Trial Outcomes & Findings for An Allergen BioCube (ABC) Study Evaluating the Efficacy of Fluticasone Propionate Nasal Spray Compared to Placebo (NCT NCT01439815)

NCT ID: NCT01439815

Last Updated: 2021-04-14

Results Overview

The change in the total sum of the four symptoms (total nasal symptom scores - TNSS) ranging from 0 to 16 with higher score indicating a more severe reaction. The change in the TNSS score between Day 0 and Day 16 was analyzed.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

22 participants

Primary outcome timeframe

pre-ABC exposure and approximately every 15 minutes, up to 180 minutes, while in the ABC on Day 0 and Day 16

Results posted on

2021-04-14

Participant Flow

Subjects were recruited from one site in the US.

Twenty-two participants enrolled and completed the study. Participant flow and baseline characteristics are presented for the 22 subjects that met all inclusion criteria, none of the exclusion criteria and were randomized to receive Fluticasone Propionate or Placebo nasal spray twice daily based on the randomization list.

Participant milestones

Participant milestones
Measure
Fluticasone Propionate Nasal Spray
Two sprays in each nostril daily starting the day in office on Day 0 for up to a 17 day period until Day 16.
Placebo Nasal Spray
Two sprays in each nostril daily starting the day in office on Day 0 for up to a 17 day period until Day 16.
Overall Study
STARTED
11
11
Overall Study
All Randomized Participant Population
11
11
Overall Study
COMPLETED
11
9
Overall Study
NOT COMPLETED
0
2

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

An Allergen BioCube (ABC) Study Evaluating the Efficacy of Fluticasone Propionate Nasal Spray Compared to Placebo

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Fluticasone Propionate Nasal Spray
n=11 Participants
Two sprays in each nostril daily starting the day in office on Day 0 for up to a 17 day period until Day 16.
Placebo Nasal Spray
n=11 Participants
Two sprays in each nostril daily starting the day in office on Day 0 for up to a 17 day period until Day 16.
Total
n=22 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
11 Participants
n=5 Participants
11 Participants
n=7 Participants
22 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Female
6 Participants
n=5 Participants
6 Participants
n=7 Participants
12 Participants
n=5 Participants
Sex: Female, Male
Male
5 Participants
n=5 Participants
5 Participants
n=7 Participants
10 Participants
n=5 Participants

PRIMARY outcome

Timeframe: pre-ABC exposure and approximately every 15 minutes, up to 180 minutes, while in the ABC on Day 0 and Day 16

Population: All Randomized Participants Population - All participants who received study treatment

The change in the total sum of the four symptoms (total nasal symptom scores - TNSS) ranging from 0 to 16 with higher score indicating a more severe reaction. The change in the TNSS score between Day 0 and Day 16 was analyzed.

Outcome measures

Outcome measures
Measure
Fluticasone Propionate Nasal Spray
n=11 Participants
Two sprays in each nostril daily starting the day in office on Day 0 for up to a 17 day period until Day 16.
Placebo Nasal Spray
n=11 Participants
Two sprays in each nostril daily starting the day in office on Day 0 for up to a 17 day period until Day 16.
Change in Total Nasal Signs and Symptoms Score From Baseline (Day 0) to Visit 5 (Day 16)
pre-ABC
-0.7 units on a scale
Standard Deviation 1.8
0.3 units on a scale
Standard Deviation 1.8
Change in Total Nasal Signs and Symptoms Score From Baseline (Day 0) to Visit 5 (Day 16)
15 minutes
-2.8 units on a scale
Standard Deviation 3.4
0.9 units on a scale
Standard Deviation 3.8
Change in Total Nasal Signs and Symptoms Score From Baseline (Day 0) to Visit 5 (Day 16)
30 minutes
-4.1 units on a scale
Standard Deviation 3.4
-0.6 units on a scale
Standard Deviation 3.0
Change in Total Nasal Signs and Symptoms Score From Baseline (Day 0) to Visit 5 (Day 16)
45 minutes
-3.9 units on a scale
Standard Deviation 4.2
-0.3 units on a scale
Standard Deviation 3.1
Change in Total Nasal Signs and Symptoms Score From Baseline (Day 0) to Visit 5 (Day 16)
60 minutes
-4.7 units on a scale
Standard Deviation 3.6
-0.9 units on a scale
Standard Deviation 3.3
Change in Total Nasal Signs and Symptoms Score From Baseline (Day 0) to Visit 5 (Day 16)
75 minutes
-4.5 units on a scale
Standard Deviation 4.5
-2.3 units on a scale
Standard Deviation 3.7
Change in Total Nasal Signs and Symptoms Score From Baseline (Day 0) to Visit 5 (Day 16)
90 minutes
-4.5 units on a scale
Standard Deviation 4.3
-1.7 units on a scale
Standard Deviation 3.3
Change in Total Nasal Signs and Symptoms Score From Baseline (Day 0) to Visit 5 (Day 16)
105 minutes
-5.0 units on a scale
Standard Deviation 4.0
-1.6 units on a scale
Standard Deviation 2.5
Change in Total Nasal Signs and Symptoms Score From Baseline (Day 0) to Visit 5 (Day 16)
120 minutes
-5.9 units on a scale
Standard Deviation 3.1
-0.7 units on a scale
Standard Deviation 3.5
Change in Total Nasal Signs and Symptoms Score From Baseline (Day 0) to Visit 5 (Day 16)
135 minutes
-4.8 units on a scale
Standard Deviation 4.0
-0.5 units on a scale
Standard Deviation 3.2
Change in Total Nasal Signs and Symptoms Score From Baseline (Day 0) to Visit 5 (Day 16)
150 minutes
-5.3 units on a scale
Standard Deviation 3.6
-1.7 units on a scale
Standard Deviation 2.6
Change in Total Nasal Signs and Symptoms Score From Baseline (Day 0) to Visit 5 (Day 16)
165 minutes
-5.4 units on a scale
Standard Deviation 3.2
-1.6 units on a scale
Standard Deviation 2.8
Change in Total Nasal Signs and Symptoms Score From Baseline (Day 0) to Visit 5 (Day 16)
180 minutes
-5.9 units on a scale
Standard Deviation 3.0
-0.6 units on a scale
Standard Deviation 3.0

SECONDARY outcome

Timeframe: pre-ABC exposure and approximately every 15 minutes, up to 180 minutes, while in the ABC on Day 0 and Day 16

Nasal Itching was assessed by the participants pre-ABC exposure and approximately every 15 minutes while in the ABC on Day 0 and Day 16 on a 0-4 scale (0 = none to 4 = severe). The change in average nasal itching score between Day 0 and Day 16 was analyzed.

Outcome measures

Outcome measures
Measure
Fluticasone Propionate Nasal Spray
n=11 Participants
Two sprays in each nostril daily starting the day in office on Day 0 for up to a 17 day period until Day 16.
Placebo Nasal Spray
n=11 Participants
Two sprays in each nostril daily starting the day in office on Day 0 for up to a 17 day period until Day 16.
Change in Baseline Nasal Itching Score on Day 0 to Average Nasal Itching Score on Day 16
Pre-ABC
-0.2 units on a scale
Standard Deviation 0.6
0.1 units on a scale
Standard Deviation 0.7
Change in Baseline Nasal Itching Score on Day 0 to Average Nasal Itching Score on Day 16
15 minutes
-1 units on a scale
Standard Deviation 1
0.3 units on a scale
Standard Deviation 0.8
Change in Baseline Nasal Itching Score on Day 0 to Average Nasal Itching Score on Day 16
30 minutes
-1 units on a scale
Standard Deviation 1.2
-0.1 units on a scale
Standard Deviation 0.6
Change in Baseline Nasal Itching Score on Day 0 to Average Nasal Itching Score on Day 16
45 minutes
-0.8 units on a scale
Standard Deviation 1.6
-0.1 units on a scale
Standard Deviation 0.9
Change in Baseline Nasal Itching Score on Day 0 to Average Nasal Itching Score on Day 16
60 minutes
-1.3 units on a scale
Standard Deviation 1.3
-0.3 units on a scale
Standard Deviation 0.9
Change in Baseline Nasal Itching Score on Day 0 to Average Nasal Itching Score on Day 16
75 minutes
-1.3 units on a scale
Standard Deviation 1.5
-0.5 units on a scale
Standard Deviation 0.8
Change in Baseline Nasal Itching Score on Day 0 to Average Nasal Itching Score on Day 16
90 minutes
-1 units on a scale
Standard Deviation 1.6
-0.6 units on a scale
Standard Deviation 0.7
Change in Baseline Nasal Itching Score on Day 0 to Average Nasal Itching Score on Day 16
105 minutes
-1.3 units on a scale
Standard Deviation 1.3
-0.5 units on a scale
Standard Deviation 0.8
Change in Baseline Nasal Itching Score on Day 0 to Average Nasal Itching Score on Day 16
120 minutes
-1.5 units on a scale
Standard Deviation 1.1
-0.4 units on a scale
Standard Deviation 0.8
Change in Baseline Nasal Itching Score on Day 0 to Average Nasal Itching Score on Day 16
135 minutes
-1.5 units on a scale
Standard Deviation 1.2
-0.3 units on a scale
Standard Deviation 0.8
Change in Baseline Nasal Itching Score on Day 0 to Average Nasal Itching Score on Day 16
150 minutes
-1.5 units on a scale
Standard Deviation 1.3
-0.2 units on a scale
Standard Deviation 0.8
Change in Baseline Nasal Itching Score on Day 0 to Average Nasal Itching Score on Day 16
165 minutes
-1.5 units on a scale
Standard Deviation 1.1
-0.2 units on a scale
Standard Deviation 1
Change in Baseline Nasal Itching Score on Day 0 to Average Nasal Itching Score on Day 16
180 minutes
-1.8 units on a scale
Standard Deviation 1.2
0 units on a scale
Standard Deviation 1.1

SECONDARY outcome

Timeframe: pre-ABC exposure and approximately every 15 minutes, up to 180 minutes, while in the ABC on Day 0 and Day 16

Sneezing was assessed by the participants pre-ABC exposure and approximately every 15 minutes while in the ABC on Day 0 and Day 16 on a 0-4 scale (0 = none to 4 = severe). The change in average sneezing score between Day 0 and Day 16 was analyzed.

Outcome measures

Outcome measures
Measure
Fluticasone Propionate Nasal Spray
n=11 Participants
Two sprays in each nostril daily starting the day in office on Day 0 for up to a 17 day period until Day 16.
Placebo Nasal Spray
n=11 Participants
Two sprays in each nostril daily starting the day in office on Day 0 for up to a 17 day period until Day 16.
Change in Baseline Sneezing Score on Day 0 to Average Sneezing Score on Day 16
Pre-ABC
-0.1 units on a scale
Standard Deviation 0.3
0.2 units on a scale
Standard Deviation 0.9
Change in Baseline Sneezing Score on Day 0 to Average Sneezing Score on Day 16
15 minutes
-0.5 units on a scale
Standard Deviation 1.1
0.1 units on a scale
Standard Deviation 0.9
Change in Baseline Sneezing Score on Day 0 to Average Sneezing Score on Day 16
30 minutes
-0.9 units on a scale
Standard Deviation 0.8
-0.4 units on a scale
Standard Deviation 0.8
Change in Baseline Sneezing Score on Day 0 to Average Sneezing Score on Day 16
45 minutes
-0.9 units on a scale
Standard Deviation 1.1
0 units on a scale
Standard Deviation 0.9
Change in Baseline Sneezing Score on Day 0 to Average Sneezing Score on Day 16
60 minutes
-1.3 units on a scale
Standard Deviation 1.1
-0.2 units on a scale
Standard Deviation 1
Change in Baseline Sneezing Score on Day 0 to Average Sneezing Score on Day 16
75 minutes
-1.1 units on a scale
Standard Deviation 1.3
-0.6 units on a scale
Standard Deviation 1.3
Change in Baseline Sneezing Score on Day 0 to Average Sneezing Score on Day 16
90 minutes
-1.1 units on a scale
Standard Deviation 1.4
-0.3 units on a scale
Standard Deviation 1.2
Change in Baseline Sneezing Score on Day 0 to Average Sneezing Score on Day 16
105 minutes
-1.2 units on a scale
Standard Deviation 1.1
-0.4 units on a scale
Standard Deviation 1
Change in Baseline Sneezing Score on Day 0 to Average Sneezing Score on Day 16
120 minutes
-1.3 units on a scale
Standard Deviation 1.3
-0.1 units on a scale
Standard Deviation 1.1
Change in Baseline Sneezing Score on Day 0 to Average Sneezing Score on Day 16
135 minutes
-0.9 units on a scale
Standard Deviation 1.4
0 units on a scale
Standard Deviation 0.9
Change in Baseline Sneezing Score on Day 0 to Average Sneezing Score on Day 16
150 minutes
-0.8 units on a scale
Standard Deviation 1.3
-0.7 units on a scale
Standard Deviation 1
Change in Baseline Sneezing Score on Day 0 to Average Sneezing Score on Day 16
165 minutes
-1.1 units on a scale
Standard Deviation 0.9
-0.6 units on a scale
Standard Deviation 1
Change in Baseline Sneezing Score on Day 0 to Average Sneezing Score on Day 16
180 minutes
-1.2 units on a scale
Standard Deviation 0.8
-0.1 units on a scale
Standard Deviation 0.7

SECONDARY outcome

Timeframe: pre-ABC exposure and approximately every 15 minutes, up to 180 minutes, while in the ABC on Day 0 and Day 16

Rhinorrhea was assessed by the participants pre-ABC exposure and approximately every 15 minutes while in the ABC on Day 0 and Day 16 on a 0-4 scale (0 = none to 4 = severe). The change in average rhinorrhea score between Day 0 and Day 16 was analyzed.

Outcome measures

Outcome measures
Measure
Fluticasone Propionate Nasal Spray
n=11 Participants
Two sprays in each nostril daily starting the day in office on Day 0 for up to a 17 day period until Day 16.
Placebo Nasal Spray
n=11 Participants
Two sprays in each nostril daily starting the day in office on Day 0 for up to a 17 day period until Day 16.
Change in Baseline Rhinorrhea Score on Day 0 to Average Rhinorrhea Score on Day 16
Pre-ABC
-0.4 units on a scale
Standard Deviation 0.8
0 units on a scale
Standard Deviation 0.5
Change in Baseline Rhinorrhea Score on Day 0 to Average Rhinorrhea Score on Day 16
15 minutes
-0.9 units on a scale
Standard Deviation 0.9
0.4 units on a scale
Standard Deviation 1.2
Change in Baseline Rhinorrhea Score on Day 0 to Average Rhinorrhea Score on Day 16
30 minutes
-1.5 units on a scale
Standard Deviation 0.8
0 units on a scale
Standard Deviation 0.8
Change in Baseline Rhinorrhea Score on Day 0 to Average Rhinorrhea Score on Day 16
45 minutes
-1.1 units on a scale
Standard Deviation 1.1
-0.2 units on a scale
Standard Deviation 1
Change in Baseline Rhinorrhea Score on Day 0 to Average Rhinorrhea Score on Day 16
60 minutes
-1.2 units on a scale
Standard Deviation 1
-0.1 units on a scale
Standard Deviation 1
Change in Baseline Rhinorrhea Score on Day 0 to Average Rhinorrhea Score on Day 16
75 minutes
-1.3 units on a scale
Standard Deviation 1.1
-0.7 units on a scale
Standard Deviation 1.3
Change in Baseline Rhinorrhea Score on Day 0 to Average Rhinorrhea Score on Day 16
90 minutes
-1.5 units on a scale
Standard Deviation 1
-0.5 units on a scale
Standard Deviation 1.1
Change in Baseline Rhinorrhea Score on Day 0 to Average Rhinorrhea Score on Day 16
105 minutes
-1.4 units on a scale
Standard Deviation 1.4
-0.5 units on a scale
Standard Deviation 1
Change in Baseline Rhinorrhea Score on Day 0 to Average Rhinorrhea Score on Day 16
120 minutes
-1.7 units on a scale
Standard Deviation 0.6
-0.1 units on a scale
Standard Deviation 1
Change in Baseline Rhinorrhea Score on Day 0 to Average Rhinorrhea Score on Day 16
135 minutes
-1.4 units on a scale
Standard Deviation 1.1
0 units on a scale
Standard Deviation 1.1
Change in Baseline Rhinorrhea Score on Day 0 to Average Rhinorrhea Score on Day 16
150 minutes
-1.5 units on a scale
Standard Deviation 0.8
-0.4 units on a scale
Standard Deviation 0.8
Change in Baseline Rhinorrhea Score on Day 0 to Average Rhinorrhea Score on Day 16
165 minutes
-1.4 units on a scale
Standard Deviation 0.8
-0.4 units on a scale
Standard Deviation 0.8
Change in Baseline Rhinorrhea Score on Day 0 to Average Rhinorrhea Score on Day 16
180 minutes
-1.5 units on a scale
Standard Deviation 0.9
-0.3 units on a scale
Standard Deviation 1.2

SECONDARY outcome

Timeframe: pre-ABC exposure and approximately every 15 minutes, up to 180 minutes, while in the ABC on Day 0 and Day 16

Nasal Congestion was assessed by the participants pre-ABC exposure and approximately every 15 minutes while in the ABC on Day 0 and Day 16 on a 0-4 scale (0 = none to 4 = severe). The change in average nasal congestion score between Day 0 and Day 16 was analyzed.

Outcome measures

Outcome measures
Measure
Fluticasone Propionate Nasal Spray
n=11 Participants
Two sprays in each nostril daily starting the day in office on Day 0 for up to a 17 day period until Day 16.
Placebo Nasal Spray
n=11 Participants
Two sprays in each nostril daily starting the day in office on Day 0 for up to a 17 day period until Day 16.
Change in Baseline Nasal Congestion Score on Day 0 to Average Nasal Congestion Score on Day 16
Pre-ABC
-0.1 units on a scale
Standard Deviation 1
0 units on a scale
Standard Deviation 0.7
Change in Baseline Nasal Congestion Score on Day 0 to Average Nasal Congestion Score on Day 16
15 minutes
-0.4 units on a scale
Standard Deviation 1.2
0.1 units on a scale
Standard Deviation 1.3
Change in Baseline Nasal Congestion Score on Day 0 to Average Nasal Congestion Score on Day 16
30 minutes
-0.7 units on a scale
Standard Deviation 1.3
-0.1 units on a scale
Standard Deviation 1.2
Change in Baseline Nasal Congestion Score on Day 0 to Average Nasal Congestion Score on Day 16
45 minutes
-1.1 units on a scale
Standard Deviation 1.1
0 units on a scale
Standard Deviation 0.9
Change in Baseline Nasal Congestion Score on Day 0 to Average Nasal Congestion Score on Day 16
60 minutes
-1 units on a scale
Standard Deviation 1.1
-0.4 units on a scale
Standard Deviation 0.8
Change in Baseline Nasal Congestion Score on Day 0 to Average Nasal Congestion Score on Day 16
75 minutes
-0.9 units on a scale
Standard Deviation 1.1
-0.5 units on a scale
Standard Deviation 1
Change in Baseline Nasal Congestion Score on Day 0 to Average Nasal Congestion Score on Day 16
90 minutes
-1.1 units on a scale
Standard Deviation 1.2
-0.3 units on a scale
Standard Deviation 0.9
Change in Baseline Nasal Congestion Score on Day 0 to Average Nasal Congestion Score on Day 16
105 minutes
-1.2 units on a scale
Standard Deviation 1
-0.2 units on a scale
Standard Deviation 0.9
Change in Baseline Nasal Congestion Score on Day 0 to Average Nasal Congestion Score on Day 16
120 minutes
-1.5 units on a scale
Standard Deviation 0.9
-0.2 units on a scale
Standard Deviation 0.9
Change in Baseline Nasal Congestion Score on Day 0 to Average Nasal Congestion Score on Day 16
135 minutes
-1.1 units on a scale
Standard Deviation 1.1
-0.2 units on a scale
Standard Deviation 0.9
Change in Baseline Nasal Congestion Score on Day 0 to Average Nasal Congestion Score on Day 16
150 minutes
-1.4 units on a scale
Standard Deviation 0.9
-0.3 units on a scale
Standard Deviation 0.8
Change in Baseline Nasal Congestion Score on Day 0 to Average Nasal Congestion Score on Day 16
165 minutes
-1.4 units on a scale
Standard Deviation 0.9
-0.3 units on a scale
Standard Deviation 0.8
Change in Baseline Nasal Congestion Score on Day 0 to Average Nasal Congestion Score on Day 16
180 minutes
-1.5 units on a scale
Standard Deviation 0.9
-0.1 units on a scale
Standard Deviation 0.9

Adverse Events

Fluticasone Propionate Nasal Spray

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Placebo Nasal Spray

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Fluticasone Propionate Nasal Spray
n=11 participants at risk
Two sprays in each nostril daily starting the day after Day 1 for up to 14 days.
Placebo Nasal Spray
n=11 participants at risk
Two sprays in each nostril daily starting the day after Day 1 for up to 14 days.
General disorders
hives (neck)
0.00%
0/11 • Adverse events were collected from baseline (Day 0) through study completion (Day 16). All subjects who received study medication were evaluable for the safety analysis.
Throughout the visits, staff collected all Adverse Events reported, elicited, or observed.
9.1%
1/11 • Number of events 1 • Adverse events were collected from baseline (Day 0) through study completion (Day 16). All subjects who received study medication were evaluable for the safety analysis.
Throughout the visits, staff collected all Adverse Events reported, elicited, or observed.
General disorders
dizziness
9.1%
1/11 • Number of events 1 • Adverse events were collected from baseline (Day 0) through study completion (Day 16). All subjects who received study medication were evaluable for the safety analysis.
Throughout the visits, staff collected all Adverse Events reported, elicited, or observed.
0.00%
0/11 • Adverse events were collected from baseline (Day 0) through study completion (Day 16). All subjects who received study medication were evaluable for the safety analysis.
Throughout the visits, staff collected all Adverse Events reported, elicited, or observed.
General disorders
headache
0.00%
0/11 • Adverse events were collected from baseline (Day 0) through study completion (Day 16). All subjects who received study medication were evaluable for the safety analysis.
Throughout the visits, staff collected all Adverse Events reported, elicited, or observed.
9.1%
1/11 • Number of events 1 • Adverse events were collected from baseline (Day 0) through study completion (Day 16). All subjects who received study medication were evaluable for the safety analysis.
Throughout the visits, staff collected all Adverse Events reported, elicited, or observed.
General disorders
hives (face)
0.00%
0/11 • Adverse events were collected from baseline (Day 0) through study completion (Day 16). All subjects who received study medication were evaluable for the safety analysis.
Throughout the visits, staff collected all Adverse Events reported, elicited, or observed.
9.1%
1/11 • Number of events 1 • Adverse events were collected from baseline (Day 0) through study completion (Day 16). All subjects who received study medication were evaluable for the safety analysis.
Throughout the visits, staff collected all Adverse Events reported, elicited, or observed.

Additional Information

Caitlin Pearson

Ora

Phone: 978-685-8900

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place