E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Allergic rhinitis (LLT) Code 10001723 |
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MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 9.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10001723 |
E.1.2 | Term | Allergic rhinitis |
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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 |
• To demonstrate superiority of BLX-028914 50 mg/day to placebo regarding the efficacy on total nasal symptoms 10 min after allergen challenge on treatment days 11 - 13 |
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E.2.2 | Secondary objectives of the trial |
• To evaluate the efficacy of BLX-028914 50 and 15 mg/day on nasal symptoms, treatment days 11-13 compared to placebo
• To evaluate the efficacy of BLX-028914 50 and 15 mg/day on peak nasal inspiratory flow (PNIF), treatment days 11-13 compared to placebo
• To evaluate the effects of BLX-028914, 50 and 15 mg/day on nasal mucosal inflammatory respons treatment on day 14, compared to placebo (as assessed by α2-macroglobulin, eosinophil cationic protein (ECP) and tryptase levels in nasal lavage)
• To evaluate the safety and tolerability of treatment with BLX-028914
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. 18 to 50 years of age (inclusive), male or female
2. Body Mass Index (BMI) between 18 and 28 kg/m2 (inclusive)
3. History of pollen-induced seasonal allergic rhinitis for at least 2 years but otherwise healthy
4. Seasonal allergic rhinitis with symptoms provoked by timothy and/or birch pollen allergens.
5. Positive skin prick test for timothy and/or birch allergen at screening visit or within two years prior to the screening visit
6. Sufficient reaction to nasally administered allergen at screening
7. Signed informed consent obtained
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E.4 | Principal exclusion criteria |
1. Perennial allergic rhinitis except for
a. cat and/or dog sensitivity under the condition that these subjects are not exposed to cats and dogs
b. house dust mite sensitivity under the condition that these subjects are not exposed to house dust mite (e.g. sanitized home environment)
2. Expected symptoms of seasonal allergic rhinitis during the study period according to medical history (e.g. mugwort allergy during mugwort pollen season)
3. Asthma
4. Nasal anatomical deviations, as judged by the investigator
5. Ongoing nasal symptoms as judged by the investigator
6. Ongoing upper respiratory tract infection
7. Anti-allergy immunotherapy in the previous two years
8. Extensive use of nasal sprays as judged by the investigator
9. Any medication except for contraceptives, during their last five half-lives prior to the first treatment period except for occasional OTC analgesics. Specific washout periods apply to the following anti-allergy treatments: -Depot injections of corticosteroids: 12 months prior to screening visit -Intranasal and systemic corticosteroids: 1 month prior to screening visit -Intranasal cromolyn: 2 weeks prior to screening visit -Intranasal or systemic decongestants: 3 days prior to screening visit -Intranasal or systemic antihistamines: 3 days prior to screening visit -Loratadine: 10 days prior to screening visit
10. Ingestion of grapefruit or grapefruit juice or herbal remedies (e.g. St John’s-wort) that may effect the enzyme CYP3A4 within 1 week prior to first treatment visit.
11. Recent intake of alcohol prior to screening visit according to alcohol breath test
12. Smoking within 3 months of first treatment period
13. Positive for HIV according to diagnostic test
14. Positive for Hepatitis B or C according to diagnostic tests
15. Clinically significant laboratory findings as judged by the investigator
16. Pregnant or breast feeding woman or woman of childbearing potential not using adequate birth control (e.g. IUD, barrier method, per oral contraceptive, hormone injections or implants).
17. Known hypersensitivity to any constituent of the study medication or placebo as specified in section 3.4.1.1
18. Participation in any other investigational study in the last three months prior to the screening visit
19. Subject anticipated not being able to adhere to study plan according to investigator judgement
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E.5 End points |
E.5.1 | Primary end point(s) |
Post allergen challenge TNSS, day 11 - 13: The mean of the TNSS collected 10 min after allergen challenge on treatment days 11, 12 and 13. |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Information not present in EudraCT |
E.6.7 | Pharmacodynamic | Yes |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | Yes |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | Yes |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
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 | No |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
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 | 7 |
E.8.9.1 | In the Member State concerned days | |