E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Allergic Rhinitis |
Rinitis alérgica |
|
E.1.1.1 | Medical condition in easily understood language |
Allergic Rhinitis |
Rinitis alérgica |
|
E.1.1.2 | Therapeutic area | Diseases [C] - Respiratory Tract Diseases [C08] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 14.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10039085 |
E.1.2 | Term | Rhinitis allergic |
E.1.2 | System Organ Class | 10038738 - Respiratory, thoracic and mediastinal disorders |
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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 |
Assess the effects of Bilastine on nasal obstruction in allergic rhinitis patients after nasal provocation with allergen. |
Valorar los efectos de bilastina sobre la obstrucción nasal en pacientes con rinitis alérgica tras la provocación nasal con alérgeno. |
|
E.2.2 | Secondary objectives of the trial |
Assess the effects of bilastine on nasal symptomatology evaluated by a symptoms score and by a visual analog scale after nasal provocation with allergen. |
Valoración de los efectos de bilastina sobre la sintomatología nasal evaluada mediante puntuación de síntomas y mediante una escala visual analógica tras la provocación nasal con el alérgeno. |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. Male and female patients between 18 and 70 years. 2. Documented medical records of pollen-induce rhinitis at least two years preceding the screening visit. 3. Skin tests and/or positive specific IgE determination for some inhalant allergen/s. 4. Written informed consent that is consistent with ICH-GCP guidelines. |
1. Hombres o mujeres entre 18 y 70 años. 2. Historia documentada de rinitis alérgica inducida por pólenes desde al menos 2 años anteriores a la visita de selección. 3. Pruebas cutáneas y/o la determinación de IgE especifica positivas a algún/os alérgeno/s inhalantes. 4. Pacientes que hayan otorgado su consentimiento informado para participar en el estudio. |
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E.4 | Principal exclusion criteria |
1. Allergic rhinitis symptoms presence. 2. Any type of physical abnormality (nasal septum deviation, recent nasal surgery, etc.), which could interfere with the study objectives. 3. Bilastine or any of its excipients hypersensitivity. 4. Use of any intranasal medication. 5. Patients on oral or systemic treatment for allergic rhinitis that will not complied with the following washout periods prior to their inclusion in the study: - depot corticosteroids (3 months), systemic or topical (4 weeks). - Antihistamine drugs: astemizole (6 weeks), elastin, loratadine and desloratadine (10 days), other systemic antihistamine drugs (3 days). - Antileukotriene drugs (3 days) - Ketotifen (2 weeks) - Drugs with antihistaminic properties (phenothiazine) - Cromoglicic acid, nedocromil (2 weeks)
For treatments that don't specify a washout period in parentheses, it's enough to stop the treatment the day of inclusion in the trial.
6. History of non-allergic rhinitis (vasomotor, infectious, drug induced, etc.). 7. Chronic sinusitis or severe bronchial asthma. 8. Respiratory infection within 30 days before the start of the study. 9. Concomitant serious disease that could interfere with response to treatment (hepatic, renal, cardiovascular) or malignancy. 10. Patients with mental illness that prevents the subject understand the nature, purpose and implications of the study or patients who are unable to sign informed consent. 11. Patients with known unresponsiveness to H1 antihistamine drugs. |
1. Presencia de síntomas de rinitis alérgica. 2. Cualquier tipo de anomalía física (desviación de tabique nasal, cirugía nasal reciente, etc.), que pudiera interferir con los objetivos del estudio. 3. Hipersensibilidad conocida a bilastina o a cualquiera de sus excipientes. 4. Uso de cualquier medicación por vía intranasal. 5. Pacientes en tratamiento sistémico u oral para su rinitis alérgica que no respeten los siguientes periodos de lavado previos a su inclusión en el estudio: - Corticoides depot (3 meses), sistémicos o tópicos (4 semanas). - Antihistamínicos: Astemizol (6 semanas), elastina, loratadina y desloratadina (10 días), otros antihistamínicos sistémicos (3 días). - Antileucotrienos (3 días) - Ketotifeno (2 semanas) - Fármacos con propiedades antihistamínicas (fenotiazina) - Cromoglicato sódico, nedocromil (2 semanas)
Para los tratamientos que no especifican un periodo de lavado entre paréntesis, se considera suficiente con interrumpir el tratamiento el día de comienzo del estudio. 6. Historia de rinitis no alérgica (vasomotora, infecciosa, inducida por fármacos, etc.). 7. Sinusitis crónica o asma bronquial severo. 8. Infección respiratoria en los 30 días previos al inicio del estudio. 9. Enfermedad grave concomitante que pueda interferir con la respuesta al tratamiento (hepática, renal, cardiovascular) o neoplasias. 10. Pacientes con enfermedad mental que impida al sujeto entender la naturaleza, objetivo y consecuencias del estudio o pacientes que no puedan firmar el consentimiento informado. 11. Pacientes con falta de respuesta conocida a antihistamínicos H1. |
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E.5 End points |
E.5.1 | Primary end point(s) |
Parameters to be evaluated by acoustic rhinometry are: a) nasal volume from 2-7 cm. from narine in both nostrils and b) the minimum transverse area (ATM) from 1 cm. from the narine. |
Los parámetros que se evaluarán, mediante rinometría acústica son: a) el volumen nasal entre 2-7 cm. desde la narina en ambas fosas nasales y b) el área transversa mínima (ATM) a partir de 1 cm. desde la narina. |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
Basal, at 15, 30 and 60 minutes after nasal provocation with an allergen. |
Basal, a los 15, 30 y 60 minutos tras la provocación nasal con alérgeno |
|
E.5.2 | Secondary end point(s) |
Evaluation of the clinical response will be done by the patient taking into account the intensity of the following nasal symptoms: rhinorrhea, itching, obstruction and sneezing. |
La evaluación de la respuesta clínica será realizada por el paciente por medio de la intensidad de los siguientes síntomas nasales: rinorrea, picor, obstrucción, y estornudos. |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
Basal, at 15, 30 and 60 minutes after nasal provocation with an allergen. |
Basal, a los 15, 30 y 60 minutos tras la provocación nasal con alérgeno |
|
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 | No |
E.6.4 | Safety | No |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
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) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | Yes |
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.8.2.4 | Number of treatment arms in the trial | 2 |
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.8.4.1 | Number of sites anticipated in Member State concerned | 1 |
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 | No |
E.8.7 | Trial has a data monitoring committee | No |
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
|
LVLS |
LVLS (Última visita del último paciente) |
|
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 0 |
E.8.9.1 | In the Member State concerned months | 3 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 0 |
E.8.9.2 | In all countries concerned by the trial months | 3 |
E.8.9.2 | In all countries concerned by the trial days | 0 |