PMID- 37762768 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231003 IS - 2077-0383 (Print) IS - 2077-0383 (Electronic) IS - 2077-0383 (Linking) VI - 12 IP - 18 DP - 2023 Sep 7 TI - Effectiveness and Tolerability of Ectoin((R)) Mouth and Throat Spray Althaea Honey (ERS09) for Sore Throat due to Acute Pharyngitis and Dry Cough: A Multicentre, Actively Controlled, Open Label Study in Germany. LID - 10.3390/jcm12185813 [doi] LID - 5813 AB - Acute pharyngitis can cause sore throat. This multicentre, active-controlled, randomised, open-label, and parallel-group study, conducted according to the German Medical Devices Act, compared the effectiveness and tolerability of ERS09 mouth and throat spray with a well-established device for the treatment of sore throat caused by acute pharyngitis and dry cough. Patients were randomised 1:1 into ERS09/comparator groups (EMSER((R)) Sore Throat Spray) for 7 +/- 2 days. Patients and investigators reported effectiveness (change in total symptom score [TSS]) and safety endpoints (incidence of adverse events [AEs]; adverse device effects [ADEs]). A total of 186 patients were included (ERS09: n = 92; comparator: n = 94). The baseline-adjusted mean TSS over 7 days was -90.14 and -74.91 in the ERS09 and comparator groups, respectively (p < 0.05). The majority of patients reached a 50% reduction in symptoms by day 6 (ERS09 = 78.85; comparator = 75.8%). Most patients reported a soothing effect within five minutes (ERS09 = 82%; comparator = 71%). Improvements in individual symptoms were similar with no significant differences between groups; more patients in the ERS09 group reported an improvement in pharyngeal redness/swelling. Three AEs unrelated to medication, one ADE following ERS09, and no serious AE/ADE were reported. ERS09 was as well tolerated and effective as the established device, showing greater improvement in the management of some symptoms and greater patient preference. FAU - Roventa, Don Lorenzo Constantin AU - Roventa DLC AD - Institute of Medical Statistics and Bioinformatics (IMSB), Faculty of Medicine, University of Cologne, 50924 Cologne, Germany. FAU - Pieper-Furst, Ursula AU - Pieper-Furst U AD - ClinCompetence Cologne GmbH, Theodor-Heuss-Ring 14, 50668 Cologne, Germany. FAU - Acikel, Cengizhan AU - Acikel C AUID- ORCID: 0000-0001-5699-4305 AD - ClinCompetence Cologne GmbH, Theodor-Heuss-Ring 14, 50668 Cologne, Germany. FAU - Santos, Dunia AU - Santos D AUID- ORCID: 0009-0007-3878-1155 AD - Sanofi, 65926 Frankfurt, Germany. FAU - Sent, Ulrike AU - Sent U AD - Sanofi, 65926 Frankfurt, Germany. FAU - Mosges, Ralph AU - Mosges R AUID- ORCID: 0000-0002-1928-810X AD - Institute of Medical Statistics and Bioinformatics (IMSB), Faculty of Medicine, University of Cologne, 50924 Cologne, Germany. AD - ClinCompetence Cologne GmbH, Theodor-Heuss-Ring 14, 50668 Cologne, Germany. LA - eng GR - N/A/Sanofi/ PT - Journal Article DEP - 20230907 PL - Switzerland TA - J Clin Med JT - Journal of clinical medicine JID - 101606588 PMC - PMC10531782 OTO - NOTNLM OT - acute pharyngitis OT - dry cough OT - ectoine OT - sore throat OT - throat spray OT - treatment device COIS- U.S. and D.S. are employees of Sanofi and may hold shares and/or stock options in the company. D.L.C.R., U.P.-F., and C.A. have no relevant financial interests to disclose. R.M. reports personal fees from Sanofi and research funds and non-financial support from Bitop AG during the conduct of the study; personal fees from ALK, research funds from ASIT biotech, personal fees from allergopharma, personal fees from Allergy Therapeutics, research funds and personal fees from Bencard, research funds from Leti, research funds, personal fees, and non-financial support from Lofarma, non-financial support from Roxall, research funds and personal fees from Stallergenes, research funds from Optima, personal fees from Friulchem, personal fees from Hexal, personal fees from Servier, personal fees from Klosterfrau, non-financial support from Atmos, personal fees from Bayer, non-financial support from Bionorica, personal fees from FAES, personal fees from GSK, personal fees from MSD, personal fees from Johnson&Johnson, personal fees from Meda, personal fees and non-financial support from Novartis, non-financial support from Otonomy, personal fees from Stada, personal fees from UCB, non-financial support from Ferrero, research funding from Hulka, personal fees from Nuvo, research funding from Ursapharm, personal fees from Menarini, personal fees from Mundipharma, personal fees from Pohl-Boskamp, and research funding from Inmunotek outside the submitted work. EDAT- 2023/09/28 06:42 MHDA- 2023/09/28 06:43 PMCR- 2023/09/07 CRDT- 2023/09/28 01:22 PHST- 2023/07/25 00:00 [received] PHST- 2023/08/31 00:00 [revised] PHST- 2023/09/04 00:00 [accepted] PHST- 2023/09/28 06:43 [medline] PHST- 2023/09/28 06:42 [pubmed] PHST- 2023/09/28 01:22 [entrez] PHST- 2023/09/07 00:00 [pmc-release] AID - jcm12185813 [pii] AID - jcm-12-05813 [pii] AID - 10.3390/jcm12185813 [doi] PST - epublish SO - J Clin Med. 2023 Sep 7;12(18):5813. doi: 10.3390/jcm12185813.