ClinicalTrials.gg
CompletedNCT06120816Updated Jul 10, 2024

Nitric Oxide Releasing Mouthwash (NORM) for the Management of Oropharyngeal Candidiasis

A Phase 1 interventional study of Nitric Oxide in Candidiasis, Oral, sponsored by Sanotize Research and Development corp.. Completed at 1 site in Canada. Open to participants aged 19 Years and older. Per ClinicalTrials.gov, last updated 2024-07-10.

Sponsored by Sanotize Research and Development corp. · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
6
Allocation
Not applicable
Ages
19 Years and older
Sex
All
01

Study summary

Phase 1 Single Centre, open-labeled Clinical Trial to Evaluate the Safety and Tolerability of Topical Nitric Oxide Releasing Mouthwash (NORM) for the Management of Oropharyngeal Candidiasis.

Participants that meet all inclusion and exclusion criteria will be enrolled to receive open label NORM 3 doses/day for three weeks.

Read the detailed description

This is a single-center, open-label phase 1 clinical trial to evaluate NORM safety, tolerance and ability to eliminate Candida sp from the oropharyngeal cavity.

Adult volunteer patients with dry mouth and confirmed presence of candida (by oral smear due to any cause will be eligible, including autoimmune disease, idiopathic (aging, tobacco, approved inhaled recreational drug, or alcohol use), and medical management including chemotherapy-induced, radiotherapy-induced, bone marrow transplantation-induced, medication use including antibiotics, anti-inflammatories, etc.

Sufficient participants will be enrolled to achieve 10 evaluable participants. Participants who are currently pursuing other forms of treatment (within 2 weeks prior to enrollment) will be excluded from the study (unless participant agrees to a two weeks wash out period).

02

Conditions studied

  • Candidiasis, Oral

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Keywords

  • oral candidiasis
03

In context

Candidiasis, Oral

48 studies on the registry are indexed under Candidiasis, Oral; 6 are open to participants now.

This study's enrollment of 6 is below the median of 70 across 32 interventional studies indexed under Candidiasis, Oral.

Browse Candidiasis, Oral studies →

Lead sponsor

Sanotize Research and Development corp. is the lead sponsor of 9 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
19 Years and older
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

  1. At least 19 years old at the time of consent.
  2. Participants must be diagnosed with clinical candidiasis.
  3. Have no acute illnesses or hospitalizations within 30 days prior to enrollment, no planned procedures during the anticipated study participation, and no newly diagnosed chronic illnesses that are not deemed stable by the participant's primary care physician), in the opinion of the Investigator, based on medical history (i.e., absence of any abnormality) during Screening.
  4. Participants must not have been part of any clinical trial for the past 30 days and may not be taking any other therapy related to treatment of candidiasis.
  5. If female, be surgically sterile or (no menses for at least 12 months), or if of , must be using an acceptable method of such as a combination estrogen/progestin hormonal contraceptive (oral or injected) for at least 1 month prior to Day -14, or such items as an intrauterine device (IUD), intrauterine system (IUS), transdermal hormonal implant, vaginal hormonal ring, or 2 forms of the following: diaphragm, cervical cap, patch, condom, spermicide, or sponge. Total abstinence is permitted. If local regulations deviate from the previously listed contraception methods to prevent pregnancy, local requirements will apply. In addition, females of childbearing potential must agree to continue to use their method of birth control for the duration of the study.
  6. If male, be surgically sterile, or agree to use appropriate contraception (latex condom with spermicide) when engaging in sexual activity and agree to not donate sperm for the duration of the study.
  7. Be able to understand and provide written, .
  8. Must be willing and able to manage a treatment regimen and attend assessment study visits.

Exclusion criteria

Exclusion Criteria:

  1. Participants with mucosal/oral ulceration
  2. No prior antifungal therapies for a minimum 2-week prior to enrollment
  3. Participants with other conditions considered by the investigator to be reasons for disqualification that may jeopardize patient safety or interfere with the objectives of the trial (e.g., acute illness or exacerbation of chronic illness, lack of motivation, history of poor compliance, neurologically or mentally disabled)
  4. Females who are breastfeeding, pregnant, or attempting to become pregnant.
  5. Participants with to any of the product's ingredients.
Terms in these criteria, in plain language(7)

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.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

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.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
6 participants (actual)

Study arms

  • Experimental
    Nitric Oxide Releasing Mouthwash

    Nitric Oxide Releasing Mouthwash (NORM) liquid producing NO at 266 ppm\*min in 20mL

    Drug: Nitric Oxide

Interventions

  • Nitric Oxide Releasing Mouthwash will be self-administered by the participant three times throughout the day for 21 days. The intervention solution will be poured into their mouth from a medication cup containing 20 mL of the solution. Total exposure to study intervention will be a maximum of 63 treatments totaling 1,260 mL. All participants will be monitored for 7 days post-last treatment dose (to Day 28).

    Also known as: Nitric Oxide Releasing Mouthwash

06

What researchers measure

Primary outcomes

  1. To assess the tolerability of NORM in participants with candidiasis.

    Intolerance (i.e., oral cavity, dental, and/or lingual irritation or sensitivity (pain, swelling, erythema, discharge)), dysgeusia, or discoloration of oral cavity/teeth/tongue) as assessed by number of patients that terminate NORM treatment.

    Time frame: 21 days

Secondary outcomes

  1. To assess the effectiveness of NORM to resolve oral fungal infection

    Assess the number of participants who experience clearing of the infection by negative smear/culture

    Time frame: 21 days

  2. To assess the effectiveness of NORM to resolve clinical symptoms of candidiasis

    Mean time to achieve clearing of clinical infection (no symptoms \[0\] or mild \[1\]) from Baseline until Day 21

    Time frame: 21 days

  3. To assess the effectiveness of NORM to reduce the need for an oral antifungal agent

    Proportion of participants that require nystatin intervention

    Time frame: 21 days

Other outcomes

  1. To categorize the major reasons impacting the tolerance of NORM during oral administration

    Tolerance as assessed by number of patient reported outcomes (PRO) of irritation and dysgeusia of the rinse, dental sensitivity while willing to continue to use the rinse

    Time frame: 21 days

  2. Determine incidence and severity of adverse reactions

    Safety as assessed by number and severity of adverse events

    Time frame: 21 days

  3. To assess reoccurrence of candidiasis

    Proportion of participants with reemergence of candidiasis infection

    Time frame: 28 days

  4. To assess of exacerbation of candidiasis

    Proportion of participants with an increased Candida sp. associated with their lesions (determined as an increase of 2 or more semi-quantitative steps (e.g., scant to moderate or light to heavy))

    Time frame: 28 days

07

Study locations

1 site
  • Atlantis Dental Cambie
    Vancouver, British Columbia V5Z 4T1, Canada
08

References and documents

Related links

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jan 2024 to primary completion in May 2024, 4 months.

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

Registered
Nov 1, 2023
First posted
Nov 7, 2023
StartActual
Jan 20, 2024
Primary completionActual
May 25, 2024
CompletionActual
May 25, 2024
Last update
Jul 10, 2024
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 Jul 10, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06120816
Lead sponsor
Sanotize Research and Development corp.
Responsible party
Sponsor
First posted
Nov 7, 2023
Start date
Jan 20, 2024
Primary completion
May 25, 2024
Completion
May 25, 2024
Last update
Jul 10, 2024

Study contacts

Keith Moore, PHARMMD
study director · SaNOtize R&D Corp
Joel Epstein
principal investigator · Atlantis Dental Cambie

Oversight

Data monitoring committee
No
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 Jul 2024. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Nitric Oxide

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