Plain English Summary
Background and study aims
Chronic tonsillitis is a permanent inflammation of the tonsils. It means recurrent acute throat infections as well as swallowing problems, sore throat and/or bad breath which may come and go. In case of acute throat infections, patients usually receive pain relief medicines and/or antibiotics. Tonsilotren is a homeopathic medicinal product which is traditionally used for tonsillitis. The aim of this study is to assess how well Tonsilotren works in patients with chronic tonsillitis. The effect of Tonsilotren tablets will be assessed when they are given in addition to conventional treatment.
Who can participate?
240 patients with chronic tonsillitis in Germany, Spain and Ukraine will be allowed to participate to this study. They will be between 6 and 60 years, of either gender.
What does the study involve?
Al patients will receive conventional treatment which the study doctors will adjust to the clinical symptoms of the patients. In addition, one in two patients (the selection will be done at random) will also receive Tonsilotren. Patients will see their study doctor 9 times in total over 14 months. At each of the visits, the study doctor will perform a thorough physical examination (chronic tonsillitis-specific symptoms as well as respiratory complaints when present). Patients will have to take their conventional medication as agreed with the study doctor. The patients belonging to the Tonsilotren group will also have to take Tonsilotren according to a fixed dosage scheme. Patients will have to keep a diary to record the evolution of their chronic tonsillitis symptoms. In between the visits the study doctors will call the patients to check their medical condition.
What are the possible benefits and risks of participating?
Patients will receive a conventional symptomatic treatment for their chronic tonsillitis which does not differ from the treatment they would receive if they did not participate in this study. If patients are in the Tonsilotren group, they will receive the homeopathic medicinal product Tonsilotren which is usually well tolerated. Possible side effects of Tonsilotren include reactions of hypersensitivity like skin rashes or possibility of increased salivation. At the beginning of this clinical study, patients will receive a detailed diagnostic evaluation and will be under close medical supervision for as long as the study continues. By participating in this study, patients might contribute to new scientific findings relevant to the treatment of chronic tonsillitis with Tonsilotren.
Where is the study run from?
The study will be carried out by private practices or medical institutions experienced in ear-nose-throat medicine in Germany, Spain and Ukraine.
When is the study starting and how long is it expected to run for?
Recruitment is expected to start by 30 January 2013 and last for 14 months. Individual study duration for each patient will be 14 months.
Who is funding the study?
The study is funded by Deutsche Homöopathie-Union, DHU-Arzneimittel GmbH & Co. KG, Ottostraße 24, D-76227 Karlsruhe.
Who is the main contact?
Dr Jürgen Palm
Therapeutic effectiveness, safety and tolerability of Tonsilotren® tablets in patients (6 to 60 years old) with chronic tonsillitis
No formal study hypothesis has been formulated. The data will be analyzed exploratively. The actual study has been set up to obtain systematically data of Tonsilotren® when treating patients suffering from chronic tonsillitis with Tonsilotren® under conditions which are as close as possible to normal daily routine.
1. Germany: The Ethics Committee of the Bavarian State Medical Association (Ethikkommission der Bayrischen Landesärztekammer), 27/08/2012, ref: 12051
2. Spain: The Ethics Committee of the Joined Foundation of the Catalanian Hospitals (Comité Ético de Investigación Clínica de la Fundació unio catalana d'hospitals), 16/10/2012
Local Ethics Committee from the National children's specialized hospital Ohmatdyt (Kiev), 29/08/2012, ref: 48
Local Ethics Committee from the Vinnytsia Regional Clinical Hospital, 30/07/2012, ref: 01-5-02/5
Local Ethics Committee from the Poltava Regional Clinical Hospital, 02/11/2012, ref: 47
Local Ethics Committee from the Odessa National Medical University, 11/09/2012, ref: 1
Local Ethics Committee from the Lugansk Hospital of Ministry of Internal Affairs, 16/07/2012, ref: 1
Local Ethics Committee from the Lugansk Regional Children's Clinical Hospital, 26/07/2012, ref: 1
Randomized international multicenter open controlled clinical trial
Primary study design
Secondary study design
Randomised controlled trial
Patient information sheet
Not available in web format, please use the contact details below to request a patient information sheet
Patients suffering from chronic tonsillitis
Patients will be observed for 60 weeks. During that time they will receive three treatment cycles with Tonsilotren® each lasting eight weeks, in case the subject will be randomly allocated to the test-group. Additionally all study subjects (test as well as control group) receive a symptomatic treatment where needed.
Primary outcome measures
Mean period of time between consecutive acute throat infections within one year
Secondary outcome measures
1. Number of days with either sore throat / difficulties in swallowing or halitosis or exhaustion [measurement: documentation in patient's diary]
2. Number of upper respiratory tract infections [measurement: documentation of investigator]
3. Severity of chronic tonsillitis symptoms [measurement: documentation of investigator using a 3-item scale: absent, mild, severe]
4. Frequency of antibiotics consumption due to acute throat infections [measurement: documentation of investigator]
5. Days with analgetics consumption due to acute throat infections [measurement: documentation in patient's diary]
6. Effect of treatment on performance of normal daily activity [measurement: documentation in patient's diary]
7. Patients quality of life [measurement: documentation on 5-item scale: very good, god, moderate, poor, very poor ]
8. Treatment outcome according to Integrative Medicine Outcome Scale [measurement: documentation of investigator and patient on 5-item scale: complete recovery, major improvement, slight to moderate improvement, no change, deterioration]
9. Tolerability of treatment [measurement: documentation of investigator and patient on 5-item scale: very good, god, moderate, poor, very poor]
10. Adverse events. [measurement: documentation of investigator]
Overall trial start date
Overall trial end date
Participant inclusion criteria
1. Subjects aged 6 to 60 years, either sex
2. Diagnosis of chronic tonsillitis
3. Written informed consent
4. Willingness and ability to comply with all trial procedures
Target number of participants
Participant exclusion criteria
1. Presence of acute throat infection at inclusion
2. Presence of peri-tonsillar abscess
3. Presence of acute and chronic otitis, adenoiditis, sinusitis of all types, odontological infection, bronchial and lung disease, tuberculosis or known allergic manifestations in the throat and / or mouth
4. Obstruction in the pharynx due to enlargement of tonsils
5. Presence of severe cardiovascular, renal or hepatic disease, as well as gastroesophageal reflux, unstable diabetes mellitus, hyperthyroidism, cerebrovascular or other active bleeding, human immunodeficiency virus infection, mononucleosis of each severity, or oropharyngeal gonorrhea
6. History of non-steroidal anti-inflammatory drugs (NSAIDs) intolerance, hematogenetic dysfunction of unknown origin, repeated peptic ulcera or hemorrhages
7. History or presence of all kind of serious streptococcal complications
8. Previous surgery in the past six months or need for surgery of the nose or paranasal sinuses, adenoids and/or tonsils
9. Evidence of any malignant disease during the past five years before enrolment into the trial
10. Presence of neurological and/or psychiatric diseases interfering with evaluation of quality of life and assessment in the patient's diary
11. Treatment with systemic acting antibiotics, glucocorticosteroids or medications with immunomodulating activities during the past four weeks and treatment with NSAIDs as well as locally on the tonsils acting antibiotics, glucocorticosteroids or immuno-modulators during the past week prior to enrolment into the trial
12. Known or suspected hypersensitivity to chromium, mercury or any other ingredient and/or excipient of Tonsilotren, lactose and / or fructose intolerance and known intolerance towards leather and jewelry metals as well as towards dental metal fillings and vaccines;
13. Heavy smoking or known or suspicion to or presence of drug addiction including alcohol abuse
14. Women of childbearing potential without adequate contraception or women, who want to become pregnant, are pregnant or breastfeeding
15. Prior enrolment into this trial
16. Participation in another clinical trial during the past three months prior to enrolment into the trial
17. Incapability of understanding nature, meaning and consequences of the trial
18. Patients in custody by juridical or official order
19. Patients, who are members of the staff of the study center, staff of the sponsor or involved Clinical Research Organizations, the investigator him- / herself or close relatives of the investigator
Recruitment start date
Recruitment end date
Countries of recruitment
Germany, Spain, Ukraine
Trial participating centre
Rueckersdorfer Str. 61
Roethenbach an der Pegnitz
Deutsche Homöopathie-Union DHU-Arzneimittel GmbH & Co. KG (Germany)
Deutsche Homöopathie-Union (DHU)-Arzneimittel GmbH & Co. KG (Germany)
Funding Body Type
Funding Body Subtype
Results and Publications
Publication and dissemination plan
Not provided at time of registration
Intention to publish date
Participant level data
Not provided at time of registration
Results - basic reporting