Efficacy and Safety of Norketotifen in Adults With Allergic Rhinitis
Primary Purpose
Allergic Rhinitis, Allergic Rhinoconjunctivitis
Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Norketotifen
Placebo
Sponsored by
About this trial
This is an interventional treatment trial for Allergic Rhinitis
Eligibility Criteria
Inclusion Criteria:
- Ability and willingness to provide informed consent and comply with the protocol procedures
- Males and females, age 18 to 45 years, inclusive
- Other than seasonal allergic rhinitis, participant is healthy as determined by pre-study medical history, physical examination and vital signs. Any chronic conditions that may interfere with the study outcomes or the subject's safety will be considered clinically significant and a reason for exclusion.
- History of seasonal allergic rhinitis to mountain cedar pollen for at least the past 2 consecutive seasons
- Positive mountain cedar pollen skin prick test at Screening or within 12 months prior to Screening (wheal diameter ≥5 mm larger than the negative control)
- For females, negative serum pregnancy test. Females of childbearing potential and males must agree to use required contraception as outlined in the protocol
Exclusion Criteria:
- Female subjects who are pregnant or lactating
- Any history of epilepsy, diabetes mellitus, blood pressure abnormalities or cardiac arrhythmias
- Presence of any uncontrolled medical or psychiatric illness
- Treatment for controlled concurrent medical conditions has not been stable in terms of either doses or medications for at least 30 days prior to the baseline visit or is anticipated to change during the study
- Current use of or expected use of any of the prohibited medications within the indicated withholding timeframes as outlined in the protocol
- History of any illness that, in the opinion of the study investigator, might confound the results of the study or poses an additional risk to the subject by their participation in the study
- Any history of malignancy within the past 5 years, with the exception of non-melanoma skin cancer
- History of pulmonary disease and/or active asthma requiring daily drug therapy. Mild, intermittent asthma is permitted (managed with short acting beta-agonist less than 3 times per week). Isolated exercise-induced bronchospasm is also permitted
- Any infection or inflammatory condition within the 2 weeks prior to screening
- Positive human immunodeficiency virus (HIV), hepatitis B (HBV), or hepatitis C (HCV) antibody screen
- Any clinically significant abnormal laboratory or ECG test. Presence of thrombocytopenia at screening is exclusionary
- Evidence of illicit drug use or positive urine Class A drug, alcohol, or cotinine screen
- Regular use of tobacco or nicotine containing products, including vaping, within 1 year prior to Screening
- Received any investigational drug within 30 days prior to Screening
- Any prior exposure to norketotifen
- History of allergic reaction to ketotifen
- In the opinion of the investigator, subject would be unlikely to comply with required study visits, self-assessments, and interventions
Sites / Locations
- Biogenics Research Chamber
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Experimental
Experimental
Placebo Comparator
Arm Label
NKT Low Dose
NKT High Dose
Placebo
Arm Description
NKT single dose - Low
NKT single dose - High
Placebo single dose
Outcomes
Primary Outcome Measures
Change in Total Nasal Symptom Score (TNSS) from pre-dose to 6 hours post-dose
Change in TNSS from pre-dose to 6 hours post-dose for NKT vs placebo. The TNSS is the sum of the scores of four nasal symptoms (runny nose, congestion, itching, and sneezing) each scored on a scale of 0 to 3 (0=absent; 1=mild; 2=moderate; 3=severe). The TNSS score ranges from 0 to 12.
Secondary Outcome Measures
Change in Total Ocular Symptom Score (TOSS) from pre-dose to 6 hours post-dose
Change in TOSS from pre-dose to 6 hours post-dose for NKT vs placebo. The TOSS is the sum of the scores of three ocular symptoms (itching, tearing, and redness) each scored on a scale of 0 to 3 (0=absent; 1=mild; 2=moderate; 3=severe). The TOSS score ranges from 0 to 9.
Change in Total Symptom Score (TSS) from pre-dose to 6 hours post-dose
Change in TSS from pre-dose to 6 hours post-dose for NKT vs placebo. The TSS is the sum of the TNSS and TOSS (described above) and ranges from 0 to 21.
Area under the curve (AUC) of TNSS over 6 hours post-dose
AUC of TNSS over 6 hours post-dose for NKT vs placebo
AUC of TOSS over 6 hours post-dose
AUC of TOSS over 6 hours post-dose for NKT vs placebo
AUC of TSS over 6 hours post-dose
AUC of TSS over 6 hours post-dose for NKT vs placebo
Change in individual nasal symptoms from pre-dose to 6 hours post-dose
Change in individual nasal symptoms from pre-dose to 6 hours post-dose for NKT vs placebo
Change in individual ocular symptoms from pre-dose to 6 hours post-dose
Change in individual ocular symptoms from pre-dose to 6 hours post-dose for NKT vs placebo
Full Information
NCT ID
NCT03887026
First Posted
March 21, 2019
Last Updated
August 17, 2020
Sponsor
Emergo Therapeutics, Inc.
1. Study Identification
Unique Protocol Identification Number
NCT03887026
Brief Title
Efficacy and Safety of Norketotifen in Adults With Allergic Rhinitis
Official Title
Efficacy and Safety of Single Doses of Norketotifen in Adult Subjects With Allergen-Induced Allergic Rhinitis in an Allergen Challenge Chamber
Study Type
Interventional
2. Study Status
Record Verification Date
August 2020
Overall Recruitment Status
Completed
Study Start Date
April 1, 2019 (Actual)
Primary Completion Date
May 18, 2019 (Actual)
Study Completion Date
May 29, 2019 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Emergo Therapeutics, Inc.
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
This is a Phase 2a study to evaluate the efficacy and safety of Norketotifen (NKT) in subjects with allergic rhinitis.
Detailed Description
This is a single-center, double-blind, randomized, placebo-controlled, 3-way crossover study evaluating the efficacy and safety of NKT in adult subjects with allergen-induced allergic rhinitis in an allergen challenge chamber.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Allergic Rhinitis, Allergic Rhinoconjunctivitis
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Crossover Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
36 (Actual)
8. Arms, Groups, and Interventions
Arm Title
NKT Low Dose
Arm Type
Experimental
Arm Description
NKT single dose - Low
Arm Title
NKT High Dose
Arm Type
Experimental
Arm Description
NKT single dose - High
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo single dose
Intervention Type
Drug
Intervention Name(s)
Norketotifen
Intervention Description
Norketotifen oral capsule
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo oral capsule
Primary Outcome Measure Information:
Title
Change in Total Nasal Symptom Score (TNSS) from pre-dose to 6 hours post-dose
Description
Change in TNSS from pre-dose to 6 hours post-dose for NKT vs placebo. The TNSS is the sum of the scores of four nasal symptoms (runny nose, congestion, itching, and sneezing) each scored on a scale of 0 to 3 (0=absent; 1=mild; 2=moderate; 3=severe). The TNSS score ranges from 0 to 12.
Time Frame
6 hours
Secondary Outcome Measure Information:
Title
Change in Total Ocular Symptom Score (TOSS) from pre-dose to 6 hours post-dose
Description
Change in TOSS from pre-dose to 6 hours post-dose for NKT vs placebo. The TOSS is the sum of the scores of three ocular symptoms (itching, tearing, and redness) each scored on a scale of 0 to 3 (0=absent; 1=mild; 2=moderate; 3=severe). The TOSS score ranges from 0 to 9.
Time Frame
6 hours
Title
Change in Total Symptom Score (TSS) from pre-dose to 6 hours post-dose
Description
Change in TSS from pre-dose to 6 hours post-dose for NKT vs placebo. The TSS is the sum of the TNSS and TOSS (described above) and ranges from 0 to 21.
Time Frame
6 hours
Title
Area under the curve (AUC) of TNSS over 6 hours post-dose
Description
AUC of TNSS over 6 hours post-dose for NKT vs placebo
Time Frame
6 hours
Title
AUC of TOSS over 6 hours post-dose
Description
AUC of TOSS over 6 hours post-dose for NKT vs placebo
Time Frame
6 hours
Title
AUC of TSS over 6 hours post-dose
Description
AUC of TSS over 6 hours post-dose for NKT vs placebo
Time Frame
6 hours
Title
Change in individual nasal symptoms from pre-dose to 6 hours post-dose
Description
Change in individual nasal symptoms from pre-dose to 6 hours post-dose for NKT vs placebo
Time Frame
6 hours
Title
Change in individual ocular symptoms from pre-dose to 6 hours post-dose
Description
Change in individual ocular symptoms from pre-dose to 6 hours post-dose for NKT vs placebo
Time Frame
6 hours
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Ability and willingness to provide informed consent and comply with the protocol procedures
Males and females, age 18 to 45 years, inclusive
Other than seasonal allergic rhinitis, participant is healthy as determined by pre-study medical history, physical examination and vital signs. Any chronic conditions that may interfere with the study outcomes or the subject's safety will be considered clinically significant and a reason for exclusion.
History of seasonal allergic rhinitis to mountain cedar pollen for at least the past 2 consecutive seasons
Positive mountain cedar pollen skin prick test at Screening or within 12 months prior to Screening (wheal diameter ≥5 mm larger than the negative control)
For females, negative serum pregnancy test. Females of childbearing potential and males must agree to use required contraception as outlined in the protocol
Exclusion Criteria:
Female subjects who are pregnant or lactating
Any history of epilepsy, diabetes mellitus, blood pressure abnormalities or cardiac arrhythmias
Presence of any uncontrolled medical or psychiatric illness
Treatment for controlled concurrent medical conditions has not been stable in terms of either doses or medications for at least 30 days prior to the baseline visit or is anticipated to change during the study
Current use of or expected use of any of the prohibited medications within the indicated withholding timeframes as outlined in the protocol
History of any illness that, in the opinion of the study investigator, might confound the results of the study or poses an additional risk to the subject by their participation in the study
Any history of malignancy within the past 5 years, with the exception of non-melanoma skin cancer
History of pulmonary disease and/or active asthma requiring daily drug therapy. Mild, intermittent asthma is permitted (managed with short acting beta-agonist less than 3 times per week). Isolated exercise-induced bronchospasm is also permitted
Any infection or inflammatory condition within the 2 weeks prior to screening
Positive human immunodeficiency virus (HIV), hepatitis B (HBV), or hepatitis C (HCV) antibody screen
Any clinically significant abnormal laboratory or ECG test. Presence of thrombocytopenia at screening is exclusionary
Evidence of illicit drug use or positive urine Class A drug, alcohol, or cotinine screen
Regular use of tobacco or nicotine containing products, including vaping, within 1 year prior to Screening
Received any investigational drug within 30 days prior to Screening
Any prior exposure to norketotifen
History of allergic reaction to ketotifen
In the opinion of the investigator, subject would be unlikely to comply with required study visits, self-assessments, and interventions
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Hazar Awad Granko, RPh, PhD
Organizational Affiliation
Emergo Therapeutics, Inc.
Official's Role
Study Chair
Facility Information:
Facility Name
Biogenics Research Chamber
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
12. IPD Sharing Statement
Plan to Share IPD
No
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Efficacy and Safety of Norketotifen in Adults With Allergic Rhinitis
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