MedPath

To Determine if Diphenhydramine Works for Nasal Congestion at Two Different Doses

Phase 4
Completed
Conditions
Nasal Congestion
Interventions
Registration Number
NCT00648973
Lead Sponsor
Johnson & Johnson Consumer and Personal Products Worldwide
Brief Summary

The study was to determine if the drug worked to relieve nasal congestion experienced by people with seasonal allergies.

Detailed Description

Subjects who met the inclusion/exclusion criteria were enrolled into the placebo run-in phase of the study on Day -7 (prerandomization, Visit 1). Baseline symptom scores were established during this run-in phase.

Subjects with moderate nasal congestion who took at least 80% of their study medication during the run-in phase were eligible for enrollment in the two-week double-blind phase of the study and were randomized on Day 1 (randomization, Visit 2). They were treated for two weeks with their assigned medication. The severity of signs/symptoms were evaluated by the subjects every morning and night and by the investigator at each visit on Day 7 and Day 14.

In addition, the subject and investigator provided a global evaluation of response to treatment on Day 7 and Day 14. Safety was evaluated by adverse events reported during the study, vital signs, and the incidence of somnolence.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
1021
Inclusion Criteria
  • otherwise healthy males and females
  • 12 to 65 years of age
  • hypersensitivity to specific pollens for a minimum of 2 years prior to study start
  • appropriate SAR sign/symptoms scores
Exclusion Criteria
  • pregnancy, lactation and contraception issues
  • contraindicated medications or therapies
  • evidence of clinical, dietary, lifestyle or psychiatric issues, which in the opinion of the investigator, could increase the risk to the subject or research staff, or interfere with the interpretation of study results

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
1Diphenhydramine 50 mgDiphenhydramine 50 mg
2Diphenhydramine 25 mgDiphenhydramine 25 mg
3Pseudoephedrine 120 mgPseudoephedrine 120 mg
Primary Outcome Measures
NameTimeMethod
Change from baseline in the subject's mean reflective nasal congestion/stuffiness symptom scoreevery 12-hours over the 14-day treatment period
Secondary Outcome Measures
NameTimeMethod
Change from baseline in the subject's mean reflective Total Nasal Symptom (TNS) Score14 Days
Change from baseline in the subject's mean instantaneous TNS Score14 Days
Change from baseline in the subject's mean reflective Total SAR Symptom (TSS) Score14 Days
Change from baseline in the subject's mean instantaneous TSS Score14 Days
Change from baseline in the subject's mean reflective score for each of the seven remaining individual SAR symptoms, excluding nasal congestion/stuffiness14 Days
Change from baseline in the subject's mean instantaneous score for each of the eight individual SAR symptoms14 Days
Onset of action for diphenhydramine treatment for nasal congestion/stuffiness was determined by comparing the change from baseline in the subject's instantaneous nasal congestion/stuffiness scores for diphenhydramine versus placebotaken at 15, 30, 60 and 90 minutes after the initial dose. Baseline was the score taken just prior to the initial dose.
Onset of action for diphenhydramine treatment for allergic rhinitis symptoms was determined by comparing the change from baseline in the subject's instantaneous TNS scores for diphenhydramine versus placebotaken at 15, 30, 60 and 90 minutes after the initial dose. Baseline was the score taken just prior to the initial dose
Duration of action for diphenhydramine for treatment of nasal congestion/stuffiness was evaluated by comparing the change from baseline in the subject's mean instantaneous nasal congestion/stuffiness scores for diphenhydramine versus placebotaken at the six-hour trough (just prior to the 8:00 pm dose) and the 12-hour trough (just prior to the 8:00 am dose)
Duration of action for diphenhydramine for treatment of allergic rhinitis symptoms was evaluated by comparing the change from baseline in the subject's mean instantaneous TNS scores for diphenhydramine versus placebotaken at the six-hour trough (just prior to the 8:00 pm dose) and the 12-hour trough (just prior to the 8:00 am dose)
Time to maximal effect was assessed by a by-day analysis of the primary efficacy endpoint and select secondary endpoints14 Days
Subject's global evaluation of response to treatmentat Visits 3 and 4, analyzed separately at each visit
Change from baseline in the Investigator's TNS scoreat Visits 3 and 4, analyzed separately for each visit. Baseline was the score at Visit 1
Change from baseline in the Investigator's TSS scoreat Visits 3 and 4, analyzed separately for each visit. Baseline was the score at Visit 1
Change from baseline for each of the eight individual Investigator's SAR symptomsat Visits 3 and 4, analyzed separately for each visit. Baseline was the score at Visit 1
Investigator's global evaluation of the subject's response to treatmentat Visits 3 and 4, analyzed separately for each visit
Number and percentage of subjects experiencing adverse eventsDuration of study
Change from baseline and potentially clinically important vital signs (systolic and diastolic blood pressure, pulse, and respiratory rate)Duration of study
Occurrence of somnolenceOverall and weekly

Trial Locations

Locations (12)

Sun Research Institute

🇺🇸

San Antonio, Texas, United States

Biogenics Research Institute

🇺🇸

San Antonio, Texas, United States

Diagnostics Research Group

🇺🇸

San Antonio, Texas, United States

Kerrville Research Associates

🇺🇸

Kerrville, Texas, United States

Sylvana Research Associates

🇺🇸

San Antonio, Texas, United States

Allergy Asthma Research Institute

🇺🇸

Waco, Texas, United States

Allergy and Asthma Associates

🇺🇸

Austin, Texas, United States

Lovelace Scientific Resources

🇺🇸

Austin, Texas, United States

Benchmark Research - San Angelo

🇺🇸

San Angelo, Texas, United States

Allergy/Immunology Research Center of North Texas

🇺🇸

Dallas, Texas, United States

Central Texas Health Research

🇺🇸

New Braunfels, Texas, United States

Benchmark Research - Austin

🇺🇸

Austin, Texas, United States

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