Efficacy and Safety of 200 mcg QD or 200 mcg BID Mometasone Furoate Nasal Spray (MFNS) vs Amoxicillin vs Placebo as Primary Treatment of Subjects With Acute Rhinosinusitis
试验速览
- 阶段
- 3 期
- 状态
- 已完成
- 入组人数
- 981
- 主要终点
- Average AM/PM major-symptom score (sum of rhinorrhea, post nasal drip, nasal congestion/stuffiness, sinus headache, and facial pain/pressure/tenderness on palpation over the paranasal sinuses) over the Treatment Phase of 15 days.
研究概览
简要总结
This study was conducted to compare the effectiveness and safety of mometasone nasal spray once daily or twice daily with amoxicillin or with placebo in treating the signs and symptoms of acute rhinosinusitis. Patients received mometasone nasal spray 2 sprays per nostril once daily, 2 sprays per nostril twice daily, amoxicillin 500 mg three times a day, or placebo three times a day. Patients on nasal spray were treated for 15 days and patients on amoxicillin or placebo were treated for 10 days. All patients were followed-up with a 14-day no-treatment observation period.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 12 Years 至 —（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Subjects must:
- •have been diagnosed with acute rhinosinusitis
- •have had signs and symptoms of rhinosinusitis for at least 7 but not more than 28 days prior to Baseline
- •have had a major symptom score >=5 and <=12 at the Screening and Baseline, and no more than 3 of the 5 major individual symptoms were to be rated as "severe"
- •be >=12 years old
- •be in good health overall and normal laboratory tests
- •not be pregnant, intending to become pregnant or intending to impregnate.
排除标准
- •Subjects who:
- •have a history of chronic rhinosinusitis or who had undergone sinus or nasal surgery for chronic rhinosinusitis in the 6 months prior to Screening
- •have fever >=101°F and/or persistent severe unilateral facial pain/tooth pain; and/or orbital or peri-orbital facial swelling; and/or dental involvement; and/or worsening symptoms after initial improvement
- •have a history of symptomatic seasonal allergic rhinitis who were exposed to allergenic pollens
- •have asthma with FEV1<65% of predicted volume in the past 3 months or who have had an exacerbation within the past 30 days
- •have nasal polyps, Kartagener's syndrome, and otitis or atrophic rhinitis
- •have certain comorbid conditions or contraindications to certain drug therapies
研究组 & 干预措施
1
MFNS once daily
干预措施: mometasone furoate nasal spray (MFNS) (Drug)
2
MFNS twice daily
干预措施: MFNS (Drug)
3
Amoxicillin
干预措施: Amoxicillin (Drug)
4
Placebo
干预措施: Placebo (Drug)
结局指标
主要结局
Average AM/PM major-symptom score (sum of rhinorrhea, post nasal drip, nasal congestion/stuffiness, sinus headache, and facial pain/pressure/tenderness on palpation over the paranasal sinuses) over the Treatment Phase of 15 days.
时间窗: Over 15 days
次要结局
- The total-, major-, and individual-symptom scores (for AM, PM, and AM/PM average) by week, and for Days 1-15, and 16-29.(At end of each week, over Days 1-15, and Days 16-29)
- Time to onset of action in the major-symptom score, defined as the first day active treatment was statistically significantly different from placebo, and sustained thereafter.(Throughout the Treatment Period)
- Proportion of subjects who were considered by the investigator to be treatment failures, and proportion of subjects who discontinued early due to treatment failure(Throughout the study)
- Comparison between the groups of therapeutic response(At Visit 4 or the last treatment visit)