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The study is a multicenter, randomized, double-blind, placebo-controlled seamless and adaptive-designed phase IIb/III study encompassing a phase IIb and a phase III component, phase IIb is a dose-ranging part and has been done, and phase III is a pivotal study part which is registered this time.
The goal of this phase III study is to evaluate the efficacy, safety, and pharmacokinetics of PG-011 nasal spray for treating adults with moderate to severe seasonal allergic rhinitis (SAR). Investigators will compare PG-011 nasal spray to a placebo (a look-alike substance that contains no drug) to see if PG-011 nasal spray works to treat moderate to severe seasonal allergic rhinitis
This is a multicenter, randomized, double-blind, placebo-controlled clinical study in adults participants aged from 18 to 65 years old (including threshold) with moderate to severe SAR. Approximately 600 participants will be randomized assigned to one of the 2 following groups in a 2:1 ratio.
PG-011 nasal spray 0.6% (1.2mg Pumecitinib) administered twice daily. PG-011 placebo nasal spray 0% (0 mg Pumecitinib) administered twice daily. Participants will receive blinded study treatment for 14 days followed by 21 days safety follow-up.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PG-011 nasal spray 0.6%(twice daily) | Experimental | 2 sprays in each nostril, twice daily for 14-day treatment period. |
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| Vehicle nasal spray(twice daily) | Placebo Comparator | 2 sprays in each nostril, twice daily for 14-day treatment period. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PG-011 nasal spray 0.6%(twice daily) | Drug | 2 sprays in each nostril, twice daily for 14-day treatment period. |
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| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline in average retrospective Total Nasal Symptom Score (rTNSS) over the 14-day treatment period | The reflective Total Nasal Symptom Score (rTNSS) was assessed by 12-hour reflective scoring (AM, PM) of the severity of four nasal symptoms (rhinorrhea, sneezing, nasal congestion, nasal itching). Scores ranged from 0 (no signs/symptoms evident) to 3 (severe signs/symptoms that is hard to tolerate). The rTNSS was calculated as the sum of the subject-reported severity scores for nasal symptoms, and value ranged from 0 (no signs/symptoms evident) to 12 (severe signs/symptoms that is hard to tolerate). Higher scores indicate more severe nasal symptoms, while lower scores indicate less severe nasal symptoms. | Up to Day 14 |
| Measure | Description | Time Frame |
|---|---|---|
| Percent change from baseline in average retrospective Total Nasal Symptom Score (rTNSS) over the 14-day treatment period | The reflective Total Nasal Symptom Score (rTNSS) was assessed by 12-hour reflective scoring (AM, PM) of the severity of four nasal symptoms (rhinorrhea, sneezing, nasal congestion, nasal itching). Scores ranged from 0 (no signs/symptoms evident) to 3 (severe signs/symptoms that is hard to tolerate). The rTNSS was calculated as the sum of the subject-reported severity scores for nasal symptoms, and value ranged from 0 (no signs/symptoms evident) to 12 (severe signs/symptoms that is hard to tolerate). Higher scores indicate more severe nasal symptoms, while lower scores indicate less severe nasal symptoms. Percent change is calculated as (Change from baseline / Baseline result *100). |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Luo Zhang, Professor | Contact | +86 13910830399 | dr.luozhang@139.com |
| Name | Affiliation | Role |
|---|---|---|
| Luo Zhang, Professor | Beijing Tongren Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Beijing Shijitan Hospital, Capital Medical University | Beijing | Beijing Municipality | China |
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| Placebo | Drug | 2 sprays in each nostril, twice daily for 14-day treatment period. |
|
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| Up to Day 14 |
| Change and percent change from baseline in average instantaneous Total Nasal Symptom Score (iTNSS) over the 14-day treatment period | The instantaneous Total Nasal Symptom Score (iTNSS) was assessed by instantaneous symptom severity of four nasal symptoms (rhinorrhea, sneezing, nasal congestion, nasal itching). Scores ranged from 0 (no signs/symptoms evident) to 3 (severe signs/symptoms that is hard to tolerate).The iTNSS was calculated as the sum of the subject-reported severity scores for nasal symptoms, and value ranged from 0 (no signs/symptoms evident) to 12 (severe signs/symptoms that is hard to tolerate). Higher scores indicate more severe nasal symptoms, while lower scores indicate less severe nasal symptoms. Percent change is calculated as (Change from baseline / Baseline result *100). | Up to Day 14 |
| Change and percentage change from baseline in average retrospective Ocular Symptom Total Score (rTOSS) over the 14-day treatment period | The reflective Ocular Symptom Total Score (rTOSS) was assessed by 12-hour reflective scoring (AM, PM) of the severity of three rocular symptoms (itching/burning, tearing/watering, and redness).Scores ranged from 0 (no signs/symptoms evident) to 3 (severe signs/symptoms that is hard to tolerate). . The Total Ocular Symptom Score (TOSS) ranged from 0 to 9. Higher scores indicate more severe ocular symptoms, while lower scores indicate less severe ocular symptoms. Percent change is calculated as (Change from baseline / Baseline result *100). | Up to Day 14 |
| Change and percent change from baseline in average instantaneous ocular symptom score (iTOSS) over 14-day treatment period | The instantaneous Total ocular Symptom Score is a scale used to measure ocular symptom severity based on how the participant was feeling just before taking each dose of study medication. Scores ranged from 0 to 9, and calculated as the sum of participant's scoring of three individual ocular symptoms (itching/burning, tearing/watering, and redness) on a 0 to 3 categorical severity scale (0=absent, 1=mild, 2=moderate, and 3=severe). Percent change is calculated as (Change from baseline / Baseline result *100). | Baseline and Day 14 |
| rTNSS over the 14-day treatment period | This parameter evaluates the mean change in AM rTNSS from baseline over the 14-day treatment period. The AM rTNSS is a rating of the severity of nasal symptoms over the previous 12 hours and is performed in the morning.The rTNSS was calculated as the sum of the participant-reported severity scores for nasal symptoms, and value ranged from 0 (no signs/symptoms evident) to 12 (severe signs/symptoms that is hard to tolerate). | Up to Day 14 |
| Mean change from baseline in PM participant-reported rTNSS over the 14-day treatment period | This parameter evaluates the mean change in PM rTNSS from baselineover the 14-day treatment period. The PM rTNSS is a rating of the severity of nasal symptoms over the previous 12 hours and is performed in the evening.The rTNSS was calculated as the sum of the participant-reported severity scores for nasal symptoms, and value ranged from 0 (no signs/symptoms evident) to 12 (severe signs/symptoms that is hard to tolerate). | Up to Day 14 |
| Mean change from baseline in AM participant-reported iTNSS over the 14-day treatment period | This parameter evaluates the mean change in AM iTNSS from baselineover the 14-day treatment period. The AM iTNSS is the severity rating of the instantaneous nasal symptom at a time point. The iTNSS was calculated as the sum of the participant-reported severity scores for nasal symptoms, and value ranged from 0 (no signs/symptoms evident) to 12 (severe signs/symptoms) that is hard to tolerate. | Up to Day 14 |
| Mean change from baseline in PM participant-reported iTNSS over the 14-day treatment | This parameter evaluates the mean change in PM iTNSS from baselineover the 14-day treatment period.The PM iTNSS is the severity rating of the instantaneous nasal symptom at a time point. The iTNSS was calculated as the sum of the participant-reported severity scores for nasal symptoms, and value ranged from 0 (no signs/symptoms evident) to 12 (severe signs/symptoms) that is hard to tolerate. | Up to Day 14 |
| Mean change from baseline in AM participant-reported rTOSS over the 14-day treatment period | This parameter evaluates the mean change in AM rTOSS from baselineover the 14-day treatment period. The AM rTOSS is a rating of the severity of ocular symptoms over the previous 12 hours and is performed in the morning.The total ocular symptom score (TOSS) is the sum of three symptom scores for itchy/burning eyes, watery eyes, and red eyes, where each symptom is scored on a scale of 0 to 3. Higher scores indicate more severe ocular symptoms, while lower scores indicate less severe ocular symptoms. | Up to Day 14 |
| Mean change from baseline in PM participant-reported rTOSS over the 14-day treatment period | This parameter evaluates the mean change in PM rTOSS from baselineover the 14-day treatment period. The PM rTOSS is a rating of the severity of ocular symptoms over the previous 12 hours and is performed in the morning.The total ocular symptom score (TOSS) is the sum of three symptom scores for itchy/burning eyes, watery eyes, and red eyes, where each symptom is scored on a scale of 0 to 3. Higher scores indicate more severe ocular symptoms, while lower scores indicate less severe ocular symptoms. | Up to Day 14 |
| Mean change from baseline in AM participant-reported iTOSS over the 14-day treatment period | This parameter evaluates the mean change in AM iTOSS from baselineover the 14-day treatment period. The AM iTOSS is the severity rating of the ocular symptom at a time point.The total ocular symptom score (TOSS) is the sum of three symptom scores for itchy/burning eyes, watery eyes, and red eyes, where each symptom is scored on a scale of 0 to 3. Higher scores indicate more severe ocular symptoms, while lower scores indicate less severe ocular symptoms. | Up to Day 14 |
| Mean change from baseline in PM participant-reported iTOSS over the 14-day treatment period | This parameter evaluates the mean change in PM iTOSS from baselineover the 14-day treatment period. The PM iTOSS is the severity rating of the ocular symptom at a time point.The total ocular symptom score (TOSS) is the sum of three symptom scores for itchy/burning eyes, watery eyes, and red eyes, where each symptom is scored on a scale of 0 to 3. Higher scores indicate more severe ocular symptoms, while lower scores indicate less severe ocular symptoms. | Up to Day 14 |
| Mean change from baseline in the daily rTNSS | This parameter evaluates the mean change in rTNSS (ie Day 1 measurement = Average of the PM assessment on Day 1 and AM assessment of Day 2 and so on) from baseline for each day.The rTNSS was calculated as the sum of the participant-reported severity scores for nasal symptoms, and value ranged from 0 (no signs/symptoms evident) to 12 (severe signs/symptoms that is hard to tolerate). | Up to Day 14 |
| Mean change from baseline in the daily iTNSS | This parameter evaluates the mean change in iTNSS (ie Day 1 measurement = Average of the PM assessment on Day 1 and AM assessment of Day 2 and so on) from baseline for each day.The iTNSS was calculated as the sum of the participant-reported severity scores for nasal symptoms, and value ranged from 0 (no signs/symptoms evident) to 12 (severe signs/symptoms that is hard to tolerate). | Up to Day 14 |
| Mean change from baseline in the daily rTOSS | This parameter evaluates the mean change in rTOSS (ie Day 1 measurement = Average of the PM assessment on Day 1 and AM assessment of Day 2 and so on) from baseline for each day. The total ocular symptom score (TOSS) is the sum of three symptom scores for itchy/burning eyes, watery eyes, and red eyes, where each symptom is scored on a scale of 0 to 3. Higher scores indicate more severe ocular symptoms, while lower scores indicate less severe ocular symptoms. | Up to Day 14 |
| Mean change from baseline in the daily iTOSS | This parameter evaluates the mean change in iTOSS (ie Day 1 measurement = Average of the PM assessment on Day 1 and AM assessment of Day 2 and so on) from baseline for each day. The total ocular symptom score (TOSS) is the sum of three symptom scores for itchy/burning eyes, watery eyes, and red eyes, where each symptom is scored on a scale of 0 to 3. Higher scores indicate more severe ocular symptoms, while lower scores indicate less severe ocular symptoms. | Up to Day 14 |
| Mean change from baseline in the daily AM rTNSS | This parameter evaluates the mean change in AM rTNSS from baseline for each day.The rTNSS was calculated as the sum of the participant-reported severity scores for nasal symptoms, and value ranged from 0 (no signs/symptoms evident) to 12 (severe signs/symptoms that is hard to tolerate). | Up to Day 14 |
| Mean change from baseline in the daily PM rTNSS | This parameter evaluates the mean change in PM rTNSS from baseline for each day.The rTNSS was calculated as the sum of the participant-reported severity scores for nasal symptoms, and value ranged from 0 (no signs/symptoms evident) to 12 (severe signs/symptoms that is hard to tolerate). | Up to Day 14 |
| Mean change from baseline in the daily AM iTNSS | This parameter evaluates the mean change in AM iTNSS from baseline for each day.The iTNSS was calculated as the sum of the participant-reported severity scores for nasal symptoms, and value ranged from 0 (no signs/symptoms evident) to 12 (severe signs/symptoms that is hard to tolerate). | Up to Day 14 |
| Mean change from baseline in the daily PM iTNSS | This parameter evaluates the mean change in PM iTNSS from baseline for each day.The iTNSS was calculated as the sum of the participant-reported severity scores for nasal symptoms, and value ranged from 0 (no signs/symptoms evident) to 12 (severe signs/symptoms that is hard to tolerate). | Up to Day 14 |
| Mean change from baseline in the daily AM rTOSS | This parameter evaluates the mean change in AM rTOSS from baseline for each day. The total ocular symptom score (TOSS) is the sum of three symptom scores for itchy/burning eyes, watery eyes, and red eyes, where each symptom is scored on a scale of 0 to 3. Higher scores indicate more severe ocular symptoms, while lower scores indicate less severe ocular symptoms. | Up to Day 14 |
| Mean change from baseline in the daily PM rTOSS | This parameter evaluates the mean change in PM rTOSS from baseline for each day. The total ocular symptom score (TOSS) is the sum of three symptom scores for itchy/burning eyes, watery eyes, and red eyes, where each symptom is scored on a scale of 0 to 3. Higher scores indicate more severe ocular symptoms, while lower scores indicate less severe ocular symptoms. | Up to Day 14 |
| Mean change from baseline in the daily AM iTOSS | This parameter evaluates the mean change in AM iTOSS from baseline for each day. The total ocular symptom score (TOSS) is the sum of three symptom scores for itchy/burning eyes, watery eyes, and red eyes, where each symptom is scored on a scale of 0 to 3. Higher scores indicate more severe ocular symptoms, while lower scores indicate less severe ocular symptoms. | Up to Day 14 |
| Mean change from baseline in the daily PM iTOSS | This parameter evaluates the mean change in PM iTOSS from baseline for each day. The total ocular symptom score (TOSS) is the sum of three symptom scores for itchy/burning eyes, watery eyes, and red eyes, where each symptom is scored on a scale of 0 to 3. Higher scores indicate more severe ocular symptoms, while lower scores indicate less severe ocular symptoms. | Up to Day 14 |
| Mean change from baseline in individual nasal symptoms (runny nose, nasal congestion, nasal itching and sneezing) of r TNSS over the 14-day treatment period | This parameter evaluates the mean change in individual nasal symptoms (runny nose, nasal congestion, nasal itching and sneezing) of rTNSS from baseline over the 14-day treatment period. The individual nasal symptoms (rhinorrhea, nasal congestion, nasal itching, and sneezing) is scored on a scale of 0 to 3, higher scores indicate more severe symptoms, while lower scores indicate less severe symptoms. | Up to Day 14 |
| Mean change from baseline in individual nasal symptoms (runny nose, nasal congestion, nasal itching and sneezing) of AM rTNSS over the 14-day treatment period. | This parameter evaluates the mean change in individual nasal symptoms (runny nose, nasal congestion, nasal itching and sneezing) of AM rTNSS from baseline over the 14-day treatment period. The individual nasal symptoms (rhinorrhea, nasal congestion, nasal itching, and sneezing) is scored on a scale of 0 to 3, higher scores indicate more severe symptoms, while lower scores indicate less severe symptoms. | Up to Day 14 |
| Mean change from baseline in individual nasal symptoms (runny nose, nasal congestion, nasal itching and sneezing) of PM rTNSS over the 14-day treatment period. | This parameter evaluates the mean change in individual nasal symptoms (runny nose, nasal congestion, nasal itching and sneezing) of PM rTNSS from baseline over the 14-day treatment period. The individual nasal symptoms (rhinorrhea, nasal congestion, nasal itching, and sneezing) is scored on a scale of 0 to 3, higher scores indicate more severe symptoms, while lower scores indicate less severe symptoms. | Up to Day 14 |
| Mean change from baseline in individual ocular symptoms (itching/burning eyes, tearing/watering eyes, and redness eyes) of rTOSS over the 14-day treatment period | This parameter evaluates the mean change in individual ocular symptoms (itching/burning eyes, tearing/watering eyes, and redness eyes) of rTOSS from baseline over the 14-day treatment period. The individual ocular symptoms (itching/burning eyes, tearing/watering eyes, and redness eyes) of rTOSS is scored on a scale of 0 to 3, higher scores indicate more severe symptoms, while lower scores indicate less severe symptoms. | Up to Day 14 |
| Mean change from baseline in individual ocular symptoms (itching/burning eyes, tearing/watering eyes, and redness eyes) of AM rTOSS over the 14-day treatment period | This parameter evaluates the mean change in individual ocular symptoms (itching/burning eyes, tearing/watering eyes, and redness eyes) of AM rTOSS from baseline over the 14-day treatment period. The individual ocular symptoms (itching/burning eyes, tearing/watering eyes, and redness eyes) of rTOSS is scored on a scale of 0 to 3, higher scores indicate more severe symptoms, while lower scores indicate less severe symptoms. | Up to Day 14 |
| Mean change from baseline in individual ocular symptoms (itching/burning eyes, tearing/watering eyes, and redness eyes) of PM rTOSS over the 14-day treatment period | This parameter evaluates the mean change in individual ocular symptoms (itching/burning eyes, tearing/watering eyes, and redness eyes) of PM rTOSS from baseline over the 14-day treatment period. The individual ocular symptoms (itching/burning eyes, tearing/watering eyes, and redness eyes) of rTOSS is scored on a scale of 0 to 3, higher scores indicate more severe symptoms, while lower scores indicate less severe symptoms. | Up to Day 14 |
| Proportion and frequency of participants who use the rescue medication | The proportion of participants who use the rescue medication,and the frequency of usage during the treatment. | Up to Day 14 |
| Mean change from baseline in Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) score of general activities on day 15 | Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) has 28 questions in 7 domains (activity limitation, sleep problems, nose symptoms, eye symptoms, non-nose/eye symptoms, practical problems and emotional function). Each question on a 7-point scale (0 = not impaired at all - 6 = severely impaired). The overall RQLQ score is the mean of all 28 responses. | Day1, Day 8, Day 15 |
| Safety and tolerability of PG-011 Nasal Spray | Incidence of treatment-emergent adverse events (AEs) and serious adverse events (SAEs) | Up to Day 21 |
| Beijing Tongren Hospital, Capital Medical University | Beijing | Beijing Municipality | China |
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| Beijing Youan Hospital, Capital Medical University | Beijing | Beijing Municipality | China |
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| Peking University Third Hospital | Beijing | Beijing Municipality | China |
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| Gansu Provincial people's Hospital | Lanzhou | Gansu | China |
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| The NO. 2 Hospital of Baoding | Baoding | Hebei | China |
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| Cangzhou Central Hospital | Cangzhou | Hebei | China |
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| Hebei Petro China Central Hospital | Langfang | Hebei | China |
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| Hebei Provincial Hospital of Traditional Chinese Medicine | Shijiazhuang | Hebei | China |
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| Hebei Provincial People's Hospital | Shijiazhuang | Hebei | China |
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| Daqing people's Hospital | Daqing | Heilongjiang | China |
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| Harbin Medical University Affiliated Fourth Hospital | Harbin | Heilongjiang | China |
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| Luo Yang First People's Hospital | Luoyang | Henan | China |
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| The First Affiliated Hospital of Henan University of Science & Technology | Luoyang | Henan | China |
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| Zhengzhou Central Hospital, , | Zhengzhou | Henan | China |
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| The Central Hospital of Wuhan | Wuhan | Hubei | China |
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| Tonghua Central Hospital | Tonghua | Jilin | China |
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| The central hospital of shenyang medical college | Shengyang | Liaoning | China |
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| Shengjing Hospital of China Medical University | Shenyang | Liaoning | China |
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| Baotou Central Hospital | Baotou | Neimenggu | China |
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| Chifeng Municipal Hospital | Chifeng | Neimenggu | China |
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| Affiliated Hospital Of Inner Mongolia Medical University | Hohhot | Neimenggu | China |
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| First People's Hospital of Yinchuan | Yinchuan | Ningxia | China |
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| People's Hospital of Ningxia Hui autonomous region | Yinchuan | Ningxia | China |
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| Shandong Second Provincial People's Hospital | Jinan | Shandong | China |
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| Liaocheng People's Hospital | Liaocheng | Shandong | China |
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| Yantai YuHuangDing Hospital | Yantai | Shandong | China |
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| Zibo Central Hospital | Zibo | Shandong | China |
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| Sinopharm Tongmei General Hospital | Datong | Shanxi | China |
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| Linfen Central Hospital | Linfen | Shanxi | China |
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| Linfen People's Hospital | Linfen | Shanxi | China |
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| First Hospital of Shanxi Medical University | Taiyuan | Shanxi | China |
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| Shanxi Bethune Hospital | Taiyuan | Shanxi | China |
| The Second Hospital of Shanxi Medical University | Taiyuan | Shanxi | China |
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| Xianyang Hospital of Yan'an University | Xianyang | Shanxi | China |
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| The First Affiliated Hospital of Xi'an Jiao Tong University | Xi’an | Shanxi | China |
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| Xian XD Group Hospital | Xi’an | Shanxi | China |
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| Yuncheng Central Hospital | Yuncheng | Shanxi | China |
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| 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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