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The Purpose of this study is to determine if one allergy medication (0.15% azelastine hydrochloride) is more effective than Placebo alone.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Placebo Comparator | Placebo |
|
| 2 | Active Comparator | 0.15% Azelastine Hydrochloride |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Placebo | Drug | Placebo |
| |
| 0.15% Azelastine Hydrochloride |
| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline in 12-hour Reflective Total Nasal Symptom Score (TNSS) (AM and PM Combined)at 14 Days | reflective total nasal symptom score consisting of runny nose, itchy nose, nasal congestion, and sneezing was assessed twice daily. Each symptom is rated on a scale from 0-3: 0=none, 1=mild, 2=moderate, and 3=severe. Total possible score is 24 per day. Least Means Square was controlled for study day as the within-patient effect, treatment group and site as the between-patient effects, treatment by-study day interaction, and baseline as co-variate | baseline and 14 days |
| Measure | Description | Time Frame |
|---|---|---|
| Mean Change From Baseline in Instantaneous Total Nasal Symptom Score (AM) for the Entire 14-day Study Period Compared to Placebo. | End of 24 hour dosing interval: This endpoint is change from baseline in instantaneous (tNSS) for the 14-day study period compared to placebo to observe if the duration of efficacy lasts 24 hours on a day to day basis. Instantaneous (tNSS) consists of runny nose, itchy nose, nasal congestion, and sneezing. Each symptom is rated on a scale from 0-3: 0=none, 1=mild, 2=moderate, and 3=severe.Total possible score is 24 per day. Least square means was controlled for study day as the within-patient effect, treatment group and site as the between-patient effects, treatment by-study day interaction, and baseline as a covariate. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Lewis M Fredane, MD | Meda Pharmaceuticals | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Allergy and Asthma Associates | Austin | Texas | 78731 | United States | ||
| Allergy and Asthma Center of Austin |
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First Observation December 13, 2007 Last Observation February 21, 2008
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| ID | Title | Description |
|---|---|---|
| FG000 | Placebo | Placebo Nasal Spray/2 sprays per nostril once daily for 14 days |
| FG001 | Astepro 0.15% | 0.15% Azelastine Hydrochloride Nasal Spray/2 sprays per nostril once daily for 14 days |
| Title | Milestones | Reasons Not Completed | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Placebo | Placebo Nasal Spray/2 sprays per nostril once daily for 14 days |
| BG001 | Astepro 0.15% | 0.15% Azelastine Hydrochloride Nasal Spray/2 sprays per nostril once daily for 14 days |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Number of participants based on ITT population |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Change From Baseline in 12-hour Reflective Total Nasal Symptom Score (TNSS) (AM and PM Combined)at 14 Days | reflective total nasal symptom score consisting of runny nose, itchy nose, nasal congestion, and sneezing was assessed twice daily. Each symptom is rated on a scale from 0-3: 0=none, 1=mild, 2=moderate, and 3=severe. Total possible score is 24 per day. Least Means Square was controlled for study day as the within-patient effect, treatment group and site as the between-patient effects, treatment by-study day interaction, and baseline as co-variate | ITT | Posted | Least Squares Mean | Standard Deviation | Scores on a scale | baseline and 14 days |
|
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Placebo | Placebo Nasal Spray/2 sprays per nostril once daily for 14 days |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Dysgesusia | Nervous system disorders | MedDRA 10.0 | Non-systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| William Wheeler, PhD | Meda Pharmaceuticals | 732-564-2393 | WWheeler@medapharma.us |
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| ID | Term |
|---|---|
| D006255 | Rhinitis, Allergic, Seasonal |
| ID | Term |
|---|---|
| D065631 | Rhinitis, Allergic |
| D012220 | Rhinitis |
| D009668 | Nose Diseases |
| D012140 | Respiratory Tract Diseases |
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| ID | Term |
|---|---|
| C020976 | azelastine |
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| Drug |
0.15% Azelastine Hydrochloride 822 mcg |
|
| baseline and 14 days |
| Change From Baseline in 12 Hour Instantaneous Total Nasal Symptom Score (AM and PM Combined) at 14 Days | instantaneous (subjects rate how they feel "right now") total nasal symptom score consisting of runny nose, itchy nose, nasal congestion, and sneezing was assessed twice daily. Each symptom is rated on a scale from 0-3: 0=none, 1=mild, 2=moderate, and 3=severe. Total possible score is 24 per day. Least Means Square was controlled for study day as the within-patient effect, treatment group and site as the between-patient effects, treatment by-study day interaction, and baseline as co-variate | baseline and 14-days |
| Change From Baseline in 12-hour Reflective Secondary Symptom Complex Score (SSCS) for the Entire 14-day Study Period Compared to Placebo (AM and PM Combined) | Reflective secondary complex symptom scores (SSCS) (post-nasal drip, itchy eyes, cough and headache) were assessed twice daily. Each symptom is rated on a scale from 0-3: 0=none, 1=mild, 2=moderate, and 3=severe. Total possible SSCS score is 24 per day. Least Means Square was controlled for study day as the within-patient effect, treatment group and site as the between-patient effects, treatment by-study day interaction, and baseline as co-variate | baseline and 14-days |
| Change From Baseline in Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) | A 28-item RQLQ was completed on Day 1 and Day 14 or Early termination. The RQLQ consists of 7 domains rated on a 7 point scale with 0 being not troubled by the allergy symptoms, and 6 being extremely troubled/all of the time. Scores for a series of subscales are not combined for a total overall score, rather domain score will be calculated from the mean score of all items in the domain. Overall score will be calculated from the mean score of all items. | baseline and 14 Days |
| Change From Baseline on Direct Visual Nasal Exams at 14 Days | Examination of head and neck (scale: None, Mild, Moderate, Severe) for Epistaxis, Mucosal Edema, Nasal Discharge, Mucosal erythema, Mucosal Bleeding, and Crusting of mucosa. Nasal irritation was rated: 0 = None, Grade 1A = focal irritation, Grade 1B = superficial mucosal erosion, Grade 2 = moderate mucosal erosion, Grade 3 = ulceration, Grade 4 = septal perforation | baseline and 14 Days |
| Austin |
| Texas |
| 78759 |
| United States |
| Central Texas Research | New Braunfels | Texas | 78130 | United States |
| Biogenics Research Institute | San Antonio | Texas | 78229 | United States |
| Sylvana Research Associates | San Antonio | Texas | 78229 | United States |
| Allergy and Asthma Center | Waco | Texas | 76712 | United States |
| Non-Compliance |
|
| Withdrawal by Subject |
|
| Lost to Follow-up |
|
| Other |
|
| BG002 | Total | Total of all reporting groups |
| Count of Participants |
| Participants |
|
| Age, Continuous | Number of participants based on ITT population | Mean | Standard Deviation | years |
|
| Sex: Female, Male | Number of participants based on ITT population | Count of Participants | Participants |
|
| Region of Enrollment | Number of participants based on ITT population | Number | participants |
|
| Astepro 0.15% |
0.15% Azelastine Hydrochloride Nasal Spray/2 sprays per nostril once daily for 14 days |
|
|
|
| Secondary | Mean Change From Baseline in Instantaneous Total Nasal Symptom Score (AM) for the Entire 14-day Study Period Compared to Placebo. | End of 24 hour dosing interval: This endpoint is change from baseline in instantaneous (tNSS) for the 14-day study period compared to placebo to observe if the duration of efficacy lasts 24 hours on a day to day basis. Instantaneous (tNSS) consists of runny nose, itchy nose, nasal congestion, and sneezing. Each symptom is rated on a scale from 0-3: 0=none, 1=mild, 2=moderate, and 3=severe.Total possible score is 24 per day. Least square means was controlled for study day as the within-patient effect, treatment group and site as the between-patient effects, treatment by-study day interaction, and baseline as a covariate. | Posted | Least Squares Mean | Standard Error | Scores on a scale | baseline and 14 days |
|
|
|
|
| Secondary | Change From Baseline in 12 Hour Instantaneous Total Nasal Symptom Score (AM and PM Combined) at 14 Days | instantaneous (subjects rate how they feel "right now") total nasal symptom score consisting of runny nose, itchy nose, nasal congestion, and sneezing was assessed twice daily. Each symptom is rated on a scale from 0-3: 0=none, 1=mild, 2=moderate, and 3=severe. Total possible score is 24 per day. Least Means Square was controlled for study day as the within-patient effect, treatment group and site as the between-patient effects, treatment by-study day interaction, and baseline as co-variate | ITT | Posted | Least Squares Mean | Standard Deviation | Scores on a scale | baseline and 14-days |
|
|
|
|
| Secondary | Change From Baseline in 12-hour Reflective Secondary Symptom Complex Score (SSCS) for the Entire 14-day Study Period Compared to Placebo (AM and PM Combined) | Reflective secondary complex symptom scores (SSCS) (post-nasal drip, itchy eyes, cough and headache) were assessed twice daily. Each symptom is rated on a scale from 0-3: 0=none, 1=mild, 2=moderate, and 3=severe. Total possible SSCS score is 24 per day. Least Means Square was controlled for study day as the within-patient effect, treatment group and site as the between-patient effects, treatment by-study day interaction, and baseline as co-variate | Posted | Least Squares Mean | Standard Deviation | Scores on a scale | baseline and 14-days |
|
|
|
|
| Secondary | Change From Baseline in Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) | A 28-item RQLQ was completed on Day 1 and Day 14 or Early termination. The RQLQ consists of 7 domains rated on a 7 point scale with 0 being not troubled by the allergy symptoms, and 6 being extremely troubled/all of the time. Scores for a series of subscales are not combined for a total overall score, rather domain score will be calculated from the mean score of all items in the domain. Overall score will be calculated from the mean score of all items. | ITT | Posted | Least Squares Mean | Standard Deviation | Units on a scale | baseline and 14 Days |
|
|
|
|
| Secondary | Change From Baseline on Direct Visual Nasal Exams at 14 Days | Examination of head and neck (scale: None, Mild, Moderate, Severe) for Epistaxis, Mucosal Edema, Nasal Discharge, Mucosal erythema, Mucosal Bleeding, and Crusting of mucosa. Nasal irritation was rated: 0 = None, Grade 1A = focal irritation, Grade 1B = superficial mucosal erosion, Grade 2 = moderate mucosal erosion, Grade 3 = ulceration, Grade 4 = septal perforation | Posted | Number | Participants | baseline and 14 Days |
|
|
|
| 0 |
| 266 |
| 6 |
| 266 |
| EG001 | Astepro 0.15% | 0.15% Azelastine Hydrochloride Nasal Spray/2 sprays per nostril once daily for 14 days | 0 | 266 | 29 | 266 |
| Nasal Discomfort | Respiratory, thoracic and mediastinal disorders | MedDRA 10.0 | Non-systematic Assessment |
|
| Epistaxis | Respiratory, thoracic and mediastinal disorders | MedDRA 10.0 | Non-systematic Assessment |
|
For multicenter studies, joint publication is required to assure that the initial publication is based on all data from all sites and investigators participating in these studies agree not to present data gathered individually or by subgroup centers before the initial publication unless jointly agreed by all other investigators and the sponsor. authorship will be determined by mutual agreement.
| D012130 |
| Respiratory Hypersensitivity |
| D010038 | Otorhinolaryngologic Diseases |
| D006969 | Hypersensitivity, Immediate |
| D006967 | Hypersensitivity |
| D007154 | Immune System Diseases |
| Epistaxis: screening - Moderate ( n=268, 268) |
|
| Epistaxis: screening - Severe ( n=268, 268) |
|
| Epistaxis: Day 14/ET -None (n=265, 266) |
|
| Epistaxis: Day 14/ET -Mild (n=265, 266) |
|
| Epistaxis: Day 14/ET -Moderate (n=265, 266) |
|
| Epistaxis: Day 14/ET -Severe (n=265, 266) |
|
| Nasal Irritation: screening - None ( n=268, 268) |
|
| Nasal Irritation: screening -Grade 1A ( n=268, 268 |
|
| Nasal Irritation: screening Grade 1B ( n=268, 268) |
|
| Nasal Irritation: screening -Grade 2 ( n=268, 268) |
|
| Nasal Irritation: screening -Grade 3 ( n=268, 268) |
|
| Nasal Irritation: screening -Grade 4 ( n=268, 268) |
|
| Nasal Irritation: Day 14/ET - none (n=265, 266) |
|
| Nasal Irritation: Day 14/ET Grade 1A (n=265, 266) |
|
| Nasal Irritation: Day 14/ET Grade 1B (n=265, 266) |
|
| Nasal Irritation: Day 14/ET Grade 2 (n=265, 266) |
|
| Nasal Irritation: Day 14/ET Grade 3 (n=265, 266) |
|
| Nasal Irritation: Day 14/ET Grade 4 (n=265, 266) |
|
| Mucosal Edema: screening - none (n= 268, 268) |
|
| Mucosal Edema: screening - Mild (n= 268, 268) |
|
| Mucosal Edema: screening - Moderate (n= 268, 268) |
|
| Mucosal Edema: screening - Severe (n= 268, 268) |
|
| Mucosal Edema: Day 14/ET none (n=265, 266) |
|
| Mucosal Edema: Day 14/ET Mild (n=265, 266) |
|
| Mucosal Edema: Day 14/ET Moderate (n=265, 266) |
|
| Mucosal Edema: Day 14/ET Severe (n=265, 266) |
|
| Nasal Discharge: screening - none (n= 268, 268) |
|
| Nasal Discharge: screening - Mild (n= 268, 268) |
|
| Nasal Discharge: screening -Moderate (n= 268, 268) |
|
| Nasal Discharge: screening Severe(n= 268, 268) |
|
| Nasal Discharge: Day 14/ET none (n=265, 266) |
|
| Nasal Discharge: Day 14/ET Mild (n=265, 266) |
|
| Nasal Discharge: Day 14/ET Moderate (n=265, 266) |
|
| Nasal Discharge: Day 14/ET Severe (n=265, 266) |
|
| Mucosal Erythema: screening none (n= 268, 268) |
|
| Mucosal Erythema: screening Mild (n= 268, 268) |
|
| Mucosal Erythema: screening Moderate (n= 268, 268) |
|
| Mucosal Erythema: screening Severe (n= 268, 268) |
|
| Mucosal Erythema: Day 14/ET none (n=265, 266) |
|
| Mucosal Erythema: Day 14/ET Mild (n=265, 266) |
|
| Mucosal Erythema: Day 14/ET Moderate (n=265, 266) |
|
| Mucosal Erythema: Day 14/ET Severe (n=265, 266) |
|
| Mucosal Bleeding: screening none (n= 268, 268) |
|
| Mucosal Bleeding: screening Mild (n= 268, 268) |
|
| Mucosal Bleeding: screening Moderate (n= 268, 268) |
|
| Mucosal Bleeding: screening Severe (n= 268, 268) |
|
| Mucosal Bleeding: Day 14/ET none (n=265, 266) |
|
| Mucosal Bleeding: Day 14/ET Mild (n=265, 266) |
|
| Mucosal Bleeding: Day 14/ET Moderate(n=265, 266) |
|
| Mucosal Bleeding: Day 14/ET Severe (n=265, 266) |
|
| Crusting of Mucosa: screening none (n= 268, 268) |
|
| Crusting of Mucosa: screening Mild (n= 268, 268) |
|
| Crusting of Mucosascreening Moderate (n= 268, 268) |
|
| Crusting of Mucosa: screening Severe (n= 268, 268) |
|
| Crusting of Mucosa: Day 14/ET - none (n=265, 266) |
|
| Crusting of Mucosa: Day 14/ET - Mild (n=265, 266) |
|
| Crusting of Mucosa:Day 14/ET Moderate (n=265, 266) |
|
| Crusting of Mucosa Day 14/ET Severe( n=265, 266) |
|