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This is a phase 2, randomized, double-blind, placebo-controlled, parallel-group, 2-week, multi-center, dose-range-finding study in male or female patients (12 years and older) with SAR.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| BDP HFA 80 µg/day | Experimental | During the 2-week double-blind Treatment Period participants self-administered two actuations (one per nostril) of 40 micrograms (µg) BDP HFA and two actuations of placebo HFA once daily. |
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| BDP HFA 160 µg/day | Experimental | During the 2-week double-blind Treatment Period participants self-administered four actuations (two per nostril) of 40 µg BDP HFA once daily. |
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| BDP HFA 320 µg/day | Experimental | During the 2-week double-blind Treatment Period participants self-administered 4 actuations (two per nostril) of 80 µg BDP HFA once daily. |
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| Placebo | Placebo Comparator | During the 2-week double-blind Treatment Period participants self-administered four actuations (two per nostril) of placebo HFA once daily. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Beclomethasone dipropionate HFA Nasal Aerosol | Drug | Beclomethasone dipropionate (BDP) Hydrofluoroalkane (HFA) Nasal Aerosol |
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| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline in Average AM and PM Reflective Total Nasal Symptom Score (rTNSS) Over the Two-week Treatment Period | Participants recorded the severity of their nasal symptoms (sneezing, runny nose, itchy nose and nasal congestion) over the past 12 hours twice daily (AM & PM) using the following scale: 0=absent (no sign/symptom); 1=mild (sign/symptom present, easily tolerated); 2=moderate (awareness of sign/symptom, bothersome but tolerable); 3=severe (sign/symptoms hard to tolerate, interfere with daily activities and/or sleeping). The total nasal symptom score (sum of the 4 symptom scores) ranges from 0 to 12 (worst symptoms). A negative change from Baseline score indicates symptom improvement. | Baseline (Day -6 to 0) and Days 1-15 (2-week Treatment Period) |
| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline in Average AM and PM Instantaneous Total Nasal Symptom Score (iTNSS) Over the Two Week Treatment Period | Participants recorded the severity of their nasal symptoms (sneezing, runny nose, itchy nose and nasal congestion) over the 10 minutes prior to the assessment, twice daily (AM & PM) using the following scale: 0=absent (no sign/symptom); 1=mild (sign/symptom present, easily tolerated); 2=moderate (awareness of symptom, bothersome but tolerable); 3=severe (symptoms hard to tolerate, interfere with daily activities and/or sleeping). The total nasal symptom score (sum of 4 symptom scores) ranges from 0 to 12 (worst symptoms). A negative change from Baseline score indicates symptom improvement. |
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Key Inclusion Criteria:
Key Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Sudeesh Tantry, Ph.D. | Teva Branded Pharmaceutical Products R&D, Inc. | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Teva Global Respiratory Research Study Site | Mission Viejo | California | 92691 | United States | ||
| Teva Global Respiratory Research Study Site |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 23815103 | Derived | Raphael GD, Berger WE, Prenner BM, Finn AF Jr, Kelley L, Tantry SK. Efficacy, safety, and optimal dose selection of beclomethasone dipropionate nasal aerosol for seasonal allergic rhinitis in adolescents and adults. Curr Med Res Opin. 2013 Oct;29(10):1329-40. doi: 10.1185/03007995.2013.821055. Epub 2013 Aug 6. |
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During the 7 - 21 day Run-in Period, patients self-administered a single-blind placebo nasal aerosol once daily in the morning and assessed and recorded their twice daily allergic rhinitis symptoms to determine eligibility for randomization.
A total of 685 patients were screened and 635 were enrolled in the study and participated in the Run-in Period. Of the 635 enrolled patients, 487 were randomized to treatment. The study was performed in the spring during tree and grass pollen seasons.
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| ID | Title | Description |
|---|---|---|
| FG000 | BDP HFA 80 µg/Day | During the 2-week double-blind Treatment Period participants self-administered two actuations (one per nostril) of 40 micrograms (µg) beclomethasone dipropionate (BDP) hydrofluoroalkane (HFA) and two actuations of placebo HFA once daily. |
| FG001 | BDP HFA 160 µg/Day |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
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| Placebo | Drug | HFA Vehicle Aerosol |
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| Baseline (Day -6 to 0) and Days 1-15 (2-week Treatment Period) |
| Change From Baseline in Morning Instantaneous Total Nasal Symptom Score (iTNSS) Over the Two-week Treatment Period | Change from Baseline in the morning patient-reported instantaneous TNSS. Participants recorded the severity of their nasal symptoms (sneezing, runny nose, itchy nose and nasal congestion) over the past 10 minutes (prior to the assessment) in the morning on a scale from 0 (mild symptoms) to 3 (severe symptoms). The total nasal symptom score (sum of the 4 symptom scores) ranges from 0 to 12 (worst symptoms). A negative change from Baseline score indicates symptom improvement. | Baseline (Day -6 to 0) and Days 1-15 (2-week Treatment Period) |
| Change From Baseline in Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) | The adult RQLQ has 28 questions in 7 domains (activities, sleep, non-nose/eye symptoms, practical problems, nasal symptoms, eye symptoms, and emotional). Participants were asked to recall their experiences during the previous week and to give their responses on a 7-point scale (0 = Least severe to 6 = Extremely severe). The overall RQLQ score is the mean of all 28 responses, and ranges from 0 to 7. A negative change from Baseline score indicates symptom improvement. | Baseline and Week 2 |
| Change From Baseline in Morning 24-hour Reflective Ocular Symptom Score Over the Two-week Treatment Period | Participants recorded the severity of their symptoms (itching/burning eyes, tearing/watering eyes and redness of eyes) for the past 24 hours each morning using the following scale: 0=absent (no sign/symptoms); 1=mild (sign/symptom present, minimal awareness, easily tolerated); 2=moderate (awareness of sign/symptom, bothersome but tolerable); 3=severe (sign/symptom hard to tolerate, interfere with daily activities or sleeping). The total ocular symptom score (sum of 3 symptom scores) ranges from 0 to 9 (worst symptoms). A negative change from Baseline score indicates symptom improvement. | Baseline (Day -6 to 0) and Days 1-15 (2-week Treatment Period) |
| Change From Baseline in Morning 24-hour Reflective Non-nasal Symptom Score Over the Two-week Treatment Period | Participants recorded the severity of their symptoms (itching/burning eyes, tearing/watering eyes, redness of eyes and itching of ears or palate) for the past 24 hours each morning using the following scale: 0=absent (no sign/symptom); 1=mild (sign/symptom present, easily tolerated); 2=moderate (awareness of sign/symptom, bothersome but tolerable); 3=severe (symptoms hard to tolerate, interfere with daily activities or sleeping). Total non-nasal symptom score (sum of 4 symptom scores) ranges from 0 to 12 (worst symptoms). A negative change from Baseline score indicates symptom improvement. | Baseline (Day -6 to 0) and Days 1-15 (2-week Treatment Period) |
| San Diego |
| California |
| 92120 |
| United States |
| Teva Global Respiratory Research Study Site | San Diego | California | 92123 | United States |
| Teva Global Respiratory Research Study Site | Colorado Springs | Colorado | 08907 | United States |
| Teva Global Respiratory Research Study Site | Denver | Colorado | 08230 | United States |
| Teva Global Respiratory Research Study Site | Gainesville | Georgia | 030501 | United States |
| Teva Global Respiratory Research Study Site | Savannah | Georgia | 31406 | United States |
| Teva Global Respiratory Research Study Site | Indianapolis | Indiana | 46208 | United States |
| Teva Global Respiratory Research Study Site | Overland Park | Kansas | 66210 | United States |
| Teva Global Respiratory Research Study Site | Bethesda | Maryland | 20814 | United States |
| Teva Global Respiratory Research Study Site | St Louis | Missouri | 63141 | United States |
| Teva Global Respiratory Research Study Site | Brick | New Jersey | 08724 | United States |
| Teva Global Respiratory Research Study Site | Raleigh | North Carolina | 27607 | United States |
| Teva Global Respiratory Research Study Site | Medford | Oregon | 97504 | United States |
| Teva Global Respiratory Research Study Site | Portland | Oregon | 97213 | United States |
| Teva Global Respiratory Research Study Site | Blue Bell | Pennsylvania | 19422 | United States |
| Teva Global Respiratory Research Study Site | Pittsburgh | Pennsylvania | 15241 | United States |
| Teva Global Respiratory Research Study Site | Upland | Pennsylvania | 19013 | United States |
| Teva Global Respiratory Research Study Site | Charleston | South Carolina | 29407 | United States |
| Teva Global Respiratory Research Study Site | Austin | Texas | 78713 | United States |
| Teva Global Respiratory Research Study Site | Dallas | Texas | 75231 | United States |
| Teva Global Respiratory Research Study Site | New Braunfels | Texas | 78130 | United States |
| Teva Global Respiratory Research Study Site | San Antonio | Texas | 78229 | United States |
| Teva Global Respiratory Research Study Site | Draper | Utah | 84020 | United States |
| Teva Global Respiratory Research Study Site | Burke | Virginia | 22015 | United States |
| Teva Global Respiratory Research Study Site | Richmond | Virginia | 23233 | United States |
During the 2-week double-blind Treatment Period participants self-administered four actuations (two per nostril) of 40 µg BDP HFA once daily. |
| FG002 | BDP HFA 320 µg/Day | During the 2-week double-blind Treatment Period participants self-administered 4 actuations (two per nostril) of 80 µg BDP HFA once daily. |
| FG003 | Placebo | During the 2-week double-blind Treatment Period participants self-administered four actuations (two per nostril) of placebo HFA once daily. |
| Intent to Treat / Safety Population |
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| COMPLETED |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | BDP HFA 80 µg/Day | During the 2-week double-blind Treatment Period participants self-administered two actuations (one per nostril) of 40 (µg) BDP HFA and two actuations of placebo HFA once daily. |
| BG001 | BDP HFA 160 µg/Day | During the 2-week double-blind Treatment Period participants self-administered four actuations (two per nostril) of 40 µg BDP HFA once daily. |
| BG002 | BDP HFA 320 µg/Day | During the 2-week double-blind Treatment Period participants self-administered 4 actuations (two per nostril) of 80 µg BDP HFA once daily. |
| BG003 | Placebo | During the 2-week double-blind Treatment Period participants self-administered four actuations (two per nostril) of placebo HFA once daily. |
| BG004 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age Continuous | Demographic data are provided for the Intent to Treat population. | Mean | Standard Deviation | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Race/Ethnicity, Customized | Number | Participants |
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| Race/Ethnicity, Customized | Number | participants |
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| Region of Enrollment | Number | participants |
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| 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 Average AM and PM Reflective Total Nasal Symptom Score (rTNSS) Over the Two-week Treatment Period | Participants recorded the severity of their nasal symptoms (sneezing, runny nose, itchy nose and nasal congestion) over the past 12 hours twice daily (AM & PM) using the following scale: 0=absent (no sign/symptom); 1=mild (sign/symptom present, easily tolerated); 2=moderate (awareness of sign/symptom, bothersome but tolerable); 3=severe (sign/symptoms hard to tolerate, interfere with daily activities and/or sleeping). The total nasal symptom score (sum of the 4 symptom scores) ranges from 0 to 12 (worst symptoms). A negative change from Baseline score indicates symptom improvement. | The Intent-to-treat population included all randomized patients who received at least one dose of randomized study medication and had at least one post-baseline assessment. | Posted | Least Squares Mean | Standard Error | units on a scale | Baseline (Day -6 to 0) and Days 1-15 (2-week Treatment Period) |
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| Secondary | Change From Baseline in Average AM and PM Instantaneous Total Nasal Symptom Score (iTNSS) Over the Two Week Treatment Period | Participants recorded the severity of their nasal symptoms (sneezing, runny nose, itchy nose and nasal congestion) over the 10 minutes prior to the assessment, twice daily (AM & PM) using the following scale: 0=absent (no sign/symptom); 1=mild (sign/symptom present, easily tolerated); 2=moderate (awareness of symptom, bothersome but tolerable); 3=severe (symptoms hard to tolerate, interfere with daily activities and/or sleeping). The total nasal symptom score (sum of 4 symptom scores) ranges from 0 to 12 (worst symptoms). A negative change from Baseline score indicates symptom improvement. | Intent to treat population. | Posted | Least Squares Mean | Standard Error | units on a scale | Baseline (Day -6 to 0) and Days 1-15 (2-week Treatment Period) |
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| Secondary | Change From Baseline in Morning Instantaneous Total Nasal Symptom Score (iTNSS) Over the Two-week Treatment Period | Change from Baseline in the morning patient-reported instantaneous TNSS. Participants recorded the severity of their nasal symptoms (sneezing, runny nose, itchy nose and nasal congestion) over the past 10 minutes (prior to the assessment) in the morning on a scale from 0 (mild symptoms) to 3 (severe symptoms). The total nasal symptom score (sum of the 4 symptom scores) ranges from 0 to 12 (worst symptoms). A negative change from Baseline score indicates symptom improvement. | Intent to treat population. | Posted | Least Squares Mean | Standard Error | units on a scale | Baseline (Day -6 to 0) and Days 1-15 (2-week Treatment Period) |
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| Secondary | Change From Baseline in Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) | The adult RQLQ has 28 questions in 7 domains (activities, sleep, non-nose/eye symptoms, practical problems, nasal symptoms, eye symptoms, and emotional). Participants were asked to recall their experiences during the previous week and to give their responses on a 7-point scale (0 = Least severe to 6 = Extremely severe). The overall RQLQ score is the mean of all 28 responses, and ranges from 0 to 7. A negative change from Baseline score indicates symptom improvement. | The RQLQ population included only those participants over the age of 18 years with an impaired quality of life at Baseline as defined by a RQLQ score at the Randomization Visit of 3.0 or greater. | Posted | Least Squares Mean | Standard Error | units on a scale | Baseline and Week 2 |
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| Secondary | Change From Baseline in Morning 24-hour Reflective Ocular Symptom Score Over the Two-week Treatment Period | Participants recorded the severity of their symptoms (itching/burning eyes, tearing/watering eyes and redness of eyes) for the past 24 hours each morning using the following scale: 0=absent (no sign/symptoms); 1=mild (sign/symptom present, minimal awareness, easily tolerated); 2=moderate (awareness of sign/symptom, bothersome but tolerable); 3=severe (sign/symptom hard to tolerate, interfere with daily activities or sleeping). The total ocular symptom score (sum of 3 symptom scores) ranges from 0 to 9 (worst symptoms). A negative change from Baseline score indicates symptom improvement. | The ocular population included only those participants with adequate ocular symptoms during the Run-in Period as defined by a mean daily 24-hour reflective score of 4 or greater for the 24-hour reflective ocular symptom score, over the last 7 days of the Run-in Period. | Posted | Least Squares Mean | Standard Error | units on a scale | Baseline (Day -6 to 0) and Days 1-15 (2-week Treatment Period) |
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| Secondary | Change From Baseline in Morning 24-hour Reflective Non-nasal Symptom Score Over the Two-week Treatment Period | Participants recorded the severity of their symptoms (itching/burning eyes, tearing/watering eyes, redness of eyes and itching of ears or palate) for the past 24 hours each morning using the following scale: 0=absent (no sign/symptom); 1=mild (sign/symptom present, easily tolerated); 2=moderate (awareness of sign/symptom, bothersome but tolerable); 3=severe (symptoms hard to tolerate, interfere with daily activities or sleeping). Total non-nasal symptom score (sum of 4 symptom scores) ranges from 0 to 12 (worst symptoms). A negative change from Baseline score indicates symptom improvement. | The non-nasal population included only those participants with adequate non-nasal symptoms during the Run-in Period as defined by a mean daily 24-hour reflective score of 6 or greater for the 24-hour reflective non-nasal symptom score, over the last 7 days of the Run-in Period. | Posted | Least Squares Mean | Standard Error | units on a scale | Baseline (Day -6 to 0) and Days 1-15 (2-week Treatment Period) |
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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 | BDP HFA 80 µg/Day | During the 2-week double-blind Treatment Period participants self-administered two actuations (one per nostril) of 40 (µg) BDP HFA and two actuations of placebo HFA once daily. | 0 | 118 | 6 | 118 | ||
| EG001 | BDP HFA 160 µg/Day | During the 2-week double-blind Treatment Period participants self-administered four actuations (two per nostril) of 40 µg BDP HFA once daily. | 2 | 123 | 3 | 123 | ||
| EG002 | BDP HFA 320 µg/Day | During the 2-week double-blind Treatment Period participants self-administered 4 actuations (two per nostril) of 80 µg BDP HFA once daily. | 0 | 122 | 3 | 122 | ||
| EG003 | Placebo | During the 2-week double-blind Treatment Period participants self-administered four actuations (two per nostril) of placebo HFA once daily. | 0 | 123 | 1 | 123 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Angioedema | Skin and subcutaneous tissue disorders | MedDRA 11.1 | Systematic Assessment |
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| Abortion spontaneous incomplete | Pregnancy, puerperium and perinatal conditions | MedDRA 11.1 | Non-systematic Assessment |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Epistaxis | Respiratory, thoracic and mediastinal disorders | MedDRA 11.1 | Systematic Assessment |
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Sponsor has the right 60 days before submission for publication to review/provide comments. If the Sponsor's review shows that potentially patentable subject matter would be disclosed, publication or public disclosure shall be delayed for up to 90 additional days in order for the Sponsor, or Sponsor's designees, to file the necessary patent applications. In multicenter trials, each PI will postpone single center publications until after disclosure or publication of multicenter data.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Director, Clinical Research | Teva Branded Pharmaceutical Products, R&D Inc. | 215-591-3000 | ustevatrials@tevapharm.com |
| ID | Term |
|---|---|
| D006255 | Rhinitis, Allergic, Seasonal |
| ID | Term |
|---|---|
| D065631 | Rhinitis, Allergic |
| D012220 | Rhinitis |
| D009668 | Nose Diseases |
| D012140 | Respiratory Tract Diseases |
| D012130 | Respiratory Hypersensitivity |
| D010038 | Otorhinolaryngologic Diseases |
| D006969 | Hypersensitivity, Immediate |
| D006967 | Hypersensitivity |
| D007154 | Immune System Diseases |
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| Male |
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| Black |
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| Asian |
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| Other |
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| Not Hispanic or Latino |
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| A priori threshold for statistical significance is p<0.05. | Repeated measures ANCOVA | The repeated measures ANCOVA included covariate adjustment for baseline, day, treatment, and the treatment by day interaction. | 0.257 | A multiplicity adjustment procedure was implemented which allowed for control of the Type I error within a particular treatment comparison, as well as within a particular endpoint, however it did not control the overall Type I error. | LS Mean Difference | -0.29 | Standard Error of the Mean | 0.25 | 2-Sided | 95 | -0.78 | 0.21 | No | Superiority or Other |
| A priori threshold for statistical significance is p<0.05. | Repeated measures ANCOVA | The repeated measures ANCOVA included covariate adjustment for baseline, day, treatment, and the treatment by day interaction. | 0.013 | A multiplicity adjustment procedure was implemented which allowed for control of the Type I error within a particular treatment comparison, as well as within a particular endpoint, however it did not control the overall Type I error. | LS Mean Difference | -0.63 | Standard Error of the Mean | 0.25 | 2-Sided | 95 | -1.13 | -0.13 | No | Superiority or Other |
During the 2-week double-blind Treatment Period participants self-administered 4 actuations (two per nostril) of 80 µg BDP HFA once daily. |
| OG003 | Placebo | During the 2-week double-blind Treatment Period participants self-administered four actuations (two per nostril) of placebo HFA once daily. |
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| OG003 | Placebo | During the 2-week double-blind Treatment Period participants self-administered four actuations (two per nostril) of placebo HFA once daily. |
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During the 2-week double-blind Treatment Period participants self-administered 4 actuations (two per nostril) of 80 µg BDP HFA once daily.
| OG003 | Placebo | During the 2-week double-blind Treatment Period participants self-administered four actuations (two per nostril) of placebo HFA once daily. |
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| OG002 | BDP HFA 320 µg/Day | During the 2-week double-blind Treatment Period participants self-administered 4 actuations (two per nostril) of 80 µg BDP HFA once daily. |
| OG003 | Placebo | During the 2-week double-blind Treatment Period participants self-administered four actuations (two per nostril) of placebo HFA once daily. |
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| OG002 | BDP HFA 320 µg/Day | During the 2-week double-blind Treatment Period participants self-administered 4 actuations (two per nostril) of 80 µg BDP HFA once daily. |
| OG003 | Placebo | During the 2-week double-blind Treatment Period participants self-administered four actuations (two per nostril) of placebo HFA once daily. |
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