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3-D Visualization of the Anti-Obstructive Effect of Levocetirizine (LevoNasalFlo)

Primary Purpose

Allergic Rhinitis

Status
Completed
Phase
Phase 3
Locations
Germany
Study Type
Interventional
Intervention
Levocetirizine
Levocetirizine
Sponsored by
Clinical Research International Limited
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:

  • Subject must be informed and give written informed consent for study participation
  • Subject must be able to adhere to dose and visit schedules and meet study requirements
  • Subject must be aged 18 to 65 (inclusive); gender and race are irrelevant
  • Subject must have at least a two-year history of allergic rhinitis consistent with persistent allergic rhinitis (defined as symptoms of allergic rhinitis present on four days or more per week or for four or more consecutive weeks per year)
  • In the previous pollen season, subject must have been sufficiently symptomatic, with a T6SS (reflective) symptoms severity score of at least 10 (out of max. 18). (Symptoms include nasal itching, sneezing, rhinorrhea, congestion, conjunctival itching, redness and tearing graded on a scale of 0 -absent, 1 - mild, 2 - moderate, 3 - severe)
  • Subject must have a positive skin prick test at screening to one or more allergens in the local panel of seasonal allergens (e.g. grass, tree pollen), but not to perennial allergens. Subject must demonstrate an antigen-induced skin prick wheal of at least 3mm greater in diameter than the diluent control.
  • Subject must have had a positive nasal allergen challenge within the previous six months. (see [Riechelmann])
  • Nonsterile or premenopausal female subjects must use a medically accepted method of birth control, e.g. oral contraceptives

Exclusion Criteria:

  • Failure to fulfill all of the above mentioned inclusion criteria
  • Insufficient ability to understand the nature, scope and possible consequences of the study
  • Insufficient legal competence or insufficient knowledge of the German language
  • Participation in another clinical trial within the previous three months
  • Pregnancy or lactation
  • Positive skin prick test to frequently occurring perennial allergens, e.g. house dust mites, cats
  • History of anaphylaxis and/or severe local reactions to skin testing with allergens
  • Intolerable symptoms that would make participating in the study unbearable, especially the 45 min MRI-session
  • Any viral inflammation of the upper respiratory system, acute or chronic sinusitis, rhinitis medicamentosa, nasal polyps, clinically relevant anatomic deviations of the nose, active or inactive tuberculosis of the respiratory tract, or asthma other than mild intermittent asthma treated with ß2-agonists on an as-needed basis
  • Any kind of clinically significant disease, especially any signs of active persistent allergic rhinitis, which would interfere with the study evaluations.
  • Known intolerance to levocetirizine or any other components of the study drugs
  • Surgery of the nose or the nasal sinuses within the previous six months
  • Any deviation from the norm in the physical investigation of any disease which in the investigator's judgment might require impermissible medication, influence study performance and results or affect the patients safety
  • Intake of drugs which might interfere with the study results
  • History of alcohol or drug abuse

Sites / Locations

  • HNO-Praxis Dr. Pasch/Prof. Schlöndorff

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Levocetirizine

Arm Description

Levo 5 mg o.d.

Outcomes

Primary Outcome Measures

Improvement of nasal flow

Secondary Outcome Measures

Full Information

First Posted
October 22, 2009
Last Updated
June 21, 2011
Sponsor
Clinical Research International Limited
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1. Study Identification

Unique Protocol Identification Number
NCT01000792
Brief Title
3-D Visualization of the Anti-Obstructive Effect of Levocetirizine
Acronym
LevoNasalFlo
Official Title
3-D Visualization of the Anti-Obstructive Effect of Levocetirizine - A Monocentric Clinical Trail With One Patient (Phase-IV-Study)
Study Type
Interventional

2. Study Status

Record Verification Date
June 2011
Overall Recruitment Status
Completed
Study Start Date
November 2009 (undefined)
Primary Completion Date
January 2010 (Actual)
Study Completion Date
July 2010 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Clinical Research International Limited

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The prevalence of allergic rhinitis is high and appears to be rising worldwide. Therefore, it is important and necessary to understand and visualize therapy effects on this disease. In this study we will demonstrate the effect of levocetirizine on nasal cavity dimensions by assessing not only standard nasal flow diagnostics such as rhinomanometry and acoustic rhinometry, but supplement exami¬nation procedures with long-term rhinometry and magnetic resonance imaging (MRI). With the aid of a virtual model and computer fluid dynamics, we are able to simulate nasal air flow and provide three-dimensional visualization of the computed flow. In previous trials ([Bachert], [deBlic], [Day] and [Deruaz]) it has been shown that allergic symptoms, especially nasal congestion, diminish significantly under treatment with levocetirizine. We will demonstrate this anti-obstructive effect by comparing the reaction to nasal allergen challenge before and after four-week treatment with levocetirizine.

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 3
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
1 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Levocetirizine
Arm Type
Experimental
Arm Description
Levo 5 mg o.d.
Intervention Type
Drug
Intervention Name(s)
Levocetirizine
Intervention Description
The study drug is Xyzal® 5 mg (API: levocetirizine dihydrochloride). 28 film tablets will be dispensed. Oral intake should be performed once daily (administration in the evening).
Intervention Type
Drug
Intervention Name(s)
Levocetirizine
Intervention Description
Levocetirizine
Primary Outcome Measure Information:
Title
Improvement of nasal flow
Time Frame
4 weeks

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: Subject must be informed and give written informed consent for study participation Subject must be able to adhere to dose and visit schedules and meet study requirements Subject must be aged 18 to 65 (inclusive); gender and race are irrelevant Subject must have at least a two-year history of allergic rhinitis consistent with persistent allergic rhinitis (defined as symptoms of allergic rhinitis present on four days or more per week or for four or more consecutive weeks per year) In the previous pollen season, subject must have been sufficiently symptomatic, with a T6SS (reflective) symptoms severity score of at least 10 (out of max. 18). (Symptoms include nasal itching, sneezing, rhinorrhea, congestion, conjunctival itching, redness and tearing graded on a scale of 0 -absent, 1 - mild, 2 - moderate, 3 - severe) Subject must have a positive skin prick test at screening to one or more allergens in the local panel of seasonal allergens (e.g. grass, tree pollen), but not to perennial allergens. Subject must demonstrate an antigen-induced skin prick wheal of at least 3mm greater in diameter than the diluent control. Subject must have had a positive nasal allergen challenge within the previous six months. (see [Riechelmann]) Nonsterile or premenopausal female subjects must use a medically accepted method of birth control, e.g. oral contraceptives Exclusion Criteria: Failure to fulfill all of the above mentioned inclusion criteria Insufficient ability to understand the nature, scope and possible consequences of the study Insufficient legal competence or insufficient knowledge of the German language Participation in another clinical trial within the previous three months Pregnancy or lactation Positive skin prick test to frequently occurring perennial allergens, e.g. house dust mites, cats History of anaphylaxis and/or severe local reactions to skin testing with allergens Intolerable symptoms that would make participating in the study unbearable, especially the 45 min MRI-session Any viral inflammation of the upper respiratory system, acute or chronic sinusitis, rhinitis medicamentosa, nasal polyps, clinically relevant anatomic deviations of the nose, active or inactive tuberculosis of the respiratory tract, or asthma other than mild intermittent asthma treated with ß2-agonists on an as-needed basis Any kind of clinically significant disease, especially any signs of active persistent allergic rhinitis, which would interfere with the study evaluations. Known intolerance to levocetirizine or any other components of the study drugs Surgery of the nose or the nasal sinuses within the previous six months Any deviation from the norm in the physical investigation of any disease which in the investigator's judgment might require impermissible medication, influence study performance and results or affect the patients safety Intake of drugs which might interfere with the study results History of alcohol or drug abuse
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ralph Mösges, M.D.
Organizational Affiliation
CRI-Ltd
Official's Role
Principal Investigator
Facility Information:
Facility Name
HNO-Praxis Dr. Pasch/Prof. Schlöndorff
City
Aachen
State/Province
NRW
ZIP/Postal Code
52074
Country
Germany

12. IPD Sharing Statement

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3-D Visualization of the Anti-Obstructive Effect of Levocetirizine

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