Seasonal Allergic Rhinitis
Conditions
Brief summary
This is an efficacy and safety study of desloratadine (MK-4117) in Japanese participants with seasonal allergic rhinitis (SAR). The primary hypothesis of this study is that the change from Baseline in Total Nasal Symptom Score (TNSS) is improved by desloratadine compared to placebo.
Detailed description
This study consists of a one-week Symptom Confirmation Period during which participants undergo a single-blinded placebo run-in, a two-week double-blind Treatment Period and a two-week Follow-up Period.
Interventions
Desloratadine 5 mg tablets
Placebo tablets
Sponsors
Study design
Eligibility
Inclusion criteria
* Has at least a 2-year history of seasonal allergic rhinitis with typical symptoms * Male or female who is unlikely to conceive: a surgically sterilized female, female who has reached natural menopause, or is of reproductive potential and agrees to either remain abstinent or use (or have her partner use) 2 acceptable methods of birth control from study start through 14 days after the last dose of study drug.
Exclusion criteria
* Has a lower respiratory tract infection or has a nasopharyngolaryngeal infection (acute upper respiratory tract infection, acute pharyngolaryngitis, or acute tonsillitis, etc.) requiring treatment * Has a coexisting infection or systemic mycosis for which there are no effective antibiotics * Has asthma that is under treatment and/or uncontrolled * Has nasal septum ulcers, nasal surgery, or nasal trauma which have not healed * Has vasomotor rhinitis or eosinophilic rhinitis * Has a history of hypersensitivity to antihistamines or ingredients of study drug * Has had treatment with corticosteroids (oral, injectable, suppository, depot drugs \[injectable\]) or immunological drugs within 28 days prior to Visit 2 * Is currently receiving treatment with another investigational drug or has received an investigational drug within prior 3 months * Has started specific desensitization therapy (allergen immunotherapy) or nonspecific allassotherapy (Histaglobin, vaccine therapy, etc.) or who has received such therapies within prior 3 months * Has received coagulation or resection using laser therapy etc. for treatment for nasal symptoms * Will receive nasal nebulizer therapy and/or thermotherapy during study period * Has severe hepatic, renal, cardiac, hematological disease, or other serious coexisting diseases and whose general condition is poor * Has a history of malignancy or clinically important hematological disorder, except for adequately treated non-melanomatous skin carcinoma or carcinoma in situ of the cervix * Has a history of severe drug allergy (e.g. anaphylactoid reaction) * Is pregnant or lactating or may be pregnant * Is planning a remote trip for more than 1 day during the Symptom Confirmation Period or for more than 2 days during the Treatment Period.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change From Baseline in Total Nasal Symptom Score (TNSS) During 2 Weeks of Therapy | Baseline, Day 1 to Day 13 (Weeks 1 through 2 average) of double-blind treatment | The TNSS was used to evaluate participant nasal symptoms of: sneezing (daily frequency of attacks scored from 0 \[\<1 time or none\] to 4 \[≥21 times\]), rhinorrhea (daily frequency of blowing nose scored from 0 \[\<1 time or none\] to 4 \[≥21 times\]), nasal congestion (scored from 0 \[no nasal blockage\] to 4 \[completely obstructed all day\]), and nasal itching (scored from 0 \[none\] to 4 \[nose is itchy, requiring frequent rubbing or blowing nose) as rated in the participant's diary. The TNSS was the sum of the 4 nasal symptom sub-scores. TNSS scores ranged from 0 to 16, with a higher score indicating more frequent/severe nasal symptoms. Baseline (BL) measurement was an average of scores for 3 days prior to treatment (during Confirmation of Symptom Period). Post-BL measurement was an average from Day 1 to Day 13 (2 week average). Change from BL = Post BL measurement - BL measurement. |
| Number of Participants Who Experience at Least One Adverse Event (AE) | Up to 4 weeks (Up to 2 weeks after last dose of study drug) | An AE was defined as any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. An AE could therefore be any unfavourable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether or not considered related to the medicinal product or protocol-specified procedure. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a preexisting condition that was temporally associated with the use of the Sponsor's product, was also an AE. |
| Number of Participants Who Discontinue Study Drug Due to an AE | Up to 2 weeks | An AE was defined as any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. An AE could therefore be any unfavourable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether or not considered related to the medicinal product or protocol-specified procedure. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a preexisting condition that was temporally associated with the use of the Sponsor's product, was also an AE. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change From Baseline in Each Nasal Symptom Sub-Score (Sneezing, Rhinorrhea, Nasal Congestion and Nasal Itching) During 2 Weeks of Therapy | Baseline, Day 1 to Day 13 (Weeks 1 through 2 average) | Nasal symptoms sub-scores rated in the participant's diary included sneezing (daily frequency of attacks scored from 0 \[\<1 time or none\] to 4 \[≥21 times\]), rhinorrhea (daily frequency of blowing nose scored from 0 \[\<1 time or none\] to 4 \[≥21 times\]), nasal congestion (scored from 0 \[no nasal blockage\] to 4 \[completely obstructed all day\]), and nasal itching (scored from 0 \[none\] to 4 \[nose is itchy, requiring frequent rubbing or blowing nose). Nasal symptom sub-scores ranged from 0 to 4, with a higher score indicating more frequent/severe nasal symptoms. BL measurement was an average of scores for 3 days prior to treatment (during Confirmation of Symptom Period). Post-BL measurement for 2 week Average was an average of scores from Day 1 to Day 13. Change from BL = Post BL measurement - BL measurement. |
| Change From Baseline to Week 1 in Eye Symptoms (Pruritus, Watering Eyes and the Worse One of Either Pruritus or Watering Eyes) | Baseline, Day 1 to 7 (Week 1 average) of double-blind treatment | Eye symptoms rated in the participant's diary included eye pruritis (eye itching scored from 0 \[none\] to 4 \[severe eye itching, requiring frequent rubbing of eye\]) and watering eyes (scored from 0 \[none\] to 4 \[severe eye watering requiring frequent wiping of eyes\]). Eye symptom scores ranged from 0 to 4, with a higher score indicating greater severity of symptom. The change from baseline in eye pruritis, eye watering, and the worse one of either eye symptom were reported. Baseline measurement was an average of scores for 3 days prior to treatment. Post-baseline measurement for Week 1 was an average of scores from Day 1 to Day 7. Change from BL = Post BL measurement - BL measurement. |
| Change From Baseline to Week 2 in Eye Symptoms (Pruritus, Watering Eyes and the Worse One of Either Pruritus or Watering Eyes) | Baseline, Day 8 to 13 (Week 2) of double-blind treatment | Eye symptoms rated in the participant's diary included eye pruritis (eye itching scored from 0 \[none\] to 4 \[severe eye itching, requiring frequent rubbing of eye\]) and watering eyes (scored from 0 \[none\] to 4 \[severe eye watering requiring frequent wiping of eyes\]). Eye symptom scores ranged from 0 to 4, with a higher score indicating greater severity of symptom. The change from baseline in eye pruritis, eye watering, and the worse one of either eye symptom were reported. Baseline measurement was an average of scores for 3 days prior to treatment. Post-BL measurement for Week 2 was an average of scores from Day 8 to Day 13. Change from BL = Post BL measurement - BL measurement. |
| Change From Baseline in TNSS for Week 1 and Week 2 of Double-blind Treatment | Baseline, Day 1 to 7 (Week 1 average), Day 8 to 13 (Week 2 average) of double-blind treatment | The TNSS was used to evaluate participant nasal symptoms of: sneezing (daily frequency of attacks scored from 0 \[\<1 time or none\] to 4 \[≥21 times\]), rhinorrhea (daily frequency of blowing nose scored from 0 \[\<1 time or none\] to 4 \[≥21 times\]), nasal congestion (scored from 0 \[no nasal blockage\] to 4 \[completely obstructed all day\]), and nasal itching (scored from 0 \[none\] to 4 \[nose is itchy, requiring frequent rubbing or blowing nose) as rated in the participant's diary. The TNSS was the sum of the 4 nasal symptom sub-scores. TNSS scores ranged from 0 to 16, with a higher score indicating more frequent/severe nasal symptoms. Baseline (BL) measurement was an average of scores for 3 days prior to treatment (during Confirmation of Symptom Period). Post-BL measurement for Week 1 was an average from Day 1 to Day 7 and post-BL measurement for Week 2 was an average from Day 8 to Day 13. Change from BL = Post BL measurement - BL measurement. |
| Change From Baseline in Interference With Daily Activities Score at Week 1, Week 2, and During 2 Weeks of Therapy | Baseline, Day 1 to 7 (Week 1 average), Day 8 to 13 (Week 2 average), Day 1 to Day 13 (Weeks 1 through 2 average) of double-blind treatment | Interference of allergic rhinitis symptoms with overall daily activities (such as work, study, housekeeping, sleep, or outing) was rated by the participant according to the following scale: 0=none, 1= symptoms cause few troubles, 2=symptoms cause intermediate problems between 1 and 3, 3=nasal symptoms cause painful and complicating daily life, or 4 = symptoms make daily activities impossible. Interference with daily activities scores ranged from 0 to 4 maximum, with a higher score indicating greater interference with daily activities. Baseline measurement was an average of scores for 3 days prior to treatment. Post-baseline measurement for Week 1 was an average of scores from Day 1 to Day 7. Post-BL measurement for Week 2 was an average of scores from Day 8 to Day 13. Post-BL measurement for 2 week Average was an average of scores from Day 1 to Day 13. Change from BL = Post BL measurement - BL measurement. |
| Percentage of Participants With Impression Assessments of Better or Much Better as Assessed by the Investigator at Week 2 | From Baseline to Week 2 | The investigator assessed the participant's symptoms of allergic rhinitis and nasal findings at the end of the study (2 week visit or discontinuation visit) compared with those at the start of the study period (based on their recollection/memory of the participant's symptoms, no formal baseline assessment) and evaluated their impression of study drug on effect according to 6 grades: Much better, Better, Slightly better, Unchanged, Worse, or Unevaluable. The evaluation result and reason for judgment (if needed) was recorded in the participant's case report form. The investigator's impression was evaluated based on the symptoms for allergic rhinitis, nasal findings and participant's own impression at Week 2. The percentage of participants with assessments of Better and Much better graded by the investigator (Investigator's Impression Rate) was reported and analyzed using Odds Ratio analysis. |
| Percentage of Participants With Impression Assessments of Better or Much Better as Assessed Participants at Week 2 | From Baseline to Week 2 | The participant evaluated their symptoms of allergic rhinitis at the end of the study (2 week visit or discontinuation visit) compared with those at the start of the study period (based on their recollection/memory of their symptoms, no formal baseline assessment) and recorded in their Subject Allergy Diary their impression of study drug on effect according to 6 grades: Much better, Better, Slightly better, Unchanged, Worse, or Unevaluable. The percentage of participants with assessments of Better and Much better graded by the participant (Participant's Impression Rate) was reported and analyzed using Odds Ratio analysis. |
| Change From Baseline in Eye Symptoms (Pruritus, Watering Eyes and the Worse One of Either Pruritus or Watering Eyes) During 2 Weeks of Therapy | Baseline, Day 1 to Day 13 (Weeks 1 through 2 average) | Eye symptoms rated in the participant's diary included eye pruritis (eye itching scored from 0 \[none\] to 4 \[severe eye itching, requiring frequent rubbing of eye\]) and watering eyes (scored from 0 \[none\] to 4 \[severe eye watering requiring frequent wiping of eyes\]). Eye symptom scores ranged from 0 to 4, with a higher score indicating greater severity of symptom. The change from baseline in eye pruritis, eye watering, and the worse one of either eye symptom were reported. BL measurement was an average of scores for 3 days prior to treatment. Post-BL measurement for 2 week Average was an average of scores from Day 1 to Day 13. Change from BL = Post BL measurement - BL measurement. |
| Change From Baseline to Week 1 in Each Nasal Symptom Sub-Score (Sneezing, Rhinorrhea, Nasal Congestion and Nasal Itching) | Baseline, Day 1 to 7 (Week 1 average) of double-blind treatment | Nasal symptoms sub-scores rated in the participant's diary included sneezing (daily frequency of attacks scored from 0 \[\<1 time or none\] to 4 \[≥21 times\]), rhinorrhea (daily frequency of blowing nose scored from 0 \[\<1 time or none\] to 4 \[≥21 times\]), nasal congestion (scored from 0 \[no nasal blockage\] to 4 \[completely obstructed all day\]), and nasal itching (scored from 0 \[none\] to 4 \[nose is itchy, requiring frequent rubbing or blowing nose). Nasal symptom sub-scores ranged from 0 to 4, with a higher score indicating more frequent/severe nasal symptoms. BL measurement was an average of scores for 3 days prior to treatment (during Confirmation of Symptom Period). Post-BL measurement for Week 1 was an average of scores from Day 1 to Day 7. Change from BL = Post BL measurement - BL measurement. |
| Change From Baseline to Week 2 in Each Nasal Symptom Sub-Score (Sneezing, Rhinorrhea, Nasal Congestion and Nasal Itching) | Baseline, Day 8 to 13 (Week 2 average) of double-blind treatment | Nasal symptoms sub-scores rated in the participant's diary included sneezing (daily frequency of attacks scored from 0 \[\<1 time or none\] to 4 \[≥21 times\]), rhinorrhea (daily frequency of blowing nose scored from 0 \[\<1 time or none\] to 4 \[≥21 times\]), nasal congestion (scored from 0 \[no nasal blockage\] to 4 \[completely obstructed all day\]), and nasal itching (scored from 0 \[none\] to 4 \[nose is itchy, requiring frequent rubbing or blowing nose). Nasal symptom sub-scores ranged from 0 to 4, with a higher score indicating more frequent/severe nasal symptoms. BL measurement was an average of scores for 3 days prior to treatment (during Confirmation of Symptom Period). Post-BL measurement for Week 2 was an average of scores from Day 8 to Day 13. Change from BL = Post BL measurement - BL measurement. |
Participant flow
Recruitment details
Participants with seasonal allergic rhinitis (SAR) were recruited at 3 study sites in Japan.
Pre-assignment details
Of 1148 participants screened, 449 were enrolled in the study and randomized to oral (PO) once daily (QD) Desloratadine (n=224) or Placebo (n=225). One participant randomized to Desloratadine was not treated due to withdrawn consent.
Participants by arm
| Arm | Count |
|---|---|
| Desloratadine After a 1-week single-blinded placebo run-in during which SAR symptoms are confirmed (Confirmation of Symptom Period), participants receive double-blinded desloratadine (one 5 mg tablet) PO QD in the morning for 2 weeks during the Treatment Period. | 224 |
| Placebo After a 1-week single-blinded placebo run-in during which SAR symptoms are confirmed (Confirmation of Symptom Period), participants receive double-blinded placebo (one tablet) PO QD in the morning for 2 weeks during the Treatment Period. | 225 |
| Total | 449 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Adverse Event | 2 | 2 |
| Overall Study | Pregnancy | 0 | 1 |
| Overall Study | Protocol Violation | 0 | 1 |
| Overall Study | Withdrawal by Subject | 2 | 0 |
Baseline characteristics
| Characteristic | Desloratadine | Placebo | Total |
|---|---|---|---|
| Age, Continuous | 40.0 years STANDARD_DEVIATION 10.9 | 39.8 years STANDARD_DEVIATION 10.9 | 39.9 years STANDARD_DEVIATION 10.9 |
| Sex: Female, Male Female | 130 Participants | 131 Participants | 261 Participants |
| Sex: Female, Male Male | 94 Participants | 94 Participants | 188 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 0 / 223 | 0 / 225 |
| serious Total, serious adverse events | 1 / 223 | 0 / 225 |
Outcome results
Change From Baseline in Total Nasal Symptom Score (TNSS) During 2 Weeks of Therapy
The TNSS was used to evaluate participant nasal symptoms of: sneezing (daily frequency of attacks scored from 0 \[\<1 time or none\] to 4 \[≥21 times\]), rhinorrhea (daily frequency of blowing nose scored from 0 \[\<1 time or none\] to 4 \[≥21 times\]), nasal congestion (scored from 0 \[no nasal blockage\] to 4 \[completely obstructed all day\]), and nasal itching (scored from 0 \[none\] to 4 \[nose is itchy, requiring frequent rubbing or blowing nose) as rated in the participant's diary. The TNSS was the sum of the 4 nasal symptom sub-scores. TNSS scores ranged from 0 to 16, with a higher score indicating more frequent/severe nasal symptoms. Baseline (BL) measurement was an average of scores for 3 days prior to treatment (during Confirmation of Symptom Period). Post-BL measurement was an average from Day 1 to Day 13 (2 week average). Change from BL = Post BL measurement - BL measurement.
Time frame: Baseline, Day 1 to Day 13 (Weeks 1 through 2 average) of double-blind treatment
Population: The Full Analysis Set (FAS); all randomized participants who took ≥1 dose of study treatment, and have a BL (average of score for 3 days prior to treatment) observation or one post BL observation (average score of 2 weeks).
| Arm | Measure | Value (LEAST_SQUARES_MEAN) |
|---|---|---|
| Desloratadine | Change From Baseline in Total Nasal Symptom Score (TNSS) During 2 Weeks of Therapy | -1.41 units on a scale |
| Placebo | Change From Baseline in Total Nasal Symptom Score (TNSS) During 2 Weeks of Therapy | -0.59 units on a scale |
Number of Participants Who Discontinue Study Drug Due to an AE
An AE was defined as any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. An AE could therefore be any unfavourable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether or not considered related to the medicinal product or protocol-specified procedure. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a preexisting condition that was temporally associated with the use of the Sponsor's product, was also an AE.
Time frame: Up to 2 weeks
Population: APaT; all participants who received ≥1 dose of study treatment.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Desloratadine | Number of Participants Who Discontinue Study Drug Due to an AE | 2 participants |
| Placebo | Number of Participants Who Discontinue Study Drug Due to an AE | 2 participants |
Number of Participants Who Experience at Least One Adverse Event (AE)
An AE was defined as any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. An AE could therefore be any unfavourable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether or not considered related to the medicinal product or protocol-specified procedure. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a preexisting condition that was temporally associated with the use of the Sponsor's product, was also an AE.
Time frame: Up to 4 weeks (Up to 2 weeks after last dose of study drug)
Population: All Participants as Treated (APaT); all participants who received ≥1 dose of study treatment.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Desloratadine | Number of Participants Who Experience at Least One Adverse Event (AE) | 19 participants |
| Placebo | Number of Participants Who Experience at Least One Adverse Event (AE) | 13 participants |
Change From Baseline in Each Nasal Symptom Sub-Score (Sneezing, Rhinorrhea, Nasal Congestion and Nasal Itching) During 2 Weeks of Therapy
Nasal symptoms sub-scores rated in the participant's diary included sneezing (daily frequency of attacks scored from 0 \[\<1 time or none\] to 4 \[≥21 times\]), rhinorrhea (daily frequency of blowing nose scored from 0 \[\<1 time or none\] to 4 \[≥21 times\]), nasal congestion (scored from 0 \[no nasal blockage\] to 4 \[completely obstructed all day\]), and nasal itching (scored from 0 \[none\] to 4 \[nose is itchy, requiring frequent rubbing or blowing nose). Nasal symptom sub-scores ranged from 0 to 4, with a higher score indicating more frequent/severe nasal symptoms. BL measurement was an average of scores for 3 days prior to treatment (during Confirmation of Symptom Period). Post-BL measurement for 2 week Average was an average of scores from Day 1 to Day 13. Change from BL = Post BL measurement - BL measurement.
Time frame: Baseline, Day 1 to Day 13 (Weeks 1 through 2 average)
Population: The FAS; all randomized participants who took ≥1 dose of study treatment, and have a BL (average of score for 3 days prior to treatment) observation or one post BL observation.
| Arm | Measure | Group | Value (LEAST_SQUARES_MEAN) |
|---|---|---|---|
| Desloratadine | Change From Baseline in Each Nasal Symptom Sub-Score (Sneezing, Rhinorrhea, Nasal Congestion and Nasal Itching) During 2 Weeks of Therapy | Sneezing | -0.44 units on a scale |
| Desloratadine | Change From Baseline in Each Nasal Symptom Sub-Score (Sneezing, Rhinorrhea, Nasal Congestion and Nasal Itching) During 2 Weeks of Therapy | Rhinorrhea | -0.41 units on a scale |
| Desloratadine | Change From Baseline in Each Nasal Symptom Sub-Score (Sneezing, Rhinorrhea, Nasal Congestion and Nasal Itching) During 2 Weeks of Therapy | Nasal Congestion | -0.02 units on a scale |
| Desloratadine | Change From Baseline in Each Nasal Symptom Sub-Score (Sneezing, Rhinorrhea, Nasal Congestion and Nasal Itching) During 2 Weeks of Therapy | Nasal Itching | -0.54 units on a scale |
| Placebo | Change From Baseline in Each Nasal Symptom Sub-Score (Sneezing, Rhinorrhea, Nasal Congestion and Nasal Itching) During 2 Weeks of Therapy | Nasal Itching | -0.27 units on a scale |
| Placebo | Change From Baseline in Each Nasal Symptom Sub-Score (Sneezing, Rhinorrhea, Nasal Congestion and Nasal Itching) During 2 Weeks of Therapy | Sneezing | -0.20 units on a scale |
| Placebo | Change From Baseline in Each Nasal Symptom Sub-Score (Sneezing, Rhinorrhea, Nasal Congestion and Nasal Itching) During 2 Weeks of Therapy | Nasal Congestion | 0.07 units on a scale |
| Placebo | Change From Baseline in Each Nasal Symptom Sub-Score (Sneezing, Rhinorrhea, Nasal Congestion and Nasal Itching) During 2 Weeks of Therapy | Rhinorrhea | -0.18 units on a scale |
Change From Baseline in Eye Symptoms (Pruritus, Watering Eyes and the Worse One of Either Pruritus or Watering Eyes) During 2 Weeks of Therapy
Eye symptoms rated in the participant's diary included eye pruritis (eye itching scored from 0 \[none\] to 4 \[severe eye itching, requiring frequent rubbing of eye\]) and watering eyes (scored from 0 \[none\] to 4 \[severe eye watering requiring frequent wiping of eyes\]). Eye symptom scores ranged from 0 to 4, with a higher score indicating greater severity of symptom. The change from baseline in eye pruritis, eye watering, and the worse one of either eye symptom were reported. BL measurement was an average of scores for 3 days prior to treatment. Post-BL measurement for 2 week Average was an average of scores from Day 1 to Day 13. Change from BL = Post BL measurement - BL measurement.
Time frame: Baseline, Day 1 to Day 13 (Weeks 1 through 2 average)
Population: The FAS; all randomized participants who took ≥1 dose of study treatment, and have a BL (average of score for 3 days prior to treatment) observation or one post BL observation.
| Arm | Measure | Group | Value (LEAST_SQUARES_MEAN) |
|---|---|---|---|
| Desloratadine | Change From Baseline in Eye Symptoms (Pruritus, Watering Eyes and the Worse One of Either Pruritus or Watering Eyes) During 2 Weeks of Therapy | Eye Pruritus | -0.44 units on a scale |
| Desloratadine | Change From Baseline in Eye Symptoms (Pruritus, Watering Eyes and the Worse One of Either Pruritus or Watering Eyes) During 2 Weeks of Therapy | Watering Eyes | -0.21 units on a scale |
| Desloratadine | Change From Baseline in Eye Symptoms (Pruritus, Watering Eyes and the Worse One of Either Pruritus or Watering Eyes) During 2 Weeks of Therapy | Worse of Pruritus or Watering Eyes | -0.44 units on a scale |
| Placebo | Change From Baseline in Eye Symptoms (Pruritus, Watering Eyes and the Worse One of Either Pruritus or Watering Eyes) During 2 Weeks of Therapy | Eye Pruritus | -0.19 units on a scale |
| Placebo | Change From Baseline in Eye Symptoms (Pruritus, Watering Eyes and the Worse One of Either Pruritus or Watering Eyes) During 2 Weeks of Therapy | Watering Eyes | -0.07 units on a scale |
| Placebo | Change From Baseline in Eye Symptoms (Pruritus, Watering Eyes and the Worse One of Either Pruritus or Watering Eyes) During 2 Weeks of Therapy | Worse of Pruritus or Watering Eyes | -0.19 units on a scale |
Change From Baseline in Interference With Daily Activities Score at Week 1, Week 2, and During 2 Weeks of Therapy
Interference of allergic rhinitis symptoms with overall daily activities (such as work, study, housekeeping, sleep, or outing) was rated by the participant according to the following scale: 0=none, 1= symptoms cause few troubles, 2=symptoms cause intermediate problems between 1 and 3, 3=nasal symptoms cause painful and complicating daily life, or 4 = symptoms make daily activities impossible. Interference with daily activities scores ranged from 0 to 4 maximum, with a higher score indicating greater interference with daily activities. Baseline measurement was an average of scores for 3 days prior to treatment. Post-baseline measurement for Week 1 was an average of scores from Day 1 to Day 7. Post-BL measurement for Week 2 was an average of scores from Day 8 to Day 13. Post-BL measurement for 2 week Average was an average of scores from Day 1 to Day 13. Change from BL = Post BL measurement - BL measurement.
Time frame: Baseline, Day 1 to 7 (Week 1 average), Day 8 to 13 (Week 2 average), Day 1 to Day 13 (Weeks 1 through 2 average) of double-blind treatment
Population: The FAS; all randomized participants who took ≥1 dose of study treatment, and have a BL (average of score for 3 days prior to treatment) observation or one post BL observation.
| Arm | Measure | Group | Value (LEAST_SQUARES_MEAN) |
|---|---|---|---|
| Desloratadine | Change From Baseline in Interference With Daily Activities Score at Week 1, Week 2, and During 2 Weeks of Therapy | Week 1 | -0.23 units on a scale |
| Desloratadine | Change From Baseline in Interference With Daily Activities Score at Week 1, Week 2, and During 2 Weeks of Therapy | Week 2 | -0.34 units on a scale |
| Desloratadine | Change From Baseline in Interference With Daily Activities Score at Week 1, Week 2, and During 2 Weeks of Therapy | 2 Week Average | -0.28 units on a scale |
| Placebo | Change From Baseline in Interference With Daily Activities Score at Week 1, Week 2, and During 2 Weeks of Therapy | Week 1 | -0.07 units on a scale |
| Placebo | Change From Baseline in Interference With Daily Activities Score at Week 1, Week 2, and During 2 Weeks of Therapy | Week 2 | -0.14 units on a scale |
| Placebo | Change From Baseline in Interference With Daily Activities Score at Week 1, Week 2, and During 2 Weeks of Therapy | 2 Week Average | -0.10 units on a scale |
Change From Baseline in TNSS for Week 1 and Week 2 of Double-blind Treatment
The TNSS was used to evaluate participant nasal symptoms of: sneezing (daily frequency of attacks scored from 0 \[\<1 time or none\] to 4 \[≥21 times\]), rhinorrhea (daily frequency of blowing nose scored from 0 \[\<1 time or none\] to 4 \[≥21 times\]), nasal congestion (scored from 0 \[no nasal blockage\] to 4 \[completely obstructed all day\]), and nasal itching (scored from 0 \[none\] to 4 \[nose is itchy, requiring frequent rubbing or blowing nose) as rated in the participant's diary. The TNSS was the sum of the 4 nasal symptom sub-scores. TNSS scores ranged from 0 to 16, with a higher score indicating more frequent/severe nasal symptoms. Baseline (BL) measurement was an average of scores for 3 days prior to treatment (during Confirmation of Symptom Period). Post-BL measurement for Week 1 was an average from Day 1 to Day 7 and post-BL measurement for Week 2 was an average from Day 8 to Day 13. Change from BL = Post BL measurement - BL measurement.
Time frame: Baseline, Day 1 to 7 (Week 1 average), Day 8 to 13 (Week 2 average) of double-blind treatment
Population: The FAS; all randomized participants who took ≥1 dose of study treatment, and have a BL (average of score for 3 days prior to treatment) observation or one post BL observation.
| Arm | Measure | Group | Value (LEAST_SQUARES_MEAN) |
|---|---|---|---|
| Desloratadine | Change From Baseline in TNSS for Week 1 and Week 2 of Double-blind Treatment | Week 1 | -1.19 units on a scale |
| Desloratadine | Change From Baseline in TNSS for Week 1 and Week 2 of Double-blind Treatment | Week 2 | -1.69 units on a scale |
| Placebo | Change From Baseline in TNSS for Week 1 and Week 2 of Double-blind Treatment | Week 1 | -0.38 units on a scale |
| Placebo | Change From Baseline in TNSS for Week 1 and Week 2 of Double-blind Treatment | Week 2 | -0.84 units on a scale |
Change From Baseline to Week 1 in Each Nasal Symptom Sub-Score (Sneezing, Rhinorrhea, Nasal Congestion and Nasal Itching)
Nasal symptoms sub-scores rated in the participant's diary included sneezing (daily frequency of attacks scored from 0 \[\<1 time or none\] to 4 \[≥21 times\]), rhinorrhea (daily frequency of blowing nose scored from 0 \[\<1 time or none\] to 4 \[≥21 times\]), nasal congestion (scored from 0 \[no nasal blockage\] to 4 \[completely obstructed all day\]), and nasal itching (scored from 0 \[none\] to 4 \[nose is itchy, requiring frequent rubbing or blowing nose). Nasal symptom sub-scores ranged from 0 to 4, with a higher score indicating more frequent/severe nasal symptoms. BL measurement was an average of scores for 3 days prior to treatment (during Confirmation of Symptom Period). Post-BL measurement for Week 1 was an average of scores from Day 1 to Day 7. Change from BL = Post BL measurement - BL measurement.
Time frame: Baseline, Day 1 to 7 (Week 1 average) of double-blind treatment
Population: The FAS; all randomized participants who took ≥1 dose of study treatment, and have a BL (average of score for 3 days prior to treatment) observation or one post BL observation.
| Arm | Measure | Group | Value (LEAST_SQUARES_MEAN) |
|---|---|---|---|
| Desloratadine | Change From Baseline to Week 1 in Each Nasal Symptom Sub-Score (Sneezing, Rhinorrhea, Nasal Congestion and Nasal Itching) | Sneezing | -0.39 units on a scale |
| Desloratadine | Change From Baseline to Week 1 in Each Nasal Symptom Sub-Score (Sneezing, Rhinorrhea, Nasal Congestion and Nasal Itching) | Rhinorrhea | -0.34 units on a scale |
| Desloratadine | Change From Baseline to Week 1 in Each Nasal Symptom Sub-Score (Sneezing, Rhinorrhea, Nasal Congestion and Nasal Itching) | Nasal Congestion | -0.02 units on a scale |
| Desloratadine | Change From Baseline to Week 1 in Each Nasal Symptom Sub-Score (Sneezing, Rhinorrhea, Nasal Congestion and Nasal Itching) | Nasal Itching | -0.45 units on a scale |
| Placebo | Change From Baseline to Week 1 in Each Nasal Symptom Sub-Score (Sneezing, Rhinorrhea, Nasal Congestion and Nasal Itching) | Nasal Itching | -0.18 units on a scale |
| Placebo | Change From Baseline to Week 1 in Each Nasal Symptom Sub-Score (Sneezing, Rhinorrhea, Nasal Congestion and Nasal Itching) | Sneezing | -0.14 units on a scale |
| Placebo | Change From Baseline to Week 1 in Each Nasal Symptom Sub-Score (Sneezing, Rhinorrhea, Nasal Congestion and Nasal Itching) | Nasal Congestion | 0.07 units on a scale |
| Placebo | Change From Baseline to Week 1 in Each Nasal Symptom Sub-Score (Sneezing, Rhinorrhea, Nasal Congestion and Nasal Itching) | Rhinorrhea | -0.13 units on a scale |
Change From Baseline to Week 1 in Eye Symptoms (Pruritus, Watering Eyes and the Worse One of Either Pruritus or Watering Eyes)
Eye symptoms rated in the participant's diary included eye pruritis (eye itching scored from 0 \[none\] to 4 \[severe eye itching, requiring frequent rubbing of eye\]) and watering eyes (scored from 0 \[none\] to 4 \[severe eye watering requiring frequent wiping of eyes\]). Eye symptom scores ranged from 0 to 4, with a higher score indicating greater severity of symptom. The change from baseline in eye pruritis, eye watering, and the worse one of either eye symptom were reported. Baseline measurement was an average of scores for 3 days prior to treatment. Post-baseline measurement for Week 1 was an average of scores from Day 1 to Day 7. Change from BL = Post BL measurement - BL measurement.
Time frame: Baseline, Day 1 to 7 (Week 1 average) of double-blind treatment
Population: The FAS; all randomized participants who took ≥1 dose of study treatment, and have a BL (average of score for 3 days prior to treatment) observation or one post BL observation.
| Arm | Measure | Group | Value (LEAST_SQUARES_MEAN) |
|---|---|---|---|
| Desloratadine | Change From Baseline to Week 1 in Eye Symptoms (Pruritus, Watering Eyes and the Worse One of Either Pruritus or Watering Eyes) | Eye Pruritus | -0.34 units on a scale |
| Desloratadine | Change From Baseline to Week 1 in Eye Symptoms (Pruritus, Watering Eyes and the Worse One of Either Pruritus or Watering Eyes) | Watering Eyes | -0.17 units on a scale |
| Desloratadine | Change From Baseline to Week 1 in Eye Symptoms (Pruritus, Watering Eyes and the Worse One of Either Pruritus or Watering Eyes) | Worse of Pruritus or Watering Eyes | -0.34 units on a scale |
| Placebo | Change From Baseline to Week 1 in Eye Symptoms (Pruritus, Watering Eyes and the Worse One of Either Pruritus or Watering Eyes) | Eye Pruritus | -0.09 units on a scale |
| Placebo | Change From Baseline to Week 1 in Eye Symptoms (Pruritus, Watering Eyes and the Worse One of Either Pruritus or Watering Eyes) | Watering Eyes | -0.02 units on a scale |
| Placebo | Change From Baseline to Week 1 in Eye Symptoms (Pruritus, Watering Eyes and the Worse One of Either Pruritus or Watering Eyes) | Worse of Pruritus or Watering Eyes | -0.09 units on a scale |
Change From Baseline to Week 2 in Each Nasal Symptom Sub-Score (Sneezing, Rhinorrhea, Nasal Congestion and Nasal Itching)
Nasal symptoms sub-scores rated in the participant's diary included sneezing (daily frequency of attacks scored from 0 \[\<1 time or none\] to 4 \[≥21 times\]), rhinorrhea (daily frequency of blowing nose scored from 0 \[\<1 time or none\] to 4 \[≥21 times\]), nasal congestion (scored from 0 \[no nasal blockage\] to 4 \[completely obstructed all day\]), and nasal itching (scored from 0 \[none\] to 4 \[nose is itchy, requiring frequent rubbing or blowing nose). Nasal symptom sub-scores ranged from 0 to 4, with a higher score indicating more frequent/severe nasal symptoms. BL measurement was an average of scores for 3 days prior to treatment (during Confirmation of Symptom Period). Post-BL measurement for Week 2 was an average of scores from Day 8 to Day 13. Change from BL = Post BL measurement - BL measurement.
Time frame: Baseline, Day 8 to 13 (Week 2 average) of double-blind treatment
Population: The FAS; all randomized participants who took ≥1 dose of study treatment, and have a BL (average of score for 3 days prior to treatment) observation or one post BL observation.
| Arm | Measure | Group | Value (LEAST_SQUARES_MEAN) |
|---|---|---|---|
| Desloratadine | Change From Baseline to Week 2 in Each Nasal Symptom Sub-Score (Sneezing, Rhinorrhea, Nasal Congestion and Nasal Itching) | Sneezing | -0.51 units on a scale |
| Desloratadine | Change From Baseline to Week 2 in Each Nasal Symptom Sub-Score (Sneezing, Rhinorrhea, Nasal Congestion and Nasal Itching) | Rhinorrhea | -0.49 units on a scale |
| Desloratadine | Change From Baseline to Week 2 in Each Nasal Symptom Sub-Score (Sneezing, Rhinorrhea, Nasal Congestion and Nasal Itching) | Nasal Congestion | -0.03 units on a scale |
| Desloratadine | Change From Baseline to Week 2 in Each Nasal Symptom Sub-Score (Sneezing, Rhinorrhea, Nasal Congestion and Nasal Itching) | Nasal Itching | -0.65 units on a scale |
| Placebo | Change From Baseline to Week 2 in Each Nasal Symptom Sub-Score (Sneezing, Rhinorrhea, Nasal Congestion and Nasal Itching) | Nasal Itching | -0.39 units on a scale |
| Placebo | Change From Baseline to Week 2 in Each Nasal Symptom Sub-Score (Sneezing, Rhinorrhea, Nasal Congestion and Nasal Itching) | Sneezing | -0.27 units on a scale |
| Placebo | Change From Baseline to Week 2 in Each Nasal Symptom Sub-Score (Sneezing, Rhinorrhea, Nasal Congestion and Nasal Itching) | Nasal Congestion | 0.06 units on a scale |
| Placebo | Change From Baseline to Week 2 in Each Nasal Symptom Sub-Score (Sneezing, Rhinorrhea, Nasal Congestion and Nasal Itching) | Rhinorrhea | -0.24 units on a scale |
Change From Baseline to Week 2 in Eye Symptoms (Pruritus, Watering Eyes and the Worse One of Either Pruritus or Watering Eyes)
Eye symptoms rated in the participant's diary included eye pruritis (eye itching scored from 0 \[none\] to 4 \[severe eye itching, requiring frequent rubbing of eye\]) and watering eyes (scored from 0 \[none\] to 4 \[severe eye watering requiring frequent wiping of eyes\]). Eye symptom scores ranged from 0 to 4, with a higher score indicating greater severity of symptom. The change from baseline in eye pruritis, eye watering, and the worse one of either eye symptom were reported. Baseline measurement was an average of scores for 3 days prior to treatment. Post-BL measurement for Week 2 was an average of scores from Day 8 to Day 13. Change from BL = Post BL measurement - BL measurement.
Time frame: Baseline, Day 8 to 13 (Week 2) of double-blind treatment
Population: The FAS; all randomized participants who took ≥1 dose of study treatment, and have a BL (average of score for 3 days prior to treatment) observation or one post BL observation.
| Arm | Measure | Group | Value (LEAST_SQUARES_MEAN) |
|---|---|---|---|
| Desloratadine | Change From Baseline to Week 2 in Eye Symptoms (Pruritus, Watering Eyes and the Worse One of Either Pruritus or Watering Eyes) | Eye Pruritus | -0.56 units on a scale |
| Desloratadine | Change From Baseline to Week 2 in Eye Symptoms (Pruritus, Watering Eyes and the Worse One of Either Pruritus or Watering Eyes) | Watering Eyes | -0.26 units on a scale |
| Desloratadine | Change From Baseline to Week 2 in Eye Symptoms (Pruritus, Watering Eyes and the Worse One of Either Pruritus or Watering Eyes) | Worse of Pruritus or Watering Eyes | -0.56 units on a scale |
| Placebo | Change From Baseline to Week 2 in Eye Symptoms (Pruritus, Watering Eyes and the Worse One of Either Pruritus or Watering Eyes) | Eye Pruritus | -0.32 units on a scale |
| Placebo | Change From Baseline to Week 2 in Eye Symptoms (Pruritus, Watering Eyes and the Worse One of Either Pruritus or Watering Eyes) | Watering Eyes | -0.13 units on a scale |
| Placebo | Change From Baseline to Week 2 in Eye Symptoms (Pruritus, Watering Eyes and the Worse One of Either Pruritus or Watering Eyes) | Worse of Pruritus or Watering Eyes | -0.32 units on a scale |
Percentage of Participants With Impression Assessments of Better or Much Better as Assessed by the Investigator at Week 2
The investigator assessed the participant's symptoms of allergic rhinitis and nasal findings at the end of the study (2 week visit or discontinuation visit) compared with those at the start of the study period (based on their recollection/memory of the participant's symptoms, no formal baseline assessment) and evaluated their impression of study drug on effect according to 6 grades: Much better, Better, Slightly better, Unchanged, Worse, or Unevaluable. The evaluation result and reason for judgment (if needed) was recorded in the participant's case report form. The investigator's impression was evaluated based on the symptoms for allergic rhinitis, nasal findings and participant's own impression at Week 2. The percentage of participants with assessments of Better and Much better graded by the investigator (Investigator's Impression Rate) was reported and analyzed using Odds Ratio analysis.
Time frame: From Baseline to Week 2
Population: Participants in the FAS (all randomized participants who took ≥1 dose of study treatment) with available impression data.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Desloratadine | Percentage of Participants With Impression Assessments of Better or Much Better as Assessed by the Investigator at Week 2 | Much better | 2.3 percentage of participants |
| Desloratadine | Percentage of Participants With Impression Assessments of Better or Much Better as Assessed by the Investigator at Week 2 | Better | 26.1 percentage of participants |
| Desloratadine | Percentage of Participants With Impression Assessments of Better or Much Better as Assessed by the Investigator at Week 2 | Better + Much better Total | 28.4 percentage of participants |
| Desloratadine | Percentage of Participants With Impression Assessments of Better or Much Better as Assessed by the Investigator at Week 2 | Less than better Total | 71.6 percentage of participants |
| Placebo | Percentage of Participants With Impression Assessments of Better or Much Better as Assessed by the Investigator at Week 2 | Less than better Total | 79.0 percentage of participants |
| Placebo | Percentage of Participants With Impression Assessments of Better or Much Better as Assessed by the Investigator at Week 2 | Much better | 3.1 percentage of participants |
| Placebo | Percentage of Participants With Impression Assessments of Better or Much Better as Assessed by the Investigator at Week 2 | Better + Much better Total | 21.0 percentage of participants |
| Placebo | Percentage of Participants With Impression Assessments of Better or Much Better as Assessed by the Investigator at Week 2 | Better | 17.9 percentage of participants |
Percentage of Participants With Impression Assessments of Better or Much Better as Assessed Participants at Week 2
The participant evaluated their symptoms of allergic rhinitis at the end of the study (2 week visit or discontinuation visit) compared with those at the start of the study period (based on their recollection/memory of their symptoms, no formal baseline assessment) and recorded in their Subject Allergy Diary their impression of study drug on effect according to 6 grades: Much better, Better, Slightly better, Unchanged, Worse, or Unevaluable. The percentage of participants with assessments of Better and Much better graded by the participant (Participant's Impression Rate) was reported and analyzed using Odds Ratio analysis.
Time frame: From Baseline to Week 2
Population: Participants in the FAS (all randomized participants who took ≥1 dose of study treatment) with available impression data.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Desloratadine | Percentage of Participants With Impression Assessments of Better or Much Better as Assessed Participants at Week 2 | Much better | 5.9 percentage of participants |
| Desloratadine | Percentage of Participants With Impression Assessments of Better or Much Better as Assessed Participants at Week 2 | Better | 30.6 percentage of participants |
| Desloratadine | Percentage of Participants With Impression Assessments of Better or Much Better as Assessed Participants at Week 2 | Better + Much better Total | 36.5 percentage of participants |
| Desloratadine | Percentage of Participants With Impression Assessments of Better or Much Better as Assessed Participants at Week 2 | Less than better Total | 63.5 percentage of participants |
| Placebo | Percentage of Participants With Impression Assessments of Better or Much Better as Assessed Participants at Week 2 | Less than better Total | 78.9 percentage of participants |
| Placebo | Percentage of Participants With Impression Assessments of Better or Much Better as Assessed Participants at Week 2 | Much better | 4.9 percentage of participants |
| Placebo | Percentage of Participants With Impression Assessments of Better or Much Better as Assessed Participants at Week 2 | Better + Much better Total | 21.1 percentage of participants |
| Placebo | Percentage of Participants With Impression Assessments of Better or Much Better as Assessed Participants at Week 2 | Better | 16.1 percentage of participants |