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CompletedNCT03309995HelZinkiUpdated Feb 5, 2020

The Effect of Zinc Acetate Lozenges on the Rate of Recovery From the Common Cold

An interventional study of Lozenges and Placebo lozenges in Common Cold and Respiratory Tract Infections, sponsored by University of Helsinki. Completed at 1 site in Finland. Open to participants aged 18 Years to 70 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2020-02-05.

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

Phase
Not applicable
Study type
Interventional
Enrollment
87
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Study summary

A randomized parallel-group two arm superiority trial with an allocation ratio 1:1, both participants and investigators blinded.

The zinc lozenge that will be used in the study is a commercial product available from the University Pharmacy, Helsinki, Finland. The product is classified as a "medical device" and it is not regulated according to the jurisdiction for medicines.

Each lozenge contains 13 mg elemental zinc as zinc acetate. The instruction in the commercial package for common cold patients is to dissolve slowly 6 lozenges per day in their mouth, which totals to 78 mg/day of elemental zinc, at most for 5 days. The same instruction will be used in this trial.

The University Pharmacy prepared 200 placebo lozenge packages so that the placebo lozenges contain sucrose octaacetate, and they are similar with the zinc lozenges in visual appearance and in taste. 200 packages of zinc lozenges will be used as the active intervention. The packages will contain 30 lozenges (6 lozenges/day × 5 days).

The packages of lozenges will be distributed to the enrolled participants in November 2017. The participants will be instructed to keep the package readily available so that, when they catch the common cold, they will find the package and they can start to take the lozenges according to the instructions.

The participants will be instructed to start taking zinc lozenges as soon as they start to suffer from the first symptoms of the common cold. The participants will be instructed to take 6 lozenges daily over the time awake, evenly distributed, allowing the lozenge to dissolve in the mouth as slowly as possible. The duration of intervention is for the maximum of 5 days. If the symptoms disappear before 5 days, the participant may stop the usage of the lozenges.

There will be no limitations for other treatments that participants wish to use for treating their colds.

Participants will be requested to respond to a web-based symptom questionnaire daily from the first day of the treatment to the recovery from the common cold, or to a maximum of 2 weeks.

02

Conditions studied

  • Common Cold
  • Respiratory Tract Infections

Keywords

  • Cough
  • Laryngitis
  • Pharyngitis
  • Rhinitis
  • Zinc Acetate
  • Zinc Lozenge
03

In context

Common Cold

219 studies on the registry are indexed under Common Cold; 23 are open to participants now.

This study's enrollment of 87 is below the median of 150 across 184 interventional studies indexed under Common Cold.

Browse Common Cold studies →

Lead sponsor

University of Helsinki is the lead sponsor of 133 studies on the registry; 19 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • ≥18 years, recollecting that they usually have had ≥1 colds per winter.

Exclusion criteria

Exclusion Criteria:

  • pregnancy or lactation; chronic runny nose or chronic cough.
05

Study design

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

Study arms

  • Experimental
    Zinc lozenges

    Each lozenge contains 13 mg elemental zinc as zinc acetate. The instruction for common cold patients is to dissolve slowly 6 lozenges per day in their mouth, which totals to 78 mg/day of elemental zinc, at most for 5 days, as early as possible from the start of the cold symptoms.

    Device: Lozenges

  • Placebo comparator
    Placebo lozenges

    The placebo lozenges contain sucrose octaacetate, and they are similar with the zinc lozenges in visual appearance and in taste.

    Device: Placebo lozenges

Interventions

  • DeviceLozenges

    The participants will be instructed to take 6 lozenges daily over the time awake, evenly distributed, allowing the lozenge to dissolve in the mouth as slowly as possible.

  • DevicePlacebo lozenges

    Placebo lozenges

06

What researchers measure

Primary outcomes

  1. The duration of the common cold (time to recovery)

    Data of 12 common cold symptoms will be recorded by patients to web-based system, with scale 0: Absent, 1: Mild, 2: Moderately severe, 3: Very severe symptom. The symptom score is calculated as a sum over all the symptoms which means that the maximum of the symptom score scale is 3×12 = 36 points. Recovery from the cold is defined as the day when the symptom score is 0 or 1.

    Time frame: 2 weeks after the start of the intervention

Secondary outcomes

  1. Objective fever

    Measured fever (≥37.5°C any time during the day) (Yes / No)

    Time frame: 2 weeks after the start of the intervention

  2. Sickness absence

    Data will be collected of the absence from work after the start of intervention

    Time frame: About 1 month after the start of the intervention

  3. Usage of antibiotics and/or asthma medication

    Data will be collected of the usage of antibiotics and/or asthma medication after the start of intervention

    Time frame: About 1 month after the start of the intervention

  4. Complications such as sinusitis, bronchitis, otitis.

    Data will be collected of the occurrence of sinusitis, bronchitis, otitis after the start of intervention

    Time frame: About 1 month after the start of the intervention

07

Study locations

1 site
  • City of Helsinki
    Helsinki, Finland
08

References and documents

Publications

  • Hemila H, Haukka J, Alho M, Vahtera J, Kivimaki M. Zinc acetate lozenges for the treatment of the common cold: a randomised controlled trial. BMJ Open. 2020 Jan 23;10(1):e031662. doi: 10.1136/bmjopen-2019-031662. PubMed 31980506 ↗

Individual participant data

Plan to share: Yes — IPD reported with the trial report (2020)

Time frame: Upon the publication of trial report indefinitely

Access criteria: IPD reported with the trial report (2020) is freely available

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Dec 2017 to primary completion in Apr 2018, 4 months.

Of 49 interventional studies with no phase under Common Cold, half reached primary completion within 10 months of starting (the median), counting those still running; a quarter within 3 and three quarters within 16. This study's 4 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 10, 2017
First posted
Oct 16, 2017
StartActual
Dec 1, 2017
Primary completionActual
Apr 24, 2018
CompletionActual
Sep 24, 2018
Last update
Feb 5, 2020
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Feb 5, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03309995
Collaborators
The University Pharmacy, Helsinki
Responsible party
Harri Hemilä, MD, PhD (Senior researcher, docent, University of Helsinki) — Principal investigator
First posted
Oct 16, 2017
Start date
Dec 1, 2017
Primary completion
Apr 24, 2018
Completion
Sep 24, 2018
Last update
Feb 5, 2020

Study contacts

Harri Hemilä, MD, PhD
principal investigator · University of Helsinki

Oversight

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

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