Study 200165, A Randomized, Double-Blind, Placebo-Controlled, Multi-Center, Parallel-Group Study to Compare the Efficacy of a 2-Week Treatment With Fluticasone Propionate Nasal Spray Versus Cetirizine in Adult Subjects With Seasonal Allergic Rhinitis (SAR)
Overview
- Phase
- Phase 4
- Intervention
- FPNS
- Conditions
- Rhinitis, Allergic, Perennial and Seasonal
- Sponsor
- GlaxoSmithKline
- Enrollment
- 682
- Locations
- 1
- Primary Endpoint
- Mean Change From Baseline (CFB) in the Individual AM Reflective Total Nasal Symptom Scores (rTNSS) Over the Entire Treatment Period
- Status
- Completed
- Last Updated
- 7 years ago
Overview
Brief Summary
This phase IV investigational trial is being conducted to evaluate the efficacy of a 2-week treatment of fluticasone propionate nasal spray (FPNS) vs. cetirizine on allergic nasal and ocular symptoms and quality of life in adult subjects with SAR. It is hypothesized that FPNS provides greater nasal symptom relief than cetirizine. The primary measure used to test this hypothesis is the change from baseline over two weeks in reflective total nasal symptom score (rTNSS) compared between FPNS and cetirizine. Approximately 648 subjects will be randomized into a 1:1:1:1 ratio of treatment allocation across approximately twenty-five to thirty-five sites in the US during the 2013 fall allergy season. All subjects will be outpatients. The total duration of study will be approximately 21 days including 7 days of screening period, and 14 days of treatment period.
Investigators
Eligibility Criteria
Inclusion Criteria
- Not provided
Exclusion Criteria
- Not provided
Arms & Interventions
FPNS arm
Subject will receive two sprays (200 mcg per day)of FP into each nostril once daily (OD) every morning for 14 days
Intervention: FPNS
FPNS Placebo arm
Subject will receive two sprays of FP placebo into each nostril OD every morning for 14 days
Intervention: FPNS Placebo
Cetirizine arm
Subject will receive Cetirizine capsule by mouth OD in the morning for 14 days
Intervention: Cetirizine
Cetirizine Placebo arm
Subject will receive Cetirizine Placebo capsule by mouth OD in the morning for 14 days
Intervention: Cetirizine Placebo
Outcomes
Primary Outcomes
Mean Change From Baseline (CFB) in the Individual AM Reflective Total Nasal Symptom Scores (rTNSS) Over the Entire Treatment Period
Time Frame: Baseline through the entire treatment period (2 weeks)
The rTNSS score is the sum of the four individual symptom scores for rhinorrhea, nasal congestion, nasal itching, and sneezing. Each symptom is scored on a scale ranging from 0 to 3; the rTNSS ranges from 0 (none) to 12 (severe). Each individual symptom was evaluated using a scale of 0 (none), 1 (mild), 2 (moderate), or 3 (severe). The reflective assessment of the TNSS scores the four nasal symptoms over the previous 24 hours. The participants themselves scored nasal symptoms in an e-diary. Baseline is defined as the arithmetic average of the rTNSS recorded on the morning of randomization and on each of the six preceding days. A participant may have had as few as 4 days' worth of data contributing to the Baseline average. The 2-week symptom score was defined as the average of the values recorded on the day after randomization and the following 13 days. Change from Baseline was thus calculated as the 2-week average minus the Baseline value.
Secondary Outcomes
- Mean Change From Baseline in the Individual AM Reflective Nasal Symptom Scores for Rhinorrhea, Nasal Congestion, Nasal Itching, and Sneezing Over the Entire Treatment Period(Baseline through the entire treatment period (2 weeks))
- Mean Change From Baseline in the Nocturnal Rhinoconjunctivitis Quality of Life Questionnaire (NRQLQ) Overall Score at Visit 3/Early Withdrawal.(Baseline and Visit 3 (Study Day 14 +/- 2 days)/Early Withdrawal)
- Mean Change From Baseline in the AM Pre-dose Instantaneous Total Nasal Symptom Score (iTNSS) Over the Entire Treatment Period(Baseline through the entire treatment period (2 weeks))
- Mean Change From Baseline in the AM Pre-dose Reflective Total Ocular Symptom Score (rTOSS) Over the Entire Treatment Period(Baseline through the entire treatment period (2 weeks))
- Mean Change From Baseline in the AM Pre-dose Instantaneous Total Ocular Symptom Score (iTOSS) Over the Entire Treatment Period(Baseline through the entire treatment period (2 weeks))
- Mean Change From Baseline in the Combined Nasal and Ocular Reflective Total Symptom Score (rTSS = rTNSS+rTOSS) Over the Entire Treatment Period(Baseline through the entire treatment period (2 weeks))