Clinical Trial Results:
A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Multicenter Study to Evaluate the Efficacy and Safety of Once-Daily, Intranasal Administration of GW685698X Aqueous Nasal Spray 100mcg for 4 Weeks in Adult and Adolescent Subjects (12 years of age and older) with Vasomotor/Idiopathic Rhinitis
Summary
|
|
EudraCT number |
2004-004744-43 |
Trial protocol |
NO CZ DE |
Global end of trial date |
09 Feb 2006
|
Results information
|
|
Results version number |
v1(current) |
This version publication date |
27 Apr 2016
|
First version publication date |
22 Jul 2015
|
Other versions |
Trial Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
|
|||
Trial identification
|
|||
Sponsor protocol code |
FFR30007
|
||
Additional study identifiers
|
|||
ISRCTN number |
- | ||
US NCT number |
- | ||
WHO universal trial number (UTN) |
- | ||
Sponsors
|
|||
Sponsor organisation name |
GlaxoSmithKline
|
||
Sponsor organisation address |
980 Great West Road, Brentford, Middlesex, United Kingdom,
|
||
Public contact |
GSK Response Center, GlaxoSmithKline, 1 866-435-7343,
|
||
Scientific contact |
GSK Response Center, GlaxoSmithKline, 1 866-435-7343,
|
||
Paediatric regulatory details
|
|||
Is trial part of an agreed paediatric investigation plan (PIP) |
No
|
||
Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
|
||
Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
|
||
Results analysis stage
|
|||
Analysis stage |
Final
|
||
Date of interim/final analysis |
20 Apr 2006
|
||
Is this the analysis of the primary completion data? |
No
|
||
Global end of trial reached? |
Yes
|
||
Global end of trial date |
09 Feb 2006
|
||
Was the trial ended prematurely? |
No
|
||
General information about the trial
|
|||
Main objective of the trial |
The primary objective of this study is to compare the efficacy and safety of GW685698X 100 mcg once daily (QD) aqueous nasal spray with vehicle placebo nasal spray in adult and adolescent subjects (≥ 12 years of age) with vasomotor rhinitis (VMR)/idiopathic rhinitis (IR).
|
||
Protection of trial subjects |
Not applicable
|
||
Background therapy |
- | ||
Evidence for comparator |
- | ||
Actual start date of recruitment |
06 Jul 2005
|
||
Long term follow-up planned |
No
|
||
Independent data monitoring committee (IDMC) involvement? |
No
|
||
Population of trial subjects
|
|||
Number of subjects enrolled per country |
|||
Country: Number of subjects enrolled |
Czech Republic: 43
|
||
Country: Number of subjects enrolled |
Germany: 68
|
||
Country: Number of subjects enrolled |
Canada: 34
|
||
Country: Number of subjects enrolled |
Romania: 28
|
||
Country: Number of subjects enrolled |
United States: 174
|
||
Worldwide total number of subjects |
347
|
||
EEA total number of subjects |
139
|
||
Number of subjects enrolled per age group |
|||
In utero |
0
|
||
Preterm newborn - gestational age < 37 wk |
0
|
||
Newborns (0-27 days) |
0
|
||
Infants and toddlers (28 days-23 months) |
0
|
||
Children (2-11 years) |
0
|
||
Adolescents (12-17 years) |
11
|
||
Adults (18-64 years) |
300
|
||
From 65 to 84 years |
36
|
||
85 years and over |
0
|
|
||||||||||||||||||||||||||||
Recruitment
|
||||||||||||||||||||||||||||
Recruitment details |
- | |||||||||||||||||||||||||||
Pre-assignment
|
||||||||||||||||||||||||||||
Screening details |
Males and females >=12 years of age, diagnosed with vasomotor rhinitis (VMR) and meeting the symptom requirements entered a 7 to 14 days screening period. Following screening period, participants meeting specified symptom criteria received treatment of either fluticasone furoate or placebo in 1:1 ratio up to 4 weeks. | |||||||||||||||||||||||||||
Period 1
|
||||||||||||||||||||||||||||
Period 1 title |
Overall Study (overall period)
|
|||||||||||||||||||||||||||
Is this the baseline period? |
Yes | |||||||||||||||||||||||||||
Allocation method |
Randomised - controlled
|
|||||||||||||||||||||||||||
Blinding used |
Double blind | |||||||||||||||||||||||||||
Roles blinded |
Subject, Investigator, Monitor, Data analyst, Carer, Assessor | |||||||||||||||||||||||||||
Arms
|
||||||||||||||||||||||||||||
Are arms mutually exclusive |
Yes
|
|||||||||||||||||||||||||||
Arm title
|
Placebo | |||||||||||||||||||||||||||
Arm description |
Participants were instructed to self administer two sprays of Placebo into each nostril once daily (QD) in the morning (AM), following pre-dose symptom assessment. Administration of the dose was performed by alternately spraying one spray to each nostril followed by a second spray to each nostril. | |||||||||||||||||||||||||||
Arm type |
Placebo | |||||||||||||||||||||||||||
Investigational medicinal product name |
Placebo
|
|||||||||||||||||||||||||||
Investigational medicinal product code |
||||||||||||||||||||||||||||
Other name |
||||||||||||||||||||||||||||
Pharmaceutical forms |
Nasal spray, suspension
|
|||||||||||||||||||||||||||
Routes of administration |
Nasal use
|
|||||||||||||||||||||||||||
Dosage and administration details |
2 sprays of matching placebo once daily in the morning for 4 weeks
|
|||||||||||||||||||||||||||
Arm title
|
Fluticasone furoate 110 µg QD | |||||||||||||||||||||||||||
Arm description |
Participants were instructed to self administer two sprays of fluticasone furoate 110 micrograms (µg) into each nostril once daily (QD) in the morning (AM), following pre-dose symptom assessment. Administration of the dose was performed by alternately spraying one spray to each nostril followed by a second spray to each nostril | |||||||||||||||||||||||||||
Arm type |
Experimental | |||||||||||||||||||||||||||
Investigational medicinal product name |
Fluticasone furoate
|
|||||||||||||||||||||||||||
Investigational medicinal product code |
||||||||||||||||||||||||||||
Other name |
||||||||||||||||||||||||||||
Pharmaceutical forms |
Nasal spray, suspension
|
|||||||||||||||||||||||||||
Routes of administration |
Nasal use
|
|||||||||||||||||||||||||||
Dosage and administration details |
2 sprays of 110 µg once daily in the morning for 4 weeks
|
|||||||||||||||||||||||||||
|
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Baseline characteristics reporting groups
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Placebo
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group description |
Participants were instructed to self administer two sprays of Placebo into each nostril once daily (QD) in the morning (AM), following pre-dose symptom assessment. Administration of the dose was performed by alternately spraying one spray to each nostril followed by a second spray to each nostril. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Fluticasone furoate 110 µg QD
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group description |
Participants were instructed to self administer two sprays of fluticasone furoate 110 micrograms (µg) into each nostril once daily (QD) in the morning (AM), following pre-dose symptom assessment. Administration of the dose was performed by alternately spraying one spray to each nostril followed by a second spray to each nostril | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|
|||
End points reporting groups
|
|||
Reporting group title |
Placebo
|
||
Reporting group description |
Participants were instructed to self administer two sprays of Placebo into each nostril once daily (QD) in the morning (AM), following pre-dose symptom assessment. Administration of the dose was performed by alternately spraying one spray to each nostril followed by a second spray to each nostril. | ||
Reporting group title |
Fluticasone furoate 110 µg QD
|
||
Reporting group description |
Participants were instructed to self administer two sprays of fluticasone furoate 110 micrograms (µg) into each nostril once daily (QD) in the morning (AM), following pre-dose symptom assessment. Administration of the dose was performed by alternately spraying one spray to each nostril followed by a second spray to each nostril |
|
|||||||||||||
End point title |
Mean change from Baseline in daily reflective total nasal symptom scores (rTNSS) | ||||||||||||
End point description |
The TNSS is the sum of the three individual symptom scores for rhinorrhoea, nasal congestion, and post-nasal drip where each symptom was scored on a scale of 0 (no symptoms) to 3 (severe symptoms). The rTNSS is a rating of the severity of symptoms over the previous 12 hours and was performed in the morning (AM rTNSS) and evening (PM rTNSS). The daily rTNSS is the average of the AM rTNSS and PM rTNSS assessments. The analysis method used for comparison of the two treatment groups was Analysis of Covariance adjusting for baseline rTNSS, country, age, and gender, in addition to treatment effect.. The baseline daily rTNSS was defined as the average of the daily rTNSS over the 4 consecutive 24-hour periods prior to randomization, including the assessment on the morning of randomization.. Change from Baseline was calculated as the on-treatment value minus the Baseline. Intent-to-Treat population comprised of all participants who are randomized and received at least one dose of study drug.
|
||||||||||||
End point type |
Primary
|
||||||||||||
End point timeframe |
Baseline and up to Week 4
|
||||||||||||
|
|||||||||||||
Notes [1] - Intent to Treat(ITT) population. Only participants present at the specified timepoint were analyzed. [2] - Intent to Treat(ITT) population. Only participants present at the specified timepoint were analyzed. |
|||||||||||||
Statistical analysis title |
Analysis 1 | ||||||||||||
Comparison groups |
Placebo v Fluticasone furoate 110 µg QD
|
||||||||||||
Number of subjects included in analysis |
344
|
||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||
Analysis type |
superiority | ||||||||||||
P-value |
= 0.604 | ||||||||||||
Method |
ANCOVA | ||||||||||||
Parameter type |
Mean difference (final values) | ||||||||||||
Point estimate |
0.094
|
||||||||||||
Confidence interval |
|||||||||||||
level |
95% | ||||||||||||
sides |
2-sided
|
||||||||||||
lower limit |
-0.26 | ||||||||||||
upper limit |
0.45 |
|
|||||||||||||
End point title |
Mean change from Baseline in morning (AM) pre-dose instantaneous total nasal symptom scores (iTNSS) | ||||||||||||
End point description |
The AM pre-dose iTNSS is the sum of the three individual nasal symptom score assessments for rhinorrhoea, nasal congestion and postnasal drip performed immediately prior to taking the daily dose, where each symptom was scored on a scale of 0 to 3 for severity of symptoms. The analysis method used for comparison of the two treatment groups was Analysis of Covariance (ANCOVA) adjusting for baseline iTNSS, country, age, and gender, in addition to treatment effect. The baseline daily rTNSS was defined as the average of the daily rTNSS over the 4 consecutive 24-hour periods prior to randomization, including the assessment on the morning of randomization.. Change from Baseline was calculated as the on-treatment value minus the Baseline value.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
Baseline and up to Week 4
|
||||||||||||
|
|||||||||||||
Notes [3] - ITT population. Only participants available at the specified timepoint were analyzed. [4] - ITT population. Only participants available at the specified timepoint were analyzed. |
|||||||||||||
Statistical analysis title |
Analysis 2 | ||||||||||||
Comparison groups |
Placebo v Fluticasone furoate 110 µg QD
|
||||||||||||
Number of subjects included in analysis |
344
|
||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||
Analysis type |
superiority | ||||||||||||
P-value |
= 0.729 | ||||||||||||
Method |
ANCOVA | ||||||||||||
Parameter type |
Mean difference (final values) | ||||||||||||
Point estimate |
0.061
|
||||||||||||
Confidence interval |
|||||||||||||
level |
95% | ||||||||||||
sides |
2-sided
|
||||||||||||
lower limit |
-0.29 | ||||||||||||
upper limit |
0.41 |
|
|||||||||||||||||||||||||||||||
End point title |
Number of participants based on overall evaluation of response to therapy | ||||||||||||||||||||||||||||||
End point description |
Participants evaluated effectiveness of study medication for relieving non-allergic rhinitis symptoms over the entire treatment period. The overall evaluation of response to therapy was based on a 7-point categorical scale where the participants rate their perception of the change or lack of change in their VMR symptoms at the end of the study. The 7 categories were: significantly improved, moderately improved, mildly improved, no change, mildly worse, moderately worse, and significantly worse.
|
||||||||||||||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||||||||||||||
End point timeframe |
Week 4 (Day 29) or Early Withdrawal
|
||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||
Notes [5] - ITT Population. Only participants available at the specified time point were analyzed. [6] - ITT Population. Only participants available at the specified time point were analyzed. |
|||||||||||||||||||||||||||||||
Statistical analysis title |
Analysis 1 | ||||||||||||||||||||||||||||||
Comparison groups |
Placebo v Fluticasone furoate 110 µg QD
|
||||||||||||||||||||||||||||||
Number of subjects included in analysis |
343
|
||||||||||||||||||||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||||||||||||||||||||
Analysis type |
superiority | ||||||||||||||||||||||||||||||
P-value |
= 0.064 [7] | ||||||||||||||||||||||||||||||
Method |
Regression, Logistic | ||||||||||||||||||||||||||||||
Confidence interval |
|||||||||||||||||||||||||||||||
Notes [7] - Overall evaluation of response to therapy was analyzed using logistic regression adjusting for age, gender, investigator, and treatment. |
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Adverse events information
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Timeframe for reporting adverse events |
Serious adverse events (SAEs) and non-serious adverse events (AEs) were collected from on or after the randomization date (Up to Day 34).
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Assessment type |
Systematic | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary used for adverse event reporting
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary name |
MedDRA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary version |
8.1
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting groups
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Placebo
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group description |
Participants were instructed to self administer two sprays of Placebo into each nostril QD in the AM, following pre-dose symptom assessment. Administration of the dose was performed by alternately spraying one spray to each nostril followed by a second spray to each nostril. | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Fluticasone furoate 110 µg QD
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group description |
Participants were instructed to self administer two sprays of fluticasone furoate 110 µg into each nostril QD in the AM, following pre-dose symptom assessment. Administration of the dose was performed by alternately spraying one spray to each nostril followed by a second spray to each nostril | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Frequency threshold for reporting non-serious adverse events: 2% | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|
|||
Substantial protocol amendments (globally) |
|||
Were there any global substantial amendments to the protocol? Yes | |||
Date |
Amendment |
||
03 Feb 2005 |
This amendment is country specific and applies to Canada, Norway, Germany and Czech Republic. The primary purpose of this amendment is
to clarify Section 5.2.1. Inclusion Criteria, #3, Age. The age of subjects for the above mentioned countries will be ≥ 18 years at Visit 2.
|
||
13 Jun 2005 |
1) delete the term ‘idiopathic rhinitis’ from the protocol
2) delete the phrase that VMR symptoms are worsened by respiratory
irritants and amend the:
3) Trademarks not owned by GlaxoSmithKline table
4) Document number of the GW685698X Investigator’s Brochure
5) Introduction/Background
6) Rationale
7) Inclusion Criteria
8) Randomization Criteria
9) Exclusion Criteria
10) The organization of Section 6
11) Screening Period (Visit 1) section
12) ECG Procedure
13) Nasal Cytology section
14) Prohibited Medications
15) Medical Devices section
16) References
17) Time and Events Table
18) Vasomotor Rhinitis Questionnaire
A Vasomotor Rhinitis Trigger
Questionnaire has been added
(Appendix 7).
In addition, other minor protocol text clarifications were made.
|
||
Interruptions (globally) |
|||
Were there any global interruptions to the trial? No | |||
Limitations and caveats |
|||
Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data. | |||
None reported |