Clinical Trial Results:
Double-Blind, Randomized, Placebo-Controlled, Parallel-Group, Multicenter/Multinational, Efficacy and Safety Study of Desloratadine 5 mg in the Treatment of Subjects With Allergic Rhinitis Who Meet the Criteria for Persistent Allergic Rhinitis (PER)
Summary
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EudraCT number |
2005-005450-45 |
Trial protocol |
FI PT ES DE HU SE GR DK IT BE NL Outside EU/EEA |
Global end of trial date |
03 Apr 2008
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Results information
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Results version number |
v1(current) |
This version publication date |
10 Feb 2016
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First version publication date |
15 Jul 2015
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Other versions |
Trial Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
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Trial identification
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Sponsor protocol code |
P04684
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Additional study identifiers
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ISRCTN number |
- | ||
US NCT number |
NCT00405964 | ||
WHO universal trial number (UTN) |
- | ||
Other trial identifiers |
Protocol number: MK-4117-175 | ||
Sponsors
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Sponsor organisation name |
Merck Sharp & Dohme Corp.
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Sponsor organisation address |
2000 Galloping Hill Road, Kenilworth, NJ, United States, 07033
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Public contact |
Clinical Trials Disclosure, Merck Sharp & Dohme Corp., ClinicalTrialsDisclosure@merck.com
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Scientific contact |
Clinical Trials Disclosure, Merck Sharp & Dohme Corp., ClinicalTrialsDisclosure@merck.com
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Sponsor organisation name |
Merck Sharp & Dohme Corp.
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Sponsor organisation address |
2000 Galloping Hill Road, Kenilworth, NJ, United States, 07033
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Public contact |
Clinical Trials Disclosure, Merck Sharp & Dohme Corp., ClinicalTrialsDisclosure@merck.com
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Scientific contact |
Clinical Trials Disclosure, Merck Sharp & Dohme Corp., ClinicalTrialsDisclosure@merck.com
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Paediatric regulatory details
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Is trial part of an agreed paediatric investigation plan (PIP) |
No
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Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial? |
Yes
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Results analysis stage
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Analysis stage |
Final
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Date of interim/final analysis |
03 Apr 2008
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Is this the analysis of the primary completion data? |
Yes
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Primary completion date |
03 Apr 2008
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Global end of trial reached? |
Yes
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Global end of trial date |
03 Apr 2008
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Was the trial ended prematurely? |
No
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General information about the trial
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Main objective of the trial |
The primary objective is to compare the efficacy and safety of desloratadine with placebo in the symptomatic treatment of participants 12 years and older with persistent allergic rhinitis (PER) .
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Protection of trial subjects |
This study was conducted in conformance with Good Clinical Practice standards and applicable country and/or local statutes and regulations regarding ethical committee review, informed consent, and the protection of human subjects participating in biomedical research.
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Background therapy |
- | ||
Evidence for comparator |
- | ||
Actual start date of recruitment |
28 Aug 2006
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Long term follow-up planned |
No
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Independent data monitoring committee (IDMC) involvement? |
No
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Population of trial subjects
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Number of subjects enrolled per country |
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Country: Number of subjects enrolled |
Spain: 25
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Country: Number of subjects enrolled |
Sweden: 31
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Country: Number of subjects enrolled |
Belgium: 2
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Country: Number of subjects enrolled |
Denmark: 8
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Country: Number of subjects enrolled |
Finland: 21
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Country: Number of subjects enrolled |
France: 111
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Country: Number of subjects enrolled |
Germany: 86
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Country: Number of subjects enrolled |
Hungary: 48
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Country: Number of subjects enrolled |
Italy: 87
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Country: Number of subjects enrolled |
Canada: 194
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Country: Number of subjects enrolled |
Russian Federation: 101
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Country: Number of subjects enrolled |
Turkey: 2
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Worldwide total number of subjects |
716
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EEA total number of subjects |
419
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Number of subjects enrolled per age group |
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In utero |
0
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Preterm newborn - gestational age < 37 wk |
0
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Newborns (0-27 days) |
0
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Infants and toddlers (28 days-23 months) |
0
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Children (2-11 years) |
0
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Adolescents (12-17 years) |
18
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Adults (18-64 years) |
689
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From 65 to 84 years |
9
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85 years and over |
0
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Recruitment
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Recruitment details |
Participants were enrolled from 12 countries in Europe. | |||||||||||||||||||||||||||
Pre-assignment
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Screening details |
Approximately 10 participants were to be enrolled at each site, but up to approximately 30 participants could be enrolled at each site with the sponsor’s approval. | |||||||||||||||||||||||||||
Period 1
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Period 1 title |
Treatment (overall period)
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Is this the baseline period? |
Yes | |||||||||||||||||||||||||||
Allocation method |
Randomised - controlled
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Blinding used |
Double blind | |||||||||||||||||||||||||||
Roles blinded |
Subject, Investigator | |||||||||||||||||||||||||||
Arms
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Are arms mutually exclusive |
Yes
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Arm title
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Desloratadine 5 mg | |||||||||||||||||||||||||||
Arm description |
5-mg Desloratadine tablet, oral, once daily for 12 weeks | |||||||||||||||||||||||||||
Arm type |
Experimental | |||||||||||||||||||||||||||
Investigational medicinal product name |
Desloratadine
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Investigational medicinal product code |
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Other name |
SCH 34117, Aerius
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Pharmaceutical forms |
Tablet
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Routes of administration |
Oral use
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Dosage and administration details |
5-mg Desloratadine tablet, oral, once daily for 12 weeks
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Arm title
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Placebo | |||||||||||||||||||||||||||
Arm description |
Placebo tablet to desloratadine 5 mg, oral, once daily for 12 weeks | |||||||||||||||||||||||||||
Arm type |
Placebo | |||||||||||||||||||||||||||
Investigational medicinal product name |
Placebo
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Tablet
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Routes of administration |
Oral use
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Dosage and administration details |
Placebo to desloratadine, tablet, oral, once daily for 12 weeks
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Baseline characteristics reporting groups
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Reporting group title |
Desloratadine 5 mg
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Reporting group description |
5-mg Desloratadine tablet, oral, once daily for 12 weeks | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Placebo
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Reporting group description |
Placebo tablet to desloratadine 5 mg, oral, once daily for 12 weeks | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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End points reporting groups
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Reporting group title |
Desloratadine 5 mg
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Reporting group description |
5-mg Desloratadine tablet, oral, once daily for 12 weeks | ||
Reporting group title |
Placebo
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Reporting group description |
Placebo tablet to desloratadine 5 mg, oral, once daily for 12 weeks |
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End point title |
Change From Baseline in Participant's AM/PM PRIOR (Reflective) Total 5 Symptom Score (T5SS) Over Days 1 to 29 of Treatment | ||||||||||||||||||
End point description |
AM/PM PRIOR (the participant’s status over previous 12 hours [reflective]) T5SS from the participant's daily diary averaged over treatment Days 1 to 29. AM/PM is the average of separate morning (AM) and evening (PM) evaluations. Scores were defined for T5SS as 0: no symptoms to 15: all severe symptoms. A two-way analysis of variance (ANOVA) model with treatment and site effects was used to examine the treatment difference.
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End point type |
Primary
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End point timeframe |
Baseline and Days 1-29
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Notes [1] - All randomized participants with non-missing baseline and at least some postbaseline data. [2] - All randomized participants with non-missing baseline and at least some postbaseline data. |
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Statistical analysis title |
Treatment Difference | ||||||||||||||||||
Statistical analysis description |
Difference in the least squares means between change from baseline in AM/PM PRIOR T5SS for participants taking desloratadine over Day 1 to Day 29 of treatment vs. change from baseline in AM/PM PRIOR (Reflective) T5SS for participants taking placebo over Day 1 to Day 29 of treatment. Negative differences are in favor of the desloratadine treatment group in the comparison.
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Comparison groups |
Desloratadine 5 mg v Placebo
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Number of subjects included in analysis |
706
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Analysis specification |
Pre-specified
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Analysis type |
superiority [3] | ||||||||||||||||||
P-value |
< 0.001 | ||||||||||||||||||
Method |
ANOVA | ||||||||||||||||||
Parameter type |
Mean difference (final values) | ||||||||||||||||||
Point estimate |
-0.89
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Confidence interval |
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level |
95% | ||||||||||||||||||
sides |
2-sided
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lower limit |
-1.33 | ||||||||||||||||||
upper limit |
-0.46 | ||||||||||||||||||
Notes [3] - Analyses were performed using an ANOVA, extracting sources of variation due to treatment and site. |
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End point title |
Change From Baseline in the Total Rhinoconjunctivitis Quality of Life Questionnaire-Standarized Version (RQLQ-S) After 29 Days | ||||||||||||||||||
End point description |
The RQLQ-S was only completed for participants above 18 years of age. The RQLQ-S was not available for participants 12 to 17 years of age. This questionnaire asked questions pertaining to daily activities, sleep, non-nose eye symptoms, practical problems, nasal symptoms, eye symptoms, and emotions. The scale went from 0 (not troubled) to 6 (extremely troubled). A two-way analysis of variance (ANOVA) model with treatment and site effects was used to examine the treatment difference.
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End point type |
Secondary
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End point timeframe |
Baseline and Day 29
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Notes [4] - All randomized participants with non-missing baseline and at least some postbaseline data. [5] - All randomized participants with non-missing baseline and at least some postbaseline data. |
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Statistical analysis title |
Treatment Difference | ||||||||||||||||||
Statistical analysis description |
Difference in the least squares means between change from baseline in RQLQ-S for participants taking desloratadine at Day 29 of treatment vs. change from baseline in RQLQ-S for participants taking placebo at Day 29 of treatment. Negative differences are in favor of the desloratadine treatment group in the comparison.
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Comparison groups |
Desloratadine 5 mg v Placebo
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Number of subjects included in analysis |
602
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Analysis specification |
Pre-specified
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Analysis type |
superiority [6] | ||||||||||||||||||
P-value |
< 0.001 | ||||||||||||||||||
Method |
ANOVA | ||||||||||||||||||
Parameter type |
Mean difference (final values) | ||||||||||||||||||
Point estimate |
-0.4
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Confidence interval |
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level |
95% | ||||||||||||||||||
sides |
2-sided
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lower limit |
-0.61 | ||||||||||||||||||
upper limit |
-0.2 | ||||||||||||||||||
Notes [6] - Analyses were performed using an ANOVA, extracting sources of variation due to treatment and site. |
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End point title |
Change From Baseline in Participant's AM/PM PRIOR (Reflective) T5SS Over Days 1 to 85 of Treatment | ||||||||||||||||||
End point description |
AM/PM PRIOR (the participant’s status over previous 12 hours [reflective]) T5SS from the participant's daily diary averaged over treatment Days 1 to 85. AM/PM is the average of separate morning (AM) and evening (PM) evaluations. Scores were defined for T5SS as 0: no symptoms to 15: all severe symptoms. A two-way analysis of variance (ANOVA) model with treatment and site effects was used to examine the treatment difference.
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End point type |
Secondary
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End point timeframe |
Baseline and Days 1-85
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Notes [7] - All randomized participants with non-missing baseline and at least some postbaseline data. [8] - All randomized participants with non-missing baseline and at least some postbaseline data. |
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Statistical analysis title |
Treatment Difference | ||||||||||||||||||
Statistical analysis description |
Difference in the least squares means between change from baseline in AM/PM PRIOR T5SS for participants taking desloratadine over Day 1 to Day 85 of treatment vs. change from baseline in AM/PM PRIOR (Reflective) T5SS for participants taking placebo over Day 1 to Day 85 of treatment. Negative differences are in favor of the desloratadine treatment group in the comparison.
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Comparison groups |
Desloratadine 5 mg v Placebo
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Number of subjects included in analysis |
706
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Analysis specification |
Pre-specified
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Analysis type |
superiority [9] | ||||||||||||||||||
P-value |
< 0.001 | ||||||||||||||||||
Method |
ANOVA | ||||||||||||||||||
Parameter type |
Mean difference (final values) | ||||||||||||||||||
Point estimate |
-0.89
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Confidence interval |
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level |
95% | ||||||||||||||||||
sides |
2-sided
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lower limit |
-1.35 | ||||||||||||||||||
upper limit |
-0.43 | ||||||||||||||||||
Notes [9] - Analyses were performed using an ANOVA, extracting sources of variation due to treatment and site. |
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Adverse events information
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Timeframe for reporting adverse events |
Up to Week 12
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Assessment type |
Systematic | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary used for adverse event reporting
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Dictionary name |
MedDRA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary version |
11.0
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Reporting groups
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Reporting group title |
Desloratadine 5 mg
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Reporting group description |
All randomized participants who received at least one dose of study drug. | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Placebo
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Reporting group description |
All randomized participants who received at least one dose of study drug. | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Frequency threshold for reporting non-serious adverse events: 5% | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Substantial protocol amendments (globally) |
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Were there any global substantial amendments to the protocol? Yes | |||
Date |
Amendment |
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14 Jun 2006 |
This amendment included an updated version of a study questionnaire. |
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05 Jun 2007 |
This amendment includes changes to study evaluations, criteria for subject discontinuation, and prohibited medications. |
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Interruptions (globally) |
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Were there any global interruptions to the trial? No | |||
Limitations and caveats |
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Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data. | |||
None reported |