Study to Find Out How Long it Takes Azelastine Hydrochloride 0.15% Nasal Spray to Relieve Symptoms in Patients Suffering From Allergic Rhinitis

Last updated: March 10, 2022
Sponsor: Bayer
Overall Status: Completed

Phase

3

Condition

Acute Rhinitis

Common Cold

Allergy

Treatment

N/A

Clinical Study ID

NCT04264637
20877
  • Ages 18-65
  • All Genders
  • Accepts Healthy Volunteers

Study Summary

In this study researchers want to learn how quickly patients suffering from allergic rhinitis (also known as hay fever) can expect symptom relief after using Azelastine Hydrochloride 0.15% Nasal Spray.

This study plans to enrol about 80 male or female participants in the age of 18 to 65 years suffering from an allergic rhinitis to ragweed pollen for at least 2 years. In a first phase participants will be exposed to ragweed pollen in a special study room to ensure they will be adequately symptomatic when they progress into the treatment phase of the study. In a second phase study participants will be divided in 2 groups. After exposure to ragweed pollen one group will receive Azelastine Hydrochloride 0.15% Nasal Spray and the other group will receive placebo (a nasal spray which does not contain any active drug substance). In the third phase of study the treatment will be switched: participants who received in the previous study Azelastine Hydrochloride 0.15% Nasal Spray will receive the nasal spray without any active drug substance and the other group will receive Azelastine Hydrochloride 0.15% Nasal Spray. During the second and third study phase the researchers will examine thoroughly over 4 hours the change of nasal symptoms such as runny nose, itchy nose, sneezing and nasal congestion after participants received the nasal spray.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Healthy, ambulatory, male or female volunteers 18 to 65 years of age with selfreportedallergic rhinitis to ragweed pollen for at least 2 years prior.
  • Documented positive skin prick test response to common ragweed (ambrosiaartemisiifolia) pollen; prick with wheal ≥3 mm larger than the diluent response atscreening or within the previous 12 months done at the research site.
  • Subject is willing to abstain use of any decongestant and/or allergy medications (prescription and over-the-counter), smoking, wearing perfume and alcohol 24 hoursprior to the Qualification and Treatment Phases as instructed.
  • Subject is willing to stop use of current decongestant and allergy medications at thestart of the washout period prior to qualification and during the trial as instructed.
  • At the discretion of the investigator, subjects may be considered with self-reportedmild intermittent asthma (using ≤2 doses of SABA (short-acting beta agonists) perweek) or exercise-induced asthma.
  • Female subjects of childbearing potential must: a) be using a medically acceptableform of birth control for at least 1 month prior to screening (3 months on oralcontraceptives); b) abstain from sexual intercourse for at least 1 month prior toscreening; or c) participate exclusively in a same sex relationship for at least 1month prior to screening. In addition, female subjects of childbearing potential musthave a negative pregnancy test at Screening and prior to entering the EnvironmentalExposure Chamber (EEC). Female subjects of non-childbearing potential must beamenorrheic for at least two years or have undergone surgical sterilization (i.e.tubal ligation/occlusion, hysterectomy and/or bilateral oophorectomy).
  • At the end of the 4 hour Qualification Phase, the subject's Total Nasal Symptom Score (TNSS) via Electronic Patient Data Acquisition Tablet (ePDAT) must be ≥6 out of apossible of 12 at least twice, with at least one occurring during the last 2 timepoints to qualify to receive study intervention.
  • During Treatment Phases Treatment 1 (T1) and Treatment 2 (T2), subjects are exposed topollen in EEC for a two hour induction phase. At the end of the two hour symptominduction phase during T1 and T2, subjects meet a minimum threshold total nasalsymptom score (TNSS) response of ≥6 out of a possible of 12 at least twice, with atleast one occurring during the last 2 time points to qualify to receive studyintervention.

Exclusion

Exclusion Criteria:

  • Any significant medical condition which, in the judgment of the investigator, is acontraindication to the use of intranasal azelastine hydrochloride (HCl), or mightinterfere with the trial.
  • Subjects with a pre-EEC TNSS ˃3 at T1.
  • Subjects with a known allergy to azelastine HCl or any of its inactive ingredients, orwith a known contraindication to the use of epinephrine.
  • Subjects with a known history of non-allergic rhinitis.
  • Subjects with a suspected or known history of anaphylaxis to ragweed allergen.
  • Subjects with a suspected or known history of rhinitis medicamentosa.
  • In the judgment of the investigator, any respiratory illness or active local infection (e.g., sinusitis) prior to the Qualification Phase that can interfere with the conductof the study.
  • Subjects with a known history of coronary heart disease, ischemic heart disease , highblood pressure, symptomatic prostatic hypertrophy, hepatic insufficienHas a history ofimmunological disease or malignancy within the past 5 years, with the exception ofnon-melanoma skin cancer or renal disease.
  • Evidence or history of clinically significant (in the judgment of the investigator)hematological, renal, endocrine, pulmonary, gastrointestinal, cardiovascular (including hypertension), hepatic, psychiatric, neurologic diseases, or malignancieswithin the last 5 years.
  • Self-reported medical history of tuberculosis, hepatitis or human immunodeficiencyvirus (HIV).
  • Alcoholism or drug abuse within 2 years prior to the Screening Visit or routineconsumption of 3 or more alcohol containing beverages per day; Alcohol containingbeverages are defined as one beer (5%), one glass of wine (11%) and one shot (40%)hard liquor.
  • Self-reported current heavy smokers (>1 pack/25 cigarettes per day).

Study Design

Total Participants: 110
Study Start date:
February 03, 2020
Estimated Completion Date:
March 17, 2021

Connect with a study center

  • Cliantha Research

    Mississauga, Ontario L4W 1A4
    Canada

    Site Not Available

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