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WithdrawnNCT04344236Updated May 10, 2021

Gargling and Nasal Rinses to Reduce Oro- and Nasopharyngeal Viral Load in Patients With COVID-19

A Phase 2 interventional study of Saline oral/nasal rinse and 0.5% Povidone/Iodine oral/nasal rinse in COVID-19, sponsored by NYU Langone Health. Withdrawn at 1 site in United States. Open to participants aged 18 Years to 79 Years. Per ClinicalTrials.gov, last updated 2021-05-10.

Sponsored by NYU Langone Health · Phase 2, Interventional, and Treatment

Why this study was withdrawn
This study was withdrawn by the institution to minimize risk to patients and staff with regard to COVID-19.
Phase
Phase 2
Study type
Interventional
Enrollment
0
Allocation
Randomized
Ages
18 Years to 79 Years
Sex
All
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Study summary

For this study, 48 patients who have been diagnosed with COVID-19 will be randomly assigned to four study groups: control, saline, chlorhexidine gluconate, and povidone-iodine. Each patient will be asked to gargle with a solution of either saline, chlorhexidine gluconate, or povidone-iodine or nothing (control group) as well as spray the same solution in their nose four times daily. Patients will then be tested for COVID-19 once daily in the evening for 7 days and viral loads will be measured.

Read the detailed description

COVID-19 has emerged as a worldwide pandemic and there is a strong need for identification of any measures that can be used to treat this illness or reduce its transmission from person to person. Povidone-iodine has been shown to have virucidal properties against multiple viruses including against the virus that causes SARS which is very similar in makeup to the virus causing COVID-19.

The investigators hypothesize that 4x daily use of oral gargles and nasal rinses using a povidone iodine solution will help to reduce the viral load in the nasopharynx and oropharynx in patients who are COVID-19+. If this hypothesis is shown to be true this could potentially have an impact on time to recovery of clinical symptoms as well as reduce shedding of the virus by infected patients. A time course of 7 days was chosen in order to recognize a trend in the viral load over time for patients receiving each of the interventions. Chlorhexidine gluconate and saline rinses were chosen as additional treatment arms as these are frequently used for oral and nasal hygiene and their role in affecting viral load is currently unknown.

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Conditions studied

  • COVID-19

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03

In context

COVID-19

7,640 studies on the registry are indexed under COVID-19; 488 are open to participants now.

Browse COVID-19 studies →

Lead sponsor

NYU Langone Health is the lead sponsor of 1,391 studies on the registry; 254 are open to participants now.

Of its 227 completed or terminated interventional studies of FDA-regulated products, 191 (84%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 79 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Positive test for COVID-19
  2. Age 18-79 years
  3. Willing and able to perform oral gargles and nasal rinses four times daily

Exclusion criteria

Exclusion Criteria

  1. Requiring mechanical ventilation
  2. Unable or unwilling to perform oral gargles and nasal rinses four times daily
  3. History of chronic upper respiratory tract disease
  4. Known iodine allergy
  5. History of thyroid disease
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
0 participants (actual)

Study arms

  • No intervention
    Control
  • Experimental
    Saline oral/nasal rinse

    Drug: Saline oral/nasal rinse

  • Experimental
    0.5% Povidone/Iodine oral/nasal rinse

    Drug: 0.5% Povidone/Iodine oral/nasal rinse

  • Experimental
    0.12% Chlorhexidine oral/nasal rinse

    Drug: 0.12% Chlorhexidine oral/nasal rinse

Interventions

  • DrugSaline oral/nasal rinse

    5 cc of nasal rinses total for both nostrils + 20 cc of oral gargles, 4 times a day, for 7 days.

  • Drug0.5% Povidone/Iodine oral/nasal rinse

    5 cc of nasal rinses total for both nostrils + 20 cc of oral gargles, 4 times a day, for 7 days.

  • Drug0.12% Chlorhexidine oral/nasal rinse

    5 cc of nasal rinses total for both nostrils + 20 cc of oral gargles, 4 times a day, for 7 days.

06

What researchers measure

Primary outcomes

  1. Viral load (and/or cycle time to PCR as a proxy for quantitative viral load) in the nasopharynx and oropharynx

    nasopharyngeal swab for viral PCR will be taken at the end of each day for 7 days

    Time frame: 7 days

Secondary outcomes

  1. Oxygen requirement of the patient

    Recorded daily

    Time frame: 7 days

  2. Oxygen saturation of the patient

    Recorded daily

    Time frame: 7 days

07

Study locations

1 site
  • NYU Langone Health
    New York, New York 10016, United States
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References and documents

Individual participant data

Plan to share: Yes — The de-identified participant data from the final research dataset used in the published manuscript will be shared upon reasonable request beginning 9 months and ending 36 months following article publication or as required by a condition of awards and agreements supporting the research provided the investigator who proposes to use the data executes a data use agreement with NYU Langone Health. Requests may be directed to: \[contact information for PI or designee\]. The protocol and statistical analysis plan will be made available on Clinicaltrials.gov only as required by federal regulation or as a condition of awards and agreements supporting the research.

Supporting information: Study protocol, Sap

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 10, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04344236
Lead sponsor
NYU Langone Health
Responsible party
Sponsor
First posted
Apr 14, 2020
Start date
Apr 9, 2020
Primary completion
May 1, 2020 (estimated)
Completion
May 9, 2020 (estimated)
Last update
May 10, 2021

Study contacts

Scott Rickert, MD
principal investigator · NYU Langone Health

Oversight

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

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This study is withdrawn, as verified in May 2021. You cannot join it, but the record below documents what was studied.

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