Comparative Safety and Efficacy of Two Steroid Treatments in the Relief of the Symptoms of Seasonal Allergic Rhinitis
Primary Purpose
Seasonal Allergic Rhinitis
Status
Completed
Phase
Phase 3
Locations
United States
Study Type
Interventional
Intervention
Azelastine Hydrochloride/Fluticasone Propionate Nasal Spray
Azelastine Hydrochloride/Fluticasone Propionate Nasal Spray
Placebo nasal spray
Sponsored by
About this trial
This is an interventional treatment trial for Seasonal Allergic Rhinitis
Eligibility Criteria
Inclusion Criteria:
- Complete the informed consent/assent process.
- Male or female between 12 to 65 years of age, inclusive.
- Females of childbearing potential willing to use an acceptable form of birth control during the study.
- Moderate-to-severe allergic rhinitis.
- At Visits 1 and 2 have instantaneous and reflective symptom scores sufficient enough to qualify for continued participation in the study
- Subject must have a history (for 2 or more seasons) of seasonal allergy to at least one allergen known to be present during the study season.
- Subject must be in general good health with no clinically significant disease or medical procedure other than allergic rhinitis within various time periods prior to Visit 1.
- Subject must be willing and able to understand and comply with the requirements of the study
Exclusion Criteria:
- Female who is pregnant or nursing, who is not using or does not agree to use an acceptable form of contraception during the study, or who intends to become pregnant during the study.
- Subject has a history of hypersensitivity or allergy to any ingredient in the drug products.
- Subject has any condition or abnormality of the upper airway that, in the opinion of the Investigator, could interfere with administration of the product, evaluation of the subject's condition, or other aspect of the trial.
- The presence of any nasal mucosal crusting, erosion, ulceration, nasal septum perforation, or any kind of blockage of the nasal passages at screening or randomization.
- Subject has asthma or a history of asthma requiring chronic treatment within two years of Visit 1.
- Treatment for oral Candidiasis within 30 days of starting the study, or a current oral Candidiasis infection.
- Subject has had recent exposure (30 days) or is at risk of being exposed to chicken pox or measles.
- Subjects with any untreated fungal, bacterial, systemic viral infections within the previous 30 days.
- Use of various therapies within the given time period prior to Visit 1 and throughout the study.
- Initiation of hormone replacement therapy during the study.
- Initiation of immunotherapy during the study, or changes in dosage or frequency of immunotherapy within the 30 days preceding Visit 1.
- Subject has received immune-system therapy or peptide immunotherapy of any form.
- Subject had desensitization therapy to the seasonal allergen that is causing their allergic rhinitis within the previous 6 months.
- Subject presented with conjunctivitis or any other eye signs/symptoms that are not related to the diagnosis of SAR.
- Clinically relevant abnormal physical findings or medication use within 1 week of randomization, which, in the opinion of the investigator, might interfere with the conduct or results of the study or place the prospective subject at increased risk.
- Subjects being treated with a product containing a sympathomimetic agent.
- Subject has previously enrolled in this study or is enrolled in this study with another participating investigator site.
- Subject is concurrently participating in another investigational study or using any investigational drug (or biologic) or device.
- Subject plans or anticipates travel outside the local allergen area at any point in the study.
- History of unresponsiveness to steroid nasal sprays for SAR symptoms.
- Employee (or employee's family member) of the research center or private practice.
- If the subject has a smoking history of greater than 10 pack years or has recently started or re-started smoking within the past 2 years
Sites / Locations
- Atlanta Allergy & Asthma Clinic, PA
- Clinical Research Atlanta (CRA)
- Family Allergy and Asthma Research Institute
- Chesapeake Clinical Research, Inc.
- NEMRA Northeast Medical Research Associates, Inc
- Clinical Research Institute, Inc.
- Clinical Research Institute LLC
- Clinical Research of the Ozarks, Inc.
- Clinical Research of the Ozarks, Inc.
- The Clinical Research Center, LLC
- Princeton Center for Clinical Research
- Island Medical Research, P.C.
- Allergy and Asthma Center of NC
- North Carolina Clinical Research
- Toledo Center for Clinical Research
- Allergy, Asthma & Clinical Research Center
- Vital Prospects Clinical Research Institute, P.C.
- National Allergy, Asthma & Urticaria Centers of Charleston
- New Phase Research and Development
- ISIS Clinical Research, LLC
- Sirius Clinical Research LLC
- AARA Research Center
- Pharmaceutical Research & Consulting Inc.
- Western Sky Medical Research
- Central Texas Health Research
- Quality Research Inc.
- Diagnostics Research Group
- Sylvana Research Associates
- Allergy Asthma Research Institute
- The Asthma & Allergy Center - Bellevue
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Experimental
Active Comparator
Placebo Comparator
Arm Label
Test Product
Reference Product
Placebo Product
Arm Description
Azelastine Hydrochloride/Fluticasone Propionate Nasal Spray - Perrigo
Azelastine Hydrochloride/Fluticasone Propionate Nasal Spray - Meda
Placebo nasal spray
Outcomes
Primary Outcome Measures
Mean Change From Baseline for Mean Reflective Total Nasal Symptom Score (rTNSS)
The symptoms included in the reflective Total Nasal Symptom Score (rTNSS) scale are nasal congestion/stuffy nose, nasal discharge/runny nose, sneezing, and itchy nose. Symptoms were scored on a four point scale, 0-3, for each assessment were calculated by totaling these four symptom scores for a maximum score of 12.
Secondary Outcome Measures
Mean Change From Baseline in the Mean Instantaneous Total Nasal Symptom Score (iTNSS)
The symptoms included in the instantaneous Total Nasal Symptom Score (iTNSS) scale are nasal congestion/stuffy nose, nasal discharge/runny nose, sneezing, and itchy nose. Symptoms were scored on a four point scale, 0-3, for each assessment were calculated by totaling these four symptom scores for a maximum score of 12.
Change From Baseline iTNSS Scores on Day 1 Post First Randomized Dose
This outcome measured the time to statistical significance of the reduction of signs/symptoms over a 4 hour period on Day 1 only by measuring the reduction in iTNSS scores. When the change from baseline was statistically significant, it was associated with a time to onset of the anti-histamine component of the formulation.
Subjects will record iTNSS scores for 4 hours post first randomized dose. The symptoms included in the instantaneous Total Nasal Symptom Score (iTNSS) scale are nasal congestion/stuffy nose, nasal discharge/runny nose, sneezing, and itchy nose. Symptoms were scored on a four point scale, 0-3, for each assessment were calculated by totaling these four symptom scores for a maximum score of 12.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT02230696
Brief Title
Comparative Safety and Efficacy of Two Steroid Treatments in the Relief of the Symptoms of Seasonal Allergic Rhinitis
Study Type
Interventional
2. Study Status
Record Verification Date
October 2021
Overall Recruitment Status
Completed
Study Start Date
August 2014 (undefined)
Primary Completion Date
February 2015 (Actual)
Study Completion Date
February 2015 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Padagis LLC
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
To compare safety and efficacy of Perrigo's steroid drug product compared with an FDA approved steroid drug product in the treatment of subjects 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
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
951 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Test Product
Arm Type
Experimental
Arm Description
Azelastine Hydrochloride/Fluticasone Propionate Nasal Spray - Perrigo
Arm Title
Reference Product
Arm Type
Active Comparator
Arm Description
Azelastine Hydrochloride/Fluticasone Propionate Nasal Spray - Meda
Arm Title
Placebo Product
Arm Type
Placebo Comparator
Arm Description
Placebo nasal spray
Intervention Type
Drug
Intervention Name(s)
Azelastine Hydrochloride/Fluticasone Propionate Nasal Spray
Other Intervention Name(s)
Perrigo Product
Intervention Description
137 micro-grams Azelastine Hydrochloride, 50 micro-grams Fluticasone Propionate
Intervention Type
Drug
Intervention Name(s)
Azelastine Hydrochloride/Fluticasone Propionate Nasal Spray
Other Intervention Name(s)
Reference Listed Drug Product
Intervention Description
137 micro-grams Azelastine Hydrochloride, 50 micro-grams Fluticasone Propionate
Intervention Type
Drug
Intervention Name(s)
Placebo nasal spray
Intervention Description
Placebo nasal spray
Primary Outcome Measure Information:
Title
Mean Change From Baseline for Mean Reflective Total Nasal Symptom Score (rTNSS)
Description
The symptoms included in the reflective Total Nasal Symptom Score (rTNSS) scale are nasal congestion/stuffy nose, nasal discharge/runny nose, sneezing, and itchy nose. Symptoms were scored on a four point scale, 0-3, for each assessment were calculated by totaling these four symptom scores for a maximum score of 12.
Time Frame
Day 1 through Day 14
Secondary Outcome Measure Information:
Title
Mean Change From Baseline in the Mean Instantaneous Total Nasal Symptom Score (iTNSS)
Description
The symptoms included in the instantaneous Total Nasal Symptom Score (iTNSS) scale are nasal congestion/stuffy nose, nasal discharge/runny nose, sneezing, and itchy nose. Symptoms were scored on a four point scale, 0-3, for each assessment were calculated by totaling these four symptom scores for a maximum score of 12.
Time Frame
Day 1 through Day 14
Title
Change From Baseline iTNSS Scores on Day 1 Post First Randomized Dose
Description
This outcome measured the time to statistical significance of the reduction of signs/symptoms over a 4 hour period on Day 1 only by measuring the reduction in iTNSS scores. When the change from baseline was statistically significant, it was associated with a time to onset of the anti-histamine component of the formulation.
Subjects will record iTNSS scores for 4 hours post first randomized dose. The symptoms included in the instantaneous Total Nasal Symptom Score (iTNSS) scale are nasal congestion/stuffy nose, nasal discharge/runny nose, sneezing, and itchy nose. Symptoms were scored on a four point scale, 0-3, for each assessment were calculated by totaling these four symptom scores for a maximum score of 12.
Time Frame
Day 1, up to four hours post the first dose
10. Eligibility
Sex
All
Minimum Age & Unit of Time
12 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Complete the informed consent/assent process.
Male or female between 12 to 65 years of age, inclusive.
Females of childbearing potential willing to use an acceptable form of birth control during the study.
Moderate-to-severe allergic rhinitis.
At Visits 1 and 2 have instantaneous and reflective symptom scores sufficient enough to qualify for continued participation in the study
Subject must have a history (for 2 or more seasons) of seasonal allergy to at least one allergen known to be present during the study season.
Subject must be in general good health with no clinically significant disease or medical procedure other than allergic rhinitis within various time periods prior to Visit 1.
Subject must be willing and able to understand and comply with the requirements of the study
Exclusion Criteria:
Female who is pregnant or nursing, who is not using or does not agree to use an acceptable form of contraception during the study, or who intends to become pregnant during the study.
Subject has a history of hypersensitivity or allergy to any ingredient in the drug products.
Subject has any condition or abnormality of the upper airway that, in the opinion of the Investigator, could interfere with administration of the product, evaluation of the subject's condition, or other aspect of the trial.
The presence of any nasal mucosal crusting, erosion, ulceration, nasal septum perforation, or any kind of blockage of the nasal passages at screening or randomization.
Subject has asthma or a history of asthma requiring chronic treatment within two years of Visit 1.
Treatment for oral Candidiasis within 30 days of starting the study, or a current oral Candidiasis infection.
Subject has had recent exposure (30 days) or is at risk of being exposed to chicken pox or measles.
Subjects with any untreated fungal, bacterial, systemic viral infections within the previous 30 days.
Use of various therapies within the given time period prior to Visit 1 and throughout the study.
Initiation of hormone replacement therapy during the study.
Initiation of immunotherapy during the study, or changes in dosage or frequency of immunotherapy within the 30 days preceding Visit 1.
Subject has received immune-system therapy or peptide immunotherapy of any form.
Subject had desensitization therapy to the seasonal allergen that is causing their allergic rhinitis within the previous 6 months.
Subject presented with conjunctivitis or any other eye signs/symptoms that are not related to the diagnosis of SAR.
Clinically relevant abnormal physical findings or medication use within 1 week of randomization, which, in the opinion of the investigator, might interfere with the conduct or results of the study or place the prospective subject at increased risk.
Subjects being treated with a product containing a sympathomimetic agent.
Subject has previously enrolled in this study or is enrolled in this study with another participating investigator site.
Subject is concurrently participating in another investigational study or using any investigational drug (or biologic) or device.
Subject plans or anticipates travel outside the local allergen area at any point in the study.
History of unresponsiveness to steroid nasal sprays for SAR symptoms.
Employee (or employee's family member) of the research center or private practice.
If the subject has a smoking history of greater than 10 pack years or has recently started or re-started smoking within the past 2 years
Facility Information:
Facility Name
Atlanta Allergy & Asthma Clinic, PA
City
Stockbridge
State/Province
Georgia
ZIP/Postal Code
30281
Country
United States
Facility Name
Clinical Research Atlanta (CRA)
City
Stockbridge
State/Province
Georgia
ZIP/Postal Code
30281
Country
United States
Facility Name
Family Allergy and Asthma Research Institute
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40215
Country
United States
Facility Name
Chesapeake Clinical Research, Inc.
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21236
Country
United States
Facility Name
NEMRA Northeast Medical Research Associates, Inc
City
North Dartmouth
State/Province
Massachusetts
ZIP/Postal Code
02747
Country
United States
Facility Name
Clinical Research Institute, Inc.
City
Minneapolis
State/Province
Minnesota
ZIP/Postal Code
55402
Country
United States
Facility Name
Clinical Research Institute LLC
City
Minneapolis
State/Province
Minnesota
ZIP/Postal Code
63141
Country
United States
Facility Name
Clinical Research of the Ozarks, Inc.
City
Columbia
State/Province
Missouri
ZIP/Postal Code
65203
Country
United States
Facility Name
Clinical Research of the Ozarks, Inc.
City
Rolla
State/Province
Missouri
ZIP/Postal Code
65401
Country
United States
Facility Name
The Clinical Research Center, LLC
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63141
Country
United States
Facility Name
Princeton Center for Clinical Research
City
Skillman
State/Province
New Jersey
ZIP/Postal Code
08558
Country
United States
Facility Name
Island Medical Research, P.C.
City
Rockville Centre
State/Province
New York
ZIP/Postal Code
11570
Country
United States
Facility Name
Allergy and Asthma Center of NC
City
High Point
State/Province
North Carolina
ZIP/Postal Code
27262
Country
United States
Facility Name
North Carolina Clinical Research
City
Raleigh
State/Province
North Carolina
ZIP/Postal Code
27607
Country
United States
Facility Name
Toledo Center for Clinical Research
City
Sylvania
State/Province
Ohio
ZIP/Postal Code
43560
Country
United States
Facility Name
Allergy, Asthma & Clinical Research Center
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73120
Country
United States
Facility Name
Vital Prospects Clinical Research Institute, P.C.
City
Tulsa
State/Province
Oklahoma
ZIP/Postal Code
74136
Country
United States
Facility Name
National Allergy, Asthma & Urticaria Centers of Charleston
City
North Charleston
State/Province
South Carolina
ZIP/Postal Code
29420
Country
United States
Facility Name
New Phase Research and Development
City
Knoxville
State/Province
Tennessee
ZIP/Postal Code
37919
Country
United States
Facility Name
ISIS Clinical Research, LLC
City
Austin
State/Province
Texas
ZIP/Postal Code
78731
Country
United States
Facility Name
Sirius Clinical Research LLC
City
Austin
State/Province
Texas
ZIP/Postal Code
78759
Country
United States
Facility Name
AARA Research Center
City
Dallas
State/Province
Texas
ZIP/Postal Code
75231
Country
United States
Facility Name
Pharmaceutical Research & Consulting Inc.
City
Dallas
State/Province
Texas
ZIP/Postal Code
75231
Country
United States
Facility Name
Western Sky Medical Research
City
El Paso
State/Province
Texas
ZIP/Postal Code
79904
Country
United States
Facility Name
Central Texas Health Research
City
New Braunfels
State/Province
Texas
ZIP/Postal Code
78130
Country
United States
Facility Name
Quality Research Inc.
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78209
Country
United States
Facility Name
Diagnostics Research Group
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Facility Name
Sylvana Research Associates
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78257
Country
United States
Facility Name
Allergy Asthma Research Institute
City
Waco
State/Province
Texas
ZIP/Postal Code
76712
Country
United States
Facility Name
The Asthma & Allergy Center - Bellevue
City
Bellevue
State/Province
Washington
ZIP/Postal Code
68123
Country
United States
12. IPD Sharing Statement
Learn more about this trial
Comparative Safety and Efficacy of Two Steroid Treatments in the Relief of the Symptoms of Seasonal Allergic Rhinitis
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