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Safety of Astepro 0.15% Nasal Spray and Astepro 0.1% Nasal Spray in Children Ages >6 Months to <6 Years With AR

Primary Purpose

Allergic Rhinitis

Status
Completed
Phase
Phase 4
Locations
United States
Study Type
Interventional
Intervention
205.5 mcg of azelastine hydrochloride
137 mcg of azelastine hydrochloride
Sponsored by
Meda Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Allergic Rhinitis

Eligibility Criteria

6 Months - 5 Years (Child)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Male and female subjects >6 months to <6 years, inclusive at the screening visit
  • A history of AR
  • The parent must provide written informed consent and the child must provide assent, if possible
  • Willing and able to comply with the study requirements
  • May benefit from treatment with Astepro Nasal Spray, based on the Investigator's assessment (based on medical history, physical examination, etc.) of the subject's clinical condition, at both the Screening and Randomization Visits
  • General good health and free of any disease or concomitant treatment that could interfere with the interpretation of the study results as determined by the investigator or the sponsor's medical officer
  • Subjects receiving immunotherapy injections (antigen desensitization) must be on a stable maintenance regimen for at least 30 days before the first study visit (adjustments to regimen following a brief period of missed injections do not preclude participation)

Exclusion Criteria:

  • On nasal examination, subjects with superficial nasal mucosal erosion, moderate nasal mucosal erosion, nasal mucosal ulceration, nasal septum perforation
  • Other nasal disease(s) likely to affect deposition of intranasal medication, such as acute sinusitis, rhinitis medicamentosa or clinically significant polyposis or nasal structural abnormalities
  • Nasal surgery or sinus surgery within the previous year
  • Chronic sinusitis
  • The use of any investigational drug within 30 days prior to Visit 1. No investigational products are permitted for use during the conduct of this study
  • Presence of any hypersensitivity to drugs similar to azelastine and to either sorbitol or sucralose (Splenda® brand sweetener)
  • Respiratory tract infections within two weeks prior to Visit 1.
  • Subjects with significant pulmonary disease including asthma. Subjects with intermittent asthma who only require short-acting inhaled bronchodilators are eligible for enrollment. Asthma (with the exception of intermittent asthma). Subjects with intermittent asthma who only require short-acting inhaled bronchodilators (not more often than twice per week) and who do not have nocturnal awakening as a result of asthma are eligible for enrollment
  • Chronic obstructive sleep apnea syndrome (clinical diagnosis)
  • Existence of any surgical or medical condition, which in the opinion of the investigator or sponsor's medical monitor, might significantly alter the absorption, distribution, metabolism, or excretion of study drug or that might significantly affect the subject's ability to complete this trial
  • Clinically relevant abnormal physical findings or laboratory results which, in the opinion of the investigator, would interfere with the objectives -- Family members of research center or private practice personnel who are directly involved in this study are excluded
  • Members of the same family cannot enroll in the study at the same time.
  • Subjects who have used medications or therapies that could interfere with safety evaluations (see Section 4.0)
  • Any behavioral condition which could affect subject's ability to accurately report symptoms to the caregiver such as developmental delay, attention deficit disorder, and autism

Sites / Locations

  • Clinical Research Center of Alabama,LLC
  • Little Rock Allergy and Asthma Clinical research Center
  • West Coast Clinical Trials
  • Southern California Research
  • Storms Clinical Research Institute
  • Sneeze, Wheeze and Itch Associates
  • Allergy, Asthma & Clinical Research Center
  • National Allergy, Asthna & Urticaria Centers of Charleston Pa
  • Texas Allergy Research Center
  • Central Texas Health Research
  • Paul H Ratner,MD
  • Live Oak Allergy and Asthma Clinic
  • Allergy and Asthma Center
  • Pediatric Allergy,Asthma and Immunology/Allergy& Asthma care of Waco

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Active Comparator

Arm Label

Astepro 0.15% Nasal Spray

Astepro 0.1% Nasal Spray

Arm Description

Nasal Spray at a dosage of 1 spray per nostril twice daily

Nasal Spray at a dosage of 1 spray per nostril twice daily

Outcomes

Primary Outcome Measures

Safety
The objective of this clinical trial is to evaluate the safety of Astepro 0.15% Nasal Spray and Astepro 0.1% Nasal Spray at a dosage of 1 spray per nostril twice daily in subjects ≥6months to <6 years of age with allergic rhinitis. Safety will be assessed on the basis of reported adverse experiences, nasal examinations, laboratory evaluations, and vital signs assessments. Data for each age strata will be summarized separately as well as combined.

Secondary Outcome Measures

Full Information

First Posted
June 17, 2013
Last Updated
June 9, 2015
Sponsor
Meda Pharmaceuticals
Collaborators
Novella Clinical
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1. Study Identification

Unique Protocol Identification Number
NCT01880840
Brief Title
Safety of Astepro 0.15% Nasal Spray and Astepro 0.1% Nasal Spray in Children Ages >6 Months to <6 Years With AR
Official Title
Randomized Trial of the Safety of Astepro 0.15% Nasal Spray and Astepro 0.1% Nasal Spray in Children Ages >6 Months to <6 Years With Allergic Rhinitis
Study Type
Interventional

2. Study Status

Record Verification Date
April 2014
Overall Recruitment Status
Completed
Study Start Date
June 2013 (undefined)
Primary Completion Date
April 2014 (Actual)
Study Completion Date
August 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Meda Pharmaceuticals
Collaborators
Novella Clinical

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to compare the safety of 2 different doses of the investigational use of an allergy medication (Astepro Nasal Spray) in the treatment of allergic rhinitis (AR). This is an open-label study; that is, parent and child will know which group each is in.
Detailed Description
Approximately 200 subjects, between the ages of ≥ 6 months to < 6 years of age who have a history of AR will participate in this study. The study will be conducted at about 20 research centers in the United States. Each research center will enroll approximately 2 to 10 subjects. The study will involve at least 4 office visits over at least a 4-week period. You will need to keep the appointments as scheduled by the study personnel. Some medications or therapies could interfere with the safety evaluations conducted in this study. If your child is currently taking any of these medications or therapies, they will need to discontinue them in order to be eligible for this study. Your study doctor will discuss this with you along with information on how this could affect your child's health. If you and the study doctor decide this is appropriate, there is a specific time period that these will need to be discontinued before your child can proceed in study evaluation. If your child is eligible for study participation, he/she will be randomly assigned (by chance, like the flip of a coin) to one of the following two study drug groups: Astepro (azelastine hydrochloride) 0.15% Nasal Spray, 822 mcg (total daily dose); OR Astepro (azelastine hydrochloride) 0.1% Nasal Spray, 548 mcg (total daily dose) The following are being performed for the purposes of this study and are not considered standard care: Your child will be placed in one of the two study drug groups by chance. You will complete questionnaires about your child's allergy symptoms. You will complete diary cards each morning recording your child's allergy symptoms over the previous 24 hours. Your child will have his/her vital signs measured (blood pressure, pulse, temperature and breathing rate). You and your child will be asked questions regarding your child's use of any medication or supplements and how your child has felt since his/her last visit. Blood and urine samples will be collected to assess the safety of taking the study drug.

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 4
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
191 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Astepro 0.15% Nasal Spray
Arm Type
Active Comparator
Arm Description
Nasal Spray at a dosage of 1 spray per nostril twice daily
Arm Title
Astepro 0.1% Nasal Spray
Arm Type
Active Comparator
Arm Description
Nasal Spray at a dosage of 1 spray per nostril twice daily
Intervention Type
Drug
Intervention Name(s)
205.5 mcg of azelastine hydrochloride
Other Intervention Name(s)
astepro .15%
Intervention Description
nasal spray
Intervention Type
Drug
Intervention Name(s)
137 mcg of azelastine hydrochloride
Other Intervention Name(s)
astepro .1%
Intervention Description
nasal spray
Primary Outcome Measure Information:
Title
Safety
Description
The objective of this clinical trial is to evaluate the safety of Astepro 0.15% Nasal Spray and Astepro 0.1% Nasal Spray at a dosage of 1 spray per nostril twice daily in subjects ≥6months to <6 years of age with allergic rhinitis. Safety will be assessed on the basis of reported adverse experiences, nasal examinations, laboratory evaluations, and vital signs assessments. Data for each age strata will be summarized separately as well as combined.
Time Frame
one month of treatment

10. Eligibility

Sex
All
Minimum Age & Unit of Time
6 Months
Maximum Age & Unit of Time
5 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male and female subjects >6 months to <6 years, inclusive at the screening visit A history of AR The parent must provide written informed consent and the child must provide assent, if possible Willing and able to comply with the study requirements May benefit from treatment with Astepro Nasal Spray, based on the Investigator's assessment (based on medical history, physical examination, etc.) of the subject's clinical condition, at both the Screening and Randomization Visits General good health and free of any disease or concomitant treatment that could interfere with the interpretation of the study results as determined by the investigator or the sponsor's medical officer Subjects receiving immunotherapy injections (antigen desensitization) must be on a stable maintenance regimen for at least 30 days before the first study visit (adjustments to regimen following a brief period of missed injections do not preclude participation) Exclusion Criteria: On nasal examination, subjects with superficial nasal mucosal erosion, moderate nasal mucosal erosion, nasal mucosal ulceration, nasal septum perforation Other nasal disease(s) likely to affect deposition of intranasal medication, such as acute sinusitis, rhinitis medicamentosa or clinically significant polyposis or nasal structural abnormalities Nasal surgery or sinus surgery within the previous year Chronic sinusitis The use of any investigational drug within 30 days prior to Visit 1. No investigational products are permitted for use during the conduct of this study Presence of any hypersensitivity to drugs similar to azelastine and to either sorbitol or sucralose (Splenda® brand sweetener) Respiratory tract infections within two weeks prior to Visit 1. Subjects with significant pulmonary disease including asthma. Subjects with intermittent asthma who only require short-acting inhaled bronchodilators are eligible for enrollment. Asthma (with the exception of intermittent asthma). Subjects with intermittent asthma who only require short-acting inhaled bronchodilators (not more often than twice per week) and who do not have nocturnal awakening as a result of asthma are eligible for enrollment Chronic obstructive sleep apnea syndrome (clinical diagnosis) Existence of any surgical or medical condition, which in the opinion of the investigator or sponsor's medical monitor, might significantly alter the absorption, distribution, metabolism, or excretion of study drug or that might significantly affect the subject's ability to complete this trial Clinically relevant abnormal physical findings or laboratory results which, in the opinion of the investigator, would interfere with the objectives -- Family members of research center or private practice personnel who are directly involved in this study are excluded Members of the same family cannot enroll in the study at the same time. Subjects who have used medications or therapies that could interfere with safety evaluations (see Section 4.0) Any behavioral condition which could affect subject's ability to accurately report symptoms to the caregiver such as developmental delay, attention deficit disorder, and autism
Facility Information:
Facility Name
Clinical Research Center of Alabama,LLC
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35209
Country
United States
Facility Name
Little Rock Allergy and Asthma Clinical research Center
City
Little Rock
State/Province
Alaska
ZIP/Postal Code
72205
Country
United States
Facility Name
West Coast Clinical Trials
City
Costa Mesa
State/Province
California
ZIP/Postal Code
92626
Country
United States
Facility Name
Southern California Research
City
Mission Viejo
State/Province
California
ZIP/Postal Code
92691
Country
United States
Facility Name
Storms Clinical Research Institute
City
Colorado Springs
State/Province
Colorado
ZIP/Postal Code
80907
Country
United States
Facility Name
Sneeze, Wheeze and Itch Associates
City
Normal
State/Province
Illinois
ZIP/Postal Code
61761
Country
United States
Facility Name
Allergy, Asthma & Clinical Research Center
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73120
Country
United States
Facility Name
National Allergy, Asthna & Urticaria Centers of Charleston Pa
City
Charleston
State/Province
Pennsylvania
ZIP/Postal Code
29406
Country
United States
Facility Name
Texas Allergy Research Center
City
Dallas
State/Province
Texas
ZIP/Postal Code
75246
Country
United States
Facility Name
Central Texas Health Research
City
New Braunfels
State/Province
Texas
ZIP/Postal Code
78130
Country
United States
Facility Name
Paul H Ratner,MD
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Facility Name
Live Oak Allergy and Asthma Clinic
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78233
Country
United States
Facility Name
Allergy and Asthma Center
City
Waco
State/Province
Texas
ZIP/Postal Code
76712
Country
United States
Facility Name
Pediatric Allergy,Asthma and Immunology/Allergy& Asthma care of Waco
City
Waco
State/Province
Texas
ZIP/Postal Code
76712
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Safety of Astepro 0.15% Nasal Spray and Astepro 0.1% Nasal Spray in Children Ages >6 Months to <6 Years With AR

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