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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
Sanofi
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Rhinitis Allergic

Eligibility Criteria

18 Years - 50 Years (Adult)All SexesDoes not accept healthy volunteers

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

    First Posted
    October 18, 2017
    Last Updated
    April 22, 2022
    Sponsor
    Sanofi
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    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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