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BETALL | Screening Script

Allergic Rhinitis Study Screening and Participant Details

"*" indicates required fields

This is a 6 week study looking to assess the effectiveness of a beta-glucans supplement called M-Gard Particulate EW in adults who suffer from allergic rhinitis symptoms like a runny nose, sneezing, nasal congestion, itchy nose, and watery, red and itchy eyes.

M-Gard is a natural supplement made from baker’s yeast. It contains bioactive 1,3-1,6 beta-D-glucan, a type of complex polysaccharide, which has been shown to have immune modulating effects. Previous research has shown that beta-glucan supplementation may be of benefit to allergy sufferers to reduce symptom severity and improve quality of life.

We are looking to enrol 20 adults aged 18 – 65 years who have a known grass pollen allergy that causes seasonal allergic rhinitis.

In order to determine your suitability for this study, I'll go through some screening questions with you. If you wish to proceed, you will then be asked to sign an electronic Consent Form.
You will then need to attend your local Sullivan Nicolaides Pathology lab for a blood test to assess for a grass pollen allergy.
This will be arranged and paid for by RDC Clinical. Once all screening criteria (including a positive RAST result) have been met, you will be enrolled in the trial.

As this study is a cross over design, each participant will receive both the active and placebo product during the study.
Enrolled participants will take the first Study Product for 14 days, followed by a two week break with no product, and then take the alternative Study Product 2 for a further 14 days.
Neither you nor your Trial Coordinator will know the order in which you receive either the active or placebo product.

Whilst some of the study assessments can be completed at home, you will be required to attend our Fortitude Valley clinic on 4 occasions during the study period, at Baseline, Day 12, Day 29 and Day 41. These visits will include some measurements, questionnaires and a blood test.

Your Day 12 and Day 41 appointments will take approximately 3 hours each, and in this time you'll be required to undergo a Nasal Allergy Challenge.

The nasal allergen challenge (NAC) is a simple and safe technique for testing your response to allergens. Our trial doctor will perform it at the RDC clinic.

Upon arrival, you will have a cannula inserted into a vein and a small blood sample will be collected. After your initial blood sample, you'll be offered light refreshments.

A small amount of grass pollen allergen will then be administered via a metered-dose nasal spray. Typical allergy symptoms that you may experience include a runny nose, sneezing, blocked nose, red and watery eyes, and itching of the eyes and nose.

You'll then be asked to rate your symptoms by completing questionnaires and a peak flow inspiratory flow device will be used to measure the maximum amount of air that can be inhaled during one deep breath.

Most acute allergy symptoms triggered during a nasal allergen challenge test subside within approximately 15–30 minutes, however nasal congestion may persist for several hours. A delayed reaction can occur in some people.

Once the nasal allergen challenge has been conducted, additional blood samples will be collected, and then the cannula will be removed.

Rescue medication for symptom relief, such as nasal decongestants and antihistamines, will be provided at the end of the nasal allergen challenge if needed.

If you complete the study you'll be eligible for a reimbursement of up to $450 for your time and travel costs.

Do you have any questions?

Participant still interested after study summary?*

Screening Questions

Gender?
Are you aged 18-65?
Not Eligible
Accepted range - BMI 18 - 35kg/m2
Not Eligible
Do you have a history of recurrent seasonal allergic rhinitis?
Not Eligible
Do you have any serious illnesses like liver disease, kidney disease, heart disease, mood disorders, cognitive damage, neurological disorders, multiple sclerosis or unstable illnesses such as diabetes or thyroid gland dysfunction?
A serious illness is a condition that carries a risk of mortality, negatively impacts quality of life and daily function and/or is burdensome in symptoms and/or treatments.

An unstable illness is any illness that is currently not being treated with a stable dose of medication or is fluctuating in severity. excluded - mood disorders such as bipolar disorder, neurological disorders such as MS, kidney disease, liver disease or heart conditions
Unstable = current or recent change to medication/treatment
Not Eligible
Do you have symptomatic perennial allergic rhinitis, non-allergic rhinitis or a chronic respiratory condition like asthma or chronic obstructive pulmonary disease?
Not Eligible
Are there any medications or supplements that you take or use regularly?
Excluded:
Use of medications that would affect the immune and/or the inflammatory response e.g. immunotherapy, antihistamines (daily use), corticosteroids, mast cell stabilizers, leukotriene modifiers, and decongestants.
Coumadin (Warfarin), Heparin, Dalteparin, Enoxaparin or other anticoagulation therapy including low dose aspirin; tricyclic antidepressants; Clonidine and other central acting alpha-2-agonists.

- allergen immunotherapy e.g. grass pollen immunotherapy
- antihistamines (daily use) e.g. Telfast, Zyrtec, Claratyne
- corticosteroids e.g. Prednisolone
- mast cell stabilizers e.g. Ketotifen
- leukotriene modifiers e.g. Montelukast, Zafirlukast
- decongestants e.g. Sudafed, Demazin.
Please list any medications or supplements below
Name
Dose
Frequency
Reason
Prescribed? (Y/N)
 
Are you currently taking medications that would affect the immune and/or the inflammatory response?
e.g. immunotherapy, antihistamines (daily use), corticosteroids, mast cell stabilizers, leukotriene modifiers, and decongestants.

- allergen immunotherapy e.g. grass pollen immunotherapy>
- antihistamines (daily use) e.g. Telfast, Zyrtec, Claratyne>
- corticosteroids e.g. Prednisolone>
- mast cell stabilizers e.g. Ketotifen>
- leukotriene modifiers e.g. Montelukast, Zafirlukast>
- decongestants e.g. Sudafed, Demazin.>
Not Eligible
Do you currently have an acute illness or have you in the last month?
Not Eligible
Have you participated in any other clinical trial during the past month?
Not Eligible
Do you agree not to participate in any other clinical trials whilst enrolled in this one?
Not Eligible
Do you agree not change your current diet, or exercise routinr during the study period?
Not Eligible
Have you had or been treated for cancer in the last 2 years?
non-melanoma (e.g. BCC and SCC) skin cancers not requiring radiation or chemotherapy) are OK
Not Eligible
Do you smoke/use nicotine products or abuse drugs?
Not Eligible
Do you regularly drink more than 21 standard alcoholic drinks a week (or have you regularly in the past)?
Not Eligible
Do you have any known allergies to foods or medicines?
Exclusion allergies : Yeast, micro-crystalline cellulose or beta-glucan supplements
Are you currently attempting conception, pregnant or breastfeeding?
Not Eligible
The investigational product being tested has limited data regarding its safety during pregnancy. Therefore, as a precaution, it is a requirement of this study that all female participants of childbearing potential use a prescribed form of birth control. Are you of child bearing potential that you know of?
Examples of appropriate forms include sexual abstinence, oral contraceptives, depot injection of a progestogen drug (starting at least 4 weeks prior to product administration), intrauterine device (IUD) and intrauterine system (IUS), subdermal implant, or vaginal ring (placed at least 4 weeks prior to product administration).
Not Eligible
Screening Result?
Have you informed the participant that we have other studies recruiting that they may be eligible for?
Did they seem interested in any other studies?
If person fails screening or is not interested, please just type xxxx. Do NOT put the actual participant ID in this field unless they have PASSED screening.
Thank you for your time on the phone. We will email you a digital consent form to read and sign. Once we get that back from you, we'll send out a referral form.
Please take this to your local SNP for a RAST Blood test.
Please let us know by text or email once you've completed this test so we know to look out for your results.
Do you have any questions?

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