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Erschienen in: Advances in Therapy 7/2018

15.06.2018 | Original Research

Phytomedicines in Acute Rhinosinusitis: A Prospective, Non-interventional Parallel-Group Trial

verfasst von: Stefan Gottschlich, Kristina Röschmann, Henning Candler

Erschienen in: Advances in Therapy | Ausgabe 7/2018

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Abstract

Introduction

The objective of this prospective, multicenter, parallel-group, non-interventional clinical trial (NIT) was to characterize the effectiveness of a treatment with the phytomedicines ELOM-080 and BNO 1016 in patients with acute rhinosinusitis (ARS).

Methods

A total of 228 patients suffering from ARS took part in this NIT and were treated for a maximum of 14 days with either BNO 1016 or ELOM-080. Focus was on improvement of rhinosinusitis-associated pain/discomfort and nasal congestion in real-life conditions of primary care setting, as assessed by numeric and verbal rating scale, and five-point Likert scale.

Results

The course of the key ARS symptom facial pain demonstrated a faster recovery in patients with ELOM-080, when compared to BNO 1016. ELOM-080 tended to be superior for several ancillary criteria and induced significantly higher patient satisfaction with regard to the improvement of feeling of general illness. Physicians assessed both products to be very effective and well tolerated. Adverse drug reactions classified as gastrointestinal disorders occurred in both groups to a comparable extent.

Conclusion

This trial demonstrated comparable effectiveness of a therapy of ARS with the phytomedicines ELOM-080 and BNO 1016, although the treatment with ELOM-080 resulted in a more rapid and more complete recovery in ARS key symptoms and tended to be superior for several ancillary criteria. Both treatments were well tolerated.

Trial registration number

NIS-6471.

Funding

G. Pohl-Boskamp GmbH & Co. KG.
Literatur
1.
Zurück zum Zitat Fokkens WJ, et al. EPOS 2012: European position paper on rhinosinusitis and nasal polyps 2012. A summary for otorhinolaryngologists. Rhinology. 2012;50(1):1–12.PubMedCrossRef Fokkens WJ, et al. EPOS 2012: European position paper on rhinosinusitis and nasal polyps 2012. A summary for otorhinolaryngologists. Rhinology. 2012;50(1):1–12.PubMedCrossRef
2.
Zurück zum Zitat Rosenfeld RM, et al. Clinical practice guideline (update): adult sinusitis executive summary. Otolaryngol Head Neck Surg. 2015;152(4):598–609.CrossRefPubMed Rosenfeld RM, et al. Clinical practice guideline (update): adult sinusitis executive summary. Otolaryngol Head Neck Surg. 2015;152(4):598–609.CrossRefPubMed
3.
Zurück zum Zitat Stuck B, et al. Rhinosinusitis guidelines—unabridged version: S2 guidelines from the German Society of Otorhinolaryngology, Head and Neck Surgery. HNO. 2012;60(2):141.CrossRefPubMed Stuck B, et al. Rhinosinusitis guidelines—unabridged version: S2 guidelines from the German Society of Otorhinolaryngology, Head and Neck Surgery. HNO. 2012;60(2):141.CrossRefPubMed
4.
Zurück zum Zitat Hastan D, et al. Chronic rhinosinusitis in Europe—an underestimated disease. A GA2LEN study. Allergy. 2011;66(9):1216–23.CrossRefPubMed Hastan D, et al. Chronic rhinosinusitis in Europe—an underestimated disease. A GA2LEN study. Allergy. 2011;66(9):1216–23.CrossRefPubMed
5.
Zurück zum Zitat Fokkens W, Lund V, Mullol J. European position paper on rhinosinusitis and nasal polyps 2007. Rhinol Suppl. 2007;20:1–136.PubMed Fokkens W, Lund V, Mullol J. European position paper on rhinosinusitis and nasal polyps 2007. Rhinol Suppl. 2007;20:1–136.PubMed
6.
Zurück zum Zitat Stuck BA, et al. Guideline for “rhinosinusitis”-long version: S2k guideline of the German College of General Practitioners and Family Physicians and the German Society for Oto-Rhino-Laryngology, Head and Neck Surgery. HNO. 2018;66:38–74. Stuck BA, et al. Guideline for “rhinosinusitis”-long version: S2k guideline of the German College of General Practitioners and Family Physicians and the German Society for Oto-Rhino-Laryngology, Head and Neck Surgery. HNO. 2018;66:38–74.
7.
Zurück zum Zitat Beeh KM, et al. Effect of ELOM-080 on exacerbations and symptoms in COPD patients with a chronic bronchitis phenotype—a post hoc analysis of a randomized, double-blind, placebo-controlled clinical trial. Int J Chronic Obstr Pulm Dis. 2016;11:2877–84.CrossRef Beeh KM, et al. Effect of ELOM-080 on exacerbations and symptoms in COPD patients with a chronic bronchitis phenotype—a post hoc analysis of a randomized, double-blind, placebo-controlled clinical trial. Int J Chronic Obstr Pulm Dis. 2016;11:2877–84.CrossRef
8.
Zurück zum Zitat Wittig T. Myrtol standardisiert—Eine klinische Dokumentation, vol. 5. 5th ed. Hamburg: Ergebnisse-Verlag; 2010. Wittig T. Myrtol standardisiert—Eine klinische Dokumentation, vol. 5. 5th ed. Hamburg: Ergebnisse-Verlag; 2010.
9.
Zurück zum Zitat Federspil P, Wulkow R, Zimmermann T. Effects of standardized Myrtol in therapy of acute sinusitis—results of a double-blind, randomized multicenter study compared with placebo. Laryngorhinootologie. 1997;76(1):23–7.CrossRefPubMed Federspil P, Wulkow R, Zimmermann T. Effects of standardized Myrtol in therapy of acute sinusitis—results of a double-blind, randomized multicenter study compared with placebo. Laryngorhinootologie. 1997;76(1):23–7.CrossRefPubMed
10.
Zurück zum Zitat Gillissen A, et al. A multi-centre, randomised, double-blind, placebo-controlled clinical trial on the efficacy and tolerability of GeloMyrtol® forte in acute bronchitis. Drug Res. 2013;63(1):19–27.CrossRef Gillissen A, et al. A multi-centre, randomised, double-blind, placebo-controlled clinical trial on the efficacy and tolerability of GeloMyrtol® forte in acute bronchitis. Drug Res. 2013;63(1):19–27.CrossRef
11.
Zurück zum Zitat Matthys H, et al. Efficacy and tolerability of myrtol standardized in acute bronchitis. A multi-centre, randomised, double-blind, placebo-controlled parallel group clinical trial vs. cefuroxime and ambroxol. Arzneimittelforschung. 2000;50(8):700–11.PubMed Matthys H, et al. Efficacy and tolerability of myrtol standardized in acute bronchitis. A multi-centre, randomised, double-blind, placebo-controlled parallel group clinical trial vs. cefuroxime and ambroxol. Arzneimittelforschung. 2000;50(8):700–11.PubMed
12.
Zurück zum Zitat Meister R, et al. Efficacy and tolerability of myrtol standardized in long-term treatment of chronic bronchitis. A double-blind, placebo-controlled study. Study Group Investigators. Arzneimittelforschung. 1999;49(4):351–8.PubMed Meister R, et al. Efficacy and tolerability of myrtol standardized in long-term treatment of chronic bronchitis. A double-blind, placebo-controlled study. Study Group Investigators. Arzneimittelforschung. 1999;49(4):351–8.PubMed
13.
Zurück zum Zitat Cao L, et al. Effect of Myrtol standardized on mucus hypersecretion and clearance of Pseudomonas aeruginosa in a rat model of chronic obstructive pulmonary disease. Arzneimittelforschung. 2010;61(12):685–92. Cao L, et al. Effect of Myrtol standardized on mucus hypersecretion and clearance of Pseudomonas aeruginosa in a rat model of chronic obstructive pulmonary disease. Arzneimittelforschung. 2010;61(12):685–92.
14.
Zurück zum Zitat App EM. Stellenwert der Mukusclearance für das Bronchialsystem, Pathophysiologie und therapeutische Ansätze; in Entzündliche Erkrankungen des Bronchialsystems. In: Meister R, editor. Entzündliche Erkrankung des Bronchialsystems—Ergebnisse der II. Sylter Sekretolyse-Gespräche, Heidelberg: Springer; 2000. p. 27–53.CrossRef App EM. Stellenwert der Mukusclearance für das Bronchialsystem, Pathophysiologie und therapeutische Ansätze; in Entzündliche Erkrankungen des Bronchialsystems. In: Meister R, editor. Entzündliche Erkrankung des Bronchialsystems—Ergebnisse der II. Sylter Sekretolyse-Gespräche, Heidelberg: Springer; 2000. p. 27–53.CrossRef
15.
Zurück zum Zitat Begrow F, et al. Effect of Myrtol standardized and other substances on the respiratory tract: ciliary beat frequency and mucociliary clearance as parameters. Adv Ther. 2012;29(4):350–8.CrossRefPubMed Begrow F, et al. Effect of Myrtol standardized and other substances on the respiratory tract: ciliary beat frequency and mucociliary clearance as parameters. Adv Ther. 2012;29(4):350–8.CrossRefPubMed
16.
Zurück zum Zitat Beuscher N, et al. Myrtol standardized (MYS) in treatment of sinusitis and bronchitis. Pharmacodynamics and pharmacokinetics. In: Abstract book of the 8th congress of the Gesellschaft für Phytotherapie. Gesellschaft für Phytotherapie; 1997. Beuscher N, et al. Myrtol standardized (MYS) in treatment of sinusitis and bronchitis. Pharmacodynamics and pharmacokinetics. In: Abstract book of the 8th congress of the Gesellschaft für Phytotherapie. Gesellschaft für Phytotherapie; 1997.
17.
Zurück zum Zitat Beuscher N, et al. Interference of myrtol standardized with inflammatory and allergic mediators. Arzneimittelforschung. 1998;48(10):985–9.PubMed Beuscher N, et al. Interference of myrtol standardized with inflammatory and allergic mediators. Arzneimittelforschung. 1998;48(10):985–9.PubMed
18.
Zurück zum Zitat Christoph F, Kaulfers P-M, Stahl-Biskup E. In vitro evaluation of the antibacterial activity of β-triketones admixed to Melaleuca oils. Planta Med. 2001;67(08):768–71.CrossRefPubMed Christoph F, Kaulfers P-M, Stahl-Biskup E. In vitro evaluation of the antibacterial activity of β-triketones admixed to Melaleuca oils. Planta Med. 2001;67(08):768–71.CrossRefPubMed
19.
Zurück zum Zitat Grassmann J, et al. Antioxidant properties of essential oils. Possible explanations for their anti-inflammatory effects. Arzneimittelforschung. 2000;50(2):135–9.PubMed Grassmann J, et al. Antioxidant properties of essential oils. Possible explanations for their anti-inflammatory effects. Arzneimittelforschung. 2000;50(2):135–9.PubMed
20.
Zurück zum Zitat Rantzsch U, et al. Anti-inflammatory effects of myrtol standardized and other essential oils on alveolar macrophages from patients with chronic obstructive pulmonary disease. Eur J Med Res. 2009;14(4):205–9.CrossRefPubMedPubMedCentral Rantzsch U, et al. Anti-inflammatory effects of myrtol standardized and other essential oils on alveolar macrophages from patients with chronic obstructive pulmonary disease. Eur J Med Res. 2009;14(4):205–9.CrossRefPubMedPubMedCentral
21.
Zurück zum Zitat Kaschke O, Behrbohm H, Sydow K. The influence of a secretolytic drug on mucociliary clearance of the maxillary sinus. J Rhinol. 1997;4(1):29–33. Kaschke O, Behrbohm H, Sydow K. The influence of a secretolytic drug on mucociliary clearance of the maxillary sinus. J Rhinol. 1997;4(1):29–33.
22.
Zurück zum Zitat Lai Y, et al. In vitro studies of a distillate of rectified essential oils on sinonasal components of mucociliary clearance. Am J Rhinol Allergy. 2014;28(3):244–8.CrossRefPubMed Lai Y, et al. In vitro studies of a distillate of rectified essential oils on sinonasal components of mucociliary clearance. Am J Rhinol Allergy. 2014;28(3):244–8.CrossRefPubMed
23.
Zurück zum Zitat Li YY, et al. Myrtol standardized affects mucociliary clearance. Int Forum Allergy Rhinol. 2017;7(3):304–11.CrossRefPubMed Li YY, et al. Myrtol standardized affects mucociliary clearance. Int Forum Allergy Rhinol. 2017;7(3):304–11.CrossRefPubMed
24.
Zurück zum Zitat Jund R, Mondigler M, Steindl H, Stammer H, Bachert C. Clinical efficacy of a dry extract of five herbal drugs in acute viral rhinosinusitis. Rhinology. 2012;50(4):417–26.PubMedCrossRef Jund R, Mondigler M, Steindl H, Stammer H, Bachert C. Clinical efficacy of a dry extract of five herbal drugs in acute viral rhinosinusitis. Rhinology. 2012;50(4):417–26.PubMedCrossRef
25.
26.
Zurück zum Zitat Palm J, et al. Assessment of efficacy and safety of the herbal medicinal product BNO 1016 in chronic rhinosinusitis. Rhinology. 2017;55(2):142–51.CrossRefPubMed Palm J, et al. Assessment of efficacy and safety of the herbal medicinal product BNO 1016 in chronic rhinosinusitis. Rhinology. 2017;55(2):142–51.CrossRefPubMed
27.
Zurück zum Zitat Ismail C. Pharmakologische Effekte von Sinupret®. HNO. 2005;53(1):38–42.CrossRef Ismail C. Pharmakologische Effekte von Sinupret®. HNO. 2005;53(1):38–42.CrossRef
28.
Zurück zum Zitat Marz RW, Ismail C, Popp MA. Profile and effectiveness of a phytogenic combination preparation for treatment of sinusitis. Wien Med Wochenschr. 1999;149(8–10):202–8.PubMed Marz RW, Ismail C, Popp MA. Profile and effectiveness of a phytogenic combination preparation for treatment of sinusitis. Wien Med Wochenschr. 1999;149(8–10):202–8.PubMed
29.
Zurück zum Zitat Glatthaar-Saalmüller B, et al. Antiviral activity in vitro of two preparations of the herbal medicinal product Sinupret® against viruses causing respiratory infections. Phytomedicine. 2011;19(1):1–7.CrossRefPubMed Glatthaar-Saalmüller B, et al. Antiviral activity in vitro of two preparations of the herbal medicinal product Sinupret® against viruses causing respiratory infections. Phytomedicine. 2011;19(1):1–7.CrossRefPubMed
30.
Zurück zum Zitat Kreindler JL, et al. The novel dry extract BNO 1011 stimulates chloride transport and ciliary beat frequency in human respiratory epithelial cultures. Am J Rhinol Allergy. 2012;26(6):439–43.CrossRefPubMed Kreindler JL, et al. The novel dry extract BNO 1011 stimulates chloride transport and ciliary beat frequency in human respiratory epithelial cultures. Am J Rhinol Allergy. 2012;26(6):439–43.CrossRefPubMed
31.
Zurück zum Zitat Rossi A, et al. The novel Sinupret® dry extract exhibits anti-inflammatory effectiveness in vivo. Fitoterapia. 2012;83(4):715–20.CrossRefPubMed Rossi A, et al. The novel Sinupret® dry extract exhibits anti-inflammatory effectiveness in vivo. Fitoterapia. 2012;83(4):715–20.CrossRefPubMed
32.
Zurück zum Zitat Seifert S, et al. The novel Sinupret® dry extract BNO 1011 inhibits paw oedema development in vivo and inflammatory mediator release in vitro. Planta Med. 2012;78(11):PD107. Seifert S, et al. The novel Sinupret® dry extract BNO 1011 inhibits paw oedema development in vivo and inflammatory mediator release in vitro. Planta Med. 2012;78(11):PD107.
33.
Zurück zum Zitat Antunes MB, Cohen NA. Mucociliary clearance—a critical upper airway host defense mechanism and methods of assessment. Curr Opin Allergy Clin Immunol. 2007;7(1):5–10.CrossRefPubMed Antunes MB, Cohen NA. Mucociliary clearance—a critical upper airway host defense mechanism and methods of assessment. Curr Opin Allergy Clin Immunol. 2007;7(1):5–10.CrossRefPubMed
34.
Zurück zum Zitat Bionorica, Fachinformation Sinupret extract. 2014. Bionorica, Fachinformation Sinupret extract. 2014.
35.
Zurück zum Zitat Pohl-Boskamp, Fachinformation GeloMyrtol/GeloMyrtol forte. 2014. Pohl-Boskamp, Fachinformation GeloMyrtol/GeloMyrtol forte. 2014.
36.
Zurück zum Zitat Passali D, et al. A prospective open-label study to assess the efficacy and safety of a herbal medicinal product (Sinupret) in patients with acute rhinosinusitis. ORL J Otorhinolaryngol Relat Spec. 2015;77(1):27–32.CrossRefPubMed Passali D, et al. A prospective open-label study to assess the efficacy and safety of a herbal medicinal product (Sinupret) in patients with acute rhinosinusitis. ORL J Otorhinolaryngol Relat Spec. 2015;77(1):27–32.CrossRefPubMed
37.
Zurück zum Zitat Bischoff I, Zündorf I, Fürst R. TNF-α as crucial inflammatory mediator. PHARMAKON. 2017;5(5):337–42. Bischoff I, Zündorf I, Fürst R. TNF-α as crucial inflammatory mediator. PHARMAKON. 2017;5(5):337–42.
38.
Zurück zum Zitat Sedger LM, McDermott MF. TNF and TNF-receptors: from mediators of cell death and inflammation to therapeutic giants—past, present and future. Cytokine Growth Factor Rev. 2014;25(4):453–72.CrossRefPubMed Sedger LM, McDermott MF. TNF and TNF-receptors: from mediators of cell death and inflammation to therapeutic giants—past, present and future. Cytokine Growth Factor Rev. 2014;25(4):453–72.CrossRefPubMed
39.
Zurück zum Zitat Tesche S, et al. The value of herbal medicines in the treatment of acute non-purulent rhinosinusitis. Results of a double-blind, randomised, controlled trial. Eur Arch Otorhinolaryngol. 2008;265(11):1355–9.CrossRefPubMed Tesche S, et al. The value of herbal medicines in the treatment of acute non-purulent rhinosinusitis. Results of a double-blind, randomised, controlled trial. Eur Arch Otorhinolaryngol. 2008;265(11):1355–9.CrossRefPubMed
40.
Zurück zum Zitat Guo R, Canter PH, Ernst E. Herbal medicines for the treatment of rhinosinusitis: a systematic review. Otolaryngol Head Neck Surg. 2006;135(4):496–506.CrossRefPubMed Guo R, Canter PH, Ernst E. Herbal medicines for the treatment of rhinosinusitis: a systematic review. Otolaryngol Head Neck Surg. 2006;135(4):496–506.CrossRefPubMed
41.
Zurück zum Zitat Pfaar O, et al. Cyclamen europaeum nasal spray, a novel phytotherapeutic product for the management of acute rhinosinusitis: a randomized double-blind, placebo-controlled trial. Rhinology. 2012;50(1):37–44.PubMed Pfaar O, et al. Cyclamen europaeum nasal spray, a novel phytotherapeutic product for the management of acute rhinosinusitis: a randomized double-blind, placebo-controlled trial. Rhinology. 2012;50(1):37–44.PubMed
42.
Zurück zum Zitat Bachert C, et al. Treatment of acute rhinosinusitis with the preparation from Pelargonium sidoides EPs 7630: a randomized, double-blind, placebo-controlled trial. Rhinology. 2009;47(1):51.PubMed Bachert C, et al. Treatment of acute rhinosinusitis with the preparation from Pelargonium sidoides EPs 7630: a randomized, double-blind, placebo-controlled trial. Rhinology. 2009;47(1):51.PubMed
43.
Zurück zum Zitat Timmer A, et al. Pelargonium sidoides extract for treating acute respiratory tract infections. Cochrane Database Syst Rev. 2013;2013(10):Cd006323. Timmer A, et al. Pelargonium sidoides extract for treating acute respiratory tract infections. Cochrane Database Syst Rev. 2013;2013(10):Cd006323.
44.
Zurück zum Zitat Hansen JG. Acute rhinosinusitis (ARS). Diagnosis and treatment of adults in general practice. Dan Med J. 2014;61(2):B4801.PubMed Hansen JG. Acute rhinosinusitis (ARS). Diagnosis and treatment of adults in general practice. Dan Med J. 2014;61(2):B4801.PubMed
45.
Zurück zum Zitat Williams JW Jr, et al. Antibiotics for acute maxillary sinusitis. Cochrane Database Syst Rev. 2000;2000(2):Cd000243. Williams JW Jr, et al. Antibiotics for acute maxillary sinusitis. Cochrane Database Syst Rev. 2000;2000(2):Cd000243.
46.
Zurück zum Zitat Mann W, Jonas I. A study of spontaneous cure of sinusitis (author’s transl). HNO. 1981;29(3):92–4.PubMed Mann W, Jonas I. A study of spontaneous cure of sinusitis (author’s transl). HNO. 1981;29(3):92–4.PubMed
47.
Zurück zum Zitat van Buchem FL, et al. Primary-care-based randomised placebo-controlled trial of antibiotic treatment in acute maxillary sinusitis. Lancet. 1997;349(9053):683–7.CrossRefPubMed van Buchem FL, et al. Primary-care-based randomised placebo-controlled trial of antibiotic treatment in acute maxillary sinusitis. Lancet. 1997;349(9053):683–7.CrossRefPubMed
Metadaten
Titel
Phytomedicines in Acute Rhinosinusitis: A Prospective, Non-interventional Parallel-Group Trial
verfasst von
Stefan Gottschlich
Kristina Röschmann
Henning Candler
Publikationsdatum
15.06.2018
Verlag
Springer Healthcare
Erschienen in
Advances in Therapy / Ausgabe 7/2018
Print ISSN: 0741-238X
Elektronische ISSN: 1865-8652
DOI
https://doi.org/10.1007/s12325-018-0736-7

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