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Study to Compare the Therapeutic Equivalence of Mometasone Furoate Nasal Spray, 50 mcg With Nasonex Nasal Spray in the Relief of the Signs and Symptoms of Seasonal Allergic Rhinitis

Primary Purpose

Seasonal Allergic Rhinitis

Status
Completed
Phase
Phase 3
Locations
United States
Study Type
Interventional
Intervention
Mometasone Furoate Nasal Spray, 50 mcg
Nasonex Nasal Spray, 50 mcg
Placebo Nasal Spray
Sponsored by
Amneal Pharmaceuticals, LLC
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:

  • If female and of child-bearing potential, have a negative urine pregnancy test and is prepared to abstain from sexual intercourse or use a reliable method of contraception during the study
  • Documented positive allergic skin test, performed within the previous 12 months, to one or more of the allergens in season at the time the study is being conducted.
  • A minimum of two consecutive years of previous history of seasonal allergic rhinitis to the pollen/allergen in season at the time the study is being conducted.
  • A score of at least 6 on the reflective Total Nasal Symptom Score (rTNSS) and a minimum score of at least 2 for "nasal congestion" and a minimum score of at least 2 for one of the remaining 3 symptoms representing the 12hours prior to the screening visit.
  • An average composite score of at least 6 on the rTNSS and a minimum score of at least 2 for "nasal congestion" and a minimum score of at least 2 for one of the remaining 3 symptoms representing the last 3 days of the 7-day placebo lead-in period before the randomization visit and the morning of the first day.

of the randomization visit.

Exclusion Criteria:

  • Females who are pregnant, lactating or likely to become pregnant during the study.
  • Negative or lack of documented skin allergen test (performed within the previous 12 months) to at least one of the allergens in season at the time the study is being conducted.
  • Patients who suffer from chronic signs and symptoms of Perennial Allergic Rhinitis, unless the investigator assesses that the patient's current signs and symptoms are a clear exacerbation of Seasonal Allergic Rhinitis (SAR) rather than chronic PAR.
  • Patients who suffer only from perennial allergic rhinitis or seasonal allergic rhinitis to a different allergen than that in season at the time the study is conducted.
  • Previous history of less than 2 years of seasonal allergic rhinitis to the pollen/allergen in season at the time the study is being conducted.
  • Any patient who meets the minimum rTNSS requirements at the start of the placebo lead-in period but no longer meets the requirements prior to the randomized active treatment period of the study cannot continue in the active treatment period.
  • History of asthma over the previous two years that required chronic therapy. Occasional acute or mild exercise induced asthma will be allowable on the condition that the treatment of the attacks is restricted to beta-agonists only.
  • Patients with nasal conditions, including infectious rhinitis, rhinitis medicamentosa or atrophic rhinitis.
  • Clinically significant nasal deformity or any recent nasal surgery or trauma that has not completely healed.
  • Sinus infection within the previous 30 days or history of reoccurring sinus infections.
  • Patient has started immunotherapy or changed their dose of immunotherapy within 30 days of the first placebo lead-in dose or is likely to have to start immunotherapy, or change their current dose during the study.
  • Treatment for oral Candidiasis within 30 days of starting the study or a current oral Candidiasis infection.
  • Upper respiratory tract infection within the previous 30 days.
  • Patients with a history of tuberculosis.
  • Patients with the presence of glaucoma, cataracts, ocular herpes simplex, conjunctivitis or other eye infection not related to the diagnosis of SAR within 14 days of enrollment.
  • The patient has had recent exposure (30 days) or was at risk of being exposed to chicken pox or measles.
  • Patients with any untreated fungal, bacterial, systemic viral infections within the previous 30 days.
  • Use of any ophthalmic steroids within 14 days or nasal, inhaled or systemic steroids within 30 days of the study start.
  • Use of the reference product, Nasonex® within 3 months of the study start.
  • Use of intranasal or systemic second-generation anti-histamines within10 days of enrollment.
  • Use of intranasal cromolyn within 14 days of enrollment.
  • Use of intranasal or systemic first-generation anti-histamines, leukotriene receptor antagonists or other nasal decongestants within 3 days of enrollment.
  • Use of any tricyclic anti-depressant within 30 days of enrollment
  • Patients with attention-deficit disorder being treated with methylphenidate containing products that have not been on a stable dosing regimen for at least the 30 previous days and who cannot remain on the same dosing regimen throughout the study.
  • Desensitization therapy to the seasonal allergen that is causing the patients allergic rhinitis within the previous 6 months.
  • Previous SAR and/or PAR that has proven unresponsive to steroid therapy.
  • Any known hypersensitivity to mometasone, other steroids or any of the components of the study nasal spray.
  • Significant history or current evidence of chronic infectious disease, system disorder, organ disorder or other medical condition that in the Investigator's opinion would place the study patient at undue risk by participating or could jeopardize the integrity of the study evaluations.
  • Receipt of any drug as part of a research study within 30 days prior to the first placebo lead-in dose.
  • Planned travel outside of the local area for more than 2 consecutive days or 3 days in total, during the patient's participation in the study.
  • Previous participation in this study.
  • The patient currently smokes cigarettes, cigars, and/or pipes and is a heavy smoker
  • The patient shares a household with another patient currently enrolled in this study

Sites / Locations

  • Isis Clinical Research
  • Austin Clinical Research
  • Sirius Clinical Research
  • Kerrville Research Associates
  • Central Texas Health Research
  • Allergy & Asthma Research Center
  • Biogenics Research Institute
  • Diagnostics Research Group
  • Sylvania Research
  • Allergy & Asthma Care of Waco

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Active Comparator

Placebo Comparator

Arm Label

Mometasone Furoate Nasal Spray, 50 mcg

Nasonex Nasal Spray, 50 mcg

Placebo Nasal Spray

Arm Description

Mometasone Furoate Nasal Spray, 50 mcg. 4 actuations per day for 14 days.

Nasonex (mometasone furoate monohydrate) Nasal Spray, 50 mcg. 4 actuations per day for 14 days.

Placebo of Mometasone Furoate Nasal Spray. 4 actuations per day for 14 days.

Outcomes

Primary Outcome Measures

Change from Baseline rTNSS
Change from baseline in average AM/PM reflective Total Nasal Symptom Score (rTNSS) over Days 1 to 14
Total Nasal Symptom Score (TNSS)
The sum of patient-rated severity scores for four allergy symptoms : runny nose, nasal congestion, itchy nose, and sneezing based on a 4-point scale.

Secondary Outcome Measures

Change in Baseline iTNSS
Change from baseline in average instantaneous Total Nasal Symptom Score (iTNSS) over Days 1 to 14.

Full Information

First Posted
April 25, 2014
Last Updated
October 5, 2015
Sponsor
Amneal Pharmaceuticals, LLC
Collaborators
Novum Pharmaceutical Research Services
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1. Study Identification

Unique Protocol Identification Number
NCT02125253
Brief Title
Study to Compare the Therapeutic Equivalence of Mometasone Furoate Nasal Spray, 50 mcg With Nasonex Nasal Spray in the Relief of the Signs and Symptoms of Seasonal Allergic Rhinitis
Official Title
A Blinded, Randomized, Placebo-Controlled, Parallel Group, Multi-Site Study to Compare the Therapeutic Equivalence of Mometasone Furoate Nasal Spray, 50 mcg (Amneal Pharmaceuticals LLC) With NASONEX® Nasal Spray (Schering Corporation) in the Relief of the Signs and Symptoms of Seasonal Allergic Rhinitis
Study Type
Interventional

2. Study Status

Record Verification Date
October 2015
Overall Recruitment Status
Completed
Study Start Date
January 2014 (undefined)
Primary Completion Date
March 2014 (Actual)
Study Completion Date
June 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Amneal Pharmaceuticals, LLC
Collaborators
Novum Pharmaceutical Research Services

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
To evaluate the therapeutic equivalence of the lest formulation of Mometasone Furoate Nasal Spray, 50 mcg to the marketed formulation NASONEX® (mometasone furoate monohydrate) Nasal Spray, 50 mcg/actuation in patients with seasonal allergic rhinitis

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 3
Interventional Study Model
Parallel Assignment
Masking
Investigator
Allocation
Randomized
Enrollment
811 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Mometasone Furoate Nasal Spray, 50 mcg
Arm Type
Experimental
Arm Description
Mometasone Furoate Nasal Spray, 50 mcg. 4 actuations per day for 14 days.
Arm Title
Nasonex Nasal Spray, 50 mcg
Arm Type
Active Comparator
Arm Description
Nasonex (mometasone furoate monohydrate) Nasal Spray, 50 mcg. 4 actuations per day for 14 days.
Arm Title
Placebo Nasal Spray
Arm Type
Placebo Comparator
Arm Description
Placebo of Mometasone Furoate Nasal Spray. 4 actuations per day for 14 days.
Intervention Type
Drug
Intervention Name(s)
Mometasone Furoate Nasal Spray, 50 mcg
Intervention Description
a metered-dose, manual pump spray unit containing an aqueous suspension of mometasone furoate
Intervention Type
Drug
Intervention Name(s)
Nasonex Nasal Spray, 50 mcg
Intervention Description
a metered-dose, manual pump spray unit containing an aqueous suspension of mometasone furoate monohydrate
Intervention Type
Drug
Intervention Name(s)
Placebo Nasal Spray
Intervention Description
a metered-dose, manual pump spray unit containing an aqueous suspension
Primary Outcome Measure Information:
Title
Change from Baseline rTNSS
Description
Change from baseline in average AM/PM reflective Total Nasal Symptom Score (rTNSS) over Days 1 to 14
Time Frame
Days 1 - 14
Title
Total Nasal Symptom Score (TNSS)
Description
The sum of patient-rated severity scores for four allergy symptoms : runny nose, nasal congestion, itchy nose, and sneezing based on a 4-point scale.
Time Frame
Days 1 - 14
Secondary Outcome Measure Information:
Title
Change in Baseline iTNSS
Description
Change from baseline in average instantaneous Total Nasal Symptom Score (iTNSS) over Days 1 to 14.
Time Frame
Days 1 - 14

10. Eligibility

Sex
All
Minimum Age & Unit of Time
12 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: If female and of child-bearing potential, have a negative urine pregnancy test and is prepared to abstain from sexual intercourse or use a reliable method of contraception during the study Documented positive allergic skin test, performed within the previous 12 months, to one or more of the allergens in season at the time the study is being conducted. A minimum of two consecutive years of previous history of seasonal allergic rhinitis to the pollen/allergen in season at the time the study is being conducted. A score of at least 6 on the reflective Total Nasal Symptom Score (rTNSS) and a minimum score of at least 2 for "nasal congestion" and a minimum score of at least 2 for one of the remaining 3 symptoms representing the 12hours prior to the screening visit. An average composite score of at least 6 on the rTNSS and a minimum score of at least 2 for "nasal congestion" and a minimum score of at least 2 for one of the remaining 3 symptoms representing the last 3 days of the 7-day placebo lead-in period before the randomization visit and the morning of the first day. of the randomization visit. Exclusion Criteria: Females who are pregnant, lactating or likely to become pregnant during the study. Negative or lack of documented skin allergen test (performed within the previous 12 months) to at least one of the allergens in season at the time the study is being conducted. Patients who suffer from chronic signs and symptoms of Perennial Allergic Rhinitis, unless the investigator assesses that the patient's current signs and symptoms are a clear exacerbation of Seasonal Allergic Rhinitis (SAR) rather than chronic PAR. Patients who suffer only from perennial allergic rhinitis or seasonal allergic rhinitis to a different allergen than that in season at the time the study is conducted. Previous history of less than 2 years of seasonal allergic rhinitis to the pollen/allergen in season at the time the study is being conducted. Any patient who meets the minimum rTNSS requirements at the start of the placebo lead-in period but no longer meets the requirements prior to the randomized active treatment period of the study cannot continue in the active treatment period. History of asthma over the previous two years that required chronic therapy. Occasional acute or mild exercise induced asthma will be allowable on the condition that the treatment of the attacks is restricted to beta-agonists only. Patients with nasal conditions, including infectious rhinitis, rhinitis medicamentosa or atrophic rhinitis. Clinically significant nasal deformity or any recent nasal surgery or trauma that has not completely healed. Sinus infection within the previous 30 days or history of reoccurring sinus infections. Patient has started immunotherapy or changed their dose of immunotherapy within 30 days of the first placebo lead-in dose or is likely to have to start immunotherapy, or change their current dose during the study. Treatment for oral Candidiasis within 30 days of starting the study or a current oral Candidiasis infection. Upper respiratory tract infection within the previous 30 days. Patients with a history of tuberculosis. Patients with the presence of glaucoma, cataracts, ocular herpes simplex, conjunctivitis or other eye infection not related to the diagnosis of SAR within 14 days of enrollment. The patient has had recent exposure (30 days) or was at risk of being exposed to chicken pox or measles. Patients with any untreated fungal, bacterial, systemic viral infections within the previous 30 days. Use of any ophthalmic steroids within 14 days or nasal, inhaled or systemic steroids within 30 days of the study start. Use of the reference product, Nasonex® within 3 months of the study start. Use of intranasal or systemic second-generation anti-histamines within10 days of enrollment. Use of intranasal cromolyn within 14 days of enrollment. Use of intranasal or systemic first-generation anti-histamines, leukotriene receptor antagonists or other nasal decongestants within 3 days of enrollment. Use of any tricyclic anti-depressant within 30 days of enrollment Patients with attention-deficit disorder being treated with methylphenidate containing products that have not been on a stable dosing regimen for at least the 30 previous days and who cannot remain on the same dosing regimen throughout the study. Desensitization therapy to the seasonal allergen that is causing the patients allergic rhinitis within the previous 6 months. Previous SAR and/or PAR that has proven unresponsive to steroid therapy. Any known hypersensitivity to mometasone, other steroids or any of the components of the study nasal spray. Significant history or current evidence of chronic infectious disease, system disorder, organ disorder or other medical condition that in the Investigator's opinion would place the study patient at undue risk by participating or could jeopardize the integrity of the study evaluations. Receipt of any drug as part of a research study within 30 days prior to the first placebo lead-in dose. Planned travel outside of the local area for more than 2 consecutive days or 3 days in total, during the patient's participation in the study. Previous participation in this study. The patient currently smokes cigarettes, cigars, and/or pipes and is a heavy smoker The patient shares a household with another patient currently enrolled in this study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Keith Gallicano, PhD
Organizational Affiliation
Novum Pharmaceutical Reserach Services
Official's Role
Study Chair
Facility Information:
Facility Name
Isis Clinical Research
City
Austin
State/Province
Texas
ZIP/Postal Code
78731
Country
United States
Facility Name
Austin Clinical Research
City
Austin
State/Province
Texas
ZIP/Postal Code
78750
Country
United States
Facility Name
Sirius Clinical Research
City
Austin
State/Province
Texas
ZIP/Postal Code
78759
Country
United States
Facility Name
Kerrville Research Associates
City
Kerrville
State/Province
Texas
ZIP/Postal Code
78028
Country
United States
Facility Name
Central Texas Health Research
City
New Braunfels
State/Province
Texas
ZIP/Postal Code
78130
Country
United States
Facility Name
Allergy & Asthma Research Center
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Facility Name
Biogenics Research Institute
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Facility Name
Diagnostics Research Group
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Facility Name
Sylvania Research
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Facility Name
Allergy & Asthma Care of Waco
City
Waco
State/Province
Texas
ZIP/Postal Code
76708
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Study to Compare the Therapeutic Equivalence of Mometasone Furoate Nasal Spray, 50 mcg With Nasonex Nasal Spray in the Relief of the Signs and Symptoms of Seasonal Allergic Rhinitis

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