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Common ColdPhase 1NCT06106880

Alleviation of Common Cold Symptoms

A Phase 1 study testing Wintergreen Throat Spray and Aspirin Tablet in people with Common Cold and Pharyngitis, run by Applied Biological Laboratories Inc at 6 sites in United States.

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

Upper respiratory infections (URIs) have long posed a significant burden to the US healthcare system. Well before the coronavirus disease of 2019 (COVID-19) pandemic they have been among the most common acute outpatient illnesses, causing 75-100 million physician visits each year on average, and costing the health… Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Common Cold, Pharyngitis, Fever
What is being tested?
Wintergreen Throat Spray and Aspirin Tablet
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
157 participants
Where
6 sitesUnited States
Study dates
25 May 2022to 16 Jun 2023
Phase
Phase 1
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 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Otherwise healthy adults with cold symptoms including sore throat who do not meet any of the exclusion criteria listed below,
  • who rate their sore throat at least a 3 on a 10-point scale,
  • who have had a sore throat for less than 48 hours by the time they complete the intake clinical trial manager (CTM) assessment.

Who cannot join

  • Sore throat for more than 2 full days at the time of intake CTM assessment
  • Fever or development of fever during the course of the trial
  • Positive COVID-19 test or influenza test at clinical trial administrator (CTA) visit
  • Likelihood of strep throat (to be determined by physician PI to the best of their ability)
  • Less than 2 doses of the coronavirus (COVID-19) vaccine
  • Any allergies to eggs, milk, or aspirin
Show all 13Show fewer
  • Females who are pregnant or test positive for pregnancy at the CTA visit
  • Any chronic disease such as asthma, hypertension, post-nasal drip, gastroesophageal reflux disease (GERD), cardiopulmonary obstructive disorder (COPD), diabetes, cancer, HIV
  • Any history of allergy in the last 14 days for which they took medication
  • Anyone with fever above 101 or who has taken medication other than birth control in the last 30 days
  • Anyone taking an Angiotensin Converting Enzyme (ACE) inhibitor
  • Participation in another clinical trial within the last 6 months or during this trial
  • Anyone who smokes

Trial locations and contacts

6 sites in 1 country.

6 sites in 1 country

United States6 sites
  • Telemedicine and Home Visit

    Atlanta, Georgia, 30002-0082

  • Telemedicine and Home Visit

    Baltimore, Maryland, 21215

  • Telemedicine and Home Visit

    Houston, Texas, 77054-3036

  • Telemedicine and Home Visit

    Irvine, California, 92614-0120

  • Telemedicine and Home Visit

    New York, New York, 11385

  • Telemedicine and Home Visit

    Washington D.C., District of Columbia, 20016

Other trials in United States

About this study

Official title: Alleviation of Upper Respiratory Inflammation and Associated Common Cold Symptoms

Upper respiratory infections (URIs) have long posed a significant burden to the US healthcare system. Well before the coronavirus disease of 2019 (COVID-19) pandemic they have been among the most common acute outpatient illnesses, causing 75-100 million physician visits each year on average, and costing the health care system billions of dollars annually. This double-blind randomized placebo-controlled study tested the efficacy of two anti-inflammatory throat sprays against placebo and against a throat spray taken in conjunction with 325mg of aspirin, a well-known systemically administered cyclooxygenase (COX) inhibitor. Participants having common cold symptoms lasting less than two days were enrolled and given treatment to administer at home. Various common cold symptoms were assessed and measured via clinically validated self-assessment scales. Participants were screened for influenza and COVID-19 before enrollment and were excluded if found positive.

Being tested
Wintergreen Throat Spray and Aspirin Tablet, Aspirin Throat Spray and Placebo Tablet, Wintergreen Throat Spray and Placebo Tablet, Placebo Throat Spray and Placebo Tablet
Keywords
Common Cold, Pharyngitis, Fever, Congestion, Rhinorrhea, Cough, Sore Throat, Malaise, Headache, Runny Nose, Sneezing, Inflammation
Medical subject headings
Common Cold, Pharyngitis, Fever, Rhinorrhea, Cough, Headache, Sneezing, Inflammation

What participants receive

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

  • Wintergreen Throat Spray and Aspirin TabletDrug

    Also called Group B

    The liquid spray contained wintergreen oil, menthol, lactoferrin, lysozyme, aloe, and glycerin.

    Aspirin in a 325mg tablet

  • Aspirin Throat Spray and Placebo TabletDrug

    Also called Group C

    The liquid spray contained 6mg dissolved acetyl salicylic acid per dose, menthol, lactoferrin, lysozyme, aloe, and glycerin.

    Placebo Tablet: Looked like the treatment aspirin tablet but contained no drug and only inactive excipients.

  • Wintergreen Throat Spray and Placebo TabletDietary supplement

    Also called Group D

    The liquid spray contained wintergreen oil, menthol, lactoferrin, lysozyme, aloe, and glycerin.

    The placebo tablet looked like the treatment aspirin tablet but contained no drug and only inactive excipients.

  • Placebo Throat Spray and Placebo TabletOther

    Also called Group A

    The placebo spray contained vehicle buffer, a sub-therapeutic dose of menthol, and a sweetener.

    The placebo tablet looked like the treatment aspirin tablet but contained no drug and only inactive excipients.

Study groups in NCT06106880
Study groupRoleWhat they receive
Group A: Placebo Throat Spray and Placebo TabletPlacebo comparatorThe placebo spray contained vehicle buffer, a sub-therapeutic dose of menthol, and a sweetener. Placebo Tablet: Looked like the treatment aspirin tablet but contained no drug and only inactive excipients.
Receives: Other: Placebo Throat Spray and Placebo Tablet
Group B: Wintergreen Throat Spray and Aspirin TabletActive comparatorThe liquid spray contained wintergreen oil, menthol, lactoferrin, lysozyme, aloe, and glycerin. Aspirin in a 325mg tablet
Receives: Drug: Wintergreen Throat Spray and Aspirin Tablet
Group C: Aspirin Throat Spray and Placebo TabletActive comparatorThe liquid spray contained 6mg dissolved acetyl salicylic acid per dose, menthol, lactoferrin, lysozyme, aloe, and glycerin. Placebo Tablet: Looked like the treatment aspirin tablet but contained no drug and only inactive excipients.
Receives: Drug: Aspirin Throat Spray and Placebo Tablet
Group D: Wintergreen Throat Spray and Placebo TabletActive comparatorThe liquid spray contained wintergreen oil, menthol, lactoferrin, lysozyme, aloe, and glycerin. Placebo Tablet: Looked like the treatment aspirin tablet but contained no drug and only inactive excipients.
Receives: Dietary Supplement: Wintergreen Throat Spray and Placebo Tablet

What is being measured

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

  1. Relief of Sore Throat Pain

    A time-weighted summed difference in pain intensity on the sore throat pain intensity scale (STPIS) after the first dose of medication (STPIS 1st entry Day 1 compared to STPIS 4th entry Day 2). On the STPIS, 0mm, the leftmost point of the line, represents no throat pain, and 100mm, the rightmost point of the line, represents the most severe throat pain.

    Measured: 36 hours

Secondary outcomes (1)
  1. Clinical Efficacy Against Common Cold Symptoms

    Secondary endpoints will include changes to the Modified Jackson Score, measured from Absent=0, Mild=1, Moderate=2 to Severe=3, with a higher score representing worsening of various cold symptoms and a lower score signifying improvement of various cold symptoms.

    Measured: 48 hours

Timeline

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

  1. First posted30 Oct 2023
  2. Study start25 May 2022
  3. Primary completion8 Apr 2023
  4. Study completion16 Jun 2023

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 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
157 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06106880
Sponsor's protocol ID
Pro 00048530
Status last verified
Jan 2024
First submitted
18 Oct 2023
Last updated
16 Jan 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Will be determined as needed, if shared no identifiable personal information will be provided.

Publications

  • Shulman ST, Bisno AL, Clegg HW, Gerber MA, Kaplan EL, Lee G, Martin JM, Van Beneden C. Clinical practice guideline for the diagnosis and management of group A streptococcal pharyngitis: 2012 update by the Infectious Diseases Society of America. Clin Infect Dis. 2012 Nov 15;55(10):1279-82. doi: 10.1093/cid/cis847.

    PubMed 23091044
  • Kim SY, Chang YJ, Cho HM, Hwang YW, Moon YS. Non-steroidal anti-inflammatory drugs for the common cold. Cochrane Database Syst Rev. 2015 Sep 21;2015(9):CD006362. doi: 10.1002/14651858.CD006362.pub4.

    PubMed 26387658
  • Winther B, Gwaltney JM Jr, Mygind N, Turner RB, Hendley JO. Sites of rhinovirus recovery after point inoculation of the upper airway. JAMA. 1986 Oct 3;256(13):1763-7.

    PubMed 3018306
  • Rees GL, Eccles R. Sore throat following nasal and oropharyngeal bradykinin challenge. Acta Otolaryngol. 1994 May;114(3):311-4. doi: 10.3109/00016489409126062.

    PubMed 8073865
  • Proud D, Reynolds CJ, Lacapra S, Kagey-Sobotka A, Lichtenstein LM, Naclerio RM. Nasal provocation with bradykinin induces symptoms of rhinitis and a sore throat. Am Rev Respir Dis. 1988 Mar;137(3):613-6. doi: 10.1164/ajrccm/137.3.613.

    PubMed 3345041
  • Doyle WJ, Boehm S, Skoner DP. Physiologic responses to intranasal dose-response challenges with histamine, methacholine, bradykinin, and prostaglandin in adult volunteers with and without nasal allergy. J Allergy Clin Immunol. 1990 Dec;86(6 Pt 1):924-35. doi: 10.1016/s0091-6749(05)80156-3.

    PubMed 2262647
  • Gupta U, Verma M. Placebo in clinical trials. Perspect Clin Res. 2013 Jan;4(1):49-52. doi: 10.4103/2229-3485.106383. No abstract available.

    PubMed 23533982
  • Schachtel B, Aspley S, Shephard A, Shea T, Smith G, Schachtel E. Utility of the sore throat pain model in a multiple-dose assessment of the acute analgesic flurbiprofen: a randomized controlled study. Trials. 2014 Jul 3;15:263. doi: 10.1186/1745-6215-15-263.

    PubMed 24988909
  • Glatthaar-Saalmuller B, Mair KH, Saalmuller A. Antiviral activity of aspirin against RNA viruses of the respiratory tract-an in vitro study. Influenza Other Respir Viruses. 2017 Jan;11(1):85-92. doi: 10.1111/irv.12421. Epub 2016 Sep 22.

    PubMed 27542891
  • Eccles R, Loose I, Jawad M, Nyman L. Effects of acetylsalicylic acid on sore throat pain and other pain symptoms associated with acute upper respiratory tract infection. Pain Med. 2003 Jun;4(2):118-24. doi: 10.1046/j.1526-4637.2003.03019.x.

    PubMed 12873261
  • Leyva-Grado V, Pugach P, Sadeghi-Latefi N. A novel anti-inflammatory treatment for bradykinin-induced sore throat or pharyngitis. Immun Inflamm Dis. 2021 Dec;9(4):1321-1335. doi: 10.1002/iid3.479. Epub 2021 Jun 21.

    PubMed 34153179
  • Pugach P, Sadeghi-Latefi N. Supporting respiratory epithelia and lowering inflammation to effectively treat common cold symptoms: A randomized controlled trial. PLoS One. 2024 Nov 27;19(11):e0301959. doi: 10.1371/journal.pone.0301959. eCollection 2024.

    PubMed 39602479

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Wintergreen Throat Spray and Aspirin Tablet in people with Common Cold and Pharyngitis, run by Applied Biological Laboratories Inc at 6 sites in United States.

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 3 inclusion and 13 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 16 Jan 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 6 sites in United States. 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.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

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?

Relief of Sore Throat Pain (time frame: 36 hours). 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 NCT06106880, which also lists 12 linked publications.

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 16 Jan 2024.

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