Efficacy Study for the Symptomatic Treatment of Seasonal Allergic Rhinitis
Primary Purpose
Seasonal Allergic Rhinitis
Status
Completed
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
bilastine
Cetirizine
Placebo
Sponsored by
About this trial
This is an interventional treatment trial for Seasonal Allergic Rhinitis focused on measuring Rhinitis, Allergic, Seasonal, Hay Fever, Pollen Allergy, Pollinosis, Rhinoconjunctivitis
Eligibility Criteria
Inclusion Criteria:
- Patients of either sex between 12 and 70 years of age.
- Patients with documented clinical history of SAR, for at least 2 years prior to the study inclusion.
- Positive skin prick test for at least one of the seasonal allergen specific of the geographical area.
- A previous positive Prick test, or a positive IgE Test (RAST) may also be accepted for inclusion, if performed within 12 months prior to the inclusion.
Exclusion Criteria:
- Patients who have non-allergic rhinitis (vasomotor, infectious, drug-induced, etc.).
- Negative skin prick test (as defined in point 6.1.1.).
- Patients with nasal polyps or a significant deviation of the nasal septum as judged by the investigator as well as nasal intervention in the previous 6 months. Any other nasal illness that can interfere with the aim of the study.
- Patients who have acute or chronic sinusitis as judged by the investigator.
- Patients who have received anti-allergy immunotherapy in the previous two years or are still receiving this kind of therapy.
- Patients who are taking or have taken specified medications prior to randomisation in the study and have not complied with the specified washout period
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Experimental
Active Comparator
Placebo Comparator
Arm Label
A
B
C
Arm Description
Bilastine
Cetirizine
Placebo
Outcomes
Primary Outcome Measures
Area under curve of total symptoms score (TSS) from basal visit to D14 visit, according to the patient's assessment on reflective symptoms.
Secondary Outcome Measures
AUC of TSS from baseline to D14 according to the patient's assessments on instantaneous symptoms.
Change from baseline at day 7 and day 14 for the following: Patient-rated (reflective and instantaneous) and Investigator-rated (instantaneous; assessed during study visit) TSS, NSS, NNSS and change for each individual symptom.
Overall assessment of discomfort caused by SAR using a visual analogue scale (VAS) on day 7 and day 14 vs. day 0.
Investigator-rated Clinical Global Impression (CGI) - assessment of the therapeutic effect and AEs performed at day 14
Responders Rate: responders will be classified based on their TSS decrease from baseline: no responders (<25%), >25%<50%, >50%<75%, >75% and will be described by treatment group with their percentage
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT00504933
Brief Title
Efficacy Study for the Symptomatic Treatment of Seasonal Allergic Rhinitis
Official Title
Double-blind, Randomised, Placebo-controlled, Phase III Study Comparing the Efficacy and Safety of Bilastine 20 mg Once Daily and Cetirizine 10 mg for the Treatment of Seasonal Allergic Rhinitis.
Study Type
Interventional
2. Study Status
Record Verification Date
April 2012
Overall Recruitment Status
Completed
Study Start Date
May 2005 (undefined)
Primary Completion Date
November 2005 (Actual)
Study Completion Date
November 2005 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Faes Farma, S.A.
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The objective of the study is to evaluate the efficacy and tolerability of Bilastine 20 mg, compared to Cetirizine and placebo for the treatment of seasonal allergic rhinitis.
Detailed Description
In this pivotal, multicentre, international, randomized, double-blind, placebo and active-comparator controlled, parallel study, 683 patients with SAR will be enrolled. Patients will be required to be 12-70 years old, have SAR for ≥2 years, a positive skin test, total nasal and non-nasal score (TSS) ≥36 (out of 72) during run-in, and a composite instantaneous nasal symptom score ≥6 (out of 12) the morning before randomization. The primary efficacy endpoint will be the AUC of reflective TSS from baseline to Day 14.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Seasonal Allergic Rhinitis
Keywords
Rhinitis, Allergic, Seasonal, Hay Fever, Pollen Allergy, Pollinosis, Rhinoconjunctivitis
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
683 (Actual)
8. Arms, Groups, and Interventions
Arm Title
A
Arm Type
Experimental
Arm Description
Bilastine
Arm Title
B
Arm Type
Active Comparator
Arm Description
Cetirizine
Arm Title
C
Arm Type
Placebo Comparator
Arm Description
Placebo
Intervention Type
Drug
Intervention Name(s)
bilastine
Intervention Description
20 mg (encapsulated) tablets QD/14days
Intervention Type
Drug
Intervention Name(s)
Cetirizine
Other Intervention Name(s)
Zyrtec
Intervention Description
10 mg (encapsulated) tablets. QD/14 days
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
(encapsulated) Tablets QD/14 days
Primary Outcome Measure Information:
Title
Area under curve of total symptoms score (TSS) from basal visit to D14 visit, according to the patient's assessment on reflective symptoms.
Time Frame
14 days
Secondary Outcome Measure Information:
Title
AUC of TSS from baseline to D14 according to the patient's assessments on instantaneous symptoms.
Time Frame
14 days
Title
Change from baseline at day 7 and day 14 for the following: Patient-rated (reflective and instantaneous) and Investigator-rated (instantaneous; assessed during study visit) TSS, NSS, NNSS and change for each individual symptom.
Time Frame
14 days
Title
Overall assessment of discomfort caused by SAR using a visual analogue scale (VAS) on day 7 and day 14 vs. day 0.
Title
Investigator-rated Clinical Global Impression (CGI) - assessment of the therapeutic effect and AEs performed at day 14
Title
Responders Rate: responders will be classified based on their TSS decrease from baseline: no responders (<25%), >25%<50%, >50%<75%, >75% and will be described by treatment group with their percentage
10. Eligibility
Sex
All
Minimum Age & Unit of Time
12 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Patients of either sex between 12 and 70 years of age.
Patients with documented clinical history of SAR, for at least 2 years prior to the study inclusion.
Positive skin prick test for at least one of the seasonal allergen specific of the geographical area.
A previous positive Prick test, or a positive IgE Test (RAST) may also be accepted for inclusion, if performed within 12 months prior to the inclusion.
Exclusion Criteria:
Patients who have non-allergic rhinitis (vasomotor, infectious, drug-induced, etc.).
Negative skin prick test (as defined in point 6.1.1.).
Patients with nasal polyps or a significant deviation of the nasal septum as judged by the investigator as well as nasal intervention in the previous 6 months. Any other nasal illness that can interfere with the aim of the study.
Patients who have acute or chronic sinusitis as judged by the investigator.
Patients who have received anti-allergy immunotherapy in the previous two years or are still receiving this kind of therapy.
Patients who are taking or have taken specified medications prior to randomisation in the study and have not complied with the specified washout period
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Piotr Kuna, Prof. Dr
Organizational Affiliation
Barlicki University Hospital, Medical University of Lodz (Poland)
Official's Role
Principal Investigator
12. IPD Sharing Statement
Citations:
PubMed Identifier
22149770
Citation
Bousquet J, Ansotegui I, Canonica GW, Zuberbier T, Baena-Cagnani CE, Bachert C, Cruz AA, Gonzalez SN, Kuna P, Morais-Almeida M, Mullol J, Ryan DP, Sanchez-Borges M, Valiente R, Church MK. Establishing the place in therapy of bilastine in the treatment of allergic rhinitis according to ARIA: evidence review. Curr Med Res Opin. 2012 Jan;28(1):131-9. doi: 10.1185/03007995.2011.648263. Epub 2011 Dec 22.
Results Reference
background
PubMed Identifier
21831011
Citation
Church MK. Safety and efficacy of bilastine: a new H(1)-antihistamine for the treatment of allergic rhinoconjunctivitis and urticaria. Expert Opin Drug Saf. 2011 Sep;10(5):779-93. doi: 10.1517/14740338.2011.604029. Epub 2011 Aug 11. Erratum In: Expert Opin Drug Saf. 2012 Jan;11(1):175.
Results Reference
background
PubMed Identifier
22149338
Citation
Jauregui I, Garcia-Lirio E, Soriano AM, Gamboa PM, Antepara I. An overview of the novel H1-antihistamine bilastine in allergic rhinitis and urticaria. Expert Rev Clin Immunol. 2012 Jan;8(1):33-41. doi: 10.1586/eci.11.87.
Results Reference
background
PubMed Identifier
19438584
Citation
Kuna P, Bachert C, Nowacki Z, van Cauwenberge P, Agache I, Fouquert L, Roger A, Sologuren A, Valiente R; Bilastine International Working Group. Efficacy and safety of bilastine 20 mg compared with cetirizine 10 mg and placebo for the symptomatic treatment of seasonal allergic rhinitis: a randomized, double-blind, parallel-group study. Clin Exp Allergy. 2009 Sep;39(9):1338-47. doi: 10.1111/j.1365-2222.2009.03257.x. Epub 2009 May 4.
Results Reference
result
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Efficacy Study for the Symptomatic Treatment of Seasonal Allergic Rhinitis
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