Effect of Intranasal Corticosteroids on Systemic Allergen Specific IgE

NCT ID: NCT00755066

Last Updated: 2008-09-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

48 participants

Study Classification

INTERVENTIONAL

Brief Summary

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Evaluation of the effect of fluticasone propionate vs placebo applied as nasal spray on the increase of allergen-specific serum IgE levels following nasal exposure to recombinant allergens. Nasal sprays will be applied for four weeks starting two weeks before nasal provocation and serum IgE levels will be followed during eight weeks after nasal provocation.

Detailed Description

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Conditions

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Seasonal Allergic Rhinitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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F

Fluticasone propionate 200 µg intranasal

Group Type EXPERIMENTAL

Fluticasone propionate

Intervention Type DRUG

200 µg intranasal, 4 weeks, od.

P

Placebo intranasal spray

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo intranasal spray

Interventions

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Fluticasone propionate

200 µg intranasal, 4 weeks, od.

Intervention Type DRUG

Placebo

Placebo intranasal spray

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* male or female 18-50 years of age
* moderate to severe allergic rhinitis to grass and/or birch pollen for at least two seasons according to history
* sensitization to rPhl p 5 and rBet v 1 as demonstrated by UniCAP within a range from 3.0-80 kUA/l and a positive (wheal diameter \>= 3 mm larger than the negative control and half of the histamine control) SPT with rPhl p 5 and rBet v 1 at 20 µg/ml
* willingness to comply with the study protocol
* written informed consent

Exclusion Criteria

* perennial allergic rhinitis
* history of asthma necessitating treatment
* FEV1 \<70% of predicted value
* abnormalities at auscultation of heart or lungs
* history of anaphylaxis
* severe atopic dermatitis
* total serum IgE \>2000 kU/l
* previous or ongoing immunotherapy (subcutaneous or sublingual) to grass or birch pollen
* nasal provocation testing during the previous six month
* known allergy/intolerance to fluticasone propionate or loratadine
* known allergy/intolerance to cellulose, polysorbate, phenylethyl alcohol, benzalkonium chloride
* contraindications for the use of INCS:
* acute or chronic infections of the upper respiratory tract
* surgery of the nose during the previous year
* hypersensitivity to components of the drug
* contraindications for nasal provocation test
* acute rhinosinusitis
* acute allergic reaction of the immediate type at other organs
* nasal polyposis or significant nasal anatomical deformities
* vasomotor rhinitis
* autoimmune disease, chronic or acute infectious disease, malignancy
* severe psychological disorder
* treatment with systemic or topical (intranasal, inhaled, external) corticosteroids from 3 month prior to the study
* treatment with other immunosuppressant drugs from 6 month prior to the study
* treatment with antihistamines or disodium cromoglycate from 2 weeks prior to the study
* treatment with intranasal adrenergic drugs from 3 days prior to the study
* treatment with systemic adrenergic drugs
* treatment with psychopharmacological drugs from 2 weeks prior to the study
* cardiovascular or pulmonary disease
* contraindication for adrenaline
* participation in any other clinical trial within the previous 3 month
* pregnant, lactating or sexually active women with childbearing potential who are not using a medically accepted birth control method
* a mental condition rendering the subject unable to understand the nature, scope and possible consequences of the study, and/or evidence of an uncooperative attitude
* known alcohol or drug addiction or abuse
* unlikelihood to be able to complete the study
Minimum Eligible Age

18 Years

Maximum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Allergy Centre Vienna West

OTHER

Sponsor Role collaborator

Medical University of Vienna

OTHER

Sponsor Role lead

Principal Investigators

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Friedrich Horak, MD

Role: PRINCIPAL_INVESTIGATOR

Medical University of Vienna

Locations

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Allergy Centre Vienna West

Vienna, , Austria

Site Status

Countries

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Austria

References

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Egger C, Lupinek C, Ristl R, Lemell P, Horak F, Zieglmayer P, Spitzauer S, Valenta R, Niederberger V. Effects of nasal corticosteroids on boosts of systemic allergen-specific IgE production induced by nasal allergen exposure. PLoS One. 2015 Feb 23;10(2):e0114991. doi: 10.1371/journal.pone.0114991. eCollection 2015.

Reference Type DERIVED
PMID: 25705889 (View on PubMed)

Other Identifiers

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EudraCT 2005-004274-24

Identifier Type: -

Identifier Source: secondary_id

2505

Identifier Type: -

Identifier Source: org_study_id