NCT03879772

Brief Summary

The purpose of this study was to identify the lowest dosage of mometasone furoate nasal spray (MFNS) that provided adequate efficacy with an acceptable safety profile for children (ages 6-11) with seasonal allergic rhinitis (SAR). The MFNS dose levels of 25, 100, and 200 mcg QD were compared with beclomethasone dipropionate (BDP), as an active control, and placebo.

Trial Health

100
On Track

Trial Health Score

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

Enrollment
679

participants targeted

Target at P75+ for phase_3

Timeline
Completed

Started Mar 1996

Shorter than P25 for phase_3

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

March 12, 1996

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 1996

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 1, 1996

Completed
22.7 years until next milestone

First Submitted

Initial submission to the registry

March 15, 2019

Completed
4 days until next milestone

First Posted

Study publicly available on registry

March 19, 2019

Completed
5 months until next milestone

Results Posted

Study results publicly available

August 12, 2019

Completed
Last Updated

February 9, 2022

Status Verified

February 1, 2022

Enrollment Period

4 months

First QC Date

March 15, 2019

Results QC Date

June 27, 2019

Last Update Submit

February 7, 2022

Conditions

Outcome Measures

Primary Outcomes (1)

  • Change From Baseline in the Total Nasal Symptom Score (TNSS) at Day 8 as Assessed by Investigator

    The mean change from baseline at study day 8 was calculated for TNSS as assessed by the investigator. TNSS was a composite of the individual nasal symptom scores of discharge (rhinorrhea), stuffiness, sneezing, and itching. The 4 individual nasal symptom scores were rated by the investigator at the visit as follows: 0=none, 1=mild, 2=moderate, 3=severe. TNSS was the sum of the 4 individual nasal symptom scores (range= 0-12; higher score indicating more frequent/severe nasal symptoms). For each participant, individual scores were totaled and used to calculate the change from Baseline in TNSS at the visit. Participant changes were then used to calculate the mean change for each treatment group at that visit. Change from Baseline = visit score - Baseline score (Day 1 visit). Negative changes indicate a decrease in symptom severity.

    Baseline (Day 1) and Day 8

Secondary Outcomes (5)

  • Change From Baseline in the Total Nasal Symptom Score (TNSS) on Day 4 as Assessed by Investigator

    Baseline (Day 1) and Day 4

  • Change From Baseline in the Total Nasal Symptom Score (TNSS) on Day 15 as Assessed by Investigator

    Baseline (Day 1) and Day 15

  • Change From Baseline in the Total Nasal Symptom Score (TNSS) on Day 29 as Assessed by Investigator

    Baseline (Day 1) and Day 29

  • Change From Baseline in the Total Nasal Symptom Score (TNSS) [Average of Morning (AM), Evening (PM) Score] Averaged Over Days 1 to 15 as Assessed by Participant

    Baseline and Days 1 through 15 (average over 15 days)

  • Change From Baseline in the Total Nasal Symptom Score (TNSS) [Average of Morning (AM)/Evening (PM) Score] Averaged Over Days 16 to 29 as Assessed by Participant

    Baseline and Days 16 through 29 (average over 15 days)

Study Arms (5)

MFNS 25 mcg QD

EXPERIMENTAL

Mometasone furoate nasal spray 12.5 mcg/spray was administered intranasally, one spray per nostril in the morning (upon awakening), daily for 4 weeks. A matching placebo nasal spray was administered intranasally (1 spray per nostril) in the evening. Chlorpheniramine maleate syrup 2 mg/5 mL was to be used for relief of intolerable SAR symptoms.

Drug: Mometasone furoate nasal sprayDrug: Placebo nasal sprayDrug: Chlorpheniramine maleate syrup

MFNS 100 mcg QD

EXPERIMENTAL

Mometasone furoate nasal spray 50 mcg/spray was administered intranasally, one spray per nostril in the morning (upon awakening), daily for 4 weeks. A matching placebo nasal spray was administered intranasally (1 spray per nostril) in the evening. Chlorpheniramine maleate syrup 2 mg/5 mL was to be used for relief of intolerable SAR symptoms.

Drug: Mometasone furoate nasal sprayDrug: Placebo nasal sprayDrug: Chlorpheniramine maleate syrup

MFNS 200 mcg QD

EXPERIMENTAL

Mometasone furoate nasal spray 100 mcg/spray was administered intranasally, one spray per nostril in the morning (upon awakening), daily for 4 weeks. A matching placebo nasal spray was administered intranasally (1 spray per nostril) in the evening. Chlorpheniramine maleate syrup 2 mg/5 mL was to be used for relief of intolerable SAR symptoms.

Drug: Mometasone furoate nasal sprayDrug: Placebo nasal sprayDrug: Chlorpheniramine maleate syrup

BDP 84 mcg BID

ACTIVE COMPARATOR

Beclomethasone dipropionate nasal spray 42 mcg/spray was administered intranasally, one spray per nostril in the morning (upon awakening) and in the evening, daily for 4 weeks. Chlorpheniramine maleate syrup 2 mg/5 mL was to be used for relief of intolerable SAR symptoms.

Drug: Beclomethasone dipropionate nasal sprayDrug: Chlorpheniramine maleate syrup

Placebo

PLACEBO COMPARATOR

Matching placebo nasal spray was administered intranasally, one spray per nostril in the morning (upon awakening) and in the evening, daily for 4 weeks. Chlorpheniramine maleate syrup 2 mg/5 mL was to be used for relief of intolerable SAR symptoms.

Drug: Placebo nasal sprayDrug: Chlorpheniramine maleate syrup

Interventions

intranasal administration

Also known as: Nasonex®, MK-0887, SCH 032088
MFNS 100 mcg QDMFNS 200 mcg QDMFNS 25 mcg QD

intranasal administration

Also known as: Vancenase®
BDP 84 mcg BID

intranasal administration

MFNS 100 mcg QDMFNS 200 mcg QDMFNS 25 mcg QDPlacebo

oral administration

Also known as: ChlorTrimeton Syrup
BDP 84 mcg BIDMFNS 100 mcg QDMFNS 200 mcg QDMFNS 25 mcg QDPlacebo

Eligibility Criteria

Age6 Years - 11 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17)

You may qualify if:

  • Have at least a one-year history of seasonal allergic rhinitis which previously required treatment for tree and/or grass pollen
  • Have a positive skin test response to an appropriate tree and/or grass seasonal allergen within the last year.
  • Must be free of any clinically significant disease other than seasonal allergic rhinitis.
  • Must be pre-menarcheal.

You may not qualify if:

  • History of asthma which requires chronic use of inhaled or systemic corticosteroids.
  • Current or history of frequent, clinically significant sinusitis or chronic purulent postnasal drip.
  • History of rhinitis medicamentosa.
  • History of clinically significant nasal candidiasis.
  • History of multiple drug allergies or allergy/intolerance to corticosteroids or antihistamines.
  • History of upper respiratory tract or sinus infection that required antibiotic therapy within the previous 2 weeks, or viral upper respiratory infection within 7 days prior to Screening.
  • History of nasal structural abnormalities, including large nasal polyps and marked septal deviation, that significantly interfere with nasal air flow.
  • History of dependence upon nasal, oral or ocular decongestants, or nasal topical antihistamines.
  • History of investigational drug use in the last 30 days.
  • History of immunotherapy (desensitizing therapy), unless on a stable maintenance schedule for at least one month prior to Screening.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Rhinitis, Allergic, Seasonal

Interventions

Mometasone FuroateBeclomethasone

Condition Hierarchy (Ancestors)

Rhinitis, AllergicRhinitisNose DiseasesRespiratory Tract DiseasesRespiratory HypersensitivityOtorhinolaryngologic DiseasesHypersensitivity, ImmediateHypersensitivityImmune System Diseases

Intervention Hierarchy (Ancestors)

PregnadienediolsPregnadienesPregnanesSteroidsFused-Ring CompoundsPolycyclic CompoundsPregnadienetriolsSteroids, Chlorinated

Limitations and Caveats

Adverse Event (AE) Preferred Terms were converted from WHO-ART dictionary to the MedDRA version 21.1.

Results Point of Contact

Title
Senior Vice President, Global Clinical Development
Organization
Merck Sharp & Dohme Corp.

Study Officials

  • Medical Director

    Merck Sharp & Dohme LLC

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 15, 2019

First Posted

March 19, 2019

Study Start

March 12, 1996

Primary Completion

July 1, 1996

Study Completion

July 1, 1996

Last Updated

February 9, 2022

Results First Posted

August 12, 2019

Record last verified: 2022-02