UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000061827
Receipt number R000070704
Scientific Title Health Impact Investigation of Ionless (Hypochlorous Acid Water) Space Spraying
Date of disclosure of the study information 2026/06/08
Last modified on 2026/06/08 16:11:24

* This page includes information on clinical trials registered in UMIN clinical trial registed system.
* We don't aim to advertise certain products or treatments


Basic information

Public title

Health Impact Investigation of Ionless (Hypochlorous Acid Water) Space Spraying

Acronym

Health Impact Investigation of Ionless (Hypochlorous Acid Water) Space Spraying

Scientific Title

Health Impact Investigation of Ionless (Hypochlorous Acid Water) Space Spraying

Scientific Title:Acronym

Health Impact Investigation of Ionless (Hypochlorous Acid Water) Space Spraying

Region

Japan


Condition

Condition

Adverse events (eye itching, eye redness, sore throat, runny nose, cough, odor of hypochlorous acid solution, stress caused by the sound of the nebulizer)

Classification by specialty

Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The purpose of this study is to investigate whether the use of Ionless (hypochlorous acid water) for space spraying in hospital rooms has any health effects on inpatients.
As background, there have been numerous cases of inpatients contracting COVID-19 within the hospital in addition to their original treatment, resulting in prolonged hospital stays or death due to poor prognosis. Aerosol transmission, one of the primary routes of transmission for COVID-19, occurs when a person inhales viruses suspended in the air. Therefore, as a measure to prevent infection, it is necessary to reduce the concentration of viruses within a given space. To remove the viruses themselves, hypochlorous acid water-based humidifiers and hypochlorous acid water for use in humidifiers are commercially available from multiple manufacturers and are widely used in medical institutions.
In contrast, according to the results of a survey on health hazards conducted by the Japan Poison Information Center, while there have been reports of accidents involving products that claim to disinfect the air using chlorine dioxide (formed by the oxidation of chlorite), there have been no reports of health hazards resulting from the aerial spraying of hypochlorous acid water. However, since hypochlorous acid water is classified as a general merchandise item under the Pharmaceutical and Medical Devices Act, there is a lack of data on the efficacy and safety of its aerial spraying. Therefore, we will conduct a pilot study that could provide preliminary data on its safety in the presence of people.

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

The observation items on the health observation sheet include itchy eyes, red eyes, sore throat, runny nose, cough, the odor of hypochlorous acid water, and stress caused by the sound of the nebulizer. Staff at the collaborating research institutions will determine the presence or absence of each symptom based on interviews with patients. Prior to the study, the principal investigator will brief the staff on the details of the observation items and confirm that patients are free of all symptoms listed before space spraying begins.
The primary endpoint is to calculate the incidence rate of adverse events from the health observation sheet and to assess safety based on that rate.

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Cluster

Blinding

Single blind -investigator(s) and assessor(s) are blinded

Control

Placebo

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

No need to know


Intervention

No. of arms

2

Purpose of intervention

Prevention

Type of intervention

Other

Interventions/Control_1

Hypochlorous Acid Water Spray Group: Set the spray program settings on the CL Mist L humidifier manufactured by Nipro Corporation so that the effective chlorine concentration in the air reaches 0.02 ppm during the spray period. Based on experiments conducted in patient rooms at the Uchimaru Medical Center, three units each of humidifiers and circulators will be used in four-bed rooms, one unit each in single rooms, and two units each in two-bed rooms. Additionally, the ventilation system in all patient rooms will be set to the low setting. Since the ambient chlorine concentration and indoor humidity are proportional during atomization, the measured indoor humidity value at an effective chlorine concentration of 0.02 ppm is set and verified through daily humidity measurements on the indoor environment check sheet. The humidification time is set for 12 hours, from 8:00 AM to 8:00 PM. This will be conducted for 30 days. Co-investigator Mikio Takahashi will measure and verify the effective chlorine concentration once a week starting from the first day of atomization.

Interventions/Control_2

Tap Water Spray Group (Placebo) Since the effective chlorine concentration in tap water is below the detection limit, the humidity conditions will be set to match those of the hypochlorous acid water group at an effective chlorine concentration of 0.02 ppm. The humidification period is set for 12 hours, from 8:00 a.m. to 8:00 p.m. The experiment will be conducted for 30 days. The spraying conditions are the same as those for the hypochlorous acid spray group.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit

100 years-old >=

Gender

Male and Female

Key inclusion criteria

The study population consists of patients hospitalized at Uguisu-juku Onsen Hospital during the enrollment period who are capable of communicating, understand the study protocol, and have expressed a willingness to participate (proxy signing of the informed consent form is permitted). Patients must not exhibit any of the following symptoms: itchy eyes, red eyes, sore throat, runny nose, or cough.

Key exclusion criteria

Patients whom the principal investigator has determined to be unsuitable as study participants.

Target sample size

32


Research contact person

Name of lead principal investigator

1st name Osamu
Middle name
Last name SHIMOOKI

Organization

Iwate Medical University

Division name

Department of General Practice

Zip code

020-0021

Address

1-2-1 Chuo-dori, Morioka City, Iwate Prefecture

TEL

019-613-6111

Email

osashimo@iwate-med.ac.jp


Public contact

Name of contact person

1st name Mikio
Middle name
Last name TAKAHASHI

Organization

Iwate Medical University

Division name

Department of General Practice

Zip code

020-0021

Address

1-2-1 Chuo-dori, Morioka City, Iwate Prefecture

TEL

019-613-6111

Homepage URL


Email

mitakaha@iwate-med.ac.jp


Sponsor or person

Institute

Iwate Medical University

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Iwate Medical University

Address

1-2-1 Chuo-dori, Morioka City, Iwate Prefecture

Tel

019-613-6111

Email

mitakaha@iwate-med.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2026 Year 06 Month 08 Day


Related information

URL releasing protocol

https://iwate-med.bvits.com/rinri/Apply/show.aspx?TYPE=4&ID=2745

Publication of results

Published


Result

URL related to results and publications

https://iwate-med.bvits.com/rinri/Apply/show.aspx?TYPE=4&ID=2745

Number of participants that the trial has enrolled

32

Results

There were no adverse events in either the ion-free hypochlorous acid water group or the tap water group, and the 95percent confidence intervals were 0from13.0 percent for the ion-free hypochlorous acid water group and 0from22.0percent for the tap water group.

Results date posted

2026 Year 06 Month 08 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

The study population consists of patients hospitalized at Uguisu-juku Onsen Hospital during the enrollment period who are capable of communicating, understand the study protocol, and have expressed a willingness to participate (proxy signing of the informed consent form is permitted). Patients must not exhibit any of the following symptoms: itchy eyes, red eyes, sore throat, runny nose, or cough.

Participant flow

Staff at the collaborating research institutions will determine the presence or absence of symptoms for each item based on interviews with patients. Prior to the study, the principal investigator will brief the staff on the details of the observation items and confirm that patients are free of all observed symptoms before spatial nebulization begins.
The primary endpoint is to confirm safety by assessing the incidence of adverse events based on the health observation sheet.

Adverse events

There were no adverse events in either the ion-free hypochlorous acid water group or the tap water group, and the 95percent confidence intervals were 0from13.0 percent for the ion-free hypochlorous acid water group and 0from22.0 percent for the tap water group.percent

Outcome measures

The observation items on the health observation sheet include itchy eyes, red eyes, sore throat, runny nose, cough, the smell of hypochlorous acid water, and stress caused by the sound of the nebulizer.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2023 Year 09 Month 20 Day

Date of IRB

2023 Year 08 Month 25 Day

Anticipated trial start date

2023 Year 10 Month 01 Day

Last follow-up date

2023 Year 12 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2026 Year 06 Month 08 Day

Last modified on

2026 Year 06 Month 08 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000070704