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ABSTRACT: Objective
To determine the feasibility of a randomised controlled trial (RCT) of rhinothermy for the common cold.Design
Open label, randomised, controlled feasibility study.Setting
Single-centre research institute in New Zealand recruiting participants from the community.Participants
30 adult participants with symptoms of a common cold, presenting within 48?hours of the onset of symptoms.Interventions
Participants were randomly assigned 2:1 to receive either 35?L/min of 100% humidified air at 41°C via high flow nasal cannulae, 2?hours per day for up to 5?days (rhinothermy), or vitamin C 250?mg daily for 5?days (control).Primary and secondary outcome measures
The primary outcome was the proportion of screened candidates who were randomised. Secondary outcomes included: proportion of randomised participants who completed the study; modified Jackson scores from randomisation to 10 days after initiation of randomised regimen; time until feeling 'a lot better' compared with study entry; time until resolution of symptoms or symptom score at 10 days postrandomisation; proportion of organisms identified by PCR analysis of nasal swabs taken at baseline; the patterns of use of the rhinothermy device; estimated adherence of the control group; and rhinothermy device tolerability.Results
In all 30/79 (38%, 95%?CI 27% to 50%) of potential participants screened for eligibility were randomised. Rhinothermy was well tolerated, and all randomised participants completed the study (100%, 95%?CI 88% to 100%). The reduction from baseline in the modified Jackson score was greater with rhinothermy compared with control at days 2, 3, 4, 5 and 6, with the maximum difference at day 4 (-6.4, 95%?CI -9.4 to -3.3). The substantial clinical benefit threshold for modified Jackson score was a 5-unit change.Conclusions
This study shows that an RCT of rhinothermy compared with low-dose vitamin C in the treatment of the common cold is feasible.Trial registration number
ACTRN12616000470493; Results.
SUBMITTER: Hei SV
PROVIDER: S-EPMC5875674 | biostudies-literature | 2018 Mar
REPOSITORIES: biostudies-literature
Hei Susanne van de SV McKinstry Steven S Bardsley George G Weatherall Mark M Beasley Richard R Fingleton James J
BMJ open 20180327 3
<h4>Objective</h4>To determine the feasibility of a randomised controlled trial (RCT) of rhinothermy for the common cold.<h4>Design</h4>Open label, randomised, controlled feasibility study.<h4>Setting</h4>Single-centre research institute in New Zealand recruiting participants from the community.<h4>Participants</h4>30 adult participants with symptoms of a common cold, presenting within 48 hours of the onset of symptoms.<h4>Interventions</h4>Participants were randomly assigned 2:1 to receive eith ...[more]