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Silver Nanoparticle Investigation for Treating Chronic Sinusitis (SNITCH)

Primary Purpose

Chronic Rhinosinusitis (Diagnosis)

Status
Withdrawn
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
Colloidal silver nanoparticles
Purified Water
Sponsored by
Washington University School of Medicine
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Rhinosinusitis (Diagnosis)

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

Twelve (12) weeks or longer of two or more of the following signs and symptom consistent with chronic rhinosinusitis (CRS):

  • mucopurulent drainage (anterior, posterior, or both), nasal obstruction (congestion), facial pain-pressure-fullness, or decreased sense of smell

AND inflammation is documented by one or more of the following findings:

  • purulent (not clear) mucus or edema in the middle meatus or ethmoid region
  • polyps in nasal cavity or the middle meatus
  • and/or radiographic imaging showing inflammation of the paranasal sinuses

Exclusion Criteria:

  • Unable to speak English
  • History of nasal or sinus surgery within past 6 weeks
  • History of comorbid ciliary dyskinesia, cystic fibrosis or any other mucociliary condition
  • Dependence on prolonged corticosteroid therapy for comorbid condition
  • History of renal impairment
  • History of cerebrospinal fluid leak

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Placebo Comparator

    Arm Label

    Colloidal Silver

    Purified Water

    Arm Description

    The colloidal silver arm will administer intranasal colloidal silver, 2 sprays each nostril twice daily, for a total volume of 0.8ml per day (8 mcg of silver per day), for 28 days.

    The placebo arm will administer intranasal purified water, 2 sprays each nostril twice daily, for a total volume of 0.8ml per day, for 28 days.

    Outcomes

    Primary Outcome Measures

    Sino-Nasal Outcome Test (SNOT-22)
    Assess change in SNOT-22 score

    Secondary Outcome Measures

    Full Information

    First Posted
    August 4, 2017
    Last Updated
    May 3, 2018
    Sponsor
    Washington University School of Medicine
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    1. Study Identification

    Unique Protocol Identification Number
    NCT03243201
    Brief Title
    Silver Nanoparticle Investigation for Treating Chronic Sinusitis
    Acronym
    SNITCH
    Official Title
    The Efficacy and Safety of Intranasal Colloidal Silver Nanoparticles for Chronic Rhinosinusitis: A Proof-Of-Concept, Double-Blinded, Placebo-Controlled, Randomized Trial
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    May 2018
    Overall Recruitment Status
    Withdrawn
    Why Stopped
    IND not approved
    Study Start Date
    January 2018 (Anticipated)
    Primary Completion Date
    December 2018 (Anticipated)
    Study Completion Date
    December 2018 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Washington University School of Medicine

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No

    5. Study Description

    Brief Summary
    Chronic rhinosinusitis is a highly prevalent disease resulting in high economic burden. Effective therapeutic options are needed. Rhinosinusitis-related biofilms are a likely contributor to recalcitrant disease. Emerging evidence shows that colloidal silver nanoparticles may be effective for reducing biofilms. The investigators intend to perform a randomized, double-blinded, placebo-controlled clinical trial to evaluate the effectiveness and safety of intranasal colloidal silver nanoparticles in adult patients with chronic rhinosinusitis. The investigators hypothesize that compared to placebo, treatment with intranasal colloidal silver for chronic rhinosinusitis will lead to a significant improvement in symptom scores and will not be associated with increased rate of adverse effects.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Chronic Rhinosinusitis (Diagnosis)

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 1
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantCare ProviderInvestigator
    Allocation
    Randomized
    Enrollment
    0 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Colloidal Silver
    Arm Type
    Experimental
    Arm Description
    The colloidal silver arm will administer intranasal colloidal silver, 2 sprays each nostril twice daily, for a total volume of 0.8ml per day (8 mcg of silver per day), for 28 days.
    Arm Title
    Purified Water
    Arm Type
    Placebo Comparator
    Arm Description
    The placebo arm will administer intranasal purified water, 2 sprays each nostril twice daily, for a total volume of 0.8ml per day, for 28 days.
    Intervention Type
    Drug
    Intervention Name(s)
    Colloidal silver nanoparticles
    Other Intervention Name(s)
    Sovereign Silver, Bio-Active Silver Hydrosol
    Intervention Description
    Contains 10ppm colloidal silver nanoparticles
    Intervention Type
    Other
    Intervention Name(s)
    Purified Water
    Intervention Description
    Purified water will be given as placebo
    Primary Outcome Measure Information:
    Title
    Sino-Nasal Outcome Test (SNOT-22)
    Description
    Assess change in SNOT-22 score
    Time Frame
    Four weeks

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Twelve (12) weeks or longer of two or more of the following signs and symptom consistent with chronic rhinosinusitis (CRS): mucopurulent drainage (anterior, posterior, or both), nasal obstruction (congestion), facial pain-pressure-fullness, or decreased sense of smell AND inflammation is documented by one or more of the following findings: purulent (not clear) mucus or edema in the middle meatus or ethmoid region polyps in nasal cavity or the middle meatus and/or radiographic imaging showing inflammation of the paranasal sinuses Exclusion Criteria: Unable to speak English History of nasal or sinus surgery within past 6 weeks History of comorbid ciliary dyskinesia, cystic fibrosis or any other mucociliary condition Dependence on prolonged corticosteroid therapy for comorbid condition History of renal impairment History of cerebrospinal fluid leak

    12. IPD Sharing Statement

    Plan to Share IPD
    No

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