A Comparative Study of Mometasone Furoate Nasal Spray and Fluticasone Propionate Nasal Spray in Patients With Perennial Allergic Rhinitis (Study P04512)
Primary Purpose
Perennial Allergic Rhinitis
Status
Completed
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
Placebo for MF
Placebo for FP
Mometasone
Fluticasone
Sponsored by
About this trial
This is an interventional treatment trial for Perennial Allergic Rhinitis
Eligibility Criteria
Inclusion Criteria:
Patients with perennial allergic rhinitis meeting all of the followings.
- Patients with symptoms of perennial allergic rhinitis, the severity of which is moderate or severer according to the severity grading provided in the "Guidelines for the Management of Allergic Rhinitis in Japan" (partly modified) with the 4-nasal symptom score of 4 or over at informed consent and during the pre-treatment observation period
- Patients with positive reaction to the eosinophil count in nasal discharge or nasal challenge test in addition to the skin test or specific IgE antibody test
- Outpatients aged 16 years or over at informed consent
- Patients in either sex
- Patients (or their legal representatives in case of patients aged under 20 years) capable of giving written informed consent
- Patients capable of recording nasal allergy diary every day
Exclusion Criteria:
- Patients with a complication of tuberculous diseases or lower respiratory tract infections, and those with a complication of otorhinolaryngeal infections(acute upper respiratory tract inflammation, acute laryngopharyngitis, acute tonsillitis, etc.) requiring treatments judged by the investigator (subinvestigator) at the time of enrollment to randomization
- Patients with a complication of infection or systemic mycosis for which no effective antibiotics are available
- Patients with a complication of recurrent epistaxis
- Patients with uncured nasal septal ulcer, operated nose or nasal trauma.
- Patients with a history of hypersensitivity to steroids and any ingredients of the study drugs
- Pregnant, lactating or possibly pregnant patients or the patients who themselves or whose partners wish to become pregnant during the study
- Patients with severe hepatic or renal disorder, heart or blood disease, diabetes mellitus, hypertension, or other serious complication, suffering from problems with systemic condition
- Patients who have pollens as multiple allergens and the period from 7 days before enrollment to randomization to completion of the treatment period coincides with the period of scattering of relevant pollens
- Patients with a complication of vasomotor rhinitis or eosinophilic rhinitis
- Patients with a complication of a nasal disease (infectious sinusitis, hypertrophic rhinitis, acute or chronic rhinitis, nasal polyps, or septal deviation) which may interfere with efficacy evaluation of the study drugs
- Patients with a complication of a disease (acute upper respiratory tract inflammation, acute laryngitis or acute tonsillitis, etc.) of severity affecting nasal symptoms within 7 days before enrollment
- Patients who have previously received MF nasal spray
- Patients who used FP nasal spray within 28 days before initiation of the pre-treatment observation period (7 days before enrollment to randomization)
- Patients who have participated in clinical trials of other investigational product(s) within 120 days (4 months) before obtaining informed consent or participating at present
- Patients in whom prior medication expected to be effective for allergic rhinitis was not drawn long enough before initiation of treatment with the investigational product or the preceding medication cannot be withdrawn
- Patients who are being treated with specific desensitization therapy or nonspecific allassotherapy or in whom such the therapy was withdrawn within 90 days (3 months) before obtaining informed consent (except for patients receiving the maintenance therapy at present in whom the therapy began more than 180 days (6 months) before obtaining the informed consent)
- Other patients whom the investigator or the subinvestigator judged to be inappropriate for participation in the present study
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm Type
Placebo Comparator
Placebo Comparator
Experimental
Active Comparator
Arm Label
Mometasone Furoate Placebo (PLAMF)
Fluticasone Propionate Placebo (PLAFP)
Mometasone Furoate (MF)
Fluticasone Propionate (FP)
Arm Description
Placebo to mometasone furoate nasal spray, made to be indistinguishable from mometasone furoate nasal spray
Placebo to fluticasone propionate nasal spray, made to be indistinguishable from fluticasone propionate nasal spray
Mometasone furoate nasal spray 200 μg/day(QD)
Fluticasone Propionate nasal spray 200 μg/day, twice per day (BID)
Outcomes
Primary Outcome Measures
Change in 4 Nasal Symptom Score (Sneezing Attack, Rhinorrhea, Nasal Congestion, and Nasal Itching) After 2 Weeks
The nasal symptoms (sneezing attacks, rhinorrhea, nasal congestion and itching) were rated in 4 grades (+++: 3 points, ++: 2 points, +: 1 point, -: 0 point) based on the evaluation criteria for nasal symptoms. Total possible best score is 0 points, total possible worst score is 12 points.
Secondary Outcome Measures
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT00783224
Brief Title
A Comparative Study of Mometasone Furoate Nasal Spray and Fluticasone Propionate Nasal Spray in Patients With Perennial Allergic Rhinitis (Study P04512)
Official Title
Comparative Study of Mometasone Furoate Nasal Spray and Fluticasone Propionate Nasal Spray in Patients With Perennial Allergic Rhinitis
Study Type
Interventional
2. Study Status
Record Verification Date
February 2022
Overall Recruitment Status
Completed
Study Start Date
September 2005 (undefined)
Primary Completion Date
November 2005 (Actual)
Study Completion Date
December 2005 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Organon and Co
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
This study was conducted to see if mometasone nasal spray is efficaceous for the treatment of perennial allergic rhinitis. Patients will be randomized to active mometasone, placebo mometasone, active fluticasone, or placebo fluticasone.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Perennial Allergic Rhinitis
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
Investigator
Allocation
Randomized
Enrollment
351 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Mometasone Furoate Placebo (PLAMF)
Arm Type
Placebo Comparator
Arm Description
Placebo to mometasone furoate nasal spray, made to be indistinguishable from mometasone furoate nasal spray
Arm Title
Fluticasone Propionate Placebo (PLAFP)
Arm Type
Placebo Comparator
Arm Description
Placebo to fluticasone propionate nasal spray, made to be indistinguishable from fluticasone propionate nasal spray
Arm Title
Mometasone Furoate (MF)
Arm Type
Experimental
Arm Description
Mometasone furoate nasal spray 200 μg/day(QD)
Arm Title
Fluticasone Propionate (FP)
Arm Type
Active Comparator
Arm Description
Fluticasone Propionate nasal spray 200 μg/day, twice per day (BID)
Intervention Type
Drug
Intervention Name(s)
Placebo for MF
Intervention Description
Placebo to mometasone furoate nasal spray, indistinguishable from mometasone furoate nasal spray. Patients in this arm take 2 sprays per nostril once a day for 2 weeks
Intervention Type
Drug
Intervention Name(s)
Placebo for FP
Intervention Description
Placebo to fluticasone nasal spray, indistinguishable from fluticasone propionate nasal spray. Patients in this arm take 2 sprays per nostril twice a day for 2 weeks
Intervention Type
Drug
Intervention Name(s)
Mometasone
Other Intervention Name(s)
SCH 032088, Nasonex
Intervention Description
Mometasone furoate nasal spray. Patients in this arm take 2 sprays per nostril once a day for 2 weeks
Intervention Type
Drug
Intervention Name(s)
Fluticasone
Other Intervention Name(s)
Flonase
Intervention Description
Fluticasone propionate nasal spray. Patients in this arm take 2 sprays per nostril twice a day for 2 weeks
Primary Outcome Measure Information:
Title
Change in 4 Nasal Symptom Score (Sneezing Attack, Rhinorrhea, Nasal Congestion, and Nasal Itching) After 2 Weeks
Description
The nasal symptoms (sneezing attacks, rhinorrhea, nasal congestion and itching) were rated in 4 grades (+++: 3 points, ++: 2 points, +: 1 point, -: 0 point) based on the evaluation criteria for nasal symptoms. Total possible best score is 0 points, total possible worst score is 12 points.
Time Frame
Baseline to 2 weeks of treatment
10. Eligibility
Sex
All
Minimum Age & Unit of Time
16 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Patients with perennial allergic rhinitis meeting all of the followings.
Patients with symptoms of perennial allergic rhinitis, the severity of which is moderate or severer according to the severity grading provided in the "Guidelines for the Management of Allergic Rhinitis in Japan" (partly modified) with the 4-nasal symptom score of 4 or over at informed consent and during the pre-treatment observation period
Patients with positive reaction to the eosinophil count in nasal discharge or nasal challenge test in addition to the skin test or specific IgE antibody test
Outpatients aged 16 years or over at informed consent
Patients in either sex
Patients (or their legal representatives in case of patients aged under 20 years) capable of giving written informed consent
Patients capable of recording nasal allergy diary every day
Exclusion Criteria:
Patients with a complication of tuberculous diseases or lower respiratory tract infections, and those with a complication of otorhinolaryngeal infections(acute upper respiratory tract inflammation, acute laryngopharyngitis, acute tonsillitis, etc.) requiring treatments judged by the investigator (subinvestigator) at the time of enrollment to randomization
Patients with a complication of infection or systemic mycosis for which no effective antibiotics are available
Patients with a complication of recurrent epistaxis
Patients with uncured nasal septal ulcer, operated nose or nasal trauma.
Patients with a history of hypersensitivity to steroids and any ingredients of the study drugs
Pregnant, lactating or possibly pregnant patients or the patients who themselves or whose partners wish to become pregnant during the study
Patients with severe hepatic or renal disorder, heart or blood disease, diabetes mellitus, hypertension, or other serious complication, suffering from problems with systemic condition
Patients who have pollens as multiple allergens and the period from 7 days before enrollment to randomization to completion of the treatment period coincides with the period of scattering of relevant pollens
Patients with a complication of vasomotor rhinitis or eosinophilic rhinitis
Patients with a complication of a nasal disease (infectious sinusitis, hypertrophic rhinitis, acute or chronic rhinitis, nasal polyps, or septal deviation) which may interfere with efficacy evaluation of the study drugs
Patients with a complication of a disease (acute upper respiratory tract inflammation, acute laryngitis or acute tonsillitis, etc.) of severity affecting nasal symptoms within 7 days before enrollment
Patients who have previously received MF nasal spray
Patients who used FP nasal spray within 28 days before initiation of the pre-treatment observation period (7 days before enrollment to randomization)
Patients who have participated in clinical trials of other investigational product(s) within 120 days (4 months) before obtaining informed consent or participating at present
Patients in whom prior medication expected to be effective for allergic rhinitis was not drawn long enough before initiation of treatment with the investigational product or the preceding medication cannot be withdrawn
Patients who are being treated with specific desensitization therapy or nonspecific allassotherapy or in whom such the therapy was withdrawn within 90 days (3 months) before obtaining informed consent (except for patients receiving the maintenance therapy at present in whom the therapy began more than 180 days (6 months) before obtaining the informed consent)
Other patients whom the investigator or the subinvestigator judged to be inappropriate for participation in the present study
12. IPD Sharing Statement
Citations:
Citation
N. Sou et. al; Allergology & Immunology 16(3) page 394-413, (2009.02) -Japanese language journal
Results Reference
result
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A Comparative Study of Mometasone Furoate Nasal Spray and Fluticasone Propionate Nasal Spray in Patients With Perennial Allergic Rhinitis (Study P04512)
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