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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)

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
Organon and Co
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Seasonal Allergic Rhinitis

Eligibility Criteria

12 Years - undefined (Child, Adult, Older Adult)All SexesDoes not accept healthy volunteers

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

    First Posted
    October 30, 2007
    Last Updated
    February 7, 2022
    Sponsor
    Organon and Co
    Collaborators
    Quintiles, Inc.
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    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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