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Phase 4 Completed N=299 Randomized Double-blind Treatment

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

OutcomeResultp-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.

View full record on ClinicalTrials.gov →

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.

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