A Double-Blind, Placebo-Controlled, Randomized, Parallel-Group Multicenter Study of Mometasone Furoate Nasal Spray on Sleep Disturbances and Daytime Somnolence in Subjects With Symptomatic Seasonal Allergic Rhinitis
Overview
- Phase
- Phase 4
- Intervention
- Mometasone Furoate Nasal Spray (MFNS)
- Conditions
- Seasonal Allergic Rhinitis
- Sponsor
- Organon and Co
- Enrollment
- 401
- Primary Endpoint
- Mean Change of the AM-PRIOR-reflective (Participant's Status Over the Previous 12 Hours) Total Nasal Symptoms Severity Score (TNSS) Averaged Over the Last 7 Days of Treatment From the Baseline Score.
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
This study will hope to show that by relieving the participant's nasal symptoms of seasonal allergies using mometasone furoate nasal spray, the participant will obtain a better quality of night-time sleep, which in turn, causes less daytime sleepiness so that he/she can function productively during the day.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Must be \>=18 years of age and older, of either sex, and of any race.
- •Clinically symptomatic at Screening (Day -7 to -4)and at Baseline (Day 1)
- •At Screening Visit, must have complaints of sleep disturbance while symptomatic with seasonal allergic rhinitis (SAR) and must have a score of 30 or greater for the Sleep Disturbance Sleep Scale (items 1,3,7 and 8)
- •At the Baseline Visit, must have complaints of sleep disturbance and daytime somnolence while symptomatic with SAR and with a score of 30 or greater for the Sleep Problems Index II (SLP9) and 30 or greater for the Daytime Somnolence Sleep Scale (items 6, 9, and 11)
- •Must have a 2-year or longer history of SAR occurring during the same season as the current study.
- •Must have skin tests positive for outdoor allergens common in subjects with SAR prevalent during the time of this study, such as, trees, grasses, weeds, ragweed, and molds. The skin tests should be performed at Screening if not done within 12 months prior to the Screening Visit
- •Must be free of clinically significant disease that would interfere with study evaluations
- •Women of childbearing potential need to use a medically accepted method of birth control prior to Screening and during the study, or provide documentation of surgical sterilization. Women who are not sexually active at enrollment must consent to the use of a medically accepted method of birth control if/when they become sexually active during study participation.
- •Female subjects of childbearing potential must have a negative urine pregnancy test at the time of enrollment at the Baseline Visit.
Exclusion Criteria
- •Women who are pregnant, intend to become pregnant during the study, or are nursing
- •Evidence of nasal polyps, deviated septum, or other intranasal anatomical obstruction(s) that would interfere with nasal airflow
- •Acute or chronic sinusitis being treated with antibiotics and/or topical or oral nasal decongestants
- •Acute respiratory infection within 2 weeks of the Screening Visit
- •Diagnosis of clinically relevant sleep problems unassociated with allergies
- •Complaints (within 12 months of the Screening Visit to their health-care provider) of difficulty sleeping or daytime sleepiness while not experiencing SAR symptoms, and continue with these complaints
- •Snoring associated with an enlarged uvula or other upper airway pathology
- •Had episodes of snoring associated with gasping or choking
- •Awakened suddenly, on more than 1 occasion during the month preceding the Screening Visit, with a gasping or choking feeling
- •Requires the use of oral appliances at night for bruxism (teeth gnashing) or temporomandibular joint problems
Arms & Interventions
Mometasone Furoate Nasal Spray
Mometasone Furoate Nasal Spray 200 mcg, once daily.
Intervention: Mometasone Furoate Nasal Spray (MFNS)
Matching placebo nasal spray
Intervention: Placebo
Outcomes
Primary Outcomes
Mean Change of the AM-PRIOR-reflective (Participant's Status Over the Previous 12 Hours) Total Nasal Symptoms Severity Score (TNSS) Averaged Over the Last 7 Days of Treatment From the Baseline Score.
Time Frame: Average of the last 7 days of treatment
The TNSS score included the sum of nasal congestion/stuffiness, rhinorrhea/nasal discharge, sneezing, and nasal itching, each scored on a scale of 0 = absent, 1 = mild, 2 = moderate, 3 = severe. The TNSS score could range from 0 to 12. NOTE: Least square means and standard errors were obtained from an ANCOVA model with the treatment effect and the variable specific Baseline as a covariate.
Mean Change From Baseline (Day 1/Visit 3) in the Sleep Problems Index II (SLP9) Score From the Medical Outcome Study Sleep Scale (MOS-SS) at the Day 29 Visit.
Time Frame: 29 days
Following Visit 2 (Screening), at Baseline, Day 15, and Day 29 visits, participants needed to complete the MOS-SS questionnaire with scores from 1 = all of the time to 6 = none of the time, according to their frequency of occurrence during the previous week. The analysis endpoint MOS-SS Sleep Problems Index II (SLP9) score was derived from MOS-SS questionnaire and scaled from 0 = none of the time to 100 = all of the time. NOTE: Least squares means and standard errors were obtained from an ANCOVA model with the treatment effect and the variable specific Baseline as a covariate.