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CompletedNCT03282045Updated Mar 16, 2021

Efficacy and Safety of the Lysobact Complete Spray®, Tantum Verde® and Pharyngal® Oromucosal Spray in the Treatment of Acute Sore Throat

A Phase 3 interventional study of Lysobact Complete Sprey and Tantum Verde® Spray in Sore Throat, sponsored by Bosnalijek D.D. Completed at 1 site in Bosnia and Herzegovina. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-03-16.

Sponsored by Bosnalijek D.D · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
346
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The primary objective of this multicenter, single-blind, randomized, placebo-controlled, prospective, comparative study with parallel design and 4-arms is to evaluate superiority of Lysobact Complete Spray® against placebo and non inferiority of Lysobact Complete Spray® against active comparators (Tantum Verde® and Pharyngal®) in terms of efficacy based on the pain VAS scores evaluated by the patient using Sore Throat Pain Intensity Scale (STPIS).

Read the detailed description

This study will be conducted in approximately 3 centers in Bosnia Herzegovina and in 4 centers in Turkey.

Primary objective:

The primary objective of this study is to evaluate superiority of Lysobact Complete Spray® against placebo and non inferiority of Lysobact Complete Spray® against active comparators (Tantum Verde® and Pharyngal®) in terms of efficacy based on the pain VAS scores evaluated by the patient using Sore Throat Pain Intensity Scale (STPIS).

Secondary objective(s):

  • Safety evaluation of Lysobact Complete Spray®, Tantum Verde® Spray, Pharyngal® Oromucosal Spray, based on the frequency and nature of adverse events occurring during treatment period.
  • Extent of change in difficulty in swallowing, evaluated on the basis of Difficulty in Swallowing Scale (DSS), on Day 2, Day 4 and Day 6, as compared with baseline.
  • Extent of change in swollen throat evaluation based on Swollen Throat Scale (STS) on Day 2, Day 4 and Day 6, as compared with baseline.
  • Change in frequency of study treatment applications on Day 2, Day 4 and Day 6, as compared with baseline.

Test product: Lysobact Complete Spray® Active comparator product: Tantum Verde® Spray Active comparator product: Pharyngal® Oromucosal Spray Placebo product: Placebo

Primary endpoint:

  • Primary endpoint is the change from baseline to Day 6 in mean VAS score for STPIS.

Secondary endpoint(s):

Secondary endpoints are as follows:

  • change from baseline to Day 6 in mean VAS score for DSS
  • change from baseline to Day 6 in mean VAS score for SwoTS
  • change from baseline to each visit (Day 2, Day 4, Day 6) for STPIS , DSS and SwoTS
  • percent improvement from baseline to each visit (Day 2, Day 4, Day 6) for STPIS , DSS and SwoTS
  • Incidence of adverse events and relationship to the study treatments
  • Incidence of serious adverse events and relationship to the study treatments

Statistical methods:

All patients who have received at least one dose of any study medication will be included in the safety evaluation (safety population). Patients who have completed all visits according to the protocol will be included in the efficacy population. The superiority and inferiority of Lysobact Complete Spray® will be tested in hierarchical order by the comparison of the mean change of VAS scores [Sore Throat Pain Intensity Scale (STPIS)] from baseline to Day 2, 4 and 6.

Planned treatment duration is 5 days. Safety will be followed-up until Day 6. End of study is defined as the end of the follow up period for the last patient.

02

Conditions studied

  • Sore Throat

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Keywords

  • acute sore throat
  • lysobact
03

Who can participate

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

Inclusion criteria

  • Patients with acute tonsillo-pharyngitis symptoms in common cold and by using a scale-based symptom Tonsillo-Pharyngitis Assessment (TPA) as an objective finding of pharyngeal infection, with a score of ≥5
  • Patients who will be treated only on a symptomatic treatment basis, and with a prescribed a oropharyngeal spray
  • Patients, 18 years of age and above, who provided an informed consent
  • Patients with a sore-throat of recent onset, symptoms initiated ≤48 hours
  • Patients with sore throat pain rated ≥66 mm on the Sore Throat Pain Intensity Scale (STPIS)
  • Patients with difficulty in swallowing rated ≥50 mm on Difficulty Swallowing Scale (DSS)
  • Patients with a sensation of swollen throat rated ≥33 mm on the Swollen Throat Scale (SwoTS)

Exclusion criteria

Exclusion Criteria:

  • Patients who had any previous (within 4 hours prior to screening examination) throat lozenge treatment/use
  • Patients who had used any flu-preparation which contains any analgesic ingredient such as paracetamol, ibuprofen or acetylsalicylic acid (ASA) along with a decongestant
  • Patients who had analgesic use (any) 4 hours prior to the screening examination
  • Patients who are prescribed an antibiotic use before the screening visit and are entitled to use antibiotics during the course of this non-interventional study
  • Patients with a known hypersensitivity to active/inactive ingredients of medications which is prescribed for the symptomatic treatment of sore throat
  • Patients with known hypersensitiveness to egg white and other allergens
  • Patients who are pregnant or breastfeeding
04

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Investigator)
Enrollment
346 participants (actual)

Study arms

  • Experimental
    Lysobact Complete Sprey

    Lysobact Complete Sprey Route of administration: Oromucosal spray, sprayed directly toward the affected area with the applicator while the mouth is wide open Dose regimen: Sprayed 3 to 6 doses a day. For a single dose, spraying pump should be pressed 5 times and one press of the spray pump release 0.20 mL of the solution containing 4 mg lysozyme, 0.3 mg cetylpyridine and 0.1 mg lidocaine hydrochloride.

    Drug: Lysobact Complete Sprey

  • Active comparator
    Tantum Verde® Spray

    Tantum Verde® Spray Route of administration: Oromucosal spray, sprayed directly toward the affected area with the applicator while the mouth is wide open. Dose regimen: Sprayed 4 to 8 doses, 2 to 6 times a day. One press means one dose.

    Drug: Tantum Verde® Spray

  • Active comparator
    Pharyngal® Oromucosal Spray

    Pharyngal® Oromucosal Spray Route of administration: Oromucosal spray, sprayed directly toward the affected area with the applicator while the mouth is wide open. Dose regimen: Sprayed 2 to 4 doses, repeated 6 to 10 times per day. One press of the pump (one dose) releases 0.14 ml of the solution with 0.28 mg chlorhexidine digluconate and 0.07 mg of lidocaine hydrochloride.

    Drug: Pharyngal® Oromucosal Spray

  • Placebo comparator
    Placebo

    Route of administration: Sprayed directly toward the affected area with the applicator while the mouth is wide open. Dose regimen: Sprayed 3 to 6 doses a day. For a single dose, spraying pump should be pressed 5 times.

    Drug: Placebo

Interventions

  • DrugLysobact Complete Sprey

    Inhaling spray

  • DrugTantum Verde® Spray

    Inhaling spray

  • DrugPharyngal® Oromucosal Spray

    Inhaling spray

  • DrugPlacebo

    Inhaling spray

05

What researchers measure

Primary outcomes

  1. to evaluate superiority of Lysobact Complete Spray® against placebo and non-inferiority of Lysobact Complete Spray® against active comparators

    The primary objective of this study is to evaluate superiority of Lysobact Complete Spray® against placebo and non-inferiority of Lysobact Complete Spray® against active comparators (Tantum Verde® and Pharyngal®) in terms of efficacy based on the pain VAS scores evaluated by the patient using Sore Throat Pain Intensity Scale (STPIS).

    Time frame: Day 6

06

Study locations

1 site
  • University Clinical Center of the Republic of Srpska, ENT Clinic, Banja Luka, Bosnia and Herzegovina
    Banja Luka, 78000, Bosnia and Herzegovina
07

Registry details

Key details

Study ID
NCT03282045
Lead sponsor
Bosnalijek D.D
Collaborators
MonitorCRO
Responsible party
Sponsor
First posted
Sep 13, 2017
Start date
Oct 2016
Primary completion
May 24, 2018
Completion
May 24, 2018
Last update
Mar 16, 2021

Study contacts

OZGUN ENVER, MD
principal investigator · Istanbul University - Cerrahpasa

Oversight

Data monitoring committee
No
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