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Benzydamine in Sore Throat Pain Relief (BePaiR Study) (BePaiR)

Primary Purpose

Acute Sore Throat

Status
Completed
Phase
Phase 4
Locations
International
Study Type
Interventional
Intervention
0.3% benzydamine hydrochloride spray oromucosal solution
Single 3 mg lozenge of benzydamine hydrochloride (mint flavour)
Sponsored by
Aziende Chimiche Riunite Angelini Francesco S.p.A
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Acute Sore Throat focused on measuring oromucosal spray, lozenges, Benzydamine hydrochloride 0.3%, Benzidamine hydrochloride 3 mg, acute sore throat

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Adult male and female patients (aged 18 - 75 years, limits included) with recent onset (≤3 days) of sore throat and a diagnosis of tonsillopharyngitis confirmed by:

    1. Presence of at least one symptom of URTI in the previous 24 h on the URTI questionnaire;
    2. Sore throat pain intensity score ≥ 60 mm on Sore Throat Pain Intensity Scale (STPIS);
    3. A score ≥ 5 on Tonsillo-Pharingytis Assessment (TPA);
  • Women of childbearing potential or with no menses for a period < 12 months must have a negative pregnancy test at Visit 0 and have to agree not to start a pregnancy from the signature of the informed consent up to the Visit 2, using an appropriate birth control method such as combined oestrogen-progestin containing hormonal contraceptives (e.g., oral, injectable, transdermal), progestin-only hormonal contraceptives (e.g., oral, injectable, implantable), intrauterine device (IUD) or Intrauterine hormone-releasing System (IUS) in combination with male condom, bilateral tubal occlusion, vasectomised partner, sexual abstinence. The following definitions will be considered:

    • Woman of childbearing potential (WOCBP): i.e., fertile, following menarche and until becoming post-menopausal, unless permanently sterile. Permanent sterilization methods include hysterectomy, bilateral salpingectomy and bilateral oophorectomy.
  • Patients legally capable of giving their consent to participate in the study (including personal data processing) and available to sign and date the written informed consent.

Exclusion Criteria:

  • Known hypersensitivity to benzydamine or its excipients;
  • Phenylketonuria;
  • Clinically significant abnormalities at physical examination and vital signs;
  • Intolerance to acetylsalicylic acid or other NSAIDS;
  • History or diagnosis of asthma;
  • Any concomitant disease that compromise breathing (i.e. bronchopneumonia);
  • Mouth breathing due to nasal congestion which causes throat drying;
  • Severe coughing which causes throat discomfort;
  • Purulent plaques on the tonsils;
  • Any inhaled therapy in the previous week before the first drug administration;
  • Use of antibiotics for an acute disease in the 7 days before randomisation (chronic antibiotic use, such as for acne, is acceptable); any sustained release analgesic within 24 hours of administration of study medication; any medications for cold and flu (i.e., decongestants, antihistamines, expectorants, antitussives), immediate release analgesic or antipyretic within 4 hours of administration of study medication;
  • Use of any lozenge, mouthwash, spray or menthol-containing products within 2 hours of administration of study medication;
  • Women during pregnancy or lactation period;
  • Subject involved in the conduct of the study (e.g. Investigator or his/her deputy, first grade relatives, pharmacist, assistant or other personnel, etc);
  • Participation to a clinical trial within 3 months prior to the inclusion in the study.

Sites / Locations

  • Háziorvosi Rendelő
  • Háziorvosi Rendelő
  • Háziorvosi Rendelő
  • Háziorvosi Rendelő
  • Háziorvosi Rendelő
  • NZOZ Centrum Zdrowia i Profilaktyki Dabie Filia
  • NZOZ Centrum Zdrowia i Profilaktyki Dabie Krakow
  • ValeoMedical
  • Zdrowa Rodzina Przychodnia Lekarska
  • Przchodnia Orlik
  • Scientific research center Eco-Safety, LLC
  • Scientific research center Eco-Safety, LLC
  • Private Healthcare Institution "Clinical Hospital "RZD-Medicine" St.Petersburg"
  • Saint-Petersburg State Budgetary Healthcare Institution "City outpatient clinic #106"
  • Hospital "OrKli" LLC
  • "Astarta" LLC
  • "Meili" LLC

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

0.3% benzydamine hydrochloride spray oromucosal solution

3 mg lozenge of benzydamine hydrochloride (mint flavour), corresponding to 2.68 mg of benzydamine

Arm Description

A single application of 0.3% benzydamine hydrochloride spray oromucosal solution, corresponding to 2.04 mg of benzydamine (4 nebulizations)

A single 3 mg lozenge of benzydamine hydrochloride (mint flavour), corresponding to 2.68 mg of benzydamine.

Outcomes

Primary Outcome Measures

Percentage of responders at 2 min
Percentage of responders defined as patients reported at least a "slight relief" using Sore Throat Relief Rating Scale at 2 minutes after the first application of benzydamine hydrochloride 0.3% spray or benzydamine hydrochloride 3mg lozenges. A score ≥1 in Sore Throat Relief Rating Scal is considered as the first perceived pain relief or "slight relief".

Secondary Outcome Measures

Percentage of responders at 1 min
Percentage of responders defined as patients reported at least a "slight relief" using Sore Throat Relief Rating Scale at 1 minute after the first application of benzydamine hydrochloride 0.3% spray or benzydamine hydrochloride 3mg lozenges. A score ≥1 in Sore Throat Relief Rating Scal is considered as the first perceived pain relief or "slight relief".
Percentage of patients recording a meaningful sore throat relief
The meaningful sore throat relief is assessed after a single dose administration. A "meaningful sore throat relief" is considered as a score ≥ 3 (moderate relief) in the Sore Throat Relief Rating Scale.
Change in Sore Throat Relief Rating Scale.
Change from 1 minute up to 4 hours post-dose in Sore Throat Relief Rating Scale.The Sore Throat Relief Rating Scale is a 7-point categorical scale that assesses the local analgesic effect starting from: 0= "no relief" up t 7="complete relief"
Change in sore throat pain intensity.
Change in sore throat pain intensity from baseline up to 7 days of treatment through the Sore Throat Pain Intensity Scale assessment. The Sore Throat Pain Intensity Scale is a visual analogic scale (VAS) assessing the intensity of the Sore Throat. It consists of a continuous horizontal line of 100 mm in length with ends labelled as the extremes of pain, from 0 (left side): "no pain", to 10 (right side): "pain as bad as it could be".

Full Information

First Posted
June 23, 2021
Last Updated
July 20, 2021
Sponsor
Aziende Chimiche Riunite Angelini Francesco S.p.A
Collaborators
Zak-Pharma Dienstleistung Ges.m.b.H.
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1. Study Identification

Unique Protocol Identification Number
NCT04941976
Brief Title
Benzydamine in Sore Throat Pain Relief (BePaiR Study)
Acronym
BePaiR
Official Title
Phase IV Study Comparing the Efficacy and Safety of Benzydamine Hydrochloride 0,3% Oromucosal Spray and Benzydamine Hydrochloride 3 mg Lozenges in Patients With Acute Sore Throat
Study Type
Interventional

2. Study Status

Record Verification Date
July 2021
Overall Recruitment Status
Completed
Study Start Date
August 13, 2020 (Actual)
Primary Completion Date
June 30, 2021 (Actual)
Study Completion Date
June 30, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Aziende Chimiche Riunite Angelini Francesco S.p.A
Collaborators
Zak-Pharma Dienstleistung Ges.m.b.H.

4. Oversight

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

5. Study Description

Brief Summary
The aim of this study is to generate new clinical data about the speed of relief provided by a single application of Benzydamine hydrochloride 0,3% oromucosal spray vs Benzydamine hydrochloride 3 mg lozenges mint flavour.
Detailed Description
The efficacy and safety of benzydamine local-applied, in the treatment of various throat inflammatory and painful conditions, had been widely demonstrated. The aim of this study is to generate new clinical data about the speed of relief provided by a single application of Benzydamine hydrochloride 0,3% oromucosal spray or Benzydamine hydrochloride 3 mg lozenges mint flavour. The study will be conducted at 15 sites located among Poland, Hungary and Russia (5 sites for each country). 356 patients affected by acute sore throat will be enrolled in out-patient clinics or out-patient departments of city hospitals.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Acute Sore Throat
Keywords
oromucosal spray, lozenges, Benzydamine hydrochloride 0.3%, Benzidamine hydrochloride 3 mg, acute sore throat

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Model Description
Multicenter, randomised, active-controlled, open label, parallel-group, international study.
Masking
None (Open Label)
Allocation
Randomized
Enrollment
356 (Actual)

8. Arms, Groups, and Interventions

Arm Title
0.3% benzydamine hydrochloride spray oromucosal solution
Arm Type
Experimental
Arm Description
A single application of 0.3% benzydamine hydrochloride spray oromucosal solution, corresponding to 2.04 mg of benzydamine (4 nebulizations)
Arm Title
3 mg lozenge of benzydamine hydrochloride (mint flavour), corresponding to 2.68 mg of benzydamine
Arm Type
Active Comparator
Arm Description
A single 3 mg lozenge of benzydamine hydrochloride (mint flavour), corresponding to 2.68 mg of benzydamine.
Intervention Type
Drug
Intervention Name(s)
0.3% benzydamine hydrochloride spray oromucosal solution
Intervention Description
Single application of 0.3% benzydamine hydrochloride spray oromucosal solution. Drug applications will be performed at the investigational site, on the morning of Visit 0. In case of persistent sore throat patients will continue the assigned treatment at home, according to the local SmPC and up to one week, until the symptoms' resolution.
Intervention Type
Drug
Intervention Name(s)
Single 3 mg lozenge of benzydamine hydrochloride (mint flavour)
Intervention Description
Single 3 mg lozenge of benzydamine hydrochloride (mint flavour). Drug applications will be performed at the investigational site, on the morning of Visit 0. In case of persistent sore throat patients will continue the assigned treatment at home, according to the local SmPC and up to one week, until the symptoms' resolution.
Primary Outcome Measure Information:
Title
Percentage of responders at 2 min
Description
Percentage of responders defined as patients reported at least a "slight relief" using Sore Throat Relief Rating Scale at 2 minutes after the first application of benzydamine hydrochloride 0.3% spray or benzydamine hydrochloride 3mg lozenges. A score ≥1 in Sore Throat Relief Rating Scal is considered as the first perceived pain relief or "slight relief".
Time Frame
2 minutes
Secondary Outcome Measure Information:
Title
Percentage of responders at 1 min
Description
Percentage of responders defined as patients reported at least a "slight relief" using Sore Throat Relief Rating Scale at 1 minute after the first application of benzydamine hydrochloride 0.3% spray or benzydamine hydrochloride 3mg lozenges. A score ≥1 in Sore Throat Relief Rating Scal is considered as the first perceived pain relief or "slight relief".
Time Frame
1 minute
Title
Percentage of patients recording a meaningful sore throat relief
Description
The meaningful sore throat relief is assessed after a single dose administration. A "meaningful sore throat relief" is considered as a score ≥ 3 (moderate relief) in the Sore Throat Relief Rating Scale.
Time Frame
5,10,15,30,60 and 120 minutes
Title
Change in Sore Throat Relief Rating Scale.
Description
Change from 1 minute up to 4 hours post-dose in Sore Throat Relief Rating Scale.The Sore Throat Relief Rating Scale is a 7-point categorical scale that assesses the local analgesic effect starting from: 0= "no relief" up t 7="complete relief"
Time Frame
1, 2, 5,10,15,30,60,120,240 minutes
Title
Change in sore throat pain intensity.
Description
Change in sore throat pain intensity from baseline up to 7 days of treatment through the Sore Throat Pain Intensity Scale assessment. The Sore Throat Pain Intensity Scale is a visual analogic scale (VAS) assessing the intensity of the Sore Throat. It consists of a continuous horizontal line of 100 mm in length with ends labelled as the extremes of pain, from 0 (left side): "no pain", to 10 (right side): "pain as bad as it could be".
Time Frame
Baseline, 7 day

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Adult male and female patients (aged 18 - 75 years, limits included) with recent onset (≤3 days) of sore throat and a diagnosis of tonsillopharyngitis confirmed by: Presence of at least one symptom of URTI in the previous 24 h on the URTI questionnaire; Sore throat pain intensity score ≥ 60 mm on Sore Throat Pain Intensity Scale (STPIS); A score ≥ 5 on Tonsillo-Pharingytis Assessment (TPA); Women of childbearing potential or with no menses for a period < 12 months must have a negative pregnancy test at Visit 0 and have to agree not to start a pregnancy from the signature of the informed consent up to the Visit 2, using an appropriate birth control method such as combined oestrogen-progestin containing hormonal contraceptives (e.g., oral, injectable, transdermal), progestin-only hormonal contraceptives (e.g., oral, injectable, implantable), intrauterine device (IUD) or Intrauterine hormone-releasing System (IUS) in combination with male condom, bilateral tubal occlusion, vasectomised partner, sexual abstinence. The following definitions will be considered: Woman of childbearing potential (WOCBP): i.e., fertile, following menarche and until becoming post-menopausal, unless permanently sterile. Permanent sterilization methods include hysterectomy, bilateral salpingectomy and bilateral oophorectomy. Patients legally capable of giving their consent to participate in the study (including personal data processing) and available to sign and date the written informed consent. Exclusion Criteria: Known hypersensitivity to benzydamine or its excipients; Phenylketonuria; Clinically significant abnormalities at physical examination and vital signs; Intolerance to acetylsalicylic acid or other NSAIDS; History or diagnosis of asthma; Any concomitant disease that compromise breathing (i.e. bronchopneumonia); Mouth breathing due to nasal congestion which causes throat drying; Severe coughing which causes throat discomfort; Purulent plaques on the tonsils; Any inhaled therapy in the previous week before the first drug administration; Use of antibiotics for an acute disease in the 7 days before randomisation (chronic antibiotic use, such as for acne, is acceptable); any sustained release analgesic within 24 hours of administration of study medication; any medications for cold and flu (i.e., decongestants, antihistamines, expectorants, antitussives), immediate release analgesic or antipyretic within 4 hours of administration of study medication; Use of any lozenge, mouthwash, spray or menthol-containing products within 2 hours of administration of study medication; Women during pregnancy or lactation period; Subject involved in the conduct of the study (e.g. Investigator or his/her deputy, first grade relatives, pharmacist, assistant or other personnel, etc); Participation to a clinical trial within 3 months prior to the inclusion in the study.
Facility Information:
Facility Name
Háziorvosi Rendelő
City
Budapest
ZIP/Postal Code
H-1082
Country
Hungary
Facility Name
Háziorvosi Rendelő
City
Budapest
ZIP/Postal Code
H-1138
Country
Hungary
Facility Name
Háziorvosi Rendelő
City
Pilisvörösvár
ZIP/Postal Code
H-2085
Country
Hungary
Facility Name
Háziorvosi Rendelő
City
Tárnok
ZIP/Postal Code
H-2461
Country
Hungary
Facility Name
Háziorvosi Rendelő
City
Érd
ZIP/Postal Code
H-2030
Country
Hungary
Facility Name
NZOZ Centrum Zdrowia i Profilaktyki Dabie Filia
City
Krakow
ZIP/Postal Code
31-422
Country
Poland
Facility Name
NZOZ Centrum Zdrowia i Profilaktyki Dabie Krakow
City
Krakow
ZIP/Postal Code
31-567
Country
Poland
Facility Name
ValeoMedical
City
Lodz
ZIP/Postal Code
94-004
Country
Poland
Facility Name
Zdrowa Rodzina Przychodnia Lekarska
City
Warszawa
ZIP/Postal Code
02-785
Country
Poland
Facility Name
Przchodnia Orlik
City
Warszawa
ZIP/Postal Code
04-041
Country
Poland
Facility Name
Scientific research center Eco-Safety, LLC
City
Saint Petersburg
ZIP/Postal Code
191119
Country
Russian Federation
Facility Name
Scientific research center Eco-Safety, LLC
City
Saint Petersburg
ZIP/Postal Code
195009
Country
Russian Federation
Facility Name
Private Healthcare Institution "Clinical Hospital "RZD-Medicine" St.Petersburg"
City
Saint Petersburg
ZIP/Postal Code
195271
Country
Russian Federation
Facility Name
Saint-Petersburg State Budgetary Healthcare Institution "City outpatient clinic #106"
City
Saint Petersburg
ZIP/Postal Code
197706
Country
Russian Federation
Facility Name
Hospital "OrKli" LLC
City
Saint Petersburg
ZIP/Postal Code
199178
Country
Russian Federation
Facility Name
"Astarta" LLC
City
Saint Petersburg
ZIP/Postal Code
199226
Country
Russian Federation
Facility Name
"Meili" LLC
City
Saint Petersburg
ZIP/Postal Code
199405
Country
Russian Federation

12. IPD Sharing Statement

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Benzydamine in Sore Throat Pain Relief (BePaiR Study)

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