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Phase 3 N=510 Randomized Quadruple-blind Treatment

Prevention of Asthma With Levocetirizine 18 Month Treatment in Infants (12 - 24 Months) Suffering From Eczema (Atopic Dermatitis) and Sensitized to Grass Pollen and/or House Dust Mite (HDM)

Dermatitis, Atopic

Enrolled (actual)
510
Serious AEs
13.3%
Results posted
Jan 2019
Primary outcome: Primary: Time to Onset of Asthma During the Treatment Period — NA; NA months — p==0.991

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
Placebo (Drug); Levocetirizine (Drug)
Age
Pediatric · 0+ yrs
Sex
All
Sponsor
UCB Pharma SA
Primary completion
Mar 2006

Outcome Measures

OutcomeResultp-value
PRIMARY
Time to Onset of Asthma During the Treatment Period
NA; NA =0.991
SECONDARY
Percentage of Days With Symptoms of Either Wheezing or Nocturnal Cough
3.5; 2.85
SECONDARY
Percentage of Days With Symptoms of Wheezing
1.31; 0.88
SECONDARY
Percentage of Days With Symptoms of Nocturnal Cough
2.72; 2.33
SECONDARY
Percentage of Subjects Using Asthma Medication
33.3; 33.3; 0.8; 1.2; 18.8; 15.3
SECONDARY
Percentage of Days of Use of Asthma Medication
2.36; 1.37; 0.03; 0.09; 3.60; 1.98
SECONDARY
Percentage of Subjects Using Medication for Atopic Dermatitis
61.6; 63.9; 31.4; 33.3; 28.6; 27.1
SECONDARY
Percentage of Days of Use of Medication for Atopic Dermatitis
32.42; 31.84; 15.40; 18.64; 14.23; 12.30
SECONDARY
Percentage of Subjects With Urticaria
41.6; 27.5
SECONDARY
Number of Episodes of Urticaria Per Subject
1.71; 0.71

Summary

The Early Prevention of Asthma in Atopic Children (EPAAC™). 24 months study to evaluate the efficacy and safety of levocetirizine (LCTZ) in preventing the onset of asthma in 12 to 24 months old children.

Eligibility Criteria

Inclusion Criteria

Inclusion criteria which must be verified during screening visit (V1):

  • Children of either sex aged between 12 and 24 months
  • Subjects suffering from symptoms of Atopic Dermatitis (AD) lasting cumulatively for at least 2 months since birth
  • Modified Severity Scoring of Atopic Dermatitis (SCORAD) Index >= 10
  • Subjects whose biological mother or father, or one sibling has a well-documented history of atopy (AD, allergic rhinitis or asthma)

Inclusion criteria which must be verified during randomization (V2):

  • Results of the Radio-allergosorbant (RAST) test for grass pollen (GP) and house dust mite (HDM) are available and Immunoglobulin E (IgE) level against GP >= 0.35 kUA/l and/or IgE level against HDM ≥ 0.35 kUA/l
  • Safety laboratory results are within the normal range of the central laboratory or considered as not clinically significant or study disease related by the Investigator

Exclusion Criteria

Exclusion criteria to verify at screening visit (V1):

Are to be excluded from the participation in the study, those children who

  • Have height or weight below the 5th percentile
  • Have experienced at least one episode of wheezing when aged 6 months or over
  • Have suffered at age 6 months or over, from at least one nocturnal cough episode consisting of 3 (or more) consecutive nights resulting in sleep disturbances in a clinical setting where asthma is likely and other conditions have been excluded
  • Have chronic pulmonary diseases of any type, such as, but not limited to, cystic fibrosis, or any cranio-facial abnormality, e.g., cleft palate
  • Have a personal history of sleep apnea or who have siblings with a history of sleep apnea
  • Are treated with any immunomodulator medication such as, e.g., cyclosporin, cyclophosphamide or FK 506 (Tacrolimus)
  • Have received or are receiving allergen - specific immunotherapy
  • Suffer from concomitant dermatological disease/condition other than atopic dermatitis, that might interfere with the evaluation of the clinical response for atopic dermatitis
  • Have an insufficient wash-out period for the following medications:
  • Intranasal or systemic antihistamines: 3 days,
  • Intranasal or systemic decongestants: 3 days,
  • Loratadine, Desloratadine: 10 days,
  • Chromones: 2 weeks,
  • Oral corticosteroids: 1 month,
  • Chronic use (i.e. cumulatively up to 2 weeks within the last 3 months) of inhaled/intranasal corticosteroids: 1 month,
  • Ketotifen: 1 month,
  • Astemizole: 6 weeks
  • Have been treated with any antihistamine, including ketotifen, with daily intake for more than 2 consecutive months in the last 6 months before screening

Subject Exclusion criteria to verify at randomization visit (V2):

  • Intake of any prohibited medication listed above during the selection period
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00152464). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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