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Fluticasone Furoate Nasal Spray Versus Oral Fexofenadine

A Comparison of Fluticasone Furoate Nasal Spray Versus Oral Fexofenadine in the Treatment of Seasonal Allergic Rhinitis

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00502775
Enrollment
680
Registered
2007-07-18
Start date
2007-08-31
Completion date
2007-11-30
Last updated
2016-12-09

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

Conditions

Rhinitis, Allergic, Seasonal

Keywords

ragweed, once daily, fexofenadine, fluticasone furoate, allergic rhinitis

Brief summary

The primary objective of the study is to compare nighttime symptom relief of fluticasone furoate nasal spray versus oral fexofenadine

Interventions

DRUGfluticasone furoate, fexofenadine

Sponsors

GlaxoSmithKline
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE

Eligibility

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

Inclusion criteria

* Informed consent * Otherwise healthy outpatient with mountain cedar allergy * Male or eligible female Females of childbearing potential must commit to the consistent and correct use of an acceptable method of birth control * Age 12 years or older at Visit 2 * Diagnosis of seasonal allergic rhinitis (SAR) to mountain cedar * Adequate exposure to mountain cedar pollen * Ability to comply with study procedures * Literate

Exclusion criteria

* Significant concomitant medical conditions * Use of intranasal corticosteroids within four weeks prior to Visit 1; use of inhaled, oral, intramuscular, intravenous, ocular, and/or dermatological corticosteroid (with the exception of hydrocortisone cream/ointment, 1% or less) within eight weeks prior to Visit 1. * Use of other allergy medications within specific timeframes relative to Visit 1 * Use of other medications that may affect allergic rhinitis or its symptoms * Use of immunosuppressive medications eight weeks prior to screening and during the study * Immunotherapy patients who are not stable on current dose * Use of any medications that significantly alters the pharmacokinetics of fluticasone furoate or fexofenadine * Allergy/Intolerance to corticosteroids, antihistamines, or any excipients in the two products * Use of contact lenses * Recent clinical trial/experimental medication experience within 30 days of Visit 1 * Subject previously failed the 21-day screen period or failed to complete the treatment period * Positive or inconclusive pregnancy test or female who is breastfeeding * Employee or relative affiliation with investigational site * Current tobacco use * Active chickenpox or measles or exposure in the last 3 weeks

Design outcomes

Primary

MeasureTime frameDescription
Mean Change From Baseline in the Nighttime Symptom Score (NSS)Baseline and Weeks 1-2Questions include: 1. Nasal congestion on awakening (Score: 0=none, 1=mild, 2=moderate, 3=severe); 2. Difficulty going to sleep (Score: 0=not at all, 1=little, 2=moderately, 3=very); 3. Nighttime awakenings (Score: 0=not at all, 1=once, 2=more than once, 3=felt like awake all night). The sum of the ratings for the three items comprises the NSS.

Secondary

MeasureTime frameDescription
Mean Change From Baseline in Daytime Reflective Total Nasal Symptom Score (D-rTNSS)Baseline and Weeks 1-2Subjects assessed four nasal symptoms (rhinorrhea, nasal congestion, nasal itching, and sneezing). The sum of the four nasal symptoms comprised the total nasal symptom score (TNSS). Reflective rating represented symptoms over preceding 12 hours. Scores: 0=symptoms not present, 1=mild severity, 2=moderate severity, 3=severe.
Mean Change From Baseline in 24 Hour Reflective Total Nasal Symptom Score (24 Hour rTNSS)Baseline and Weeks 1-2Subjects assessed four nasal symptoms (rhinorrhea, nasal congestion, nasal itching, and sneezing). The sum of the four nasal symptoms comprised the total nasal symptom score (TNSS).Reflective rating represented symptoms over preceding 12 hours. Scores: 0=symptoms not present, 1=mild severity, 2=moderate severity, 3=severe.
Mean Change From Baseline in Nighttime Reflective Total Ocular Symptom Score (N-rTOSS)Baseline and Weeks 1-2Subjects assessed three ocular symptoms (itching/ burning eyes, tearing/watering eyes, and eye redness). The sum of the 3 ocular symptoms comprised the total ocular symptom score (TOSS). Reflective rating represented symptoms over preceding 12 hours. Scores: 0=symptoms not present, 1=mild severity, 2=moderate severity, 3=severe.
Mean Change From Baseline in Daytime Reflective Total Ocular Symptom Score (D-rTOSS)Baseline and Weeks 1-2Subjects assessed three ocular symptoms (itching/ burning eyes, tearing/watering eyes, and eye redness). The sum of the 3 ocular symptoms comprised the total ocular symptom score (TOSS). Reflective rating represented symptoms over preceding 12 hours. Scores: 0=symptoms not present, 1=mild severity, 2=moderate severity, 3=severe.
Mean Change From Baseline in 24 Hour Reflective Total Ocular Symptoms Score (rTOSS)Baseline and Weeks 1-2Subjects assessed three ocular symptoms (itching/ burning eyes, tearing/watering eyes, and eye redness). The sum of the 3 ocular symptoms comprised the total ocular symptom score (TOSS). Reflective rating represented symptoms over preceding 12 hours. Scores: 0=symptoms not present, 1=mild severity, 2=moderate severity, 3=severe.
Mean Change From Baseline in Nighttime Reflective Total Nasal Symptom Score (N-rTNSS)Baseline and Weeks 1-2Subjects assessed four nasal symptoms (rhinorrhea, nasal congestion, nasal itching, and sneezing). The sum of the four nasal symptoms comprised the total nasal symptom score (TNSS). Reflective rating represented symptoms over preceding 12 hours. Scores: 0=symptoms not present, 1=mild severity, 2=moderate severity, 3=severe.
Mean Change From Baseline in Pre-Dose Instantaneous Total Ocular Symptom Score (iTOSS)Baseline and Weeks 1-2Subjects assessed three ocular symptoms (itching/ burning eyes, tearing/watering eyes, and eye redness). The sum of the four ocular symptoms comprised the total nasal symptom score (TOSS).Instantaneous rating represented symptoms at the time of the assessment. Scores: 0=symptoms not present, 1=mild severity, 2=moderate severity, 3=severe.
Mean Change From Baseline in Morning Peak Nasal Inspiratory Flow (PNIF)Baseline and Weeks 1-2Subjects used a portable hand-held inspiratory flow meter to measure and record PNIF in the morning prior to taking the study medication. Three measurements were taken and the highest measurement was recorded in the electronic diary. A positive change signifies improved nasal air flow.
Mean Change From Baseline in Evening Peak Nasal Inspiratory Flow (PNIF)Baseline and Weeks 1-2Subjects used a portable hand-held inspiratory flow meter to measure and record PNIF in the evening. Three measurements were taken and the highest measurement was recorded in the electronic diary. A positive change signifies improved nasal air flow.
Mean Change From Baseline at Day 15 for Nocturnal Rhinoconjunctivitis Quality of Life Questionnaire (NRQLQ)Baseline, Day 15 or if Early Withdrawal DaySubjects completed the 16-item Nocturnal Rhinoconjunctivitis Quality of Life Questionnaire (NRQLQ)to assess nocturnal rhinitis-related quality of life. The NRQLQ measures the functional problems most troublesome to patients with nocturnal allergy symptoms. Each question scored from 0-6 with higher scores indicating more nocturnal impairment.
Mean Change From Baseline in Pre-Dose Instantaneous Total Nasal Symptom Score (iTNSS)Baseline and Weeks 1-2Subjects assessed four nasal symptoms (rhinorrhea, nasal congestion, nasal itching, and sneezing). The sum of the four nasal symptoms comprised the total nasal symptom score (TNSS).Instantaneous rating represented symptoms at the time of the assessment. Scores: 0=symptoms not present, 1=mild severity, 2=moderate severity, 3=severe.

Countries

United States

Participant flow

Participants by arm

ArmCount
Placebo229
Fluticasone Furoate 110mcg224
Fexofenadine 180 mg227
Total680

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Overall StudyAdverse Event121
Overall StudyDeclining pollen counts011
Overall StudyLogpad compliance <80%100
Overall StudyNon-compliance022
Overall StudyNon-compliance with eDiary411
Overall StudyOutside pollen area more than 48 hours010
Overall StudyProtocol Violation152
Overall StudyRandomized in error011
Overall StudySponsor Terminated Study101
Overall StudySubject in jail010
Overall StudySubject took disallowed drug001
Overall StudySubject unable to swallow capsule101
Overall StudyWithdrawal by Subject112

Baseline characteristics

CharacteristicPlaceboFluticasone Furoate 110mcgFexofenadine 180 mgTotal
Age, Continuous34.8 Years
STANDARD_DEVIATION 12.71
34.0 Years
STANDARD_DEVIATION 13.55
34.3 Years
STANDARD_DEVIATION 13.66
34.4 Years
STANDARD_DEVIATION 13.29
Gender
Female
139 Participants152 Participants135 Participants426 Participants
Gender
Male
90 Participants72 Participants92 Participants254 Participants
Race/Ethnicity, Customized
African American
40 Number of Participants29 Number of Participants42 Number of Participants111 Number of Participants
Race/Ethnicity, Customized
Other
8 Number of Participants6 Number of Participants4 Number of Participants18 Number of Participants
Race/Ethnicity, Customized
White
181 Number of Participants189 Number of Participants181 Number of Participants551 Number of Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —
other
Total, other adverse events
27 / 22931 / 22437 / 227
serious
Total, serious adverse events
0 / 2290 / 2241 / 227

Outcome results

Primary

Mean Change From Baseline in the Nighttime Symptom Score (NSS)

Questions include: 1. Nasal congestion on awakening (Score: 0=none, 1=mild, 2=moderate, 3=severe); 2. Difficulty going to sleep (Score: 0=not at all, 1=little, 2=moderately, 3=very); 3. Nighttime awakenings (Score: 0=not at all, 1=once, 2=more than once, 3=felt like awake all night). The sum of the ratings for the three items comprises the NSS.

Time frame: Baseline and Weeks 1-2

Population: One analysis population was defined for this study, the Intent-to-Treat population. . The Intent-to-Treat (ITT) population included all subjects randomized to double-blind treatment. This population formed the basis for all summaries of demographic, background, efficacy, and safety data.

ArmMeasureValue (MEAN)Dispersion
PlaceboMean Change From Baseline in the Nighttime Symptom Score (NSS)-2.3 Score on a ScaleStandard Error 0.11
Fluticasone Furoate 110mcgMean Change From Baseline in the Nighttime Symptom Score (NSS)-3.1 Score on a ScaleStandard Error 0.12
Fexofenadine 180 mgMean Change From Baseline in the Nighttime Symptom Score (NSS)-2.2 Score on a ScaleStandard Error 0.12
Comparison: The primary efficacy measure, mean change from baseline over the two-week treatment period in NSS compared between fluticasone furoate and fexofenadine, was assessed at a significance level of α=0.05. If the null hypothesis of this comparison was rejected, then the secondary measures were subject to hypothesis testing. The study was powered at 90%.p-value: <0.00195% CI: [-1.2, -0.6]ANCOVA
p-value: <0.00195% CI: [-1.1, -0.4]ANCOVA
p-value: 0.37495% CI: [-0.2, 0.5]ANCOVA
Secondary

Mean Change From Baseline at Day 15 for Nocturnal Rhinoconjunctivitis Quality of Life Questionnaire (NRQLQ)

Subjects completed the 16-item Nocturnal Rhinoconjunctivitis Quality of Life Questionnaire (NRQLQ)to assess nocturnal rhinitis-related quality of life. The NRQLQ measures the functional problems most troublesome to patients with nocturnal allergy symptoms. Each question scored from 0-6 with higher scores indicating more nocturnal impairment.

Time frame: Baseline, Day 15 or if Early Withdrawal Day

Population: Ten placebo subjects, six FFNS subjects, and four fexofenadine subjects had no overall NRQLQ score at endpoint, indicating either a missing score for one or more of the NRQLQ domains, a missing baseline score, or both. One additional FFNS patient had no on-treatment NRQLQ data.

ArmMeasureValue (MEAN)Dispersion
PlaceboMean Change From Baseline at Day 15 for Nocturnal Rhinoconjunctivitis Quality of Life Questionnaire (NRQLQ)-1.4 Score on a ScaleStandard Error 0.09
Fluticasone Furoate 110mcgMean Change From Baseline at Day 15 for Nocturnal Rhinoconjunctivitis Quality of Life Questionnaire (NRQLQ)-2.0 Score on a ScaleStandard Error 0.1
Fexofenadine 180 mgMean Change From Baseline at Day 15 for Nocturnal Rhinoconjunctivitis Quality of Life Questionnaire (NRQLQ)-1.4 Score on a ScaleStandard Error 0.1
Secondary

Mean Change From Baseline in 24 Hour Reflective Total Nasal Symptom Score (24 Hour rTNSS)

Subjects assessed four nasal symptoms (rhinorrhea, nasal congestion, nasal itching, and sneezing). The sum of the four nasal symptoms comprised the total nasal symptom score (TNSS).Reflective rating represented symptoms over preceding 12 hours. Scores: 0=symptoms not present, 1=mild severity, 2=moderate severity, 3=severe.

Time frame: Baseline and Weeks 1-2

ArmMeasureValue (MEAN)Dispersion
PlaceboMean Change From Baseline in 24 Hour Reflective Total Nasal Symptom Score (24 Hour rTNSS)-2.8 Score on a ScaleStandard Error 0.14
Fluticasone Furoate 110mcgMean Change From Baseline in 24 Hour Reflective Total Nasal Symptom Score (24 Hour rTNSS)-4.1 Score on a ScaleStandard Error 0.18
Fexofenadine 180 mgMean Change From Baseline in 24 Hour Reflective Total Nasal Symptom Score (24 Hour rTNSS)-2.8 Score on a ScaleStandard Error 0.16
Secondary

Mean Change From Baseline in 24 Hour Reflective Total Ocular Symptoms Score (rTOSS)

Subjects assessed three ocular symptoms (itching/ burning eyes, tearing/watering eyes, and eye redness). The sum of the 3 ocular symptoms comprised the total ocular symptom score (TOSS). Reflective rating represented symptoms over preceding 12 hours. Scores: 0=symptoms not present, 1=mild severity, 2=moderate severity, 3=severe.

Time frame: Baseline and Weeks 1-2

ArmMeasureValue (MEAN)Dispersion
PlaceboMean Change From Baseline in 24 Hour Reflective Total Ocular Symptoms Score (rTOSS)-2.3 Score on a ScaleStandard Error 0.13
Fluticasone Furoate 110mcgMean Change From Baseline in 24 Hour Reflective Total Ocular Symptoms Score (rTOSS)-2.7 Score on a ScaleStandard Error 0.14
Fexofenadine 180 mgMean Change From Baseline in 24 Hour Reflective Total Ocular Symptoms Score (rTOSS)-2.2 Score on a ScaleStandard Error 0.13
Secondary

Mean Change From Baseline in Daytime Reflective Total Nasal Symptom Score (D-rTNSS)

Subjects assessed four nasal symptoms (rhinorrhea, nasal congestion, nasal itching, and sneezing). The sum of the four nasal symptoms comprised the total nasal symptom score (TNSS). Reflective rating represented symptoms over preceding 12 hours. Scores: 0=symptoms not present, 1=mild severity, 2=moderate severity, 3=severe.

Time frame: Baseline and Weeks 1-2

ArmMeasureValue (MEAN)Dispersion
PlaceboMean Change From Baseline in Daytime Reflective Total Nasal Symptom Score (D-rTNSS)-3.0 Score on a ScaleStandard Error 0.15
Fluticasone Furoate 110mcgMean Change From Baseline in Daytime Reflective Total Nasal Symptom Score (D-rTNSS)-4.2 Score on a ScaleStandard Error 0.18
Fexofenadine 180 mgMean Change From Baseline in Daytime Reflective Total Nasal Symptom Score (D-rTNSS)-2.9 Score on a ScaleStandard Error 0.16
Secondary

Mean Change From Baseline in Daytime Reflective Total Ocular Symptom Score (D-rTOSS)

Subjects assessed three ocular symptoms (itching/ burning eyes, tearing/watering eyes, and eye redness). The sum of the 3 ocular symptoms comprised the total ocular symptom score (TOSS). Reflective rating represented symptoms over preceding 12 hours. Scores: 0=symptoms not present, 1=mild severity, 2=moderate severity, 3=severe.

Time frame: Baseline and Weeks 1-2

ArmMeasureValue (MEAN)Dispersion
PlaceboMean Change From Baseline in Daytime Reflective Total Ocular Symptom Score (D-rTOSS)-2.5 Score on a ScaleStandard Error 0.13
Fluticasone Furoate 110mcgMean Change From Baseline in Daytime Reflective Total Ocular Symptom Score (D-rTOSS)-2.9 Score on a ScaleStandard Error 0.14
Fexofenadine 180 mgMean Change From Baseline in Daytime Reflective Total Ocular Symptom Score (D-rTOSS)-2.4 Score on a ScaleStandard Error 0.13
Secondary

Mean Change From Baseline in Evening Peak Nasal Inspiratory Flow (PNIF)

Subjects used a portable hand-held inspiratory flow meter to measure and record PNIF in the evening. Three measurements were taken and the highest measurement was recorded in the electronic diary. A positive change signifies improved nasal air flow.

Time frame: Baseline and Weeks 1-2

Population: Two subjects in the placebo group \& two in the FFNS group recorded no data during the two-week treatment period.

ArmMeasureValue (MEAN)Dispersion
PlaceboMean Change From Baseline in Evening Peak Nasal Inspiratory Flow (PNIF)2.3 Score on a ScaleStandard Error 1.38
Fluticasone Furoate 110mcgMean Change From Baseline in Evening Peak Nasal Inspiratory Flow (PNIF)9.7 Score on a ScaleStandard Error 1.73
Fexofenadine 180 mgMean Change From Baseline in Evening Peak Nasal Inspiratory Flow (PNIF)0.3 Score on a ScaleStandard Error 1.37
Secondary

Mean Change From Baseline in Morning Peak Nasal Inspiratory Flow (PNIF)

Subjects used a portable hand-held inspiratory flow meter to measure and record PNIF in the morning prior to taking the study medication. Three measurements were taken and the highest measurement was recorded in the electronic diary. A positive change signifies improved nasal air flow.

Time frame: Baseline and Weeks 1-2

Population: Two subjects in the placebo group \& three in the FFNS group recorded no data during the two-week treatment period.

ArmMeasureValue (MEAN)Dispersion
PlaceboMean Change From Baseline in Morning Peak Nasal Inspiratory Flow (PNIF)4.8 Score on a ScaleStandard Error 1.27
Fluticasone Furoate 110mcgMean Change From Baseline in Morning Peak Nasal Inspiratory Flow (PNIF)13.0 Score on a ScaleStandard Error 1.61
Fexofenadine 180 mgMean Change From Baseline in Morning Peak Nasal Inspiratory Flow (PNIF)2.2 Score on a ScaleStandard Error 1.21
Secondary

Mean Change From Baseline in Nighttime Reflective Total Nasal Symptom Score (N-rTNSS)

Subjects assessed four nasal symptoms (rhinorrhea, nasal congestion, nasal itching, and sneezing). The sum of the four nasal symptoms comprised the total nasal symptom score (TNSS). Reflective rating represented symptoms over preceding 12 hours. Scores: 0=symptoms not present, 1=mild severity, 2=moderate severity, 3=severe.

Time frame: Baseline and Weeks 1-2

ArmMeasureValue (MEAN)Dispersion
PlaceboMean Change From Baseline in Nighttime Reflective Total Nasal Symptom Score (N-rTNSS)-2.9 Score on a ScaleStandard Error 0.15
Fluticasone Furoate 110mcgMean Change From Baseline in Nighttime Reflective Total Nasal Symptom Score (N-rTNSS)-4.1 Score on a ScaleStandard Error 0.17
Fexofenadine 180 mgMean Change From Baseline in Nighttime Reflective Total Nasal Symptom Score (N-rTNSS)-2.9 Score on a ScaleStandard Error 0.16
Secondary

Mean Change From Baseline in Nighttime Reflective Total Ocular Symptom Score (N-rTOSS)

Subjects assessed three ocular symptoms (itching/ burning eyes, tearing/watering eyes, and eye redness). The sum of the 3 ocular symptoms comprised the total ocular symptom score (TOSS). Reflective rating represented symptoms over preceding 12 hours. Scores: 0=symptoms not present, 1=mild severity, 2=moderate severity, 3=severe.

Time frame: Baseline and Weeks 1-2

ArmMeasureValue (MEAN)Dispersion
PlaceboMean Change From Baseline in Nighttime Reflective Total Ocular Symptom Score (N-rTOSS)-2.3 Score on a ScaleStandard Error 0.13
Fluticasone Furoate 110mcgMean Change From Baseline in Nighttime Reflective Total Ocular Symptom Score (N-rTOSS)-2.7 Score on a ScaleStandard Error 0.14
Fexofenadine 180 mgMean Change From Baseline in Nighttime Reflective Total Ocular Symptom Score (N-rTOSS)-2.2 Score on a ScaleStandard Error 0.13
Secondary

Mean Change From Baseline in Pre-Dose Instantaneous Total Nasal Symptom Score (iTNSS)

Subjects assessed four nasal symptoms (rhinorrhea, nasal congestion, nasal itching, and sneezing). The sum of the four nasal symptoms comprised the total nasal symptom score (TNSS).Instantaneous rating represented symptoms at the time of the assessment. Scores: 0=symptoms not present, 1=mild severity, 2=moderate severity, 3=severe.

Time frame: Baseline and Weeks 1-2

ArmMeasureValue (MEAN)Dispersion
PlaceboMean Change From Baseline in Pre-Dose Instantaneous Total Nasal Symptom Score (iTNSS)-2.8 Score on a ScaleStandard Error 0.15
Fluticasone Furoate 110mcgMean Change From Baseline in Pre-Dose Instantaneous Total Nasal Symptom Score (iTNSS)-4.1 Score on a ScaleStandard Error 0.18
Fexofenadine 180 mgMean Change From Baseline in Pre-Dose Instantaneous Total Nasal Symptom Score (iTNSS)-2.7 Score on a ScaleStandard Error 0.17
Secondary

Mean Change From Baseline in Pre-Dose Instantaneous Total Ocular Symptom Score (iTOSS)

Subjects assessed three ocular symptoms (itching/ burning eyes, tearing/watering eyes, and eye redness). The sum of the four ocular symptoms comprised the total nasal symptom score (TOSS).Instantaneous rating represented symptoms at the time of the assessment. Scores: 0=symptoms not present, 1=mild severity, 2=moderate severity, 3=severe.

Time frame: Baseline and Weeks 1-2

ArmMeasureValue (MEAN)Dispersion
PlaceboMean Change From Baseline in Pre-Dose Instantaneous Total Ocular Symptom Score (iTOSS)-2.2 Score on a ScaleStandard Error 0.13
Fluticasone Furoate 110mcgMean Change From Baseline in Pre-Dose Instantaneous Total Ocular Symptom Score (iTOSS)-2.7 Score on a ScaleStandard Error 0.14
Fexofenadine 180 mgMean Change From Baseline in Pre-Dose Instantaneous Total Ocular Symptom Score (iTOSS)-2.2 Score on a ScaleStandard Error 0.14

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