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Completed

NCT Number: NCT02522949

Evaluation of ColdZyme® Mouth Spray on Prevention and Alleviation of Rhinovirus Induced Common Cold

This study evaluates the performance of ColdZyme® mouth spray on prevention and alleviation of induced rhinovirus upper respiratory tract infection in healthy volunteers. Half of participants will receive ColdZyme® mouth spray while the other half will receive placebo.

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Key information

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

About this study

Common colds can be caused by a number of viruses, e.g. rhinoviruses, coronaviruses, influenza viruses and others. The majority of colds are however caused by rhinovirus infection, which is responsible for up to 80% of all common colds. This study evaluates the effect of creating a physical barrier on the pharyngeal mucosal membrane to prevent or reduce virus cell entry during common cold infection to reduce total virus load and common cold symptoms in vivo in relation to placebo.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Healthy male or female subjects between 18-65 years. The investigator judges the definition of healthy by detailed medical history and physical examination.
  • Females of childbearing potential: should use reliable method of birth control. Reliable methods are hormonal contraceptives (combination pills, injections or implants), intrauterine device, condom or declared absence of sexual contact. Post-menopausal woman is defined as absence of menstrual discharge for at least two years.
  • Signed informed consent form prior to any study-related procedures.
  • Willingness and ability to complete the study.
  • Perceived to have had at least one cold per year.

Exclusion criteria

  • Smoker, during the last 12 months.
  • Any cold symptom within the last month such as sore throat, sneezing, rhinorrhoea, malaise, nasal obstruction or cough.
  • Presence of serum neutralising antibodies against human rhinovirus16 at screening.
  • Active allergic rhinitis, asthma or chronic obstructive pulmonary disease in last year.
  • Positive for fur allergy (if subject is likely to come in contact with the specific pet) and/or dust-mite allergy in skin prick test at screening.
  • Nasal disease, e.g. nasal polyposis, significant septal deviation, chronic rhinosinusitis, etc.
  • Females: Pregnant, breast-feeding or intentions to become pregnant during the study.
  • Active autoimmune disease in last year.
  • Evidence or history of drug or alcohol abuse.
  • Use of any prescribed or non-prescribed medication (except for contraceptives, paracetamol and ibuprofen) within 2 weeks prior to the first administration of investigational product until the end of study.
  • Use of any over the counter cold prophylaxis products such as C-vitamins, zinc or Echinacea within 1 month prior to the first administration of investigational product until the end of study.
  • Participation in other clinical study within 60 days

Treatment and study plan

ColdZyme® mouth spray

Device

PLACEBO

Device

Primary outcomes

  1. Reduction in Viral Load in the URT

    Time frame: 7 days

    Reduction in viral load in the URT(Upper Respiratory Tract), after challenge with rhinovirus, in relation to placebo

Secondary outcomes

  1. Prevention of Symptomatic URTI (Upper Respiratory Tract Infection)

    Time frame: 11 days

    Reduction of number of days having a total symptom severity score of 6 or higher using a 5-graded Jackson scale, in relation to placebo.

    Will be assessed by the severity of cold symptoms quantified by the modified method of Jackson at peak day (day with highest score). A subject is considered to be a success if the total symptom score is below 6. Otherwise will the subject be classified as a failure to prevent symptomatic URTI.

  2. Prevention of Asymptomatic URTI

    Time frame: 11 days

    Asymptomatic URTI will be assessed by quantification of viral load at peak day (day with highest viral load measured by oropharyngeal swab).

    Will be assessed by quantification of viral load at peak day (day with highest viral load). A subject is considered to be a success if the viral load is not different from the base-line value (from day 0). Otherwise will the subject be classified as a failure to prevent asymptomatic URTI.

  3. Fewer Days With Symptomatic URTI

    Time frame: 11 days

    The number of days with cold is defined as the sum of all days with a total score of ≥ 6 according to the modified method of Jackson.

  4. Fewer Days With Asymptomatic URTI

    Time frame: 11 days

    The number of days with asymptomatic URTI is defined as the sum of all days with a viral load significantly different from the baseline.

  5. Lower Level of Proinflammatory Proteins

    Time frame: 11 days

    Nasal samples will be analysed for the quantity of IL-6 (Interleukin 6), IL-8 and IFNα (Interferon alpha).

  6. Lower Daily Total Symptom Score

    Time frame: Day 0-10

    Jackson score was used and the *mean* sum of the score is reported. Jackson score is based on the sum of 5 severity points in the following scale (0 = absent, 1 = mild, 2 = moderate, 3 = severe, 4 =very severe), where 0 is minimum and 4 is maximum score, for eight cold symptoms: sneezing, nasal obstruction, nasal discharge, sore throat, cough, headache, chilliness, and malaise.

  7. Lower Daily Score of Individual Symptoms

    Time frame: Day 10

    Mean (average) value of the participants' score per symptom on day 10 is reported, i.e. per symptom, the total sum of participants self-reported Jackson score from 0 to 4, divided with number of participants on day 10.

    The Jackson scale for eight cold symptoms is used in the rating, using the following scale (0 = absent, 1 = mild, 2 = moderate, 3 = severe, 4 =very severe , where 0 is no symptom and 4 is maximum symptoms (worsed), for eight cold symptoms: sneezing, nasal obstruction, nasal discharge, sore throat, cough, headache, chilliness, and malaise.

Sponsors and collaborators

Lead sponsor

Enzymatica AB

Industry

Registry information

Official study title

Evaluation of ColdZyme® Mouth Spray on Prevention and Alleviation of Induced Rhinovirus Upper Respiratory Tract Infection in Healthy Volunteers. A Double-blind, Randomized, Placebo-controlled Study

Acronym: COLDPREV

Important dates

Study start
2013
Primary completion
2013
Study completion
2013
First posted
Aug 13, 2015
Registry last updated
Aug 23, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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