A Study to Assess Efficacy and Safety of Nasacort® Nasal Spray in Comparison With Flixonase® Nasal Spray in Adults Suffering From Perennial Allergic Rhinitis (PAR) (NASANIF)
Primary Purpose
Rhinitis Allergic
Status
Completed
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
triamcinolone XRG5029
fluticasone
Sponsored by
About this trial
This is an interventional treatment trial for Rhinitis Allergic
Eligibility Criteria
Inclusion criteria:
- Females and males ≥18 and ≤50 years old.
- Patients with previously diagnosed PAR with a positive skin prick test response to an appropriate allergen performed not earlier than 12 months prior to the Screening visit.
- Patients must be clinically symptomatic (rTNSS reflecting symptoms for the previous 24 h ≥8 with two or more symptoms rated as moderate or severe).
- Negative urine pregnancy test during screening before first dose of study medication is administered in women with child-bearing potential.
- Women must use an effective contraceptive method during the study period.
- Patients should be able to understand the study, including risks and adverse events; collaborating with Investigator and proceed according with protocol.
- Signed informed consent form.
Exclusion criteria:
- Compromised ability to provide informed consent.
- Participation in any other clinical study.
- History of severe local reaction(s) or anaphylaxis to skin testing.
- Upper respiratory tract or sinus infection that required antibiotic therapy without at least a 14-day washout prior to the Screening Visit, or viral upper respiratory infection within 2 weeks prior to the Screening Visit.
- Subjects who have used any drug (Flixonase or Nasacort) in an investigational protocol 4 weeks prior to the Screening Visit.
- Female subjects who are breast-feeding, pregnant, or intend to become pregnant.
- Patients with nasal abnormalities, including nasal polyps, and marked septum deviation that interferes with nasal airflow.
- Recent (in the last 3 months) or unhealed nasal septum ulcers, nasal surgery, or nasal trauma.
- Specific immunotherapy finished later than 6 months prior to Visit 1.
Use of following medications:
- Intranasal corticosteroids within 4 weeks prior to Visit 1;
- Inhaled, oral, intramuscular, intravenous, ocular, and/or dermatological corticosteroid within 8 weeks prior to Visit 1;
- Cromones within 2 weeks prior to Visit 1;
- Short-acting antihistamines, including antihistamines contained in insomnia formulations within 3 days prior to Visit 1;
- Long-acting antihistamines within 10 days prior to Visit 1: loratadine, desloratadine, fexofenadine, cetirizine;
- Intranasal antihistamines within 2 weeks prior to Visit 1;
- Intranasal, oral, or inhaled anticholinergics within 3 days prior to Visit 1;
- Oral antileukotrienes within 3 days prior to Visit 1;
- Use of immunosuppressive medications 8 weeks prior to screening.
- Patients allergic to or have sensitivity to the study drug (triamcinolone acetonide, fluticasone propionate) or its excipients.
- Patients suffering from SAR (seasonal allergic rhinitis).
- Patients suffering from non-allergic rhinitis.
- Patients suffering from rhinitis medicamentosa.
- Patients suffering from non-allergic rhinitis caused by viral, bacterial etc infection.
- Patients suffering from bronchial asthma.
- Patients suffering from chronic sinusitis.
- In case of non-allergic rhinitis, nasal trauma or other condition that during the study can interfere with symptoms evaluation, subject would be excluded from the study.
- Patients with physical impairment that would affect subject's ability to participate safely and fully in the study.
- Clinical evidence of a Candida infection of the nose.
- History of psychiatric disease, intellectual deficiency, poor motivation, substance abuse (including drug and alcohol) or other conditions that will limit the validity of informed consent or that would affect the proper daily diary filling.
- Previous history and/or current diagnosis of glaucoma and cataract.
The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
Group A - Nasacort®
Group B - Flixonase®
Arm Description
Nasacort® will be sprayed twice in each nostril once every morning
Flixonase® will be sprayed twice in each nostril once every morning
Outcomes
Primary Outcome Measures
Change from baseline in total nasal symptom score
Secondary Outcome Measures
Change from baseline in quality of life questionnaire scores (miniRQLQ questionnaire)
Number of participants with adverse events
Assessment of patient satisfaction using the 5-point scale questionnaire
Assessment of physician satisfaction using the 5-point scale questionnaire
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT03317015
Brief Title
A Study to Assess Efficacy and Safety of Nasacort® Nasal Spray in Comparison With Flixonase® Nasal Spray in Adults Suffering From Perennial Allergic Rhinitis (PAR)
Acronym
NASANIF
Official Title
A Randomized, Double-blind, Parallel-group, Multicenter, Phase III Prospective Non-inferiority Clinical Trial to Assess Efficacy and Safety of Nasacort® Nasal Spray (Triamcinolone, 55µg) in Comparison With Flixonase® Nasal Spray (Fluticasone, 50 µg) in Adults Suffering From PAR (Perennial Allergic Rhinitis) Administered Once a Day for 28 Days
Study Type
Interventional
2. Study Status
Record Verification Date
April 2022
Overall Recruitment Status
Completed
Study Start Date
November 30, 2016 (Actual)
Primary Completion Date
July 10, 2017 (Actual)
Study Completion Date
July 10, 2017 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sanofi
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
Primary Objective:
To assess efficacy of Nasacort® (triamcinolone) nasal spray, 55 µg per dose, in comparison with Flixonase® (fluticasone) nasal spray, 50 µg per dose, by reflective total nasal symptom score (rTNSS) (24 h) after 28 days of treatment compared with baseline (0 day of treatment) in adult patients suffering from PAR (perennial allergic rhinitis).
Secondary Objectives:
To evaluate safety of Nasacort® (triamcinolone) nasal spray, in comparison with Flixonase® (fluticasone) administered for 28 days by assessment of adverse events reports.
To evaluate patient and physician satisfaction after 28 days of treatment by 5-point scale.
To estimate improvement of quality of life during the study by mini Rhinoconjunctivitis Quality of Life Questionnaire (miniRQLQ).
Detailed Description
The total study duration per patient will be up to approximately 33 days.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Rhinitis Allergic
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
260 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Group A - Nasacort®
Arm Type
Experimental
Arm Description
Nasacort® will be sprayed twice in each nostril once every morning
Arm Title
Group B - Flixonase®
Arm Type
Active Comparator
Arm Description
Flixonase® will be sprayed twice in each nostril once every morning
Intervention Type
Drug
Intervention Name(s)
triamcinolone XRG5029
Other Intervention Name(s)
Nasacort®
Intervention Description
Pharmaceutical form: spray solution
Route of administration: nasal
Intervention Type
Drug
Intervention Name(s)
fluticasone
Other Intervention Name(s)
Flixonase®
Intervention Description
Pharmaceutical form: spray solution
Route of administration: nasal
Primary Outcome Measure Information:
Title
Change from baseline in total nasal symptom score
Time Frame
From baseline (0 day of treatment) to 28th day of treatment
Secondary Outcome Measure Information:
Title
Change from baseline in quality of life questionnaire scores (miniRQLQ questionnaire)
Time Frame
From baseline (0 day of treatment) to 28th day of treatment
Title
Number of participants with adverse events
Time Frame
From baseline (0 day of treatment) to 28th day of treatment
Title
Assessment of patient satisfaction using the 5-point scale questionnaire
Time Frame
28th day of treatment
Title
Assessment of physician satisfaction using the 5-point scale questionnaire
Time Frame
28th day of treatment
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion criteria:
Females and males ≥18 and ≤50 years old.
Patients with previously diagnosed PAR with a positive skin prick test response to an appropriate allergen performed not earlier than 12 months prior to the Screening visit.
Patients must be clinically symptomatic (rTNSS reflecting symptoms for the previous 24 h ≥8 with two or more symptoms rated as moderate or severe).
Negative urine pregnancy test during screening before first dose of study medication is administered in women with child-bearing potential.
Women must use an effective contraceptive method during the study period.
Patients should be able to understand the study, including risks and adverse events; collaborating with Investigator and proceed according with protocol.
Signed informed consent form.
Exclusion criteria:
Compromised ability to provide informed consent.
Participation in any other clinical study.
History of severe local reaction(s) or anaphylaxis to skin testing.
Upper respiratory tract or sinus infection that required antibiotic therapy without at least a 14-day washout prior to the Screening Visit, or viral upper respiratory infection within 2 weeks prior to the Screening Visit.
Subjects who have used any drug (Flixonase or Nasacort) in an investigational protocol 4 weeks prior to the Screening Visit.
Female subjects who are breast-feeding, pregnant, or intend to become pregnant.
Patients with nasal abnormalities, including nasal polyps, and marked septum deviation that interferes with nasal airflow.
Recent (in the last 3 months) or unhealed nasal septum ulcers, nasal surgery, or nasal trauma.
Specific immunotherapy finished later than 6 months prior to Visit 1.
Use of following medications:
Intranasal corticosteroids within 4 weeks prior to Visit 1;
Inhaled, oral, intramuscular, intravenous, ocular, and/or dermatological corticosteroid within 8 weeks prior to Visit 1;
Cromones within 2 weeks prior to Visit 1;
Short-acting antihistamines, including antihistamines contained in insomnia formulations within 3 days prior to Visit 1;
Long-acting antihistamines within 10 days prior to Visit 1: loratadine, desloratadine, fexofenadine, cetirizine;
Intranasal antihistamines within 2 weeks prior to Visit 1;
Intranasal, oral, or inhaled anticholinergics within 3 days prior to Visit 1;
Oral antileukotrienes within 3 days prior to Visit 1;
Use of immunosuppressive medications 8 weeks prior to screening.
Patients allergic to or have sensitivity to the study drug (triamcinolone acetonide, fluticasone propionate) or its excipients.
Patients suffering from SAR (seasonal allergic rhinitis).
Patients suffering from non-allergic rhinitis.
Patients suffering from rhinitis medicamentosa.
Patients suffering from non-allergic rhinitis caused by viral, bacterial etc infection.
Patients suffering from bronchial asthma.
Patients suffering from chronic sinusitis.
In case of non-allergic rhinitis, nasal trauma or other condition that during the study can interfere with symptoms evaluation, subject would be excluded from the study.
Patients with physical impairment that would affect subject's ability to participate safely and fully in the study.
Clinical evidence of a Candida infection of the nose.
History of psychiatric disease, intellectual deficiency, poor motivation, substance abuse (including drug and alcohol) or other conditions that will limit the validity of informed consent or that would affect the proper daily diary filling.
Previous history and/or current diagnosis of glaucoma and cataract.
The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Sciences & Operations
Organizational Affiliation
Sanofi
Official's Role
Study Director
12. IPD Sharing Statement
Plan to Share IPD
Yes
IPD Sharing Plan Description
Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org
Learn more about this trial
A Study to Assess Efficacy and Safety of Nasacort® Nasal Spray in Comparison With Flixonase® Nasal Spray in Adults Suffering From Perennial Allergic Rhinitis (PAR)
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