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CompletedNCT03323528DoriPhaUpdated Nov 28, 2017

Safety and Efficacy of a Sore Throat Lozenge DORITHRICIN in Patients With Acute Pharyngitis

A Phase 4 interventional study of Benzalkonium Chloride-Benzocaine Topical and Placebo Oral Tablet in Pharyngitis, sponsored by Medice Arzneimittel Pütter GmbH & Co KG. Completed at 1 site in Germany. Open to participants aged 18 Years to 99 Years. Per ClinicalTrials.gov, last updated 2017-11-28.

Sponsored by Medice Arzneimittel Pütter GmbH & Co KG · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Registered 8 months after the study started (first participant enrolled Feb 2017, registered Oct 2017).
Phase
Phase 4
Study type
Interventional
Enrollment
321
Allocation
Randomized
Ages
18 Years to 99 Years
Sex
All
01

Study summary

The aim of this multi-center, randomized, double-blind, placebo-controlled trial is to compare the efficacy and safety of Dorithricin® lozenge - a triple combination of 0.5 mg tyrothricin, 1.0 mg benzalkonium chloride, and 1.5 mg benzocaine - in repeat dosing for 3 days to matched placebo lozenges in the treatment of acute pharyngitis in adults.

Read the detailed description

In this randomized, double-blind, placebo-controlled trial, adult patients with non-streptococcal sore throat and signs of moderate-to-severe associated pain (pain intensity on the 11-point Sore Throat Pain Intensity Scale NRS ≥7 and ≥50 mm on the subjective 0-100 mm visual analogue) are assigned to Dorithricin® or matching placebo lozenge treatment. Efficacy was assessed at the investigating center for 2 hrs after first dosing, and 3 days later (visit 2). The primary efficacy end-point is the percentage of total responders assessed at visit 2, i.e. complete resolution of throat pain and difficulty in swallowing at approx. 72 hrs after first application of treatment, Safety and local tolerability are also assessed.

02

Conditions studied

  • Pharyngitis

Keywords

  • Dorithricin
  • Tyrothricin
  • Benzalkonium chloride
  • Benzocaine
  • placebo-controlled
  • Pharyngitis
  • sore throat
  • throat pain
  • difficulty swallowing
  • complete responder
  • lozenge
  • Non-streptococcal Infections
03

In context

Pharyngitis

226 studies on the registry are indexed under Pharyngitis; 35 are open to participants now.

This study's enrollment of 321 is above the median of 144 across 188 interventional studies indexed under Pharyngitis.

Browse Pharyngitis studies →

Lead sponsor

Medice Arzneimittel Pütter GmbH & Co KG is the lead sponsor of 10 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 99 Years
Sexes eligible
All
Accepts healthy volunteers
No

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

  • Male and female outpatients aged ≥18 years
  • Signed form
  • Clinically diagnosed acute pharyngitis (TPA ≥5)
  • Recent onset of symptoms (≤24 hours)
  • Pain intensity of ≥8 on an 11-point NRS
  • Difficulty in swallowing (100-mm VAS ≥50 mm)

Exclusion criteria

Exclusion Criteria:

  • Patients with strong suspicion of streptococcus A infection (McIsaac score ≥3)
  • Positive rapid streptococcus A test (rapid antigen detection test) to exclude the major bacterial pathogen responsible for sore throat
  • Purulent tonsillitis
  • The use of systemic/local antibiotics in the throat area within 7 days prior to screening and during the study
  • The use of any systemic analgesics/local analgesics in the throat area (e.g. non-steroidal drugs, [acetylsalicylic acid >100 mg], paracetamol) within 36 hours prior to screening and during the study
  • The use of local anaesthetics for treatment of sore throat within 2 days prior to screening and during the study
  • The use of any systemic anti-inflammatory drug/local anti-inflammatory drug in the throat area (e.g. ) within 4 weeks prior to screening and during the study
  • The use of any other 'sore throat medication' (e.g., lozenges, drops, sprays) or other 'cold medication' that could have interfered with the results of the study within 7 days prior to screening and during the study
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
321 participants (actual)

Study arms

  • Active comparator
    Dorithricin

    Dorithricin throat lozenges is a fixed combination of three active substances: Benzalkonium Chloride-Benzocaine Topical plus tyrothricin. Lozenge has to be sucked slowly until it fully dissolves in the mouth and dosed up to 8 lozenges per day. Test product without mint oil. Intervention: The initial dose is administered at the study site. Patients administer at home 1 lozenge at intervals of 2 hours (±15 minutes) up to a maximum of 8 lozenges per day.

    Drug: Benzalkonium Chloride-Benzocaine Topical

  • Placebo comparator
    Placebo

    Placebo Oral Tablet is taken orally. Placebo consists of a lozenge with matched appearance and the same excipients as those of the Dorithricin lozenge. The initial dose (2 lozenges simultaneously) is administered at the study site. Intervention: Patients are instructed to administer at home 1 lozenge at intervals of 2 hours (±15 minutes) up to a maximum of 8 lozenges per day.

    Drug: Placebo Oral Tablet

Interventions

  • DrugBenzalkonium Chloride-Benzocaine Topical

    Dorithricin = tyrothricin, benzalkonium chloride, benzocaine

    Also known as: triple combination

  • DrugPlacebo Oral Tablet

    Placebo Oral Tablet = a lozenge with matched appearance and the same excipients as Active Comparator Dorithricin lozenge. Intervention: Patients are instructed to administer at home 1 lozenge at intervals of 2 hours (±15 minutes) up to a maximum of 8 lozenges per day.

    Also known as: Placebo lozenge

06

What researchers measure

Primary outcomes

  1. percentage of total responders assessed at Visit 2 (72 hours after first treatment)

    complete resolution of throat pain and difficulty in swallowing at Visit 2

    Time frame: 72 hours after first treatment

Secondary outcomes

  1. percentage of total responders assessed after 48 hours after first treatment

    complete resolution of throat pain and difficulty in swallowing after 48 hours after first treatment

    Time frame: 48 hours after first treatment

  2. percentage of patients with complete resolution of throat pain 72 hours after first treatment

    complete resolution of throat pain after 72 hours after first treatment

    Time frame: 72 hours after first treatment

  3. percentage of patients with complete resolution of difficulty in swallowing 72 hours after first treatment

    complete resolution of difficulty in swallowing after 72 hours after first treatment

    Time frame: 72 hours after first treatment

07

Study locations

1 site
  • doc-HNO for the DoriPha investigators
    Röthenbach an der Pegnitz, 90552, Germany
08

References and documents

Publications

  • Palm J, Fuchs K, Stammer H, Schumacher-Stimpfl A, Milde J; DoriPha investigators. Efficacy and safety of a triple active sore throat lozenge in the treatment of patients with acute pharyngitis: Results of a multi-centre, randomised, placebo-controlled, double-blind, parallel-group trial (DoriPha). Int J Clin Pract. 2018 Dec;72(12):e13272. doi: 10.1111/ijcp.13272. Epub 2018 Oct 17. PubMed 30329199 ↗

Individual participant data

Plan to share: No — study protocol, statistical analysis plan, informed consent form, clinical study report are shared with all 26 recruited centers of the DoriPha investigators

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Feb 2017 to primary completion in Jul 2017, 5 months.

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

Registered
Oct 24, 2017
First posted
Oct 27, 2017
StartActual
Feb 1, 2017
Primary completionActual
Jul 2, 2017
CompletionActual
Nov 15, 2017
Last update
Nov 28, 2017
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 Nov 28, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03323528
Lead sponsor
Medice Arzneimittel Pütter GmbH & Co KG
Responsible party
Sponsor
First posted
Oct 27, 2017
Start date
Feb 1, 2017
Primary completion
Jul 2, 2017
Completion
Nov 15, 2017
Last update
Nov 28, 2017

Study contacts

R Ammer, MD, PhD
study director · MEDICE Arzneimittel Puetter GmbH&Co.KG
R Ammer, MD, PhD
study director · Universtiy hospital Muenster, MedD

Oversight

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

Not currently enrolling

This study is completed, as verified in Oct 2017. You cannot join it, but the record below documents what was studied.

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