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A Clinical Trial to Test How Well Two Drugs, QAW039 and Montelukast Work Both Individually and Together, to Target Allergic Rhinitis Using an Environmental Exposure Chamber

Primary Purpose

Allergic Rhinitis

Status
Completed
Phase
Phase 2
Locations
Germany
Study Type
Interventional
Intervention
QAW039
Montelukast
Placebo
Sponsored by
Novartis Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Allergic Rhinitis

Eligibility Criteria

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

Inclusion Criteria:

  • Male or female aged 18-65 years inclusive, with a clinical history of intermittent allergic rhinitis with seasonal onset and offset of nasal allergy symptoms during each of the last two grass pollen allergy seasons.
  • A positive skin prick test at Visit 1 to dactylis glomerata with a wheal diameter equal to or greater than 3 mm and a negative control with a wheal diameter of zero. A positive skin prick test within 12 months prior to Visit 1 is also acceptable.
  • FEV1 measured by spirometry must be ≥80% of their predicted value at screening. If the patient does not achieve ≥80% of their predicted value this may be repeated prior to the EEC challenge at visit 2.
  • TNSS score ≥6 on at least one assessment during the 2h EEC challenge at Screening.

Exclusion Criteria:

  • Use of other investigational drugs at the time of enrollment, or within 30 days or 5 half-lives of enrollment, whichever is longer; or longer if required by local regulations, and for any other limitation of participation in an investigational trial based on local regulations.
  • Pregnant or nursing (lactating) women,
  • Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant, unless they are using effective methods of contraception during dosing of study treatment.

Sites / Locations

  • Novartis Investigative Site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Experimental

Active Comparator

Placebo Comparator

Arm Label

QAW039 + Montelukast

QAW039 Once a day (q.d.)

QAW039 Twice a day (b.i.d.)

Montelukast

Placebo

Arm Description

Outcomes

Primary Outcome Measures

Change in Total Nasal Symptom Score from baseline at 14 days
Total Nasal Symptom Score (TNSS) averaged over the last two hours (2-4h) of exposure following 14 days treatment with QAW039 and/or Montelukast or matched placebo

Secondary Outcome Measures

Change in Total Ocular Symptom score from Baseline at 14 days
Total Ocular Symptom Score (TOSS), defined as the sum of ocular symptoms of eye tearing, itching, watery eyes and redness, each of which is scored on a scale from 0 and 3
Change in Nasal Flow from baseline at 14 days
Measured using rhinomanometry Flow rates at 150 Pa will be obtained separately for the right and left nostrils (cm^3/second). The sum of the flow rates of both nostrils will be calculated from the two measurements
Change in Nasal excretion weight from baseline at 14 days
Total weight of tissues (before and after use)
Change in Forced Expiratory Volume in 1 Second (FEV1) from baseline at 14 days
Change in FEV1 from Baseline
Change in Forced Vital Capacity (FVC) from baseline at 14 days
Change in FVC from Baseline
Change in FEV1/FVC at from baseline at 14 days
Change in FEV1/FVC from Baseline
Plasma Concentration maximum (Cmax)
Determined at steady state in plasma
Plasma Concentration Minimum (Cmin)
Determined at steady state in plasma
Plasma Concentration Average (Cav)
Determined at steady state in plasma
Time of Cmax (Tmax)
Determined at steady state in plasma
Area Under Curve (AUCtau)
Determined at steady state in plasma

Full Information

First Posted
October 4, 2012
Last Updated
November 16, 2016
Sponsor
Novartis Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT01804400
Brief Title
A Clinical Trial to Test How Well Two Drugs, QAW039 and Montelukast Work Both Individually and Together, to Target Allergic Rhinitis Using an Environmental Exposure Chamber
Official Title
A Randomized, Double-blind, Placebo-controlled Three-period Incomplete Cross Over Study to Compare the Efficacy of QAW039 Alone and in Combination With Montelukast in Patients With Allergic Rhinitis Using an Environmental Exposure Chamber
Study Type
Interventional

2. Study Status

Record Verification Date
November 2016
Overall Recruitment Status
Completed
Study Start Date
October 2012 (undefined)
Primary Completion Date
October 2013 (Actual)
Study Completion Date
October 2013 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study will assess the safety and efficacy of QAW039 alone and in combination with Montelukast in patients with allergic rhinitis (hay fever) using an environmental exposure chamber.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Crossover Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
188 (Actual)

8. Arms, Groups, and Interventions

Arm Title
QAW039 + Montelukast
Arm Type
Experimental
Arm Title
QAW039 Once a day (q.d.)
Arm Type
Experimental
Arm Title
QAW039 Twice a day (b.i.d.)
Arm Type
Experimental
Arm Title
Montelukast
Arm Type
Active Comparator
Arm Title
Placebo
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
QAW039
Intervention Type
Drug
Intervention Name(s)
Montelukast
Intervention Type
Drug
Intervention Name(s)
Placebo
Primary Outcome Measure Information:
Title
Change in Total Nasal Symptom Score from baseline at 14 days
Description
Total Nasal Symptom Score (TNSS) averaged over the last two hours (2-4h) of exposure following 14 days treatment with QAW039 and/or Montelukast or matched placebo
Time Frame
Baseline, Day 14
Secondary Outcome Measure Information:
Title
Change in Total Ocular Symptom score from Baseline at 14 days
Description
Total Ocular Symptom Score (TOSS), defined as the sum of ocular symptoms of eye tearing, itching, watery eyes and redness, each of which is scored on a scale from 0 and 3
Time Frame
Baseline, Day 14
Title
Change in Nasal Flow from baseline at 14 days
Description
Measured using rhinomanometry Flow rates at 150 Pa will be obtained separately for the right and left nostrils (cm^3/second). The sum of the flow rates of both nostrils will be calculated from the two measurements
Time Frame
Prior to, and every 60 min during allergen exposure period
Title
Change in Nasal excretion weight from baseline at 14 days
Description
Total weight of tissues (before and after use)
Time Frame
Baseline, Day 14
Title
Change in Forced Expiratory Volume in 1 Second (FEV1) from baseline at 14 days
Description
Change in FEV1 from Baseline
Time Frame
Baseline, Day 14
Title
Change in Forced Vital Capacity (FVC) from baseline at 14 days
Description
Change in FVC from Baseline
Time Frame
Baseline, Day 14
Title
Change in FEV1/FVC at from baseline at 14 days
Description
Change in FEV1/FVC from Baseline
Time Frame
Baseline, Day 14
Title
Plasma Concentration maximum (Cmax)
Description
Determined at steady state in plasma
Time Frame
Day 1-14
Title
Plasma Concentration Minimum (Cmin)
Description
Determined at steady state in plasma
Time Frame
Day 1-14
Title
Plasma Concentration Average (Cav)
Description
Determined at steady state in plasma
Time Frame
Day 1-14
Title
Time of Cmax (Tmax)
Description
Determined at steady state in plasma
Time Frame
Day 1-14
Title
Area Under Curve (AUCtau)
Description
Determined at steady state in plasma
Time Frame
Day 1-14

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: Male or female aged 18-65 years inclusive, with a clinical history of intermittent allergic rhinitis with seasonal onset and offset of nasal allergy symptoms during each of the last two grass pollen allergy seasons. A positive skin prick test at Visit 1 to dactylis glomerata with a wheal diameter equal to or greater than 3 mm and a negative control with a wheal diameter of zero. A positive skin prick test within 12 months prior to Visit 1 is also acceptable. FEV1 measured by spirometry must be ≥80% of their predicted value at screening. If the patient does not achieve ≥80% of their predicted value this may be repeated prior to the EEC challenge at visit 2. TNSS score ≥6 on at least one assessment during the 2h EEC challenge at Screening. Exclusion Criteria: Use of other investigational drugs at the time of enrollment, or within 30 days or 5 half-lives of enrollment, whichever is longer; or longer if required by local regulations, and for any other limitation of participation in an investigational trial based on local regulations. Pregnant or nursing (lactating) women, Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant, unless they are using effective methods of contraception during dosing of study treatment.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Novartis Pharmaceuticals
Organizational Affiliation
Novartis Pharmaceuticals
Official's Role
Study Director
Facility Information:
Facility Name
Novartis Investigative Site
City
Hannover
ZIP/Postal Code
30625
Country
Germany

12. IPD Sharing Statement

Learn more about this trial

A Clinical Trial to Test How Well Two Drugs, QAW039 and Montelukast Work Both Individually and Together, to Target Allergic Rhinitis Using an Environmental Exposure Chamber

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