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Allergic RhinoconjunctivitisNCT03365648

Efficacy and Safety of Lertal® as an add-on to Standard Therapy for Allergic Rhinoconjunctivitis in Pediatrics

A study testing Lertal® + standard therapy in people with Allergic Rhinoconjunctivitis, run by NTC srl at 17 sites in Italy.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to evaluate the efficacy and safety of Lertal® as an add-on treatment for children affected by allergic rhinoconjunctivitis. Read more about this study

Who is it for?
Ages 6 to 12 years
Conditions the study is for
Allergic Rhinoconjunctivitis
What is being tested?
Lertal® + standard therapy
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
150 participants
Where
17 sitesItaly
Study dates
15 Sep 2017to 13 Nov 2018
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 6 to 12 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Age 6 to 12 years
  • Male or female
  • Diagnosis of allergic rhinoconjunctivitis
  • Hypersensitivity to dust mites or pollen confirmed with skin-prick test (wheal and redness, ≥ 3 mm more extended than control) performed in the previous 12 months
  • Total Symptoms Score (TSS) ≥ 15 and at least 1 for nasal congestion
  • Written informed consent of patient and of parent or legal guardian

Who cannot join

  • Uncontrolled asthma
  • Secondary rhinitis to other causes
  • Documented evidence of acute or chronic sinusitis
  • Nasal polyps
  • Chronic or intermittent use of inhaled, oral, intramuscular, intravenous or topical corticosteroids
  • Use of leukotriene antagonists
Show all 18Show fewer
  • Continuous use of antihistamines
  • Inadequate washout of drugs:
  • Systemic or intranasal corticosteroids: 1 month
  • Leukotriene antagonists: 1 month
  • Sodium cromoglycate: 2 weeks
  • Systemic or intranasal decongestants: 3 days
  • Cetirizine, fexofenadine, loratadine, desloratadine, hydroxyzine: 5-10 days
  • Malformations of the nose, ear or throat
  • Upper or lower respiratory tract infection in the last 2 weeks
  • Participation in other clinical studies in the last month
  • Documented hypersensitivity to the study product or its excipients
  • Trip planned outside of the study area

Trial locations and contacts

17 sites in 1 country.

17 sites in 1 country

Italy17 sites
  • A.O.U. Consorziale "Policlinico Giovanni XXIII"

    Bari, BA, 70126

  • A.O.U. Consorziale "Policlinico-Giovanni XXIII"

    Bari, BA, 70126

  • P.O. di Busto Arsizio - ASST Valle Olona

    Busto Arsizio, VA, 21051

  • A.O.U. Policlinico Vittorio Emanuele

    Catania, CT, 95123

  • P.O. San Giovanni di Dio - ASP di Crotone

    Crotone, KR, 88900

  • P.O. G. Salvini di Garbagnate Milanese - ASST Rhodense

    Garbagnate Milanese, MI, 20042

  • Istituto Giannina Gaslini

    Genova, GE, 16132

  • Ospedale regionale San Salvatore - ASL 1 Avezzano Sulmona L'Aquila

    L’Aquila, AQ, 67100

  • Ospedale Civile di Legnano - ASST Ovest Milanese

    Legnano, MI, 20162

  • A.O.U. Policlinico "G. Martino"

    Messina, ME, 98124

  • Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico

    Milan, MI, 20122

  • Ospedale San Carlo Borromeo - ASST Azienda Socio Sanitaria Territoriale Santi Paolo E Carlo

    Milan, MI, 20157

  • Az. Osp. Univ. dell'Università degli Studi della Campania "Luigi Vanvitelli"

    Naples, 80138

  • Fondazione IRCCS Policlinico San Matteo

    Pavia, (PV), 27100

  • Ospedale di Polistena "Santa Maria degli Ungheresi" - ASP di Reggio Calabria

    Polistena, RC, 89024

  • A.O.U. Policlinico Umberto I

    Roma, RM, 00161

  • Ospedale Città di Sesto San Giovanni - ASST Nord Milano

    Sesto San Giovanni, MI, 20099

Other trials in Italy

About this study

Official title: A Randomized, Double-blinded, Parallel-group, Placebo-controlled Clinical Study of the Efficacy and Safety of an Oral Nutraceutical (Lertal®) as an add-on to Standard Therapy for Allergic Rhinoconjunctivitis in Pediatrics

The purpose of this study is to evaluate the efficacy and safety of Lertal® as an add-on treatment for children affected by allergic rhinoconjunctivitis.

Read the detailed description

Allergic rhinoconjunctivitis (AR) is a common chronic disorder in children, especially in developed countries. It is not characterized by nasal symptoms only (such as congestion and sneezing), but may also cause general complaints such as fatigue and cough. AR can also have detrimental effects on mood, sleep, social activities and scholastic performance.

Lertal® is a novel nutraceutical containing seed extracts from Perilla Frutescens, Quercetin extracted from Sophora japonica and Vitamin D3, all compounds that have demonstrated their ability to reduce allergy symptoms and the use of anti-allergy drugs in adults.

The aim of this randomized, double-blinded, parallel-group, placebo-controlled study is to evaluate the efficacy and safety of Lertal® as an add-on treatment for children affected by allergic rhinoconjunctivitis.

Being tested
Lertal® + standard therapy, Placebo + standard therapy

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Lertal® + standard therapyDietary supplement

    Lertal® is a novel food supplement. Each tablet contains the following active ingredients:

    • Quercetin 150 mg: a natural flavonoid that inhibits the release of histamine, leukotrienes, PGD2, IL (IL-6, IL-8, TNF-alpha).
    • Perilla frutescens 80 mg: A dry extract of the seeds containing rosmarinic acid, luteolin, apigenin and crysoeriol that inhibits the release of histamine and expression of interleukins (IL-6, TNF-alpha).
    • Vitamin D3 5 mcg (200 IU), which contributes to the normal function of the immune system.

    Standard therapy: antihistamine.

  • Placebo + standard therapyOther

    Placebo tablet identical in appearance, size and taste to Lertal® tablets. Standard therapy: antihistamine.

    Standard therapy: antihistamine

Study groups in NCT03365648
Study groupRoleWhat they receive
Lertal® + standard therapyExperimentalLertal® double-layer tablets (1 tab/day for 4 weeks) plus standard therapy (antihistamine)
Receives: Dietary Supplement: Lertal® + standard therapy
Placebo + standard therapyPlacebo comparatorPlacebo tablets (1 tab/day for 4 weeks) plus standard therapy (antihistamine)
Receives: Other: Placebo + standard therapy

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Total Symptom Score (TSS) scores

    Changes from baseline of Total Symptom Score (TSS) scores will be calculated after 4 weeks of treatment. The Total Symptoms score is a patient-reported evaluation of nine symptoms:

    • Nasal symptoms (Total Nasal Symptom Score): itching, sneezing, rhinorrhea, nasal congestion
    • Ocular symptoms (Total Ocular Symptom Score): itching, hyperemia of conjunctiva, tearing
    • Throat symptoms (Total Throat Symptom Score): itching, coughing

    With the help of their parents, patients will score symptoms on a 4-point scale: 0 = absent or irrelevant, 1 = mild, 2 = moderate, 3 = severe. Patients are asked to assign a score to the symptoms experienced in the last 12 hours and over the previous two weeks.

    The total symptom score is the sum of the scores of nasal symptoms, ocular symptoms and throat symptoms.

    The between-group analysis will be performed by means of a t-test for independent samples or analogous non-parametric test.

    Measured: At Baseline and after Visit 4 (Week 4)

Secondary outcomes (12)
  1. Visual Analogue Scale (VAS) score

    The patient will be asked to indicate overall system distress on a 100 mm Visual Analogue Scale (VAS) were 0 is equal to no discomfort and 100 the worst possible discomfort. Change from baseline of Visual Analogue Scale (VAS) score after 2 and 4 weeks of treatment. The between-group analysis will be performed using a t-test for independent samples or analogous nonparametric test.

    Measured: At Baseline, after Visit 3 (Week 2) and after Visit 4 (Week 4)

  2. Total Symptom Score (TSS) scores

    Change from baseline of Total Symptom Score (TSS) scores after 2 weeks of treatment. The Total Symptoms score is a patient-reported evaluation of nine symptoms:

    • Nasal symptoms (Total Nasal Symptom Score): itching, sneezing, rhinorrhea, nasal congestion
    • Ocular symptoms (Total Ocular Symptom Score): itching, hyperemia of conjunctiva, tearing
    • Throat symptoms (Total Throat Symptom Score): itching, coughing

    With the help of their parents, patients will score symptoms on a 4-point scale: 0 = absent or irrelevant, 1 = mild, 2 = moderate, 3 = severe. Patients are asked to assign a score to the symptoms experienced in the last 12 hours and over the previous two weeks.

    The total symptom score is the sum of the scores of nasal symptoms, ocular symptoms and throat symptoms.

    The between-group analysis will be performed by means of a t-test for independent samples or analogous non-parametric test.

    Measured: At Baseline and after Visit 3 (Week 2)

  3. Number of responders (30% reduction of TSS)

    Change from baseline of TSS score for each patient after 2 and 4 weeks of treatment will be classified as ≥ 30% and < 30%, thus defining responder and non-responder patients. Between-group differences will be tested by means of a Chi-square test with 2x2 contingency tables.

    Measured: After Visit 3 (Week 2) and after Visit 4 (Week 4)

  4. Time to maximum effect on Total Symptom Score (TSS) vs placebo

    Time to maximum effect on Total Symptom Score (TSS) vs placebo will be analysed by means of t-test for independent samples after logtransformation of the data or analogous non-parametric test. The Total Symptoms score is a patient-reported evaluation of nine symptoms:

    • Nasal symptoms (Total Nasal Symptom Score): itching, sneezing, rhinorrhea, nasal congestion
    • Ocular symptoms (Total Ocular Symptom Score): itching, hyperemia of conjunctiva, tearing
    • Throat symptoms (Total Throat Symptom Score): itching, coughing

    With the help of their parents, patients will score symptoms on a 4-point scale: 0 = absent or irrelevant, 1 = mild, 2 = moderate, 3 = severe. Patients are asked to assign a score to the symptoms experienced in the last 12 hours and over the previous two weeks.

    The total symptom score is the sum of the scores of nasal symptoms, ocular symptoms and throat symptoms.

    Measured: From baseline to Visit 6 (Week 16)

  5. Number of patients using rescue treatment

    Between-group differences in the number of patients using rescue treatment will be analyzed by means of a Chi-square test with 2x2 contingency tables.

    Measured: From baseline to Visit 6 (Week 16)

  6. Total Nasal Symptom Score (TNSS)

    The Total Nasal Symptom Score is a patient-reported evaluation of the following symptoms: itching, sneezing, rhinorrhea, nasal congestion. With the help of their parents, patients will score symptoms on a 4-point scale: 0 = absent or irrelevant, 1 = mild, 2 = moderate, 3 = severe. Patients are asked to assign a score to the symptoms experienced in the last 12 hours and over the previous two weeks.

    Changes from baseline in Total Nasal Symptom Score (TNSS) scores will be calculated after 2 and 4 weeks of treatment and between-group differences analyzed using a t-test for independent samples or analogous non-parametric test.

    Measured: At Baseline, after Visit 3 (Week 2) and to Visit 4 (Week 4)

  7. Total Ocular Symptom Score (TOSS)

    The Total Ocular Symptom Score is a patient-reported evaluation of the following symptoms: itching, hyperemia of conjunctiva, tearing. With the help of their parents, patients will score symptoms on a 4-point scale: 0 = absent or irrelevant, 1 = mild, 2 = moderate, 3 = severe. Patients are asked to assign a score to the symptoms experienced in the last 12 hours and over the previous two weeks.

    Changes from baseline in Total Ocular Symptom Score (TOSS) scores will be calculated after 2 and 4 weeks of treatment and between-group differences analyzed using a t-test for independent samples or analogous non-parametric test.

    Measured: At Baseline, after Visit 3 (Week 2) and to Visit 4 (Week 4)

  8. Total Throat Symptom Score (TTSS)

    The Total Throat Symptom Score is a patient-reported evaluation of the following symptoms: itching, coughing. With the help of their parents, patients will score symptoms on a 4-point scale: 0 = absent or irrelevant, 1 = mild, 2 = moderate, 3 = severe. Patients are asked to assign a score to the symptoms experienced in the last 12 hours and over the previous two weeks.

    Changes from baseline in Total Throat Symptom Score (TTSS) scores will be calculated after 2 and 4 weeks of treatment and between-group differences analyzed using a t-test for independent samples or analogous non-parametric test.

    Measured: At Baseline, after Visit 3 (Week 2) and to Visit 4 (Week 4)

  9. Number of patients symptom-free or with mild symptoms

    The number of patients with score for a single symptom ≤ 1 will be calculated and the between-group differences analyzed by means of a Chi-square test with 2xn contingency tables, where n represents the number of observations.

    Measured: From V3 (Week 2) to Visit 4 (Week 4)

  10. Number of exacerbations

    Exacerbations are defined as the need of an antihistamine medication of any kind, at any dose and of any duration.

    Measured: From Visit 5 (Week 8) to Visit 6 (Week 16)

  11. Intensity (mild, moderate, severe) of exacerbations

    Exacerbations are defined as the need of an antihistamine medication of any kind, at any dose and of any duration.

    Measured: From Visit 5 (Week 8) to Visit 6 (Week 16)

  12. Duration (number of days) of exacerbations

    Exacerbations are defined as the need of an antihistamine medication of any kind, at any dose and of any duration.

    Measured: From Visit 5 (Week 8) to Visit 6 (Week 16)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted7 Dec 2017
  2. Study start15 Sep 2017
  3. Primary completion4 Jul 2018
  4. Study completion13 Nov 2018

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
A randomized, double-blinded, parallel-group, placebo-controlled clinical study
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
150 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03365648
Sponsor's protocol ID
LER 02-2017
Status last verified
Nov 2018
First submitted
22 Nov 2017
Last updated
15 Nov 2018
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Marseglia G, Licari A, Leonardi S, Papale M, Zicari AM, Schiavi L, Ciprandi G; Italian Study Group on Pediatric Allergic Rhinoconjunctivitis. A polycentric, randomized, parallel-group, study on Lertal(R), a multicomponent nutraceutical, as preventive treatment in children with allergic rhinoconjunctivitis: phase II. Ital J Pediatr. 2019 Jul 18;45(1):84. doi: 10.1186/s13052-019-0678-y.

    PubMed 31319883

Questions about this trial

What is this clinical trial studying?

A study testing Lertal® + standard therapy in people with Allergic Rhinoconjunctivitis, run by NTC srl at 17 sites in Italy.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 18 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 15 Nov 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 17 sites in Italy. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Total Symptom Score (TSS) scores (time frame: At Baseline and after Visit 4 (Week 4)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03365648, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Nov 2018.

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