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

NCT ID: NCT00651118

Last Updated: 2012-09-26

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

832 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-03-31

Study Completion Date

2008-07-31

Brief Summary

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The purpose of this study is to determine if two allergy medications (azelastine and fluticasone) are more effective than placebo or either medication alone (azelastine or fluticasone)

Detailed Description

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This will be a Phase III, randomized, double-blind, placebo-controlled, parallel-group study in subjects with moderate-to-severe seasonal allergic rhinitis (SAR). The study will begin with a 7-day, single-blind, placebo lead-in period (Day -7 to Day 1). Subjects will be instructed to take placebo lead-in medication twice daily (1 spray per nostril), approximately every 12 hours. On Day 1, subjects who satisfy the symptom severity requirements and continue to meet all of the study inclusion/exclusion criteria will be randomized in a 1:1:1:1 ratio to receive 1 spray per nostril twice daily of MP29-02, azelastine hydrochloride, fluticasone propionate, or placebo nasal spray.

Efficacy will be assessed by the change from baseline in the subject-reported 12-hour reflective Total Nasal Symptom Score (TNSS). On Days 1 through 14, subjects will rate the instantaneous and reflective TNSS symptoms of sneezing, nasal congestion, runny nose, and nasal itching; the instantaneous and reflective total ocular symptom score (TOSS) symptoms of itchy eyes, watery eyes and eye redness; and the symptom of postnasal drip, twice daily (AM and PM) in a diary prior to the dose of study medication. Symptoms will be scored on a 0 to 3 scale (0 = no symptoms, 1 = mild symptoms, 2 = moderate symptoms, 3 = severe symptoms), such that the maximum daily symptom severity score will be 24 for the TNSS and 18 for the TOSS. Additional secondary efficacy variables will include reflective individual nasal and ocular symptom scores, as well as change from Baseline to Day 14 in the Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ).

Subjects ≥ 18 years of age will complete the RQLQ on Day 1 (prior to dosing) and Day 14. Subjects will return to the clinic on Day 7 for an interim evaluation. After completing the 2-week double-blind treatment period, subjects will return to the clinic on Day 14 (or at time of early termination) for an end-of-study evaluation. Safety and tolerability assessments will be made on Days 7 and 14. Tolerability will be evaluated by subject-reported adverse events (AEs), nasal examinations, and vital signs assessments.

Conditions

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Seasonal Allergic Rhinitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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fluticasone propionate

Group Type ACTIVE_COMPARATOR

fluticasone propionate

Intervention Type DRUG

fluticasone propionate 200 mcg

azelastineHcl/fluticasone propionate

Group Type EXPERIMENTAL

azelastineHcl / fluticasone propionate

Intervention Type DRUG

azelastine Hcl 548 mcg / fluticasone propionate 200 mcg

Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

placebo

azelastine Hcl

Group Type ACTIVE_COMPARATOR

azelastine Hcl

Intervention Type DRUG

azelastine Hcl 548 mcg

Interventions

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Placebo

placebo

Intervention Type DRUG

azelastine Hcl

azelastine Hcl 548 mcg

Intervention Type DRUG

azelastineHcl / fluticasone propionate

azelastine Hcl 548 mcg / fluticasone propionate 200 mcg

Intervention Type DRUG

fluticasone propionate

fluticasone propionate 200 mcg

Intervention Type DRUG

Other Intervention Names

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azelastine MP29-02 fluticasone

Eligibility Criteria

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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 wiling and able to provide informed consent and to participate all study procedures
* Positive skin test to a prevalent spring allergen

Exclusion Criteria

* On nasal examination,the presence of nasal mucosal erosion, nasal ulceration or nasal septal perforation
* Nasal disease likely to affect the deposition of the medication or evaluation, such as sinus infection, nasal polyps or severe deviated septum
* Nasal or sinus surgery within the previous 6 months
* Chronic sinus infection (more than 3 per year)
* Planned travel outside the study area during the study period
* Use of any investigational drug within 30 days of the first visit
* Hypersensitivity (bad reaction) to azelastine hydrchloride nasal spray (Astelin), or fluticasone propionate nasal spray (Flonase)
* Women who are not using an acceptable method or birth control
* Women who are pregnant or nursing
* Upper respiratory tract infection such as common cold, flu, sinus infection within 2 weeks of first study visit
* Asthma or other lung diseases such as COPD. Mild asthma symptoms may be considered after consultation with the investigator
* Irregular heartbeat or other symptomatic heart conditions
* History of alcohol or drug abuse
* History of glaucoma
* Use of medications that could affect the study results
Minimum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Meda Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Lewis M. Fredane, MD

Role: STUDY_DIRECTOR

Meda Pharmaceuticals

Locations

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Allergy, Asthma and Immunology Associates

Scottsdale, Arizona, United States

Site Status

Clinical Research Center

Encinitas, California, United States

Site Status

Allergy Research Foundation

Los Angeles, California, United States

Site Status

Southern California Research

Mission Viejo, California, United States

Site Status

Peninsula Research Associates

Rolling Hills Estates, California, United States

Site Status

Allergy and Asthma Medical Group and Research Center

San Diego, California, United States

Site Status

Bensch Research Associates

Stockton, California, United States

Site Status

Allergy and Asthma Clinical Research, Inc.

Walnut Creek, California, United States

Site Status

Storms Clinical Research Institute

Colorado Springs, Colorado, United States

Site Status

Colorado Allergy and Asthma Centers

Denver, Colorado, United States

Site Status

Colorado Allergy and Asthma Centers

Lakewood, Colorado, United States

Site Status

Clinical Research Atlanta

Atlanta, Georgia, United States

Site Status

Aeroallergy Research Laboratories of Savannah

Savannah, Georgia, United States

Site Status

Clinical Research Atlanta

Stockbridge, Georgia, United States

Site Status

Sneeze, Wheeze and Itch Associates

Normal, Illinois, United States

Site Status

Kansas City Allergy and Asthma

Overland Park, Kansas, United States

Site Status

Northeast Medical Research Associates

North Dartmouth, Massachusetts, United States

Site Status

Clinical Research Institute

Minneapolis, Minnesota, United States

Site Status

Clinical Research Institute

Plymouth, Minnesota, United States

Site Status

The Clinical Research Center

St Louis, Missouri, United States

Site Status

Allergy, Asthma and Immunology Associates

Lincoln, Nebraska, United States

Site Status

The Asthma and Allergy Center

Papillion, Nebraska, United States

Site Status

Atlantic Research Center

Ocean City, New Jersey, United States

Site Status

Research Asthma, Sinus and Allergy Centers

Warren Township, New Jersey, United States

Site Status

AAIR Research Center

Rochester, New York, United States

Site Status

Island Medical Research

Rockville Centre, New York, United States

Site Status

North Carolina Clinical Research

Raleigh, North Carolina, United States

Site Status

Bernstein Clinical Research Center

Cincinnati, Ohio, United States

Site Status

Allergy Clinic of Tulsa

Tulsa, Oklahoma, United States

Site Status

Allergy Asthma and Dermatology Research

Lake Oswego, Oregon, United States

Site Status

Allergy and Consultants of NJ/PA

Collegeville, Pennsylvania, United States

Site Status

Allergy and Clinical Immunology Associates

Pittsburgh, Pennsylvania, United States

Site Status

Asthma and Allergy Research Associate

Upland, Pennsylvania, United States

Site Status

National Allergy, Asthma and Urticaria of Charleston

Charleston, South Carolina, United States

Site Status

East Tennesse Center for Clinical Research

Knoxville, Tennessee, United States

Site Status

Allergy and Asthma Associates

Austin, Texas, United States

Site Status

Allergy and Asthma Center of Austin

Austin, Texas, United States

Site Status

AARA Research Center

Dallas, Texas, United States

Site Status

Jane Lee, MD, PA Research Center

Dallas, Texas, United States

Site Status

Central Texas Health Research

New Braunfels, Texas, United States

Site Status

Sylvana Research Associates

San Antonio, Texas, United States

Site Status

Intermountain Clinical Research

Draper, Utah, United States

Site Status

Asthma, Inc.

Seattle, Washington, United States

Site Status

Countries

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United States

Other Identifiers

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MP4002

Identifier Type: -

Identifier Source: org_study_id