NCT03599791

Brief Summary

This study is a phase III clinical study to assess the efficacy and safety of Dymista® Nasal Spray in comparison to Azep® nasal spray and Flixonase® nasal spray in Chinese patients aged ≥ 12 years with moderate-to-severe allergic rhinitis/rhinoconjunctivitis.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
900

participants targeted

Target at P75+ for phase_3

Timeline
Completed

Started Jun 2018

Shorter than P25 for phase_3

Geographic Reach
1 country

33 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

June 29, 2018

Completed
18 days until next milestone

First Submitted

Initial submission to the registry

July 17, 2018

Completed
9 days until next milestone

First Posted

Study publicly available on registry

July 26, 2018

Completed
1.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 24, 2019

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 24, 2019

Completed
Last Updated

February 22, 2022

Status Verified

February 1, 2020

Enrollment Period

1.2 years

First QC Date

July 17, 2018

Last Update Submit

February 4, 2022

Conditions

Keywords

Allergic Rhinitishayfeverrhinoconjunctivitisazelastinefluticasonenasal sprayseasonalperennialTNSSTOSS

Outcome Measures

Primary Outcomes (1)

  • Combined 12-hour rTNSS (AM + PM)

    Total nasal symptom score (TNSSS) is a sum of 4 individual nasal symptom scores: nasal itching, runny nose, congestion and sneezing. Each nasal symptom will be assessed according to a 4-ponit scale (0 = no, 1 = mild, 2 = moderate, 3 = severe symptom); thus, each TNSS will be in the range from 0 (no symptoms at all) to 12 (all 4 symptoms are severe) and the combined 12-hour reflective TNSS (morning + evening) will be in the range of 0 to 24 accordingly

    14 days

Study Arms (3)

Azelastine Hydrochl. + Fluticasone Prop.

EXPERIMENTAL

Drug: Azelastine Hydrochl./Fluticasone Prop. 0.137/0.05 MG/ACTUAT Nasal Spray, consists of a fixed-dose combination of azelastine hydrochloride and fluticasone propionate; 1 spray per nostril twice daily for 14 days, with 3 to 7 days of lead-in period. At a certain point during the study, patients will receive Placebo.

Drug: Azelastine Hydrochl./Fluticasone Prop. 0.137/0.05 MG/ACTUAT

Azelastine hydrochloride

ACTIVE COMPARATOR

Drug: Azelastine Hydrochloride 0.137 MG/ACTUAT Nasal Spray, 1 spray per nostril twice daily for 14 days, with 3 to 7 days of lead-in period. At a certain point during the study, patients will receive Placebo.

Drug: Azelastine Hydrochloride 0.137 MG/ACTUAT

Fluticasone propionate

ACTIVE COMPARATOR

Drug: Fluticasone Propionate 0.05 MG/ACTUAT Nasal Spray, 1 spray per nostril twice daily for 14 days, with 3 to 7 days of lead-in period. At a certain point during the study, patients will receive Placebo.

Drug: Fluticasone Propionate 0.05 MG/ACTUAT

Interventions

Dymista Nasal spray suspension

Also known as: Dymista
Azelastine Hydrochl. + Fluticasone Prop.

AZEP Nasal spray solution

Also known as: AZEP
Azelastine hydrochloride

Fluticasone propionate nasal spray suspension

Also known as: Flixonase
Fluticasone propionate

Eligibility Criteria

Age12 Years+
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • To be eligible for enrolment into this study, a patient must comply with all of the following criteria:
  • Male or female patient 12 years of age or older.
  • Provide written informed consent.
  • Patients must have moderate-to-severe rhinitis or rhinoconjunctivitis, defined as rhinitis/rhinoconjunctivitis with one or more of the following being present:
  • Sleep disturbance.
  • Impairment of daily activities, leisure and/or sport.
  • Impairment of learning or work.
  • Troublesome symptoms.
  • Patients must have moderate-to-severe rhinitis or rhinoconjunctivitis and monotherapy with either intranasal antihistamine or glucocorticoid is not considered sufficient at the discretion of the Investigator and/or designee.
  • Conducting the Lead-in Period according to the protocol.
  • Willing and able to comply with the study requirements.
  • At least a 2-year history of AR (seasonal and/or perennial) during the same time of year as the scheduled study time.
  • The presence of Immunoglobulin E (IgE)-mediated hypersensitivity to one or more aeroallergens present in current patient environment, confirmed by a positive response to an established standard diagnostic test at the site within the last year (before randomization).
  • General good health and free of any disease or concomitant treatment that could interfere with the interpretation of the study results as determined by the Investigator or the sponsor's medical officer. When in doubt, the Investigator should confer with the sponsor's medical monitor or designee to determine eligibility for the study.
  • Patient agrees to avoid prohibited medication and alcohol and use effective methods of contraception during the study.
  • +1 more criteria

You may not qualify if:

  • A patient is ineligible and must not enter the study if any of the following criteria is met:
  • Safety concerns:
  • Presence of any hypersensitivity to drugs similar to azelastine hydrochloride, fluticasone propionate, or to any of the excipients.
  • Women who are pregnant or nursing.
  • Women of childbearing potential who are not abstinent or not practicing a medically acceptable method of contraception.
  • Clinically significant arrhythmia (or unstable despite medical treatment) or symptomatic cardiac conditions.
  • A known history of alcohol or drug abuse within the last 2 years.
  • Diagnosis of human immunodeficiency virus (HIV) infection.
  • Patients with a diagnosis of Glaucoma, cataract, or central serous chorioretinopathy (CSCR).
  • Lack of suitability for the study:
  • Nasal disease(s) likely to affect deposition of intranasal medication, such as sinusitis, rhinitis medicamentosa, clinically significant polyposis, or nasal structural abnormalities (e.g. nasal septum deviation).
  • Nasal surgery or sinus surgery within the previous year.
  • Chronic sinusitis - more than 3 episodes per year.
  • Major malignancies including pheochromocytoma within the last 5 years. Exception will be considered where malignancies have been resolved as judged by Investigator.
  • The use of any investigational drug within 30 days prior to Screening Visit. No other investigational products are permitted for use during the conduct of this study.
  • +12 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (33)

Investigational Site 2

Beijing, Beijing Municipality, China

Location

Investigational Site 3

Beijing, Beijing Municipality, China

Location

Investigational Site 4

Beijing, Beijing Municipality, China

Location

Investigational Site 5

Beijing, Beijing Municipality, China

Location

Investigational Site

Chongqing, Chonqing, China

Location

Investigational Site 1

Beijing, Dongcheng District, China

Location

Investigational Site 1

Guangzhou, Guangdong, China

Location

Investigational Site 2

Guangzhou, Guangdong, China

Location

Investigational Site 1

Wuhan, Hubei, China

Location

Investigational Site 2

Wuhan, Hubei, China

Location

Investigational Site

Changsha, Hunan, China

Location

Investigational Site

Nanchang, Jiangxi, China

Location

Investigational Site

Changchun, Jilin, China

Location

Investigational Site

Tonghua, Jilin, China

Location

Investigational Site

Yanbian, Jilin, China

Location

Investigational Site

Jining, Jining, China

Location

Investigational Site

Dalian, Liaoning, China

Location

Investigational Site

Nanjing, Nanjing, China

Location

Investigational Site 1

Qingdao, Shandong, China

Location

Investigational Site 2

Qingdao, Shandong, China

Location

Investigational Site

Yantai, Shangdong, China

Location

Investigational Site

Zibo, Shangdong, China

Location

Investigational Site

Shanghai, Shanghai Municipality, China

Location

Investigational Site

Changzhi, Shanxi, China

Location

Investigational Site

Taiyuan, Shanxi, China

Location

Investigational Site 1

Xi’an, Shanxi, China

Location

Investigational Site 2

Xi’an, Shanxi, China

Location

Investigational Site

Chengdu, Sichuan, China

Location

Investigational Site 1

Tianjin, Tianjin Municipality, China

Location

Investigational Site 2

Tianjin, Tianjin Municipality, China

Location

Investigational Site 3

Tianjin, Tianjin Municipality, China

Location

Investigational Site 4

Tianjin, Tianjin Municipality, China

Location

Investigational Site

Ürümqi, Xianjiang Uygur, China

Location

Related Publications (1)

  • Zhou B, Cheng L, Pan J, Wang H, Jin Y, Zhao C, Lin P, Tan G, Fang H, Zhang H, Zhou H, Dong Y, Kuhl HC, Ramalingam RK, Nguyen DT. A Clinical Study to Assess the Efficacy and Safety of MP-AzeFlu Nasal Spray in Comparison to Commercially Available Azelastine Hydrochloride and Fluticasone Propionate Nasal Sprays in Chinese Volunteers with Allergic Rhinitis. Pulm Ther. 2023 Sep;9(3):411-427. doi: 10.1007/s41030-023-00238-8. Epub 2023 Aug 14.

MeSH Terms

Conditions

Rhinitis, AllergicRhinitis, Allergic, Seasonal

Interventions

azelastineFluticasone

Condition Hierarchy (Ancestors)

RhinitisNose DiseasesRespiratory Tract DiseasesRespiratory HypersensitivityOtorhinolaryngologic DiseasesHypersensitivity, ImmediateHypersensitivityImmune System Diseases

Intervention Hierarchy (Ancestors)

AndrostadienesAndrostenesAndrostanesSteroidsFused-Ring CompoundsPolycyclic Compounds

Study Officials

  • DucTung Nguyen, Dr.

    Meda Pharma GmbH & Co. KG (A Mylan Company)

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Masking Details
Blinding device
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: Multicentre, randomized, double-blind, active controlled, parallel group study
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 17, 2018

First Posted

July 26, 2018

Study Start

June 29, 2018

Primary Completion

September 24, 2019

Study Completion

September 24, 2019

Last Updated

February 22, 2022

Record last verified: 2020-02

Data Sharing

IPD Sharing
Will not share

Locations