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| ID | Type | Description | Link |
|---|---|---|---|
| 2009_517 |
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This study will investigate whether changes in inflammatory mediators produced by the nose after exposure to an allergen can be used to evaluate the anti-inflammatory effects of novel drugs for the treatment of allergic asthma.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| A | Placebo Comparator | placebo |
|
| B | Active Comparator | 10 mg prednisone |
|
| C | Active Comparator | 25 mg prednisone |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Placebo | Drug | Single dose of 5 tablets matching placebo (5 x 0 mg) to prednisone. The washout between treatment periods will be approximately 4 weeks |
|
| Measure | Description | Time Frame |
|---|---|---|
| Fold Change From Baseline at Hour 8 in Interleukin 5 (IL-5) Concentration | Comparison of the Change in Allergen-induced Interleukin 5 (IL-5) as Measured in Nasal Exudates After a Single Dose of Low or High Dose of Oral Prednisone Relative to Placebo | Baseline and Hour 8 post nasal allergen challenge |
| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline at Hour 8 in the Percent of Total Cells That Are Eosinophils | Comparison of the Change in the Percent of Total Cells That Are Eosinophils Measured in Nasal Lavage After a Single Dose of 10 mg or 25 mg Prednisone Relative to Placebo | Baseline and Hour 8 post nasal allergen challenge |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Medical Monitor | Merck Sharp & Dohme LLC | Study Director |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27677865 | Result | Leaker BR, Malkov VA, Mogg R, Ruddy MK, Nicholson GC, Tan AJ, Tribouley C, Chen G, De Lepeleire I, Calder NA, Chung H, Lavender P, Carayannopoulos LN, Hansel TT. The nasal mucosal late allergic reaction to grass pollen involves type 2 inflammation (IL-5 and IL-13), the inflammasome (IL-1beta), and complement. Mucosal Immunol. 2017 Mar;10(2):408-420. doi: 10.1038/mi.2016.74. Epub 2016 Sep 28. |
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First Patient Entered: 04-Feb-2009
Last Patient, Last Visit: 21-May-2009
2 sites
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| ID | Title | Description |
|---|---|---|
| FG000 | Placebo / Prednisone / Prednisone | 1 day placebo, 1 day 10 mg prednisone, 1 day 25 mg prednisone |
| FG001 | Prednisone / Prednisone / Placebo | 1 day 10 mg prednisone, 1 day 25 mg prednisone, 1 day placebo |
| FG002 | Prednisone / Placebo / Prednisone | 1 day 25 mg prednisone, 1 day placebo, 1 day 10 mg prednisone |
| FG003 | Placebo / Prednisone / Prednisone | 1 day placebo, 1 day 25 mg prednisone, 1 day 10 mg prednisone |
| FG004 | Prednisone / Placebo / Prednisone | 1 day 10 mg prednisone, 1 day placebo, 1 day 25 mg prednisone |
| FG005 | Prednisone / Prednisone / Placebo | 1 day 25 mg prednisone, 1 day 10 mg prednisone, 1 day placebo |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period 1 |
| |||||||||||||
| Period 2 |
| |||||||||||||
| Period 3 |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | All Patients | All patients who completed at least one period are included in the analysis |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| 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 | Fold Change From Baseline at Hour 8 in Interleukin 5 (IL-5) Concentration | Comparison of the Change in Allergen-induced Interleukin 5 (IL-5) as Measured in Nasal Exudates After a Single Dose of Low or High Dose of Oral Prednisone Relative to Placebo | All Patients as Treated | Posted | Geometric Mean | 95% Confidence Interval | Fold Change | Baseline and Hour 8 post nasal allergen challenge |
|
Adverse experiences were collected from the time the consent is signed through the 14 day follow up period after all treatment periods were completed.
AE s were assessed by clinical evaluation including vital signs, physical examination, medical history, clinical laboratory safety assessment (hematology, chemistry, urinalysis), and Electrocardiogram (ECG) at timepoints specified in the study. Patients were queried at each visit for any adverse experiences since the previous visit.
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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 |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Diarrhoea | Gastrointestinal disorders | MedDRA (12.1) | Systematic Assessment |
Poor cell yields from nasal lavage significantly reduced the utility of eosinophil count data.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Senior Vice President, Global Clinical Development | Merck Sharp & Dohme Corp | 1-800-672-6372 |
| ID | Term |
|---|---|
| D065631 | Rhinitis, Allergic |
| ID | Term |
|---|---|
| D012220 | Rhinitis |
| D009668 | Nose Diseases |
| D012140 | Respiratory Tract Diseases |
| D012130 | Respiratory Hypersensitivity |
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| ID | Term |
|---|---|
| D011241 | Prednisone |
| ID | Term |
|---|---|
| D011244 | Pregnadienediols |
| D011245 | Pregnadienes |
| D011278 | Pregnanes |
| D013256 | Steroids |
| D000072473 |
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| prednisone | Drug | Single dose of 5 tablets prednisone totaling 10 mg (3 x 0 mg + 2 x 5 mg). The washout between treatment periods will be approximately 4 weeks. |
|
| prednisone | Drug | Single dose of 5 tablets prednisone totaling 25 mg (5 x 5 mg). The washout between treatment periods will be approximately 4 weeks. |
|
| COMPLETED |
|
| NOT COMPLETED |
|
| COMPLETED |
|
| NOT COMPLETED |
|
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Units | Counts |
|---|---|
| Participants |
|
|
|
| Secondary | Change From Baseline at Hour 8 in the Percent of Total Cells That Are Eosinophils | Comparison of the Change in the Percent of Total Cells That Are Eosinophils Measured in Nasal Lavage After a Single Dose of 10 mg or 25 mg Prednisone Relative to Placebo | All Patients with Slide Quality ≤ 3 (Slide Quality measured on a 6 point scale with values > 3 indicating a level of debris that interferes with cell typing and counting). | Posted | Least Squares Mean | 95% Confidence Interval | Percentage of cells that are eosinophils | Baseline and Hour 8 post nasal allergen challenge |
|
|
|
|
| 0 |
| 19 |
| 12 |
| 19 |
| EG001 | 10 mg Prednisone | 0 | 19 | 8 | 19 |
| EG002 | 25 mg Prednisone | 0 | 19 | 8 | 19 |
| Toothache | Gastrointestinal disorders | MedDRA (12.1) | Systematic Assessment |
|
| Nasopharyngitis | Infections and infestations | MedDRA (12.1) | Systematic Assessment |
|
| Oral Herpes | Infections and infestations | MedDRA (12.1) | Systematic Assessment |
|
| Tonsillitis | Infections and infestations | MedDRA (12.1) | Systematic Assessment |
|
| Vulvovaginal Candidiasis | Infections and infestations | MedDRA (12.1) | Systematic Assessment |
|
| Culture Urine Positive | Investigations | MedDRA (12.1) | Systematic Assessment |
|
| Back Pain | Musculoskeletal and connective tissue disorders | MedDRA (12.1) | Systematic Assessment |
|
| Dizziness | Nervous system disorders | MedDRA (12.1) | Systematic Assessment |
|
| Headache | Nervous system disorders | MedDRA (12.1) | Systematic Assessment |
|
| Dysmenorrhoea | Reproductive system and breast disorders | MedDRA (12.1) | Systematic Assessment |
|
| Dry Throat | Respiratory, thoracic and mediastinal disorders | MedDRA (12.1) | Systematic Assessment |
|
| Epistaxis | Respiratory, thoracic and mediastinal disorders | MedDRA (12.1) | Systematic Assessment |
|
| Nasal Discomfort | Respiratory, thoracic and mediastinal disorders | MedDRA (12.1) | Systematic Assessment |
|
| Nasal Mucosal Disorder | Respiratory, thoracic and mediastinal disorders | MedDRA (12.1) | Systematic Assessment |
|
| Oropharyngeal Pain | Respiratory, thoracic and mediastinal disorders | MedDRA (12.1) | Systematic Assessment |
|
| Rhinitis Seasonal | Respiratory, thoracic and mediastinal disorders | MedDRA (12.1) | Systematic Assessment |
|
| Rhinorrhoea | Respiratory, thoracic and mediastinal disorders | MedDRA (12.1) | Systematic Assessment |
|
| Sneezing | Respiratory, thoracic and mediastinal disorders | MedDRA (12.1) | Systematic Assessment |
|
| Throat Irritation | Respiratory, thoracic and mediastinal disorders | MedDRA (12.1) | Systematic Assessment |
|
| Upper Airway Obstruction | Respiratory, thoracic and mediastinal disorders | MedDRA (12.1) | Systematic Assessment |
|
| Skin Irritation | Skin and subcutaneous tissue disorders | MedDRA (12.1) | Systematic Assessment |
|
Merck agreements may vary with individual investigators, but will not prohibit any investigator from publishing. Merck supports the publication of results from all centers of a multi-center trial but requests that reports based on single-site data not precede the primary publication of the entire clinical trial.
| D010038 |
| Otorhinolaryngologic Diseases |
| D006969 | Hypersensitivity, Immediate |
| D006967 | Hypersensitivity |
| D007154 | Immune System Diseases |
| Fused-Ring Compounds |
| D011083 | Polycyclic Compounds |