Trial Outcomes & Findings for A Study to Evaluate the Safety and Efficacy of Two Nasal Sprays to Treat Seasonal Allergies (NCT NCT00720278)

NCT ID: NCT00720278

Last Updated: 2010-03-02

Results Overview

rTNSS 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. (maximum 12 points per assessment.) 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 baseline as a covariate.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

526 participants

Primary outcome timeframe

baseline and 14 days

Results posted on

2010-03-02

Participant Flow

First observation: 14 Aug 2007 Last observation: 19 Nov 2007

Subjects participated in a 7 day screening period to Identify appropriate subjects based on symptom scores.

Participant milestones

Participant milestones
Measure
Placebo
Placebo Nasal Spray taken 2 sprays per nostril twice a day for 14 days
Astepro 0.1%
0.1% azelastine hydrochloride Nasal Spray taken 2 sprays per nostril twice a day for 14 days
Astepro 0.15%
0.15% azelastine hydrochloride Nasal Spray taken 2 sprays per nostril twice a day for 14 days
Overall Study
STARTED
178
170
178
Overall Study
COMPLETED
171
166
172
Overall Study
NOT COMPLETED
7
4
6

Reasons for withdrawal

Reasons for withdrawal
Measure
Placebo
Placebo Nasal Spray taken 2 sprays per nostril twice a day for 14 days
Astepro 0.1%
0.1% azelastine hydrochloride Nasal Spray taken 2 sprays per nostril twice a day for 14 days
Astepro 0.15%
0.15% azelastine hydrochloride Nasal Spray taken 2 sprays per nostril twice a day for 14 days
Overall Study
Adverse Event
5
3
4
Overall Study
Withdrawal by Subject
0
1
0
Overall Study
Lost to Follow-up
0
0
1
Overall Study
Non-compliance
1
0
0
Overall Study
eligibility criteria violation
1
0
1

Baseline Characteristics

A Study to Evaluate the Safety and Efficacy of Two Nasal Sprays to Treat Seasonal Allergies

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo
n=177 Participants
Placebo Nasal Spray taken 2 sprays per nostril twice a day for 14 days
Astepro 0.1%
n=169 Participants
0.1% azelastine hydrochloride Nasal Spray taken 2 sprays per nostril twice a day for 14 days
Astepro 0.15%
n=177 Participants
0.15% azelastine hydrochloride Nasal Spray taken 2 sprays per nostril twice a day for 14 days
Total
n=523 Participants
Total of all reporting groups
Age, Categorical
<=18 years
24 Participants
n=5 Participants
16 Participants
n=7 Participants
16 Participants
n=5 Participants
56 Participants
n=4 Participants
Age, Categorical
Between 18 and 65 years
148 Participants
n=5 Participants
151 Participants
n=7 Participants
156 Participants
n=5 Participants
455 Participants
n=4 Participants
Age, Categorical
>=65 years
5 Participants
n=5 Participants
2 Participants
n=7 Participants
5 Participants
n=5 Participants
12 Participants
n=4 Participants
Age Continuous
36.9 years
STANDARD_DEVIATION 14.27 • n=5 Participants
35.4 years
STANDARD_DEVIATION 13.74 • n=7 Participants
37.7 years
STANDARD_DEVIATION 14.64 • n=5 Participants
36.7 years
STANDARD_DEVIATION 14.23 • n=4 Participants
Sex: Female, Male
Female
116 Participants
n=5 Participants
111 Participants
n=7 Participants
107 Participants
n=5 Participants
334 Participants
n=4 Participants
Sex: Female, Male
Male
61 Participants
n=5 Participants
58 Participants
n=7 Participants
70 Participants
n=5 Participants
189 Participants
n=4 Participants
Region of Enrollment
United States
177 participants
n=5 Participants
169 participants
n=7 Participants
177 participants
n=5 Participants
523 participants
n=4 Participants

PRIMARY outcome

Timeframe: baseline and 14 days

rTNSS 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. (maximum 12 points per assessment.) 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 baseline as a covariate.

Outcome measures

Outcome measures
Measure
Astepro 0.1%
n=166 Participants
0.1% azelastine hydrochloride Nasal Spray taken 2 sprays per nostril twice a day for 14 days
Astepro 0.15%
n=172 Participants
0.15% azelastine hydrochloride Nasal Spray taken 2 sprays per nostril twice a day for 14 days
Placebo
n=171 Participants
Placebo Nasal Spray taken 2 sprays per nostril twice a day for 14 days
Change From Baseline in 12-hour Reflective Total Nasal Symptom Score(rTNSS)for the Entire 14-day Study Period Compared to Placebo
Baseline symptom score
18.29 total nasal symptom score
Standard Deviation 3.23
17.83 total nasal symptom score
Standard Deviation 3.284
17.86 total nasal symptom score
Standard Deviation 3.301
Change From Baseline in 12-hour Reflective Total Nasal Symptom Score(rTNSS)for the Entire 14-day Study Period Compared to Placebo
Overall change from baseline
-4.42 total nasal symptom score
Standard Deviation 4.696
-5.36 total nasal symptom score
Standard Deviation 5.077
-2.36 total nasal symptom score
Standard Deviation 4.155

SECONDARY outcome

Timeframe: baseline 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.

Outcome measures

Outcome measures
Measure
Astepro 0.1%
n=166 Participants
0.1% azelastine hydrochloride Nasal Spray taken 2 sprays per nostril twice a day for 14 days
Astepro 0.15%
n=172 Participants
0.15% azelastine hydrochloride Nasal Spray taken 2 sprays per nostril twice a day for 14 days
Placebo
n=171 Participants
Placebo Nasal Spray taken 2 sprays per nostril twice a day for 14 days
Change From Baseline in Instantaneous Total Nasal Symptom Score for the Entire 14-day Study Period Compared to Placebo
Baseline symptom score
17.22 total nasal symptom score
Standard Deviation 3.836
16.43 total nasal symptom score
Standard Deviation 3.998
16.56 total nasal symptom score
Standard Deviation 3.962
Change From Baseline in Instantaneous Total Nasal Symptom Score for the Entire 14-day Study Period Compared to Placebo
Overall change from baseline
-3.74 total nasal symptom score
Standard Deviation 4.796
-4.63 total nasal symptom score
Standard Deviation 5.261
-1.96 total nasal symptom score
Standard Deviation 4.313

SECONDARY outcome

Timeframe: baseline and 14 days

Reflective secondary symptom scores (SSCS) (post-nasal drip, itchy eyes, cough and headache) 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.

Outcome measures

Outcome measures
Measure
Astepro 0.1%
n=166 Participants
0.1% azelastine hydrochloride Nasal Spray taken 2 sprays per nostril twice a day for 14 days
Astepro 0.15%
n=172 Participants
0.15% azelastine hydrochloride Nasal Spray taken 2 sprays per nostril twice a day for 14 days
Placebo
n=171 Participants
Placebo Nasal Spray taken 2 sprays per nostril twice a day for 14 days
Change From Baseline in the 12-hour Reflective Secondary Symptom Complex Score for the Entire 14-day Study Period Compared to Placebo
Baseline SSCS
14.59 Reflective secondary symptom score
Standard Deviation 4.818
13.59 Reflective secondary symptom score
Standard Deviation 5.087
14.27 Reflective secondary symptom score
Standard Deviation 4.503
Change From Baseline in the 12-hour Reflective Secondary Symptom Complex Score for the Entire 14-day Study Period Compared to Placebo
Change in baseline to Day 14
-3.09 Reflective secondary symptom score
Standard Deviation 4.337
-4.15 Reflective secondary symptom score
Standard Deviation 4.600
-1.72 Reflective secondary symptom score
Standard Deviation 3.823

SECONDARY outcome

Timeframe: baseline 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. 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.

Outcome measures

Outcome measures
Measure
Astepro 0.1%
n=166 Participants
0.1% azelastine hydrochloride Nasal Spray taken 2 sprays per nostril twice a day for 14 days
Astepro 0.15%
n=172 Participants
0.15% azelastine hydrochloride Nasal Spray taken 2 sprays per nostril twice a day for 14 days
Placebo
n=171 Participants
Placebo Nasal Spray taken 2 sprays per nostril twice a day for 14 days
Change From Baseline to Day 14 in the Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) Compared to Placebo in Patients 18 Years of Age and Older
Baseline: Overall
3.73 28 item/7 domain RQLQ on 0-6 scale
Standard Deviation 0.998
3.75 28 item/7 domain RQLQ on 0-6 scale
Standard Deviation 1.012
3.87 28 item/7 domain RQLQ on 0-6 scale
Standard Deviation 0.991
Change From Baseline to Day 14 in the Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) Compared to Placebo in Patients 18 Years of Age and Older
Change from Baseline:Overall
-1.12 28 item/7 domain RQLQ on 0-6 scale
Standard Deviation 1.246
-1.48 28 item/7 domain RQLQ on 0-6 scale
Standard Deviation 1.328
-0.94 28 item/7 domain RQLQ on 0-6 scale
Standard Deviation 1.112

SECONDARY outcome

Timeframe: 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

Outcome measures

Outcome measures
Measure
Astepro 0.1%
n=166 Participants
0.1% azelastine hydrochloride Nasal Spray taken 2 sprays per nostril twice a day for 14 days
Astepro 0.15%
n=172 Participants
0.15% azelastine hydrochloride Nasal Spray taken 2 sprays per nostril twice a day for 14 days
Placebo
n=171 Participants
Placebo Nasal Spray taken 2 sprays per nostril twice a day for 14 days
Change From Baseline on Direct Visual Nasal Exams
Nasal Discharge: Day 14/ET - Severe
6 Participants
11 Participants
10 Participants
Change From Baseline on Direct Visual Nasal Exams
Mucosal Erythema: screening - Total
170 Participants
178 Participants
178 Participants
Change From Baseline on Direct Visual Nasal Exams
Mucosal Erythema: screening - None
74 Participants
92 Participants
81 Participants
Change From Baseline on Direct Visual Nasal Exams
Mucosal Erythema: screening - Mild
56 Participants
45 Participants
59 Participants
Change From Baseline on Direct Visual Nasal Exams
Nasal Discharge: Day 14/ET - None
46 Participants
47 Participants
26 Participants
Change From Baseline on Direct Visual Nasal Exams
Nasal Discharge: Day 14/ET- Mild
71 Participants
72 Participants
85 Participants
Change From Baseline on Direct Visual Nasal Exams
Nasal Discharge: Day 14/ET - Moderate
46 Participants
45 Participants
47 Participants
Change From Baseline on Direct Visual Nasal Exams
Mucosal Erythema: Day 14/ET - Moderate
18 Participants
27 Participants
25 Participants
Change From Baseline on Direct Visual Nasal Exams
Mucosal Erythema: Day 14/ET - Severe
5 Participants
1 Participants
1 Participants
Change From Baseline on Direct Visual Nasal Exams
Mucosal Bleeding: screening - Toal
170 Participants
178 Participants
178 Participants
Change From Baseline on Direct Visual Nasal Exams
Mucosal Bleeding: screening - None
167 Participants
167 Participants
175 Participants
Change From Baseline on Direct Visual Nasal Exams
Mucosal Bleeding: screening - Mild
3 Participants
2 Participants
3 Participants
Change From Baseline on Direct Visual Nasal Exams
Mucosal Bleeding: screening - Moderate
0 Participants
0 Participants
0 Participants
Change From Baseline on Direct Visual Nasal Exams
Mucosal Bleeding: screening - Severe
0 Participants
0 Participants
0 Participants
Change From Baseline on Direct Visual Nasal Exams
Mucosal Bleeding: Day 14/ET - Total
169 Participants
175 Participants
178 Participants
Change From Baseline on Direct Visual Nasal Exams
Mucosal Bleeding: Day 14/ET - None
163 Participants
163 Participants
171 Participants
Change From Baseline on Direct Visual Nasal Exams
Mucosal Bleeding: Day 14/ET - Mild
6 Participants
11 Participants
7 Participants
Change From Baseline on Direct Visual Nasal Exams
Mucosal Bleeding: Day 14/ET - Moderate
0 Participants
0 Participants
0 Participants
Change From Baseline on Direct Visual Nasal Exams
Mucosal Bleeding: Day 14/ET - Severe
0 Participants
1 Participants
0 Participants
Change From Baseline on Direct Visual Nasal Exams
Crusting of Mucosa: screening - Total
170 Participants
178 Participants
178 Participants
Change From Baseline on Direct Visual Nasal Exams
Crusting of Mucosa: screening - None
142 Participants
158 Participants
156 Participants
Change From Baseline on Direct Visual Nasal Exams
Crusting of Mucosa: screening - Mild
20 Participants
18 Participants
17 Participants
Change From Baseline on Direct Visual Nasal Exams
Crusting of Mucosa: screening - Moderate
7 Participants
2 Participants
4 Participants
Change From Baseline on Direct Visual Nasal Exams
Crusting of Mucosa: screening - Severe
1 Participants
0 Participants
1 Participants
Change From Baseline on Direct Visual Nasal Exams
Mucosal Erythema: screening - Moderate
37 Participants
39 Participants
37 Participants
Change From Baseline on Direct Visual Nasal Exams
Mucosal Erythema: screening - Severe
3 Participants
2 Participants
1 Participants
Change From Baseline on Direct Visual Nasal Exams
Mucosal Erythema: Day 14/ET - Toal
167 Participants
175 Participants
178 Participants
Change From Baseline on Direct Visual Nasal Exams
Mucosal Erythema: Day 14/ET - None
97 Participants
105 Participants
101 Participants
Change From Baseline on Direct Visual Nasal Exams
Mucosal Erythema: Day 14/ET - Mild
49 Participants
42 Participants
51 Participants
Change From Baseline on Direct Visual Nasal Exams
Crusting of Mucosa: Day 14/ET - Moderate
2 Participants
3 Participants
4 Participants
Change From Baseline on Direct Visual Nasal Exams
Crusting of Mucosa: Day 14/ET - Severe
0 Participants
1 Participants
1 Participants
Change From Baseline on Direct Visual Nasal Exams
Crusting of Mucosa: Day 14/ET - Total
169 Participants
175 Participants
178 Participants
Change From Baseline on Direct Visual Nasal Exams
Crusting of Mucosa: Day 14/ET - None
148 Participants
155 Participants
154 Participants
Change From Baseline on Direct Visual Nasal Exams
Crusting of Mucosa: Day 14/ET - Mild
19 Participants
16 Participants
19 Participants
Change From Baseline on Direct Visual Nasal Exams
Nasal Discharge: screening - Total
170 Participants
178 Participants
178 Participants
Change From Baseline on Direct Visual Nasal Exams
Nasal Discharge: screening - None
26 Participants
28 Participants
29 Participants
Change From Baseline on Direct Visual Nasal Exams
Nasal Discharge: screening - Mild
63 Participants
67 Participants
72 Participants
Change From Baseline on Direct Visual Nasal Exams
Nasal Discharge: screening - Moderate
67 Participants
71 Participants
64 Participants
Change From Baseline on Direct Visual Nasal Exams
Nasal Discharge: screening - Severe
14 Participants
12 Participants
13 Participants
Change From Baseline on Direct Visual Nasal Exams
Nasal Discharge: Day 14/ET - Total
169 Participants
175 Participants
178 Participants
Change From Baseline on Direct Visual Nasal Exams
Epistaxis: screening - total
170 Participants
178 Participants
178 Participants
Change From Baseline on Direct Visual Nasal Exams
Epistaxis: screening - None
169 Participants
176 Participants
176 Participants
Change From Baseline on Direct Visual Nasal Exams
Epistaxis: screening - Mild
1 Participants
2 Participants
2 Participants
Change From Baseline on Direct Visual Nasal Exams
Epistaxis: screening - Moderate
0 Participants
0 Participants
0 Participants
Change From Baseline on Direct Visual Nasal Exams
Epistaxis: screening - Severe
0 Participants
0 Participants
0 Participants
Change From Baseline on Direct Visual Nasal Exams
Epistaxis: Day 14/ET - total
169 Participants
175 Participants
178 Participants
Change From Baseline on Direct Visual Nasal Exams
Epistaxis: Day 14/ET - None
168 Participants
166 Participants
174 Participants
Change From Baseline on Direct Visual Nasal Exams
Epistaxis: Day 14/ET - Mild
1 Participants
9 Participants
4 Participants
Change From Baseline on Direct Visual Nasal Exams
Epistaxis: Day 14/ET - Moderate
0 Participants
0 Participants
0 Participants
Change From Baseline on Direct Visual Nasal Exams
Epistaxis: Day 14/ET - Severe
0 Participants
0 Participants
0 Participants
Change From Baseline on Direct Visual Nasal Exams
Nasal Irritation: screening - total
0 Participants
0 Participants
178 Participants
Change From Baseline on Direct Visual Nasal Exams
Nasal Irritation: screening - None
170 Participants
178 Participants
169 Participants
Change From Baseline on Direct Visual Nasal Exams
Nasal Irritation: screening - Grade 1A
166 Participants
169 Participants
0 Participants
Change From Baseline on Direct Visual Nasal Exams
Nasal Irritation: screening - Grade 1B
4 Participants
9 Participants
0 Participants
Change From Baseline on Direct Visual Nasal Exams
Nasal Irritation: screening - Grade 2
0 Participants
0 Participants
0 Participants
Change From Baseline on Direct Visual Nasal Exams
Nasal Irritation: screening - Grade 3
0 Participants
0 Participants
0 Participants
Change From Baseline on Direct Visual Nasal Exams
Nasal Irritation: screening - Grade 4
0 Participants
0 Participants
0 Participants
Change From Baseline on Direct Visual Nasal Exams
Nasal Irritation: Day 14/ET - Total
169 Participants
175 Participants
178 Participants
Change From Baseline on Direct Visual Nasal Exams
Nasal Irritation: Day 14/ET - None
161 Participants
165 Participants
168 Participants
Change From Baseline on Direct Visual Nasal Exams
Nasal Irritation: Day 14/ET- Grade 1A
8 Participants
7 Participants
8 Participants
Change From Baseline on Direct Visual Nasal Exams
Nasal Irritation: Day 14/ET- Grade 1B
0 Participants
3 Participants
2 Participants
Change From Baseline on Direct Visual Nasal Exams
Nasal Irritation: Day 14/ET- Grade 2
0 Participants
0 Participants
0 Participants
Change From Baseline on Direct Visual Nasal Exams
Nasal Irritation: Day 14/ET- Grade 3
0 Participants
0 Participants
0 Participants
Change From Baseline on Direct Visual Nasal Exams
Nasal Irritation: Day 14/ET- Grade 4
0 Participants
0 Participants
0 Participants
Change From Baseline on Direct Visual Nasal Exams
Mucosal Edema: screening - Total
170 Participants
178 Participants
178 Participants
Change From Baseline on Direct Visual Nasal Exams
Mucosal Edema: screening - None
3 Participants
3 Participants
3 Participants
Change From Baseline on Direct Visual Nasal Exams
Mucosal Edema: screening - Mild
30 Participants
28 Participants
40 Participants
Change From Baseline on Direct Visual Nasal Exams
Mucosal Edema: screening - Moderate
106 Participants
114 Participants
108 Participants
Change From Baseline on Direct Visual Nasal Exams
Mucosal Edema: screening - Severe
31 Participants
33 Participants
27 Participants
Change From Baseline on Direct Visual Nasal Exams
Mucosal Edema: Day 14/ET - total
169 Participants
175 Participants
178 Participants
Change From Baseline on Direct Visual Nasal Exams
Mucosal Edema: Day 14/ET - None
12 Participants
15 Participants
14 Participants
Change From Baseline on Direct Visual Nasal Exams
Mucosal Edema: Day 14/ET - Mild
60 Participants
59 Participants
50 Participants
Change From Baseline on Direct Visual Nasal Exams
Mucosal Edema: Day 14/ET - Moderate
77 Participants
81 Participants
88 Participants
Change From Baseline on Direct Visual Nasal Exams
Mucosal Edema: Day 14/ET - Severe
20 Participants
20 Participants
26 Participants

Adverse Events

Placebo

Serious events: 2 serious events
Other events: 5 other events
Deaths: 0 deaths

Astepro 0.1%

Serious events: 0 serious events
Other events: 21 other events
Deaths: 0 deaths

Astepro 0.15%

Serious events: 0 serious events
Other events: 19 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Placebo
n=178 participants at risk
Placebo Nasal Spray taken 2 sprays per nostril twice a day for 14 days
Astepro 0.1%
n=170 participants at risk
0.1% azelastine hydrochloride Nasal Spray taken 2 sprays per nostril twice a day for 14 days
Astepro 0.15%
n=178 participants at risk
0.15% azelastine hydrochloride Nasal Spray taken 2 sprays per nostril twice a day for 14 days
Pregnancy, puerperium and perinatal conditions
Exposure in utero
0.56%
1/178 • Number of events 1
0.00%
0/170
0.00%
0/178
Infections and infestations
Pneumonia
0.56%
1/178 • Number of events 1
0.00%
0/170
0.00%
0/178

Other adverse events

Other adverse events
Measure
Placebo
n=178 participants at risk
Placebo Nasal Spray taken 2 sprays per nostril twice a day for 14 days
Astepro 0.1%
n=170 participants at risk
0.1% azelastine hydrochloride Nasal Spray taken 2 sprays per nostril twice a day for 14 days
Astepro 0.15%
n=178 participants at risk
0.15% azelastine hydrochloride Nasal Spray taken 2 sprays per nostril twice a day for 14 days
Nervous system disorders
Dysgesusia
1.1%
2/178 • Number of events 2
9.4%
16/170 • Number of events 16
8.4%
15/178 • Number of events 15
Respiratory, thoracic and mediastinal disorders
Nasal Discomfort
1.7%
3/178 • Number of events 3
2.9%
5/170 • Number of events 5
2.2%
4/178 • Number of events 4

Additional Information

William Wheeler, PhD

Meda Pharmaceuticals

Phone: 732-564-2393

Results disclosure agreements

  • Principal investigator is a sponsor employee For multicenter studies, joint publication is required to assure that the initial publication is based on all data from all sites and investigators participating in these studies agree not to present data gathered individually or by subgroup centers before the initial publication unless jointly agreed by all other investigators and the sponsor. authorship will be determined by mutual agreement.
  • Publication restrictions are in place

Restriction type: OTHER