Phase 4
Completed N=299
Study of Triamcinolone Acetonide on the Growth Velocity of Children, Ages 3 to 9, With Perennial Allergic Rhinitis (PAR)
Rhinitis, Allergic, Perennial
Source: ClinicalTrials.gov NCT00449072 ↗
Enrolled (actual)
299
Serious AEs
0.7%
Results posted
Aug 2012
Primary outcomePrimary: Growth Velocity — 6.09; 5.65 cm/year — p=0.0096
Summary
The primary objective of the study was to characterize the difference in prepubescent growth velocity in children 3 to 9 years of age with perennial allergic rhinitis (PAR) treated with triamcinolone acetonide (TAA) nasal spray (NASACORT® AQ 110 μg treatment group) or placebo (NASACORT® AQ placebo group) for 12-months.
The secondary objectives were to compare the following in prepubertal participants treated with TAA nasal spray versus placebo:
* the 24-hour urinary free cortisol levels and the cortisol/creatinine ratio (to measure the Hypothalamic-Pituitary Adrenal [HPA] axis function)
* the rate of treatment-emergent-adverse-events (TEAE)
* global efficacy rated by the investigator and the participant separately
* the rate of use of rescue medication during the study
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Growth Velocity |
6.09; 5.65 | 0.0096 sig |
| SECONDARY Change From Baseline in Instantaneous Total Nasal Symptom Score (TNSS) |
-2.68; -2.80 | 0.7341 |
| SECONDARY Change From Baseline in Four Individual Nasal Symptom Scores at the End of Treatment |
-0.68; -0.83; -0.67; -0.71; -0.64; -0.55 | 0.1963 |
| SECONDARY Global Efficacy as Assessed by the Participant (With the Help of a Parent/Guardian/Caregiver) During and at the End of the Double-blind Treatment Period |
1.87; 2.09; 1.97; 2.16; 1.86; 2.18 | 0.0951 |
| SECONDARY Global Efficacy as Assessed by the Investigator During and at the End of the Double-blind Treatment Period |
1.89; 2.04; 2.11; 2.21; 1.80; 2.14 | 0.2445 |
| SECONDARY Percentage of Participants Who Used the Rescue Medication During the Double-blind Phase of the Study |
81.2; 90.3 | — |
| SECONDARY Percentage of Days Participants Used the Rescue Medication During the Double-blind Treatment Phase of the Study |
20.39; 15.69 | — |
| SECONDARY 24 Hour Urinary Free Cortisol Levels |
7.44; 7.44; 7.05; 7.42; 7.85; 7.00 | — |
| SECONDARY 24 Hour Cortisol/Creatinine Ratio |
18.94; 19.44; 15.47; 15.86; 17.01; 15.10 | — |
| SECONDARY Number of Participants With Treatment-emergent Adverse Events (TEAE) |
113; 117; 0; 2; 3; 1 | — |
Eligibility Criteria
Participants meeting the following eligibility criteria were enrolled.
Inclusion criteria
- Male participants [3 years to = 4 out of 12) on any 4 out of the last 7 consecutive days immediately prior to and including the morning of Visit 3. Symptom ratings were to be completed with the help of a parent/guardian/caregiver
- Written informed consent and ability of parent or legal guardian of the participant to give a written informed consent before any study related procedures. Participants 7 years of age and older must have provided a signed assent form
- Participants had to be toilet-trained
Exclusion criteria
- Gross nasal anatomical deformities including large polyposis and marked deviated septum
- History of or current cataract or glaucoma
- History of hypersensitivity to the corticosteroids or to any excipient of the investigational product
- Participant was the investigator or any sub-investigator, research assistant, pharmacist, study coordinator, other staff or relative thereof directly involved in the conduct of the protocol
- Height, weight, or body mass index (BMI)-for-age below the 3rd or above the 97th percentile at Visits 1, 2, or 3
- Treatment with systemic corticosteroids (oral, intravenous, intramuscular, or intra-articular) within 3 months prior to Visit 1
- Treatment with systemic corticosteroids for >2 courses received up to 1 year before Visit 1 was exclusionary. Up to 2 courses of systemic corticosteroids each course not exceeding 14 days up to 1 year before Visit 1 was allowed.
- Treatment with inhaled, intranasal, or high potency topical corticosteroid exposure within 6 weeks prior to Visit 1. Mild asthma that was well-controlled and without the use of inhaled corticosteroids within 6 weeks before screening (Visit 1).
- Immunotherapy, except stable (>=1 month) maintenance schedule before Visit 1.
- Treatment with any substance before Visit 1 that might have affected growth velocity and/or linear growth, such as, but not be limited to methylphenidate hydrochloride, thyroid hormone, growth hormone, anabolic steroids, calcitonin, estrogens, progestins, bisphosphonates, anticonvulsants, or phosphate-binding antacids
- Treatment with any investigational product or device in the 30 days before Visit 1 or at any time throughout the duration of this trial (Visit 1 through Visit 11).
- Bone age as assessed by X-ray of the left hand and wrist that was outside +/- 1.5 years of participants chronological age at Visit 2. Right hand and wrist were to be radiographed in the event of bone injury to the left hand or wrist.
- Unresolved upper respiratory tract infection, sinus infection or nasal candidiasis (i.e., symptomatic or under treatment) within the last 2 weeks before Visit 3.
- Participants or parent/guardian/caregiver unable to demonstrate correct administration of the investigational product at Visit 1.
- Concomitant disease other than PAR which could have interfered with the study procedures or outcomes as determined by the investigator.
- History of hospitalization due to asthma within 1 year before screening (Visit 1).
- Abnormal 24-hour urinary free cortisol level assessed at screening (Visit 2).
The above information was not intended to contain all considerations relevant to potential participation in a clinical trial.
Data sourced from ClinicalTrials.gov (NCT00449072). 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. Informational only — not medical advice.