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Trial registered on ANZCTR
Registration number
ACTRN12624001309572p
Ethics application status
Not yet submitted
Date submitted
9/10/2024
Date registered
29/10/2024
Date last updated
29/10/2024
Date data sharing statement initially provided
29/10/2024
Type of registration
Prospectively registered
Titles & IDs
Public title
Vibration Therapy for Patients with nasal congestion
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Scientific title
Investigating the Effects of Acoustic Therapy on the Nasal Microbiome, Immune Responses, and Well-being in Patients with Chronic Rhinosinusitis or Allergic Rhinitis
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Secondary ID [1]
313145
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Chronic rhinosinusitis
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Allergic rhinitis
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Condition category
Condition code
Respiratory
331993
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0
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Other respiratory disorders / diseases
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Alternative and Complementary Medicine
331994
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0
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Other alternative and complementary medicine
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The principal aims of the study are to investigate the effects of acoustic therapy using the Goodair Nosebuds on the nasal microbiome, immune markers, and overall well-being in individuals with allergic rhinitis (AR) and chronic rhinosinusitis (CRS). The Goodair Nosebuds is a portable device that participants can insert into their nose to provide acoustic therapy in the form of augmented humming at 130 Hz. In the pre-treatment visit (Clinic Visit 1), participants will be shown how to use the device by a Clinical Investigator with over 20 years experience as an Ear-Nose-Throat surgeon. Participants will then be asked to used the device for 10 minutes, twice daily for about 4 weeks, in their own homes (the intervention). A member of the research team will check in weekly with the participants during this time by email or phone. A self-reported adherence to the intervention will be obtained in the post-treatment visit (Clinic Visit 2) as part of a user-experience questionnaire. As the participants will be able to keep the device, their voluntary continuation with the intervention will also be obtained through the user-experience questionnaire in the Follow up visit (Clinic Visit 3).
Participants will attend three clinic visits: one at the beginning (pre-treatment) and one after using the acoustic therapy device for four weeks (post-treatment), each lasting up to one hour. A follow-up visit will occur several weeks after the main study to assess longer-term effects. There will be no randomisation or blinding, and the study will not include a control group, as comparisons will be made to the pre-treatment datapoint for each individual.
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Intervention code [1]
329725
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Treatment: Devices
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Comparator / control treatment
Changes post-treatment and the subsequent follow-up will be compared to the pre-treatment datapoint for each individual.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Nasal microbial community structure
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Assessment method [1]
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Alpha diversity measures of species diversity
Species composition and relative abundances
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Timepoint [1]
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Pre-treatment with post-treatment (4 weeks of treatment) and follow-up at approximately 4 weeks after treatment
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Primary outcome [2]
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Levels of pro-inflammatary and anti-inflammatory markers in blood serum as a composite
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Assessment method [2]
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Pro-inflammatory and anti-inflammatory immune markers analysis based on immuno-fluorescent assays (Enzyme-Linked Immunosorbent Assay (ELISA) or multiplexed assay).
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Timepoint [2]
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Pre-treatment with post-treatment (4 weeks of treatment) and follow-up at approximately 4 weeks after treatment
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Primary outcome [3]
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Sino-Nasal Outcome Test (SNOT-22) questionnaire
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Assessment method [3]
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Mean SNOT-22 score
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Timepoint [3]
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Pre-treatment with post-treatment (4 weeks of treatment) and follow-up at approximately 4 weeks after treatment
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Secondary outcome [1]
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User experience of the acoustic therapy device
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Assessment method [1]
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User experience on a 5-point Likert scale
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Timepoint [1]
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Post-treatment (after 4 weeks of treatment) and follow-up at approximately 4 weeks after treatment
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Eligibility
Key inclusion criteria
1. Aged between 18 to 80 years old
2. Symptoms of CRS or AR
3. Non-smoker
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Minimum age
18
Years
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Maximum age
80
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Fixed structural cause of nasal congestion
2. Current nasal crusting or ulceration on rhinoscopy
3. History of severe nose bleeding within last 3 months
4. Anticoagulation use (acetylsalicylic acid allowed),
5. Known pregnancy
6. Allergic sensitivity to silicone or any other component of device
7. Inability to read and understand English
8. Inability to perform treatment due to underlying medical condition.
9. Nasal swab taken within the past seven days- clinic visits can be re-scheduled for a later date.
10. History of immune disorders or chronic inflammatory diseases other than CRS or AR.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
13/01/2025
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Actual
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Date of last participant enrolment
Anticipated
30/06/2025
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Actual
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Date of last data collection
Anticipated
30/09/2025
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Actual
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Sample size
Target
30
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
26628
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New Zealand
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State/province [1]
26628
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Auckland University of Technology: Performance Based Research Fund
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Address [1]
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Country [1]
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New Zealand
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Primary sponsor type
University
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Name
Auckland University of Technology
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Address
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Country
New Zealand
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Secondary sponsor category [1]
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None
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Name [1]
319892
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Address [1]
319892
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Country [1]
319892
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
316292
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Southern Health and Disability Ethics Committee
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Ethics committee address [1]
316292
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https://ethics.health.govt.nz/about/southern-health-and-disability-ethics-committee/
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Ethics committee country [1]
316292
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New Zealand
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Date submitted for ethics approval [1]
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31/10/2024
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Approval date [1]
316292
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Ethics approval number [1]
316292
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Summary
Brief summary
Allergic rhinitis (AR) and chronic rhinosinusitis (CRS) are significant global health issues, affecting many people in New Zealand. They can cause symptoms like nasal congestion, runny nose, and sleep disturbances. Current treatments, such as antihistamines and nasal sprays, offer temporary relief but can have side effects with long-term use. The human body hosts numerous microorganisms, known as the microbiota, which play a vital role in health. Research shows that the nasal microbiota differs between healthy individuals and those with respiratory diseases. A diverse microbiota supports a balanced immune response, while an imbalance can increase susceptibility to infections. The Goodair® NoseBuds is a device that creates vibrations in the nose to mimic humming, which has been beneficial for patients with CRS. Studies indicate that it can improve symptoms and increase nitric oxide levels in the nasal passages, potentially aiding in the treatment of both AR and CRS without the risks of long-term medication use. This study aims to explore how acoustic therapy influences the nasal microbiome, immune responses, and overall well-being of individuals with AR and CRS. By validating acoustic therapy as an effective treatment option, the study could lead to safer, non-pharmaceutical strategies for managing respiratory conditions, ultimately improving patient outcomes and quality of life.
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Trial website
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Trial related presentations / publications
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Public notes
The direct phone number to the Principal Investigator is +64 9 921 9666 extension 8062.
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Contacts
Principal investigator
Name
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Dr Kelvin Lau
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Address
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Auckland University of Technology, 90 Akoranga Drive, Northcote, Auckland 0627
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Country
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New Zealand
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Phone
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+64 9 921 9666
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Kelvin Lau
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Address
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Auckland University of Technology, 90 Akoranga Drive, Northcote, Auckland 0627
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Country
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New Zealand
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Phone
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+64 9 921 9666
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Kelvin Lau
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Address
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Auckland University of Technology, 90 Akoranga Drive, Northcote, Auckland 0627
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Country
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New Zealand
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Phone
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+64 9 921 9666
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Fax
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
Data relating to individual participants will be de-identified during the analysis. Only summarised data, where information for individuals is not identifiable, will be made publically available.
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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