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Safety and Efficacy of Mometasone Furoate Nasal Spray With the Addition of Loratadine Versus Placebo in Participants With Seasonal Allergic Rhinitis (C94-145)

Safety and Efficacy of Mometasone Furoate Nasal Spray With the Addition of Loratadine Versus Placebo in the Treatment of Seasonal Allergic Rhinitis (Study No. C94-145)

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03855228
Enrollment
704
Registered
2019-02-26
Start date
1995-03-01
Completion date
1995-08-07
Last updated
2022-02-09

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

Conditions

Rhinitis, Allergic

Brief summary

The purpose of this study is to evaluate the safety and efficacy of mometasone furoate nasal spray (MFNS) with the addition of loratadine vs MFNS alone, loratadine alone, or placebo, in the treatment of patients with seasonal allergic rhinitis.

Interventions

Daily dose of 200 µg of mometasone furoate administered as a nasal spray for 15 days.

DRUGLoratadine

Daily dose of 10 mg of loratadine administered as an oral tablet for 15 days.

DRUGPlacebo nasal spray

Daily dose of placebo administered as a nasal spray for 15 days.

DRUGPlacebo tablet

Daily dose of placebo administered as an oral tablet for 15 days.

Sponsors

Organon and Co
Lead SponsorINDUSTRY

Study design

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

Eligibility

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

Inclusion criteria

* 2-year history of seasonal allergic rhinitis * Positive skin test response to a local seasonal allergen (current, or performed in investigator's office within the past year) * Good health and free of any unstable, clinically significant disease, other than allergic rhinitis, that would interfere with the study schedule or evaluation of seasonal allergic rhinitis

Exclusion criteria

* Women who are pregnant or breastfeeding * Women of childbearing potential who are not using an acceptable form of birth control * Significant history of metabolic, cardiovascular, neurologic, hematologic, hepatic, gastrointestinal, cerebrovascular, respiratory, or renal disease, or any other disorder which, in the judgment of the investigator, could interfere with the study, or require treatment which might interfere with the study * Use of any chronic medication which could affect the course of seasonal allergic rhinitis * Asthma requiring chronic use of inhaled or systemic corticosteroids (inhaled bronchodilators are permitted for asthma treatment) * Current or history of frequent, clinically significant sinusitis or chronic purulent postnasal drip * Upper respiratory tract or sinus infection that requires antibiotic therapy within the previous 2 weeks, or a viral upper respiratory infection (URI) within the 7 days prior to Screening * Dependence upon nasal, oral or ocular decongestants, or nasal topical antihistamines, in the opinion of the investigator * Has rhinitis medicamentosa * Evidence of clinically significant nasal candidiasis * Investigational drug use within the previous 30 days * Nasal structural abnormalities, including large nasal polyps and marked septal deviation, that significantly interfere with nasal air flow * Immunotherapy (desensitization therapy), unless on a stable maintenance schedule for at least one month prior to the Screening visit * History of multiple drug allergies, allergy to antihistamines or corticoids * History of psychosis, antagonistic personality, poor motivation, hypochondriasis, or any other emotional or intellectual problems that are likely to limit the validity of consent to participate in the study

Design outcomes

Primary

MeasureTime frameDescription
Change From Baseline in Total Nasal Symptom Score (Assessed by Participant)Baseline and days 1 through 15 (average of 15 days of treatment)Mean change from baseline (CFB), averaged over study days 1-15, is calculated for total nasal symptom scores assessed by participants. Participants scored 4 symptoms (rhinorrhea; nasal stuffiness; nasal itching; sneezing) in diaries on a scale from 0 (none) to 3 (severe). Scores sum to a total nasal symptom score (range: 0-12); higher values indicate greater severity. A decrease in symptom severity is reflected by a negative CFB. CFB is the 15-day average score minus baseline score. Scores were recorded twice daily, in morning (AM) and night (PM). Average AM/PM scores are first calculated separately, then averaged together to compute the 15-day average score. If diary entries were missing, an average AM or PM score was not calculated. If neither average AM nor PM score was calculated, total 15-day average score was not calculated. Baseline score is an average of the three AM and three PM scores preceding treatment.
Change From Baseline in Total Symptom Score (Assessed by Participant)Baseline and days 1 through 15 (average of 15 days of treatment)Mean change from baseline (CFB), averaged over study days 1-15, is calculated for total symptom scores assessed by participants. Participants scored 8 symptoms (rhinorrhea; nasal stuffiness; nasal itching; sneezing; itching/burning eyes; tearing/watering eyes; eye redness; and ear/palate itching) in diaries on a scale from 0 (none) to 3 (severe). Scores sum to a total symptom score (range: 0-24); higher values indicate greater severity. A decrease in symptom severity is reflected by a negative CFB. CFB is the 15-day average score minus baseline score. Scores were recorded twice daily, in morning (AM) and night (PM). Average AM/PM scores are first calculated separately, then averaged together to compute the 15-day average score. If diary entries were missing, an average AM or PM score was not calculated. If neither average AM nor PM score was calculated, total 15-day average score was not calculated. Baseline score is an average of the three AM and three PM scores preceding treatment.

Secondary

MeasureTime frameDescription
Change From Baseline in Total Nasal Symptom Score on Day 8 (Assessed by Physician)Baseline and study day 8The mean change from baseline on study day 15 was calculated for total nasal symptom scores assessed by physician. Total nasal symptom scores are a composite of the following: rhinorrhea, nasal stuffiness (congestion), nasal itching, and sneezing scores. Physician scored each symptom during study visit at baseline and study day 8, on a scale from 0 (none) to 3 (severe), totaling to a composite score from 0-12 where a higher value indicates greater severity. A negative change from baseline indicates a decrease in symptom severity.
Change From Baseline in Total Symptom Score on Day 8 (Assessed by Physician)Baseline and study day 8The mean change from baseline on study day 8 was calculated for total symptom scores assessed by physician. Total symptom scores are a composite of the following: rhinorrhea, nasal stuffiness (congestion), nasal itching, sneezing, itching/burning eyes, tearing/watering eyes, redness of the eyes, and itching of the ears or palate scores. Physician scored each symptom during study visit at baseline and study day 8, on a scale from 0 (none) to 3 (severe), totaling to a composite score from 0-24 where a higher value indicates greater severity. A negative change from baseline indicates a decrease in symptom severity.
Change From Baseline in Overall Condition of Seasonal Allergic Rhinitis (SAR) on Day 15 (Assessed by Physician)Baseline and study day 15The mean change from baseline on study day 15 was calculated for overall condition of rhinitis. Physicians scored participant rhinitis condition during study visit at baseline and study day 15, on a scale from 0 (none) to 3 (severe). A higher value indicates greater severity. A negative change from baseline indicates a decrease in symptom severity.
Change From Baseline in Total Nasal Symptom Score on Day 15 (Assessed by Physician)Baseline and study day 15The mean change from baseline on study day 15 was calculated for total nasal symptom scores assessed by physician. Total nasal symptom scores are a composite of the following: rhinorrhea, nasal stuffiness (congestion), nasal itching, and sneezing scores. Physician scored each symptom during study visit at baseline and study day 15, on a scale from 0 (none) to 3 (severe), totaling to a composite score from 0-12 where a higher value indicates greater severity. A negative change from baseline indicates a decrease in symptom severity.
Response to Therapy on Day 15 (Assessed by Physician)Study day 15Mean response to therapy based on the participant's status relative to baseline. Physician scored participant's response on a scale from 1 (complete relief) to 5 (treatment failure) during study visit on study day 15. A higher value indicates weaker response.
Response to Therapy on Day 8 (Assessed by Physician)Study day 8Mean response to therapy based on the participant's status relative to baseline. Physician scored participant's response on a scale from 1 (complete relief) to 5 (treatment failure) during study visit on study day 8. A higher value indicates weaker response.
Change From Baseline in Overall Condition of Seasonal Allergic Rhinitis (SAR) on Day 8 (Assessed by Physician)Baseline and study day 8The mean change from baseline on study day 8 was calculated for overall condition of rhinitis. Physicians scored participant rhinitis condition during study visit at baseline and study day 8, on a scale from 0 (none) to 3 (severe). A higher value indicates greater severity. A negative change from baseline indicates a decrease in symptom severity.
Change From Baseline in Total Symptom Score on Day 15 (Assessed by Physician)Baseline and study day 15The mean change from baseline on study day 15 was calculated for total symptom scores assessed by physician. Total symptom scores are a composite of the following: rhinorrhea, nasal stuffiness (congestion), nasal itching, sneezing, itching/burning eyes, tearing/watering eyes, redness of the eyes, and itching of the ears or palate scores. Physician scored each symptom during study visit at baseline and study day 15, on a scale from 0 (none) to 3 (severe), totaling to a composite score from 0-24 where a higher value indicates greater severity. A negative change from baseline indicates a decrease in symptom severity.

Participant flow

Participants by arm

ArmCount
MFNS 200 μg + Loratadine 10 mg
Daily administration of 200 μg of MFNS plus oral dose of 10 mg loratadine tablet.
169
MFNS 200 μg
Daily administration of 200 μg of MFNS plus oral placebo tablet.
176
Loratadine 10 mg
Daily administration of oral dose of 10 mg loratadine tablet plus placebo nasal spray.
181
Placebo
Daily administration of placebo nasal spray plus oral placebo tablet.
176
Total702

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
Overall StudyAdverse Event2448
Overall StudyDid Not Meet Entry Requirements0211
Overall StudyLost to Follow-up0001
Overall StudyProtocol Violation0121
Overall StudyTreatment Failure1218

Baseline characteristics

CharacteristicMFNS 200 μg + Loratadine 10 mgMFNS 200 μgLoratadine 10 mgPlaceboTotal
Age, Continuous25.6 Years
STANDARD_DEVIATION 13.1
25.6 Years
STANDARD_DEVIATION 13.2
25.2 Years
STANDARD_DEVIATION 12.6
25.6 Years
STANDARD_DEVIATION 13.3
25.5 Years
STANDARD_DEVIATION 13
Ethnicity (NIH/OMB)
Hispanic or Latino
7 Participants9 Participants7 Participants7 Participants30 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
0 Participants0 Participants0 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
162 Participants167 Participants174 Participants169 Participants672 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
2 Participants0 Participants3 Participants2 Participants7 Participants
Race (NIH/OMB)
Black or African American
10 Participants12 Participants7 Participants12 Participants41 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
7 Participants10 Participants7 Participants8 Participants32 Participants
Race (NIH/OMB)
White
150 Participants154 Participants164 Participants154 Participants622 Participants
Sex: Female, Male
Female
85 Participants89 Participants91 Participants85 Participants350 Participants
Sex: Female, Male
Male
84 Participants87 Participants90 Participants91 Participants352 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
0 / 1690 / 1760 / 1810 / 176
other
Total, other adverse events
22 / 16922 / 17633 / 18121 / 176
serious
Total, serious adverse events
0 / 1690 / 1760 / 1810 / 176

Outcome results

Primary

Change From Baseline in Total Nasal Symptom Score (Assessed by Participant)

Mean change from baseline (CFB), averaged over study days 1-15, is calculated for total nasal symptom scores assessed by participants. Participants scored 4 symptoms (rhinorrhea; nasal stuffiness; nasal itching; sneezing) in diaries on a scale from 0 (none) to 3 (severe). Scores sum to a total nasal symptom score (range: 0-12); higher values indicate greater severity. A decrease in symptom severity is reflected by a negative CFB. CFB is the 15-day average score minus baseline score. Scores were recorded twice daily, in morning (AM) and night (PM). Average AM/PM scores are first calculated separately, then averaged together to compute the 15-day average score. If diary entries were missing, an average AM or PM score was not calculated. If neither average AM nor PM score was calculated, total 15-day average score was not calculated. Baseline score is an average of the three AM and three PM scores preceding treatment.

Time frame: Baseline and days 1 through 15 (average of 15 days of treatment)

Population: Includes randomized participants with ≥1 valid post-Baseline visit, no major protocol violations, and evaluable data for the days 1-15 average.

ArmMeasureGroupValue (MEAN)Dispersion
MFNS 200 μg + Loratadine 10 mgChange From Baseline in Total Nasal Symptom Score (Assessed by Participant)Baseline7.9 Score on a scaleStandard Deviation 2.2
MFNS 200 μg + Loratadine 10 mgChange From Baseline in Total Nasal Symptom Score (Assessed by Participant)Change From Baseline Days 1-15-3.0 Score on a scaleStandard Deviation 2.6
MFNS 200 μgChange From Baseline in Total Nasal Symptom Score (Assessed by Participant)Change From Baseline Days 1-15-2.7 Score on a scaleStandard Deviation 2.5
MFNS 200 μgChange From Baseline in Total Nasal Symptom Score (Assessed by Participant)Baseline7.8 Score on a scaleStandard Deviation 2.2
Loratadine 10 mgChange From Baseline in Total Nasal Symptom Score (Assessed by Participant)Baseline7.9 Score on a scaleStandard Deviation 2.2
Loratadine 10 mgChange From Baseline in Total Nasal Symptom Score (Assessed by Participant)Change From Baseline Days 1-15-1.9 Score on a scaleStandard Deviation 2.2
PlaceboChange From Baseline in Total Nasal Symptom Score (Assessed by Participant)Baseline8.0 Score on a scaleStandard Deviation 2.1
PlaceboChange From Baseline in Total Nasal Symptom Score (Assessed by Participant)Change From Baseline Days 1-15-1.4 Score on a scaleStandard Deviation 2.2
Comparison: This analysis compares Change From Baseline values.p-value: 0.36ANOVA
Comparison: This analysis compares Change From Baseline values.p-value: <0.01ANOVA
Comparison: This analysis compares Change From Baseline values.p-value: <0.01ANOVA
Comparison: This analysis compares Change From Baseline values.p-value: <0.01ANOVA
Comparison: This analysis compares Change From Baseline values.p-value: <0.01ANOVA
Comparison: This analysis compares Change From Baseline values.p-value: 0.02ANOVA
Primary

Change From Baseline in Total Symptom Score (Assessed by Participant)

Mean change from baseline (CFB), averaged over study days 1-15, is calculated for total symptom scores assessed by participants. Participants scored 8 symptoms (rhinorrhea; nasal stuffiness; nasal itching; sneezing; itching/burning eyes; tearing/watering eyes; eye redness; and ear/palate itching) in diaries on a scale from 0 (none) to 3 (severe). Scores sum to a total symptom score (range: 0-24); higher values indicate greater severity. A decrease in symptom severity is reflected by a negative CFB. CFB is the 15-day average score minus baseline score. Scores were recorded twice daily, in morning (AM) and night (PM). Average AM/PM scores are first calculated separately, then averaged together to compute the 15-day average score. If diary entries were missing, an average AM or PM score was not calculated. If neither average AM nor PM score was calculated, total 15-day average score was not calculated. Baseline score is an average of the three AM and three PM scores preceding treatment.

Time frame: Baseline and days 1 through 15 (average of 15 days of treatment)

Population: Includes randomized participants with ≥1 valid post-Baseline visit, no major protocol violations, and evaluable data for the days 1-15 average.

ArmMeasureGroupValue (MEAN)Dispersion
MFNS 200 μg + Loratadine 10 mgChange From Baseline in Total Symptom Score (Assessed by Participant)Baseline14.3 Score on a scaleStandard Deviation 4.1
MFNS 200 μg + Loratadine 10 mgChange From Baseline in Total Symptom Score (Assessed by Participant)Change From Baseline Days 1-15-5.4 Score on a scaleStandard Deviation 4.8
MFNS 200 μgChange From Baseline in Total Symptom Score (Assessed by Participant)Change From Baseline Days 1-15-4.8 Score on a scaleStandard Deviation 4.7
MFNS 200 μgChange From Baseline in Total Symptom Score (Assessed by Participant)Baseline14.2 Score on a scaleStandard Deviation 4.4
Loratadine 10 mgChange From Baseline in Total Symptom Score (Assessed by Participant)Baseline14.4 Score on a scaleStandard Deviation 4.5
Loratadine 10 mgChange From Baseline in Total Symptom Score (Assessed by Participant)Change From Baseline Days 1-15-3.8 Score on a scaleStandard Deviation 4.2
PlaceboChange From Baseline in Total Symptom Score (Assessed by Participant)Baseline14.6 Score on a scaleStandard Deviation 4.3
PlaceboChange From Baseline in Total Symptom Score (Assessed by Participant)Change From Baseline Days 1-15-2.7 Score on a scaleStandard Deviation 4.2
Comparison: This analysis compares Change From Baseline values.p-value: 0.35ANOVA
Comparison: This analysis compares Change From Baseline values.p-value: <0.01ANOVA
Comparison: This analysis compares Change From Baseline values.p-value: <0.01ANOVA
Comparison: This analysis compares Change From Baseline values.p-value: 0.03ANOVA
Comparison: This analysis compares Change From Baseline values.p-value: <0.01ANOVA
Comparison: This analysis compares Change From Baseline values.p-value: 0.02ANOVA
Secondary

Change From Baseline in Overall Condition of Seasonal Allergic Rhinitis (SAR) on Day 15 (Assessed by Physician)

The mean change from baseline on study day 15 was calculated for overall condition of rhinitis. Physicians scored participant rhinitis condition during study visit at baseline and study day 15, on a scale from 0 (none) to 3 (severe). A higher value indicates greater severity. A negative change from baseline indicates a decrease in symptom severity.

Time frame: Baseline and study day 15

Population: All randomized participants with: ≥1 valid post-Baseline visit; no major protocol violations; and who had an observation for the respective endpoint prior to either significant dose noncompliance, or onset of an adverse event that may have interfered with allergic rhinitis assessment.

ArmMeasureGroupValue (MEAN)Dispersion
MFNS 200 μg + Loratadine 10 mgChange From Baseline in Overall Condition of Seasonal Allergic Rhinitis (SAR) on Day 15 (Assessed by Physician)Baseline2.3 Score on a scaleStandard Deviation 0.5
MFNS 200 μg + Loratadine 10 mgChange From Baseline in Overall Condition of Seasonal Allergic Rhinitis (SAR) on Day 15 (Assessed by Physician)Change From Baseline Day 15-0.9 Score on a scaleStandard Deviation 0.7
MFNS 200 μgChange From Baseline in Overall Condition of Seasonal Allergic Rhinitis (SAR) on Day 15 (Assessed by Physician)Change From Baseline Day 15-0.9 Score on a scaleStandard Deviation 0.7
MFNS 200 μgChange From Baseline in Overall Condition of Seasonal Allergic Rhinitis (SAR) on Day 15 (Assessed by Physician)Baseline2.3 Score on a scaleStandard Deviation 0.5
Loratadine 10 mgChange From Baseline in Overall Condition of Seasonal Allergic Rhinitis (SAR) on Day 15 (Assessed by Physician)Baseline2.3 Score on a scaleStandard Deviation 0.5
Loratadine 10 mgChange From Baseline in Overall Condition of Seasonal Allergic Rhinitis (SAR) on Day 15 (Assessed by Physician)Change From Baseline Day 15-0.6 Score on a scaleStandard Deviation 0.8
PlaceboChange From Baseline in Overall Condition of Seasonal Allergic Rhinitis (SAR) on Day 15 (Assessed by Physician)Baseline2.3 Score on a scaleStandard Deviation 0.5
PlaceboChange From Baseline in Overall Condition of Seasonal Allergic Rhinitis (SAR) on Day 15 (Assessed by Physician)Change From Baseline Day 15-0.6 Score on a scaleStandard Deviation 0.7
Comparison: This analysis compares Change From Baseline values.p-value: 0.65ANOVA
Comparison: This analysis compares Change From Baseline values.p-value: <0.01ANOVA
Comparison: This analysis compares Change From Baseline values.p-value: <0.01ANOVA
Comparison: This analysis compares Change From Baseline values.p-value: <0.01ANOVA
Comparison: This analysis compares Change From Baseline values.p-value: <0.01ANOVA
Comparison: This analysis compares Change From Baseline values.p-value: 0.92ANOVA
Secondary

Change From Baseline in Overall Condition of Seasonal Allergic Rhinitis (SAR) on Day 8 (Assessed by Physician)

The mean change from baseline on study day 8 was calculated for overall condition of rhinitis. Physicians scored participant rhinitis condition during study visit at baseline and study day 8, on a scale from 0 (none) to 3 (severe). A higher value indicates greater severity. A negative change from baseline indicates a decrease in symptom severity.

Time frame: Baseline and study day 8

Population: All randomized participants with: ≥1 valid post-Baseline visit; no major protocol violations; and who had an observation for the respective endpoint prior to either significant dose noncompliance, or onset of an adverse event that may have interfered with allergic rhinitis assessment.

ArmMeasureGroupValue (MEAN)Dispersion
MFNS 200 μg + Loratadine 10 mgChange From Baseline in Overall Condition of Seasonal Allergic Rhinitis (SAR) on Day 8 (Assessed by Physician)Baseline2.3 Score on a scaleStandard Deviation 0.5
MFNS 200 μg + Loratadine 10 mgChange From Baseline in Overall Condition of Seasonal Allergic Rhinitis (SAR) on Day 8 (Assessed by Physician)Change From Baseline Day 8-0.8 Score on a scaleStandard Deviation 0.8
MFNS 200 μgChange From Baseline in Overall Condition of Seasonal Allergic Rhinitis (SAR) on Day 8 (Assessed by Physician)Change From Baseline Day 8-0.7 Score on a scaleStandard Deviation 0.7
MFNS 200 μgChange From Baseline in Overall Condition of Seasonal Allergic Rhinitis (SAR) on Day 8 (Assessed by Physician)Baseline2.3 Score on a scaleStandard Deviation 0.5
Loratadine 10 mgChange From Baseline in Overall Condition of Seasonal Allergic Rhinitis (SAR) on Day 8 (Assessed by Physician)Baseline2.3 Score on a scaleStandard Deviation 0.5
Loratadine 10 mgChange From Baseline in Overall Condition of Seasonal Allergic Rhinitis (SAR) on Day 8 (Assessed by Physician)Change From Baseline Day 8-0.5 Score on a scaleStandard Deviation 0.7
PlaceboChange From Baseline in Overall Condition of Seasonal Allergic Rhinitis (SAR) on Day 8 (Assessed by Physician)Baseline2.3 Score on a scaleStandard Deviation 0.5
PlaceboChange From Baseline in Overall Condition of Seasonal Allergic Rhinitis (SAR) on Day 8 (Assessed by Physician)Change From Baseline Day 8-0.5 Score on a scaleStandard Deviation 0.7
Comparison: This analysis compares Change From Baseline values.p-value: 0.01ANOVA
Comparison: This analysis compares Change From Baseline values.p-value: <0.01ANOVA
Comparison: This analysis compares Change From Baseline values.p-value: 0.95ANOVA
Comparison: This analysis compares Change From Baseline values.p-value: 0.01ANOVA
Comparison: This analysis compares Change From Baseline values.p-value: <0.01ANOVA
Comparison: This analysis compares Change From Baseline values.p-value: 0.58ANOVA
Secondary

Change From Baseline in Total Nasal Symptom Score on Day 15 (Assessed by Physician)

The mean change from baseline on study day 15 was calculated for total nasal symptom scores assessed by physician. Total nasal symptom scores are a composite of the following: rhinorrhea, nasal stuffiness (congestion), nasal itching, and sneezing scores. Physician scored each symptom during study visit at baseline and study day 15, on a scale from 0 (none) to 3 (severe), totaling to a composite score from 0-12 where a higher value indicates greater severity. A negative change from baseline indicates a decrease in symptom severity.

Time frame: Baseline and study day 15

Population: All randomized participants with: ≥1 valid post-Baseline visit; no major protocol violations; and who had an observation for the respective endpoint prior to either significant dose noncompliance, or onset of an adverse event that may have interfered with allergic rhinitis assessment.

ArmMeasureGroupValue (MEAN)Dispersion
MFNS 200 μg + Loratadine 10 mgChange From Baseline in Total Nasal Symptom Score on Day 15 (Assessed by Physician)Baseline8.7 Score on a scaleStandard Deviation 1.8
MFNS 200 μg + Loratadine 10 mgChange From Baseline in Total Nasal Symptom Score on Day 15 (Assessed by Physician)Change From Baseline Day 15-4.4 Score on a scaleStandard Deviation 3.1
MFNS 200 μgChange From Baseline in Total Nasal Symptom Score on Day 15 (Assessed by Physician)Change From Baseline Day 15-4.2 Score on a scaleStandard Deviation 2.8
MFNS 200 μgChange From Baseline in Total Nasal Symptom Score on Day 15 (Assessed by Physician)Baseline8.6 Score on a scaleStandard Deviation 1.8
Loratadine 10 mgChange From Baseline in Total Nasal Symptom Score on Day 15 (Assessed by Physician)Baseline8.6 Score on a scaleStandard Deviation 1.7
Loratadine 10 mgChange From Baseline in Total Nasal Symptom Score on Day 15 (Assessed by Physician)Change From Baseline Day 15-3.1 Score on a scaleStandard Deviation 2.8
PlaceboChange From Baseline in Total Nasal Symptom Score on Day 15 (Assessed by Physician)Baseline8.8 Score on a scaleStandard Deviation 1.8
PlaceboChange From Baseline in Total Nasal Symptom Score on Day 15 (Assessed by Physician)Change From Baseline Day 15-2.8 Score on a scaleStandard Deviation 2.8
Comparison: This analysis compares Change From Baseline values.p-value: 0.77ANOVA
Comparison: This analysis compares Change From Baseline values.p-value: <0.01ANOVA
Comparison: This analysis compares Change From Baseline values.p-value: <0.01ANOVA
Comparison: This analysis compares Change From Baseline values.p-value: <0.01ANOVA
Comparison: This analysis compares Change From Baseline values.p-value: <0.01ANOVA
Comparison: This analysis compares Change From Baseline values.p-value: 0.45ANOVA
Secondary

Change From Baseline in Total Nasal Symptom Score on Day 8 (Assessed by Physician)

The mean change from baseline on study day 15 was calculated for total nasal symptom scores assessed by physician. Total nasal symptom scores are a composite of the following: rhinorrhea, nasal stuffiness (congestion), nasal itching, and sneezing scores. Physician scored each symptom during study visit at baseline and study day 8, on a scale from 0 (none) to 3 (severe), totaling to a composite score from 0-12 where a higher value indicates greater severity. A negative change from baseline indicates a decrease in symptom severity.

Time frame: Baseline and study day 8

Population: All randomized participants with: ≥1 valid post-Baseline visit; no major protocol violations; and who had an observation for the respective endpoint prior to either significant dose noncompliance, or onset of an adverse event that may have interfered with allergic rhinitis assessment.

ArmMeasureGroupValue (MEAN)Dispersion
MFNS 200 μg + Loratadine 10 mgChange From Baseline in Total Nasal Symptom Score on Day 8 (Assessed by Physician)Baseline8.7 Score on a scaleStandard Deviation 1.8
MFNS 200 μg + Loratadine 10 mgChange From Baseline in Total Nasal Symptom Score on Day 8 (Assessed by Physician)Change From Baseline Day 8-3.7 Score on a scaleStandard Deviation 3.1
MFNS 200 μgChange From Baseline in Total Nasal Symptom Score on Day 8 (Assessed by Physician)Change From Baseline Day 8-3.6 Score on a scaleStandard Deviation 2.7
MFNS 200 μgChange From Baseline in Total Nasal Symptom Score on Day 8 (Assessed by Physician)Baseline8.6 Score on a scaleStandard Deviation 1.8
Loratadine 10 mgChange From Baseline in Total Nasal Symptom Score on Day 8 (Assessed by Physician)Baseline8.6 Score on a scaleStandard Deviation 1.7
Loratadine 10 mgChange From Baseline in Total Nasal Symptom Score on Day 8 (Assessed by Physician)Change From Baseline Day 8-2.6 Score on a scaleStandard Deviation 2.6
PlaceboChange From Baseline in Total Nasal Symptom Score on Day 8 (Assessed by Physician)Change From Baseline Day 8-2.2 Score on a scaleStandard Deviation 2.5
PlaceboChange From Baseline in Total Nasal Symptom Score on Day 8 (Assessed by Physician)Baseline8.8 Score on a scaleStandard Deviation 1.8
Comparison: This analysis compares Change From Baseline values.p-value: 0.85ANOVA
Comparison: This analysis compares Change From Baseline values.p-value: <0.01ANOVA
Comparison: This analysis compares Change From Baseline values.p-value: <0.01ANOVA
Comparison: This analysis compares Change From Baseline values.p-value: <0.01ANOVA
Comparison: This analysis compares Change From Baseline values.p-value: <0.01ANOVA
Comparison: This analysis compares Change From Baseline values.p-value: 0.17ANOVA
Secondary

Change From Baseline in Total Symptom Score on Day 15 (Assessed by Physician)

The mean change from baseline on study day 15 was calculated for total symptom scores assessed by physician. Total symptom scores are a composite of the following: rhinorrhea, nasal stuffiness (congestion), nasal itching, sneezing, itching/burning eyes, tearing/watering eyes, redness of the eyes, and itching of the ears or palate scores. Physician scored each symptom during study visit at baseline and study day 15, on a scale from 0 (none) to 3 (severe), totaling to a composite score from 0-24 where a higher value indicates greater severity. A negative change from baseline indicates a decrease in symptom severity.

Time frame: Baseline and study day 15

Population: All randomized participants with: ≥1 valid post-Baseline visit; no major protocol violations; and who had an observation for the respective endpoint prior to either significant dose noncompliance, or onset of an adverse event that may have interfered with allergic rhinitis assessment.

ArmMeasureGroupValue (MEAN)Dispersion
MFNS 200 μg + Loratadine 10 mgChange From Baseline in Total Symptom Score on Day 15 (Assessed by Physician)Baseline15.9 Score on a scaleStandard Deviation 3.1
MFNS 200 μg + Loratadine 10 mgChange From Baseline in Total Symptom Score on Day 15 (Assessed by Physician)Change From Baseline Day 15-8.2 Score on a scaleStandard Deviation 5.3
MFNS 200 μgChange From Baseline in Total Symptom Score on Day 15 (Assessed by Physician)Change From Baseline Day 15-8.0 Score on a scaleStandard Deviation 5.1
MFNS 200 μgChange From Baseline in Total Symptom Score on Day 15 (Assessed by Physician)Baseline16.1 Score on a scaleStandard Deviation 3.4
Loratadine 10 mgChange From Baseline in Total Symptom Score on Day 15 (Assessed by Physician)Baseline15.9 Score on a scaleStandard Deviation 3.2
Loratadine 10 mgChange From Baseline in Total Symptom Score on Day 15 (Assessed by Physician)Change From Baseline Day 15-6.2 Score on a scaleStandard Deviation 5.1
PlaceboChange From Baseline in Total Symptom Score on Day 15 (Assessed by Physician)Baseline16.2 Score on a scaleStandard Deviation 3.5
PlaceboChange From Baseline in Total Symptom Score on Day 15 (Assessed by Physician)Change From Baseline Day 15-5.4 Score on a scaleStandard Deviation 5.3
Comparison: This analysis compares Change From Baseline values.p-value: 0.99ANOVA
Comparison: This analysis compares Change From Baseline values.p-value: <0.01ANOVA
Comparison: This analysis compares Change From Baseline values.p-value: <0.01ANOVA
Comparison: This analysis compares Change From Baseline values.p-value: <0.01ANOVA
Comparison: This analysis compares Change From Baseline values.p-value: <0.01ANOVA
Comparison: This analysis compares Change From Baseline values.p-value: 0.08ANOVA
Secondary

Change From Baseline in Total Symptom Score on Day 8 (Assessed by Physician)

The mean change from baseline on study day 8 was calculated for total symptom scores assessed by physician. Total symptom scores are a composite of the following: rhinorrhea, nasal stuffiness (congestion), nasal itching, sneezing, itching/burning eyes, tearing/watering eyes, redness of the eyes, and itching of the ears or palate scores. Physician scored each symptom during study visit at baseline and study day 8, on a scale from 0 (none) to 3 (severe), totaling to a composite score from 0-24 where a higher value indicates greater severity. A negative change from baseline indicates a decrease in symptom severity.

Time frame: Baseline and study day 8

Population: All randomized participants with: ≥1 valid post-Baseline visit; no major protocol violations; and who had an observation for the respective endpoint prior to either significant dose noncompliance, or onset of an adverse event that may have interfered with allergic rhinitis assessment.

ArmMeasureGroupValue (MEAN)Dispersion
MFNS 200 μg + Loratadine 10 mgChange From Baseline in Total Symptom Score on Day 8 (Assessed by Physician)Baseline15.9 Score on a scaleStandard Deviation 3.1
MFNS 200 μg + Loratadine 10 mgChange From Baseline in Total Symptom Score on Day 8 (Assessed by Physician)Change From Baseline Day 8-7.0 Score on a scaleStandard Deviation 5.4
MFNS 200 μgChange From Baseline in Total Symptom Score on Day 8 (Assessed by Physician)Change From Baseline Day 8-6.9 Score on a scaleStandard Deviation 4.9
MFNS 200 μgChange From Baseline in Total Symptom Score on Day 8 (Assessed by Physician)Baseline16.1 Score on a scaleStandard Deviation 3.4
Loratadine 10 mgChange From Baseline in Total Symptom Score on Day 8 (Assessed by Physician)Baseline15.9 Score on a scaleStandard Deviation 3.2
Loratadine 10 mgChange From Baseline in Total Symptom Score on Day 8 (Assessed by Physician)Change From Baseline Day 8-5.2 Score on a scaleStandard Deviation 4.6
PlaceboChange From Baseline in Total Symptom Score on Day 8 (Assessed by Physician)Baseline16.2 Score on a scaleStandard Deviation 3.5
PlaceboChange From Baseline in Total Symptom Score on Day 8 (Assessed by Physician)Change From Baseline Day 8-4.6 Score on a scaleStandard Deviation 4.7
Comparison: This analysis compares Change From Baseline values.p-value: 0.88ANOVA
Comparison: This analysis compares Change From Baseline values.p-value: <0.01ANOVA
Comparison: This analysis compares Change From Baseline values.p-value: <0.01ANOVA
Comparison: This analysis compares Change From Baseline values.p-value: <0.01ANOVA
Comparison: This analysis compares Change From Baseline values.p-value: <0.01ANOVA
Comparison: This analysis compares Change From Baseline values.p-value: 0.22ANOVA
Secondary

Response to Therapy on Day 15 (Assessed by Physician)

Mean response to therapy based on the participant's status relative to baseline. Physician scored participant's response on a scale from 1 (complete relief) to 5 (treatment failure) during study visit on study day 15. A higher value indicates weaker response.

Time frame: Study day 15

Population: All randomized participants with: ≥1 valid post-Baseline visit; no major protocol violations; and who had an observation for the respective endpoint prior to either significant dose noncompliance, or onset of an adverse event that may have interfered with allergic rhinitis assessment.

ArmMeasureValue (MEAN)Dispersion
MFNS 200 μg + Loratadine 10 mgResponse to Therapy on Day 15 (Assessed by Physician)2.8 Score on a scaleStandard Deviation 1
MFNS 200 μgResponse to Therapy on Day 15 (Assessed by Physician)3.0 Score on a scaleStandard Deviation 1
Loratadine 10 mgResponse to Therapy on Day 15 (Assessed by Physician)3.4 Score on a scaleStandard Deviation 1.1
PlaceboResponse to Therapy on Day 15 (Assessed by Physician)3.4 Score on a scaleStandard Deviation 1.1
p-value: 0.29ANOVA
p-value: <0.01ANOVA
p-value: <0.01ANOVA
p-value: <0.01ANOVA
p-value: <0.01ANOVA
p-value: 0.8ANOVA
Secondary

Response to Therapy on Day 8 (Assessed by Physician)

Mean response to therapy based on the participant's status relative to baseline. Physician scored participant's response on a scale from 1 (complete relief) to 5 (treatment failure) during study visit on study day 8. A higher value indicates weaker response.

Time frame: Study day 8

Population: All randomized participants with: ≥1 valid post-Baseline visit; no major protocol violations; and who had an observation for the respective endpoint prior to either significant dose noncompliance, or onset of an adverse event that may have interfered with allergic rhinitis assessment.

ArmMeasureValue (MEAN)Dispersion
MFNS 200 μg + Loratadine 10 mgResponse to Therapy on Day 8 (Assessed by Physician)3.0 Score on a scaleStandard Deviation 1.1
MFNS 200 μgResponse to Therapy on Day 8 (Assessed by Physician)3.1 Score on a scaleStandard Deviation 1
Loratadine 10 mgResponse to Therapy on Day 8 (Assessed by Physician)3.4 Score on a scaleStandard Deviation 0.9
PlaceboResponse to Therapy on Day 8 (Assessed by Physician)3.6 Score on a scaleStandard Deviation 1
p-value: 0.41ANOVA
p-value: <0.01ANOVA
p-value: <0.01ANOVA
p-value: <0.01ANOVA
p-value: <0.01ANOVA
p-value: 0.08ANOVA

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