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Compare CE-Budesonide Nasal Solution & Rhinocort Aqua in an EEC Study of AR

Primary Purpose

Seasonal Allergic Rhinitis

Status
Completed
Phase
Phase 2
Locations
Canada
Study Type
Interventional
Intervention
Budesonide
Placebo
Budesonide
Sponsored by
Ligand Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Seasonal Allergic Rhinitis focused on measuring SAR

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Patients must have a clinical history of SAR
  • Adults (males and females) aged 18 to 65, inclusive
  • Patients must have documentation of a positive skin test within 12 months of screening to ragweed allergen
  • Non-pregnant, non-lactating females, or women who are post-menopausal or are naturally or surgically sterile. Females of childbearing potential must have a confirmed absence of pregnancy and must be using an acceptable birth control method
  • In generally good health
  • Willingness to attend all study visits
  • Capable of following and understanding instructions
  • Willing and able to provide written informed consent prior to initiation of any study procedures, including initiation of washout of any concomitant medications

Exclusion Criteria:

  • Pregnancy, nursing, or plans to become pregnant or donate gametes
  • Have clinically significant physical findings of nasal anatomical deformities causing greater than 50% obstruction
  • Previous participation in a budesonide study within three months prior to the Screening Visit.
  • Participation in any investigational drug trial within the 30 days preceding the Screening Visit, and thereafter.
  • A known hypersensitivity to any corticosteroid or any of the excipients in the formulation of the investigational drug
  • History of severe respiratory infection or disorder
  • History of alcohol or drug abuse
  • History of a positive test for HIV, hepatitis B or hepatitis C.
  • Active asthma requiring treatment with inhaled or systemic corticosteroid and/or routine use of ß-agonists or any controller drugs, intermittent use (less than or equal to 3 uses per week) of inhaled short acting ß-agonists is acceptable.
  • Use of any of the prohibited medications within the identified exclusion periods
  • Use of antibiotic therapy for acute conditions within 14 days prior to the Screening Visit and thereafter. Low doses of antibiotics taken for prophylaxis are permitted based on the judgment of the Investigator if therapy was started prior to the Screening Visit AND is expected to continue throughout the study.
  • Initiation of immunotherapy or dose escalation during the study period. However, patients may be considered for inclusion if the immunotherapy was initiated 90 days or more prior to the Screening Visit AND if the dosing was stable (maintenance dose) for 30 days or more prior to the Screening Visit. No immunotherapy injections may be received within 48 hours prior to a ragweed pollen exposure visit.
  • Non-vaccinated exposure to or active infection with chickenpox or measles within the 21 days preceding the Screening Visit.
  • Exposure to systemic corticosteroids for any indication, chronic or intermittent (e.g., arthritis), during the 60 days preceding the Screening Visit, or presence of an underlying condition that can reasonably be expected to require treatment with corticosteroids during the course of the study.
  • Use of topical corticosteroids in concentrations in excess of 1% hydrocortisone or equivalent for dermatological conditions within 30 days prior to the Screening Visit
  • History of epilepsy or seizures
  • History of coronary heart disease, uncontrolled hypertension, or other clinically significant cardiovascular disease.
  • Have any of the following conditions that are judged by the investigator to be clinically significant and/or affect the patient's ability to participate in the clinical trial:

    • Impaired hepatic function including alcohol related liver disease or cirrhosis
    • History of ocular disturbances (e.g., glaucoma or posterior subcapsular cataracts)
    • Any systemic infection
    • Hematological, renal, endocrine (except for controlled diabetes mellitis or postmenopausal symptoms or hypothyroidism)
    • Gastrointestinal disease
    • Malignancy (excluding basal cell carcinoma)
    • A current neuropsychiatric condition with or without drug therapy

Sites / Locations

  • Allied Research International - Cetero Research

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Active Comparator

Placebo Comparator

Arm Label

Captisol-Enabled Budesonide

Rhinocort Aqua

Placebo

Arm Description

32 ug/spray

32 ug/spray

posphate buffered saline

Outcomes

Primary Outcome Measures

Total Nasal Symptom Score

Secondary Outcome Measures

Onset of action of active treatments as compared to placebo
Compare the tolerance as measured by subject questionnaire and adverse events of Captisol-Enabled Budesonide nasal solution, Rhinocort Aqua and Placebo
Compare the effect and of the three treatments on an EEC-Specific Quality of Life questionnaire

Full Information

First Posted
July 13, 2009
Last Updated
October 2, 2012
Sponsor
Ligand Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT00938613
Brief Title
Compare CE-Budesonide Nasal Solution & Rhinocort Aqua in an EEC Study of AR
Official Title
A Randomized, Double-Blind, Placebo-Controlled, 3-Way Cross-Over Study to Compare the Relative Efficacy of Budesonide Administered Via CE Budesonide Nasal Solution & Rhinocort Aqua in the Treatment of the Symptoms of AR in an EEC Model
Study Type
Interventional

2. Study Status

Record Verification Date
October 2012
Overall Recruitment Status
Completed
Study Start Date
February 2007 (undefined)
Primary Completion Date
April 2007 (Actual)
Study Completion Date
April 2007 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Ligand Pharmaceuticals

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The primary objective of this study was to compare the relative efficacy of Budesonide administered via Captisol-Enabled Budesonide nasal solution and Rhinocort Aqua in patients with seasonal allergic rhinitis (SAR) exposed to controlled ragweed pollen using an EEC model.
Detailed Description
A Randomized, Double-Blind, Placebo-Controlled, Single-Center, Three-Way Cross-Over Study to Compare the Relative Efficacy of Budesonide administered via Captisol-Enabled® Budesonide Nasal Solution and Rhinocort Aqua® (32 µg/spray) in the Treatment of the Symptoms of Allergic Rhinitis in an Environmental Exposure Chamber (EEC).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Seasonal Allergic Rhinitis
Keywords
SAR

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Crossover Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
65 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Captisol-Enabled Budesonide
Arm Type
Experimental
Arm Description
32 ug/spray
Arm Title
Rhinocort Aqua
Arm Type
Active Comparator
Arm Description
32 ug/spray
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
posphate buffered saline
Intervention Type
Drug
Intervention Name(s)
Budesonide
Other Intervention Name(s)
CDX947, Captisol
Intervention Description
nasal spray, one spray per nostril at time 0
Intervention Type
Drug
Intervention Name(s)
Placebo
Other Intervention Name(s)
phosphate buffered saline solution
Intervention Description
nasal spray, one spray per nostril at time 0
Intervention Type
Drug
Intervention Name(s)
Budesonide
Other Intervention Name(s)
Rhinocort Aqua
Intervention Description
nasal spray, one spray per nostril at time 0
Primary Outcome Measure Information:
Title
Total Nasal Symptom Score
Time Frame
15 mins, 30 mins, 45 mins, 60 mins, 90 mins, 120 mins, and then every hour up to 10 hours post dose
Secondary Outcome Measure Information:
Title
Onset of action of active treatments as compared to placebo
Time Frame
15 mins, 30 mins, 45 mins, 60 mins, 90 mins, 120 mins and then every hour up to 10 hours post dose
Title
Compare the tolerance as measured by subject questionnaire and adverse events of Captisol-Enabled Budesonide nasal solution, Rhinocort Aqua and Placebo
Time Frame
15 mins, 30 mins, 45 mins, 60 mins, 90 mins, 120 mins, and then every hour up to 10 hours post dose
Title
Compare the effect and of the three treatments on an EEC-Specific Quality of Life questionnaire
Time Frame
-0.75, 2, 6 and 10 hours post-dose

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients must have a clinical history of SAR Adults (males and females) aged 18 to 65, inclusive Patients must have documentation of a positive skin test within 12 months of screening to ragweed allergen Non-pregnant, non-lactating females, or women who are post-menopausal or are naturally or surgically sterile. Females of childbearing potential must have a confirmed absence of pregnancy and must be using an acceptable birth control method In generally good health Willingness to attend all study visits Capable of following and understanding instructions Willing and able to provide written informed consent prior to initiation of any study procedures, including initiation of washout of any concomitant medications Exclusion Criteria: Pregnancy, nursing, or plans to become pregnant or donate gametes Have clinically significant physical findings of nasal anatomical deformities causing greater than 50% obstruction Previous participation in a budesonide study within three months prior to the Screening Visit. Participation in any investigational drug trial within the 30 days preceding the Screening Visit, and thereafter. A known hypersensitivity to any corticosteroid or any of the excipients in the formulation of the investigational drug History of severe respiratory infection or disorder History of alcohol or drug abuse History of a positive test for HIV, hepatitis B or hepatitis C. Active asthma requiring treatment with inhaled or systemic corticosteroid and/or routine use of ß-agonists or any controller drugs, intermittent use (less than or equal to 3 uses per week) of inhaled short acting ß-agonists is acceptable. Use of any of the prohibited medications within the identified exclusion periods Use of antibiotic therapy for acute conditions within 14 days prior to the Screening Visit and thereafter. Low doses of antibiotics taken for prophylaxis are permitted based on the judgment of the Investigator if therapy was started prior to the Screening Visit AND is expected to continue throughout the study. Initiation of immunotherapy or dose escalation during the study period. However, patients may be considered for inclusion if the immunotherapy was initiated 90 days or more prior to the Screening Visit AND if the dosing was stable (maintenance dose) for 30 days or more prior to the Screening Visit. No immunotherapy injections may be received within 48 hours prior to a ragweed pollen exposure visit. Non-vaccinated exposure to or active infection with chickenpox or measles within the 21 days preceding the Screening Visit. Exposure to systemic corticosteroids for any indication, chronic or intermittent (e.g., arthritis), during the 60 days preceding the Screening Visit, or presence of an underlying condition that can reasonably be expected to require treatment with corticosteroids during the course of the study. Use of topical corticosteroids in concentrations in excess of 1% hydrocortisone or equivalent for dermatological conditions within 30 days prior to the Screening Visit History of epilepsy or seizures History of coronary heart disease, uncontrolled hypertension, or other clinically significant cardiovascular disease. Have any of the following conditions that are judged by the investigator to be clinically significant and/or affect the patient's ability to participate in the clinical trial: Impaired hepatic function including alcohol related liver disease or cirrhosis History of ocular disturbances (e.g., glaucoma or posterior subcapsular cataracts) Any systemic infection Hematological, renal, endocrine (except for controlled diabetes mellitis or postmenopausal symptoms or hypothyroidism) Gastrointestinal disease Malignancy (excluding basal cell carcinoma) A current neuropsychiatric condition with or without drug therapy
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Deepen Patel, MD
Organizational Affiliation
Allied Research International - Cetero Research
Official's Role
Principal Investigator
Facility Information:
Facility Name
Allied Research International - Cetero Research
City
Mississauga
State/Province
Ontario
ZIP/Postal Code
L4W 1N2
Country
Canada

12. IPD Sharing Statement

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Compare CE-Budesonide Nasal Solution & Rhinocort Aqua in an EEC Study of AR

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