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This active vs active comparative trial will evaluate the safety and efficacy of incremental doses of atropine in combination with pseudoephedrine 120 mg/chlorpheniramine 8 mg in adult patients with a history of seasonal allergic rhinitis. Hypotheses are defined by total nasal symptom scores (TNSS) recorded by subjects in diaries where efficacy will be established by statistical significance where p < 0.05.
Actives in each of the five study arms:
Pseudoephedrine 120 mg/Chlorpheniramine 8 mg/Atropine 0.36 mg Pseudoephedrine 120 mg/Chlorpheniramine 8 mg/Atropine 0.24 mg Pseudoephedrine 120 mg/Chlorpheniramine 8 mg/Atropine 0.12 mg Pseudoephedrine 120 mg/Chlorpheniramine 8 mg Atropine 0.24 mg
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PSE 120 mg, CM 8 mg, Atr 0.36 mg | Experimental | Pseudoephedrine 120 mg,chlorpheniramine 8 mg, atropine 0.36 mg tablet dosed BID for 7.5 days |
|
| PSE 120 mg, CM 8 mg, Atr 0.24 mg | Experimental | Pseudoephedrine 120 mg, chlorpheniramine 8 mg, atropine 0.24 mg tablets dosed BID for 7.5 days |
|
| PSE 120 mg, CM 8 mg, Atr 0.12 mg | Experimental | Pseudoephedrine 120 mg, chlorpheniramine 8 mg, atropine 0.12 dosed BID for 7.5 days |
|
| PSE 120 mg, CM 8 mg | Active Comparator | Pseudoephedrine 120 mg, chlorpheniramine 8 mg white, scored, tablets with "M27" on scored side and plain on the other side |
|
| Atropine 0.24 mg | Experimental | Atropine 0.24 mg tablets dosed BID for 7.5 days |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PSE 120 mg, CM 8 mg, Atr 0.36 mg | Drug | Pseudoephedrine 120 mg, chlorpheniramine 8 mg, atropine 0.36 mg white, scored, tablets with "M27" on scored side and plain on the other side |
| Measure | Description | Time Frame |
|---|---|---|
| Dose-ranging data for atropin | To provide dose-ranging data for atropine and select a dose of Atropine for Phase 3 clinical development using Total Nasal Symptom Score (TNSS) as the primary endpoint plus recording of adverse events | 7.5 days |
| Measure | Description | Time Frame |
|---|---|---|
| Establish effect size for determining power and TNSS efficacy endpoint | To establish an effect size of a Pseudoephedrine 120 mg/Chlorpheniramine 8 mg/Atropine combination versus Pseudoephedrine 120 mg/Chlorpheniramine 8 mg to statistically power the pivotal phase of the study using TNSS as the primary endpoint | 7.5 days |
| Measure | Description | Time Frame |
|---|---|---|
| Establish safety/efficacy and appropriate dosage interval of investigational formulas |
|
Inclusion Criteria:
Exclusion Criteria:
Has asthma requiring corticosteroid treatment
Is currently undergoing chronic or intermittent use of inhaled, oral, intramuscular, intravenous, and/or potent or super potent topical corticosteroids
Has taken any of the following medications in the indicated time period prior to study enrolment:
Documented evidence of acute or significant chronic sinusitis, as determined by the individual investigator
Has a history of allergic reaction to or known sensitivity to the active or inactive ingredients in the investigational products used in this study
Chronic use of concomitant medications (e.g., tricyclic antidepressants) that would affect assessment of the effectiveness of the study medication
Rhinitis medicamentosa
A history of glaucoma
Has known or suspected pregnancy, planned pregnancy, or lactation (for female patients)
Is currently receiving immunotherapy, unless at stable maintenance dose for at least 1 month.
Presence of a medical condition that might interfere with treatment evaluation or require a change in therapy.
Plans to travel outside the study area for a substantial portion of the study period
Has a history in the last 2 years or current evidence of abuse of illicit drugs, prescription medications, or alcohol that, in the opinion of the Investigator, would interfere with adherence to study requirements.
Has exposure to any investigational agent within 30 days prior to study entry.
Has clinically significant mental illness (to be determined by the Investigator)
Has a condition the Investigator believes would interfere with the ability to provide informed consent or comply with study instructions, or that might confound the interpretation of the study results or put the patient at undue risk
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| Name | Affiliation | Role |
|---|---|---|
| Stephen J Pollard, MD | Family Allergy and Asthma | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Clinical Research Atlanta | Stockbridge | Georgia | 30281 | United States | ||
| Family Allergy and Asthma Institute |
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|
| PSE 120 mg, CM 8 mg, Atr 0.24 mg | Drug | Pseudoephedrine 120 mg, chlorpheniramine 8 mg, atropine 0.24 mg white, scored, tablets with "M27" on scored side and plain on the other side |
|
|
| PSE 120 mg, CM 8 mg, Atr 0.12 mg | Drug | Pseudoephedrine 120 mg, chlorpheniramine 8 mg, atropine 0.12 mg white, scored, tablets with "M27" on scored side and plain on the other side |
|
|
| PSE 120 mg, CM 8 mg | Drug | Pseudoephedrine 120 mg, chlorpheniramine 8 mg tablets dosed BID |
|
|
| Atropine 0.24 mg | Drug | Atropine sulfate 0.24 mg white, scored, tablets with "M27" on scored side and plain on the other side |
|
|
| 7.5 days |
| Louisville |
| Kentucky |
| 40215 |
| United States |
| National Allergy, Asthma & Urticaria Centers of Charleston, PA | Charleston | South Carolina | 29406 | United States |
| Central Texas Health Research | New Braunfels | Texas | 78130 | United States |
| ID | Term |
|---|---|
| D006255 | Rhinitis, Allergic, Seasonal |
| D012220 | Rhinitis |
| ID | Term |
|---|---|
| D065631 | Rhinitis, Allergic |
| D009668 | Nose Diseases |
| D012140 | Respiratory Tract Diseases |
| D012130 | Respiratory Hypersensitivity |
| D010038 | Otorhinolaryngologic Diseases |
| D006969 | Hypersensitivity, Immediate |
| D006967 | Hypersensitivity |
| D007154 | Immune System Diseases |
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
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| ID | Term |
|---|---|
| D019908 | Proto-Oncogene Proteins c-raf |
| D054199 | Pseudoephedrine |
| D002744 | Chlorpheniramine |
| D001285 | Atropine |
| ID | Term |
|---|---|
| D048490 | raf Kinases |
| D020930 | MAP Kinase Kinase Kinases |
| D017346 | Protein Serine-Threonine Kinases |
| D011494 | Protein Kinases |
| D017853 | Phosphotransferases (Alcohol Group Acceptor) |
| D010770 | Phosphotransferases |
| D014166 | Transferases |
| D004798 | Enzymes |
| D045762 | Enzymes and Coenzymes |
| D047908 | Intracellular Signaling Peptides and Proteins |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
| D011518 | Proto-Oncogene Proteins |
| D015513 | Oncogene Proteins |
| D009363 | Neoplasm Proteins |
| D011412 | Propanolamines |
| D000605 | Amino Alcohols |
| D000438 | Alcohols |
| D009930 | Organic Chemicals |
| D020005 | Propanols |
| D000588 | Amines |
| D010627 | Phenethylamines |
| D005021 | Ethylamines |
| D010632 | Pheniramine |
| D011725 | Pyridines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D001286 | Atropine Derivatives |
| D014326 | Tropanes |
| D053961 | Azabicyclo Compounds |
| D001372 | Aza Compounds |
| D001533 | Belladonna Alkaloids |
| D012991 | Solanaceous Alkaloids |
| D000470 | Alkaloids |
| D019086 | Bridged Bicyclo Compounds, Heterocyclic |
| D006572 | Heterocyclic Compounds, Bridged-Ring |
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