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Study to Assess the Safety, Tolerability, and Preliminary Efficacy of B244 in Healthy Volunteers and Subjects With Seasonal Allergic Rhinitis

A Prospective, Controlled, Double Blind, Multi-Center, Randomized, 3 Arm, Phase 1b/2a Study to Assess the Safety, Tolerability, and Preliminary Efficacy of B244 Delivered as an Intranasal Spray in Healthy Volunteers and Subjects With Seasonal Allergic Rhinitis

Status
Completed
Phases
Phase 1Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03290248
Enrollment
71
Registered
2017-09-21
Start date
2017-09-19
Completion date
2018-12-21
Last updated
2022-11-25

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

Conditions

Allergic Rhinitis, Allergic Rhinitis Due to Grass Pollen, Healthy Volunteers

Brief summary

This is a Prospective, Controlled, Double Blinded, Single Center, Randomized, 3 Arm, Parallel Assignment, Phase 1b/2a Study to assess the safety, tolerability, and preliminary efficacy of B244 delivered as an intranasal spray in healthy volunteers and subjects with seasonal allergic rhinitis.

Detailed description

This is a Prospective, Controlled, Double Blinded, Single Center, Randomized, 3 Arm, Parallel Assignment, Phase 1b/2a Study to assess the safety, tolerability, and preliminary efficacy of B244 delivered as an intranasal spray in healthy volunteers and subjects with seasonal allergic rhinitis. This will be a 2-part study. In Part 1, safety and tolerability will be evaluated during 14 days of study treatment twice-a-day followed by 4 weeks of follow-up in healthy volunteers. In Part 2, preliminary efficacy will be evaluated in subjects with a history of seasonal allergic rhinitis outside of the local pollen season. For Part 1 (safety and tolerability evaluation in healthy volunteers) we will enroll 24 subjects. Safety and tolerability will be assessed by reporting of AEs, physical examination and vital signs (blood pressure, heart rate, respiratory rate) during 14 days of treatment and up to 28 days of follow-up. An internal safety committee meeting will review the 2 week Part 1 safety data and, if there are no safety concerns, the study will proceed to Part 2 to evaluate preliminary efficacy in subjects with a history of seasonal allergic rhinitis (SAR) For Part 2 (preliminary efficacy evaluation in subjects with a history of SAR to ragweed pollen) will enroll 42 subjects. Safety and tolerability will be assessed in subjects with allergic rhinitis by reporting of AEs, physical examination and vital signs (blood pressure, heart rate, respiratory rate) during 14 days of treatment. For Part 2, study will be paused for safety review using the same stopping criteria as in Part 1. Rescue medications will not be allowed during the study.

Interventions

BIOLOGICALB244 suspension

B244 suspension in 30ml/bottle

BIOLOGICALVehicle

Vehicle, 30ml/bottle

Sponsors

Orange County Research Center
CollaboratorOTHER
Integrium
CollaboratorINDUSTRY
AOBiome LLC
Lead SponsorINDUSTRY

Study design

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

Masking description

This is a double blind study.

Intervention model description

Randomization will be 1:1:1 so that equal number of subjects will be treated in each arm of the study.

Eligibility

Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes

Inclusion criteria

* Males and Females, 18 to 65 years of age (committed to consistent use of an acceptable method of birth control as described in Section 10). * In good general health as determined by a thorough medical history and physical examination, and vital signs. * Nonsmoker or ex-smoker (stopped \>1 year prior to study entry). * Subjects willing and able to provide written informed consent. * Is willing and able to comply with the requirements of the protocol and must be available for the full duration of the study. * For Part 1, subjects asymptomatic from any seasonal or perennial allergens. * For Part 1, elevated systolic blood pressure greater than 120 but less than 160 and never been on antihypertensive medications or have been off any hypertensive treatment for a period of 12 weeks or longer. * For Part 2, subjects with a well-documented history of seasonal allergic rhinitis (specifically ragweed pollen) with documentation of sensitivity by positive skin testing and/or IgE testing to the relevant allergens 12 months prior to enrollment that correlate with clinical history. * For Part 2, a ragweed positive skin prick test with a wheal diameter at least 5 mm larger than the negative control and/or a ragweed specific IgE greater or equal to 0.7 kU/L. * For Part 2, subjects with confounding allergies, or sensitization to cat epithelia, dog epithelia, Dermatophagoides farinae, or Dermatophagoides pteronyssinus or prevalent and relevant seasonal allergens as per the skin prick test may be included if sensitization is not clinically relevant (ie. subject is non-symptomatic and/or can avoid the allergen during the study) at the discretion of the Investigator. * For Part 2, subjects with a baseline TNSS ≤ 3/12 at Visit 3 and a minimum qualifying TNSS score of a change of 6/12 from their baseline score after NAC #1 on at least 2 diary cards. * For Part 2, subjects' average post diluents nasal congestion score must be \< 1 at admission for each study visit.

Exclusion criteria

* Pregnancy or breast-feeding * Female of childbearing potential not using adequate contraceptive measures. * Smoking within the past year or during the protocol. * Systemic corticosteroid or other immunosuppressive medications use in the previous three months or during the protocol.\* * Intranasal corticosteroid use in the previous month or during the protocol.\* * Intranasal antihistamine or cromolyn use in the previous week or during the study.\* * Allergen immunotherapy during previous 12 months or during the protocol.\* * Omalizumab use in previous 12 months or during the protocol.\* * Systemic antihistamine or leukotriene modifying medication use in the previous week or during the protocol.\* * Use of antibiotics, NSAIDS, antihypertensives, beta-blockers, photosensitizing medications, or vitamin D supplements during study. * Use of any intranasally administered over-the-counter product or nasal irrigation (e.g., neti pot) during study. * Inability to give informed consent. * Persistent asthma or any medical condition that in the opinion of the investigator may compromise the subject's ability to safely participate in the study. * Subjects with any significant clinical abnormalities which may interfere with study participation. * Prior use of AO+ Mist. * Subjects with immunodeficiencies, nasal lesions, nasal polyps, or sinus infections. * Use of an investigational drug within 30 days before screening Visit 1. \* Exclusionary criterion due to 1) medication use as marker of persistent comorbid allergic or inflammatory condition that may increase subject risk with study participation, 2) potential of medication to interfere with study outcome measures or results.

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Treatment-related Adverse Events as Assessed by CTCAE v4.0Baseline to Day 28Safety and tolerability endpoints will consist of all treatment-related adverse events reporting during the study duration for subjects only from Part 1 of the study.

Secondary

MeasureTime frameDescription
Subjective Nasal Symptom Scores of Nasal Itching After Prophylaxis TreatmentVisit 3 (or alternative baseline at Visit 2) to Visit 4 (14 days prophylaxis treatment). Visit 2 was used as an alternate baseline to report baseline values prior to any nasal allergen challenge (NAC) to minimize any potential priming effects.All measurements were taken 120 minutes Post-Nasal Allergen Challenge (Post-NAC) at Visit 4 and compared to Baseline Visit 3. Visit 3 was considered Baseline. Visit 2 was considered an alternate Baseline. Nasal itching was categorized as None, Mild, Moderate, or Severe.
Nasal Symptom-free Response Rate in Rhinorrhea Scores After Prophylaxis TreatmentVisit 3 (or alternative baseline at Visit 2) to Visit 4 (14 days prophylaxis treatment). Visit 2 was used as an alternate baseline to report baseline values prior to any nasal allergen challenge (NAC) to minimize any potential priming effects.Nasal symptom free response rate was assessed 120 minutes Post-Nasal Allergen Challenge (Post-NAC) to be scored as Yes or No to rhinorrhea at Visit 4 (yes indicates subject is free from rhinorrhea symptom and no indicates subject still has nasal itching symptom). Visit 3 was considered Baseline. Visit 2 was considered an alternate Baseline.
Nasal Symptom-free Response Rate in Nasal Itching Scores After Prophylaxis TreatmentVisit 3 (or alternative baseline at Visit 2) to Visit 4 (14 days prophylaxis treatment). Visit 2 was used as an alternate baseline to report baseline values prior to any nasal allergen challenge (NAC) to minimize any potential priming effects.Nasal symptom free response rate was assessed 120 minutes Post-Nasal Allergen Challenge (Post-NAC) to be scored as Yes or No to nasal itching at Visit 4 (yes indicates subject is free from nasal itching symptom and no indicates subject still has nasal itching symptom). Visit 3 was considered Baseline. Visit 2 was considered an alternate Baseline.
Nasal Symptom-free Response Rate in Sneezing Scores After Prophylaxis TreatmentVisit 3 (or alternative baseline at Visit 2) to Visit 4 (14 days prophylaxis treatment). Visit 2 was used as an alternate baseline to report baseline values prior to any nasal allergen challenge (NAC) to minimize any potential priming effects.Nasal symptom free response rate was assessed 120 minutes Post-Nasal Allergen Challenge (Post-NAC) to be scored as Yes or No to sneezing at Visit 4 (yes indicates subject is free from sneezing symptom and no indicates subject still has nasal itching symptom). Visit 3 was considered Baseline. Visit 2 was considered an alternate Baseline.
Nasal Symptom-free Response Rate in TNSS After Prophylaxis TreatmentVisit 3 (or alternative baseline at Visit 2) to Visit 4 (14 days prophylaxis treatment). Visit 2 was used as an alternate baseline to report baseline values prior to any nasal allergen challenge (NAC) to minimize any potential priming effects.Number of subjects that had 25% and 50% reduction in Observed Area Under the Curve (AUC) (0-120 minutes)/Pre-NAC Adjusted AUC (0-120 minutes) at Visit 4 (Day 28) from Visit 2 Observed AUC (0-120 minutes)/Pre-NAC Adjusted AUC (0-120 minutes). For TNSS and Area Under the Curve (AUC) analyses, an Analysis of Covariance with treatment and site as factors and Visit 3 (or Visit 2) value as a covariate was used to test for treatment effect at Visit 4. Observed AUC (0-2 Hours) was defined as TNSS from 0 to 120 minutes post Nasal Allergen Challenge (NAC). The Pre-NAC Adjusted AUC (0-2 Hours) was defined as the observed value minus the 0 minutes prior NAC value.
Change in Total Nasal Symptom Score (TNSS) After Prophylaxis TreatmentVisit 3 (or alternative baseline at Visit 2) to Visit 4 (14 days prophylaxis treatment). Visit 2 was used as an alternate baseline to report baseline values prior to any nasal allergen challenge (NAC) to minimize any potential priming effects.Total Nasal Symptom Score (TNSS) is the sum of sub-scores for each of nasal congestion, sneezing, nasal itching, and rhinorrhea at each time point, using a four point scale (0-3; 0 = none; 1 = mild; 2 = moderate; 3 = severe), where 0 indicates no symptoms, a score of 1 for mild symptoms that are easily tolerated, 2 for awareness of symptoms which are bothersome but tolerable and 3 is reserved for severe symptoms that are hard to tolerate and interfere with daily activity. TNSS is calculated by adding the sub-score for each of the symptoms to a total out of 12. For TNSS and Area Under the Curve (AUC) analyses, an Analysis of Covariance with treatment and site as factors and Visit 3 (or Visit 2) value as a covariate was used to test for treatment effect at Visit 4. Observed AUC (0-2 Hours) was defined as TNSS from 0 to 120 minutes post Nasal Allergen Challenge (NAC). The Pre-NAC Adjusted AUC (0-2 Hours) was defined as the observed value minus the 0 minutes prior NAC value.
Subjective Nasal Symptom Scores of Nasal Congestion After Prophylaxis TreatmentVisit 3 (or alternative baseline at Visit 2) to Visit 4 (14 days prophylaxis treatment). Visit 2 was used as an alternate baseline to report baseline values prior to any nasal allergen challenge (NAC) to minimize any potential priming effects.All measurements were taken 120 minutes Post-Nasal Allergen Challenge (Post-NAC) at Visit 4 and compared to Baseline Visit 3. Visit 3 was considered Baseline. Visit 2 was considered an alternate Baseline. Nasal congestion was categorized as None, Mild, Moderate, or Severe.
Subjective Nasal Symptom Scores of Rhinorrhea After Prophylaxis TreatmentVisit 3 (or alternative baseline at Visit 2) to Visit 4 (14 days prophylaxis treatment). Visit 2 was used as an alternate baseline to report baseline values prior to any nasal allergen challenge (NAC) to minimize any potential priming effects.All measurements were taken 120 minutes Post-Nasal Allergen Challenge (Post-NAC) at Visit 4 and compared to Baseline Visit 3. Visit 3 was considered Baseline. Visit 2 was considered an alternate Baseline. Rhinorrhea was categorized as None, Mild, Moderate, or Severe.
Subjective Nasal Symptom Scores of Sneezing After Prophylaxis TreatmentVisit 3 (or alternative baseline at Visit 2) to Visit 4 (14 days prophylaxis treatment). Visit 2 was used as an alternate baseline to report baseline values prior to any nasal allergen challenge (NAC) to minimize any potential priming effects.All measurements were taken 120 minutes Post-Nasal Allergen Challenge (Post-NAC) at Visit 4 and compared to Baseline Visit 3. Visit 3 was considered Baseline. Visit 2 was considered an alternate Baseline. Sneezing was categorized as None, Mild, Moderate, or Severe.
Nasal Symptom-free Response Rate in Nasal Congestion Scores After Prophylaxis TreatmentVisit 3 (or alternative baseline at Visit 2) to Visit 4 (14 days prophylaxis treatment). Visit 2 was used as an alternate baseline to report baseline values prior to any nasal allergen challenge (NAC) to minimize any potential priming effects.Nasal symptom free response rate was assessed 120 minutes Post-Nasal Allergen Challenge (Post-NAC) to be scored as Yes or No to nasal congestion at Visit 4 (yes indicates subject is free from nasal congestion symptom and no indicates subject still has nasal itching symptom). Visit 3 was considered Baseline. Visit 2 was considered an alternate Baseline.

Other

MeasureTime frameDescription
Intranasal Nitric Oxide LevelsVisit 3 (or alternative baseline at Visit 2) to Visit 4 (14 days prophylaxis treatment). Visit 2 was used as an alternate baseline to report baseline values prior to any nasal allergen challenge (NAC) to minimize any potential priming effects.Exhaled nasal nitric oxide (NO) was measured from the nasal cavity by a NO analyzer 120 minutes Post Nasal Allergen Challenge (Post-NAC).
Change in Cytokine Concentration in Nasal Cavity and BloodVisit 3 (or alternative baseline at Visit 2) to Visit 4 (14 days prophylaxis treatment). Visit 2 was used as an alternate baseline to report baseline values prior to any nasal allergen challenge (NAC) to minimize any potential priming effects.To evaluate if B244 administration will affect the levels of cytokine biomarkers in nasal cavity and blood.
Nasal Inflammation Score Using OtoscopeVisit 3 (or alternative baseline at Visit 2) to Visit 4 (14 days prophylaxis treatment). Visit 2 was used as an alternate baseline to report baseline values prior to any nasal allergen challenge (NAC) to minimize any potential priming effects.Nasal inflammation were graded by a clinician using a 0-3 nasal inflammation scale based on otoscope measurement where 0 = none, 1 = mild, 2 = moderate, and 3 = severe inflammation 120 minutes Post Nasal Allergen Challenge (Post-NAC).
Change in Peak Nasal Inspiratory Flow (PNIF)Visit 3 (or alternative baseline at Visit 2) to Visit 4 (14 days prophylaxis treatment). Visit 2 was used as an alternate baseline to report baseline values prior to any nasal allergen challenge (NAC) to minimize any potential priming effects.Peak Nasal Inspiratory Flow (PNIF) is a commonly used method for assessing nasal patency and provides an objective measurement of nasal airflow obstruction. The outcome is a direct representation of nasal congestion. Change in PNIF Observed Inverted Area Under the Curve (AUC) was measured between baseline and Visit 4. A decrease in PNIF Observed Inverted AUC(0-2 Hours) was considered an improvement in nasal airflow obstruction. Visit 3 was considered Baseline. Visit 2 was considered an alternate Baseline.

Countries

Canada, United States

Participant flow

Participants by arm

ArmCount
Vehicle
Intranasal application: 1 pump (140ul) per nostril BID for 14 days Vehicle: Vehicle, 30ml/bottle
23
B 244 1x (Low Dose)
Intranasal application: 1 pump (140ul) per nostril BID for 14 days B244 suspension: B244 suspension (1x10E9 cells/ml) in 30ml/bottle
24
B244 4x (Mid Dose)
Intranasal application: 1 pump (140ul) per nostril BID for 14 days B244 suspension: B244 suspension (4x10E9 cells/ml) in 30ml/bottle
24
Total71

Baseline characteristics

CharacteristicB244 4x (Mid Dose)VehicleB 244 1x (Low Dose)Total
Age, Continuous
Part 1
45.36 years
STANDARD_DEVIATION 10.316
47.29 years
STANDARD_DEVIATION 11.179
44.60 years
STANDARD_DEVIATION 11.193
45.76 years
STANDARD_DEVIATION 10.477
Age, Continuous
Part 2
42.30 years
STANDARD_DEVIATION 12.754
47.20 years
STANDARD_DEVIATION 9.47
45.49 years
STANDARD_DEVIATION 12.145
44.95 years
STANDARD_DEVIATION 11.516
Ethnicity (NIH/OMB)
Part 1
Hispanic or Latino
5 Participants3 Participants5 Participants13 Participants
Ethnicity (NIH/OMB)
Part 1
Not Hispanic or Latino
1 Participants5 Participants2 Participants8 Participants
Ethnicity (NIH/OMB)
Part 1
Unknown or Not Reported
2 Participants0 Participants1 Participants3 Participants
Ethnicity (NIH/OMB)
Part 2
Hispanic or Latino
3 Participants3 Participants1 Participants7 Participants
Ethnicity (NIH/OMB)
Part 2
Not Hispanic or Latino
13 Participants12 Participants15 Participants40 Participants
Ethnicity (NIH/OMB)
Part 2
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Part 1
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Part 1
Asian
2 Participants0 Participants1 Participants3 Participants
Race (NIH/OMB)
Part 1
Black or African American
1 Participants2 Participants2 Participants5 Participants
Race (NIH/OMB)
Part 1
More than one race
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Part 1
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Part 1
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Part 1
White
5 Participants6 Participants5 Participants16 Participants
Race (NIH/OMB)
Part 2
American Indian or Alaska Native
0 Participants1 Participants0 Participants1 Participants
Race (NIH/OMB)
Part 2
Asian
6 Participants3 Participants2 Participants11 Participants
Race (NIH/OMB)
Part 2
Black or African American
5 Participants5 Participants9 Participants19 Participants
Race (NIH/OMB)
Part 2
More than one race
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Part 2
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Part 2
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Part 2
White
5 Participants6 Participants5 Participants16 Participants
Screening BMI
Part 1
29.76 kg/m^2
STANDARD_DEVIATION 5.013
26.77 kg/m^2
STANDARD_DEVIATION 5.89
27.15 kg/m^2
STANDARD_DEVIATION 4.197
27.89 kg/m^2
STANDARD_DEVIATION 5.046
Screening BMI
Part 2
28.59 kg/m^2
STANDARD_DEVIATION 6.053
26.86 kg/m^2
STANDARD_DEVIATION 4.803
28.93 kg/m^2
STANDARD_DEVIATION 4.868
28.15 kg/m^2
STANDARD_DEVIATION 5.25
Screening Height
Part 1
172.8 cm
STANDARD_DEVIATION 11.6
174.0 cm
STANDARD_DEVIATION 8.2
169.8 cm
STANDARD_DEVIATION 8.4
172.2 cm
STANDARD_DEVIATION 9.24
Screening Height
Part 2
167.1 cm
STANDARD_DEVIATION 9.88
169.0 cm
STANDARD_DEVIATION 3.73
165.9 cm
STANDARD_DEVIATION 8.38
167.3 cm
STANDARD_DEVIATION 8.39
Screening Weight
Part 1
89.55 kg
STANDARD_DEVIATION 21.376
81.83 kg
STANDARD_DEVIATION 22.316
77.94 kg
STANDARD_DEVIATION 10.679
83.10 kg
STANDARD_DEVIATION 18.699
Screening Weight
Part 2
79.72 kg
STANDARD_DEVIATION 17.633
76.89 kg
STANDARD_DEVIATION 15.279
79.69 kg
STANDARD_DEVIATION 14.577
78.81 kg
STANDARD_DEVIATION 15.604
Sex: Female, Male
Part 1
Female
3 Participants3 Participants5 Participants11 Participants
Sex: Female, Male
Part 1
Male
5 Participants5 Participants3 Participants13 Participants
Sex: Female, Male
Part 2
Female
9 Participants10 Participants12 Participants31 Participants
Sex: Female, Male
Part 2
Male
7 Participants5 Participants4 Participants16 Participants
Tobacco History
Part 1
Current
0 Participants0 Participants0 Participants0 Participants
Tobacco History
Part 1
Former
3 Participants0 Participants0 Participants3 Participants
Tobacco History
Part 1
Never
5 Participants8 Participants8 Participants21 Participants
Tobacco History
Part 2
Current
0 Participants0 Participants0 Participants0 Participants
Tobacco History
Part 2
Former
0 Participants3 Participants0 Participants3 Participants
Tobacco History
Part 2
Never
16 Participants12 Participants16 Participants44 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
deaths
Total, all-cause mortality
0 / 80 / 80 / 80 / 150 / 160 / 16
other
Total, other adverse events
1 / 81 / 81 / 81 / 150 / 164 / 16
serious
Total, serious adverse events
0 / 80 / 80 / 80 / 150 / 160 / 16

Outcome results

Primary

Number of Participants With Treatment-related Adverse Events as Assessed by CTCAE v4.0

Safety and tolerability endpoints will consist of all treatment-related adverse events reporting during the study duration for subjects only from Part 1 of the study.

Time frame: Baseline to Day 28

Population: Population included subjects from Part 1 of the study and those who had received at least one dose of study medication.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
VehicleNumber of Participants With Treatment-related Adverse Events as Assessed by CTCAE v4.0Drug Related TEAE0 Participants
VehicleNumber of Participants With Treatment-related Adverse Events as Assessed by CTCAE v4.0Drug Related Severe TEAE0 Participants
VehicleNumber of Participants With Treatment-related Adverse Events as Assessed by CTCAE v4.0Drug Related Serious TEAE0 Participants
B 244 1x (Low Dose)Number of Participants With Treatment-related Adverse Events as Assessed by CTCAE v4.0Drug Related Severe TEAE0 Participants
B 244 1x (Low Dose)Number of Participants With Treatment-related Adverse Events as Assessed by CTCAE v4.0Drug Related TEAE0 Participants
B 244 1x (Low Dose)Number of Participants With Treatment-related Adverse Events as Assessed by CTCAE v4.0Drug Related Serious TEAE0 Participants
B244 4x (Mid Dose)Number of Participants With Treatment-related Adverse Events as Assessed by CTCAE v4.0Drug Related Serious TEAE0 Participants
B244 4x (Mid Dose)Number of Participants With Treatment-related Adverse Events as Assessed by CTCAE v4.0Drug Related TEAE0 Participants
B244 4x (Mid Dose)Number of Participants With Treatment-related Adverse Events as Assessed by CTCAE v4.0Drug Related Severe TEAE0 Participants
Secondary

Change in Total Nasal Symptom Score (TNSS) After Prophylaxis Treatment

Total Nasal Symptom Score (TNSS) is the sum of sub-scores for each of nasal congestion, sneezing, nasal itching, and rhinorrhea at each time point, using a four point scale (0-3; 0 = none; 1 = mild; 2 = moderate; 3 = severe), where 0 indicates no symptoms, a score of 1 for mild symptoms that are easily tolerated, 2 for awareness of symptoms which are bothersome but tolerable and 3 is reserved for severe symptoms that are hard to tolerate and interfere with daily activity. TNSS is calculated by adding the sub-score for each of the symptoms to a total out of 12. For TNSS and Area Under the Curve (AUC) analyses, an Analysis of Covariance with treatment and site as factors and Visit 3 (or Visit 2) value as a covariate was used to test for treatment effect at Visit 4. Observed AUC (0-2 Hours) was defined as TNSS from 0 to 120 minutes post Nasal Allergen Challenge (NAC). The Pre-NAC Adjusted AUC (0-2 Hours) was defined as the observed value minus the 0 minutes prior NAC value.

Time frame: Visit 3 (or alternative baseline at Visit 2) to Visit 4 (14 days prophylaxis treatment). Visit 2 was used as an alternate baseline to report baseline values prior to any nasal allergen challenge (NAC) to minimize any potential priming effects.

Population: Population includes only patients from Part 2 of the study.

ArmMeasureGroupValue (MEAN)Dispersion
VehicleChange in Total Nasal Symptom Score (TNSS) After Prophylaxis TreatmentObserved AUC (0-2 Hours)-5.1 score on a scale*hoursStandard Deviation 3.53
VehicleChange in Total Nasal Symptom Score (TNSS) After Prophylaxis TreatmentPre-NAC Adjusted (0-2 Hours)-5.9 score on a scale*hoursStandard Deviation 3.88
B 244 1x (Low Dose)Change in Total Nasal Symptom Score (TNSS) After Prophylaxis TreatmentObserved AUC (0-2 Hours)-2.5 score on a scale*hoursStandard Deviation 4.51
B 244 1x (Low Dose)Change in Total Nasal Symptom Score (TNSS) After Prophylaxis TreatmentPre-NAC Adjusted (0-2 Hours)-3.7 score on a scale*hoursStandard Deviation 6.84
B244 4x (Mid Dose)Change in Total Nasal Symptom Score (TNSS) After Prophylaxis TreatmentObserved AUC (0-2 Hours)-4.9 score on a scale*hoursStandard Deviation 3.66
B244 4x (Mid Dose)Change in Total Nasal Symptom Score (TNSS) After Prophylaxis TreatmentPre-NAC Adjusted (0-2 Hours)-4.9 score on a scale*hoursStandard Deviation 3.29
Secondary

Nasal Symptom-free Response Rate in Nasal Congestion Scores After Prophylaxis Treatment

Nasal symptom free response rate was assessed 120 minutes Post-Nasal Allergen Challenge (Post-NAC) to be scored as Yes or No to nasal congestion at Visit 4 (yes indicates subject is free from nasal congestion symptom and no indicates subject still has nasal itching symptom). Visit 3 was considered Baseline. Visit 2 was considered an alternate Baseline.

Time frame: Visit 3 (or alternative baseline at Visit 2) to Visit 4 (14 days prophylaxis treatment). Visit 2 was used as an alternate baseline to report baseline values prior to any nasal allergen challenge (NAC) to minimize any potential priming effects.

Population: Population includes only patients from Part 2 of the study.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
VehicleNasal Symptom-free Response Rate in Nasal Congestion Scores After Prophylaxis TreatmentYes3 Participants
VehicleNasal Symptom-free Response Rate in Nasal Congestion Scores After Prophylaxis TreatmentNo12 Participants
B 244 1x (Low Dose)Nasal Symptom-free Response Rate in Nasal Congestion Scores After Prophylaxis TreatmentYes4 Participants
B 244 1x (Low Dose)Nasal Symptom-free Response Rate in Nasal Congestion Scores After Prophylaxis TreatmentNo12 Participants
B244 4x (Mid Dose)Nasal Symptom-free Response Rate in Nasal Congestion Scores After Prophylaxis TreatmentYes7 Participants
B244 4x (Mid Dose)Nasal Symptom-free Response Rate in Nasal Congestion Scores After Prophylaxis TreatmentNo9 Participants
Secondary

Nasal Symptom-free Response Rate in Nasal Itching Scores After Prophylaxis Treatment

Nasal symptom free response rate was assessed 120 minutes Post-Nasal Allergen Challenge (Post-NAC) to be scored as Yes or No to nasal itching at Visit 4 (yes indicates subject is free from nasal itching symptom and no indicates subject still has nasal itching symptom). Visit 3 was considered Baseline. Visit 2 was considered an alternate Baseline.

Time frame: Visit 3 (or alternative baseline at Visit 2) to Visit 4 (14 days prophylaxis treatment). Visit 2 was used as an alternate baseline to report baseline values prior to any nasal allergen challenge (NAC) to minimize any potential priming effects.

Population: Population includes only patients from Part 2 of the study.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
VehicleNasal Symptom-free Response Rate in Nasal Itching Scores After Prophylaxis TreatmentYes11 Participants
VehicleNasal Symptom-free Response Rate in Nasal Itching Scores After Prophylaxis TreatmentNo4 Participants
B 244 1x (Low Dose)Nasal Symptom-free Response Rate in Nasal Itching Scores After Prophylaxis TreatmentYes11 Participants
B 244 1x (Low Dose)Nasal Symptom-free Response Rate in Nasal Itching Scores After Prophylaxis TreatmentNo5 Participants
B244 4x (Mid Dose)Nasal Symptom-free Response Rate in Nasal Itching Scores After Prophylaxis TreatmentYes13 Participants
B244 4x (Mid Dose)Nasal Symptom-free Response Rate in Nasal Itching Scores After Prophylaxis TreatmentNo3 Participants
Secondary

Nasal Symptom-free Response Rate in Rhinorrhea Scores After Prophylaxis Treatment

Nasal symptom free response rate was assessed 120 minutes Post-Nasal Allergen Challenge (Post-NAC) to be scored as Yes or No to rhinorrhea at Visit 4 (yes indicates subject is free from rhinorrhea symptom and no indicates subject still has nasal itching symptom). Visit 3 was considered Baseline. Visit 2 was considered an alternate Baseline.

Time frame: Visit 3 (or alternative baseline at Visit 2) to Visit 4 (14 days prophylaxis treatment). Visit 2 was used as an alternate baseline to report baseline values prior to any nasal allergen challenge (NAC) to minimize any potential priming effects.

Population: Population includes only patients from Part 2 of the study.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
VehicleNasal Symptom-free Response Rate in Rhinorrhea Scores After Prophylaxis TreatmentYes11 Participants
VehicleNasal Symptom-free Response Rate in Rhinorrhea Scores After Prophylaxis TreatmentNo4 Participants
B 244 1x (Low Dose)Nasal Symptom-free Response Rate in Rhinorrhea Scores After Prophylaxis TreatmentYes10 Participants
B 244 1x (Low Dose)Nasal Symptom-free Response Rate in Rhinorrhea Scores After Prophylaxis TreatmentNo6 Participants
B244 4x (Mid Dose)Nasal Symptom-free Response Rate in Rhinorrhea Scores After Prophylaxis TreatmentYes10 Participants
B244 4x (Mid Dose)Nasal Symptom-free Response Rate in Rhinorrhea Scores After Prophylaxis TreatmentNo6 Participants
Secondary

Nasal Symptom-free Response Rate in Sneezing Scores After Prophylaxis Treatment

Nasal symptom free response rate was assessed 120 minutes Post-Nasal Allergen Challenge (Post-NAC) to be scored as Yes or No to sneezing at Visit 4 (yes indicates subject is free from sneezing symptom and no indicates subject still has nasal itching symptom). Visit 3 was considered Baseline. Visit 2 was considered an alternate Baseline.

Time frame: Visit 3 (or alternative baseline at Visit 2) to Visit 4 (14 days prophylaxis treatment). Visit 2 was used as an alternate baseline to report baseline values prior to any nasal allergen challenge (NAC) to minimize any potential priming effects.

Population: Population includes only patients from Part 2 of the study.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
VehicleNasal Symptom-free Response Rate in Sneezing Scores After Prophylaxis TreatmentYes10 Participants
VehicleNasal Symptom-free Response Rate in Sneezing Scores After Prophylaxis TreatmentNo5 Participants
B 244 1x (Low Dose)Nasal Symptom-free Response Rate in Sneezing Scores After Prophylaxis TreatmentYes13 Participants
B 244 1x (Low Dose)Nasal Symptom-free Response Rate in Sneezing Scores After Prophylaxis TreatmentNo3 Participants
B244 4x (Mid Dose)Nasal Symptom-free Response Rate in Sneezing Scores After Prophylaxis TreatmentYes13 Participants
B244 4x (Mid Dose)Nasal Symptom-free Response Rate in Sneezing Scores After Prophylaxis TreatmentNo3 Participants
Secondary

Nasal Symptom-free Response Rate in TNSS After Prophylaxis Treatment

Number of subjects that had 25% and 50% reduction in Observed Area Under the Curve (AUC) (0-120 minutes)/Pre-NAC Adjusted AUC (0-120 minutes) at Visit 4 (Day 28) from Visit 2 Observed AUC (0-120 minutes)/Pre-NAC Adjusted AUC (0-120 minutes). For TNSS and Area Under the Curve (AUC) analyses, an Analysis of Covariance with treatment and site as factors and Visit 3 (or Visit 2) value as a covariate was used to test for treatment effect at Visit 4. Observed AUC (0-2 Hours) was defined as TNSS from 0 to 120 minutes post Nasal Allergen Challenge (NAC). The Pre-NAC Adjusted AUC (0-2 Hours) was defined as the observed value minus the 0 minutes prior NAC value.

Time frame: Visit 3 (or alternative baseline at Visit 2) to Visit 4 (14 days prophylaxis treatment). Visit 2 was used as an alternate baseline to report baseline values prior to any nasal allergen challenge (NAC) to minimize any potential priming effects.

Population: Population includes only patients from Part 2 of the study.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
VehicleNasal Symptom-free Response Rate in TNSS After Prophylaxis Treatment25% Reduction from Visit 2 Observed AUC (0-120 minutes)Yes9 Participants
VehicleNasal Symptom-free Response Rate in TNSS After Prophylaxis Treatment25% Reduction from Visit 2 Observed AUC (0-120 minutes)No6 Participants
VehicleNasal Symptom-free Response Rate in TNSS After Prophylaxis Treatment25% Reduction from Visit 2 Pre-NAC Adjusted AUC (0-120 minutes)Yes9 Participants
VehicleNasal Symptom-free Response Rate in TNSS After Prophylaxis Treatment25% Reduction from Visit 2 Pre-NAC Adjusted AUC (0-120 minutes)No6 Participants
VehicleNasal Symptom-free Response Rate in TNSS After Prophylaxis Treatment50% Reduction from Visit 2 Observed AUC (0-120 minutes)Yes3 Participants
VehicleNasal Symptom-free Response Rate in TNSS After Prophylaxis Treatment50% Reduction from Visit 2 Observed AUC (0-120 minutes)No12 Participants
VehicleNasal Symptom-free Response Rate in TNSS After Prophylaxis Treatment50% Reduction from Visit 2 Pre-NAC Adjusted AUC (0-120 minutes)Yes7 Participants
VehicleNasal Symptom-free Response Rate in TNSS After Prophylaxis Treatment50% Reduction from Visit 2 Pre-NAC Adjusted AUC (0-120 minutes)No8 Participants
B 244 1x (Low Dose)Nasal Symptom-free Response Rate in TNSS After Prophylaxis Treatment25% Reduction from Visit 2 Pre-NAC Adjusted AUC (0-120 minutes)Yes8 Participants
B 244 1x (Low Dose)Nasal Symptom-free Response Rate in TNSS After Prophylaxis Treatment50% Reduction from Visit 2 Pre-NAC Adjusted AUC (0-120 minutes)Yes6 Participants
B 244 1x (Low Dose)Nasal Symptom-free Response Rate in TNSS After Prophylaxis Treatment25% Reduction from Visit 2 Pre-NAC Adjusted AUC (0-120 minutes)No8 Participants
B 244 1x (Low Dose)Nasal Symptom-free Response Rate in TNSS After Prophylaxis Treatment50% Reduction from Visit 2 Observed AUC (0-120 minutes)Yes3 Participants
B 244 1x (Low Dose)Nasal Symptom-free Response Rate in TNSS After Prophylaxis Treatment50% Reduction from Visit 2 Observed AUC (0-120 minutes)No13 Participants
B 244 1x (Low Dose)Nasal Symptom-free Response Rate in TNSS After Prophylaxis Treatment25% Reduction from Visit 2 Observed AUC (0-120 minutes)Yes6 Participants
B 244 1x (Low Dose)Nasal Symptom-free Response Rate in TNSS After Prophylaxis Treatment25% Reduction from Visit 2 Observed AUC (0-120 minutes)No10 Participants
B 244 1x (Low Dose)Nasal Symptom-free Response Rate in TNSS After Prophylaxis Treatment50% Reduction from Visit 2 Pre-NAC Adjusted AUC (0-120 minutes)No10 Participants
B244 4x (Mid Dose)Nasal Symptom-free Response Rate in TNSS After Prophylaxis Treatment25% Reduction from Visit 2 Pre-NAC Adjusted AUC (0-120 minutes)Yes15 Participants
B244 4x (Mid Dose)Nasal Symptom-free Response Rate in TNSS After Prophylaxis Treatment25% Reduction from Visit 2 Observed AUC (0-120 minutes)No4 Participants
B244 4x (Mid Dose)Nasal Symptom-free Response Rate in TNSS After Prophylaxis Treatment25% Reduction from Visit 2 Observed AUC (0-120 minutes)Yes12 Participants
B244 4x (Mid Dose)Nasal Symptom-free Response Rate in TNSS After Prophylaxis Treatment25% Reduction from Visit 2 Pre-NAC Adjusted AUC (0-120 minutes)No1 Participants
B244 4x (Mid Dose)Nasal Symptom-free Response Rate in TNSS After Prophylaxis Treatment50% Reduction from Visit 2 Pre-NAC Adjusted AUC (0-120 minutes)Yes8 Participants
B244 4x (Mid Dose)Nasal Symptom-free Response Rate in TNSS After Prophylaxis Treatment50% Reduction from Visit 2 Observed AUC (0-120 minutes)No10 Participants
B244 4x (Mid Dose)Nasal Symptom-free Response Rate in TNSS After Prophylaxis Treatment50% Reduction from Visit 2 Observed AUC (0-120 minutes)Yes6 Participants
B244 4x (Mid Dose)Nasal Symptom-free Response Rate in TNSS After Prophylaxis Treatment50% Reduction from Visit 2 Pre-NAC Adjusted AUC (0-120 minutes)No8 Participants
Secondary

Subjective Nasal Symptom Scores of Nasal Congestion After Prophylaxis Treatment

All measurements were taken 120 minutes Post-Nasal Allergen Challenge (Post-NAC) at Visit 4 and compared to Baseline Visit 3. Visit 3 was considered Baseline. Visit 2 was considered an alternate Baseline. Nasal congestion was categorized as None, Mild, Moderate, or Severe.

Time frame: Visit 3 (or alternative baseline at Visit 2) to Visit 4 (14 days prophylaxis treatment). Visit 2 was used as an alternate baseline to report baseline values prior to any nasal allergen challenge (NAC) to minimize any potential priming effects.

Population: Population includes only patients from Part 2 of the study.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
VehicleSubjective Nasal Symptom Scores of Nasal Congestion After Prophylaxis TreatmentVisit 2 (Day 0)None4 Participants
VehicleSubjective Nasal Symptom Scores of Nasal Congestion After Prophylaxis TreatmentVisit 2 (Day 0)Mild8 Participants
VehicleSubjective Nasal Symptom Scores of Nasal Congestion After Prophylaxis TreatmentVisit 2 (Day 0)Moderate0 Participants
VehicleSubjective Nasal Symptom Scores of Nasal Congestion After Prophylaxis TreatmentVisit 2 (Day 0)Severe3 Participants
VehicleSubjective Nasal Symptom Scores of Nasal Congestion After Prophylaxis TreatmentVisit 3 (Day 14)None3 Participants
VehicleSubjective Nasal Symptom Scores of Nasal Congestion After Prophylaxis TreatmentVisit 3 (Day 14)Mild4 Participants
VehicleSubjective Nasal Symptom Scores of Nasal Congestion After Prophylaxis TreatmentVisit 3 (Day 14)Moderate6 Participants
VehicleSubjective Nasal Symptom Scores of Nasal Congestion After Prophylaxis TreatmentVisit 3 (Day 14)Severe2 Participants
VehicleSubjective Nasal Symptom Scores of Nasal Congestion After Prophylaxis TreatmentVisit 4 (Day 28)None3 Participants
VehicleSubjective Nasal Symptom Scores of Nasal Congestion After Prophylaxis TreatmentVisit 4 (Day 28)Mild8 Participants
VehicleSubjective Nasal Symptom Scores of Nasal Congestion After Prophylaxis TreatmentVisit 4 (Day 28)Moderate3 Participants
VehicleSubjective Nasal Symptom Scores of Nasal Congestion After Prophylaxis TreatmentVisit 4 (Day 28)Severe1 Participants
B 244 1x (Low Dose)Subjective Nasal Symptom Scores of Nasal Congestion After Prophylaxis TreatmentVisit 4 (Day 28)Severe3 Participants
B 244 1x (Low Dose)Subjective Nasal Symptom Scores of Nasal Congestion After Prophylaxis TreatmentVisit 2 (Day 0)None2 Participants
B 244 1x (Low Dose)Subjective Nasal Symptom Scores of Nasal Congestion After Prophylaxis TreatmentVisit 3 (Day 14)Moderate5 Participants
B 244 1x (Low Dose)Subjective Nasal Symptom Scores of Nasal Congestion After Prophylaxis TreatmentVisit 4 (Day 28)None4 Participants
B 244 1x (Low Dose)Subjective Nasal Symptom Scores of Nasal Congestion After Prophylaxis TreatmentVisit 2 (Day 0)Mild6 Participants
B 244 1x (Low Dose)Subjective Nasal Symptom Scores of Nasal Congestion After Prophylaxis TreatmentVisit 3 (Day 14)Mild3 Participants
B 244 1x (Low Dose)Subjective Nasal Symptom Scores of Nasal Congestion After Prophylaxis TreatmentVisit 4 (Day 28)Moderate3 Participants
B 244 1x (Low Dose)Subjective Nasal Symptom Scores of Nasal Congestion After Prophylaxis TreatmentVisit 2 (Day 0)Moderate5 Participants
B 244 1x (Low Dose)Subjective Nasal Symptom Scores of Nasal Congestion After Prophylaxis TreatmentVisit 3 (Day 14)Severe4 Participants
B 244 1x (Low Dose)Subjective Nasal Symptom Scores of Nasal Congestion After Prophylaxis TreatmentVisit 3 (Day 14)None4 Participants
B 244 1x (Low Dose)Subjective Nasal Symptom Scores of Nasal Congestion After Prophylaxis TreatmentVisit 2 (Day 0)Severe3 Participants
B 244 1x (Low Dose)Subjective Nasal Symptom Scores of Nasal Congestion After Prophylaxis TreatmentVisit 4 (Day 28)Mild6 Participants
B244 4x (Mid Dose)Subjective Nasal Symptom Scores of Nasal Congestion After Prophylaxis TreatmentVisit 2 (Day 0)Severe3 Participants
B244 4x (Mid Dose)Subjective Nasal Symptom Scores of Nasal Congestion After Prophylaxis TreatmentVisit 3 (Day 14)None4 Participants
B244 4x (Mid Dose)Subjective Nasal Symptom Scores of Nasal Congestion After Prophylaxis TreatmentVisit 4 (Day 28)Mild6 Participants
B244 4x (Mid Dose)Subjective Nasal Symptom Scores of Nasal Congestion After Prophylaxis TreatmentVisit 3 (Day 14)Mild4 Participants
B244 4x (Mid Dose)Subjective Nasal Symptom Scores of Nasal Congestion After Prophylaxis TreatmentVisit 3 (Day 14)Moderate5 Participants
B244 4x (Mid Dose)Subjective Nasal Symptom Scores of Nasal Congestion After Prophylaxis TreatmentVisit 3 (Day 14)Severe3 Participants
B244 4x (Mid Dose)Subjective Nasal Symptom Scores of Nasal Congestion After Prophylaxis TreatmentVisit 4 (Day 28)Moderate3 Participants
B244 4x (Mid Dose)Subjective Nasal Symptom Scores of Nasal Congestion After Prophylaxis TreatmentVisit 2 (Day 0)None5 Participants
B244 4x (Mid Dose)Subjective Nasal Symptom Scores of Nasal Congestion After Prophylaxis TreatmentVisit 2 (Day 0)Mild4 Participants
B244 4x (Mid Dose)Subjective Nasal Symptom Scores of Nasal Congestion After Prophylaxis TreatmentVisit 4 (Day 28)None7 Participants
B244 4x (Mid Dose)Subjective Nasal Symptom Scores of Nasal Congestion After Prophylaxis TreatmentVisit 2 (Day 0)Moderate4 Participants
B244 4x (Mid Dose)Subjective Nasal Symptom Scores of Nasal Congestion After Prophylaxis TreatmentVisit 4 (Day 28)Severe0 Participants
Secondary

Subjective Nasal Symptom Scores of Nasal Itching After Prophylaxis Treatment

All measurements were taken 120 minutes Post-Nasal Allergen Challenge (Post-NAC) at Visit 4 and compared to Baseline Visit 3. Visit 3 was considered Baseline. Visit 2 was considered an alternate Baseline. Nasal itching was categorized as None, Mild, Moderate, or Severe.

Time frame: Visit 3 (or alternative baseline at Visit 2) to Visit 4 (14 days prophylaxis treatment). Visit 2 was used as an alternate baseline to report baseline values prior to any nasal allergen challenge (NAC) to minimize any potential priming effects.

Population: Population includes only patients from Part 2 of the study.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
VehicleSubjective Nasal Symptom Scores of Nasal Itching After Prophylaxis TreatmentVisit 2 (Day 0)None6 Participants
VehicleSubjective Nasal Symptom Scores of Nasal Itching After Prophylaxis TreatmentVisit 2 (Day 0)Mild4 Participants
VehicleSubjective Nasal Symptom Scores of Nasal Itching After Prophylaxis TreatmentVisit 2 (Day 0)Moderate2 Participants
VehicleSubjective Nasal Symptom Scores of Nasal Itching After Prophylaxis TreatmentVisit 2 (Day 0)Severe3 Participants
VehicleSubjective Nasal Symptom Scores of Nasal Itching After Prophylaxis TreatmentVisit 3 (Day 14)None6 Participants
VehicleSubjective Nasal Symptom Scores of Nasal Itching After Prophylaxis TreatmentVisit 3 (Day 14)Mild4 Participants
VehicleSubjective Nasal Symptom Scores of Nasal Itching After Prophylaxis TreatmentVisit 3 (Day 14)Moderate5 Participants
VehicleSubjective Nasal Symptom Scores of Nasal Itching After Prophylaxis TreatmentVisit 3 (Day 14)Severe0 Participants
VehicleSubjective Nasal Symptom Scores of Nasal Itching After Prophylaxis TreatmentVisit 4 (Day 28)None11 Participants
VehicleSubjective Nasal Symptom Scores of Nasal Itching After Prophylaxis TreatmentVisit 4 (Day 28)Mild4 Participants
VehicleSubjective Nasal Symptom Scores of Nasal Itching After Prophylaxis TreatmentVisit 4 (Day 28)Moderate0 Participants
VehicleSubjective Nasal Symptom Scores of Nasal Itching After Prophylaxis TreatmentVisit 4 (Day 28)Severe0 Participants
B 244 1x (Low Dose)Subjective Nasal Symptom Scores of Nasal Itching After Prophylaxis TreatmentVisit 4 (Day 28)Severe1 Participants
B 244 1x (Low Dose)Subjective Nasal Symptom Scores of Nasal Itching After Prophylaxis TreatmentVisit 2 (Day 0)None10 Participants
B 244 1x (Low Dose)Subjective Nasal Symptom Scores of Nasal Itching After Prophylaxis TreatmentVisit 3 (Day 14)Moderate3 Participants
B 244 1x (Low Dose)Subjective Nasal Symptom Scores of Nasal Itching After Prophylaxis TreatmentVisit 4 (Day 28)None11 Participants
B 244 1x (Low Dose)Subjective Nasal Symptom Scores of Nasal Itching After Prophylaxis TreatmentVisit 2 (Day 0)Mild4 Participants
B 244 1x (Low Dose)Subjective Nasal Symptom Scores of Nasal Itching After Prophylaxis TreatmentVisit 3 (Day 14)Mild5 Participants
B 244 1x (Low Dose)Subjective Nasal Symptom Scores of Nasal Itching After Prophylaxis TreatmentVisit 4 (Day 28)Moderate1 Participants
B 244 1x (Low Dose)Subjective Nasal Symptom Scores of Nasal Itching After Prophylaxis TreatmentVisit 2 (Day 0)Moderate1 Participants
B 244 1x (Low Dose)Subjective Nasal Symptom Scores of Nasal Itching After Prophylaxis TreatmentVisit 3 (Day 14)Severe1 Participants
B 244 1x (Low Dose)Subjective Nasal Symptom Scores of Nasal Itching After Prophylaxis TreatmentVisit 3 (Day 14)None7 Participants
B 244 1x (Low Dose)Subjective Nasal Symptom Scores of Nasal Itching After Prophylaxis TreatmentVisit 2 (Day 0)Severe1 Participants
B 244 1x (Low Dose)Subjective Nasal Symptom Scores of Nasal Itching After Prophylaxis TreatmentVisit 4 (Day 28)Mild3 Participants
B244 4x (Mid Dose)Subjective Nasal Symptom Scores of Nasal Itching After Prophylaxis TreatmentVisit 2 (Day 0)Severe1 Participants
B244 4x (Mid Dose)Subjective Nasal Symptom Scores of Nasal Itching After Prophylaxis TreatmentVisit 3 (Day 14)None9 Participants
B244 4x (Mid Dose)Subjective Nasal Symptom Scores of Nasal Itching After Prophylaxis TreatmentVisit 4 (Day 28)Mild3 Participants
B244 4x (Mid Dose)Subjective Nasal Symptom Scores of Nasal Itching After Prophylaxis TreatmentVisit 3 (Day 14)Mild4 Participants
B244 4x (Mid Dose)Subjective Nasal Symptom Scores of Nasal Itching After Prophylaxis TreatmentVisit 3 (Day 14)Moderate2 Participants
B244 4x (Mid Dose)Subjective Nasal Symptom Scores of Nasal Itching After Prophylaxis TreatmentVisit 3 (Day 14)Severe1 Participants
B244 4x (Mid Dose)Subjective Nasal Symptom Scores of Nasal Itching After Prophylaxis TreatmentVisit 4 (Day 28)Moderate0 Participants
B244 4x (Mid Dose)Subjective Nasal Symptom Scores of Nasal Itching After Prophylaxis TreatmentVisit 2 (Day 0)None10 Participants
B244 4x (Mid Dose)Subjective Nasal Symptom Scores of Nasal Itching After Prophylaxis TreatmentVisit 2 (Day 0)Mild2 Participants
B244 4x (Mid Dose)Subjective Nasal Symptom Scores of Nasal Itching After Prophylaxis TreatmentVisit 4 (Day 28)None13 Participants
B244 4x (Mid Dose)Subjective Nasal Symptom Scores of Nasal Itching After Prophylaxis TreatmentVisit 2 (Day 0)Moderate3 Participants
B244 4x (Mid Dose)Subjective Nasal Symptom Scores of Nasal Itching After Prophylaxis TreatmentVisit 4 (Day 28)Severe0 Participants
Secondary

Subjective Nasal Symptom Scores of Rhinorrhea After Prophylaxis Treatment

All measurements were taken 120 minutes Post-Nasal Allergen Challenge (Post-NAC) at Visit 4 and compared to Baseline Visit 3. Visit 3 was considered Baseline. Visit 2 was considered an alternate Baseline. Rhinorrhea was categorized as None, Mild, Moderate, or Severe.

Time frame: Visit 3 (or alternative baseline at Visit 2) to Visit 4 (14 days prophylaxis treatment). Visit 2 was used as an alternate baseline to report baseline values prior to any nasal allergen challenge (NAC) to minimize any potential priming effects.

Population: Population includes only patients from Part 2 of the study.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
VehicleSubjective Nasal Symptom Scores of Rhinorrhea After Prophylaxis TreatmentVisit 2 (Day 0)None8 Participants
VehicleSubjective Nasal Symptom Scores of Rhinorrhea After Prophylaxis TreatmentVisit 2 (Day 0)Mild2 Participants
VehicleSubjective Nasal Symptom Scores of Rhinorrhea After Prophylaxis TreatmentVisit 2 (Day 0)Moderate3 Participants
VehicleSubjective Nasal Symptom Scores of Rhinorrhea After Prophylaxis TreatmentVisit 2 (Day 0)Severe2 Participants
VehicleSubjective Nasal Symptom Scores of Rhinorrhea After Prophylaxis TreatmentVisit 3 (Day 14)None5 Participants
VehicleSubjective Nasal Symptom Scores of Rhinorrhea After Prophylaxis TreatmentVisit 3 (Day 14)Mild6 Participants
VehicleSubjective Nasal Symptom Scores of Rhinorrhea After Prophylaxis TreatmentVisit 3 (Day 14)Moderate3 Participants
VehicleSubjective Nasal Symptom Scores of Rhinorrhea After Prophylaxis TreatmentVisit 3 (Day 14)Severe1 Participants
VehicleSubjective Nasal Symptom Scores of Rhinorrhea After Prophylaxis TreatmentVisit 4 (Day 28)None11 Participants
VehicleSubjective Nasal Symptom Scores of Rhinorrhea After Prophylaxis TreatmentVisit 4 (Day 28)Mild2 Participants
VehicleSubjective Nasal Symptom Scores of Rhinorrhea After Prophylaxis TreatmentVisit 4 (Day 28)Moderate2 Participants
VehicleSubjective Nasal Symptom Scores of Rhinorrhea After Prophylaxis TreatmentVisit 4 (Day 28)Severe0 Participants
B 244 1x (Low Dose)Subjective Nasal Symptom Scores of Rhinorrhea After Prophylaxis TreatmentVisit 4 (Day 28)Severe2 Participants
B 244 1x (Low Dose)Subjective Nasal Symptom Scores of Rhinorrhea After Prophylaxis TreatmentVisit 2 (Day 0)None9 Participants
B 244 1x (Low Dose)Subjective Nasal Symptom Scores of Rhinorrhea After Prophylaxis TreatmentVisit 3 (Day 14)Moderate1 Participants
B 244 1x (Low Dose)Subjective Nasal Symptom Scores of Rhinorrhea After Prophylaxis TreatmentVisit 4 (Day 28)None10 Participants
B 244 1x (Low Dose)Subjective Nasal Symptom Scores of Rhinorrhea After Prophylaxis TreatmentVisit 2 (Day 0)Mild5 Participants
B 244 1x (Low Dose)Subjective Nasal Symptom Scores of Rhinorrhea After Prophylaxis TreatmentVisit 3 (Day 14)Mild5 Participants
B 244 1x (Low Dose)Subjective Nasal Symptom Scores of Rhinorrhea After Prophylaxis TreatmentVisit 4 (Day 28)Moderate1 Participants
B 244 1x (Low Dose)Subjective Nasal Symptom Scores of Rhinorrhea After Prophylaxis TreatmentVisit 2 (Day 0)Moderate0 Participants
B 244 1x (Low Dose)Subjective Nasal Symptom Scores of Rhinorrhea After Prophylaxis TreatmentVisit 3 (Day 14)Severe4 Participants
B 244 1x (Low Dose)Subjective Nasal Symptom Scores of Rhinorrhea After Prophylaxis TreatmentVisit 3 (Day 14)None6 Participants
B 244 1x (Low Dose)Subjective Nasal Symptom Scores of Rhinorrhea After Prophylaxis TreatmentVisit 2 (Day 0)Severe2 Participants
B 244 1x (Low Dose)Subjective Nasal Symptom Scores of Rhinorrhea After Prophylaxis TreatmentVisit 4 (Day 28)Mild3 Participants
B244 4x (Mid Dose)Subjective Nasal Symptom Scores of Rhinorrhea After Prophylaxis TreatmentVisit 2 (Day 0)Severe1 Participants
B244 4x (Mid Dose)Subjective Nasal Symptom Scores of Rhinorrhea After Prophylaxis TreatmentVisit 3 (Day 14)None6 Participants
B244 4x (Mid Dose)Subjective Nasal Symptom Scores of Rhinorrhea After Prophylaxis TreatmentVisit 4 (Day 28)Mild4 Participants
B244 4x (Mid Dose)Subjective Nasal Symptom Scores of Rhinorrhea After Prophylaxis TreatmentVisit 3 (Day 14)Mild5 Participants
B244 4x (Mid Dose)Subjective Nasal Symptom Scores of Rhinorrhea After Prophylaxis TreatmentVisit 3 (Day 14)Moderate3 Participants
B244 4x (Mid Dose)Subjective Nasal Symptom Scores of Rhinorrhea After Prophylaxis TreatmentVisit 3 (Day 14)Severe2 Participants
B244 4x (Mid Dose)Subjective Nasal Symptom Scores of Rhinorrhea After Prophylaxis TreatmentVisit 4 (Day 28)Moderate2 Participants
B244 4x (Mid Dose)Subjective Nasal Symptom Scores of Rhinorrhea After Prophylaxis TreatmentVisit 2 (Day 0)None8 Participants
B244 4x (Mid Dose)Subjective Nasal Symptom Scores of Rhinorrhea After Prophylaxis TreatmentVisit 2 (Day 0)Mild4 Participants
B244 4x (Mid Dose)Subjective Nasal Symptom Scores of Rhinorrhea After Prophylaxis TreatmentVisit 4 (Day 28)None10 Participants
B244 4x (Mid Dose)Subjective Nasal Symptom Scores of Rhinorrhea After Prophylaxis TreatmentVisit 2 (Day 0)Moderate3 Participants
B244 4x (Mid Dose)Subjective Nasal Symptom Scores of Rhinorrhea After Prophylaxis TreatmentVisit 4 (Day 28)Severe0 Participants
Secondary

Subjective Nasal Symptom Scores of Sneezing After Prophylaxis Treatment

All measurements were taken 120 minutes Post-Nasal Allergen Challenge (Post-NAC) at Visit 4 and compared to Baseline Visit 3. Visit 3 was considered Baseline. Visit 2 was considered an alternate Baseline. Sneezing was categorized as None, Mild, Moderate, or Severe.

Time frame: Visit 3 (or alternative baseline at Visit 2) to Visit 4 (14 days prophylaxis treatment). Visit 2 was used as an alternate baseline to report baseline values prior to any nasal allergen challenge (NAC) to minimize any potential priming effects.

Population: Population includes only patients from Part 2 of the study.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
VehicleSubjective Nasal Symptom Scores of Sneezing After Prophylaxis TreatmentVisit 2 (Day 0)None9 Participants
VehicleSubjective Nasal Symptom Scores of Sneezing After Prophylaxis TreatmentVisit 2 (Day 0)Mild5 Participants
VehicleSubjective Nasal Symptom Scores of Sneezing After Prophylaxis TreatmentVisit 2 (Day 0)Moderate1 Participants
VehicleSubjective Nasal Symptom Scores of Sneezing After Prophylaxis TreatmentVisit 2 (Day 0)Severe0 Participants
VehicleSubjective Nasal Symptom Scores of Sneezing After Prophylaxis TreatmentVisit 3 (Day 14)None9 Participants
VehicleSubjective Nasal Symptom Scores of Sneezing After Prophylaxis TreatmentVisit 3 (Day 14)Mild5 Participants
VehicleSubjective Nasal Symptom Scores of Sneezing After Prophylaxis TreatmentVisit 3 (Day 14)Moderate1 Participants
VehicleSubjective Nasal Symptom Scores of Sneezing After Prophylaxis TreatmentVisit 3 (Day 14)Severe0 Participants
VehicleSubjective Nasal Symptom Scores of Sneezing After Prophylaxis TreatmentVisit 4 (Day 28)None10 Participants
VehicleSubjective Nasal Symptom Scores of Sneezing After Prophylaxis TreatmentVisit 4 (Day 28)Mild5 Participants
VehicleSubjective Nasal Symptom Scores of Sneezing After Prophylaxis TreatmentVisit 4 (Day 28)Moderate0 Participants
VehicleSubjective Nasal Symptom Scores of Sneezing After Prophylaxis TreatmentVisit 4 (Day 28)Severe0 Participants
B 244 1x (Low Dose)Subjective Nasal Symptom Scores of Sneezing After Prophylaxis TreatmentVisit 4 (Day 28)Severe0 Participants
B 244 1x (Low Dose)Subjective Nasal Symptom Scores of Sneezing After Prophylaxis TreatmentVisit 2 (Day 0)None13 Participants
B 244 1x (Low Dose)Subjective Nasal Symptom Scores of Sneezing After Prophylaxis TreatmentVisit 3 (Day 14)Moderate2 Participants
B 244 1x (Low Dose)Subjective Nasal Symptom Scores of Sneezing After Prophylaxis TreatmentVisit 4 (Day 28)None13 Participants
B 244 1x (Low Dose)Subjective Nasal Symptom Scores of Sneezing After Prophylaxis TreatmentVisit 2 (Day 0)Mild3 Participants
B 244 1x (Low Dose)Subjective Nasal Symptom Scores of Sneezing After Prophylaxis TreatmentVisit 3 (Day 14)Mild1 Participants
B 244 1x (Low Dose)Subjective Nasal Symptom Scores of Sneezing After Prophylaxis TreatmentVisit 4 (Day 28)Moderate0 Participants
B 244 1x (Low Dose)Subjective Nasal Symptom Scores of Sneezing After Prophylaxis TreatmentVisit 2 (Day 0)Moderate0 Participants
B 244 1x (Low Dose)Subjective Nasal Symptom Scores of Sneezing After Prophylaxis TreatmentVisit 3 (Day 14)Severe0 Participants
B 244 1x (Low Dose)Subjective Nasal Symptom Scores of Sneezing After Prophylaxis TreatmentVisit 3 (Day 14)None13 Participants
B 244 1x (Low Dose)Subjective Nasal Symptom Scores of Sneezing After Prophylaxis TreatmentVisit 2 (Day 0)Severe0 Participants
B 244 1x (Low Dose)Subjective Nasal Symptom Scores of Sneezing After Prophylaxis TreatmentVisit 4 (Day 28)Mild3 Participants
B244 4x (Mid Dose)Subjective Nasal Symptom Scores of Sneezing After Prophylaxis TreatmentVisit 2 (Day 0)Severe0 Participants
B244 4x (Mid Dose)Subjective Nasal Symptom Scores of Sneezing After Prophylaxis TreatmentVisit 3 (Day 14)None13 Participants
B244 4x (Mid Dose)Subjective Nasal Symptom Scores of Sneezing After Prophylaxis TreatmentVisit 4 (Day 28)Mild3 Participants
B244 4x (Mid Dose)Subjective Nasal Symptom Scores of Sneezing After Prophylaxis TreatmentVisit 3 (Day 14)Mild1 Participants
B244 4x (Mid Dose)Subjective Nasal Symptom Scores of Sneezing After Prophylaxis TreatmentVisit 3 (Day 14)Moderate1 Participants
B244 4x (Mid Dose)Subjective Nasal Symptom Scores of Sneezing After Prophylaxis TreatmentVisit 3 (Day 14)Severe1 Participants
B244 4x (Mid Dose)Subjective Nasal Symptom Scores of Sneezing After Prophylaxis TreatmentVisit 4 (Day 28)Moderate0 Participants
B244 4x (Mid Dose)Subjective Nasal Symptom Scores of Sneezing After Prophylaxis TreatmentVisit 2 (Day 0)None11 Participants
B244 4x (Mid Dose)Subjective Nasal Symptom Scores of Sneezing After Prophylaxis TreatmentVisit 2 (Day 0)Mild3 Participants
B244 4x (Mid Dose)Subjective Nasal Symptom Scores of Sneezing After Prophylaxis TreatmentVisit 4 (Day 28)None13 Participants
B244 4x (Mid Dose)Subjective Nasal Symptom Scores of Sneezing After Prophylaxis TreatmentVisit 2 (Day 0)Moderate2 Participants
B244 4x (Mid Dose)Subjective Nasal Symptom Scores of Sneezing After Prophylaxis TreatmentVisit 4 (Day 28)Severe0 Participants
Other Pre-specified

Change in Cytokine Concentration in Nasal Cavity and Blood

To evaluate if B244 administration will affect the levels of cytokine biomarkers in nasal cavity and blood.

Time frame: Visit 3 (or alternative baseline at Visit 2) to Visit 4 (14 days prophylaxis treatment). Visit 2 was used as an alternate baseline to report baseline values prior to any nasal allergen challenge (NAC) to minimize any potential priming effects.

Population: Data was not collected for this exploratory endpoint.

Other Pre-specified

Change in Peak Nasal Inspiratory Flow (PNIF)

Peak Nasal Inspiratory Flow (PNIF) is a commonly used method for assessing nasal patency and provides an objective measurement of nasal airflow obstruction. The outcome is a direct representation of nasal congestion. Change in PNIF Observed Inverted Area Under the Curve (AUC) was measured between baseline and Visit 4. A decrease in PNIF Observed Inverted AUC(0-2 Hours) was considered an improvement in nasal airflow obstruction. Visit 3 was considered Baseline. Visit 2 was considered an alternate Baseline.

Time frame: Visit 3 (or alternative baseline at Visit 2) to Visit 4 (14 days prophylaxis treatment). Visit 2 was used as an alternate baseline to report baseline values prior to any nasal allergen challenge (NAC) to minimize any potential priming effects.

Population: Population includes only patients from Part 2 of the study.

ArmMeasureGroupValue (MEAN)Dispersion
VehicleChange in Peak Nasal Inspiratory Flow (PNIF)Change from Visit 3 to Visit 4-60.8 L*Hr/minStandard Deviation 57.83
VehicleChange in Peak Nasal Inspiratory Flow (PNIF)Change from Visit 2 to Visit 4-51.2 L*Hr/minStandard Deviation 99.99
B 244 1x (Low Dose)Change in Peak Nasal Inspiratory Flow (PNIF)Change from Visit 3 to Visit 4-8.6 L*Hr/minStandard Deviation 39.62
B 244 1x (Low Dose)Change in Peak Nasal Inspiratory Flow (PNIF)Change from Visit 2 to Visit 4-30.4 L*Hr/minStandard Deviation 96.76
B244 4x (Mid Dose)Change in Peak Nasal Inspiratory Flow (PNIF)Change from Visit 3 to Visit 4-60.9 L*Hr/minStandard Deviation 57.48
B244 4x (Mid Dose)Change in Peak Nasal Inspiratory Flow (PNIF)Change from Visit 2 to Visit 4-59.8 L*Hr/minStandard Deviation 57.77
Other Pre-specified

Intranasal Nitric Oxide Levels

Exhaled nasal nitric oxide (NO) was measured from the nasal cavity by a NO analyzer 120 minutes Post Nasal Allergen Challenge (Post-NAC).

Time frame: Visit 3 (or alternative baseline at Visit 2) to Visit 4 (14 days prophylaxis treatment). Visit 2 was used as an alternate baseline to report baseline values prior to any nasal allergen challenge (NAC) to minimize any potential priming effects.

Population: Population includes only patients from Part 2 of the study.

ArmMeasureGroupValue (MEAN)Dispersion
VehicleIntranasal Nitric Oxide LevelsVisit 3 (Day 14)61.9 ppbStandard Deviation 57.77
VehicleIntranasal Nitric Oxide LevelsVisit 4 (Day 28)63.6 ppbStandard Deviation 55.42
B 244 1x (Low Dose)Intranasal Nitric Oxide LevelsVisit 3 (Day 14)33.9 ppbStandard Deviation 26.68
B 244 1x (Low Dose)Intranasal Nitric Oxide LevelsVisit 4 (Day 28)27.3 ppbStandard Deviation 25.25
B244 4x (Mid Dose)Intranasal Nitric Oxide LevelsVisit 3 (Day 14)81.9 ppbStandard Deviation 104.88
B244 4x (Mid Dose)Intranasal Nitric Oxide LevelsVisit 4 (Day 28)52.7 ppbStandard Deviation 41.13
Other Pre-specified

Nasal Inflammation Score Using Otoscope

Nasal inflammation were graded by a clinician using a 0-3 nasal inflammation scale based on otoscope measurement where 0 = none, 1 = mild, 2 = moderate, and 3 = severe inflammation 120 minutes Post Nasal Allergen Challenge (Post-NAC).

Time frame: Visit 3 (or alternative baseline at Visit 2) to Visit 4 (14 days prophylaxis treatment). Visit 2 was used as an alternate baseline to report baseline values prior to any nasal allergen challenge (NAC) to minimize any potential priming effects.

Population: Population includes only patients from Part 2 of the study.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
VehicleNasal Inflammation Score Using OtoscopeVisit 3 (Day 14)None0 Participants
VehicleNasal Inflammation Score Using OtoscopeVisit 3 (Day 14)Mild5 Participants
VehicleNasal Inflammation Score Using OtoscopeVisit 3 (Day 14)Moderate8 Participants
VehicleNasal Inflammation Score Using OtoscopeVisit 3 (Day 14)Severe2 Participants
VehicleNasal Inflammation Score Using OtoscopeVisit 4 (Day 28)None2 Participants
VehicleNasal Inflammation Score Using OtoscopeVisit 4 (Day 28)Mild9 Participants
VehicleNasal Inflammation Score Using OtoscopeVisit 4 (Day 28)Moderate3 Participants
VehicleNasal Inflammation Score Using OtoscopeVisit 4 (Day 28)Severe1 Participants
B 244 1x (Low Dose)Nasal Inflammation Score Using OtoscopeVisit 3 (Day 14)Moderate10 Participants
B 244 1x (Low Dose)Nasal Inflammation Score Using OtoscopeVisit 4 (Day 28)Moderate4 Participants
B 244 1x (Low Dose)Nasal Inflammation Score Using OtoscopeVisit 3 (Day 14)Severe2 Participants
B 244 1x (Low Dose)Nasal Inflammation Score Using OtoscopeVisit 4 (Day 28)None2 Participants
B 244 1x (Low Dose)Nasal Inflammation Score Using OtoscopeVisit 4 (Day 28)Mild9 Participants
B 244 1x (Low Dose)Nasal Inflammation Score Using OtoscopeVisit 3 (Day 14)None0 Participants
B 244 1x (Low Dose)Nasal Inflammation Score Using OtoscopeVisit 3 (Day 14)Mild4 Participants
B 244 1x (Low Dose)Nasal Inflammation Score Using OtoscopeVisit 4 (Day 28)Severe1 Participants
B244 4x (Mid Dose)Nasal Inflammation Score Using OtoscopeVisit 3 (Day 14)Moderate8 Participants
B244 4x (Mid Dose)Nasal Inflammation Score Using OtoscopeVisit 3 (Day 14)Mild8 Participants
B244 4x (Mid Dose)Nasal Inflammation Score Using OtoscopeVisit 3 (Day 14)None0 Participants
B244 4x (Mid Dose)Nasal Inflammation Score Using OtoscopeVisit 3 (Day 14)Severe0 Participants
B244 4x (Mid Dose)Nasal Inflammation Score Using OtoscopeVisit 4 (Day 28)Moderate5 Participants
B244 4x (Mid Dose)Nasal Inflammation Score Using OtoscopeVisit 4 (Day 28)Mild5 Participants
B244 4x (Mid Dose)Nasal Inflammation Score Using OtoscopeVisit 4 (Day 28)None6 Participants
B244 4x (Mid Dose)Nasal Inflammation Score Using OtoscopeVisit 4 (Day 28)Severe0 Participants

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