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.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

98 participants

Primary outcome timeframe

First treatment visit and second treatment visit.

Results posted on

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

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

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

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

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

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

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

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

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

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

BRC Placebo

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

EEU Cetirizine

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

BRC Cetirizine

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Anne Ellis

Kingston General Hospital

Phone: 6135482336

Results disclosure agreements

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