Study of Mometasone Furoate Nasal Spray and Oxymetazoline Nasal Spray Given Together Once A Day To Treat Seasonal Allergic Rhinitis (P04500)
Primary Purpose
Seasonal Allergic Rhinitis
Status
Completed
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
OXY combination: mometasone furoate nasal spray (MFNS) and oxymetazoline nasal spray (OXY)
OXY combination: mometasone furoate nasal spray (MFNS) and oxymetazoline nasal spray (OXY)
mometasone furoate nasal spray (MFNS) once daily
oxymetazoline nasal spray (OXY) twice daily
Placebo
Sponsored by
About this trial
This is an interventional treatment trial for Seasonal Allergic Rhinitis
Eligibility Criteria
Inclusion Criteria:
- Must be 12 years of age or older, of either sex, and of any race.
- Must have at least a 2-year documented history of SAR which exacerbates during the time period over which the subject will be participating.
- Must have a documented (within the past 12 months) positive skin-prick test response to an appropriate seasonal allergen appropriate to the geographical vicinity in which the study is being carried out and over the period of time the subject is participating.
- Must be clinically symptomatic at the Screening and Baseline Visits.
- Must be in general good health as confirmed by routine clinical and laboratory testing and electrocardiogram results.
- Must be free of any clinically significant disease, other than SAR, which would interfere with the study evaluations.
- Must be willing to give written informed consent and must be able to adhere to dosing and visit schedules and study requirements.
- Female subjects of child-bearing potential must have a negative serum pregnancy test at screening. Nonsterile and premenopausal female subjects must be using a medically acceptable method of birth control prior to screening and during the entire study.
- Must have the ability to transmit electronic diary data on a regular basis.
Exclusion Criteria:
- A subject with a history of anaphylaxis and/or other severe local reaction(s) to skin testing.
- A subject with asthma who requires chronic use of inhaled or systemic corticosteroids.
- A subject with current or history of frequent, clinically significant sinusitis or chronic purulent postnasal drip.
- A subject with rhinitis medicamentosa.
- A subject with glaucoma and/or increased intraocular pressure.
- A subject who has nasal structural abnormalities, including large nasal polyps and marked septal deviations, which significantly interfere with nasal air flow.
- A subject who, in the opinion of the investigator, is dependent on nasal, oral, or ocular decongestants, nasal topical antihistamines, or nasal steroids.
- A pregnant or nursing female.
- A subject with current evidence of clinically significant hematopoietic, cardiovascular, hepatic, renal, neurologic, psychiatric, pulmonary, autoimmune disease, or other disease that precludes the subject's participation in the study. Particular attention should be given to exclude subjects with conditions that would currently interfere with the absorption, distribution, metabolism, or excretion of the study drug or interfere with the subject's ability to complete or reliably complete the diaries.
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm Type
Experimental
Experimental
Active Comparator
Active Comparator
Placebo Comparator
Arm Label
Combination1
Combination3
Mometasone
Oxymetazoline
Placebo
Arm Description
Mometasone Furoate nasal spray (MFNS) with oxymetazoline nasal spray (OXY) 1 spray once daily
MFNS with OXY 3 sprays once daily
MFNS once daily
OXY twice daily
Placebo nasal spray
Outcomes
Primary Outcome Measures
Change From Baseline in AM/PM Instantaneous Total Nasal Symptom Score (NOW TNSS) Averaged Over Days 1 to 15
Subjects scored severity of rhinorrhea, nasal congestion/stuffiness, nasal itching, and sneezing at the time of evaluation (NOW) using an ordinal scale from 0 = none to 3 = severe. Evaluations were performed daily in the morning (AM) and evening (PM). For each evaluation, individual symptom scores were summed to a TNSS, which was then averaged for a single score across the 15 day treatment period.
Standardized Area Under the Curve From 0 to 4 Hours [AUC(0-4 hr)] of the Change From Baseline to Hour 4 on Day 1 in Nasal Congestion Score
Subjects scored nasal congestion/stuffiness using an ordinal scale from 0 = none to 3 = severe. Baseline was the average of the scores assessed every 15 minutes for 1 hour prior to dosing on Day 1. After dosing on Day 1, congestion was scored every 15 minutes for the 1st hour and every 30 minutes for the next 3 hours. Area under the curve (AUC) was calculated using the trapezoid rule, then standardization achieved by dividing the calculation by 4 hours. Treatment comparisons were examined using the standardized AUC(0-4 hr) of the change from baseline to hour 4 on Day 1.
Secondary Outcome Measures
Full Information
NCT ID
NCT00552110
First Posted
October 30, 2007
Last Updated
February 7, 2022
Sponsor
Organon and Co
Collaborators
Quintiles, Inc.
1. Study Identification
Unique Protocol Identification Number
NCT00552110
Brief Title
Study of Mometasone Furoate Nasal Spray and Oxymetazoline Nasal Spray Given Together Once A Day To Treat Seasonal Allergic Rhinitis (P04500)
Official Title
Efficacy and Safety of Concurrent Administration of Mometasone Furoate Nasal Spray (MFNS) and Oxymetazoline Nasal Spray Administered Once Daily (QD) vs. Oxymetazoline Twice Daily (BID), Mometasone Furoate QD, and Placebo in the Treatment of Subjects With Seasonal Allergic Rhinitis
Study Type
Interventional
2. Study Status
Record Verification Date
February 2022
Overall Recruitment Status
Completed
Study Start Date
July 2007 (undefined)
Primary Completion Date
February 2008 (Actual)
Study Completion Date
February 2008 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Organon and Co
Collaborators
Quintiles, Inc.
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The primary objective of this study is to evaluate the efficacy of the combination of mometasone furoate nasal spray (MFNS) and oxymetazoline nasal spray (OXY) given together once a day in treating subjects with seasonal allergic rhinitis (SAR) in relieving symptoms including nasal congestion. The secondary objectives of this study are to evaluate the potential of the combination to produce tachyphylaxis and/or rebound congestion, and to evaluate the safety of the combination.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Seasonal Allergic Rhinitis
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
Investigator
Allocation
Randomized
Enrollment
707 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Combination1
Arm Type
Experimental
Arm Description
Mometasone Furoate nasal spray (MFNS) with oxymetazoline nasal spray (OXY) 1 spray once daily
Arm Title
Combination3
Arm Type
Experimental
Arm Description
MFNS with OXY 3 sprays once daily
Arm Title
Mometasone
Arm Type
Active Comparator
Arm Description
MFNS once daily
Arm Title
Oxymetazoline
Arm Type
Active Comparator
Arm Description
OXY twice daily
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo nasal spray
Intervention Type
Drug
Intervention Name(s)
OXY combination: mometasone furoate nasal spray (MFNS) and oxymetazoline nasal spray (OXY)
Other Intervention Name(s)
MFNS + OXY combination
Intervention Description
MFNS 2 sprays per nostril with OXY 1 spray per nostril once daily x 2 weeks. Matching placebo to MFNS given every evening (PM).
Intervention Type
Drug
Intervention Name(s)
OXY combination: mometasone furoate nasal spray (MFNS) and oxymetazoline nasal spray (OXY)
Other Intervention Name(s)
MFNS + OXY combination assessing a different dose (ie, number of sprays) from that used in Group 1
Intervention Description
MFNS 2 sprays per nostril with OXY 3 sprays per nostril once daily x 2 weeks. Matching placebo to MFNS given every evening.
Intervention Type
Drug
Intervention Name(s)
mometasone furoate nasal spray (MFNS) once daily
Other Intervention Name(s)
MFNS QD
Intervention Description
MFNS 2 sprays per nostril once daily x 2 weeks. Matching placebo to MFNS given every morning (AM) and every evening.
Intervention Type
Drug
Intervention Name(s)
oxymetazoline nasal spray (OXY) twice daily
Other Intervention Name(s)
OXY BID
Intervention Description
OXY 2 sprays per nostril twice daily x 2 weeks. Matching placebo to MFNS given every morning.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Matching placebo to MFNS given every morning and every evening x 2 weeks.
Primary Outcome Measure Information:
Title
Change From Baseline in AM/PM Instantaneous Total Nasal Symptom Score (NOW TNSS) Averaged Over Days 1 to 15
Description
Subjects scored severity of rhinorrhea, nasal congestion/stuffiness, nasal itching, and sneezing at the time of evaluation (NOW) using an ordinal scale from 0 = none to 3 = severe. Evaluations were performed daily in the morning (AM) and evening (PM). For each evaluation, individual symptom scores were summed to a TNSS, which was then averaged for a single score across the 15 day treatment period.
Time Frame
15 days of treatment
Title
Standardized Area Under the Curve From 0 to 4 Hours [AUC(0-4 hr)] of the Change From Baseline to Hour 4 on Day 1 in Nasal Congestion Score
Description
Subjects scored nasal congestion/stuffiness using an ordinal scale from 0 = none to 3 = severe. Baseline was the average of the scores assessed every 15 minutes for 1 hour prior to dosing on Day 1. After dosing on Day 1, congestion was scored every 15 minutes for the 1st hour and every 30 minutes for the next 3 hours. Area under the curve (AUC) was calculated using the trapezoid rule, then standardization achieved by dividing the calculation by 4 hours. Treatment comparisons were examined using the standardized AUC(0-4 hr) of the change from baseline to hour 4 on Day 1.
Time Frame
from baseline to hour 4 on Day 1
10. Eligibility
Sex
All
Minimum Age & Unit of Time
12 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Must be 12 years of age or older, of either sex, and of any race.
Must have at least a 2-year documented history of SAR which exacerbates during the time period over which the subject will be participating.
Must have a documented (within the past 12 months) positive skin-prick test response to an appropriate seasonal allergen appropriate to the geographical vicinity in which the study is being carried out and over the period of time the subject is participating.
Must be clinically symptomatic at the Screening and Baseline Visits.
Must be in general good health as confirmed by routine clinical and laboratory testing and electrocardiogram results.
Must be free of any clinically significant disease, other than SAR, which would interfere with the study evaluations.
Must be willing to give written informed consent and must be able to adhere to dosing and visit schedules and study requirements.
Female subjects of child-bearing potential must have a negative serum pregnancy test at screening. Nonsterile and premenopausal female subjects must be using a medically acceptable method of birth control prior to screening and during the entire study.
Must have the ability to transmit electronic diary data on a regular basis.
Exclusion Criteria:
A subject with a history of anaphylaxis and/or other severe local reaction(s) to skin testing.
A subject with asthma who requires chronic use of inhaled or systemic corticosteroids.
A subject with current or history of frequent, clinically significant sinusitis or chronic purulent postnasal drip.
A subject with rhinitis medicamentosa.
A subject with glaucoma and/or increased intraocular pressure.
A subject who has nasal structural abnormalities, including large nasal polyps and marked septal deviations, which significantly interfere with nasal air flow.
A subject who, in the opinion of the investigator, is dependent on nasal, oral, or ocular decongestants, nasal topical antihistamines, or nasal steroids.
A pregnant or nursing female.
A subject with current evidence of clinically significant hematopoietic, cardiovascular, hepatic, renal, neurologic, psychiatric, pulmonary, autoimmune disease, or other disease that precludes the subject's participation in the study. Particular attention should be given to exclude subjects with conditions that would currently interfere with the absorption, distribution, metabolism, or excretion of the study drug or interfere with the subject's ability to complete or reliably complete the diaries.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ariel A Teper, MD
Organizational Affiliation
Schering-Plough
Official's Role
Study Director
12. IPD Sharing Statement
Plan to Share IPD
Yes
IPD Sharing Plan Description
http://www.merck.com/clinical-trials/pdf/Merck%20Procedure%20on%20Clinical%20Trial%20Data%20Access%20Final_Updated%20July_9_2014.pdf
http://engagezone.msd.com/ds_documentation.php
Citations:
PubMed Identifier
23562197
Citation
Meltzer EO, Bernstein DI, Prenner BM, Berger WE, Shekar T, Teper AA. Mometasone furoate nasal spray plus oxymetazoline nasal spray: short-term efficacy and safety in seasonal allergic rhinitis. Am J Rhinol Allergy. 2013 Mar-Apr;27(2):102-8. doi: 10.2500/ajra.2013.27.3864.
Results Reference
result
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Study of Mometasone Furoate Nasal Spray and Oxymetazoline Nasal Spray Given Together Once A Day To Treat Seasonal Allergic Rhinitis (P04500)
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