Compare Captisol-Enabled (CE) Budesonide + Azelastine Nasal Solution and Rhinocort Aqua + Astelin in an Environmental Exposure Chamber (EEC) Study of Allergic Rhinitis
Primary Purpose
Seasonal Allergic Rhinitis
Status
Completed
Phase
Phase 2
Locations
Canada
Study Type
Interventional
Intervention
Budesonide + Azelastine
Budesonide + Azelastine
Placebo
Sponsored by
About this trial
This is an interventional treatment trial for Seasonal Allergic Rhinitis
Eligibility Criteria
Inclusion Criteria:
- Patients must have a clinical history of SAR
- Adults (males and females) aged 18 to 65
- Patients must have documentation of a positive skin test within 12 months of screening to ragweed allergen defined by a positive case history and a positive skin prick and/or intradermal test for ragweed allergen.
- Non-pregnant, non-lactating females, or women who are post-menopausal or are naturally or surgically sterile
- Females of childbearing potential must have a confirmed absence of pregnancy according to a negative urine pregnancy test and must be using acceptable birth control methods
- In generally good health on the basis of medical history and physical examination.
- Willingness to attend all study visits.
- Capable of following and understanding instructions.
- Willing and able to provide written informed consent prior to initiation of any study procedures, including initiation of washout of any concomitant medications
Exclusion Criteria:
- Pregnancy, nursing, or plans to become pregnant or donate gametes (ova or sperm) for in-vitro fertilization
- Have clinically significant physical findings of nasal anatomical deformities causing greater than 50% obstruction based on the clinical estimate of the investigator, including nasal polyps, septal defects or other clinically significant respiratory tract malformations, recent nasal biopsy, nasal trauma, or surgery and atrophic rhinitis or rhinitis medicamentosa
- Previous participation in a budesonide study within 1 month prior to the Screening Visit.
- Currently participating in a clinical trial or has been exposed to an investigational treatment within the 30 days prior to the Screening Visit.
- A known hypersensitivity to any corticosteroid or any of the excipients in the formulation of the investigational drug (e.g., any adverse experience with budesonide, azelastine or the Captisol-containing products Vfend IV or Geodon IM).
- History of severe respiratory infection or disorder
- History of alcohol or drug abuse
- History of a positive test for HIV, hepatitis B or hepatitis C.
- Use of any of the prohibited medications within the identified exclusion periods
- Use of antibiotic therapy for acute conditions
- Initiation of immunotherapy or dose escalation during the study period.
- Non-vaccinated exposure to or active infection with chickenpox or measles within the 21 days preceding the Screening Visit.
- Exposure to systemic corticosteroids
- Use of topical corticosteroids in concentrations in excess of 1% hydrocortisone or equivalent
- History of epilepsy or seizures
- History of coronary heart disease, uncontrolled hypertension, or other clinically significant cardiovascular disease.
Have any of the following conditions that are judged by the investigator to be clinically significant and/or affect the patient's ability to participate in the clinical trial:
- Impaired hepatic function including alcohol related liver disease or cirrhosis
- History of ocular disturbances (e.g., glaucoma or posterior subcapsular cataracts)
- Any systemic infection
- Hematological, renal, endocrine (except for controlled diabetes mellitis or postmenopausal symptoms or hypothyroidism)
- Gastrointestinal disease
- Malignancy (excluding basal cell carcinoma)
- A current neuropsychiatric condition with or without drug therapy
Sites / Locations
- Allied Research International - Cetero Research
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Experimental
Active Comparator
Placebo Comparator
Arm Label
Captisol-Enabled Budesonide + Azelastine
Rhinocort Aqua+Astelin
Placebo
Arm Description
Outcomes
Primary Outcome Measures
Patient-rated Total Nasal Symptom Score
Secondary Outcome Measures
Patient-rated Total Symptom Score
Patient-rated EEC-RQLQ assessment
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT00940953
Brief Title
Compare Captisol-Enabled (CE) Budesonide + Azelastine Nasal Solution and Rhinocort Aqua + Astelin in an Environmental Exposure Chamber (EEC) Study of Allergic Rhinitis
Official Title
A Randomized, Double-Blind, Placebo-Controlled, 3-Way Cross-Over Study Comparing Relative Efficacy of CE Budesonide+Azelastine & Rhinocort Aqua+Astelin Nasal Sprays Against Placebo in the Treatment of AR in an EEC Model
Study Type
Interventional
2. Study Status
Record Verification Date
October 2012
Overall Recruitment Status
Completed
Study Start Date
February 2008 (undefined)
Primary Completion Date
May 2008 (Actual)
Study Completion Date
May 2008 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Ligand Pharmaceuticals
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The primary objective of this study was to compare Placebo to Captisol-Enabled Budesonide + Azelastine in a single spray and two separate sprays (Budesonide + Azelastine) in patients with Seasonal Allergic Rhinitis exposed to controlled ragweed pollen.
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 2
Interventional Study Model
Crossover Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
108 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Captisol-Enabled Budesonide + Azelastine
Arm Type
Experimental
Arm Title
Rhinocort Aqua+Astelin
Arm Type
Active Comparator
Arm Title
Placebo
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
Budesonide + Azelastine
Other Intervention Name(s)
CDX-313, Captisol
Intervention Description
nasal spray, one spray per nostril at time 0 plus one spray Placebo
Intervention Type
Drug
Intervention Name(s)
Budesonide + Azelastine
Other Intervention Name(s)
Rhinocort Aqua, Astelin
Intervention Description
nasal spray, one spray of each per nostril at time 0
Intervention Type
Drug
Intervention Name(s)
Placebo
Other Intervention Name(s)
phosphate buffered saline solution
Intervention Description
nasal spray, one spray per nostril from each of 2 bottles at time 0
Primary Outcome Measure Information:
Title
Patient-rated Total Nasal Symptom Score
Time Frame
10 mins, 20 mins, 30 mins, 40 mins, 60 mins, 90 mins, 120 mins and then every hour up to 10 hours post dose
Secondary Outcome Measure Information:
Title
Patient-rated Total Symptom Score
Time Frame
10 mins, 20 mins, 30 mins, 40 mins, 60 mins, 90 mins, 120 mins and then every hour up to 10 hours post dose
Title
Patient-rated EEC-RQLQ assessment
Time Frame
-0.75 hours, 2 hours, 6 hours and 10 hours post dose
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:
Patients must have a clinical history of SAR
Adults (males and females) aged 18 to 65
Patients must have documentation of a positive skin test within 12 months of screening to ragweed allergen defined by a positive case history and a positive skin prick and/or intradermal test for ragweed allergen.
Non-pregnant, non-lactating females, or women who are post-menopausal or are naturally or surgically sterile
Females of childbearing potential must have a confirmed absence of pregnancy according to a negative urine pregnancy test and must be using acceptable birth control methods
In generally good health on the basis of medical history and physical examination.
Willingness to attend all study visits.
Capable of following and understanding instructions.
Willing and able to provide written informed consent prior to initiation of any study procedures, including initiation of washout of any concomitant medications
Exclusion Criteria:
Pregnancy, nursing, or plans to become pregnant or donate gametes (ova or sperm) for in-vitro fertilization
Have clinically significant physical findings of nasal anatomical deformities causing greater than 50% obstruction based on the clinical estimate of the investigator, including nasal polyps, septal defects or other clinically significant respiratory tract malformations, recent nasal biopsy, nasal trauma, or surgery and atrophic rhinitis or rhinitis medicamentosa
Previous participation in a budesonide study within 1 month prior to the Screening Visit.
Currently participating in a clinical trial or has been exposed to an investigational treatment within the 30 days prior to the Screening Visit.
A known hypersensitivity to any corticosteroid or any of the excipients in the formulation of the investigational drug (e.g., any adverse experience with budesonide, azelastine or the Captisol-containing products Vfend IV or Geodon IM).
History of severe respiratory infection or disorder
History of alcohol or drug abuse
History of a positive test for HIV, hepatitis B or hepatitis C.
Use of any of the prohibited medications within the identified exclusion periods
Use of antibiotic therapy for acute conditions
Initiation of immunotherapy or dose escalation during the study period.
Non-vaccinated exposure to or active infection with chickenpox or measles within the 21 days preceding the Screening Visit.
Exposure to systemic corticosteroids
Use of topical corticosteroids in concentrations in excess of 1% hydrocortisone or equivalent
History of epilepsy or seizures
History of coronary heart disease, uncontrolled hypertension, or other clinically significant cardiovascular disease.
Have any of the following conditions that are judged by the investigator to be clinically significant and/or affect the patient's ability to participate in the clinical trial:
Impaired hepatic function including alcohol related liver disease or cirrhosis
History of ocular disturbances (e.g., glaucoma or posterior subcapsular cataracts)
Any systemic infection
Hematological, renal, endocrine (except for controlled diabetes mellitis or postmenopausal symptoms or hypothyroidism)
Gastrointestinal disease
Malignancy (excluding basal cell carcinoma)
A current neuropsychiatric condition with or without drug therapy
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Deepen Patel, MD
Organizational Affiliation
Allied Research International - Cetero Research
Official's Role
Principal Investigator
Facility Information:
Facility Name
Allied Research International - Cetero Research
City
Mississauga
State/Province
Ontario
ZIP/Postal Code
L4W 1N2
Country
Canada
12. IPD Sharing Statement
Learn more about this trial
Compare Captisol-Enabled (CE) Budesonide + Azelastine Nasal Solution and Rhinocort Aqua + Astelin in an Environmental Exposure Chamber (EEC) Study of Allergic Rhinitis
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