Safety, Pharmacokinetics, and Efficacy of Bepotastine Besilate Nasal Product After Ragweed Pollen Exposure in an Environmental Chamber

Sponsor
Bausch & Lomb Incorporated (Industry)
Overall Status
Completed
CT.gov ID
NCT01222299
Collaborator
(none)
89
1
4
3
29.4

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
  • Drug: bepotastine besilate nasal product - low dose
  • Drug: bepotastine besilate nasal product - medium dose
  • Drug: bepotastine besilate nasal product - high dose
  • Drug: placebo comparator nasal product
Phase 1/Phase 2

Study Design

Study Type:
Interventional
Actual Enrollment :
89 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Double (Participant, Investigator)
Primary Purpose:
Treatment
Study Start Date :
May 1, 2010
Actual Primary Completion Date :
Aug 1, 2010
Actual Study Completion Date :
Aug 1, 2010

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

  1. 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

Ages Eligible for Study:
18 Years to 65 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
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.
Responsible Party:
Bausch & Lomb Incorporated
ClinicalTrials.gov Identifier:
NCT01222299
Other Study ID Numbers:
  • S00032
First Posted:
Oct 18, 2010
Last Update Posted:
Oct 5, 2020
Last Verified:
Oct 1, 2020

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

1. Primary Outcome
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

[Not Specified]

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
Email susan.harris@bauschhealth.com
Responsible Party:
Bausch & Lomb Incorporated
ClinicalTrials.gov Identifier:
NCT01222299
Other Study ID Numbers:
  • S00032
First Posted:
Oct 18, 2010
Last Update Posted:
Oct 5, 2020
Last Verified:
Oct 1, 2020