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Safety and Efficacy of Bepotastine Besilate Ophthalmic Solution in Seasonal Allergic Conjunctivitis Patients

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01174823
Enrollment
245
Registered
2010-08-04
Start date
2010-06-30
Completion date
2010-12-31
Last updated
2020-09-14

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

Conditions

Allergic Conjunctivitis

Brief summary

The purpose of this study is to study the safety and efficacy of bepotastine besilate ophthalmic solution in allergic conjunctivitis patients.

Interventions

DRUGbepotastine besilate ophthalmic solution

sterile ophthalmic solution

DRUGplacebo comparator ophthalmic solution

sterile ophthalmic solution

Sponsors

Bausch & Lomb Incorporated
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

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

Inclusion criteria

* Subjects 12 years of age and older with 2-year history of allergic conjunctivitis

Exclusion criteria

* No active ocular or nasal infection

Design outcomes

Primary

MeasureTime frameDescription
Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) - Mean Change in Total ScoreBaseline, 14 daysResponses to questions relating to symptoms and daily activities in the RQLQ were provided for 28 questions encompassing the 7 major domains of activities, sleep, non-nose/eye symptoms, practical problems, nasal symptoms, eye symptoms, and emotional state. Each response to an RQLQ question was provided on a scale of 0-6 units, where 0 = not troubled/none of the time and 6 = extremely troubled/all of the time. The minimum total score was 0 units and the maximum total score was 42 units, with higher score indicating decreased quality of life due to rhinoconjunctivitis.

Secondary

MeasureTime frameDescription
Mean Change From Baseline for Twice Daily (BID) Averaged Instantaneous Ocular Redness Scores Over the Treatment PeriodBaseline, 14 daysOcular redness each was graded on a 4-point scale (0-3 units; 0=Absent, 1=Mild, 2=Moderate, 3=Severe) twice daily in the Screening Diary (Day -7 to Day -1) and the Subject Diary (Day 0 prior to first dose through Day 13).
Mean Change From Baseline for Twice Daily (BID) Averaged Proportion of Tearing Episodes Over the Treatment PeriodBaseline, 14 daysIndividual nasal symptoms and ocular itching and redness each were graded on a 4-point scale (0-3 units; 0=Absent, 1=Mild, 2=Moderate, 3=Severe) BID in the Screening Diary (Day -7 to Day -1) and BID in the Subject Diary (Day 0 prior to first dose through Day 13). Tearing was scored from Day 0 as either absent or present at the same time as nasal and other ocular symptoms were graded. The proportion of participants was calculated and then then average of the proportions.
Mean Change From Baseline for Twice Daily (BID) Averaged Reflective Ocular Itching Scores Over the Treatment PeriodBaseline, 14 daysOcular itching was graded on a 4-point scale (0-3 units; 0=Absent, 1=Mild, 2=Moderate, 3=Severe) twice daily in the Screening Diary (Day -7 to Day -1) and the Subject Diary (Day 0 prior to first dose through Day 13).
Global Therapeutic Response Rating - Participant Assessed14 daysParticipants were asked if they felt that they had experienced improvement in allergy symptoms after therapy. Participant assessed global therapeutic response rating: categories that the participant could select were 'no change', 'slight improvement', 'improved', or 'marked improvement'.
Global Therapeutic Response Rating - Investigator Assessed14 daysInvestigators were asked if they felt that the participant had experienced improvement in allergy symptoms after therapy. Investigator assessed global therapeutic response rating: categories that the investigator could select were 'no change', 'slight improvement', 'improved', or 'marked improvement'.
Mean Change From Baseline for Twice Daily (BID) Averaged Reflective Total Nasal Symptom Scores Over the Treatment PeriodBaseline, 14 daysIndividual nasal symptoms of rhinorrhea, nasal congestion, nasal itching, and sneezing each were each graded on a 4-point scale (0-3 units; 0=Absent, 1=Mild, 2=Moderate, 3=Severe) twice daily in the Screening Diary (Day -7 to Day -1) and the Subject Diary (Day 0 prior to first dose through Day 13). The minimum Total Nasal Symptom Score (TNSS) was 0 units and the maximum TNSS corresponding to multiple individual nasal symptoms scored as severe was 12 units

Countries

United States

Participant flow

Participants by arm

ArmCount
Placebo
placebo comparator ophthalmic solution: sterile ophthalmic solution administered twice a day
122
Bepotastine Besilate Ophthalmic Solution
bepotastine besilate ophthalmic solution: sterile ophthalmic solution administered twice a day
123
Total245

Baseline characteristics

CharacteristicPlaceboBepotastine Besilate Ophthalmic SolutionTotal
Age, Continuous41.6 years
STANDARD_DEVIATION 15
38.7 years
STANDARD_DEVIATION 13.8
40.1 years
STANDARD_DEVIATION 14.5
Sex: Female, Male
Female
82 Participants71 Participants153 Participants
Sex: Female, Male
Male
40 Participants52 Participants92 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 1210 / 123
other
Total, other adverse events
1 / 12110 / 123
serious
Total, serious adverse events
1 / 1210 / 123

Outcome results

Primary

Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) - Mean Change in Total Score

Responses to questions relating to symptoms and daily activities in the RQLQ were provided for 28 questions encompassing the 7 major domains of activities, sleep, non-nose/eye symptoms, practical problems, nasal symptoms, eye symptoms, and emotional state. Each response to an RQLQ question was provided on a scale of 0-6 units, where 0 = not troubled/none of the time and 6 = extremely troubled/all of the time. The minimum total score was 0 units and the maximum total score was 42 units, with higher score indicating decreased quality of life due to rhinoconjunctivitis.

Time frame: Baseline, 14 days

Population: The per protocol population included randomized participants with no major protocol violations, who had at least 80% dosing compliance during the 2-week dosing period and at least 85% compliance in providing nasal and ocular symptom grades in the Subject Diary, and who completed the RQLQ at Day 0 and Day 14 (+2).

ArmMeasureValue (MEAN)Dispersion
PlaceboRhinoconjunctivitis Quality of Life Questionnaire (RQLQ) - Mean Change in Total Score-1.18 score on a scaleStandard Deviation 1.24
Bepotastine Besilate Ophthalmic SolutionRhinoconjunctivitis Quality of Life Questionnaire (RQLQ) - Mean Change in Total Score-1.17 score on a scaleStandard Deviation 1.27
Secondary

Global Therapeutic Response Rating - Investigator Assessed

Investigators were asked if they felt that the participant had experienced improvement in allergy symptoms after therapy. Investigator assessed global therapeutic response rating: categories that the investigator could select were 'no change', 'slight improvement', 'improved', or 'marked improvement'.

Time frame: 14 days

Population: The per protocol population included randomized participants with no major protocol violations, who had at least 80% dosing compliance during the 2-week dosing period and at least 85% compliance in providing nasal and ocular symptom grades in the Subject Diary, and who completed the RQLQ at Day 0 and Day 14 (+2).

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
PlaceboGlobal Therapeutic Response Rating - Investigator AssessedImproved or Marked Improvement16 Participants
PlaceboGlobal Therapeutic Response Rating - Investigator AssessedAny Improvement56 Participants
Bepotastine Besilate Ophthalmic SolutionGlobal Therapeutic Response Rating - Investigator AssessedImproved or Marked Improvement29 Participants
Bepotastine Besilate Ophthalmic SolutionGlobal Therapeutic Response Rating - Investigator AssessedAny Improvement70 Participants
Secondary

Global Therapeutic Response Rating - Participant Assessed

Participants were asked if they felt that they had experienced improvement in allergy symptoms after therapy. Participant assessed global therapeutic response rating: categories that the participant could select were 'no change', 'slight improvement', 'improved', or 'marked improvement'.

Time frame: 14 days

Population: The per protocol population included randomized participants with no major protocol violations, who had at least 80% dosing compliance during the 2-week dosing period and at least 85% compliance in providing nasal and ocular symptom grades in the Subject Diary, and who completed the RQLQ at Day 0 and Day 14 (+2).

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
PlaceboGlobal Therapeutic Response Rating - Participant AssessedImproved or Marked Improvement24 Participants
PlaceboGlobal Therapeutic Response Rating - Participant AssessedAny Improvement64 Participants
Bepotastine Besilate Ophthalmic SolutionGlobal Therapeutic Response Rating - Participant AssessedAny Improvement72 Participants
Bepotastine Besilate Ophthalmic SolutionGlobal Therapeutic Response Rating - Participant AssessedImproved or Marked Improvement27 Participants
Secondary

Mean Change From Baseline for Twice Daily (BID) Averaged Instantaneous Ocular Redness Scores Over the Treatment Period

Ocular redness each was graded on a 4-point scale (0-3 units; 0=Absent, 1=Mild, 2=Moderate, 3=Severe) twice daily in the Screening Diary (Day -7 to Day -1) and the Subject Diary (Day 0 prior to first dose through Day 13).

Time frame: Baseline, 14 days

Population: The per protocol population included randomized participants with no major protocol violations, who had at least 80% dosing compliance during the 2-week dosing period and at least 85% compliance in providing nasal and ocular symptom grades in the Subject Diary, and who completed the RQLQ at Day 0 and Day 14 (+2).

ArmMeasureValue (MEAN)Dispersion
PlaceboMean Change From Baseline for Twice Daily (BID) Averaged Instantaneous Ocular Redness Scores Over the Treatment Period-0.45 score on a scaleStandard Deviation 0.61
Bepotastine Besilate Ophthalmic SolutionMean Change From Baseline for Twice Daily (BID) Averaged Instantaneous Ocular Redness Scores Over the Treatment Period-0.62 score on a scaleStandard Deviation 0.57
Secondary

Mean Change From Baseline for Twice Daily (BID) Averaged Proportion of Tearing Episodes Over the Treatment Period

Individual nasal symptoms and ocular itching and redness each were graded on a 4-point scale (0-3 units; 0=Absent, 1=Mild, 2=Moderate, 3=Severe) BID in the Screening Diary (Day -7 to Day -1) and BID in the Subject Diary (Day 0 prior to first dose through Day 13). Tearing was scored from Day 0 as either absent or present at the same time as nasal and other ocular symptoms were graded. The proportion of participants was calculated and then then average of the proportions.

Time frame: Baseline, 14 days

Population: The per protocol population included randomized participants with no major protocol violations, who had at least 80% dosing compliance during the 2-week dosing period, who had at least 85% compliance in providing nasal and ocular symptom grades in the Subject Diary, and who completed the questionnaire at Day 0 and Day 14 (+2).

ArmMeasureValue (MEAN)Dispersion
PlaceboMean Change From Baseline for Twice Daily (BID) Averaged Proportion of Tearing Episodes Over the Treatment Period-0.15 tearing episodesStandard Deviation 0.244
Bepotastine Besilate Ophthalmic SolutionMean Change From Baseline for Twice Daily (BID) Averaged Proportion of Tearing Episodes Over the Treatment Period-0.18 tearing episodesStandard Deviation 0.269
Secondary

Mean Change From Baseline for Twice Daily (BID) Averaged Reflective Ocular Itching Scores Over the Treatment Period

Ocular itching was graded on a 4-point scale (0-3 units; 0=Absent, 1=Mild, 2=Moderate, 3=Severe) twice daily in the Screening Diary (Day -7 to Day -1) and the Subject Diary (Day 0 prior to first dose through Day 13).

Time frame: Baseline, 14 days

Population: The per protocol population included randomized participants with no major protocol violations, who had at least 80% dosing compliance during the 2-week dosing period and at least 85% compliance in providing nasal and ocular symptom grades in the Subject Diary, and who completed the RQLQ at Day 0 and Day 14 (+2).

ArmMeasureValue (MEAN)Dispersion
PlaceboMean Change From Baseline for Twice Daily (BID) Averaged Reflective Ocular Itching Scores Over the Treatment Period-0.54 score on a scaleStandard Deviation 0.58
Bepotastine Besilate Ophthalmic SolutionMean Change From Baseline for Twice Daily (BID) Averaged Reflective Ocular Itching Scores Over the Treatment Period-0.71 score on a scaleStandard Deviation 0.65
Secondary

Mean Change From Baseline for Twice Daily (BID) Averaged Reflective Total Nasal Symptom Scores Over the Treatment Period

Individual nasal symptoms of rhinorrhea, nasal congestion, nasal itching, and sneezing each were each graded on a 4-point scale (0-3 units; 0=Absent, 1=Mild, 2=Moderate, 3=Severe) twice daily in the Screening Diary (Day -7 to Day -1) and the Subject Diary (Day 0 prior to first dose through Day 13). The minimum Total Nasal Symptom Score (TNSS) was 0 units and the maximum TNSS corresponding to multiple individual nasal symptoms scored as severe was 12 units

Time frame: Baseline, 14 days

Population: The per protocol population included randomized participants with no major protocol violations, who had at least 80% dosing compliance during the 2-week dosing period and at least 85% compliance in providing nasal and ocular symptom grades in the Subject Diary, and who completed the questionnaire at Day 0 and Day 14 (+2).

ArmMeasureValue (MEAN)Dispersion
PlaceboMean Change From Baseline for Twice Daily (BID) Averaged Reflective Total Nasal Symptom Scores Over the Treatment Period-1.73 score on a scaleStandard Deviation 1.94
Bepotastine Besilate Ophthalmic SolutionMean Change From Baseline for Twice Daily (BID) Averaged Reflective Total Nasal Symptom Scores Over the Treatment Period-2.08 score on a scaleStandard Deviation 2.06

Source: ClinicalTrials.gov · Data processed: Mar 23, 2026