Trial Outcomes & Findings for Comparability and Standardization of Controlled Allergen Challenge Facilities (NCT NCT02543346)
NCT ID: NCT02543346
Last Updated: 2019-04-09
Results Overview
Participants recorded their nasal and ocular symptoms at baseline and during the intervention visits. The TRSS is a composite score comprised of 4 nasal (runny nose, sneezing, nasal itch, nasal congestion) and 3 ocular (itchy eyes, watery eyes, red/burning eyes) symptoms. The severity of each individual symptom is rated on a 4-point scale (0 to 3) and are summed for a maximum TRSS of 21 (0 to 21).The 4-point scale includes a severity score of 0 (None: no sign/symptom is evident), 1 (Mild: Sign/symptom clearly present, but minimal awareness; easily tolerated), 2 (Moderate: Definite awareness of sign/symptom that is bothersome, but tolerable), 3 (Severe: Sign/symptom that is hard to tolerate; causes interference with activities during the challenge session. A higher score indicates higher symptom severity.
COMPLETED
PHASE4
98 participants
First treatment visit and second treatment visit.
2019-04-09
Participant Flow
A total of 149 individuals were screened across both study sites; 78 individuals were screened at the Environmental Exposure Unit in Kingston, Ontario, Canada. 71 individuals were screened at the Biogenics Research Chamber in San Antonio, Texas, USA.
A total of 98 of 149 individuals were randomized (51 individuals for the Environmental Exposure Unit, 47 individuals for the Biogenics Research Chamber). Of those not randomized, 5 did not meet inclusion criteria, and 46 were discontinued prior to randomization due to not meeting eligibility criteria.
Participant milestones
| Measure |
EEU: Cetirizine First, Then Placebo
At the EEU, participants attended the first priming visit. At least 3 days later, participants attended the first treatment visit (5-h pollen exposure) and received one Cetirizine 10 mg tablet at the 150-min time point. After a washout period of at least 14 days, participants attended the second priming visit. At least 3 days later, participants attended the second treatment visit (5-h pollen exposure) and received one matching placebo tablet at the 150-min time point.
|
EEU: Placebo First, Then Cetirizine
At the EEU, participants attended the first priming visit. At least 3 days later, participants attended the first treatment visit (5-h pollen exposure) and received one matching placebo tablet at the 150-min time point. After a washout period of at least 14 days, participants attended the second priming visit. At least 3 days later, participants attended the second treatment visit (5-h pollen exposure) and received one Cetirizine 10 mg tablet at the 150-min time point.
|
BRC: Cetirizine First, Then Placebo
At the BRC, participants attended the first priming visit. At least 3 days later, participants attended the first treatment visit (5-h pollen exposure) and received one Cetirizine 10 mg tablet at the 150-min time point. After a washout period of at least 14 days, participants attended the second priming visit. At least 3 days later, participants attended the second treatment visit (5-h pollen exposure) and received one matching placebo tablet at the 150-min time point.
|
BRC: Placebo First, Then Cetirizine
At the BRC, participants attended the first priming visit. At least 3 days later, participants attended the first treatment visit (5-h pollen exposure) and received one matching placebo tablet at the 150-min time point. After a washout period of at least 14 days, participants attended the second priming visit. At least 3 days later, participants attended the second treatment visit (5-h pollen exposure) and received one Cetirizine 10 mg tablet at the 150-min time point.
|
|---|---|---|---|---|
|
First Priming Visit
STARTED
|
26
|
25
|
24
|
23
|
|
First Priming Visit
COMPLETED
|
26
|
25
|
24
|
23
|
|
First Priming Visit
NOT COMPLETED
|
0
|
0
|
0
|
0
|
|
First Treatment Visit
STARTED
|
26
|
25
|
24
|
23
|
|
First Treatment Visit
COMPLETED
|
26
|
25
|
24
|
23
|
|
First Treatment Visit
NOT COMPLETED
|
0
|
0
|
0
|
0
|
|
Washout (at Least 14 Days)
STARTED
|
26
|
25
|
24
|
23
|
|
Washout (at Least 14 Days)
COMPLETED
|
26
|
25
|
24
|
23
|
|
Washout (at Least 14 Days)
NOT COMPLETED
|
0
|
0
|
0
|
0
|
|
Second Priming Visit
STARTED
|
26
|
25
|
24
|
23
|
|
Second Priming Visit
COMPLETED
|
25
|
23
|
22
|
21
|
|
Second Priming Visit
NOT COMPLETED
|
1
|
2
|
2
|
2
|
|
Second Treatment Visit
STARTED
|
25
|
23
|
22
|
21
|
|
Second Treatment Visit
COMPLETED
|
25
|
23
|
22
|
21
|
|
Second Treatment Visit
NOT COMPLETED
|
0
|
0
|
0
|
0
|
Reasons for withdrawal
| Measure |
EEU: Cetirizine First, Then Placebo
At the EEU, participants attended the first priming visit. At least 3 days later, participants attended the first treatment visit (5-h pollen exposure) and received one Cetirizine 10 mg tablet at the 150-min time point. After a washout period of at least 14 days, participants attended the second priming visit. At least 3 days later, participants attended the second treatment visit (5-h pollen exposure) and received one matching placebo tablet at the 150-min time point.
|
EEU: Placebo First, Then Cetirizine
At the EEU, participants attended the first priming visit. At least 3 days later, participants attended the first treatment visit (5-h pollen exposure) and received one matching placebo tablet at the 150-min time point. After a washout period of at least 14 days, participants attended the second priming visit. At least 3 days later, participants attended the second treatment visit (5-h pollen exposure) and received one Cetirizine 10 mg tablet at the 150-min time point.
|
BRC: Cetirizine First, Then Placebo
At the BRC, participants attended the first priming visit. At least 3 days later, participants attended the first treatment visit (5-h pollen exposure) and received one Cetirizine 10 mg tablet at the 150-min time point. After a washout period of at least 14 days, participants attended the second priming visit. At least 3 days later, participants attended the second treatment visit (5-h pollen exposure) and received one matching placebo tablet at the 150-min time point.
|
BRC: Placebo First, Then Cetirizine
At the BRC, participants attended the first priming visit. At least 3 days later, participants attended the first treatment visit (5-h pollen exposure) and received one matching placebo tablet at the 150-min time point. After a washout period of at least 14 days, participants attended the second priming visit. At least 3 days later, participants attended the second treatment visit (5-h pollen exposure) and received one Cetirizine 10 mg tablet at the 150-min time point.
|
|---|---|---|---|---|
|
Second Priming Visit
Withdrawal by Subject
|
0
|
2
|
2
|
2
|
|
Second Priming Visit
Adverse Event
|
1
|
0
|
0
|
0
|
Baseline Characteristics
Comparability and Standardization of Controlled Allergen Challenge Facilities
Baseline characteristics by cohort
| Measure |
All Study Participants
n=98 Participants
Includes all participants at the EEU and BRC sites. All participants were randomized to receive both interventions (Cetirizine 10 mg and Placebo).
|
|---|---|
|
Age, Continuous
|
44.2 years
STANDARD_DEVIATION 11.8 • n=5 Participants
|
|
Sex: Female, Male
Female
|
57 Participants
n=5 Participants
|
|
Sex: Female, Male
Male
|
41 Participants
n=5 Participants
|
|
Race/Ethnicity, Customized
Hispanic or Latino
|
27 Participants
n=5 Participants
|
|
Race/Ethnicity, Customized
Not Hispanic or Latino
|
71 Participants
n=5 Participants
|
PRIMARY outcome
Timeframe: First treatment visit and second treatment visit.Population: Efficacy analyses included all randomized participants who received at least 1 dose of study medication (Cetirizine 10 mg or Placebo).
Participants recorded their nasal and ocular symptoms at baseline and during the intervention visits. The TRSS is a composite score comprised of 4 nasal (runny nose, sneezing, nasal itch, nasal congestion) and 3 ocular (itchy eyes, watery eyes, red/burning eyes) symptoms. The severity of each individual symptom is rated on a 4-point scale (0 to 3) and are summed for a maximum TRSS of 21 (0 to 21).The 4-point scale includes a severity score of 0 (None: no sign/symptom is evident), 1 (Mild: Sign/symptom clearly present, but minimal awareness; easily tolerated), 2 (Moderate: Definite awareness of sign/symptom that is bothersome, but tolerable), 3 (Severe: Sign/symptom that is hard to tolerate; causes interference with activities during the challenge session. A higher score indicates higher symptom severity.
Outcome measures
| Measure |
EEU Placebo
n=48 Participants
|
BRC Placebo
n=43 Participants
|
EEU Cetirizine
n=48 Participants
|
BRC Cetirizine
n=43 Participants
|
|---|---|---|---|---|
|
Comparison of TRSS From Baseline Between the EEU and BRC in the Cetirizine 10 mg and Placebo Groups.
|
11.9 score on a scale
Standard Error 0.49
|
11.7 score on a scale
Standard Error 0.51
|
11.5 score on a scale
Standard Error 0.49
|
10.8 score on a scale
Standard Error 0.52
|
SECONDARY outcome
Timeframe: First treatment visit and second treatment visit.Population: Efficacy analyses included all randomized participants who received at least 1 dose of study medication (Cetirizine 10 mg or Placebo).
Participants recorded their nasal and ocular symptoms at baseline and during the intervention visits. The Total Nasal Symptom Score (TNSS) is a composite score comprised of 4 nasal (runny nose, sneezing, nasal itch, nasal congestion) symptoms. The severity of each individual symptom is rated on a 4-point scale (0 to 3) and are summed for a maximum TNSS of 12 (0 to 12) .The 4-point scale includes a severity score of 0 (None: no sign/symptom is evident), 1 (Mild: Sign/symptom clearly present, but minimal awareness; easily tolerated), 2 (Moderate: Definite awareness of sign/symptom that is bothersome, but tolerable), 3 (Severe: Sign/symptom that is hard to tolerate; causes interference with activities during the challenge session. A higher score indicates higher symptom severity.
Outcome measures
| Measure |
EEU Placebo
n=48 Participants
|
BRC Placebo
n=43 Participants
|
EEU Cetirizine
n=48 Participants
|
BRC Cetirizine
n=43 Participants
|
|---|---|---|---|---|
|
Comparison of TNSS From Baseline Between the EEU and BRC in the Cetirizine 10 mg and Placebo Groups.
|
7.3 score on a scale
Standard Error 0.30
|
7.5 score on a scale
Standard Error 0.32
|
7.1 score on a scale
Standard Error 0.30
|
6.9 score on a scale
Standard Error 0.32
|
SECONDARY outcome
Timeframe: First treatment visit and second treatment visit.Population: Efficacy analyses included all randomized participants who received at least 1 dose of study medication (Cetirizine 10 mg or Placebo).
Participants recorded their nasal and ocular symptoms at baseline and during the intervention visits. The Total Ocular Symptom Score (TOSS) is a composite score comprised of 3 ocular (itchy eyes, watery eyes, red/burning eyes) symptoms. The severity of each individual symptom is rated on a 4-point scale (0 to 3) and are summed for a maximum TOSS of 9 (0 to 9) .The 4-point scale includes a severity score of 0 (None: no sign/symptom is evident), 1 (Mild: Sign/symptom clearly present, but minimal awareness; easily tolerated), 2 (Moderate: Definite awareness of sign/symptom that is bothersome, but tolerable), 3 (Severe: Sign/symptom that is hard to tolerate; causes interference with activities during the challenge session. A higher score indicates higher symptom severity.
Outcome measures
| Measure |
EEU Placebo
n=47 Participants
|
BRC Placebo
n=43 Participants
|
EEU Cetirizine
n=47 Participants
|
BRC Cetirizine
n=43 Participants
|
|---|---|---|---|---|
|
Comparison of TOSS From Baseline Between the EEU and BRC in the Cetirizine 10 mg and Placebo Groups.
|
4.6 score on a scale
Standard Error 0.23
|
4.2 score on a scale
Standard Error 0.24
|
4.4 score on a scale
Standard Error 0.23
|
3.9 score on a scale
Standard Error 0.24
|
SECONDARY outcome
Timeframe: First treatment visit and second treatment visit.Population: Efficacy analyses included all randomized participants who received at least 1 dose of study medication (Cetirizine 10 mg or Placebo).
Participants recorded how they were feeling at baseline and at the end of both treatment visits. The Global Rating of Change Scale documents the changes in the participant's emotions. The scale ranges from +7 (A very great deal better) to -7 (A very great deal worse) with 0 being no change. A higher score indicates a better outcome.
Outcome measures
| Measure |
EEU Placebo
n=48 Participants
|
BRC Placebo
n=43 Participants
|
EEU Cetirizine
n=48 Participants
|
BRC Cetirizine
n=43 Participants
|
|---|---|---|---|---|
|
Comparison of GRCS From Baseline Between the EEU and BRC in the Cetirizine 10 mg and Placebo Groups.
|
1.2 score on a scale
Standard Error 0.55
|
-0.1 score on a scale
Standard Error 0.57
|
1.8 score on a scale
Standard Error 0.55
|
0.9 score on a scale
Standard Error 0.58
|
SECONDARY outcome
Timeframe: First treatment visit and second treatment visit.Population: Efficacy analyses included all randomized participants who received at least 1 dose of study medication (Cetirizine 10 mg or Placebo).
Participants recorded the severity of all nasal and ocular symptoms at baseline and at the end of both treatment visits. The Visual Analogue Scale (VAS) is a single overall rating of the severity of all nasal and ocular symptoms experienced by the participant. The scale ranges from 0 to 100 mm with 0 mm being no symptoms and 100 mm being the worst symptoms the participant has ever felt.
Outcome measures
| Measure |
EEU Placebo
n=48 Participants
|
BRC Placebo
n=43 Participants
|
EEU Cetirizine
n=48 Participants
|
BRC Cetirizine
n=43 Participants
|
|---|---|---|---|---|
|
Comparison of VAS From Baseline Between the EEU and BRC in the Cetirizine 10 mg and Placebo Groups.
|
52.7 units on a scale
Standard Error 3.98
|
47.7 units on a scale
Standard Error 4.18
|
45.3 units on a scale
Standard Error 4.00
|
44.1 units on a scale
Standard Error 4.19
|
Adverse Events
EEU Placebo
BRC Placebo
EEU Cetirizine
BRC Cetirizine
Serious adverse events
Adverse event data not reported
Other adverse events
Adverse event data not reported
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place