Safety of Astepro 0.15% Nasal Spray and Astepro 0.1% Nasal Spray in Children Ages >6 Months to <6 Years With AR

NCT ID: NCT01880840

Last Updated: 2015-06-29

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

PHASE4

Total Enrollment

191 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-06-30

Study Completion Date

2014-08-31

Brief Summary

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The purpose of this study is to compare the safety of 2 different doses of the investigational use of an allergy medication (Astepro Nasal Spray) in the treatment of allergic rhinitis (AR). This is an open-label study; that is, parent and child will know which group each is in.

Detailed Description

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Approximately 200 subjects, between the ages of ≥ 6 months to \< 6 years of age who have a history of AR will participate in this study.

The study will be conducted at about 20 research centers in the United States. Each research center will enroll approximately 2 to 10 subjects.

The study will involve at least 4 office visits over at least a 4-week period. You will need to keep the appointments as scheduled by the study personnel.

Some medications or therapies could interfere with the safety evaluations conducted in this study. If your child is currently taking any of these medications or therapies, they will need to discontinue them in order to be eligible for this study. Your study doctor will discuss this with you along with information on how this could affect your child's health. If you and the study doctor decide this is appropriate, there is a specific time period that these will need to be discontinued before your child can proceed in study evaluation.

If your child is eligible for study participation, he/she will be randomly assigned (by chance, like the flip of a coin) to one of the following two study drug groups:

* Astepro (azelastine hydrochloride) 0.15% Nasal Spray, 822 mcg (total daily dose); OR
* Astepro (azelastine hydrochloride) 0.1% Nasal Spray, 548 mcg (total daily dose)

The following are being performed for the purposes of this study and are not considered standard care:

* Your child will be placed in one of the two study drug groups by chance.
* You will complete questionnaires about your child's allergy symptoms.
* You will complete diary cards each morning recording your child's allergy symptoms over the previous 24 hours.
* Your child will have his/her vital signs measured (blood pressure, pulse, temperature and breathing rate).
* You and your child will be asked questions regarding your child's use of any medication or supplements and how your child has felt since his/her last visit.
* Blood and urine samples will be collected to assess the safety of taking the study drug.

Conditions

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Allergic Rhinitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Astepro 0.15% Nasal Spray

Nasal Spray at a dosage of 1 spray per nostril twice daily

Group Type ACTIVE_COMPARATOR

205.5 mcg of azelastine hydrochloride

Intervention Type DRUG

nasal spray

Astepro 0.1% Nasal Spray

Nasal Spray at a dosage of 1 spray per nostril twice daily

Group Type ACTIVE_COMPARATOR

137 mcg of azelastine hydrochloride

Intervention Type DRUG

nasal spray

Interventions

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205.5 mcg of azelastine hydrochloride

nasal spray

Intervention Type DRUG

137 mcg of azelastine hydrochloride

nasal spray

Intervention Type DRUG

Other Intervention Names

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astepro .15% astepro .1%

Eligibility Criteria

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Inclusion Criteria

* Male and female subjects \>6 months to \<6 years, inclusive at the screening visit
* A history of AR
* The parent must provide written informed consent and the child must provide assent, if possible
* Willing and able to comply with the study requirements
* May benefit from treatment with Astepro Nasal Spray, based on the Investigator's assessment (based on medical history, physical examination, etc.) of the subject's clinical condition, at both the Screening and Randomization Visits
* General good health and free of any disease or concomitant treatment that could interfere with the interpretation of the study results as determined by the investigator or the sponsor's medical officer
* Subjects receiving immunotherapy injections (antigen desensitization) must be on a stable maintenance regimen for at least 30 days before the first study visit (adjustments to regimen following a brief period of missed injections do not preclude participation)

Exclusion Criteria

* On nasal examination, subjects with superficial nasal mucosal erosion, moderate nasal mucosal erosion, nasal mucosal ulceration, nasal septum perforation
* Other nasal disease(s) likely to affect deposition of intranasal medication, such as acute sinusitis, rhinitis medicamentosa or clinically significant polyposis or nasal structural abnormalities
* Nasal surgery or sinus surgery within the previous year
* Chronic sinusitis
* The use of any investigational drug within 30 days prior to Visit 1. No investigational products are permitted for use during the conduct of this study
* Presence of any hypersensitivity to drugs similar to azelastine and to either sorbitol or sucralose (Splenda® brand sweetener)
* Respiratory tract infections within two weeks prior to Visit 1.
* Subjects with significant pulmonary disease including asthma. Subjects with intermittent asthma who only require short-acting inhaled bronchodilators are eligible for enrollment. Asthma (with the exception of intermittent asthma). Subjects with intermittent asthma who only require short-acting inhaled bronchodilators (not more often than twice per week) and who do not have nocturnal awakening as a result of asthma are eligible for enrollment
* Chronic obstructive sleep apnea syndrome (clinical diagnosis)
* Existence of any surgical or medical condition, which in the opinion of the investigator or sponsor's medical monitor, might significantly alter the absorption, distribution, metabolism, or excretion of study drug or that might significantly affect the subject's ability to complete this trial
* Clinically relevant abnormal physical findings or laboratory results which, in the opinion of the investigator, would interfere with the objectives -- Family members of research center or private practice personnel who are directly involved in this study are excluded
* Members of the same family cannot enroll in the study at the same time.
* Subjects who have used medications or therapies that could interfere with safety evaluations (see Section 4.0)
* Any behavioral condition which could affect subject's ability to accurately report symptoms to the caregiver such as developmental delay, attention deficit disorder, and autism
Minimum Eligible Age

6 Months

Maximum Eligible Age

5 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Novella Clinical

OTHER

Sponsor Role collaborator

Meda Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Clinical Research Center of Alabama,LLC

Birmingham, Alabama, United States

Site Status

Little Rock Allergy and Asthma Clinical research Center

Little Rock, Alaska, United States

Site Status

West Coast Clinical Trials

Costa Mesa, California, United States

Site Status

Southern California Research

Mission Viejo, California, United States

Site Status

Storms Clinical Research Institute

Colorado Springs, Colorado, United States

Site Status

Sneeze, Wheeze and Itch Associates

Normal, Illinois, United States

Site Status

Allergy, Asthma & Clinical Research Center

Oklahoma City, Oklahoma, United States

Site Status

National Allergy, Asthna & Urticaria Centers of Charleston Pa

Charleston, Pennsylvania, United States

Site Status

Texas Allergy Research Center

Dallas, Texas, United States

Site Status

Central Texas Health Research

New Braunfels, Texas, United States

Site Status

Paul H Ratner,MD

San Antonio, Texas, United States

Site Status

Live Oak Allergy and Asthma Clinic

San Antonio, Texas, United States

Site Status

Allergy and Asthma Center

Waco, Texas, United States

Site Status

Pediatric Allergy,Asthma and Immunology/Allergy& Asthma care of Waco

Waco, Texas, United States

Site Status

Countries

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United States

Other Identifiers

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MP 442

Identifier Type: -

Identifier Source: org_study_id

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