Safety, Pharmacokinetics, and Efficacy of Bepotastine Besilate Nasal Product After Ragweed Pollen Exposure in an Environmental Chamber
Study Details
Study Description
Brief Summary
The purpose of this study is to examine the safety and efficacy of bepotastine besilate nasal product in seasonal allergic rhinitis patients.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 1/Phase 2 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Arm 1 - Low Dose bepotastine besilate nasal product - low dose |
Drug: bepotastine besilate nasal product - low dose
sterile nasal product
|
Experimental: Arm 2 - Medium Dose bepotastine besilate nasal product - medium dose |
Drug: bepotastine besilate nasal product - medium dose
sterile nasal product
|
Experimental: Arm 3 - High Dose bepotastine besilate nasal product - high dose |
Drug: bepotastine besilate nasal product - high dose
sterile nasal product
|
Placebo Comparator: Arm 4 - Placebo placebo comparator nasal product |
Drug: placebo comparator nasal product
sterile nasal product
|
Outcome Measures
Primary Outcome Measures
- Mean Change From Baseline (Pre-Dose) in Subject-rated Instantaneous TNSS [Baseline, 20 days]
Total nasal symptom scores (TNSS) was the summed scores for nasal pruritus [itching], rhinorrhea [runny nose], nasal congestion, and sneezing. Individual nasal symptoms were rated on a 4-point scale from 0-3 (0=Absent, 1=Mild, 2=Moderate, 3=Severe), with no half-unit assessments. TNSS was the sum score of 4 nasal symptoms with a maximum score for increased allergic response of 12 units. The minimum possible total score was 0.
Eligibility Criteria
Criteria
Inclusion Criteria:
- Subjects 18 to 65 years of age with a positive skin prick test with ragweed allergen
Exclusion Criteria:
- No active respiratory tract infection
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | ISTA Pharmaceuticals, Inc. | Irvine | California | United States | 92618 |
Sponsors and Collaborators
- Bausch & Lomb Incorporated
Investigators
- Study Director: Tim McNamara, PharmD, ISTA Pharmaceuticals, Inc.
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- S00032
Study Results
Participant Flow
Recruitment Details | |
---|---|
Pre-assignment Detail |
Arm/Group Title | Placebo | Low Dose - 2% | Medium Dose - 4% | High Dose - 6% |
---|---|---|---|---|
Arm/Group Description | placebo comparator nasal product placebo comparator nasal product: sterile nasal product twice daily | bepotastine besilate nasal product - low dose bepotastine besilate nasal product - low dose: sterile nasal product twice daily | bepotastine besilate nasal product - medium dose bepotastine besilate nasal product - medium dose: sterile nasal product twice daily | bepotastine besilate nasal product - high dose bepotastine besilate nasal product - high dose: sterile nasal product twice daily |
Period Title: Overall Study | ||||
STARTED | 21 | 23 | 22 | 23 |
COMPLETED | 21 | 21 | 20 | 18 |
NOT COMPLETED | 0 | 2 | 2 | 5 |
Baseline Characteristics
Arm/Group Title | Placebo | Low Dose - 2% | Medium Dose - 4% | High Dose - 6% | Total |
---|---|---|---|---|---|
Arm/Group Description | placebo comparator nasal product placebo comparator nasal product: sterile nasal product twice daily | bepotastine besilate nasal product - low dose bepotastine besilate nasal product - low dose: sterile nasal product twice daily | bepotastine besilate nasal product - medium dose bepotastine besilate nasal product - medium dose: sterile nasal product twice daily | bepotastine besilate nasal product - high dose bepotastine besilate nasal product - high dose: sterile nasal product twice daily | Total of all reporting groups |
Overall Participants | 21 | 23 | 22 | 23 | 89 |
Age (years) [Mean (Standard Deviation) ] | |||||
Mean (Standard Deviation) [years] |
40.1
(10.5)
|
44.3
(9.5)
|
42.1
(10.2)
|
41.5
(10.7)
|
42.1
(10.2)
|
Sex: Female, Male (Count of Participants) | |||||
Female |
13
61.9%
|
10
43.5%
|
12
54.5%
|
11
47.8%
|
46
51.7%
|
Male |
8
38.1%
|
13
56.5%
|
10
45.5%
|
12
52.2%
|
43
48.3%
|
Outcome Measures
Title | Mean Change From Baseline (Pre-Dose) in Subject-rated Instantaneous TNSS |
---|---|
Description | Total nasal symptom scores (TNSS) was the summed scores for nasal pruritus [itching], rhinorrhea [runny nose], nasal congestion, and sneezing. Individual nasal symptoms were rated on a 4-point scale from 0-3 (0=Absent, 1=Mild, 2=Moderate, 3=Severe), with no half-unit assessments. TNSS was the sum score of 4 nasal symptoms with a maximum score for increased allergic response of 12 units. The minimum possible total score was 0. |
Time Frame | Baseline, 20 days |
Outcome Measure Data
Analysis Population Description |
---|
The per protocol population was based on participants who completed the study. |
Arm/Group Title | Placebo | Low Dose - 2% | Medium Dose - 4% | High Dose - 6% |
---|---|---|---|---|
Arm/Group Description | placebo comparator nasal product placebo comparator nasal product: sterile nasal product twice daily | bepotastine besilate nasal product - low dose bepotastine besilate nasal product - low dose: sterile nasal product twice daily | bepotastine besilate nasal product - medium dose bepotastine besilate nasal product - medium dose: sterile nasal product twice daily | bepotastine besilate nasal product - high dose bepotastine besilate nasal product - high dose: sterile nasal product twice daily |
Measure Participants | 21 | 21 | 20 | 18 |
Day 10 (after single dose) |
-1.17
(1.88)
|
-0.69
(2.42)
|
-2.43
(2.73)
|
-1.65
(1.95)
|
Day 20 (after twice daily dosing) |
-1.63
(2.37)
|
-0.64
(2.93)
|
-2.52
(2.55)
|
-1.67
(2.22)
|
Adverse Events
Time Frame | 20 days | |||||||
---|---|---|---|---|---|---|---|---|
Adverse Event Reporting Description | ||||||||
Arm/Group Title | Placebo | Low Dose - 2% | Medium Dose - 4% | High Dose - 6% | ||||
Arm/Group Description | placebo comparator nasal product placebo comparator nasal product: sterile nasal product twice daily | bepotastine besilate nasal product - low dose bepotastine besilate nasal product - low dose: sterile nasal product twice daily | bepotastine besilate nasal product - medium dose bepotastine besilate nasal product - medium dose: sterile nasal product twice daily | bepotastine besilate nasal product - high dose bepotastine besilate nasal product - high dose: sterile nasal product twice daily | ||||
All Cause Mortality |
||||||||
Placebo | Low Dose - 2% | Medium Dose - 4% | High Dose - 6% | |||||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | 0/21 (0%) | 0/23 (0%) | 0/22 (0%) | 0/23 (0%) | ||||
Serious Adverse Events |
||||||||
Placebo | Low Dose - 2% | Medium Dose - 4% | High Dose - 6% | |||||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | 0/21 (0%) | 0/23 (0%) | 0/22 (0%) | 0/23 (0%) | ||||
Other (Not Including Serious) Adverse Events |
||||||||
Placebo | Low Dose - 2% | Medium Dose - 4% | High Dose - 6% | |||||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | 7/21 (33.3%) | 9/23 (39.1%) | 9/22 (40.9%) | 11/23 (47.8%) | ||||
Gastrointestinal disorders | ||||||||
Dyspepsia | 0/21 (0%) | 0/23 (0%) | 2/22 (9.1%) | 0/23 (0%) | ||||
Nausea | 2/21 (9.5%) | 0/23 (0%) | 0/22 (0%) | 0/23 (0%) | ||||
General disorders | ||||||||
Mild taste following instillation | 1/21 (4.8%) | 5/23 (21.7%) | 5/22 (22.7%) | 6/23 (26.1%) | ||||
Nervous system disorders | ||||||||
Headache | 4/21 (19%) | 1/23 (4.3%) | 1/22 (4.5%) | 1/23 (4.3%) | ||||
Respiratory, thoracic and mediastinal disorders | ||||||||
Epistaxis | 0/21 (0%) | 1/23 (4.3%) | 2/22 (9.1%) | 1/23 (4.3%) | ||||
Nasal discomfort | 0/21 (0%) | 0/23 (0%) | 2/22 (9.1%) | 2/23 (8.7%) | ||||
Rhinalgia | 1/21 (4.8%) | 2/23 (8.7%) | 2/22 (9.1%) | 1/23 (4.3%) |
Limitations/Caveats
More Information
Certain Agreements
Principal Investigators are NOT employed by the organization sponsoring the study.
Contact sponsor directly for details.
Results Point of Contact
Name/Title | Study Director |
---|---|
Organization | Bausch Health |
Phone | 908-300-9920 |
susan.harris@bauschhealth.com |
- S00032