Research Article

Meta-Analysis of the Efficacy of Ectoine Nasal Spray in Patients with Allergic Rhinoconjunctivitis

Table 1

Description of included studies.

Study IDIndication of studyComparatorStudy design (Ectoine and control)Inclusion criteria/exclusion criteriaDuration and dosageOutcome ParameterRating scales

Ectoine versus azelastine, 2010Allergic rhinitis and conjunctivitisAzelastine nasal spray and azelastine eye dropsObservationalEctoine: 21
Control: 21
AR proven by a diagnostic tool or by an allergist
Moderate-to-strong nasal symptoms and at least mild eye symptoms at inclusion
Signed informed consent
Exclusion: allergy to ectoine or azelastine, pregnancy, operation of nose
1 week, ectoine: 4 times daily
Azelastine: 2 times daily
Primary: Nasal congestion, rhinorrhoea, sneezing, nasal itching, itching of eyes, itching of palate, teary eyes, conjunctivitis.
Secondary: Efficacy, safety.
8-point scale

Ectoine versus cromoglicic acid 2009Allergic rhinitisCromoglicic nasal sprayObservational, cross-over trialEctoine: 25
Control: 25
Inclusion: AR proven by skin prick test or by an allergist
Moderate-to-strong nasal symptoms at inclusion
Signed informed consent
Exclusion: allergy to ectoine or cromoglicic acid, pregnancy, operation of nose
1 week, ectoine: 5 times daily
Cromoglicic acid: 4 times daily
Primary: Nasal congestion, rhinorrhoea, sneezing.
Secondary: Itching of eyes, itching of palate, teary eyes, conjunctivitis, nasal concha hyperplasia, efficacy, safety.
8-point scale

Ectoine versus Livocab, 2011Seasonal allergic rhinitisLevocabastine with beclomethasone 0.05% (nasal spray)ObservationalEctoine: 25
Control: 25
Inclusion: 18–70 years
Signed informed consent
2 weeks, intake of medication according to prescribing informationPrimary: Total Nasal Symptom Score as sum of nasal congestion, rhinorrhoea, sneezing and nasal itching.
Secondary: Itching of palate and ears, efficacy, safety.
4-point scale

Paediatric trial
Ectoine versus placebo, 2011
Seasonal allergic rhinitisPlacebo nasal spray and eye dropsRCTEctoine: 41
Control: 30
Inclusion: 5–17 years
Seasonal AR, general good health status, free of any concomitant conditions that could interfere with conduct of study, sum of TNSS >5, sum of TOSS >3
Signed informed consent (also by parents)
2 weeks
Nasal spray: 1 puff per nostril 3 times daily
Eye drops: 3 times daily
Primary: Safety
Secondary: Efficacy assessment, Total Nasal Symptom Score as sum of runny nose, itchy nose, nasal congestion, sneezing; Total Ocular Symptom Score as sum of itchy eyes, red eyes, watery eyes.
4-point scale