Phase 4
Completed N=59
A Randomised, Double Blind, Placebo Controlled, 4 Period, Incomplete Block, Crossover Study Assessing the Dose-response Curve of Fluticasone Propionate in an Antigen Challenge Chamber
Rhinitis, Allergic, Perennial · Allergic Rhinitis
Source: ClinicalTrials.gov NCT00848965 ↗
Enrolled (actual)
59
Serious AEs
0.0%
Results posted
Sep 2012
Primary outcomePrimary: Weighted Mean Total Nasal Symptom Score (TNSS) at 2-5 Hours Post-dose (1-4 Hours Post-start of Challenge [PSC]) in the Vienna Challenge Chamber (VCC) — 7.17; 5.54; 5.66; 5.29 scores on a scale
Summary
This is a single-centre, randomised, double-blind, four-period, incomplete block, crossover study, with 8 days repeat dosing of intranasal Fluticasone Propionate (25, 50, 100, 200ug) and/or placebo in the Vienna Challenge Chamber in subjects with allergic rhinitis.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Weighted Mean Total Nasal Symptom Score (TNSS) at 2-5 Hours Post-dose (1-4 Hours Post-start of Challenge [PSC]) in the Vienna Challenge Chamber (VCC) |
7.17; 5.54; 5.66; 5.29; 4.77 | — |
| SECONDARY Weighted Mean Nasal Airflow at 2-5 Hours Post-dose (1-4 Hours Post-start of Challenge) |
335.20; 368.66; 375.94; 362.59; 411.65 | — |
| SECONDARY Weighted Mean Nasal Secretion at 2-5 Hours Post-dose (1-4 Hours Post-start of Challenge) |
2.43; 1.63; 1.43; 1.26; 1.02 | — |
| SECONDARY Weighted Mean Eye Symptom Score at 2-5 Hours Post-dose (1-4 Hours Post-start of Challenge) |
2.35; 1.52; 1.44; 1.93; 1.41 | — |
| SECONDARY Weighted Mean Global Symptom Score (GSS) at 5 Hours Post-dose (1-4 Hours Post-start of Challenge) |
11.14; 8.17; 8.24; 8.69; 7.13 | — |
| SECONDARY Glucocorticoid (GC) Receptor Biomarker Levels in Nasal Epithelial Scraping Samples: CCL2 |
12396.08096; 1377.248941; 1231.251053; 3340.460181; 3377.403394; 4206.320679 | — |
| SECONDARY Glucocorticoid (GC) Receptor Biomarker Levels in Nasal Epithelial Scraping Samples: 18S, B-actin, DUSP_1_T1, FKBP5, GAPDH, GILZ, PLAU, PTGS2, and RGS2 |
6439292568; 6109603485; 5822423622; 6218835383; 6222906532; 1978137.142 | — |
Eligibility Criteria
Inclusion Criteria
- The subject is healthy with the exception of seasonal allergic rhinitis. Healthy as determined by a responsible physician, based on a medical evaluation including history, physical examination, laboratory tests, cardiac monitoring. A subject with a clinical abnormality or laboratory parameters outside the reference range for the population being studied may be included only if the Investigator considers that the finding will not introduce additional risk factors and will not interfere with the study procedures.
- Males and females who are aged between 18 and 65 years of age.
A female is eligible to enter and participate in the study if she is of:
- Non-childbearing potential (i.e., physiologically incapable of becoming pregnant), including any female who is post menopausal. For the purposes of this study, post menopausal is defined as 1 year without menses (FSH/LH will be also tested to confirm menopausal status); or
- Child bearing potential, has a negative pregnancy test (urine) at entry, and agrees to one of the following acceptable contraceptive methods when used consistently and correctly (i.e., in accordance with the approved product label and the instructions of a physician for the duration of the study - screening visit to follow-up contact):
- Complete abstinence from intercourse from the first visit, throughout the trial and for a minimum of 7 days after the completion of the trial; or
- Male partner was sterile prior to the female subject's entry into the study, or
- Implants of levonorgestrel inserted for at least 1 month prior to the study
- Injectable progestogen administered for at least 1 month prior to the study
- Oral contraceptive (combined or progestogen only) administered for a least one monthly cycle prior to study medication administration; or
- The contraceptive transdermal patch, such as norelgestromin / ethinyl estradiol transdermal system (if the subject is less than 89kg); or
- Double-barrier method - spermicide plus a mechanical barrier (e.g., spermicide plus a male condom or a spermicide and female diaphragm .
- Condom and occlusive cap (diaphragm or cervical/vault caps) with spermicidal foam/gel/film/cream/suppository; or
- An intrauterine device (IUD) or intrauterine system (IUS), inserted by a qualified physician,
- Subjects who are current non-smokers, who have not used any inhaled tobacco products (snuff is permitted) in the 12 month period preceding the screening visit and who have a pack history of less than 10 pack years.
Pack years = Number of cigarettes per day x Number of years smoked 20
- They exhibit a moderate response to up to 1500 grass pollen grains/m3 after 2 hours in the Vienna Challenge Chamber, which is defined as a nasal symptom score of at least 6. (Nasal symptom score is the sum of nasal obstruction, rhinorrhoea, nasal itch and sneeze, each of which are scored on a scale from 0 to 3)
- They have a positive skin prick test (wheal ³ 4mm) for grass pollen at or within the 12 months preceding the screening visit.
- They have a positive RAST (Radioallergosorbent Test) (³ class 2) for grass pollen at or within the 12 months preceding the screening visit.
- They have a TNSS score (Total Nasal Symptom Score)of less than 3 and a score of no more than 1 for any single symptom of the TNSS prior to the screening allergen challenge.
- There are no conditions or factors that would make the subject unlikely to be able to stay in the trial
- Able to provide written informed consent.
- The subject is able to understand and comply with the protocol requirements, instructions and protocol-stated restrictions.
- Demonstrated ability to use the intranasal device in a satisfactory and repeatable manner.
Exclusion Criteria
- As a result of medical interview, physical examination or screening investigations, the principle investigator or delegate physician deems the subject unsuitable for the study. Subjects must not have a systolic blood pressure above 150 mmHg or
Data sourced from ClinicalTrials.gov (NCT00848965). 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.