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A clinical study to assess the effect of Fexofenadine plus Montelukast Tablets.

Phase 3
Completed
Conditions
Allergic rhinitis due to pollen,
Registration Number
CTRI/2023/10/058488
Lead Sponsor
Exemed Pharmaceuticals
Brief Summary

Thistrial is a phase III, prospective, randomized, double blind, active-controlled,comparative, parallel group, multicentric clinical study to evaluate theefficacy, safety and tolerability of fixed dose combination of Fexofenadine 180mg + Montelukast 10 mg Tablets versus Fixed Dose Combination of Fexofenadine120 mg + Montelukast 10 mg Tablets in adult patients with severe allergicrhinitis.

 Patientswho are willing and able to participate in the study will sign and date the informedconsent form on the day of screening / baseline visit (Visit 1). During thisscreening period, patients who are willing to give informed consent will beevaluated for all the eligibility criteria. Eligible patients aged between 18and 65 years (both inclusive), with a history of allergic rhinitis, a positiveskin prick test or radio allegro sorbent test (RAST) to at least one relevantallergen and active symptoms of allergic rhinitis at screening or baselinevisit and visual analogue scale (VAS) score of 5 or more for total nasalsymptoms and/or severe ocular symptoms at screening or baseline visit willbe considered for the study.

 After confirming the inclusion/exclusion criteria thesubject will be randomized and provided with study medication at randomizationvisit. Subjects will be provided with patient diary at randomization visit,which need to be brought along with in each subsequent visit till the lastvisit. Follow up visits will be done on week 1/day 7(±1), week 2/day 14(±1) andweek 4/day 28(±2) (Final Visit) of treatment to assess efficacy, safety andtolerability.

 Patients will be assigned to either of the two armsi.e., Arm A or Arm B consisting of FDC of Fexofenadine 180 mg + Montelukast 10mg Tablets or FDC of Fexofenadine 120 mg + Montelukast 10 mg Tablets. Patientswill be advised to take one tablet once a day orally around the same time everyday for 4 weeks.

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
178
Inclusion Criteria
  • Male or female patients aged between 18 and 65 years (both inclusive).
  • Patients with a history of allergic rhinitis, a positive skin prick test or radio allegro sorbent test (RAST) to at least one relevant allergen and active symptoms of allergic rhinitis at screening or baseline visit.
  • Patients with visual analogue scale (VAS) score of 5 or more for total nasal symptoms and/or severe ocular symptoms at screening or baseline visit.
  • Women of childbearing potential (WOCBP) must be using an acceptable method of contraception to avoid pregnancy throughout the study.
  • WOCBP must have a negative urine pregnancy test at screening / baseline visit.
  • Patients willing to comply with all the protocol requirements.
Exclusion Criteria
  • Patients with hypersensitivity to either of the study medications or any of the ingredients of the formulation.
  • Patients with electrocardiographic abnormalities including conduction delay and an abnormal QTc interval.
  • Patients with upper respiratory tract infections including cold and systemic infections within 3 weeks of baseline or screening visit.
  • Patients with history of renal, hepatic, gastrointestinal tract, cardiovascular, respiratory, haematological, endocrine or neurological diseases.
  • Patients with clinically significant impaired hepatic function (SGOT and SGPT more than 2.5X the UNL) or renal dysfunction (serum creatinine ≥ 2.5 mg/dL).
  • Patients who had initiation of allergen immunotherapy within previous 6 months.
  • Patients with history of rhinitis medicamentosa, non-allergic rhinitis or substantial structural nasal obstruction.
  • Patients with history of nasal polyps or any clinically important nasal anomaly.
  • Patients with history of acute and/or chronic sinusitis within 30 days of baseline or screening visit.
  • Patients with history of eye surgery or intranasal surgery within 3 months of baseline or screening visit.
  • Patient with severe asthma requiring emergency room treatment within 1 month or hospitalization within 3 months before the trial.
  • Female patients who are pregnant or breast-feeding or expecting to conceive within the projected duration of the study.
  • Female patients who are of childbearing potential and who are neither surgically sterilized nor willing to use reliable contraceptive methods (like hormonal, barrier methods or intrauterine device).
  • Patients with uncontrolled hypertension with sitting systolic BP ≥ 160 mmHg and/or diastolic BP ≥ 100 mmHg at screening.
  • Patients with a history of any malignancy.
  • Patients with known case of infection with hepatitis B, hepatitis C or HIV.
  • Patients with concurrent participation in another clinical trial or any investigational therapy within 30 days prior to screening visit.
  • Patients currently taking prohibited medications(s) listed and inability/unwillingness to discontinue them for the entire study period.
  • Suspected inability or unwillingness to comply with the study procedures.
  • Patients with any condition which, in the judgment of the Investigator, may render the patient unable to complete the study or which may pose a significant risk to the patient.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Mean change in visual analogue scale (VAS) score from baseline to end of the study visit for total nasal symptoms.At Baseline Visit (Visit 1) and | End of the Study Visit (Visit 5 / Day 28).
Secondary Outcome Measures
NameTimeMethod
Mean change in total nasal symptom score (TNSS) from baseline to end of the study visit.At Baseline Visit (Visit 1) and
Mean change in total non-nasal symptom score (TNNSS) from baseline to end of the study visit.At Baseline Visit (Visit 1) and
Mean change in total symptom score [TSS is the sum of total nasal symptom score (TNSS) and total non-nasal symptom score (TNNSS)] from baseline to end of the study visit.At Baseline Visit (Visit 1) and
Adverse events & serious adverse events reported during the study.Throughout the study.
Changes in clinical laboratory parameters from baseline to end of the study visit.At Baseline Visit (Visit 1) and

Trial Locations

Locations (12)

Gandhi Medical College and Hospital

🇮🇳

Hyderabad, TELANGANA, India

Government ENT Hospital, Andhra Medical College

🇮🇳

Visakhapatnam, ANDHRA PRADESH, India

Jawahar Lal Nehru (J.L.N) Medical College

🇮🇳

Ajmer, RAJASTHAN, India

Maharaja Agrasen Superspeciality Hospital

🇮🇳

Jaipur, RAJASTHAN, India

Medical College and Hospital, Kolkata

🇮🇳

Kolkata, WEST BENGAL, India

Rajarshee Chhatrapati Shahu Maharaj Govt. Medical College and CPR General Hospital

🇮🇳

Kolhapur, MAHARASHTRA, India

Redkar Hospital and Research Centre

🇮🇳

Goa, GOA, India

Sanjivini Hospital and Research Center

🇮🇳

Lucknow, UTTAR PRADESH, India

Sheth Vadilal Sarabhai General Hospital and Sheth Chinai Maternity Hospital

🇮🇳

Ahmadabad, GUJARAT, India

Sriram Chandra Medical College and Hospital

🇮🇳

Cuttack, ORISSA, India

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Gandhi Medical College and Hospital
🇮🇳Hyderabad, TELANGANA, India
Dr Jilla Naganna
Principal investigator
9666345120
nagan99@gmail.com

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