rct
    2015
    High Quality

    Herbal drug BNO 1016 is safe and effective in the treatment of acute viral rhinosinusitis

    Jund R, et al

    Published in Acta Oto-Laryngologica

    Methodology

    Pooled efficacy analysis of two randomised, placebo-controlled trials with safety assessed per individual trial; oral 3 x 160 mg BNO 1016 or placebo for 15 days across five site visits; symptoms scored per EPOS 2012 with ultrasonography to confirm diagnosis and remission, plus SNOT-20 GAV quality of life.

    Key Findings

    Pooled efficacy data from two similar randomised placebo-controlled trials covered 589 patients with acute viral rhinosinusitis taking 3 x 160 mg of the herbal preparation BNO 1016 (n = 294) or placebo (n = 295) for 15 days. The major symptom score fell by a mean of 10.02 points to 2.47 with BNO 1016 versus 9.87 to 3.63 with placebo, a between-group difference of 1.16 points at end of therapy (p < 0.0001). Patient-reported quality of life on the SNOT-20 GAV also favoured the herbal treatment (p = 0.0015).

    Conclusions

    Daily intake of 480 mg BNO 1016 for 15 days is an effective treatment in acute viral rhinosinusitis.

    Limitations

    A pooled analysis of two manufacturer-run trials rather than a prospectively planned meta-analysis; the 1.16-point symptom difference is small relative to the roughly 10-point improvement seen in both arms, and follow-up stopped at 15 days.

    Related Health Concerns

    Study Details

    Year:2015
    Sample Size:589
    Duration:2 weeks
    Quality Score:7/10

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