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Mometasone Furoate Nasal Spray in Italian Children

Completed
Conditions
Rhinitis, Allergic
Nasal, Cytology
Mometasone Allergy
Quality of Life
Nasal Allergy
Allergy Pollen
Child, Only
Interventions
Diagnostic Test: Nasal cytology
Other: The validated Pediatric Rhinoconjunctivitis Quality of Life Questionnaire (PRQLQ)
Other: Total symptom score (TSS)
Other: Visual analogic scale (VAS)
Registration Number
NCT05301647
Lead Sponsor
University of Campania "Luigi Vanvitelli"
Brief Summary

Objective Seasonal allergic rhinitis (SAR) is a common disease in childhood and characterized by type 2 inflammation, bothersome symptoms, and impaired quality of life (QoL). Intranasal corticosteroids are effective medications in managing SAR patients. In addition, mometasone furoate nasal spray (MFNS) is a well-known therapeutic option. However, the literature provided no data about its effects in European children with SAR. Thus this study addressed this unmet need.

Detailed Description

Objective Seasonal allergic rhinitis (SAR) is a common disease in childhood and characterized by type 2 inflammation, bothersome symptoms, and impaired quality of life (QoL). Intranasal corticosteroids are effective medications in managing SAR patients. In addition, mometasone furoate nasal spray (MFNS) is a well-known therapeutic option. However, the literature provided no data about its effects in European children with SAR. Thus this study addressed this unmet need.

Methods MFNS was compared to isotonic saline. Both treatments were prescribed one spray per nostril, twice a day, per 3 weeks. Nasal cytology, total symptom score (TSS), visual analogic scale concerning the parental perception of symptom severity, and the Pediatric Rhinoconjunctivitis Quality of Life Questionnaire (PRQLQ) were assessed at baseline, after 7 and 21 days, and one month after discontinuation.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
80
Inclusion Criteria
  • Inclusion criteria were: age range 4-12 years, SAR diagnosis, Total Symptoms Score (TSS) ≥ 6, and written informed consent of both parents or legal guardians.
Exclusion Criteria
  • Exclusion criteria were: perennial AR, rhinitis due to other causes, concomitant acute or chronic rhinosinusitis, nasal polyps, asthma comorbidity, current use of topical or systemic corticosteroids, antihistamines, antileukotrienes, inadequate washout of them, nasal anatomic defect, respiratory infections in the last two weeks, participation in other clinical studies in the previous month, documented hypersensitivity to the study product or its excipients, and trip planned outside of the study area.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Control GroupNasal cytology-
Active GroupNasal cytology-
Control GroupThe validated Pediatric Rhinoconjunctivitis Quality of Life Questionnaire (PRQLQ)-
Control GroupTotal symptom score (TSS)-
Control GroupVisual analogic scale (VAS)-
Active GroupTotal symptom score (TSS)-
Active GroupVisual analogic scale (VAS)-
Active GroupThe validated Pediatric Rhinoconjunctivitis Quality of Life Questionnaire (PRQLQ)-
Primary Outcome Measures
NameTimeMethod
Change in eosinophils, mast cells and neutrophil infiltrate by nasal cytology after the treatment2019-2021

The primary endpoint of this study was the change in eosinophilic mast cells and neutrophil infiltrate, assessed by nasal cytology

Secondary Outcome Measures
NameTimeMethod
Assesment of symptoms during the study2019-2021

The secondary objective was the nasal symptom severity during the study assessed by total symptom score (TSS)

Assesment of quality of life changes during the study2019-2021

The secondary objective was the changes of quality of life during the study assessed by the validated Pediatric Rhinoconjunctivitis Quality of Life Questionnaire (PRQLQ)

Trial Locations

Locations (1)

Second University

🇮🇹

Naples, Italy

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