| CTRI Number |
CTRI/2024/12/078310 [Registered on: 18/12/2024] Trial Registered Prospectively |
| Last Modified On: |
10/01/2026 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Homeopathy |
| Study Design |
Randomized, Parallel Group, Placebo Controlled Trial |
|
Public Title of Study
|
Homoeopathic treatment of sinus problems in adults |
|
Scientific Title of Study
|
A double-blind, randomized, placebo-controlled trial to evaluate the efficacy of individualized homoeopathic medicines in the treatment of
chronic rhinosinusitis in adults |
| Trial Acronym |
NIL |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| U1111-1316-5029 |
UTN |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Monalisa Khatun |
| Designation |
Postgraduate Trainee |
| Affiliation |
D N De Homoeopathic Medical College and Hospital |
| Address |
Dept of Materia Medica, OPD room no. PG2 (Materia Medica) and 7 (ENT), 12, Gobinda Khatick Road
Kolkata WEST BENGAL 700046 India |
| Phone |
|
| Fax |
|
| Email |
monalisakhatun96@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Saima Shamim |
| Designation |
Reader |
| Affiliation |
D N De Homoeopathic Medical College and Hospital |
| Address |
Dept of Materia Medica, OPD room no. PG2 (Materia Medica), 12, Gobinda Khatick Road
Kolkata WEST BENGAL 700046 India |
| Phone |
7059526218 |
| Fax |
|
| Email |
drsaima_7@yahoo.com |
|
Details of Contact Person Public Query
|
| Name |
Saima Shamim |
| Designation |
Reader |
| Affiliation |
D N De Homoeopathic Medical College and Hospital |
| Address |
Dept of Materia Medica, OPD room no. PG2 (Materia Medica), 12, Gobinda Khatick Road
Kolkata WEST BENGAL 700046 India |
| Phone |
7059526218 |
| Fax |
|
| Email |
drsaima_7@yahoo.com |
|
|
Source of Monetary or Material Support
|
| D N De Homoeopathic Medical College and Hospital 12 Gobinda Khatick Road Kolkata 700046 |
|
|
Primary Sponsor
|
| Name |
D N De Homoeopathic Medical College and Hospital |
| Address |
12 Gobinda Khatick Road Kolkata 700046 |
| Type of Sponsor |
Government medical college |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Monalisa Khatun |
D N De Homoeopathic Medical College and Hospital |
Dept of Materia Medica OPD No PG2 and OPD No 7, 12 Gobinda Khatick Road, Kolkata 700046 Kolkata WEST BENGAL |
9002255982
monalisakhatun96@gmail.com |
|
Details of Ethics Committee
Modification(s)
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Institutional Ethics Committee of D N De Homoeopathic Medical College and Hospital |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: J329||Chronic sinusitis, unspecified, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Comparator Agent |
Identical-looking placebo plus concomitant care |
This group will receive a placebo in conjunction with concomitant care. The placebo will have the same appearance
as the active treatment. Each dose of the placebo will comprise 3-4 globules
(number 40) of cane sugar, which will be moistened with rectified spirit and
administered orally on a clean tongue while fasting; the dosage and frequency will be tailored to the individual needs of the participants. All materials will be sourced from a firm that adheres to Good Manufacturing Practice (GMP)
standards. The follow-up period will last for three months. Both the active
medications and placebos will be repackaged in identical glass containers, labeled with a code, the name of the medication, potency, and dispensed according to a random number list. Concomitant care measures include steam inhalation, meditation, yoga, avoidance of alcohol, tobacco and dusty environment. Dose: Individualized. Frequency: Individualized. Route of administration: per oral.
Duration of therapy: 3 months. |
| Intervention |
Individualized homeopathic medicines in individualized dosage plus concomitant care |
This group will be provided with homoeopathic remedies along with concomitant care. Individualized homoeopathic medicines will be administered in centesimal potencies, as
deemed suitable for each specific case or condition. Each dose on the centesimal
scale will comprise 3-4 globules (number 40) of cane sugar, which will be
moistened with the prescribed remedy (preserved in 90% v/v ethanol) and taken orally on a clean tongue while in empty stomach. The dosage and frequency will be tailored to the individual needs of the patients. They will be instructed to avoid handling the globules and to refrain from eating, drinking, smoking, or brushing their teeth for 30 minutes after ingestion. Patients will be encouraged to dissolve the globules in their mouths rather than swallowing them whole. A single, individualized remedy will be prescribed during each consultation, considering the totality of presenting symptoms, detailed clinical history, constitutional characteristics, miasmatic expressions, and repertorization using
HOMPATH® software, when necessary, with appropriate reference to Materia
Medica and consensus among three homoeopaths. All remedies will be sourced
from a firm that adheres to Good Manufacturing Practice (GMP) standards. Concomitant care measures include steam inhalation, meditation, yoga, avoidance of alcohol, tobacco and dusty environment. Dose: Individualized. Frequency: Individualized. Route of administration: per oral.
Duration of therapy: 3 months |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
65.00 Year(s) |
| Gender |
Both |
| Details |
1. Patients suffering from CRS for 12 weeks or more, who had not taken any treatment for the last 2 weeks, fulfilled the diagnostic criteria of AAO-HNS.
2. Age 18 to 65 years.
3. Patients ability to understand English, Hindi and/or Bengali.
4. Participants of either sex or transgender. |
|
| ExclusionCriteria |
| Details |
1. Not willing to provide with written consent of voluntary participation.
2. Mild case 8 to 20 and severe case more than 50 of chronic rhinosinusitis according to SNOT 22 score.
3, Have DNS, swollen nasal turbinate, nasal polyp or nasal obstruction or any other structural abnormalities of nose and eyes.
4. Respiratory infections.
5. Patients with risk of developing bronchial asthma.
6. Suffering from uncontrolled systemic illness or life threatening infections.
7. Regular or excessive use of alcohol, tobacco, substance abuse and any other addiction.
8. Person under corticosteroid therapy.
9. Vulnerable population unconscious, non ambulatory, too sick for consultation, terminally ill or critically ill, mentally incompetent people.
10. Pregnant and puerperal women and lactating mother.
11. Self reported immune compromised state.
12. Already undergoing homoeopathic treatment within last 3 months for any other disease.
13. Simultaneous participation in any other trial. |
|
|
Method of Generating Random Sequence
|
Permuted block randomization, variable |
|
Method of Concealment
|
Pre-numbered or coded identical Containers |
|
Blinding/Masking
|
Participant, Investigator, Outcome Assessor and Date-entry Operator Blinded |
|
Primary Outcome
|
| Outcome |
TimePoints |
Sino Nasal Outcome Test-22 questionnaire (SNOT 22)
|
Baseline, and every month, up to 3 months |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| Measure Yourself Medical Outcome Profile version 2 (MYMOP-2) questionnaire |
Baseline, and every month, up to 3 months |
| Detect the frequency of conventional treatment utilization. |
Baseline, and every month, up to 3 months |
|
Target Sample Size
Modification(s)
|
Total Sample Size="105" Sample Size from India="105"
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" |
|
Phase of Trial
|
Phase 2/ Phase 3 |
|
Date of First Enrollment (India)
|
01/01/2025 |
| Date of Study Completion (India) |
Applicable only for Completed/Terminated trials |
| Date of First Enrollment (Global) |
Date Missing |
| Date of Study Completion (Global) |
Applicable only for Completed/Terminated trials |
|
Estimated Duration of Trial
|
Years="1" Months="6" Days="0" |
|
Recruitment Status of Trial (Global)
|
Not Applicable |
| Recruitment Status of Trial (India) |
Open to Recruitment |
|
Publication Details
|
N/A |
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - YES
- What data in particular will be shared?
Response - All of the individual participant data collected during the trial, after de-identification.
- What additional supporting information will be shared?
Response - Study Protocol Response - Statistical Analysis Plan
- Who will be able to view these files?
Response - Researchers whose proposed use of the data has been approved by an independent review committee identified for this purpose.
- For what types of analyses will this data be available?
Response - Any purpose.
- By what mechanism will data be made available?
Response - Proposals should be directed to [monalisakhatun96@gmail.com].
- For how long will this data be available start date provided 01-01-2027 and end date provided 31-12-2031?
Response - Beginning 3 months and ending 5 years following article publication.
- Any URL or additional information regarding plan/policy for sharing IPD?
Additional Information - NIL
|
Brief Summary
Modification(s)
|
Chronic rhinosinusitis is a group of disorders that is characterized by inflammation of the mucosa of the nose and paranasal sinuses and present with of at least two of the following primary clinical symptoms: anosmia, hyposmia, facial discomfort or pressure, facial congestion or fullness, purulent nasal discharge, and nasal congestion or blockage. These symptoms must persist for a minimum period of 12 weeks. Homoeopathy is a frequently used therapy to treat chronic rhinosinusitis; however, the research evidence is limited. This 3 months, double-blind, randomized, placebo-controlled trial is aimed at evaluating the efficacy of homoeopathic medicines in the treatment of chronic rhinosinusitis in 105 adults .The primary outcome is SNOT-22; the secondary outcomes are MYMOP-2 questionnaires and measure the frequency of conventional treatment utilization, all measured at baseline, and every month, up to 3 months. Comparative analysis will be carried out to detect group differences. Result will be published in scientific journals. |