E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Seasonal and/or perennial allergic rhinitis |
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MedDRA Classification |
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
The primary objective of the study is to determine the effect on lower leg growth of treatment with 100 mcg of intranasal GW685698X aqueous nasal spray QD versus placebo nasal spray QD in children ages 6 to 11 years with seasonal allergic rhinitis (SAR) and/or perennial allergic rhinitis (PAR).
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E.2.2 | Secondary objectives of the trial |
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E.2.3 | Trial contains a sub-study | Information not present in EudraCT |
E.3 | Principal inclusion criteria |
A subject will be eligible for inclusion in this study only if all of the following criteria apply:
• Pre-menarcheal female subjects who are 6 years to less than 11 years of age at the time of randomization • Male subjects who are 6 years to less than 12 years of age at the time of randomization • Tanner Stage 1 • Documented clinical history of SAR or PAR of at least one year prior to study entry with (in the opinion of the investigator): - a current level of allergic rhinitis symptoms that warrant treatment with an intranasal corticosteroid and/or - expected symptoms during a majority of the study period Diagnosis must be confirmed by a positive skin test (by skin prick method) to an appropriate seasonal or perennial allergen within 12 months prior to Visit 1 or at Visit 1. A positive skin test is defined as a wheal > or equal to 3 mm larger than the diluent control for prick testing. In vitro tests for specific IgE (such as RAST, PRIST) will also be permitted as confirmation for a diagnosis of SAR or PAR if performed within the last 12 months or at Visit 1. • Normal current growth as reflected by baseline height within the 5th and 95th percentiles of normal for their age and gender as determined by stadiometry and Danish longitudinal standard charts • Subjects must be willing and able to comply with study procedures • Written informed consent must be provided by the parent or guardian |
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E.4 | Principal exclusion criteria |
A subject will not be eligible for inclusion in this study if any of the following criteria apply: • History of abnormal growth or gross malnutrition • Findings of a clinically significant laboratory abnormality (Section 6.4.4) • History of any condition that may have substantially affected growth • Subjects with historical or current evidence of clinically significant, uncontrolled disease of any body system (in addition to allergic rhinitis), such as uncontrolled, epilepsy, active tuberculosis, attention deficit hyperactive disorder, psychological disorders or eczema, will not be eligible. Significant is defined as any disease that, in the opinion of the investigator, would put the safety of the subject at risk through study participation or which would confound the interpretation of the study results if the disease/condition exacerbated during the study • Any asthma other than mild, intermittent asthma controlled by short-acting, β- agonists [Global Initiative for Asthma (GINA) Guidelines, 2003] • Recent major surgery and/or trauma to the legs • Current or history of glaucoma and/or cataracts or ocular herpes simplex • History of adrenal insufficiency • Current or prior treatment with any medication that may have a potential for an ongoing effect on linear growth • Use of corticosteroids, defined as Any corticosteroid use by any route within 4 weeks prior to Visit 1 • Any nasal condition or deformity that would impair nasal breathing or deposition of medication (i.e., nasal polyps, marked septal deviation) • Physical impairment that would affect the subject’s ability to participate in the study • Documented evidence of acute or significant chronic sinusitis • Upper or lower respiratory or sinus infection during the 7 days before screening • Clinical evidence of a nasal or oropharyngeal Candida infection • Rhinitis medicamentosa • Severe dehydration • Use of any medications that significantly inhibit the cytochrome P450 subfamily enzyme CYP3A4, including ritonavir and ketoconazole • Subjects with known hypersensitivity to any excipients in the study medications • Previous clinical trial experience with GW685698X aqueous nasal spray • Exposure to clinical trial/experimental medication within 30 days of Visit 1 • Affiliation with investigational site such that the subject is an immediate family member of any site personnel • Chickenpox or measles infections - A subject is not eligible if he/she currently has chickenpox or measles, or has been exposed to chickenpox or measles during the last 3 weeks and is non-immune. |
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E.5 End points |
E.5.1 | Primary end point(s) |
The primary safety endpoint will be the mean growth velocity (mm/wk) in lower leg growth, as determined by knemometry, over a 2-week treatment period with intranasal GW685698X aqueous nasal spray versus a 2-week treatment with placebo nasal spray. |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | Information not present in EudraCT |
E.6.2 | Prophylaxis | Information not present in EudraCT |
E.6.3 | Therapy | Information not present in EudraCT |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Information not present in EudraCT |
E.6.6 | Pharmacokinetic | Information not present in EudraCT |
E.6.7 | Pharmacodynamic | Information not present in EudraCT |
E.6.8 | Bioequivalence | Information not present in EudraCT |
E.6.9 | Dose response | Information not present in EudraCT |
E.6.10 | Pharmacogenetic | Information not present in EudraCT |
E.6.11 | Pharmacogenomic | Information not present in EudraCT |
E.6.12 | Pharmacoeconomic | Information not present in EudraCT |
E.6.13 | Others | Information not present in EudraCT |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | Information not present in EudraCT |
E.7.1.1 | First administration to humans | Information not present in EudraCT |
E.7.1.2 | Bioequivalence study | Information not present in EudraCT |
E.7.1.3 | Other | Information not present in EudraCT |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Information not present in EudraCT |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | Information not present in EudraCT |
E.8 Design of the trial |
E.8.1 | Controlled | Information not present in EudraCT |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | Information not present in EudraCT |
E.8.1.3 | Single blind | Information not present in EudraCT |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Information not present in EudraCT |
E.8.1.6 | Cross over | Yes |
E.8.1.7 | Other | Information not present in EudraCT |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Information not present in EudraCT |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | Information not present in EudraCT |
E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | Information not present in EudraCT |
E.8.5 | The trial involves multiple Member States | Information not present in EudraCT |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Information not present in EudraCT |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.7 | Trial has a data monitoring committee | Information not present in EudraCT |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | |
E.8.9.1 | In the Member State concerned months | 3 |
E.8.9.1 | In the Member State concerned days | |