Clinical trial NCT01915823: Safety and Efficacy Trial of Dymista Nasal Spray in Children Ages 4 to 11 With Seasonal Allergic Rhinitis (SAR)
Official title: Randomized, Double-Blind Trial of the Safety and Efficacy of Dymista Nasal Spray Compared to Placebo Nasal Spray in the Treatment of Children Ages >4 Years to <12 Years With Seasonal Allergic Rhinitis
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: PHASE3
Conditions: Seasonal Allergic Rhinitis
Lead sponsor: Meda Pharmaceuticals
Sponsor class: INDUSTRY
First posted: 2013-08-05
Enrollment: 348
Sex: ALL
Minimum age (years): 4
Maximum age (years): 11
Standard ages: CHILD
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The purpose of this study is to determine if Dymista nasal spray is better and safer than placebo in treating children ages 4 to \<12 years old who have seasonal allergic rhinitis.


Eligibility criteria: Inclusion Criteria:

* Male and female subjects ages \>4 years to \<12 years of age, inclusive at the screening visit
* The parent/caregiver must provide written informed consent and the child must provide pediatric assent, if possible
* Willing and able to comply with the study requirements
* Have a history of seasonal allergic rhinitis (SAR) to pollen in the prevailing allergy season.
* The presence of immunoglobulin E (IgE)-mediated hypersensitivity to prevailing pollen, confirmed by a positive response to skin prick test. A histamine skin test must also be positive. A positive response for both the pollen skin test and the histamine skin test is defined as a wheal diameter of at least 4 mm larger than the negative saline control
* General good health and free of any disease or concomitant treatment that could interfere with the interpretation of the study results as determined by the investigator or the sponsor's medical officer
* On the first day of the placebo lead-in period (Visit 1) subjects must have a 12-hour reflective total nasal symptoms score (rTNSS )of ≥6 and a reflective congestion score of ≥2 to qualify for entry.

At Visit 2:

* Have taken at least 6 doses of the placebo lead-in medication during the placebo lead-in period
* At Visit 2, to be eligible for entry into the double-blind treatment period, subjects must have the total of the seven lead-in symptom assessments during the past 3 days of the lead-in period including the Day of Randomization (Visit 2, Day 1):

  * a 12-hour reflective TNSS ≥ 42
  * a 12-hour reflective congestion score of ≥14

Exclusion Criteria:

* On nasal examination, the presence of any superficial or moderate nasal mucosal erosion, nasal mucosal ulceration, or nasal septum perforation (Grade 1B - 4) at either the screening visit or randomization visit
* Nasal disease(s) likely to affect deposition of intranasal medication, such as acute or chronic sinusitis, rhinitis medicamentosa, clinically significant polyposis, or clinically significant nasal structural abnormalities.
* Nasal surgery or sinus surgery within the previous year.
* The use of any investigational drug within 30 days prior to signing the informed consent/pediatric assent at Visit 1. No investigational products are permitted for use during the conduct of this study
* Presence of any hypersensitivity to azelastine hydrochloride and/or fluticasone propionate or drugs similar to azelastine hydrochloride and/or fluticasone propionate
* Respiratory tract infections within 14 days prior to Visit1
* Significant pulmonary disease including asthma. Subjects with intermittent asthma who only require short-acting inhaled bronchodilators (not more often than twice per week) and who do not have nocturnal awakening as a result of asthma are eligible for enrollment
* Chronic obstructive sleep apnea syndrome (clinical diagnosis)
* Existence of any surgical or medical condition, which in the opinion of the investigator or sponsor's medical monitor, might significantly alter the absorption, distribution, metabolism, or excretion of study drug that might significantly affect the subject's ability to complete this trial
* Clinically relevant abnormal physical findings which, in the opinion of the investigator or sponsor's medical monitor, would interfere with the objectives of the study or that may preclude compliance with the study procedures
* Family members of the research center or private practice personnel who are directly involved in this study are excluded
* Members of the same household cannot be enrolled at the same time
* Subjects who have used medications or therapies that could interfere with safety and efficacy evaluations and have not had the proper washouts from these medications or therapies
* Any behavioral condition which could affect subject's ability to accurately report symptoms to the caregiver such as developmental delay, attention deficit disorder, and autism
* Positive pregnancy test in female subjects ≥ 9 years of age
* Females who are pregnant or nursing
* Females of childbearing potential who are not abstinent and not practicing a medically acceptable method of contraception
* Subjects who fail to complete the symptom diary during the lead-in period, defined as missing data for \>50% of entries
* Subjects receiving immunotherapy injections (antigen desensitization) must be on a stable maintenance regimen for at least 30 days before the first study visit (adjustments to regimens following a brief period of missed injections do not preclude participation). Dose reduction when a new bottle is used does not preclude participation.
* Planned travel outside of the pollen area during the study period

Primary outcomes:
measure: Primary Efficacy
timeFrame: 15 days of treatment
Secondary outcomes:
measure: Safety
timeFrame: entire length of study (day 1 to day 22)
Other outcomes:
measure: Pediatric Rhinoconjunctivitis Quality of Life Questionnaire (PRQLQ)
timeFrame: day 1 to day 15 of treatment
Locations:
city: Birmingham
country: United States
facility: Clinical Research Center of Alabama,LLC
state: Alabama
city: Little Rock
country: United States
facility: Little Rock Allergy and Asthma Clinical research Center
state: Alaska
city: Atlanta
country: United States
facility: Clinical Research Atlanta
state: Georgia
city: Savannah
country: United States
facility: Aeroallergy Research Laboratories of Savannah
state: Georgia
city: Stockbridge
country: United States
facility: Atlanta Allergy and Asthma Clinic
state: Georgia
city: Normal
country: United States
facility: Sneeze, Wheeze and Itch Associates
state: Illinois
city: Indianapolis
country: United States
facility: Clinical Research Institute of Indiana
state: Indiana
city: Louisville
country: United States
facility: Family Allergy and Asthma Reserach
state: Kentucky
city: Wheaton
country: United States
facility: Institute for Asthma and Allergy PC
state: Maryland
city: Ypsilanti
country: United States
facility: Respiratory Medicine Research Institute of Michigan
state: Michigan
city: Plymouth
country: United States
facility: Clinical Research Institute
state: Minnesota
city: St. Louis
country: United States
facility: The Clinical Research Center
state: Missouri
city: Warrensburg
country: United States
facility: Clinical Research of the Ozarks,Inc
state: Missouri
city: Mount Laurel
country: United States
facility: Allergy and Asthma Research NJ inc
state: New Jersey
city: Ocean
country: United States
facility: Atlantic Research Center
state: New Jersey
city: Skillman
country: United States
facility: Princeton Center for Clinical Research
state: New Jersey
city: Raleigh
country: United States
facility: North Carolina Clinical Research
state: North Carolina
city: Cincinnati
country: United States
facility: Bernstein Clinical Research Center
state: Ohio
city: Oklahoma City
country: United States
facility: Allergy, Asthma & Clinical Research Center
state: Oklahoma
city: Oklahoma City
country: United States
facility: Oklahoma Institute of Allergy and Asthma
state: Oklahoma
city: Blue Bell
country: United States
facility: Allergy and Asthma Specialist PC
state: Pennsylvania
city: Upland
country: United States
facility: Asthma and Allergy Research Associate
state: Pennsylvania
city: Charleston
country: United States
facility: National Allergy, Asthma and Urticaria of Charleston
state: South Carolina
city: Charleston
country: United States
facility: Allergy and Asthma Consultants, LLP
state: South Carolina
city: Ausitn
country: United States
facility: Isis Clinical Research, LLC
state: Texas
city: Austin
country: United States
facility: Sirius Clinical Research
state: Texas
city: New Braunfels
country: United States
facility: Central Texas Health Research
state: Texas
city: San Antonio
country: United States
facility: Sylvana Research Associates
state: Texas
city: San Antonio
country: United States
facility: Live Oak Allergy and Asthma Clinic
state: Texas
city: Waco
country: United States
facility: Allergy Asthma Research Institute
state: Texas
city: Waco
country: United States
facility: Immunology/allergy and asthma Care of Waco
state: Texas
Study officials:
References: