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A Study to Evaluate the Safety and Efficacy of Two Nasal Sprays to Treat Seasonal Allergies

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

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00720278
Enrollment
526
Registered
2008-07-22
Start date
2007-08-31
Completion date
2007-11-30
Last updated
2010-03-02

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

Conditions

Seasonal Allergic Rhinitis

Brief summary

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

Interventions

DRUG0.15% azelastine hydrochloride 1644 mcg daily

0.15% azelastine hydrochloride 1644 mcg daily

DRUG0.1% azelastine hydrochloride 1096 mcg daily

0.1% azelastine hydrochloride 1096 mcg daily

DRUGPlacebo

0 mcg Placebo daily

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

1. Male and female patients 12 years of age and older 2. Provide written informed consent/pediatric assent. If the patient is a minor, a parent or legal guardian must give written informed consent 3. Screening Visit: Have a 12-hour reflective TNSS of at least 8 out of a possible 12 and a congestion score of 2 or 3 on Day -7 4. Randomization Visit: Have a 12-hour reflective TNSS (AM or PM) of at least 8 on 3 separate symptom assessments (one of which was within 2 days of Day 1, and can include the morning of Day 1) during the Lead-in Period. In addition, an AM or PM 12-hour reflective nasal congestion score of 2 or 3 must have been recorded on 3 separate symptom assessments (one of which was within 2 days of Day 1, and can include the morning of Day 1) 5. Randomization Visit: An instantaneous TNSS of ≥ 8 before beginning the onset of action assessment on Day 1 6. Must have taken at least 10 doses of study medication during the lead-in period 7. Willing and able to comply with the study requirements 8. At least a 2-year history of SAR 9. The presence of IgE-mediated hypersensitivity to ragweed antigen or other local fall allergens, confirmed by a positive response to either skin prick within the last year. A positive response is defined as a wheal diameter of at least 3 mm larger than the negative control for the skin prick test. 10. General good health and free of any disease or concomitant treatment that could interfere with the interpretation of the study results as determined by the investigator or the sponsor's medical officer. When in doubt, the investigator should confer with the sponsor's medical monitor or designee to determine eligibility for the study. 11. Patients receiving immunotherapy injections (antigen desensitization) must be on a stable maintenance regimen for at least 30 days before the first study visit (adjustments to regimen following a brief period of missed injections does not preclude participation). Patients currently receiving sublingual immunotherapy are excluded. A 6-month washout period is required following the last dose of sublingual immunotherapy.

Exclusion criteria

1. On Focused Nasal Examination, the presence of any nasal mucosal erosion, nasal ulceration, or nasal septal perforation at either the screening visit or randomization visit will disqualify the patient from the study. 2. Other nasal disease(s) likely such as sinusitis, rhinitis medicamentosa, clinically significant polyposis, or nasal structural abnormalities. 3. Nasal surgery or sinus surgery within the previous year. 4. Chronic sinusitis - more than 3 episodes per year 5. Planned travel outside of the study area during the study period 6. The use of any investigational drug within 30 days prior to Day -7. No investigational products are permitted for use during the conduct of this study 7. Presence of any hypersensitivity to drugs similar to azelastine and to either sorbitol or sucralose (Splenda® brand sweetener) 8. Women who are pregnant or nursing 9. Women of childbearing potential who are not abstinent or not practicing a medically acceptable method of contraception 10. Respiratory Tract Infections within 14 days prior to Day -7 11. Respiratory Tract Infections requiring oral antibiotic within 14 days of Day -7 12. Asthma (with the exception of mild, intermittent asthma). Patients with mild, intermittent asthma who only require short-acting inhaled bronchodilators are eligible for enrollment. 13. Significant pulmonary disease including COPD 14. Clinically significant arrhythmia or with symptomatic cardiac conditions 15. A known history of alcohol or drug abuse 16. Existence of any surgical or medical condition or physical or laboratory findings, which in the opinion of the investigator or sponsor's medical monitor, might significantly alter the absorption, distribution, metabolism, or excretion of study drug or that might significantly affect the patient's ability to complete this trial. 17. Clinically relevant abnormal physical findings within 1 week of randomization which, in the opinion of the investigator, would interfere with the objectives of the study or that may preclude compliance with the study procedures 18. Participation in MedPointe Protocols MP433, MP434, MP435, or MP436. 19. Employees of the research center or private practice and their family members are excluded 20. Patients who received prohibited medications within specified timepoints in the protocol.

Design outcomes

Primary

MeasureTime frameDescription
Change From Baseline in 12-hour Reflective Total Nasal Symptom Score(rTNSS)for the Entire 14-day Study Period Compared to Placebobaseline and 14 daysrTNSS 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. (maximum 12 points per assessment.) Total possible score is 24 per day. Least square means 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 baseline as a covariate.

Secondary

MeasureTime frameDescription
Change From Baseline in Instantaneous Total Nasal Symptom Score for the Entire 14-day Study Period Compared to Placebobaseline and 14 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. Least square means 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.
Change From Baseline in the 12-hour Reflective Secondary Symptom Complex Score for the Entire 14-day Study Period Compared to Placebobaseline and 14 daysReflective secondary symptom scores (SSCS) (post-nasal drip, itchy eyes, cough and headache) 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. Least square means 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.
Change From Baseline to Day 14 in the Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) Compared to Placebo in Patients 18 Years of Age and Olderbaseline and 14 daysA 28-item RQLQ was completed on Day 1 and Day 14 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 Exams14 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: 14 Aug 2007 Last observation: 19 Nov 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 taken 2 sprays per nostril twice a day for 14 days
177
Astepro 0.1%
0.1% azelastine hydrochloride Nasal Spray taken 2 sprays per nostril twice a day for 14 days
169
Astepro 0.15%
0.15% azelastine hydrochloride Nasal Spray taken 2 sprays per nostril twice a day for 14 days
177
Total523

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Overall StudyAdverse Event534
Overall Studyeligibility criteria violation101
Overall StudyLost to Follow-up001
Overall StudyNon-compliance100
Overall StudyWithdrawal by Subject010

Baseline characteristics

CharacteristicAstepro 0.1%Astepro 0.15%PlaceboTotal
Age, Categorical
<=18 years
16 Participants16 Participants24 Participants56 Participants
Age, Categorical
>=65 years
2 Participants5 Participants5 Participants12 Participants
Age, Categorical
Between 18 and 65 years
151 Participants156 Participants148 Participants455 Participants
Age Continuous35.4 years
STANDARD_DEVIATION 13.74
37.7 years
STANDARD_DEVIATION 14.64
36.9 years
STANDARD_DEVIATION 14.27
36.7 years
STANDARD_DEVIATION 14.23
Region of Enrollment
United States
169 participants177 participants177 participants523 participants
Sex: Female, Male
Female
111 Participants107 Participants116 Participants334 Participants
Sex: Female, Male
Male
58 Participants70 Participants61 Participants189 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
5 / 17821 / 17019 / 178
serious
Total, serious adverse events
2 / 1780 / 1700 / 178

Outcome results

Primary

Change From Baseline in 12-hour Reflective Total Nasal Symptom Score(rTNSS)for the Entire 14-day Study Period Compared to Placebo

rTNSS 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. (maximum 12 points per assessment.) Total possible score is 24 per day. Least square means 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 baseline as a covariate.

Time frame: baseline and 14 days

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in 12-hour Reflective Total Nasal Symptom Score(rTNSS)for the Entire 14-day Study Period Compared to PlaceboOverall change from baseline-2.36 total nasal symptom scoreStandard Deviation 4.155
PlaceboChange From Baseline in 12-hour Reflective Total Nasal Symptom Score(rTNSS)for the Entire 14-day Study Period Compared to PlaceboBaseline symptom score17.86 total nasal symptom scoreStandard Deviation 3.301
Astepro 0.1%Change From Baseline in 12-hour Reflective Total Nasal Symptom Score(rTNSS)for the Entire 14-day Study Period Compared to PlaceboOverall change from baseline-4.42 total nasal symptom scoreStandard Deviation 4.696
Astepro 0.1%Change From Baseline in 12-hour Reflective Total Nasal Symptom Score(rTNSS)for the Entire 14-day Study Period Compared to PlaceboBaseline symptom score18.29 total nasal symptom scoreStandard Deviation 3.23
Astepro 0.15%Change From Baseline in 12-hour Reflective Total Nasal Symptom Score(rTNSS)for the Entire 14-day Study Period Compared to PlaceboBaseline symptom score17.83 total nasal symptom scoreStandard Deviation 3.284
Astepro 0.15%Change From Baseline in 12-hour Reflective Total Nasal Symptom Score(rTNSS)for the Entire 14-day Study Period Compared to PlaceboOverall change from baseline-5.36 total nasal symptom scoreStandard Deviation 5.077
Comparison: Change in baseline to Day 14p-value: <0.00195% CI: [-2.98, -1.14]ANCOVA
Comparison: Change in baseline to Day 14p-value: <0.00195% CI: [-3.91, -2.09]ANCOVA
Secondary

Change From Baseline in Instantaneous Total Nasal Symptom Score for the Entire 14-day Study Period Compared to Placebo

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. Least square means 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 14 Days

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Instantaneous Total Nasal Symptom Score for the Entire 14-day Study Period Compared to PlaceboBaseline symptom score16.56 total nasal symptom scoreStandard Deviation 3.962
PlaceboChange From Baseline in Instantaneous Total Nasal Symptom Score for the Entire 14-day Study Period Compared to PlaceboOverall change from baseline-1.96 total nasal symptom scoreStandard Deviation 4.313
Astepro 0.1%Change From Baseline in Instantaneous Total Nasal Symptom Score for the Entire 14-day Study Period Compared to PlaceboBaseline symptom score17.22 total nasal symptom scoreStandard Deviation 3.836
Astepro 0.1%Change From Baseline in Instantaneous Total Nasal Symptom Score for the Entire 14-day Study Period Compared to PlaceboOverall change from baseline-3.74 total nasal symptom scoreStandard Deviation 4.796
Astepro 0.15%Change From Baseline in Instantaneous Total Nasal Symptom Score for the Entire 14-day Study Period Compared to PlaceboBaseline symptom score16.43 total nasal symptom scoreStandard Deviation 3.998
Astepro 0.15%Change From Baseline in Instantaneous Total Nasal Symptom Score for the Entire 14-day Study Period Compared to PlaceboOverall change from baseline-4.63 total nasal symptom scoreStandard Deviation 5.261
Comparison: Change in baseline to Day 14p-value: <0.00195% CI: [-2.72, -0.84]ANCOVA
Comparison: Change in baseline to Day 14p-value: <0.00195% CI: [-3.6, -1.74]ANCOVA
Secondary

Change From Baseline in the 12-hour Reflective Secondary Symptom Complex Score for the Entire 14-day Study Period Compared to Placebo

Reflective secondary symptom scores (SSCS) (post-nasal drip, itchy eyes, cough and headache) 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. Least square means 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 14 days

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in the 12-hour Reflective Secondary Symptom Complex Score for the Entire 14-day Study Period Compared to PlaceboBaseline SSCS14.27 Reflective secondary symptom scoreStandard Deviation 4.503
PlaceboChange From Baseline in the 12-hour Reflective Secondary Symptom Complex Score for the Entire 14-day Study Period Compared to PlaceboChange in baseline to Day 14-1.72 Reflective secondary symptom scoreStandard Deviation 3.823
Astepro 0.1%Change From Baseline in the 12-hour Reflective Secondary Symptom Complex Score for the Entire 14-day Study Period Compared to PlaceboBaseline SSCS14.59 Reflective secondary symptom scoreStandard Deviation 4.818
Astepro 0.1%Change From Baseline in the 12-hour Reflective Secondary Symptom Complex Score for the Entire 14-day Study Period Compared to PlaceboChange in baseline to Day 14-3.09 Reflective secondary symptom scoreStandard Deviation 4.337
Astepro 0.15%Change From Baseline in the 12-hour Reflective Secondary Symptom Complex Score for the Entire 14-day Study Period Compared to PlaceboBaseline SSCS13.59 Reflective secondary symptom scoreStandard Deviation 5.087
Astepro 0.15%Change From Baseline in the 12-hour Reflective Secondary Symptom Complex Score for the Entire 14-day Study Period Compared to PlaceboChange in baseline to Day 14-4.15 Reflective secondary symptom scoreStandard Deviation 4.6
Comparison: Change in baseline to Day 14p-value: 0.00195% CI: [-2.2, -0.56]ANCOVA
Comparison: Change in baseline to Day 14p-value: <0.00195% CI: [-3.24, -1.62]ANCOVA
Secondary

Change From Baseline on Direct Visual Nasal Exams

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: 14 days

ArmMeasureGroupValue (NUMBER)
PlaceboChange From Baseline on Direct Visual Nasal ExamsMucosal Edema: screening - Total178 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsEpistaxis: Day 14/ET - Moderate0 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsMucosal Erythema: Day 14/ET - Toal178 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsMucosal Edema: screening - None3 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsCrusting of Mucosa: Day 14/ET - None154 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsMucosal Erythema: screening - Severe1 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsMucosal Edema: screening - Mild40 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsCrusting of Mucosa: screening - Total178 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsMucosal Erythema: screening - Moderate37 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsMucosal Edema: screening - Moderate108 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsEpistaxis: Day 14/ET - Severe0 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsMucosal Erythema: screening - Mild59 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsMucosal Edema: screening - Severe27 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsEpistaxis: screening - Moderate0 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsMucosal Erythema: screening - None81 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsMucosal Edema: Day 14/ET - total178 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsNasal Discharge: screening - Moderate64 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsMucosal Erythema: screening - Total178 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsMucosal Edema: Day 14/ET - None14 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsNasal Irritation: screening - total178 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsNasal Discharge: Day 14/ET - Severe10 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsMucosal Edema: Day 14/ET - Mild50 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsEpistaxis: screening - None176 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsNasal Discharge: Day 14/ET - Moderate47 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsMucosal Edema: Day 14/ET - Moderate88 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsMucosal Bleeding: Day 14/ET - Severe0 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsNasal Discharge: Day 14/ET- Mild85 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsMucosal Edema: Day 14/ET - Severe26 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsNasal Irritation: screening - None169 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsNasal Discharge: Day 14/ET - None26 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsNasal Discharge: screening - Total178 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsCrusting of Mucosa: Day 14/ET - Total178 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsNasal Discharge: Day 14/ET - Total178 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsNasal Discharge: screening - Severe13 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsNasal Discharge: screening - None29 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsMucosal Bleeding: Day 14/ET - Moderate0 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsCrusting of Mucosa: Day 14/ET - Moderate4 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsNasal Discharge: screening - Mild72 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsNasal Irritation: screening - Grade 1A0 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsEpistaxis: screening - Severe0 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsMucosal Bleeding: Day 14/ET - Mild7 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsNasal Irritation: screening - Grade 1B0 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsEpistaxis: screening - total178 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsMucosal Bleeding: Day 14/ET - None171 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsNasal Irritation: screening - Grade 20 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsCrusting of Mucosa: screening - Severe1 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsMucosal Bleeding: Day 14/ET - Total178 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsNasal Irritation: screening - Grade 30 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsEpistaxis: Day 14/ET - total178 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsMucosal Bleeding: screening - Severe0 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsNasal Irritation: screening - Grade 40 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsCrusting of Mucosa: Day 14/ET - Mild19 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsMucosal Bleeding: screening - Moderate0 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsNasal Irritation: Day 14/ET - Total178 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsCrusting of Mucosa: screening - Moderate4 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsMucosal Bleeding: screening - Mild3 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsNasal Irritation: Day 14/ET - None168 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsEpistaxis: Day 14/ET - None174 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsMucosal Bleeding: screening - None175 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsNasal Irritation: Day 14/ET- Grade 1A8 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsEpistaxis: screening - Mild2 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsMucosal Bleeding: screening - Toal178 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsNasal Irritation: Day 14/ET- Grade 1B2 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsCrusting of Mucosa: screening - Mild17 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsMucosal Erythema: Day 14/ET - Severe1 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsNasal Irritation: Day 14/ET- Grade 20 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsEpistaxis: Day 14/ET - Mild4 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsMucosal Erythema: Day 14/ET - Moderate25 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsNasal Irritation: Day 14/ET- Grade 30 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsCrusting of Mucosa: Day 14/ET - Severe1 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsMucosal Erythema: Day 14/ET - Mild51 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsNasal Irritation: Day 14/ET- Grade 40 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsCrusting of Mucosa: screening - None156 Participants
PlaceboChange From Baseline on Direct Visual Nasal ExamsMucosal Erythema: Day 14/ET - None101 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsMucosal Bleeding: Day 14/ET - Severe0 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsCrusting of Mucosa: Day 14/ET - Severe0 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsEpistaxis: screening - total170 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsEpistaxis: screening - None169 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsEpistaxis: screening - Mild1 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsEpistaxis: screening - Moderate0 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsEpistaxis: screening - Severe0 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsEpistaxis: Day 14/ET - total169 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsEpistaxis: Day 14/ET - None168 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsEpistaxis: Day 14/ET - Mild1 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsEpistaxis: Day 14/ET - Moderate0 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsEpistaxis: Day 14/ET - Severe0 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsNasal Irritation: screening - total0 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsNasal Irritation: screening - None170 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsNasal Irritation: screening - Grade 1A166 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsNasal Irritation: screening - Grade 1B4 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsNasal Irritation: screening - Grade 20 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsNasal Irritation: screening - Grade 30 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsNasal Irritation: screening - Grade 40 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsNasal Irritation: Day 14/ET - Total169 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsNasal Irritation: Day 14/ET - None161 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsNasal Irritation: Day 14/ET- Grade 1A8 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsNasal Irritation: Day 14/ET- Grade 1B0 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsNasal Irritation: Day 14/ET- Grade 20 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsNasal Irritation: Day 14/ET- Grade 30 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsNasal Irritation: Day 14/ET- Grade 40 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsMucosal Edema: screening - Total170 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsMucosal Edema: screening - None3 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsMucosal Edema: screening - Mild30 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsMucosal Edema: screening - Moderate106 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsMucosal Edema: screening - Severe31 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsMucosal Edema: Day 14/ET - total169 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsMucosal Edema: Day 14/ET - None12 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsMucosal Edema: Day 14/ET - Mild60 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsMucosal Edema: Day 14/ET - Moderate77 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsMucosal Edema: Day 14/ET - Severe20 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsNasal Discharge: screening - Total170 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsNasal Discharge: screening - None26 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsNasal Discharge: screening - Mild63 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsNasal Discharge: screening - Moderate67 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsNasal Discharge: screening - Severe14 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsNasal Discharge: Day 14/ET - Total169 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsNasal Discharge: Day 14/ET - None46 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsNasal Discharge: Day 14/ET- Mild71 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsNasal Discharge: Day 14/ET - Moderate46 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsNasal Discharge: Day 14/ET - Severe6 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsMucosal Erythema: screening - Total170 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsMucosal Erythema: screening - None74 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsMucosal Erythema: screening - Mild56 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsMucosal Erythema: screening - Moderate37 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsCrusting of Mucosa: Day 14/ET - Moderate2 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsMucosal Erythema: screening - Severe3 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsMucosal Erythema: Day 14/ET - Toal167 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsMucosal Erythema: Day 14/ET - None97 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsMucosal Erythema: Day 14/ET - Mild49 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsMucosal Erythema: Day 14/ET - Moderate18 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsMucosal Erythema: Day 14/ET - Severe5 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsMucosal Bleeding: screening - Toal170 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsMucosal Bleeding: screening - None167 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsMucosal Bleeding: screening - Mild3 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsMucosal Bleeding: screening - Moderate0 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsMucosal Bleeding: screening - Severe0 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsMucosal Bleeding: Day 14/ET - Total169 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsMucosal Bleeding: Day 14/ET - None163 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsMucosal Bleeding: Day 14/ET - Mild6 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsMucosal Bleeding: Day 14/ET - Moderate0 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsCrusting of Mucosa: screening - Total170 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsCrusting of Mucosa: screening - None142 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsCrusting of Mucosa: screening - Mild20 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsCrusting of Mucosa: screening - Moderate7 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsCrusting of Mucosa: screening - Severe1 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsCrusting of Mucosa: Day 14/ET - Total169 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsCrusting of Mucosa: Day 14/ET - None148 Participants
Astepro 0.1%Change From Baseline on Direct Visual Nasal ExamsCrusting of Mucosa: Day 14/ET - Mild19 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsMucosal Edema: screening - None3 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsCrusting of Mucosa: screening - Total178 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsEpistaxis: Day 14/ET - Mild9 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsMucosal Erythema: screening - Severe2 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsMucosal Edema: screening - Total178 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsCrusting of Mucosa: Day 14/ET - Moderate3 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsMucosal Erythema: Day 14/ET - Toal175 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsNasal Irritation: Day 14/ET- Grade 40 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsCrusting of Mucosa: screening - None158 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsMucosal Erythema: Day 14/ET - None105 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsNasal Irritation: Day 14/ET- Grade 30 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsEpistaxis: Day 14/ET - None166 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsMucosal Erythema: Day 14/ET - Mild42 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsNasal Irritation: Day 14/ET- Grade 20 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsCrusting of Mucosa: Day 14/ET - None155 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsMucosal Erythema: Day 14/ET - Moderate27 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsNasal Irritation: Day 14/ET- Grade 1B3 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsCrusting of Mucosa: screening - Mild18 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsNasal Irritation: Day 14/ET- Grade 1A7 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsEpistaxis: Day 14/ET - total175 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsMucosal Bleeding: screening - Toal178 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsNasal Irritation: Day 14/ET - None165 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsEpistaxis: screening - None176 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsMucosal Bleeding: screening - None167 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsNasal Irritation: Day 14/ET - Total175 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsCrusting of Mucosa: screening - Moderate2 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsMucosal Bleeding: screening - Mild2 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsNasal Irritation: screening - Grade 40 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsEpistaxis: screening - Severe0 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsMucosal Bleeding: screening - Moderate0 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsNasal Irritation: screening - Grade 30 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsEpistaxis: screening - total178 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsMucosal Bleeding: screening - Severe0 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsNasal Irritation: screening - Grade 20 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsCrusting of Mucosa: screening - Severe0 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsMucosal Bleeding: Day 14/ET - Total175 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsNasal Irritation: screening - Grade 1B9 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsEpistaxis: screening - Moderate0 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsMucosal Erythema: Day 14/ET - Severe1 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsMucosal Bleeding: Day 14/ET - None163 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsNasal Discharge: screening - Mild67 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsNasal Irritation: screening - Grade 1A169 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsNasal Discharge: screening - None28 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsNasal Discharge: screening - Moderate71 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsCrusting of Mucosa: Day 14/ET - Severe1 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsCrusting of Mucosa: Day 14/ET - Mild16 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsNasal Discharge: screening - Severe12 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsNasal Discharge: screening - Total178 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsMucosal Bleeding: Day 14/ET - Mild11 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsNasal Discharge: Day 14/ET - Total175 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsMucosal Edema: Day 14/ET - Severe20 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsNasal Irritation: screening - None178 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsNasal Discharge: Day 14/ET - None47 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsMucosal Edema: Day 14/ET - Moderate81 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsCrusting of Mucosa: Day 14/ET - Total175 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsNasal Discharge: Day 14/ET- Mild72 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsMucosal Edema: Day 14/ET - Mild59 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsMucosal Bleeding: Day 14/ET - Moderate0 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsNasal Discharge: Day 14/ET - Moderate45 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsMucosal Edema: Day 14/ET - None15 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsNasal Irritation: screening - total0 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsNasal Discharge: Day 14/ET - Severe11 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsMucosal Edema: Day 14/ET - total175 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsEpistaxis: Day 14/ET - Severe0 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsMucosal Erythema: screening - Total178 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsMucosal Edema: screening - Severe33 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsMucosal Bleeding: Day 14/ET - Severe1 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsMucosal Erythema: screening - None92 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsMucosal Edema: screening - Moderate114 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsEpistaxis: Day 14/ET - Moderate0 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsMucosal Erythema: screening - Mild45 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsMucosal Edema: screening - Mild28 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsEpistaxis: screening - Mild2 Participants
Astepro 0.15%Change From Baseline on Direct Visual Nasal ExamsMucosal Erythema: screening - Moderate39 Participants
Secondary

Change From Baseline to Day 14 in the Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) Compared to Placebo in Patients 18 Years of Age and Older

A 28-item RQLQ was completed on Day 1 and Day 14 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 14 days

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline to Day 14 in the Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) Compared to Placebo in Patients 18 Years of Age and OlderBaseline: Overall3.87 28 item/7 domain RQLQ on 0-6 scaleStandard Deviation 0.991
PlaceboChange From Baseline to Day 14 in the Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) Compared to Placebo in Patients 18 Years of Age and OlderChange from Baseline:Overall-0.94 28 item/7 domain RQLQ on 0-6 scaleStandard Deviation 1.112
Astepro 0.1%Change From Baseline to Day 14 in the Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) Compared to Placebo in Patients 18 Years of Age and OlderBaseline: Overall3.73 28 item/7 domain RQLQ on 0-6 scaleStandard Deviation 0.998
Astepro 0.1%Change From Baseline to Day 14 in the Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) Compared to Placebo in Patients 18 Years of Age and OlderChange from Baseline:Overall-1.12 28 item/7 domain RQLQ on 0-6 scaleStandard Deviation 1.246
Astepro 0.15%Change From Baseline to Day 14 in the Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) Compared to Placebo in Patients 18 Years of Age and OlderBaseline: Overall3.75 28 item/7 domain RQLQ on 0-6 scaleStandard Deviation 1.012
Astepro 0.15%Change From Baseline to Day 14 in the Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) Compared to Placebo in Patients 18 Years of Age and OlderChange from Baseline:Overall-1.48 28 item/7 domain RQLQ on 0-6 scaleStandard Deviation 1.328

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