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A Study to Evaluate the Safety & Effectiveness of a Nasal Spray to Treat Seasonal Allergies

Phase 3
Completed
Conditions
Seasonal Allergic Rhinitis
Interventions
Registration Number
NCT00719862
Lead Sponsor
Meda Pharmaceuticals
Brief Summary

The Purpose of this study is to determine if one allergy medication (0.15% azelastine hydrochloride) is more effective than Placebo alone

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
481
Inclusion Criteria
  • Male and female patients 12 years of age and older with a 2 year history of moderate to severe seasonal allergic rhinitis
  • Must be in generally good health
  • Must meet minimum symptom requirements, as specified in the protocol
  • Must be willing and able to provide informed consent and to participate in all study procedures
  • Positive skin test to a prevalent fall allergen
Exclusion Criteria
  • On focused Nasal Examination, the presence of any nasal mucosal erosion, nasal ulceration, or nasal septal perforation at either the screening visit or randomization visit will disqualify the subject from the study.
  • Other nasal disease(s)likely to affect deposition of intranasal medication, such as sinusitis, rhinitis medicamentosa, clinically significant polyposis, or nasal structural abnormalities.
  • Nasal Surgery or sinus surgery within the previous year
  • Chronic sinusitis-more than 3 episodes a year
  • Planned travel outside of the study area during the study period
  • The use of any investigational drug within 30 days prior to screening. No investigational products are permitted for use during the conduct of the study.
  • Presence of any hypersensitivity to drugs similar to azelastine and to either sorbital or sucralose (Splenda brand sweetener)
  • Women who are pregnant or nursing
  • Women of childbearing potential who are not abstinent or not practicing medically acceptable method of contraception
  • Respiratory tract infection within 14 days prior to screening
  • Respiratory tract infections requiring antibiotic treatment 14 days prior to screening
  • Asthma (with the exception of mild, intermittent asthma). Subjects with mild, intermittent asthma who only require short-acting inhaled bronchodilators (not for more often tha twice a week) and who do not have nocturnal awakening as a result of asthma are eligible for enrollment
  • Significant pulmonary disease including COPD
  • Clinically significant arrythmia or symptomatic cardiac conditions
  • A known history of alcohol or drug abuse within the last 2 years
  • Existence of any surgical or medical condition or physical laboratory findings, which in the opinion of the investigator or sponsor's medical monitor, might significantly alter the absorption, distribution, metabolism, or excretion of study drug; that might significantly affect the subject's ability to complete this trial; or their safety in this trial
  • Clinically relevant abnormal physical findings which, in the opinion of the investigator, would interfere with the objectives of the study or that may preclude compliance with the study procedures.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
0.15% azelastine hydrochloride nasal spray0.15% azelastine hydrochloride Nasal Spray0.15% azelastine hydrochloride
Placebo Nasal SprayPlacebo nasal spray0mg Placebo Nasal Spray
Primary Outcome Measures
NameTimeMethod
Change From Baseline in 12-hour Reflective Total Nasal Symptom Score (AM and PM Combined)at 14 Daysbaseline and 14 days

reflective total nasal symptom score consisting of runny nose, itchy nose, nasal congestion, and sneezing was assessed twice daily. Each symptom is rated on a scale from 0-3: 0=none, 1=mild, 2=moderate, and 3=severe. Total possible score is 24 per day.

Least square means was controlled for study day as the within-patient effect, treatment group and site as the between-patient effects, treatment by-study day interaction, and basline as a covariate.

Secondary Outcome Measures
NameTimeMethod
Mean Change From Baseline in Instantaneous Total Nasal Symptom Score (tNSS) (AM) for the Entire 14-day Study Period Compared to Placebobaseline and 14 days

End of 24 hour dosing interval: This endpoint is change from baseline in instantaneous tNSS for the 14-day study period compared to placebo to observe if the duration of efficacy lasts 24 hours on a day to day basis. Instantaneous tNSS consists of runny nose, itchy nose, nasal congestion, and sneezing. Each symptom is rated on a scale from 0-3: 0=none, 1=mild, 2=moderate, and 3=severe.

Least square means was controlled for study day as the within-patient effect, treatment group and site as the between-patient effects, treatment by-study day interaction, and baseline as a covariate.

Change From Baseline in 12 Hour Instantaneous Total Nasal Sytmptom Score (AM and PM Combined)at 14 Daysbaseline and 14-days

instantaneous (subjects rate how they feel "right now") total nasal symptom score consisting of runny nose, itchy nose, nasal congestion, and sneezing was assessed twice daily. Each symptom is rated on a scale from 0-3: 0=none, 1=mild, 2=moderate, and 3=severe. Total possible score is 24 per day.

Least square means was controlled for study day as the within-patient effect, treatment group and site as the between-patient effects, treatment by-study day interaction, and basline as a covariate.

Change From Baseline in 12-hour Reflective SSCS for the Entire 14-day Study Period Compared to Placebo (Am and PM Combined)baseline and 14-days

Reflective secondary symptom scores (SSCS) (post-nasal drip, itchy eyes, cough and headacdhe) were assessed twice daily. Each symptom is rated on a scale from 0-3: 0=none, 1=mild, 2=moderate, and 3=severe. Total possible SSCS score is 24 per day.

Least square means was controlled for study day as the within-patient effect, treatment group and site as the between-patient effects, treatment by-study day interaction, and basline as a covariate.

Change From Baseline in Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ)at 14 Daysbaseline and 14 Days

A 28-item RQLQ was completed on Day 1 and Day 14 or Early temination. The RQLQ consists of 7 domains rated on a 7 point scale with 0 being not troubled by the allergy symptoms, and 6 being extremely troubled/all of the time.

Total overall score is not calculated by adding all subscales scores for an overall score. Domain score will be calculated from the mean score of all items in the domain. Overall score will be calculated from the mean score of all items.

Change From Baseline on Direct Visual Nasal Exams at 14 Daysbaseline and 14 days

Examination of head and neck (scale: None, Mild, Moderate, Severe) for Epistaxis, Mucosal Edema, Nasal Discharge, Mucosal erythema, Mucosal Bleeding, and Crusting of mucosa. Nasal irratation was rated: 0 = None,Grade 1A = focal irritation, Grade 1B = superficial mucosal erosion, Grade 2 = moderate mucosal erosion, Grade 3 = ulceration, Grade 4 = septal perforation

Trial Locations

Locations (34)

Allergy Consultants PA

🇺🇸

Verona, New Jersey, United States

UPMC-ENT

🇺🇸

Pittsburgh, Pennsylvania, United States

Kansas City Allergy and Asthma

🇺🇸

Overland Park, Kansas, United States

OIAA Clinical Research, LLC

🇺🇸

Edmond, Oklahoma, United States

Advanced Healthcare, SC

🇺🇸

Milwaukee, Wisconsin, United States

Atlanta Allergy and Asthma Clinic

🇺🇸

Woodstock, Georgia, United States

Allergy and Asthma Medical Group and Research Center

🇺🇸

San Diego, California, United States

Allergy and Asthma Specialist Medical Group

🇺🇸

Huntington Beach, California, United States

Bensch Research Associates

🇺🇸

Stockton, California, United States

Valley Clinical Research

🇺🇸

Easton, Pennsylvania, United States

University of South Florida

🇺🇸

Tampa, Florida, United States

Allergy, Asthma and Respiratory Care medical Center

🇺🇸

Long Beach, California, United States

Allergy & Asthma Associates of Santa Clara Valley Research Cntr

🇺🇸

San Jose, California, United States

Colorado Allergy and Asthma centers, PC

🇺🇸

Lakewood, Colorado, United States

Clinical Research Atlanta

🇺🇸

Stockbridge, Georgia, United States

Aeroallergy Research Laboratories of Savannah

🇺🇸

Savannah, Georgia, United States

RX R+D

🇺🇸

Metairie, Louisiana, United States

Chesapeake Clinical Research, Inc

🇺🇸

Baltimore, Maryland, United States

Sneeze, Wheeze and Itch Associates

🇺🇸

Normal, Illinois, United States

The Clinical Research Center

🇺🇸

St. Louis, Missouri, United States

Institute for Asthma and Allergy PC

🇺🇸

Wheaton, Maryland, United States

Clinical Research Institute

🇺🇸

Plymouth, Minnesota, United States

AAIR Research Center

🇺🇸

Rochester, New York, United States

Las Vegas Physicians Research Group

🇺🇸

Henderson, Nevada, United States

Allergy and Asthma Research NJ inc

🇺🇸

Mount Laurel, New Jersey, United States

Asthma and Allergy Research Associates

🇺🇸

Chester, Pennsylvania, United States

Asthma, Nasal Disease & Allergy Research Center of New England

🇺🇸

Providence, Rhode Island, United States

Jane Lee, MD, PA Research Center

🇺🇸

Dallas, Texas, United States

Western Sky Medical Research

🇺🇸

El Paso, Texas, United States

Pharmaceutical Research & Consulting Inc

🇺🇸

Dallas, Texas, United States

Allergy Asthma Research Institute

🇺🇸

Waco, Texas, United States

Allergy and Asthma Center of Michigan

🇺🇸

Novi, Wisconsin, United States

Midwest Allergy and Asthma Clinic

🇺🇸

Omaha, Nebraska, United States

The Asthma and Allergy Center

🇺🇸

Papillion, Nebraska, United States

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