Allergic Conjunctivitis
Conditions
Brief summary
The purpose of this study is to study the safety and efficacy of bepotastine besilate ophthalmic solution in allergic conjunctivitis patients.
Interventions
sterile ophthalmic solution
sterile ophthalmic solution
Sponsors
Study design
Eligibility
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
| Measure | Time frame | Description |
|---|---|---|
| Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) - Mean Change in Total Score | Baseline, 14 days | 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. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mean Change From Baseline for Twice Daily (BID) Averaged Instantaneous Ocular Redness Scores Over the Treatment Period | Baseline, 14 days | 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). |
| Mean Change From Baseline for Twice Daily (BID) Averaged Proportion of Tearing Episodes Over the Treatment Period | Baseline, 14 days | 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. |
| Mean Change From Baseline for Twice Daily (BID) Averaged Reflective Ocular Itching Scores Over the Treatment Period | Baseline, 14 days | 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). |
| Global Therapeutic Response Rating - Participant Assessed | 14 days | 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'. |
| Global Therapeutic Response Rating - Investigator Assessed | 14 days | 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'. |
| Mean Change From Baseline for Twice Daily (BID) Averaged Reflective Total Nasal Symptom Scores Over the Treatment Period | Baseline, 14 days | 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 |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| 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 |
| Total | 245 |
Baseline characteristics
| Characteristic | Placebo | Bepotastine Besilate Ophthalmic Solution | Total |
|---|---|---|---|
| Age, Continuous | 41.6 years STANDARD_DEVIATION 15 | 38.7 years STANDARD_DEVIATION 13.8 | 40.1 years STANDARD_DEVIATION 14.5 |
| Sex: Female, Male Female | 82 Participants | 71 Participants | 153 Participants |
| Sex: Female, Male Male | 40 Participants | 52 Participants | 92 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 121 | 0 / 123 |
| other Total, other adverse events | 1 / 121 | 10 / 123 |
| serious Total, serious adverse events | 1 / 121 | 0 / 123 |
Outcome results
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).
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Placebo | Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) - Mean Change in Total Score | -1.18 score on a scale | Standard Deviation 1.24 |
| Bepotastine Besilate Ophthalmic Solution | Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) - Mean Change in Total Score | -1.17 score on a scale | Standard Deviation 1.27 |
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).
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Placebo | Global Therapeutic Response Rating - Investigator Assessed | Improved or Marked Improvement | 16 Participants |
| Placebo | Global Therapeutic Response Rating - Investigator Assessed | Any Improvement | 56 Participants |
| Bepotastine Besilate Ophthalmic Solution | Global Therapeutic Response Rating - Investigator Assessed | Improved or Marked Improvement | 29 Participants |
| Bepotastine Besilate Ophthalmic Solution | Global Therapeutic Response Rating - Investigator Assessed | Any Improvement | 70 Participants |
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).
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Placebo | Global Therapeutic Response Rating - Participant Assessed | Improved or Marked Improvement | 24 Participants |
| Placebo | Global Therapeutic Response Rating - Participant Assessed | Any Improvement | 64 Participants |
| Bepotastine Besilate Ophthalmic Solution | Global Therapeutic Response Rating - Participant Assessed | Any Improvement | 72 Participants |
| Bepotastine Besilate Ophthalmic Solution | Global Therapeutic Response Rating - Participant Assessed | Improved or Marked Improvement | 27 Participants |
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).
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Placebo | Mean Change From Baseline for Twice Daily (BID) Averaged Instantaneous Ocular Redness Scores Over the Treatment Period | -0.45 score on a scale | Standard Deviation 0.61 |
| Bepotastine Besilate Ophthalmic Solution | Mean Change From Baseline for Twice Daily (BID) Averaged Instantaneous Ocular Redness Scores Over the Treatment Period | -0.62 score on a scale | Standard Deviation 0.57 |
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).
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Placebo | Mean Change From Baseline for Twice Daily (BID) Averaged Proportion of Tearing Episodes Over the Treatment Period | -0.15 tearing episodes | Standard Deviation 0.244 |
| Bepotastine Besilate Ophthalmic Solution | Mean Change From Baseline for Twice Daily (BID) Averaged Proportion of Tearing Episodes Over the Treatment Period | -0.18 tearing episodes | Standard Deviation 0.269 |
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).
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Placebo | Mean Change From Baseline for Twice Daily (BID) Averaged Reflective Ocular Itching Scores Over the Treatment Period | -0.54 score on a scale | Standard Deviation 0.58 |
| Bepotastine Besilate Ophthalmic Solution | Mean Change From Baseline for Twice Daily (BID) Averaged Reflective Ocular Itching Scores Over the Treatment Period | -0.71 score on a scale | Standard Deviation 0.65 |
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).
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Placebo | Mean Change From Baseline for Twice Daily (BID) Averaged Reflective Total Nasal Symptom Scores Over the Treatment Period | -1.73 score on a scale | Standard Deviation 1.94 |
| Bepotastine Besilate Ophthalmic Solution | Mean Change From Baseline for Twice Daily (BID) Averaged Reflective Total Nasal Symptom Scores Over the Treatment Period | -2.08 score on a scale | Standard Deviation 2.06 |