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A Study to Compare the Efficacy of Levocetirizine to Placebo in Reducing Symptoms of Seasonal Allergic Rhinitis (SAR) in Sensitive Subjects Exposed to Ragweed Pollen

Double Blind, Double-dummy, Five Parallel Groups, Randomized, Exploratory Clinical Trial to Compare the Efficacy of Single Dose of Levocetirizine 2.5 mg Oral Drops (5 mg/mL), Levocetirizine 5 mg Oral Tablets, Cetirizine 5 mg Oral Drops (10 mg/mL) and Cetirizine 10 mg Oral Tablets to Placebo in Reducing Symptoms of Seasonal Allergic Rhinitis (SAR) in Ragweed Sensitive Subjects Exposed to Ragweed Pollen in an Environmental Exposure Unit (EEU)

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00291642
Enrollment
551
Registered
2006-02-14
Start date
2006-01-01
Completion date
2006-04-01
Last updated
2018-09-11

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Allergic, Rhinitis, Seasonal

Keywords

Levocetirizine, Xyzal, Rhinitis, Allergic, Seasonal, Ragweed

Brief summary

The purpose of the study is to assess the efficacy comparability of cetirizine and levocetirizine, by comparing the effects of single intake of the two drugs to placebo in reducing symptoms of seasonal allergic rhinitis (SAR) in ragweed sensitive adult subjects exposed to ragweed pollen in an Environmental Exposure Unit.

Interventions

* Pharmaceutical form: Drops for oral administration * Route of administration: Oral use

DRUGPlacebo tablets matching to levocetirizine

* Pharmaceutical form: Tablets for oral administration * Route of administration: Oral use

DRUGPlacebo tablets matching to cetirizine

* Pharmaceutical form: Tablets for oral administration * Route of administration: Oral use

DRUGLevocetirizine drops

* Pharmaceutical form: Drops for oral administration * Concentration: 5 mg/ml * Route of administration: Oral use

DRUGLevocetirizine tablets

* Pharmaceutical form: Tablets for oral administration * Concentration: 5 mg * Route of administration: Oral use

DRUGCetirizine drops

* Pharmaceutical form: Drops for oral administration * Concentration: 10 mg/ml * Route of administration: Oral use

DRUGCetirizine tablets

* Pharmaceutical form: Tablets for oral administration * Concentration: 10 mg * Route of administration: Oral use

Sponsors

UCB Pharma
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
16 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Female subject of non-childbearing potential or of childbearing potential agreeing not to become pregnant during the study. * Have had seasonal allergic rhinitis due to Ragweed for the last 2 consecutive years * Subjects who obtain a minimum sum considering SAR related symptoms (mean value) as defined by protocol

Exclusion criteria

* Any clinically significant condition that might interfere with the treatment evaluation, both for efficacy and safety * Have used forbidden concomitant medications as defined by the protocol

Design outcomes

Primary

MeasureTime frameDescription
Change From Baseline in the Major Symptom Complex (MSC) Score Over Period IBaseline, Treatment Period 1 [Day 1, from drug intake (at 11:00 am) to 5 hours post-treatment (at 4:00 pm)]Six individual symptoms which are most dominant in the rhinitis symptom profile will be combined to form the MSC severity score: Runny nose (right and left), itchy nose (right and left), sniffles, nose blows, sneezes, watery eyes. Each individual symptom, except nose blows and sneezes, is rated on a 5-point scale of severity: 0 = None, 1 = a little, 2 = Moderate, 3 = Quite a bit, 4 = severe, 5 = very severe. For nose blows and sneezes, the subjects had to record the number of each symptom since last evaluation. This number corresponds to a score ranging from 0 to 8. The total MSC score ranges from 0 - 36. Increasing scores are associated with increasing severity. Negative values indicate improvement from Baseline.

Secondary

MeasureTime frameDescription
Change From Baseline in the MSC Score Over the Total Treatment Period (Period I + Period II)Baseline to Day 2Six individual symptoms which are most dominant in the rhinitis symptom profile will be combined to form the MSC severity score: Runny nose (right and left), itchy nose (right and left), sniffles, nose blows, sneezes, watery eyes. Each individual symptom, except nose blows and sneezes, is rated on a 5-point scale of severity: 0 = None, 1 = a little, 2 = Moderate, 3 = Quite a bit, 4 = severe, 5 = very severe. For nose blows and sneezes, the subjects had to record the number of each symptom since last evaluation. This number corresponds to a score ranging from 0 to 8. The total MSC score ranges from 0 - 36. Increasing scores are associated with increasing severity. Negative values indicate improvement from Baseline.
Change From Baseline in the Total Symptom Complex (TSC) Score Over Period IBaseline, Treatment Period I [Day 1, from drug intake (at 11:00 am) to 5 hours post-treatment (at 4:00 pm)]The TSC score was calculated as the sum of the following 10 individual symptom scores: runny nose (left and right), itchy nose (left and right), sniffles, nose blows, sneezes, watery eyes, itchy eyes and ears, itchy throat, cough and postnasal drip. Each individual symptom, except nose blows and sneezes, is rated on a 5-point scale of severity: 0 = None, 1 = a little, 2 = Moderate, 3 = Quite a bit, 4 = severe, 5 = very severe. For nose blows and sneezes, the subjects had to record the number of each symptom since last evaluation. This number corresponds to a score ranging from 0 to 8. The TSC score ranges from 0 to 56. Increasing scores are associated with increasing severity. Negative values indicate improvement from Baseline.
Change From Baseline in the Total Symptom Complex (TSC) Score Over Period IIBaseline, Treatment Period II [Day 2, (8:30 am to 12:00 pm)]The TSC score was calculated as the sum of the following 10 individual symptom scores: runny nose (left and right), itchy nose (left and right), sniffles, nose blows, sneezes, watery eyes, itchy eyes and ears, itchy throat, cough and postnasal drip. Each individual symptom, except nose blows and sneezes, is rated on a 5-point scale of severity: 0 = None, 1 = a little, 2 = Moderate, 3 = Quite a bit, 4 = severe, 5 = very severe. For nose blows and sneezes, the subjects had to record the number of each symptom since last evaluation. This number corresponds to a score ranging from 0 to 8. The TSC score ranges from 0 to 56. Increasing scores are associated with increasing severity. Negative values indicate improvement from Baseline.
Change From Baseline in the MSC Score Over Period IIBaseline, Treatment Period II [Day 2, (8:30 am to 12:00 pm)]Six individual symptoms which are most dominant in the rhinitis symptom profile will be combined to form the MSC severity score: Runny nose (right and left), itchy nose (right and left), sniffles, nose blows, sneezes, watery eyes. Each individual symptom, except nose blows and sneezes, is rated on a 5-point scale of severity: 0 = None, 1 = a little, 2 = Moderate, 3 = Quite a bit, 4 = severe, 5 = very severe. For nose blows and sneezes, the subjects had to record the number of each symptom since last evaluation. This number corresponds to a score ranging from 0 to 8. The total MSC score ranges from 0 - 36. Increasing scores are associated with increasing severity. Negative values indicate improvement from Baseline.
Change From Baseline in the Individual Symptom Scores Over Period IBaseline, Treatment Period 1 [Day 1, from drug intake (at 11:00 am) to 5 hours post-treatment (at 4:00 pm)]Individual symptom scores include Runny Nose Score, Itchy Nose Score, Sniffles Score, Watery Eyes Score, Sneezes Score, Nose Blows Score. The subjects had to evaluate the severity of the symptoms using a scale from None to Very severe (ranging from 0 to 5). For Sneezes Score and Nose Blows Score, the subjects had to record the number of each symptom since last evaluation. This number corresponds to a score ranging from 0 to 8. Increasing scores are associated with increasing severity. Negative values indicate improvement from Baseline.
Change From Baseline in the Individual Symptom Scores Over Period IIBaseline, Treatment Period II [Day 2, (8:30 am to 12:00 pm)]Individual symptom scores include Runny Nose Score, Itchy Nose Score, Sniffles Score, Watery Eyes Score, Sneezes Score, Nose Blows Score. The subjects had to evaluate the severity of the symptoms using a scale from None to Very severe (ranging from 0 to 5). For Sneezes Score and Nose Blows Score, the subjects had to record the number of each symptom since last evaluation. This number corresponds to a score ranging from 0 to 8. Increasing scores are associated with increasing severity. Negative values indicate improvement from Baseline.
Change From Baseline in the Individual Symptom Scores Over the Total Treatment Period (Period I + Period II)Baseline to Day 2Individual symptom scores include Runny Nose Score, Itchy Nose Score, Sniffles Score, Watery Eyes Score, Sneezes Score, Nose Blows Score. The subjects had to evaluate the severity of the symptoms using a scale from None to Very severe (ranging from 0 to 5). For Sneezes Score and Nose Blows Score, the subjects had to record the number of each symptom since last evaluation. This number corresponds to a score ranging from 0 to 8. Increasing scores are associated with increasing severity. Negative values indicate improvement from Baseline.
Change From Baseline in the Total Symptom Complex (TSC) Score Over the Total Treatment Period (Period I + Period II)Baseline to Day 2The TSC score was calculated as the sum of the following 10 individual symptom scores: runny nose (left and right), itchy nose (left and right), sniffles, nose blows, sneezes, watery eyes, itchy eyes and ears, itchy throat, cough and postnasal drip. Each individual symptom, except nose blows and sneezes, is rated on a 5-point scale of severity: 0 = None, 1 = a little, 2 = Moderate, 3 = Quite a bit, 4 = severe, 5 = very severe. For nose blows and sneezes, the subjects had to record the number of each symptom since last evaluation. This number corresponds to a score ranging from 0 to 8. The TSC score ranges from 0 to 56. Increasing scores are associated with increasing severity. Negative values indicate improvement from Baseline.

Countries

Canada

Participant flow

Recruitment details

Participant Flow refers to the Randomized Set.

Participants by arm

ArmCount
Placebo (PBO)
A single dose of placebo was administered orally on Day 1.
78
Levocetirizine (LCTZ) 2.5 mg
A single dose of 2.5 mg of LCTZ oral drops was administered orally on Day 1.
116
Levocetirizine (LCTZ) 5 mg
A single dose of 5 mg of LCTZ oral tablet was administered orally on Day 1.
119
Cetirizine (CTZ) 5 mg
A single dose of 5 mg of CTZ oral drops was administered orally on Day 1.
119
Cetirizine (CTZ) 10 mg
A single dose of 10 mg of CTZ oral tablet was administered orally on Day 1.
119
Total Title551
Total1,102

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004
Overall StudyAdverse Event10101
Overall StudyIntake of prohibited medication10000
Overall StudyPatient missed visit00100

Baseline characteristics

CharacteristicPlacebo (PBO)Levocetirizine (LCTZ) 2.5 mgLevocetirizine (LCTZ) 5 mgCetirizine (CTZ) 5 mgCetirizine (CTZ) 10 mgTotal Title
Age, Categorical
<=18 years
1 Participants2 Participants2 Participants6 Participants4 Participants15 Participants
Age, Categorical
>=65 years
1 Participants1 Participants3 Participants0 Participants1 Participants6 Participants
Age, Categorical
Between 18 and 65 years
76 Participants113 Participants114 Participants113 Participants114 Participants530 Participants
Age, Continuous33.71 years
STANDARD_DEVIATION 12.46
33.45 years
STANDARD_DEVIATION 11.28
34.36 years
STANDARD_DEVIATION 12.84
32.91 years
STANDARD_DEVIATION 11.3
34.33 years
STANDARD_DEVIATION 11.65
33.76 years
STANDARD_DEVIATION 11.86
Sex: Female, Male
Female
42 Participants65 Participants68 Participants65 Participants72 Participants312 Participants
Sex: Female, Male
Male
36 Participants51 Participants51 Participants54 Participants47 Participants239 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
deaths
Total, all-cause mortality
0 / 780 / 1160 / 1190 / 1190 / 119
other
Total, other adverse events
5 / 7810 / 1169 / 11913 / 1197 / 119
serious
Total, serious adverse events
0 / 780 / 1160 / 1190 / 1190 / 119

Outcome results

Primary

Change From Baseline in the Major Symptom Complex (MSC) Score Over Period I

Six individual symptoms which are most dominant in the rhinitis symptom profile will be combined to form the MSC severity score: Runny nose (right and left), itchy nose (right and left), sniffles, nose blows, sneezes, watery eyes. Each individual symptom, except nose blows and sneezes, is rated on a 5-point scale of severity: 0 = None, 1 = a little, 2 = Moderate, 3 = Quite a bit, 4 = severe, 5 = very severe. For nose blows and sneezes, the subjects had to record the number of each symptom since last evaluation. This number corresponds to a score ranging from 0 to 8. The total MSC score ranges from 0 - 36. Increasing scores are associated with increasing severity. Negative values indicate improvement from Baseline.

Time frame: Baseline, Treatment Period 1 [Day 1, from drug intake (at 11:00 am) to 5 hours post-treatment (at 4:00 pm)]

Population: Only patients with valid MSC scores in Period I were included in the analysis.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Placebo (PBO)Change From Baseline in the Major Symptom Complex (MSC) Score Over Period I-3.80 units on a scaleStandard Error 0.495
Levocetirizine (LCTZ) 2.5 mgChange From Baseline in the Major Symptom Complex (MSC) Score Over Period I-7.15 units on a scaleStandard Error 0.406
Levocetirizine (LCTZ) 5 mgChange From Baseline in the Major Symptom Complex (MSC) Score Over Period I-7.05 units on a scaleStandard Error 0.401
Cetirizine (CTZ) 5 mgChange From Baseline in the Major Symptom Complex (MSC) Score Over Period I-7.93 units on a scaleStandard Error 0.401
Cetirizine (CTZ) 10 mgChange From Baseline in the Major Symptom Complex (MSC) Score Over Period I-7.54 units on a scaleStandard Error 0.401
p-value: <0.00195% CI: [-4.61, -2.09]ANCOVA
p-value: <0.00195% CI: [-4.5, -2]ANCOVA
p-value: <0.00195% CI: [-5.38, -2.88]ANCOVA
p-value: <0.00195% CI: [-4.99, -2.49]ANCOVA
Secondary

Change From Baseline in the Individual Symptom Scores Over Period I

Individual symptom scores include Runny Nose Score, Itchy Nose Score, Sniffles Score, Watery Eyes Score, Sneezes Score, Nose Blows Score. The subjects had to evaluate the severity of the symptoms using a scale from None to Very severe (ranging from 0 to 5). For Sneezes Score and Nose Blows Score, the subjects had to record the number of each symptom since last evaluation. This number corresponds to a score ranging from 0 to 8. Increasing scores are associated with increasing severity. Negative values indicate improvement from Baseline.

Time frame: Baseline, Treatment Period 1 [Day 1, from drug intake (at 11:00 am) to 5 hours post-treatment (at 4:00 pm)]

Population: Only subjects with valid individual symptom scores in Period I were included in the analysis.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Placebo (PBO)Change From Baseline in the Individual Symptom Scores Over Period ISneezes Score-0.37 units on a scaleStandard Error 0.103
Placebo (PBO)Change From Baseline in the Individual Symptom Scores Over Period ISniffles Score-0.65 units on a scaleStandard Error 0.1
Placebo (PBO)Change From Baseline in the Individual Symptom Scores Over Period IItchy Nose Score-0.66 units on a scaleStandard Error 0.099
Placebo (PBO)Change From Baseline in the Individual Symptom Scores Over Period INose Blow Score-0.98 units on a scaleStandard Error 0.129
Placebo (PBO)Change From Baseline in the Individual Symptom Scores Over Period IRunny Nose Score-0.60 units on a scaleStandard Error 0.095
Placebo (PBO)Change From Baseline in the Individual Symptom Scores Over Period IWatery Eyes Score-0.56 units on a scaleStandard Error 0.09
Levocetirizine (LCTZ) 2.5 mgChange From Baseline in the Individual Symptom Scores Over Period IWatery Eyes Score-0.94 units on a scaleStandard Error 0.074
Levocetirizine (LCTZ) 2.5 mgChange From Baseline in the Individual Symptom Scores Over Period IRunny Nose Score-1.01 units on a scaleStandard Error 0.078
Levocetirizine (LCTZ) 2.5 mgChange From Baseline in the Individual Symptom Scores Over Period ISneezes Score-1.15 units on a scaleStandard Error 0.084
Levocetirizine (LCTZ) 2.5 mgChange From Baseline in the Individual Symptom Scores Over Period ISniffles Score-1.15 units on a scaleStandard Error 0.082
Levocetirizine (LCTZ) 2.5 mgChange From Baseline in the Individual Symptom Scores Over Period IItchy Nose Score-1.03 units on a scaleStandard Error 0.082
Levocetirizine (LCTZ) 2.5 mgChange From Baseline in the Individual Symptom Scores Over Period INose Blow Score-1.87 units on a scaleStandard Error 0.106
Levocetirizine (LCTZ) 5 mgChange From Baseline in the Individual Symptom Scores Over Period ISniffles Score-1.06 units on a scaleStandard Error 0.081
Levocetirizine (LCTZ) 5 mgChange From Baseline in the Individual Symptom Scores Over Period ISneezes Score-1.07 units on a scaleStandard Error 0.083
Levocetirizine (LCTZ) 5 mgChange From Baseline in the Individual Symptom Scores Over Period IRunny Nose Score-0.95 units on a scaleStandard Error 0.077
Levocetirizine (LCTZ) 5 mgChange From Baseline in the Individual Symptom Scores Over Period IItchy Nose Score-1.09 units on a scaleStandard Error 0.081
Levocetirizine (LCTZ) 5 mgChange From Baseline in the Individual Symptom Scores Over Period INose Blow Score-1.82 units on a scaleStandard Error 0.105
Levocetirizine (LCTZ) 5 mgChange From Baseline in the Individual Symptom Scores Over Period IWatery Eyes Score-1.08 units on a scaleStandard Error 0.073
Cetirizine (CTZ) 5 mgChange From Baseline in the Individual Symptom Scores Over Period IWatery Eyes Score-1.13 units on a scaleStandard Error 0.073
Cetirizine (CTZ) 5 mgChange From Baseline in the Individual Symptom Scores Over Period ISniffles Score-1.24 units on a scaleStandard Error 0.081
Cetirizine (CTZ) 5 mgChange From Baseline in the Individual Symptom Scores Over Period INose Blow Score-1.92 units on a scaleStandard Error 0.105
Cetirizine (CTZ) 5 mgChange From Baseline in the Individual Symptom Scores Over Period IRunny Nose Score-1.17 units on a scaleStandard Error 0.077
Cetirizine (CTZ) 5 mgChange From Baseline in the Individual Symptom Scores Over Period IItchy Nose Score-1.28 units on a scaleStandard Error 0.081
Cetirizine (CTZ) 5 mgChange From Baseline in the Individual Symptom Scores Over Period ISneezes Score-1.22 units on a scaleStandard Error 0.083
Cetirizine (CTZ) 10 mgChange From Baseline in the Individual Symptom Scores Over Period ISniffles Score-1.10 units on a scaleStandard Error 0.081
Cetirizine (CTZ) 10 mgChange From Baseline in the Individual Symptom Scores Over Period ISneezes Score-1.23 units on a scaleStandard Error 0.083
Cetirizine (CTZ) 10 mgChange From Baseline in the Individual Symptom Scores Over Period IWatery Eyes Score-1.07 units on a scaleStandard Error 0.073
Cetirizine (CTZ) 10 mgChange From Baseline in the Individual Symptom Scores Over Period IRunny Nose Score-1.04 units on a scaleStandard Error 0.077
Cetirizine (CTZ) 10 mgChange From Baseline in the Individual Symptom Scores Over Period IItchy Nose Score-1.10 units on a scaleStandard Error 0.081
Cetirizine (CTZ) 10 mgChange From Baseline in the Individual Symptom Scores Over Period INose Blow Score-1.96 units on a scaleStandard Error 0.105
Secondary

Change From Baseline in the Individual Symptom Scores Over Period II

Individual symptom scores include Runny Nose Score, Itchy Nose Score, Sniffles Score, Watery Eyes Score, Sneezes Score, Nose Blows Score. The subjects had to evaluate the severity of the symptoms using a scale from None to Very severe (ranging from 0 to 5). For Sneezes Score and Nose Blows Score, the subjects had to record the number of each symptom since last evaluation. This number corresponds to a score ranging from 0 to 8. Increasing scores are associated with increasing severity. Negative values indicate improvement from Baseline.

Time frame: Baseline, Treatment Period II [Day 2, (8:30 am to 12:00 pm)]

Population: Only subjects with valid individual symptom scores in Period II were included in the analysis.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Placebo (PBO)Change From Baseline in the Individual Symptom Scores Over Period IIItchy Nose Score-0.57 units on a scaleStandard Error 0.12
Placebo (PBO)Change From Baseline in the Individual Symptom Scores Over Period IIWatery Eyes Score-0.30 units on a scaleStandard Error 0.119
Placebo (PBO)Change From Baseline in the Individual Symptom Scores Over Period IISniffles Score-0.58 units on a scaleStandard Error 0.127
Placebo (PBO)Change From Baseline in the Individual Symptom Scores Over Period IINose Blow Score-1.00 units on a scaleStandard Error 0.162
Placebo (PBO)Change From Baseline in the Individual Symptom Scores Over Period IIRunny Nose Score-0.62 units on a scaleStandard Error 0.122
Placebo (PBO)Change From Baseline in the Individual Symptom Scores Over Period IISneezes Score-0.48 units on a scaleStandard Error 0.112
Levocetirizine (LCTZ) 2.5 mgChange From Baseline in the Individual Symptom Scores Over Period IISniffles Score-0.91 units on a scaleStandard Error 0.103
Levocetirizine (LCTZ) 2.5 mgChange From Baseline in the Individual Symptom Scores Over Period IIWatery Eyes Score-0.78 units on a scaleStandard Error 0.097
Levocetirizine (LCTZ) 2.5 mgChange From Baseline in the Individual Symptom Scores Over Period IIItchy Nose Score-1.00 units on a scaleStandard Error 0.097
Levocetirizine (LCTZ) 2.5 mgChange From Baseline in the Individual Symptom Scores Over Period IIRunny Nose Score-0.86 units on a scaleStandard Error 0.098
Levocetirizine (LCTZ) 2.5 mgChange From Baseline in the Individual Symptom Scores Over Period IINose Blow Score-1.61 units on a scaleStandard Error 0.131
Levocetirizine (LCTZ) 2.5 mgChange From Baseline in the Individual Symptom Scores Over Period IISneezes Score-1.18 units on a scaleStandard Error 0.091
Levocetirizine (LCTZ) 5 mgChange From Baseline in the Individual Symptom Scores Over Period IIItchy Nose Score-1.11 units on a scaleStandard Error 0.097
Levocetirizine (LCTZ) 5 mgChange From Baseline in the Individual Symptom Scores Over Period IISniffles Score-0.96 units on a scaleStandard Error 0.102
Levocetirizine (LCTZ) 5 mgChange From Baseline in the Individual Symptom Scores Over Period IIRunny Nose Score-0.94 units on a scaleStandard Error 0.098
Levocetirizine (LCTZ) 5 mgChange From Baseline in the Individual Symptom Scores Over Period IIWatery Eyes Score-0.91 units on a scaleStandard Error 0.096
Levocetirizine (LCTZ) 5 mgChange From Baseline in the Individual Symptom Scores Over Period IISneezes Score-1.33 units on a scaleStandard Error 0.09
Levocetirizine (LCTZ) 5 mgChange From Baseline in the Individual Symptom Scores Over Period IINose Blow Score-1.84 units on a scaleStandard Error 0.131
Cetirizine (CTZ) 5 mgChange From Baseline in the Individual Symptom Scores Over Period IIWatery Eyes Score-0.83 units on a scaleStandard Error 0.096
Cetirizine (CTZ) 5 mgChange From Baseline in the Individual Symptom Scores Over Period IINose Blow Score-1.78 units on a scaleStandard Error 0.13
Cetirizine (CTZ) 5 mgChange From Baseline in the Individual Symptom Scores Over Period IISniffles Score-0.90 units on a scaleStandard Error 0.101
Cetirizine (CTZ) 5 mgChange From Baseline in the Individual Symptom Scores Over Period IIRunny Nose Score-0.95 units on a scaleStandard Error 0.097
Cetirizine (CTZ) 5 mgChange From Baseline in the Individual Symptom Scores Over Period IIItchy Nose Score-1.13 units on a scaleStandard Error 0.096
Cetirizine (CTZ) 5 mgChange From Baseline in the Individual Symptom Scores Over Period IISneezes Score-1.19 units on a scaleStandard Error 0.089
Cetirizine (CTZ) 10 mgChange From Baseline in the Individual Symptom Scores Over Period IIWatery Eyes Score-0.93 units on a scaleStandard Error 0.096
Cetirizine (CTZ) 10 mgChange From Baseline in the Individual Symptom Scores Over Period IIRunny Nose Score-1.10 units on a scaleStandard Error 0.098
Cetirizine (CTZ) 10 mgChange From Baseline in the Individual Symptom Scores Over Period IIItchy Nose Score-1.24 units on a scaleStandard Error 0.096
Cetirizine (CTZ) 10 mgChange From Baseline in the Individual Symptom Scores Over Period IISniffles Score-1.21 units on a scaleStandard Error 0.102
Cetirizine (CTZ) 10 mgChange From Baseline in the Individual Symptom Scores Over Period IINose Blow Score-2.02 units on a scaleStandard Error 0.13
Cetirizine (CTZ) 10 mgChange From Baseline in the Individual Symptom Scores Over Period IISneezes Score-1.38 units on a scaleStandard Error 0.09
Secondary

Change From Baseline in the Individual Symptom Scores Over the Total Treatment Period (Period I + Period II)

Individual symptom scores include Runny Nose Score, Itchy Nose Score, Sniffles Score, Watery Eyes Score, Sneezes Score, Nose Blows Score. The subjects had to evaluate the severity of the symptoms using a scale from None to Very severe (ranging from 0 to 5). For Sneezes Score and Nose Blows Score, the subjects had to record the number of each symptom since last evaluation. This number corresponds to a score ranging from 0 to 8. Increasing scores are associated with increasing severity. Negative values indicate improvement from Baseline.

Time frame: Baseline to Day 2

Population: Only subjects with valid individual symptom scores in Period I and II were included in the analysis.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Placebo (PBO)Change From Baseline in the Individual Symptom Scores Over the Total Treatment Period (Period I + Period II)Itchy Nose Score-0.61 units on a scaleStandard Error 0.097
Placebo (PBO)Change From Baseline in the Individual Symptom Scores Over the Total Treatment Period (Period I + Period II)Watery Eyes Score-0.44 units on a scaleStandard Error 0.089
Placebo (PBO)Change From Baseline in the Individual Symptom Scores Over the Total Treatment Period (Period I + Period II)Runny Nose Score-0.59 units on a scaleStandard Error 0.093
Placebo (PBO)Change From Baseline in the Individual Symptom Scores Over the Total Treatment Period (Period I + Period II)Sneezes Score-0.41 units on a scaleStandard Error 0.09
Placebo (PBO)Change From Baseline in the Individual Symptom Scores Over the Total Treatment Period (Period I + Period II)Nose Blow Score-0.98 units on a scaleStandard Error 0.124
Placebo (PBO)Change From Baseline in the Individual Symptom Scores Over the Total Treatment Period (Period I + Period II)Sniffles Score-0.60 units on a scaleStandard Error 0.098
Levocetirizine (LCTZ) 2.5 mgChange From Baseline in the Individual Symptom Scores Over the Total Treatment Period (Period I + Period II)Sneezes Score-1.17 units on a scaleStandard Error 0.074
Levocetirizine (LCTZ) 2.5 mgChange From Baseline in the Individual Symptom Scores Over the Total Treatment Period (Period I + Period II)Watery Eyes Score-0.87 units on a scaleStandard Error 0.073
Levocetirizine (LCTZ) 2.5 mgChange From Baseline in the Individual Symptom Scores Over the Total Treatment Period (Period I + Period II)Itchy Nose Score-1.02 units on a scaleStandard Error 0.08
Levocetirizine (LCTZ) 2.5 mgChange From Baseline in the Individual Symptom Scores Over the Total Treatment Period (Period I + Period II)Sniffles Score-1.05 units on a scaleStandard Error 0.08
Levocetirizine (LCTZ) 2.5 mgChange From Baseline in the Individual Symptom Scores Over the Total Treatment Period (Period I + Period II)Runny Nose Score-0.94 units on a scaleStandard Error 0.076
Levocetirizine (LCTZ) 2.5 mgChange From Baseline in the Individual Symptom Scores Over the Total Treatment Period (Period I + Period II)Nose Blow Score-1.75 units on a scaleStandard Error 0.102
Levocetirizine (LCTZ) 5 mgChange From Baseline in the Individual Symptom Scores Over the Total Treatment Period (Period I + Period II)Watery Eyes Score-1.01 units on a scaleStandard Error 0.072
Levocetirizine (LCTZ) 5 mgChange From Baseline in the Individual Symptom Scores Over the Total Treatment Period (Period I + Period II)Sniffles Score-1.02 units on a scaleStandard Error 0.079
Levocetirizine (LCTZ) 5 mgChange From Baseline in the Individual Symptom Scores Over the Total Treatment Period (Period I + Period II)Sneezes Score-1.19 units on a scaleStandard Error 0.073
Levocetirizine (LCTZ) 5 mgChange From Baseline in the Individual Symptom Scores Over the Total Treatment Period (Period I + Period II)Nose Blow Score-1.83 units on a scaleStandard Error 0.1
Levocetirizine (LCTZ) 5 mgChange From Baseline in the Individual Symptom Scores Over the Total Treatment Period (Period I + Period II)Runny Nose Score-0.95 units on a scaleStandard Error 0.075
Levocetirizine (LCTZ) 5 mgChange From Baseline in the Individual Symptom Scores Over the Total Treatment Period (Period I + Period II)Itchy Nose Score-1.10 units on a scaleStandard Error 0.079
Cetirizine (CTZ) 5 mgChange From Baseline in the Individual Symptom Scores Over the Total Treatment Period (Period I + Period II)Itchy Nose Score-1.21 units on a scaleStandard Error 0.079
Cetirizine (CTZ) 5 mgChange From Baseline in the Individual Symptom Scores Over the Total Treatment Period (Period I + Period II)Nose Blow Score-1.86 units on a scaleStandard Error 0.101
Cetirizine (CTZ) 5 mgChange From Baseline in the Individual Symptom Scores Over the Total Treatment Period (Period I + Period II)Sniffles Score-1.09 units on a scaleStandard Error 0.079
Cetirizine (CTZ) 5 mgChange From Baseline in the Individual Symptom Scores Over the Total Treatment Period (Period I + Period II)Runny Nose Score-1.07 units on a scaleStandard Error 0.075
Cetirizine (CTZ) 5 mgChange From Baseline in the Individual Symptom Scores Over the Total Treatment Period (Period I + Period II)Watery Eyes Score-1.00 units on a scaleStandard Error 0.073
Cetirizine (CTZ) 5 mgChange From Baseline in the Individual Symptom Scores Over the Total Treatment Period (Period I + Period II)Sneezes Score-1.21 units on a scaleStandard Error 0.073
Cetirizine (CTZ) 10 mgChange From Baseline in the Individual Symptom Scores Over the Total Treatment Period (Period I + Period II)Watery Eyes Score-1.01 units on a scaleStandard Error 0.072
Cetirizine (CTZ) 10 mgChange From Baseline in the Individual Symptom Scores Over the Total Treatment Period (Period I + Period II)Runny Nose Score-1.06 units on a scaleStandard Error 0.075
Cetirizine (CTZ) 10 mgChange From Baseline in the Individual Symptom Scores Over the Total Treatment Period (Period I + Period II)Itchy Nose Score-1.16 units on a scaleStandard Error 0.079
Cetirizine (CTZ) 10 mgChange From Baseline in the Individual Symptom Scores Over the Total Treatment Period (Period I + Period II)Sniffles Score-1.15 units on a scaleStandard Error 0.079
Cetirizine (CTZ) 10 mgChange From Baseline in the Individual Symptom Scores Over the Total Treatment Period (Period I + Period II)Nose Blow Score-1.99 units on a scaleStandard Error 0.1
Cetirizine (CTZ) 10 mgChange From Baseline in the Individual Symptom Scores Over the Total Treatment Period (Period I + Period II)Sneezes Score-1.31 units on a scaleStandard Error 0.073
Secondary

Change From Baseline in the MSC Score Over Period II

Six individual symptoms which are most dominant in the rhinitis symptom profile will be combined to form the MSC severity score: Runny nose (right and left), itchy nose (right and left), sniffles, nose blows, sneezes, watery eyes. Each individual symptom, except nose blows and sneezes, is rated on a 5-point scale of severity: 0 = None, 1 = a little, 2 = Moderate, 3 = Quite a bit, 4 = severe, 5 = very severe. For nose blows and sneezes, the subjects had to record the number of each symptom since last evaluation. This number corresponds to a score ranging from 0 to 8. The total MSC score ranges from 0 - 36. Increasing scores are associated with increasing severity. Negative values indicate improvement from Baseline.

Time frame: Baseline, Treatment Period II [Day 2, (8:30 am to 12:00 pm)]

Population: Only patients with valid MSC scores in Period II were included in the analysis.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Placebo (PBO)Change From Baseline in the MSC Score Over Period II-3.50 units on a scaleStandard Error 0.604
Levocetirizine (LCTZ) 2.5 mgChange From Baseline in the MSC Score Over Period II-6.35 units on a scaleStandard Error 0.489
Levocetirizine (LCTZ) 5 mgChange From Baseline in the MSC Score Over Period II-7.07 units on a scaleStandard Error 0.487
Cetirizine (CTZ) 5 mgChange From Baseline in the MSC Score Over Period II-6.78 units on a scaleStandard Error 0.483
Cetirizine (CTZ) 10 mgChange From Baseline in the MSC Score Over Period II-7.92 units on a scaleStandard Error 0.485
Secondary

Change From Baseline in the MSC Score Over the Total Treatment Period (Period I + Period II)

Six individual symptoms which are most dominant in the rhinitis symptom profile will be combined to form the MSC severity score: Runny nose (right and left), itchy nose (right and left), sniffles, nose blows, sneezes, watery eyes. Each individual symptom, except nose blows and sneezes, is rated on a 5-point scale of severity: 0 = None, 1 = a little, 2 = Moderate, 3 = Quite a bit, 4 = severe, 5 = very severe. For nose blows and sneezes, the subjects had to record the number of each symptom since last evaluation. This number corresponds to a score ranging from 0 to 8. The total MSC score ranges from 0 - 36. Increasing scores are associated with increasing severity. Negative values indicate improvement from Baseline.

Time frame: Baseline to Day 2

Population: Only patients with valid MSC scores in Period I and II were included in the analysis.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Placebo (PBO)Change From Baseline in the MSC Score Over the Total Treatment Period (Period I + Period II)-3.61 units on a scaleStandard Error 0.473
Levocetirizine (LCTZ) 2.5 mgChange From Baseline in the MSC Score Over the Total Treatment Period (Period I + Period II)-6.80 units on a scaleStandard Error 0.388
Levocetirizine (LCTZ) 5 mgChange From Baseline in the MSC Score Over the Total Treatment Period (Period I + Period II)-7.10 units on a scaleStandard Error 0.383
Cetirizine (CTZ) 5 mgChange From Baseline in the MSC Score Over the Total Treatment Period (Period I + Period II)-7.43 units on a scaleStandard Error 0.384
Cetirizine (CTZ) 10 mgChange From Baseline in the MSC Score Over the Total Treatment Period (Period I + Period II)-7.72 units on a scaleStandard Error 0.383
Secondary

Change From Baseline in the Total Symptom Complex (TSC) Score Over Period I

The TSC score was calculated as the sum of the following 10 individual symptom scores: runny nose (left and right), itchy nose (left and right), sniffles, nose blows, sneezes, watery eyes, itchy eyes and ears, itchy throat, cough and postnasal drip. Each individual symptom, except nose blows and sneezes, is rated on a 5-point scale of severity: 0 = None, 1 = a little, 2 = Moderate, 3 = Quite a bit, 4 = severe, 5 = very severe. For nose blows and sneezes, the subjects had to record the number of each symptom since last evaluation. This number corresponds to a score ranging from 0 to 8. The TSC score ranges from 0 to 56. Increasing scores are associated with increasing severity. Negative values indicate improvement from Baseline.

Time frame: Baseline, Treatment Period I [Day 1, from drug intake (at 11:00 am) to 5 hours post-treatment (at 4:00 pm)]

Population: Only patients with valid TSC scores in Period I were included in the analysis.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Placebo (PBO)Change From Baseline in the Total Symptom Complex (TSC) Score Over Period I-6.55 units on a scaleStandard Error 0.757
Levocetirizine (LCTZ) 2.5 mgChange From Baseline in the Total Symptom Complex (TSC) Score Over Period I-11.33 units on a scaleStandard Error 0.62
Levocetirizine (LCTZ) 5 mgChange From Baseline in the Total Symptom Complex (TSC) Score Over Period I-11.27 units on a scaleStandard Error 0.613
Cetirizine (CTZ) 5 mgChange From Baseline in the Total Symptom Complex (TSC) Score Over Period I-12.71 units on a scaleStandard Error 0.613
Cetirizine (CTZ) 10 mgChange From Baseline in the Total Symptom Complex (TSC) Score Over Period I-11.74 units on a scaleStandard Error 0.613
Secondary

Change From Baseline in the Total Symptom Complex (TSC) Score Over Period II

The TSC score was calculated as the sum of the following 10 individual symptom scores: runny nose (left and right), itchy nose (left and right), sniffles, nose blows, sneezes, watery eyes, itchy eyes and ears, itchy throat, cough and postnasal drip. Each individual symptom, except nose blows and sneezes, is rated on a 5-point scale of severity: 0 = None, 1 = a little, 2 = Moderate, 3 = Quite a bit, 4 = severe, 5 = very severe. For nose blows and sneezes, the subjects had to record the number of each symptom since last evaluation. This number corresponds to a score ranging from 0 to 8. The TSC score ranges from 0 to 56. Increasing scores are associated with increasing severity. Negative values indicate improvement from Baseline.

Time frame: Baseline, Treatment Period II [Day 2, (8:30 am to 12:00 pm)]

Population: Only patients with valid TSC scores in Period II were included in the analysis.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Placebo (PBO)Change From Baseline in the Total Symptom Complex (TSC) Score Over Period II-5.73 units on a scaleStandard Error 0.917
Levocetirizine (LCTZ) 2.5 mgChange From Baseline in the Total Symptom Complex (TSC) Score Over Period II-10.25 units on a scaleStandard Error 0.742
Levocetirizine (LCTZ) 5 mgChange From Baseline in the Total Symptom Complex (TSC) Score Over Period II-11.03 units on a scaleStandard Error 0.739
Cetirizine (CTZ) 5 mgChange From Baseline in the Total Symptom Complex (TSC) Score Over Period II-10.73 units on a scaleStandard Error 0.734
Cetirizine (CTZ) 10 mgChange From Baseline in the Total Symptom Complex (TSC) Score Over Period II-12.14 units on a scaleStandard Error 0.736
Secondary

Change From Baseline in the Total Symptom Complex (TSC) Score Over the Total Treatment Period (Period I + Period II)

The TSC score was calculated as the sum of the following 10 individual symptom scores: runny nose (left and right), itchy nose (left and right), sniffles, nose blows, sneezes, watery eyes, itchy eyes and ears, itchy throat, cough and postnasal drip. Each individual symptom, except nose blows and sneezes, is rated on a 5-point scale of severity: 0 = None, 1 = a little, 2 = Moderate, 3 = Quite a bit, 4 = severe, 5 = very severe. For nose blows and sneezes, the subjects had to record the number of each symptom since last evaluation. This number corresponds to a score ranging from 0 to 8. The TSC score ranges from 0 to 56. Increasing scores are associated with increasing severity. Negative values indicate improvement from Baseline.

Time frame: Baseline to Day 2

Population: Only patients with valid TSC scores in Period I and II were included in the analysis.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Placebo (PBO)Change From Baseline in the Total Symptom Complex (TSC) Score Over the Total Treatment Period (Period I + Period II)-6.10 units on a scaleStandard Error 0.729
Levocetirizine (LCTZ) 2.5 mgChange From Baseline in the Total Symptom Complex (TSC) Score Over the Total Treatment Period (Period I + Period II)-10.86 units on a scaleStandard Error 0.598
Levocetirizine (LCTZ) 5 mgChange From Baseline in the Total Symptom Complex (TSC) Score Over the Total Treatment Period (Period I + Period II)-11.22 units on a scaleStandard Error 0.591
Cetirizine (CTZ) 5 mgChange From Baseline in the Total Symptom Complex (TSC) Score Over the Total Treatment Period (Period I + Period II)-11.84 units on a scaleStandard Error 0.591
Cetirizine (CTZ) 10 mgChange From Baseline in the Total Symptom Complex (TSC) Score Over the Total Treatment Period (Period I + Period II)-11.92 units on a scaleStandard Error 0.591

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026