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To evaluate the safety of treatment with levocetirizine oral solution in pediatric patients aged form 6 months to 2 years old with allergic rhinitis or pruritus associated with the skin diseases.
This is a multi-center, open-labelled study to confirm the safety as main objective, and consisting of minimum 1-week screening period and 2-week treatment period. The subjects who meet the inclusion criteria are to be placed on one of the following two regimens according to their ages at the start of treatment period: once daily administration of levocetirizine at a dose of 1.25 mg (in the morning) to infants aged between 6 months and 1 year old (younger age group), and twice daily administration of levocetirizine at a dose of 1.25 mg (in the morning, in the evening before sleep) to infants aged between 1 year and 2 years old (older age group).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Levocetirizine | Experimental | Clear solution, 0.50 mg levocetirizine dihydrochloride contains in one milliliter of the solution |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Levocetirizine | Drug | Clear solution, 0.50 mg levocetirizine dihydrochloride contains in one milliliter of the solution. Levocetirizine oral solution are administered once daily at a dose of 2.5 mL (1.25 mg of levocetirizine) in the morning to infants aged between 6 months and 1 year old |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Serious Adverse Events (SAEs) and Non-serious Adverse Events (AEs) | A non-serious AE is defined as any untoward medical occurrence in a participant/clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a medicinal product. For marketed medicinal products, this also includes failure to produce expected benefits (i.e., lack of efficacy), abuse, or misuse. An SAE is defined as any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect, or is a possible drug-induced liver injury. For a list of all SAEs/non-serious AEs occurring at a frequency of >=5%, please see the SAE/non-serious AE module of this record. | up to Week 2/Early Withdrawal (EW) |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With the Indicated Change From the First Day of Treatment in Allergic Rhinitis and Pruritis Associated With Skin Diseases at Weeks 1 and 2/EW, as Assessed by the Investigator/Sub-investigator Based on Legal Representative Impression | The investigator or sub-investigator made an overall assessment of nasal symptoms (allergic rhinitis [AR]) and pruritus associated with skin diseases (PAWSD) at Weeks 1 and 2 (or at the discontinuation day in the case of early withdrawal [EW] from the clinical trial) by asking the participants' legal representatives to provide feedback using the following scale: 1, significantly improved; 2, moderately improved; 3, mildly improved; 4, no change; 5, mildly worse; 6, moderately worse; 7, significantly worse. Only those participants with AR and PAWSD at Baseline were assessed for improvement in the conditions at Weeks 1 and 2. The "n"s in the category titles reflect the number of participants in the Full Analysis Set (FAS) who had AR and PAWSD at Baseline. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| GSK Clinical Trials | GlaxoSmithKline | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| GSK Investigational Site | Chiba | 260-0001 | Japan | |||
| GSK Investigational Site |
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| ID | Title | Description |
|---|---|---|
| FG000 | Levocetirizine: >=6 Months and <12 Months Old | Participants who were >=6 months and <12 months old received levocetirizine 1.25 milligrams (mg) (2.5 milliliters [mL] as levocetirizine oral solution) once daily in the morning for a duration of 2 weeks. |
| FG001 | Levocetirizine: >=12 Months and <24 Months Old | Participants who were >=12 months and <24 months old received levocetirizine 1.25 mg (2.5 mL as levocetirizine oral solution) twice daily (in the morning and in the evening before going to sleep) for a duration of 2 weeks. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Levocetirizine: >=6 Months and <12 Months Old | Participants who were >=6 months and <12 months old received levocetirizine 1.25 milligrams (mg) (2.5 milliliters [mL] as levocetirizine oral solution) once daily in the morning for a duration of 2 weeks. |
| BG001 | Levocetirizine: >=12 Months and <24 Months Old |
| 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 | Number of Participants With Serious Adverse Events (SAEs) and Non-serious Adverse Events (AEs) | A non-serious AE is defined as any untoward medical occurrence in a participant/clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a medicinal product. For marketed medicinal products, this also includes failure to produce expected benefits (i.e., lack of efficacy), abuse, or misuse. An SAE is defined as any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect, or is a possible drug-induced liver injury. For a list of all SAEs/non-serious AEs occurring at a frequency of >=5%, please see the SAE/non-serious AE module of this record. | Safety Population : all participants who participated in this study and who received at least one dose of medication | Posted | Number | participants | up to Week 2/Early Withdrawal (EW) |
Serious adverse events (SAEs) and non-serious AEs were collected from the start of the study up to Week 2/Early Withdrawal.
SAEs and non-serious AEs were collected in members of the Safety Population, comprised of all participants who received at least one dose of study medication.
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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 | Levocetirizine: >=6 Months and <12 Months Old | Participants who were >=6 months and <12 months old received levocetirizine 1.25 milligrams (mg) (2.5 milliliters [mL] as levocetirizine oral solution) once daily in the morning for a duration of 2 weeks. |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Nasopharyngitis | Infections and infestations | MedDRA, version 15.0 | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| GSK Response Center | GlaxoSmithKline | 866-435-7343 |
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| ID | Term |
|---|---|
| D012220 | Rhinitis |
| D065631 | Rhinitis, Allergic |
| D011537 | Pruritus |
| ID | Term |
|---|---|
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
| D009668 | Nose Diseases |
| D012140 | Respiratory Tract Diseases |
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| ID | Term |
|---|---|
| C472067 | levocetirizine |
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|
| Levocetirizine | Drug | Clear solution, 0.50 mg levocetirizine dihydrochloride contains in one milliliter of the solution. Levocetirizine oral solution are administered twice daily at a dose of 2.5 mL (1.25 mg of levocetirizine) in the morning and evening before sleep to infants aged between 1 year and 2 years old |
|
| First day of treatment; Weeks 1 and 2/Early Withdrawal |
| Number of Participants With the Indicated Change From the First Day of Treatment in Nasal Symptoms and Pruritis Associated With Skin Diseases at Weeks 1 and 2/Early Withdrawal, as Assessed by the Investigator or Sub-investigator | The investigator or sub-investigator comprehensively assessed the participants' improvement in nasal symptoms (allergic rhinitis [AR]) and pruritus associated with skin diseases (PAWSD) at Weeks 1 and 2 (or at the discontinuation day in the case of early withdrawal [EW] from the clinical trial) compared to the first day of treatment by using the following scale: 1, markedly improved; 2, moderately improved; 3, slightly improved; 4, no change; 5, worsened. | First day of treatment; Weeks 1 and 2/Early Withdrawal |
| Number of Participants Categorized With the Indicated Pruritis Severity on the First Day of Treatment and at Weeks 1 and 2/Early Withdrawal | The investigator comprehensively assessed the pariticipant's severity of pruritus on the first day of treatment (FDOT), at Week 1, and at Week 2 (or at the discontinuation day in the case of early withdrawal [EW] from the clinical trial) by using the following scale: 4, severe; 3, moderate; 2, mild; 1, slight; 0, none. | First day of treatment; Weeks 1 and 2/Early Withdrawal |
| Cmax and Cmin of Levocetirizine in Plasma | Cmax is defined as the peak plasma concentration of a drug after administration. Cmin is defined as the lowest (trough) concentration that a drug reaches before the next dose is administered. For both age cohorts, blood samples were collected 1.5-2.5 hours after the last drug administration for assessment of Cmax at either Week 1 or 2/EW. For participants in the >=6 months and <12 months cohort, blood samples were collected 22.5-25.5 hours after the last drug administration for Cmin at a different visit from Cmax sampling. For participants in the >=12 months and <24 months cohort, blood samples were collected 10.5-13.5 hours after the final drug administration for Cmin at a different visit from Cmax sampling. For all participants, if Cmin sampling occurred at Week 1, then Cmax sampling occurred at Week 2/EW, and vice versa. | Weeks 1 and 2/Early Withdrawal |
| Tokyo |
| 136-0073 |
| Japan |
| GSK Investigational Site | Tokyo | 154-0002 | Japan |
| GSK Investigational Site | Tokyo | 154-0017 | Japan |
| GSK Investigational Site | Tokyo | 157-0066 | Japan |
| GSK Investigational Site | Tokyo | 158-0094 | Japan |
| GSK Investigational Site | Tokyo | 176-0012 | Japan |
Participants who were >=12 months and <24 months old received levocetirizine 1.25 mg (2.5 mL as levocetirizine oral solution) twice daily (in the morning and in the evening before going to sleep) for a duration of 2 weeks. |
| BG002 | Total | Total of all reporting groups |
| Months |
|
| Gender | Count of Participants | Participants |
|
| Race/Ethnicity, Customized | Number | Participants |
|
| Number of participants with the indicated primary disease at Baseline | Number | participants |
|
| ID | Title | Description |
|---|---|---|
| OG000 | Levocetirizine: >=6 Months and <12 Months Old | Participants who were >=6 months and <12 months old received levocetirizine 1.25 milligrams (mg) (2.5 milliliters [mL] as levocetirizine oral solution) once daily in the morning for a duration of 2 weeks. |
| OG001 | Levocetirizine: >=12 Months and <24 Months Old | Participants who were >=12 months and <24 months old received levocetirizine 1.25 mg (2.5 mL as levocetirizine oral solution) twice daily (in the morning and in the evening before going to sleep) for a duration of 2 weeks. |
| OG002 | Levocetirizine: Total Population | Participants received levocetirizine 1.25 mg (2.5 mL as levocetirizine oral solution: once daily for participants who were >=6 months and <12 months old; twice daily for participants who were >=12 months and <24 months old) for a duration of 2 weeks. |
|
|
| Secondary | Number of Participants With the Indicated Change From the First Day of Treatment in Allergic Rhinitis and Pruritis Associated With Skin Diseases at Weeks 1 and 2/EW, as Assessed by the Investigator/Sub-investigator Based on Legal Representative Impression | The investigator or sub-investigator made an overall assessment of nasal symptoms (allergic rhinitis [AR]) and pruritus associated with skin diseases (PAWSD) at Weeks 1 and 2 (or at the discontinuation day in the case of early withdrawal [EW] from the clinical trial) by asking the participants' legal representatives to provide feedback using the following scale: 1, significantly improved; 2, moderately improved; 3, mildly improved; 4, no change; 5, mildly worse; 6, moderately worse; 7, significantly worse. Only those participants with AR and PAWSD at Baseline were assessed for improvement in the conditions at Weeks 1 and 2. The "n"s in the category titles reflect the number of participants in the Full Analysis Set (FAS) who had AR and PAWSD at Baseline. | Full Analysis Set (FAS): all participants, excluding those with any major good clinical practice deviation, those who did not meet the primary criteria for enrollment, those who received no dose of study medication, and those with no data after supply of the investigational product | Posted | Number | participants | First day of treatment; Weeks 1 and 2/Early Withdrawal |
|
|
|
| Secondary | Number of Participants With the Indicated Change From the First Day of Treatment in Nasal Symptoms and Pruritis Associated With Skin Diseases at Weeks 1 and 2/Early Withdrawal, as Assessed by the Investigator or Sub-investigator | The investigator or sub-investigator comprehensively assessed the participants' improvement in nasal symptoms (allergic rhinitis [AR]) and pruritus associated with skin diseases (PAWSD) at Weeks 1 and 2 (or at the discontinuation day in the case of early withdrawal [EW] from the clinical trial) compared to the first day of treatment by using the following scale: 1, markedly improved; 2, moderately improved; 3, slightly improved; 4, no change; 5, worsened. | FAS. Only those participants with AR and PAWSD at Baseline were assessed for improvement in the conditions at Weeks 1 and 2/Early Withdrawal. The "n"s in the category titles reflect the number of participants in the Full Analysis Set (FAS) who had AR and PAWSD at Baseline. | Posted | Number | participants | First day of treatment; Weeks 1 and 2/Early Withdrawal |
|
|
|
| Secondary | Number of Participants Categorized With the Indicated Pruritis Severity on the First Day of Treatment and at Weeks 1 and 2/Early Withdrawal | The investigator comprehensively assessed the pariticipant's severity of pruritus on the first day of treatment (FDOT), at Week 1, and at Week 2 (or at the discontinuation day in the case of early withdrawal [EW] from the clinical trial) by using the following scale: 4, severe; 3, moderate; 2, mild; 1, slight; 0, none. | FAS. Only those participants with pruritis associated with skin diseases at Baseline were assessed for pruritis severity. | Posted | Number | participants | First day of treatment; Weeks 1 and 2/Early Withdrawal |
|
|
|
| Secondary | Cmax and Cmin of Levocetirizine in Plasma | Cmax is defined as the peak plasma concentration of a drug after administration. Cmin is defined as the lowest (trough) concentration that a drug reaches before the next dose is administered. For both age cohorts, blood samples were collected 1.5-2.5 hours after the last drug administration for assessment of Cmax at either Week 1 or 2/EW. For participants in the >=6 months and <12 months cohort, blood samples were collected 22.5-25.5 hours after the last drug administration for Cmin at a different visit from Cmax sampling. For participants in the >=12 months and <24 months cohort, blood samples were collected 10.5-13.5 hours after the final drug administration for Cmin at a different visit from Cmax sampling. For all participants, if Cmin sampling occurred at Week 1, then Cmax sampling occurred at Week 2/EW, and vice versa. | Pharmacokinetic Concentration Population: all participants who underwent blood sampling, who provided data at the time of the last dose and the time of blood sampling, and who provided valid drug concentrations | Posted | Median | Full Range | nanograms per milliliter | Weeks 1 and 2/Early Withdrawal |
|
|
|
| 0 |
| 30 |
| 7 |
| 30 |
| EG001 | Levocetirizine: >=12 Months and <24 Months Old | Participants who were >=12 months and <24 months old received levocetirizine 1.25 mg (2.5 mL as levocetirizine oral solution) twice daily (in the morning and in the evening before going to sleep) for a duration of 2 weeks. | 0 | 30 | 12 | 30 |
| EG002 | Levocetirizine: Total Population | Participants received levocetirizine 1.25 mg (2.5 mL as levocetirizine oral solution: once daily for participants who were >=6 months and <12 months old; twice daily for participants who were >=12 months and <24 months old) for a duration of 2 weeks. | 0 | 60 | 19 | 60 |
| Gastroenteritis | Infections and infestations | MedDRA, version 15.0 | Systematic Assessment |
|
| Diarrhoea | Gastrointestinal disorders | MedDRA, version 15.0 | Systematic Assessment |
|
| Pharyngeal erythema | Respiratory, thoracic and mediastinal disorders | MedDRA, version 15.0 | Systematic Assessment |
|
| Eczema | Skin and subcutaneous tissue disorders | MedDRA, version 15.0 | Systematic Assessment |
|
GSK agreements may vary with individual investigators, but will not prohibit any investigator from publishing. GSK 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 |
| D012130 | Respiratory Hypersensitivity |
| D006969 | Hypersensitivity, Immediate |
| D006967 | Hypersensitivity |
| D007154 | Immune System Diseases |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D012877 | Skin Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| Title | Measurements |
|---|---|
|
| AR, Week 2/EW, moderately improved, n=20 |
|
| AR, Week 1, mildly improved, n=20 |
|
| AR, Week 2/EW, mildly improved, n=20 |
|
| AR, Week 1, no change, n=20 |
|
| AR, Week 2/EW, no change, n=20 |
|
| AR, Week 1, mildly worse, n=20 |
|
| AR, Week 2/EW, mildly worse, n=20 |
|
| AR, Week 1, moderately worse, n=20 |
|
| AR, Week 2/EW, moderately worse, n=20 |
|
| AR, Week 1, significantly worse, n=20 |
|
| AR, Week 2/EW, significantly worse, n=20 |
|
| PAWSD, Week 1, significantly improved, n=40 |
|
| PAWSD, Week 2/EW, significantly improved, n=40 |
|
| PAWSD, Week 1, moderately improved, n=40 |
|
| PAWSD, Week 2/EW, moderately improved, n=40 |
|
| PAWSD, Week 1, mildly improved, n=40 |
|
| PAWSD, Week 2/EW, mildly improved, n=40 |
|
| PAWSD, Week 1, no change, n=40 |
|
| PAWSD, Week 2/EW, no change, n=40 |
|
| PAWSD, Week 1, mildly worse, n=40 |
|
| PAWSD, Week 2/EW, mildly worse, n=40 |
|
| PAWSD, Week 1, moderately worse, n=40 |
|
| PAWSD, Week 2/EW, moderately worse, n=40 |
|
| PAWSD, Week 1, significantly worse, n=40 |
|
| PAWSD, Week 2/EW, significantly worse, n=40 |
|
| Title | Measurements |
|---|---|
|
| AR, Week 2/EW, moderately improved, n=20 |
|
| AR, Week 1, slightly improved, n=20 |
|
| AR, Week 2/EW, slightly improved, n=20 |
|
| AR, Week 1, no change, n=20 |
|
| AR, Week 2/EW, no change, n=20 |
|
| AR, Week 1, worsened, n=20 |
|
| AR, Week 2/EW, worsened, n=20 |
|
| PAWSD, Week 1, markedly improved, n=40 |
|
| PAWSD, Week 2/EW, markedly improved, n=40 |
|
| PAWSD, Week 1, moderately improved, n=40 |
|
| PAWSD, Week 2/EW, moderately improved, n=40 |
|
| PAWSD, Week 1, slightly improved, n=40 |
|
| PAWSD, Week 2/EW, slightly improved, n=40 |
|
| PAWSD, Week 1, no change, n=40 |
|
| PAWSD, Week 2/EW, no change, n=40 |
|
| PAWSD, Week 1, worsened, n=40 |
|
| PAWSD, Week 2/EW, worsened, n=40 |
|
| Title | Measurements |
|---|---|
|
| FDOT, moderate |
|
| FDOT, severe |
|
| Week 1, none |
|
| Week 1, slight |
|
| Week 1, mild |
|
| Week 1, moderate |
|
| Week 1, severe |
|
| Week 2/EW, none |
|
| Week 2/EW, slight |
|
| Week 2/EW, mild |
|
| Week 2/EW, moderate |
|
| Week 2/EW, severe |
|