MSM Product on Attenuating Nasal Provocation With a Standardized Allergenic Challenge

Study Overview
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Brief Summary
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This randomized, double-blind, adaptive design study aims to prove that the Methylsulfonylmethane study product improves nasal breathing and stuffy nose symptoms after exposure to environmental allergens. Endpoints include percent change in Peak Nasal Inspiratory Flow, VAS Nasal Symptom Score, number of sneezes and number of used tissues in response to allergen exposure.

Detailed Description
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Allergic rhinitis, or nasal allergy, is a common condition throughout the world which affects both adult and children alike. It is a group of symptoms characterized by red, itchy eyes, a blocked, itching, runny nose, rhinorrhea, and sneezing. Other reported symptoms include throat clearing, headaches, facial pain, ear pain, itchy throat and palate, snoring, and sleep disturbances. Nasal allergy commonly occurs when an individual's immune system reacts to allergens such as grass, weed, or tree pollens, house dust, mites, mold, and animal dander [1, 2]. Allergic rhinitis is considered to have a substantial effect on the quality of life of a person. Due to the significant effects it demonstrated when left untreated, the disease has gone from being labelled simply as a nuisance to being a serious illness that has to be accounted and medicated. More importantly, such illness was proven to cause asthma and sinusitis [3]. One of the popular nutritional supplements used in treating allergies such as allergic rhinitis, allergic sinusitis, inhalant allergens, and environmental allergens is Methylsulfonylmethane [4]. Methylsulfonylmethane (MSM), also known as dimethyl sulfone and methyl sulfone, is an organic compound containing sulfur that occurs naturally in a variety of fruits, vegetables, grains, and animals, including humans [5]. It is also used in treating arthritis pain, musculoskeletal pain, parasitic infections, rosacea, stretch marks, and alopecia among others [4]. The use of MSM was found to be effective in reducing symptoms of seasonal allergic rhinitis (SAR). It improves the frequency of upper respiratory signs and symptoms such as runny nose, nasal obstruction, and paroxysmal sneezing after a week of oral intake. Furthermore, few side effects were observed, but were not deemed to be of great significance. Thus, MSM was evaluated as a safe medication for SAR [6]. Likewise, MSM administration in rats displayed no adverse events or mortality. No pathological lesions or changes in organ weights were observed [4, 7]. It is proved that MSM is well tolerated in rats and can be a dietary supplement for allergies [4]. In addition, pregnant rats orally administered with MSM showed no adverse effects as well [8]. MSM can be rapidly absorbed, well distributed, and completely disposed from the body 120 hours after initial administration [9]. This randomized, double-blind, adaptive design study aims to prove that the Methylsulfonylmethane study product improves nasal breathing and stuffy nose symptoms after exposure to environmental allergens. Endpoints include percent change in Peak Nasal Inspiratory Flow, VAS Nasal Symptom Score, number of sneezes and number of used tissues in response to allergen exposure.

Official Title
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The Efficacy of the MSM Product on Attenuating Nasal Provocation With a Standardized Allergenic Challenge A Randomized, Double-blind, Adaptive-design Study

Conditions
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Nasal Breathing

Intervention / Treatment
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* Dietary Supplement: MSM


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Healthy volunteers ≥ 18 and ≤ 65 years of age Subjects with history of nasal congestion in response to pollen, dust mites, cat dander, and/or dog dander Subjects who score moderate or severe on the VAS Nasal Symptom Score in response to an allergenic challenge at screening (V1) Judged by the Investigator to be in general good health on the basis of medical history Exclusion Criteria: Pregnant and/or lactating women Subjects with idiopathic rhinitis, atrophic rhinitis, or rhinitis medicamentosa

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: 1g<br>METHYLSULFONYLMETHANE | Dietary Supplement: MSM<br> <br> |
| Active Comparator: 3g<br>METHYLSULFONYLMETHANE | Dietary Supplement: MSM<br> <br> |
| Active Comparator: 6g<br>METHYLSULFONYLMETHANE | Dietary Supplement: MSM<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Peak Nasal Inspiratory Flow (PNIF) |  | 14 days | 
| VAS Nasal Symptom Score |  | 14 days | 
| Number of sneezes in response to allergen exposure |  | 14 days | 
| Number of used tissues in response to allergen exposure |  | 14 days | 
| Weight of used tissues in response to allergen exposure |  | 14 days |