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A Study to Evaluate the Safety and Effectiveness of a Nasal Spray to Treat Perennial Allergies

Randomized, Double-Blind, Placebo-Controlled Trial of the Safety and Efficacy of MP03-36 and MP03-33 in Patients With Perennial Allergic Rhinitis

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00712920
Enrollment
581
Registered
2008-07-10
Start date
2007-01-31
Completion date
Unknown
Last updated
2011-06-08

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

Conditions

Perennial Allergic Rhinitis

Brief summary

The purpose of this study is to determine if two allergy medications are more effective than placebo.

Interventions

0.15% azelastine hydrochloride 1644 mcg

DRUG0.1% azelastine hydrochloride

0.1% azelastine hydrochloride 1096 mcg

DRUGPlacebo

Placebo

Sponsors

Meda Pharmaceuticals
Lead SponsorINDUSTRY

Study design

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

Eligibility

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

Inclusion criteria

* Male and female patients 12 years of age and older * Must be in generally good health * Must meet minimum symptom requirements, as specified in protocol * Must be willing and able to provide informed consent and participate in all study procedures * 2-year history of PAR * Positive skin test to cockroach, dust mite, mold or cat/dog dander

Exclusion criteria

* On nasal examination, presence of any nasal mucosal erosion, nasal ulceration or nasal septal perforation at the screening or randomization visit * Nasal diseases likely to affect deposition of intranasal medication, such as sinusitis, rhinitis medicamentosa, significant polyposis or nasal structural abnormalities * Nasal surgery or sinus surgery within the previous year * The use of any investigational drug within 30 days * Presence of any hypersensitivity to drugs similar to azelastine and to either sorbitol or sucralose * Women who are pregnant or nursing * Women of child-bearing potential who are not abstinent and not practicing a medically acceptable method of contraception * Respiratory tract infection within 2 weeks of screening * Respiratory tract infections requiring oral antibiotic treatment within 2 weeks of screening * Patients with asthma with the exception of mild, intermittent * Significant pulmonary disease including COPD * Patients with arrhythmia * Patients with a known history of alcohol or drug abuse * Existence of any surgical or medical condition, which in the opinion of the investigator or sponsor may significantly alter the absorption, distribution, metabolism or excretion of study drug. * Clinically relevant abnormal physical findings within one week of randomization * Overnight abscences from home for more than 3 nights * Employees of the research center or private practice and family members are excluded * Patients who received prohibited medications within specified timepoints in protocol.

Design outcomes

Primary

MeasureTime frameDescription
Change From Baseline in 12-hour Reflective Total Nasal Symptom Score (AM and PM Combined) at 28 Days.baseline and 28 daysReflective total nasal symptom score consisting of Runny nose, itchy nose, nasal Congestion, and Sneezing was assessed twice daily. Each symptom is rated on a scale from 0-3: 0=none, 1=mild, 2=moderate, and 3=severe. Total possible score is 24 per day Least square means (LS Mean) was controlled for study day as the within-patient effect, treatment group and site as the between-patient effects, treatment by-study day interaction, and basline as a covariate.

Secondary

MeasureTime frameDescription
Change From Baseline in Instantaneous Total Nasal Symprom scoreS Compared to Placebo (AM and PM Combined)and 28 Daysbaseline and 28 daysinstantaneous (subjects rate how they feel right now) total nasal symptom score consisting of runny nose, itchy nose, nasal congestion, and sneezing was assessed twice daily. Each symptom is rated on a scale from 0-3: 0=none, 1=mild, 2=moderate, and 3=severe. Total possible score is 24 per day.
Change From Baseline in 12-hour Reflective Secondary Symptom Complex Score Compared to Placebo (AM and PM Combined)and 28 Daysbaseline and 28 daysReflective secondary symptom complex scores (SSCS) (post-nasal drip, itchy eyes, cough and headacdhe) were assessed twice daily. Each symptom is rated on a scale from 0-3: 0=none, 1=mild, 2=moderate, and 3=severe. Total possible SSCS score is 24 per day.
Change From Baseline in Rinoconjunctivitis Quality of Life Questionnaire and 28 Daysbaseline and 28 DaysA 28-item RQLQ was completed on Day 1 and Day 28 or Early temination. The RQLQ consists of 7 domains rated on a 7 point scale with 0 being not troubled by the allergy symptoms, and 6 being extremely troubled/all of the time. Domain score will be calculated from the mean score of all items in the domain. Overall score will be calculated from the mean score of all items.
Change From Baseline on Direct Visual Nasal Exams and 28 Daysbaseline and 28 daysExamination of head and neck (scale: None, Mild, Moderate, Severe) for Epistaxis, Mucosal Edema, Nasal Discharge, Mucosal erythema, Mucosal Bleeding, and Crusting of mucosa. Nasal irratation was rated: 0 = None, Grade 1A = focal irritation, Grade 1B = superficial mucosal erosion, Grade 2 = moderate mucosal erosion, Grade 3 = ulceration, Grade 4 = septal perforation

Countries

United States

Participant flow

Recruitment details

First Observation: February 5, 2007 Last Observation: October 8, 2007

Pre-assignment details

Subjects participated in a 7 day screening period to Identify appropriate subjects based on symptom scores.

Participants by arm

ArmCount
Placebo
Placebo nasal Spray/2 sprays per nostril 2 times a day for 4 weeks
192
Astepro 0.1%
0.10% azelastine hydrochloride 1096 mcg nasal Spray/2 sprays per nostril 2 times a day for 4 weeks
194
Astepro 0.15%
0.15% azelastine hydrochloride 1644 mcg nasal Spray/2 sprays per nostril 2 times a day for 4 weeks
192
Total578

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Overall StudyAdverse Event347
Overall StudyLack of Efficacy101
Overall StudyLost to Follow-up140
Overall StudyNon-compliance300
Overall StudyOther573
Overall StudyWithdrawal by Subject421

Baseline characteristics

CharacteristicAstepro 0.1%Astepro 0.15%PlaceboTotal
Age, Categorical
<=18 years
11 Participants18 Participants21 Participants50 Participants
Age, Categorical
>=65 years
0 Participants4 Participants10 Participants14 Participants
Age, Categorical
Between 18 and 65 years
183 Participants170 Participants161 Participants514 Participants
Age Continuous36.9 years
STANDARD_DEVIATION 13.09
35.6 years
STANDARD_DEVIATION 13.31
38.1 years
STANDARD_DEVIATION 15.37
36.9 years
STANDARD_DEVIATION 13.97
Region of Enrollment
United States
194 participants192 participants192 participants578 participants
Sex: Female, Male
Female
136 Participants127 Participants130 Participants393 Participants
Sex: Female, Male
Male
58 Participants65 Participants62 Participants185 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
21 / 19227 / 19432 / 192
serious
Total, serious adverse events
0 / 1920 / 1940 / 192

Outcome results

Primary

Change From Baseline in 12-hour Reflective Total Nasal Symptom Score (AM and PM Combined) at 28 Days.

Reflective total nasal symptom score consisting of Runny nose, itchy nose, nasal Congestion, and Sneezing was assessed twice daily. Each symptom is rated on a scale from 0-3: 0=none, 1=mild, 2=moderate, and 3=severe. Total possible score is 24 per day Least square means (LS Mean) was controlled for study day as the within-patient effect, treatment group and site as the between-patient effects, treatment by-study day interaction, and basline as a covariate.

Time frame: baseline and 28 days

Population: ITT

ArmMeasureGroupValue (NUMBER)Dispersion
PlaceboChange From Baseline in 12-hour Reflective Total Nasal Symptom Score (AM and PM Combined) at 28 Days.Baseline Least Squares Mean Symptom Score14.7 Scores on a Scale 0
PlaceboChange From Baseline in 12-hour Reflective Total Nasal Symptom Score (AM and PM Combined) at 28 Days.Change from baseline LS Mean symptom score-3.1 Scores on a Scale 0
Astepro 0.1%Change From Baseline in 12-hour Reflective Total Nasal Symptom Score (AM and PM Combined) at 28 Days.Baseline Least Squares Mean Symptom Score15.5 Scores on a Scale 0
Astepro 0.1%Change From Baseline in 12-hour Reflective Total Nasal Symptom Score (AM and PM Combined) at 28 Days.Change from baseline LS Mean symptom score-3.8 Scores on a Scale 0
Astepro 0.15%Change From Baseline in 12-hour Reflective Total Nasal Symptom Score (AM and PM Combined) at 28 Days.Baseline Least Squares Mean Symptom Score15.8 Scores on a Scale 0
Astepro 0.15%Change From Baseline in 12-hour Reflective Total Nasal Symptom Score (AM and PM Combined) at 28 Days.Change from baseline LS Mean symptom score-4.0 Scores on a Scale 0
p-value: 0.0395% CI: [-1.7, -0.1]ANCOVA
p-value: 0.0895% CI: [-1.5, 0.1]ANCOVA
Secondary

Change From Baseline in 12-hour Reflective Secondary Symptom Complex Score Compared to Placebo (AM and PM Combined)and 28 Days

Reflective secondary symptom complex scores (SSCS) (post-nasal drip, itchy eyes, cough and headacdhe) were assessed twice daily. Each symptom is rated on a scale from 0-3: 0=none, 1=mild, 2=moderate, and 3=severe. Total possible SSCS score is 24 per day.

Time frame: baseline and 28 days

Population: ITT

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in 12-hour Reflective Secondary Symptom Complex Score Compared to Placebo (AM and PM Combined)and 28 DaysBaseline SSCS11.20 Scores on a ScaleStandard Deviation 4.936
PlaceboChange From Baseline in 12-hour Reflective Secondary Symptom Complex Score Compared to Placebo (AM and PM Combined)and 28 DaysChange in baseline to Day 28-1.79 Scores on a ScaleStandard Deviation 3.42
Astepro 0.1%Change From Baseline in 12-hour Reflective Secondary Symptom Complex Score Compared to Placebo (AM and PM Combined)and 28 DaysChange in baseline to Day 28-2.23 Scores on a ScaleStandard Deviation 3.865
Astepro 0.1%Change From Baseline in 12-hour Reflective Secondary Symptom Complex Score Compared to Placebo (AM and PM Combined)and 28 DaysBaseline SSCS11.77 Scores on a ScaleStandard Deviation 5.036
Astepro 0.15%Change From Baseline in 12-hour Reflective Secondary Symptom Complex Score Compared to Placebo (AM and PM Combined)and 28 DaysBaseline SSCS12.39 Scores on a ScaleStandard Deviation 4.885
Astepro 0.15%Change From Baseline in 12-hour Reflective Secondary Symptom Complex Score Compared to Placebo (AM and PM Combined)and 28 DaysChange in baseline to Day 28-2.92 Scores on a ScaleStandard Deviation 4.053
Comparison: Change in baseline to Day 28p-value: 0.22695% CI: [-1.15, 0.27]ANCOVA
Comparison: Change in baseline to Day 28p-value: 0.00295% CI: [-1.84, -0.41]ANCOVA
Secondary

Change From Baseline in Instantaneous Total Nasal Symprom scoreS Compared to Placebo (AM and PM Combined)and 28 Days

instantaneous (subjects rate how they feel right now) total nasal symptom score consisting of runny nose, itchy nose, nasal congestion, and sneezing was assessed twice daily. Each symptom is rated on a scale from 0-3: 0=none, 1=mild, 2=moderate, and 3=severe. Total possible score is 24 per day.

Time frame: baseline and 28 days

Population: ITT

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Instantaneous Total Nasal Symprom scoreS Compared to Placebo (AM and PM Combined)and 28 DaysBaseline Symptom score13.28 Scores on a ScaleStandard Deviation 4.614
PlaceboChange From Baseline in Instantaneous Total Nasal Symprom scoreS Compared to Placebo (AM and PM Combined)and 28 DaysOverall Change from baseline-2.72 Scores on a ScaleStandard Deviation 4.129
Astepro 0.1%Change From Baseline in Instantaneous Total Nasal Symprom scoreS Compared to Placebo (AM and PM Combined)and 28 DaysBaseline Symptom score13.91 Scores on a ScaleStandard Deviation 4.616
Astepro 0.1%Change From Baseline in Instantaneous Total Nasal Symprom scoreS Compared to Placebo (AM and PM Combined)and 28 DaysOverall Change from baseline-3.36 Scores on a ScaleStandard Deviation 3.898
Astepro 0.15%Change From Baseline in Instantaneous Total Nasal Symprom scoreS Compared to Placebo (AM and PM Combined)and 28 DaysBaseline Symptom score14.30 Scores on a ScaleStandard Deviation 4.572
Astepro 0.15%Change From Baseline in Instantaneous Total Nasal Symprom scoreS Compared to Placebo (AM and PM Combined)and 28 DaysOverall Change from baseline-3.51 Scores on a ScaleStandard Deviation 4.166
p-value: 0.10295% CI: [-1.41, 0.13]ANCOVA
p-value: 0.04495% CI: [-1.56, -0.02]ANCOVA
Secondary

Change From Baseline in Rinoconjunctivitis Quality of Life Questionnaire and 28 Days

A 28-item RQLQ was completed on Day 1 and Day 28 or Early temination. The RQLQ consists of 7 domains rated on a 7 point scale with 0 being not troubled by the allergy symptoms, and 6 being extremely troubled/all of the time. Domain score will be calculated from the mean score of all items in the domain. Overall score will be calculated from the mean score of all items.

Time frame: baseline and 28 Days

Population: ITT

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Rinoconjunctivitis Quality of Life Questionnaire and 28 DaysBaseline: Overall2.98 Units on a ScaleStandard Deviation 1.047
PlaceboChange From Baseline in Rinoconjunctivitis Quality of Life Questionnaire and 28 DaysChange from Baseline:Overall-0.81 Units on a ScaleStandard Deviation 1.112
Astepro 0.1%Change From Baseline in Rinoconjunctivitis Quality of Life Questionnaire and 28 DaysBaseline: Overall3.18 Units on a ScaleStandard Deviation 1.048
Astepro 0.1%Change From Baseline in Rinoconjunctivitis Quality of Life Questionnaire and 28 DaysChange from Baseline:Overall-1.05 Units on a ScaleStandard Deviation 1.088
Astepro 0.15%Change From Baseline in Rinoconjunctivitis Quality of Life Questionnaire and 28 DaysBaseline: Overall3.29 Units on a ScaleStandard Deviation 1.091
Astepro 0.15%Change From Baseline in Rinoconjunctivitis Quality of Life Questionnaire and 28 DaysChange from Baseline:Overall-0.94 Units on a ScaleStandard Deviation 1.096
p-value: 0.292ANCOVA
p-value: 0.04ANCOVA
Secondary

Change From Baseline on Direct Visual Nasal Exams and 28 Days

Examination of head and neck (scale: None, Mild, Moderate, Severe) for Epistaxis, Mucosal Edema, Nasal Discharge, Mucosal erythema, Mucosal Bleeding, and Crusting of mucosa. Nasal irratation was rated: 0 = None, Grade 1A = focal irritation, Grade 1B = superficial mucosal erosion, Grade 2 = moderate mucosal erosion, Grade 3 = ulceration, Grade 4 = septal perforation

Time frame: baseline and 28 days

Population: ITT

ArmMeasureGroupValue (NUMBER)
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Discharge: screening - None (n=192,197,192)55 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysLymphadenopathy: Day 28/ET Severe ( n=190,192,192)0 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysCrusting of Mucosa:Day 28/ET None (n=190,192,192)176 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Discharge: screening - Mild (n=192,197,192)79 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysErythmatous TM: Day 28/ET Moderate (n=190,192,192)2 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysCrusting of Mucosa screening Severe(n=192,197,192)0 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Discharge:screening Moderate (n=192,197,192)48 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Irritation screening Grade1B (n=192,197,192)3 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysCrustingofMucosa screening Moderate(n=192,197,192)4 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Discharge: screening Severe (n=192,197,192)10 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysLymphadenopathy: Day 28/ET None (n=190,192, 192)184 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysCrusting of Mucosa: screening Mild (n=192,197,192)15 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Discharge:Day 28/ET None (n=190,192,192)77 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysErythmatous TM: Day 28/ET Mild (n=190,192, 192)8 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysCrusting of Mucosa: screening None (n=192,197,192)173 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Discharge:Day 28/ET Mild (n=190,192,192)75 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Irritationscreening Grade 2 (n=192,197,192)1 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Bleeding: Day 28/ET Severe (n=190,192,192)0 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Discharge:Day 28/ET Moderate (n=190,192,192)31 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysEpistaxis: screening - Severe (n=192,197,192)0 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Bleeding Day 28/ETModerate (n=190,192,192)0 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Discharge:Day 28/ET Severe (n=190,192,192)7 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysErythmatous TM: Day 28/ET None (n=190,192, 192)179 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Bleeding: Day 28/ET Mild (n=190,192,192)1 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Erythema screening None (n=192,197,192)91 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Irritation screening Grade 3 (n=192,197,192)0 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Bleeding: Day 28/ET None (n=190,192,192)189 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Erythema screening Mild (n=192,197,192)61 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysLymphadenopathy Day 28/ET Moderate (n=190,192,192)1 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Bleeding screening Severe (n=192,197,192)0 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Erythema screeningModerate (n=192,197,192)37 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysErythmatous TM:screening Severe (n=192,197,192)1 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Bleedingscreening Moderate (n=192,197,192)0 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Erythema screening Severe (n=192,197,192)3 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Irritation screening Grade 4 (n=192,197,192)0 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Bleeding: screening Mild (n=192,197,192)7 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Erythema Day 28/ET None (n=190,192,192)101 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysLymphadenopathy:screening Severe (n=192,197,192)1 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Bleeding: screening None (n=192,197,192)185 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Erythema Day 28/ET Mild (n=190,192,192)64 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysErythmatous TM: screening Moderate(n=192,197,192)2 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Erythema Day 28/ET Severe (n=190,192,192)2 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Erythema Day 28/ET Moderate (n=190,192,19223 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Irritation Day 28/ET None (n=190,192,192)182 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysEpistaxis: Day 28/ET - None (n=190,192,192)188 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysErythmatous TM: screening Mild (n=192,197,192)9 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Irritation Day 28/ETGrade 1A (n=190,192,192)7 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysEpistaxis: Day 28/ET - Mild (n=190,192,192)2 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysErythmatous TM: screening None (n=192,197,192)180 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Irritation Day 28/ETGrade 1B (n=190,192,192)1 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysEpistaxis: screening - Mild (n=192,197,192)3 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysConjuntival Day 28/ET Severe (n=190,192, 192)2 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Irritation Day 28/ETGrade 2 (n=190,192,192)0 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysLymphadenopathy:screening Moderate (n=192,197,192)1 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysConjuntival Day 28/ET Moderate(n=190,192)6 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Irritation Day 28/ETGrade 3 (n=190,192,192)0 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysEpistaxis: Day 28/ET - Moderate (n=190,192,192)0 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysConjuntival Day 28/ET Mild(n=190,192,192)57 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Irritation Day 28/ETGrade 4 (n=190,192,192)0 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysEpistaxis: screening - None (n=192,197,192)189 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysConjuntival Day 28/ET None(n=190,192,192)125 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Edema: screening - None (n=192,197,192)25 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysLymphadenopathy: screening Mild (n=192,197,192)4 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysConjuntival screeningSevere(n=192,197,192)0 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Edema: screening - Mild (n=192,197,192)50 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysEpistaxis: Day 28/ET - Severe (n=190,192,192)0 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysConjuntival screening Moderate n=(192,192, 192)10 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Edema: screening Moderate (n=192,197,192)98 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysLymphadenopathy: Day 28/ET Mild (n=190,192, 192)5 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Edema: screening - Severe (n=192,197,192)19 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysLymphadenopathy: screening None (n=192,197,192)186 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysConjuntival screening Mild (n=192,197,192)56 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Edema: Day 28/ET None (n=190,192,192)38 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Irritation: screening - None (n=192,197,192)180 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysConjuntival screening None (n=192,197,192)126 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Edema: Day 28/ET Mild (n=190,192,192)69 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysEpistaxis: screening - Moderate (n=192,197,192)0 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysCrusting of Mucosa:Day 28/ET Severe(n=190,192,192)0 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Edema: Day 28/ET Moderate (n=190,192,192)70 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysErythmatous TM: Day 28/ET Severe (n=190,192, 192)1 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysCrustingofMucosaDay 28/ET Moderate (n=190,192,192)0 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Edema: Day 28/ET Severe (n=190,192,192)13 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Irritationscreening Grade 1A (n=192,197,192)8 Participants
PlaceboChange From Baseline on Direct Visual Nasal Exams and 28 DaysCrusting of Mucosa:Day 28/ET Mild (n=190,192,192)14 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysCrusting of Mucosa: screening None (n=192,197,192)178 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysEpistaxis: Day 28/ET - None (n=190,192,192)189 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysEpistaxis: screening - None (n=192,197,192)194 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysEpistaxis: screening - Mild (n=192,197,192)3 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysEpistaxis: screening - Moderate (n=192,197,192)0 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysEpistaxis: screening - Severe (n=192,197,192)0 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysEpistaxis: Day 28/ET - Mild (n=190,192,192)3 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysEpistaxis: Day 28/ET - Moderate (n=190,192,192)0 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysEpistaxis: Day 28/ET - Severe (n=190,192,192)0 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Irritation: screening - None (n=192,197,192)183 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Irritationscreening Grade 1A (n=192,197,192)12 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Irritation screening Grade1B (n=192,197,192)2 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Irritationscreening Grade 2 (n=192,197,192)0 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Irritation screening Grade 3 (n=192,197,192)0 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Irritation screening Grade 4 (n=192,197,192)0 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Irritation Day 28/ET None (n=190,192,192)178 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Irritation Day 28/ETGrade 1A (n=190,192,192)12 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Irritation Day 28/ETGrade 1B (n=190,192,192)1 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Irritation Day 28/ETGrade 2 (n=190,192,192)0 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Irritation Day 28/ETGrade 3 (n=190,192,192)0 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Irritation Day 28/ETGrade 4 (n=190,192,192)1 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Edema: screening - None (n=192,197,192)30 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Edema: screening - Mild (n=192,197,192)54 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Edema: screening Moderate (n=192,197,192)84 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Edema: screening - Severe (n=192,197,192)29 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Edema: Day 28/ET None (n=190,192,192)44 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Edema: Day 28/ET Mild (n=190,192,192)71 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Edema: Day 28/ET Moderate (n=190,192,192)60 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Edema: Day 28/ET Severe (n=190,192,192)17 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Discharge: screening - None (n=192,197,192)51 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Discharge: screening - Mild (n=192,197,192)82 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Discharge:screening Moderate (n=192,197,192)51 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Discharge: screening Severe (n=192,197,192)13 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Discharge:Day 28/ET None (n=190,192,192)76 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Discharge:Day 28/ET Mild (n=190,192,192)85 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Discharge:Day 28/ET Moderate (n=190,192,192)24 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Discharge:Day 28/ET Severe (n=190,192,192)7 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Erythema screening None (n=192,197,192)108 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Erythema screening Mild (n=192,197,192)58 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Erythema screeningModerate (n=192,197,192)28 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Erythema screening Severe (n=192,197,192)3 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Erythema Day 28/ET None (n=190,192,192)124 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Erythema Day 28/ET Mild (n=190,192,192)46 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Erythema Day 28/ET Moderate (n=190,192,19220 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Erythema Day 28/ET Severe (n=190,192,192)2 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Bleeding: screening None (n=192,197,192)192 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Bleeding: screening Mild (n=192,197,192)5 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Bleedingscreening Moderate (n=192,197,192)0 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Bleeding screening Severe (n=192,197,192)0 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Bleeding: Day 28/ET None (n=190,192,192)189 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Bleeding: Day 28/ET Mild (n=190,192,192)3 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Bleeding Day 28/ETModerate (n=190,192,192)0 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Bleeding: Day 28/ET Severe (n=190,192,192)0 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysCrusting of Mucosa: screening Mild (n=192,197,192)13 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysCrustingofMucosa screening Moderate(n=192,197,192)6 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysCrusting of Mucosa screening Severe(n=192,197,192)0 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysCrusting of Mucosa:Day 28/ET None (n=190,192,192)178 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysCrusting of Mucosa:Day 28/ET Mild (n=190,192,192)12 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysCrustingofMucosaDay 28/ET Moderate (n=190,192,192)2 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysCrusting of Mucosa:Day 28/ET Severe(n=190,192,192)0 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysConjuntival screening None (n=192,197,192)145 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysConjuntival screening Mild (n=192,197,192)43 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysConjuntival screening Moderate n=(192,192, 192)9 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysConjuntival screeningSevere(n=192,197,192)0 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysConjuntival Day 28/ET None(n=190,192,192)145 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysConjuntival Day 28/ET Mild(n=190,192,192)34 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysConjuntival Day 28/ET Moderate(n=190,192)10 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysErythmatous TM: Day 28/ET Severe (n=190,192, 192)0 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysConjuntival Day 28/ET Severe (n=190,192, 192)3 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysErythmatous TM: screening None (n=192,197,192)183 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysErythmatous TM: screening Mild (n=192,197,192)8 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysErythmatous TM: screening Moderate(n=192,197,192)6 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysErythmatous TM:screening Severe (n=192,197,192)0 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysErythmatous TM: Day 28/ET None (n=190,192, 192)189 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysErythmatous TM: Day 28/ET Mild (n=190,192, 192)1 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysErythmatous TM: Day 28/ET Moderate (n=190,192,192)2 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysLymphadenopathy: screening None (n=192,197,192)189 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysLymphadenopathy: screening Mild (n=192,197,192)6 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysLymphadenopathy:screening Moderate (n=192,197,192)2 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysLymphadenopathy:screening Severe (n=192,197,192)0 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysLymphadenopathy: Day 28/ET None (n=190,192, 192)190 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysLymphadenopathy: Day 28/ET Mild (n=190,192, 192)1 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysLymphadenopathy Day 28/ET Moderate (n=190,192,192)1 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal Exams and 28 DaysLymphadenopathy: Day 28/ET Severe ( n=190,192,192)0 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Discharge: screening - None (n=192,197,192)49 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Irritationscreening Grade 1A (n=192,197,192)21 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysCrusting of Mucosa:Day 28/ET None (n=190,192,192)175 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Edema: Day 28/ET Severe (n=190,192,192)19 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysEpistaxis: screening - Mild (n=192,197,192)7 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysCrusting of Mucosa:Day 28/ET Mild (n=190,192,192)16 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Edema: Day 28/ET Moderate (n=190,192,192)72 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysErythmatous TM: Day 28/ET Moderate (n=190,192,192)1 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysCrustingofMucosaDay 28/ET Moderate (n=190,192,192)1 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Edema: Day 28/ET Mild (n=190,192,192)71 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Irritation: screening - None (n=192,197,192)170 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysCrusting of Mucosa:Day 28/ET Severe(n=190,192,192)0 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Edema: Day 28/ET None (n=190,192,192)30 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysErythmatous TM: Day 28/ET Severe (n=190,192, 192)1 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysConjuntival screening None (n=192,197,192)134 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Edema: screening - Severe (n=192,197,192)24 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysEpistaxis: Day 28/ET - Severe (n=190,192,192)0 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysConjuntival screening Mild (n=192,197,192)48 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Edema: screening - Mild (n=192,197,192)50 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysEpistaxis: Day 28/ET - None (n=190,192,192)188 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysConjuntival screening Moderate n=(192,192, 192)10 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Edema: screening - None (n=192,197,192)23 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysLymphadenopathy: screening None (n=192,197,192)188 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysConjuntival screeningSevere(n=192,197,192)0 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Irritation Day 28/ETGrade 4 (n=190,192,192)0 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysEpistaxis: Day 28/ET - Moderate (n=190,192,192)0 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysConjuntival Day 28/ET None(n=190,192,192)144 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Irritation Day 28/ETGrade 3 (n=190,192,192)0 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysLymphadenopathy: Day 28/ET Mild (n=190,192, 192)3 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysConjuntival Day 28/ET Mild(n=190,192,192)36 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Irritation Day 28/ETGrade 2 (n=190,192,192)0 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysEpistaxis: Day 28/ET - Mild (n=190,192,192)4 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysEpistaxis: screening - None (n=192,197,192)185 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysConjuntival Day 28/ET Moderate(n=190,192)11 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Irritation Day 28/ETGrade 1B (n=190,192,192)1 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysLymphadenopathy:screening Moderate (n=192,197,192)1 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysConjuntival Day 28/ET Severe (n=190,192, 192)1 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Irritation Day 28/ETGrade 1A (n=190,192,192)16 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysEpistaxis: screening - Severe (n=192,197,192)0 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysErythmatous TM: screening None (n=192,197,192)185 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Irritation Day 28/ET None (n=190,192,192)175 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysLymphadenopathy: Day 28/ET Severe ( n=190,192,192)1 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysErythmatous TM: screening Mild (n=192,197,192)5 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Irritation screening Grade 4 (n=192,197,192)0 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Erythema Day 28/ET Moderate (n=190,192,19226 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Erythema Day 28/ET Mild (n=190,192,192)51 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysLymphadenopathy:screening Severe (n=192,197,192)0 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Erythema Day 28/ET Severe (n=190,192,192)4 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Erythema Day 28/ET None (n=190,192,192)111 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysErythmatous TM: screening Moderate(n=192,197,192)1 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Bleeding: screening None (n=192,197,192)183 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Erythema screening Severe (n=192,197,192)2 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Irritation screening Grade 3 (n=192,197,192)0 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Bleeding: screening Mild (n=192,197,192)9 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Erythema screeningModerate (n=192,197,192)30 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysEpistaxis: screening - Moderate (n=192,197,192)0 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Bleedingscreening Moderate (n=192,197,192)0 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Erythema screening Mild (n=192,197,192)54 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysErythmatous TM:screening Severe (n=192,197,192)1 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Bleeding screening Severe (n=192,197,192)0 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Erythema screening None (n=192,197,192)106 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Irritationscreening Grade 2 (n=192,197,192)0 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Bleeding: Day 28/ET None (n=190,192,192)184 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Discharge:Day 28/ET Severe (n=190,192,192)4 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysLymphadenopathy Day 28/ET Moderate (n=190,192,192)0 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Bleeding: Day 28/ET Mild (n=190,192,192)7 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Discharge:Day 28/ET Moderate (n=190,192,192)35 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysErythmatous TM: Day 28/ET None (n=190,192, 192)187 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Bleeding Day 28/ETModerate (n=190,192,192)1 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Discharge:Day 28/ET Mild (n=190,192,192)72 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Irritation screening Grade1B (n=192,197,192)1 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Bleeding: Day 28/ET Severe (n=190,192,192)0 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Discharge:Day 28/ET None (n=190,192,192)81 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysMucosal Edema: screening Moderate (n=192,197,192)95 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysCrusting of Mucosa: screening None (n=192,197,192)173 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Discharge: screening Severe (n=192,197,192)11 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysLymphadenopathy: screening Mild (n=192,197,192)3 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysCrusting of Mucosa: screening Mild (n=192,197,192)13 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Discharge:screening Moderate (n=192,197,192)49 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysLymphadenopathy: Day 28/ET None (n=190,192, 192)188 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysCrustingofMucosa screening Moderate(n=192,197,192)6 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysNasal Discharge: screening - Mild (n=192,197,192)83 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysErythmatous TM: Day 28/ET Mild (n=190,192, 192)3 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal Exams and 28 DaysCrusting of Mucosa screening Severe(n=192,197,192)0 Participants

Source: ClinicalTrials.gov · Data processed: Feb 8, 2026