoz Investigational Site
    Saint Petersburg, 199226, Russian Federation
  • Sandoz Investigational Site
    Stavropol', 355000, Russian Federation
09

References and documents

Study documents

  • Study protocol · Sep 29, 2016
  • Statistical analysis plan · Feb 15, 2017

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 21, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03095508
Lead sponsor
Sandoz
Responsible party
Sponsor
First posted
Mar 29, 2017
Start date
Feb 22, 2017
Primary completion
May 8, 2017
Completion
May 8, 2017
Results posted
Mar 21, 2019
Last update
Mar 21, 2019

Study contacts

Sandoz
study director · Sandoz

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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