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Efficacy Study in Allergic Rhinitis Patients After Intranasal Administration of AZD8848

A Double-blind, Placebo Controlled, Randomised, Parallel Group Phase IIa Study to Investigate the Efficacy, Tolerability, and Safety of Different Dosing Regimens of AZD8848 Administered Intranasally to Seasonal Allergic Rhinitis Patients Out of Pollen Season in a Nasal Allergen Challenge Model

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01185080
Enrollment
93
Registered
2010-08-19
Start date
2010-09-30
Completion date
2012-01-31
Last updated
2016-01-07

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

Conditions

Allergic Rhinitis

Keywords

AZD8848, allergic rhinitis, efficacy, tolerability, safety, nasal symptoms

Brief summary

The primary purpose of this study is to investigate effect, tolerability and safety of different dosing regimens of AZD8848 administered intranasally to seasonal allergic rhinitis patients out of season in an allergen challenge model.

Detailed description

A double-blind, placebo controlled, randomised, parallel group phase IIa study to investigate the efficacy, tolerability, and safety of different dosing regimens of AZD8848 administered intranasally to seasonal allergic rhinitis patients out of pollen season in a nasal allergen challenge model

Interventions

Nasal spray solution, intranasal, three times weekly for one month

DRUGPlacebo

Nasal spray solution, intranasal, three times weekly for one month

DRUGAZD8848 and placebo

Nasal spray solution, intranasal, three times weekly for one month

Sponsors

AstraZeneca
Lead SponsorINDUSTRY

Study design

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

Eligibility

Sex/Gender
ALL
Age
18 Years to 55 Years
Healthy volunteers
No

Inclusion criteria

* Seasonal allergic rhinitis patients out of pollen season * Have a history and presence of birch and/or timothy grass pollen induced seasonal allergic rhinitis for at least the previous 2 years (verified by a positive skin prick test) * Patients with need of treatment for their nasal symptoms during the pollen season

Exclusion criteria

* Symptomatic perennial allergic or non-allergic rhinitis * Family history of autoimmune disease A history of asthma

Design outcomes

Primary

MeasureTime frameDescription
of Evening Measurements of Peak Nasal Inspiratory Flow (PNIF) (12 Hrs)During evening of the 1st day to the morning of the 8th day of Allergen challenge period.Mean of evening measurements of Peak Nasal Inspiratory Flow (absolute values) of symptoms over the last 12 hours during allergen challenge, collected in patient diary. The Mean is calculated over the evening of the 1st day to the morning of 8th day of the Allergen challenge period. The patient will breathe out as much as he can. Then a mask (Portable Inspiratory Flow Meter) will be placed over the nose and mouth and the patient will inspire forcefully through the nose while the lips remain tightly closed. The highest PNIF (L/minute) out of 3 measurements will be recorded. Allergen challenge period starts 24 hrs post last dose. Number of Participants Analyzed is based on all patients with evaluable efficacy and/or biomarker data from the challenge period (Visit 15).
Mean of Morning Measurements of Reflective (12 Hrs) Total Nasal Symptom Score (TNSS)During evening of the 1st day to the morning of the 8th day of Allergen challenge period.Mean of morning measurements of Reflective Total Nasal Symptom Score (absolute values) of symptoms over the last 12 hours during allergen challenge, collected in patient diary. The Mean is calculated over the evening of the 1st day to the morning of 8th day of the Allergen challenge period. Each individual symptom is scored 0 to 3, which 0 = Absence of symptoms, 1 = Mild symptoms, 2 = Moderate symptoms and 3 = Severe symptoms. The scores of each individual symptom (runny nose, blocked nose and the maximum score of nasal itching or sneezing) will be added together to give a TNSS of 0 to 9. TNSS Score 0 indicates better outcome and TNSS score 9 indicates worse outcome. Allergen challenge period starts 24 hrs post last dose. Number of Participants Analyzed is based on all patients with evaluable efficacy and/or biomarker data from the challenge period (Visit 15).
Mean of Evening Measurements of Reflective (12 Hrs) Total Nasal Symptom Score (TNSS)During the evening of the 1st day to the morning of the 8th day of Allergen challenge period.Mean of evening measurements of Reflective Total Nasal Symptom Score (absolute values) of symptoms over the last 12 hours during allergen challenge, collected in patient diary. The Mean is calculated over the evening of the 1st day to the morning of 8th day of the Allergen challenge period. Each individual symptom is scored 0 to 3, which 0 = Absence of symptoms, 1 = Mild symptoms, 2 = Moderate symptoms and 3 = Severe symptoms. The scores of each individual symptom (runny nose, blocked nose and the maximum score of nasal itching or sneezing) will be added together to give a TNSS of 0 to 9. TNSS Score 0 indicates better outcome and TNSS score 9 indicates worse outcome. Allergen challenge period starts 24 hrs post last dose. Number of Participants Analyzed is based on all patients with evaluable efficacy and/or biomarker data from the challenge period (Visit 15).
Mean of Peak Nasal Inspiratory Flow (PNIF) (10 Min)During 1st day to 7th day of Allergen challenge period.Mean of Peak Nasal Inspiratory Flow (absolute values) recorded immediately after TNSS scoring (recall period 10 min), during Allergen challenge period. The Mean is calculated over the Allergen challenge period, which is a seven day period. The patient will breathe out as much as he can. Then a mask (Portable Inspiratory Flow Meter) will be placed over the nose and mouth and the patient will inspire forcefully through the nose while the lips remain tightly closed. The highest PNIF (L/minute) out of 3 measurements will be recorded. Allergen challenge period starts 24 hrs post last dose. Number of Participants Analyzed is based on all patients with evaluable efficacy and/or biomarker data from the challenge period (Visit 15).
Mean of Morning Measurements of Peak Nasal Inspiratory Flow (PNIF) (12 Hrs)During evening of the 1st day to the morning of the 8th day of Allergen challenge period.Mean of morning measurements of Peak Nasal Inspiratory Flow (absolute values) of symptoms over the last 12 hours during allergen challenge, collected in patient diary. The Mean is calculated over the evening of the 1st day to the morning of 8th day of the Allergen challenge period. The patient will breathe out as much as he can. Then a mask (Portable Inspiratory Flow Meter) will be placed over the nose and mouth and the patient will inspire forcefully through the nose while the lips remain tightly closed. The highest PNIF (L/minute) out of 3 measurements will be recorded. Allergen challenge period starts 24 hrs post last dose. Number of Participants Analyzed is based on all patients with evaluable efficacy and/or biomarker data from the challenge period (Visit 15).
Mean of Reflective (10 Min) Total Nasal Symptom Score (TNSS)During 1st day to 7th day of Allergen challenge period.Mean of Reflective Total Nasal Symptom Score (absolute values) for symptoms over the last 10 minutes after allergen challenge, collected during clinic visits. The Mean is calculated over the Allergen challenge period, which is a seven day period. Each individual symptom is scored 0 to 3, which 0 = Absence of symptoms, 1 = Mild symptoms, 2 = Moderate symptoms and 3 = Severe symptoms. The scores of each individual symptom (runny nose, blocked nose and the maximum score of nasal itching or sneezing) will be added together to give a TNSS of 0 to 9. TNSS Score 0 indicates better outcome and TNSS score 9 indicates worse outcome. Allergen challenge period starts 24 hrs post last dose (visit 15). Number of Participants Analyzed is based on all patients with evaluable efficacy and/or biomarker data from the challenge period (Visit 15).

Secondary

MeasureTime frameDescription
Absolute Mean Value of Peak Nasal Inspiratory Flow (PNIF)Pre-dose on visit 2 (baseline)Absolute mean value of Peak Nasal Inspiratory Flow (PNIF) for pre-dose symptoms on visit 2, during treatment period. Treatment period is one month, which starts at visit 2 and ends at visit 14. The patient will breathe out as much as he can. Then a mask (Portable Inspiratory Flow Meter) will be placed over the nose and mouth and the patient will inspire forcefully through the nose while the lips remain tightly closed. The highest PNIF (L/minute) out of 3 measurements will be recorded. Number of Participants Analyzed is based on all patients with evaluable efficacy and/or biomarker data at visit 2.
Change From Baseline of C-X-C Motif Chemokine 10 (CXCL10) in PlasmaBaseline to 1st day of visit 15Change from baseline to 24 hours after last dose (day1 visit 15) of C-X-C motif chemokine 10 (CXCL10) in plasma, expressed as a ratio. The ratio is calculated as day1 of visit 15 / baseline. Number of Participants Analyzed is based on all patients with evaluable biomarker data at visit 2 and visit15.
Change From Baseline of C-X-C Motif Chemokine 10 (CXCL10) in Nasal LavageBaseline to 1st day of visit 15Change from baseline to 24 hours after last dose (day1 visit 15) of C-X-C motif chemokine 10 (CXCL10) in nasal lavage, expressed as a ratio. The ratio is calculated as day1 of visit 15 / baseline. Number of Participants Analyzed is based on all patients with evaluable biomarker data at visit 2 and visit 15.
Absolute Mean Value of Instantaneous Total Nasal Symptom Score (TNSS)Pre-dose on visit 2 (baseline)Absolute mean value of Instantaneous Total Nasal Symptom Score (TNSS) for pre-dose symptoms on visit 2, during treatment period. Treatment period is one month, which starts at visit 2 and ends at visit 14. Each individual symptom is scored 0 to 3, which 0 = Absence of symptoms, 1 = Mild symptoms, 2 = Moderate symptoms and 3 = Severe symptoms. The scores of each individual symptom (runny nose, blocked nose and the maximum score of nasal itching or sneezing) will be added together to give a TNSS of 0 to 9. TNSS Score 0 indicates better outcome and TNSS score 9 indicate worse outcome. Number of Participants Analyzed is based on all patients with evaluable efficacy and/or biomarker data at visit 2.

Countries

Sweden

Participant flow

Recruitment details

There were 93 patients enrolled in the study, who 83 of them were randomized. Of the 10 patients who were not randomized, 3 patients due to patient decision and 7 patients due to Eligibility criteria not fulfilled were not randomized.

Participants by arm

ArmCount
AZD8848 20 μg x3
20 μg AZD8848 three times weekly
50
Placebo
Placebo three times weekly
16
AZD8848 60 μg
60 μg AZD8848 once weekly and placebo twice weekly
17
Total83

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Overall StudyAdverse Event110
Overall StudyPersonal reasons001

Baseline characteristics

CharacteristicAZD8848 20 μg x3PlaceboAZD8848 60 μgTotal
Age, Continuous29.7 years28.8 years31.0 years29.8 years
Sex: Female, Male
Female
6 Participants2 Participants2 Participants10 Participants
Sex: Female, Male
Male
44 Participants14 Participants15 Participants73 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
48 / 5012 / 1612 / 17
serious
Total, serious adverse events
0 / 500 / 160 / 17

Outcome results

Primary

Mean of Evening Measurements of Reflective (12 Hrs) Total Nasal Symptom Score (TNSS)

Mean of evening measurements of Reflective Total Nasal Symptom Score (absolute values) of symptoms over the last 12 hours during allergen challenge, collected in patient diary. The Mean is calculated over the evening of the 1st day to the morning of 8th day of the Allergen challenge period. Each individual symptom is scored 0 to 3, which 0 = Absence of symptoms, 1 = Mild symptoms, 2 = Moderate symptoms and 3 = Severe symptoms. The scores of each individual symptom (runny nose, blocked nose and the maximum score of nasal itching or sneezing) will be added together to give a TNSS of 0 to 9. TNSS Score 0 indicates better outcome and TNSS score 9 indicates worse outcome. Allergen challenge period starts 24 hrs post last dose. Number of Participants Analyzed is based on all patients with evaluable efficacy and/or biomarker data from the challenge period (Visit 15).

Time frame: During the evening of the 1st day to the morning of the 8th day of Allergen challenge period.

ArmMeasureValue (LEAST_SQUARES_MEAN)
AZD8848 20 μg x3Mean of Evening Measurements of Reflective (12 Hrs) Total Nasal Symptom Score (TNSS)2.06 Scores on a scale
PlaceboMean of Evening Measurements of Reflective (12 Hrs) Total Nasal Symptom Score (TNSS)2.32 Scores on a scale
AZD8848 60 μgMean of Evening Measurements of Reflective (12 Hrs) Total Nasal Symptom Score (TNSS)1.96 Scores on a scale
Primary

Mean of Morning Measurements of Peak Nasal Inspiratory Flow (PNIF) (12 Hrs)

Mean of morning measurements of Peak Nasal Inspiratory Flow (absolute values) of symptoms over the last 12 hours during allergen challenge, collected in patient diary. The Mean is calculated over the evening of the 1st day to the morning of 8th day of the Allergen challenge period. The patient will breathe out as much as he can. Then a mask (Portable Inspiratory Flow Meter) will be placed over the nose and mouth and the patient will inspire forcefully through the nose while the lips remain tightly closed. The highest PNIF (L/minute) out of 3 measurements will be recorded. Allergen challenge period starts 24 hrs post last dose. Number of Participants Analyzed is based on all patients with evaluable efficacy and/or biomarker data from the challenge period (Visit 15).

Time frame: During evening of the 1st day to the morning of the 8th day of Allergen challenge period.

ArmMeasureValue (LEAST_SQUARES_MEAN)
AZD8848 20 μg x3Mean of Morning Measurements of Peak Nasal Inspiratory Flow (PNIF) (12 Hrs)136 L/min
PlaceboMean of Morning Measurements of Peak Nasal Inspiratory Flow (PNIF) (12 Hrs)148 L/min
AZD8848 60 μgMean of Morning Measurements of Peak Nasal Inspiratory Flow (PNIF) (12 Hrs)148 L/min
Primary

Mean of Morning Measurements of Reflective (12 Hrs) Total Nasal Symptom Score (TNSS)

Mean of morning measurements of Reflective Total Nasal Symptom Score (absolute values) of symptoms over the last 12 hours during allergen challenge, collected in patient diary. The Mean is calculated over the evening of the 1st day to the morning of 8th day of the Allergen challenge period. Each individual symptom is scored 0 to 3, which 0 = Absence of symptoms, 1 = Mild symptoms, 2 = Moderate symptoms and 3 = Severe symptoms. The scores of each individual symptom (runny nose, blocked nose and the maximum score of nasal itching or sneezing) will be added together to give a TNSS of 0 to 9. TNSS Score 0 indicates better outcome and TNSS score 9 indicates worse outcome. Allergen challenge period starts 24 hrs post last dose. Number of Participants Analyzed is based on all patients with evaluable efficacy and/or biomarker data from the challenge period (Visit 15).

Time frame: During evening of the 1st day to the morning of the 8th day of Allergen challenge period.

ArmMeasureValue (LEAST_SQUARES_MEAN)
AZD8848 20 μg x3Mean of Morning Measurements of Reflective (12 Hrs) Total Nasal Symptom Score (TNSS)1.81 Scores on a scale
PlaceboMean of Morning Measurements of Reflective (12 Hrs) Total Nasal Symptom Score (TNSS)2.14 Scores on a scale
AZD8848 60 μgMean of Morning Measurements of Reflective (12 Hrs) Total Nasal Symptom Score (TNSS)1.48 Scores on a scale
Primary

Mean of Peak Nasal Inspiratory Flow (PNIF) (10 Min)

Mean of Peak Nasal Inspiratory Flow (absolute values) recorded immediately after TNSS scoring (recall period 10 min), during Allergen challenge period. The Mean is calculated over the Allergen challenge period, which is a seven day period. The patient will breathe out as much as he can. Then a mask (Portable Inspiratory Flow Meter) will be placed over the nose and mouth and the patient will inspire forcefully through the nose while the lips remain tightly closed. The highest PNIF (L/minute) out of 3 measurements will be recorded. Allergen challenge period starts 24 hrs post last dose. Number of Participants Analyzed is based on all patients with evaluable efficacy and/or biomarker data from the challenge period (Visit 15).

Time frame: During 1st day to 7th day of Allergen challenge period.

ArmMeasureValue (LEAST_SQUARES_MEAN)
AZD8848 20 μg x3Mean of Peak Nasal Inspiratory Flow (PNIF) (10 Min)117 L/min
PlaceboMean of Peak Nasal Inspiratory Flow (PNIF) (10 Min)127 L/min
AZD8848 60 μgMean of Peak Nasal Inspiratory Flow (PNIF) (10 Min)129 L/min
Primary

Mean of Peak Nasal Inspiratory Flow (PNIF) (10 Min)

Mean of Peak Nasal Inspiratory Flow (absolute values) recorded immediately after TNSS scoring (recall period 10 min), during Allergen challenge period. The Mean is calculated over 4th day to 7th day of the Allergen challenge period. The patient will breathe out as much as he can. Then a mask (Portable Inspiratory Flow Meter) will be placed over the nose and mouth and the patient will inspire forcefully through the nose while the lips remain tightly closed. The highest PNIF (L/minute) out of 3 measurements will be recorded. Allergen challenge period starts 24 hrs post last dose. Number of Participants Analyzed is based on all patients with evaluable efficacy and/or biomarker data from the challenge period (Visit 15).

Time frame: During 4th day to 7th day of Allergen challenge period.

ArmMeasureValue (LEAST_SQUARES_MEAN)
AZD8848 20 μg x3Mean of Peak Nasal Inspiratory Flow (PNIF) (10 Min)121 L/min
PlaceboMean of Peak Nasal Inspiratory Flow (PNIF) (10 Min)128 L/min
AZD8848 60 μgMean of Peak Nasal Inspiratory Flow (PNIF) (10 Min)135 L/min
Primary

Mean of Reflective (10 Min) Total Nasal Symptom Score (TNSS)

Mean of Reflective Total Nasal Symptom Score (absolute values) for symptoms over the last 10 minutes after allergen challenge, collected during clinic visits. The Mean is calculated over the Allergen challenge period, which is a seven day period. Each individual symptom is scored 0 to 3, which 0 = Absence of symptoms, 1 = Mild symptoms, 2 = Moderate symptoms and 3 = Severe symptoms. The scores of each individual symptom (runny nose, blocked nose and the maximum score of nasal itching or sneezing) will be added together to give a TNSS of 0 to 9. TNSS Score 0 indicates better outcome and TNSS score 9 indicates worse outcome. Allergen challenge period starts 24 hrs post last dose (visit 15). Number of Participants Analyzed is based on all patients with evaluable efficacy and/or biomarker data from the challenge period (Visit 15).

Time frame: During 1st day to 7th day of Allergen challenge period.

ArmMeasureValue (LEAST_SQUARES_MEAN)
AZD8848 20 μg x3Mean of Reflective (10 Min) Total Nasal Symptom Score (TNSS)4.52 Scores on a scale
PlaceboMean of Reflective (10 Min) Total Nasal Symptom Score (TNSS)4.97 Scores on a scale
AZD8848 60 μgMean of Reflective (10 Min) Total Nasal Symptom Score (TNSS)4.69 Scores on a scale
Primary

Mean of Reflective (10 Min) Total Nasal Symptom Score (TNSS)

Mean of Reflective Total Nasal Symptom Score (absolute values) for symptoms over the last 10 minutes after allergen challenge, collected during clinic visits. The Mean is calculated over 4th day to 7th day of the Allergen challenge period. Each individual symptom is scored 0 to 3, which 0 = Absence of symptoms, 1 = Mild symptoms, 2 = Moderate symptoms and 3 = Severe symptoms. The scores of each individual symptom (runny nose, blocked nose and the maximum score of nasal itching or sneezing) will be added together to give a TNSS of 0 to 9. TNSS Score 0 indicates better outcome and TNSS score 9 indicates worse outcome. Allergen challenge period starts 24 hrs post last dose. Number of Participants Analyzed is based on all patients with evaluable efficacy and/or biomarker data from the challenge period (Visit 15).

Time frame: During 4th day to 7th day of Allergen challenge period.

ArmMeasureValue (LEAST_SQUARES_MEAN)
AZD8848 20 μg x3Mean of Reflective (10 Min) Total Nasal Symptom Score (TNSS)4.45 Scores on a scale
PlaceboMean of Reflective (10 Min) Total Nasal Symptom Score (TNSS)5.36 Scores on a scale
AZD8848 60 μgMean of Reflective (10 Min) Total Nasal Symptom Score (TNSS)4.42 Scores on a scale
Primary

of Evening Measurements of Peak Nasal Inspiratory Flow (PNIF) (12 Hrs)

Mean of evening measurements of Peak Nasal Inspiratory Flow (absolute values) of symptoms over the last 12 hours during allergen challenge, collected in patient diary. The Mean is calculated over the evening of the 1st day to the morning of 8th day of the Allergen challenge period. The patient will breathe out as much as he can. Then a mask (Portable Inspiratory Flow Meter) will be placed over the nose and mouth and the patient will inspire forcefully through the nose while the lips remain tightly closed. The highest PNIF (L/minute) out of 3 measurements will be recorded. Allergen challenge period starts 24 hrs post last dose. Number of Participants Analyzed is based on all patients with evaluable efficacy and/or biomarker data from the challenge period (Visit 15).

Time frame: During evening of the 1st day to the morning of the 8th day of Allergen challenge period.

ArmMeasureValue (LEAST_SQUARES_MEAN)
AZD8848 20 μg x3of Evening Measurements of Peak Nasal Inspiratory Flow (PNIF) (12 Hrs)145 L/min
Placeboof Evening Measurements of Peak Nasal Inspiratory Flow (PNIF) (12 Hrs)149 L/min
AZD8848 60 μgof Evening Measurements of Peak Nasal Inspiratory Flow (PNIF) (12 Hrs)147 L/min
Secondary

Absolute Mean Value of Instantaneous Total Nasal Symptom Score (TNSS)

Absolute mean value of Instantaneous Total Nasal Symptom Score (TNSS) for pre-dose symptoms on visit 2, during treatment period. Treatment period is one month, which starts at visit 2 and ends at visit 14. Each individual symptom is scored 0 to 3, which 0 = Absence of symptoms, 1 = Mild symptoms, 2 = Moderate symptoms and 3 = Severe symptoms. The scores of each individual symptom (runny nose, blocked nose and the maximum score of nasal itching or sneezing) will be added together to give a TNSS of 0 to 9. TNSS Score 0 indicates better outcome and TNSS score 9 indicate worse outcome. Number of Participants Analyzed is based on all patients with evaluable efficacy and/or biomarker data at visit 2.

Time frame: Pre-dose on visit 2 (baseline)

ArmMeasureValue (MEAN)Dispersion
AZD8848 20 μg x3Absolute Mean Value of Instantaneous Total Nasal Symptom Score (TNSS)0.38 Scores on a scaleStandard Deviation 0.697
PlaceboAbsolute Mean Value of Instantaneous Total Nasal Symptom Score (TNSS)0.75 Scores on a scaleStandard Deviation 1.291
AZD8848 60 μgAbsolute Mean Value of Instantaneous Total Nasal Symptom Score (TNSS)0.35 Scores on a scaleStandard Deviation 0.493
Secondary

Absolute Mean Value of Instantaneous Total Nasal Symptom Score (TNSS)

Absolute mean value of Instantaneous Total Nasal Symptom Score (TNSS) for pre-dose symptoms on visit11, during treatment period. Treatment period is one month, which starts at visit 2 and ends at visit 14. Each individual symptom is scored 0 to 3, which 0 = Absence of symptoms, 1 = Mild symptoms, 2 = Moderate symptoms and 3 = Severe symptoms. The scores of each individual symptom (runny nose, blocked nose and the maximum score of nasal itching or sneezing) will be added together to give a TNSS of 0 to 9. TNSS Score 0 indicates better outcome and TNSS score 9 indicates worse outcome. Number of Participants Analyzed is based on all patients with evaluable efficacy and/or biomarker data at visit 11.

Time frame: Pre-dose on visit 11 (end of 3rd week of treatment)

ArmMeasureValue (MEAN)Dispersion
AZD8848 20 μg x3Absolute Mean Value of Instantaneous Total Nasal Symptom Score (TNSS)1.20 Scores on a scaleStandard Deviation 1.02
PlaceboAbsolute Mean Value of Instantaneous Total Nasal Symptom Score (TNSS)0.67 Scores on a scaleStandard Deviation 1.047
AZD8848 60 μgAbsolute Mean Value of Instantaneous Total Nasal Symptom Score (TNSS)0.80 Scores on a scaleStandard Deviation 0.862
Secondary

Absolute Mean Value of Peak Nasal Inspiratory Flow (PNIF)

Absolute mean value of Peak Nasal Inspiratory Flow (PNIF) for pre-dose symptoms on visit 11, during treatment period. Treatment period is one month, which starts at visit 2 and ends at visit 14. The patient will breathe out as much as he can. Then a mask (Portable Inspiratory Flow Meter) will be placed over the nose and mouth and the patient will inspire forcefully through the nose while the lips remain tightly closed. The highest PNIF (L/minute) out of 3 measurements will be recorded. Number of Participants Analyzed is based on all patients with evaluable efficacy and/or biomarker data at visit 11.

Time frame: Pre-dose on visit 11 (end of 3rd week of treatment)

ArmMeasureValue (MEAN)Dispersion
AZD8848 20 μg x3Absolute Mean Value of Peak Nasal Inspiratory Flow (PNIF)168.1 L/minStandard Deviation 52.07
PlaceboAbsolute Mean Value of Peak Nasal Inspiratory Flow (PNIF)191.3 L/minStandard Deviation 48.824
AZD8848 60 μgAbsolute Mean Value of Peak Nasal Inspiratory Flow (PNIF)182.7 L/minStandard Deviation 61.35
Secondary

Absolute Mean Value of Peak Nasal Inspiratory Flow (PNIF)

Absolute mean value of Peak Nasal Inspiratory Flow (PNIF) for pre-dose symptoms on visit 2, during treatment period. Treatment period is one month, which starts at visit 2 and ends at visit 14. The patient will breathe out as much as he can. Then a mask (Portable Inspiratory Flow Meter) will be placed over the nose and mouth and the patient will inspire forcefully through the nose while the lips remain tightly closed. The highest PNIF (L/minute) out of 3 measurements will be recorded. Number of Participants Analyzed is based on all patients with evaluable efficacy and/or biomarker data at visit 2.

Time frame: Pre-dose on visit 2 (baseline)

ArmMeasureValue (MEAN)Dispersion
AZD8848 20 μg x3Absolute Mean Value of Peak Nasal Inspiratory Flow (PNIF)170.4 L/minStandard Deviation 54.593
PlaceboAbsolute Mean Value of Peak Nasal Inspiratory Flow (PNIF)176.9 L/minStandard Deviation 63.005
AZD8848 60 μgAbsolute Mean Value of Peak Nasal Inspiratory Flow (PNIF)169.4 L/minStandard Deviation 62.497
Secondary

Change From Baseline of C-X-C Motif Chemokine 10 (CXCL10) in Nasal Lavage

Change from baseline to 24 hours after last dose (day1 visit 15) of C-X-C motif chemokine 10 (CXCL10) in nasal lavage, expressed as a ratio. The ratio is calculated as day1 of visit 15 / baseline. Number of Participants Analyzed is based on all patients with evaluable biomarker data at visit 2 and visit 15.

Time frame: Baseline to 1st day of visit 15

ArmMeasureValue (LEAST_SQUARES_MEAN)
AZD8848 20 μg x3Change From Baseline of C-X-C Motif Chemokine 10 (CXCL10) in Nasal Lavage30.0 ratio
PlaceboChange From Baseline of C-X-C Motif Chemokine 10 (CXCL10) in Nasal Lavage1.66 ratio
AZD8848 60 μgChange From Baseline of C-X-C Motif Chemokine 10 (CXCL10) in Nasal Lavage26.9 ratio
Secondary

Change From Baseline of C-X-C Motif Chemokine 10 (CXCL10) in Plasma

Change from baseline to 24 hours after last dose (day1 visit 15) of C-X-C motif chemokine 10 (CXCL10) in plasma, expressed as a ratio. The ratio is calculated as day1 of visit 15 / baseline. Number of Participants Analyzed is based on all patients with evaluable biomarker data at visit 2 and visit15.

Time frame: Baseline to 1st day of visit 15

ArmMeasureValue (GEOMETRIC_MEAN)
AZD8848 20 μg x3Change From Baseline of C-X-C Motif Chemokine 10 (CXCL10) in Plasma2.89 ratio
PlaceboChange From Baseline of C-X-C Motif Chemokine 10 (CXCL10) in Plasma0.803 ratio
AZD8848 60 μgChange From Baseline of C-X-C Motif Chemokine 10 (CXCL10) in Plasma3.90 ratio

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