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    Clinical Trial Results:
    Safety Study of Olopatadine Nasal Spray

    Summary
    EudraCT number
    2017-003846-26
    Trial protocol
    Outside EU/EEA  
    Global end of trial date
    28 Jan 2008

    Results information
    Results version number
    v1(current)
    This version publication date
    25 Jan 2018
    First version publication date
    25 Jan 2018
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    C-05-69
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT00578331
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Alcon Research Ltd
    Sponsor organisation address
    6201 S. Freeway, Fort Worth, Texas, United States, 76134
    Public contact
    Ophthalmology Unit, Novartis Pharmaceuticals, +44 0127666733391, dennis.wong@novartis.com
    Scientific contact
    Ophthalmology Unit, Novartis Pharmaceuticals, +44 0127666733391, dennis.wong@novartis.com
    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?
    Yes
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    28 Jan 2008
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    28 Jan 2008
    Global end of trial reached?
    Yes
    Global end of trial date
    28 Jan 2008
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    The purpose of this study was to describe and compare the safety and efficacy of Olopatadine HCl Nasal Spray 0.6% versus Vehicle when given as two sprays per nostril twice daily (BID) for up to 12 months in subjects with perennial allergic rhinitis (PAR).
    Protection of trial subjects
    Prior to the start of the study, the study protocol, the informed consent and assent documents, patient instruction sheets, the Investigator’s Brochure, as well as any advertising materials used to recruit patients were submitted to institutional review boards (IRBs) and independent ethics committees (IECs). The IRB/IECs reviewed all documents and approved required documents; copies of the approval letters were provided to Alcon. Consistent with both the IRB/IEC’s requirements and all applicable regulations, the Investigators periodically provided study updates to the IRB/IEC. A patient or parent/legal guardian (if necessary, a legally authorized representative) provided informed consent, and children signed an approved assent form when appropriate. This study was conducted in accordance with Good Clinical Practices (GCP) and the ethical principles that have their origins in the Declaration of Helsinki.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    06 Dec 2006
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    United States: 890
    Worldwide total number of subjects
    890
    EEA total number of subjects
    0
    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)
    99
    Adults (18-64 years)
    771
    From 65 to 84 years
    20
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    Subjects were recruited from 80 study centers located in the US.

    Pre-assignment
    Screening details
    This reporting group includes all randomized and treated subjects (890).

    Period 1
    Period 1 title
    Overall (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Olo 0.6%
    Arm description
    Olopatadine HCl 0.6% Nasal Spray, 2 sprays/nostril twice-daily for up to 12 months
    Arm type
    Experimental

    Investigational medicinal product name
    Olopatadine HCl 0.6% Nasal Spray
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Nasal spray
    Routes of administration
    Nasal use
    Dosage and administration details
    2 sprays/nostril twice-daily

    Arm title
    Vehicle
    Arm description
    Olopatadine Vehicle Placebo Nasal Spray, 2 sprays/nostril twice-daily for up to 12 months
    Arm type
    Placebo

    Investigational medicinal product name
    Olopatadine Vehicle Nasal Spray
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Nasal spray
    Routes of administration
    Nasal use
    Dosage and administration details
    2 sprays/nostril twice-daily

    Number of subjects in period 1
    Olo 0.6% Vehicle
    Started
    445
    445
    Completed
    320
    329
    Not completed
    125
    116
         Adverse event, non-fatal
    30
    24
         Treatment Failure
    24
    16
         Decision Unrelated to an Adverse Event
    28
    27
         Protocol Violation
    9
    7
         Lost to follow-up
    20
    29
         Other - Reason not given
    14
    13

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Olo 0.6%
    Reporting group description
    Olopatadine HCl 0.6% Nasal Spray, 2 sprays/nostril twice-daily for up to 12 months

    Reporting group title
    Vehicle
    Reporting group description
    Olopatadine Vehicle Placebo Nasal Spray, 2 sprays/nostril twice-daily for up to 12 months

    Reporting group values
    Olo 0.6% Vehicle Total
    Number of subjects
    445 445 890
    Age categorical
    Units: Subjects
        Adolescents (12-17 years)
    46 53 99
        Adults (18-64 years)
    388 383 771
        ≥ 65 years
    11 9 20
    Gender categorical
    Units: Subjects
        Female
    282 296 578
        Male
    163 149 312

    End points

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    End points reporting groups
    Reporting group title
    Olo 0.6%
    Reporting group description
    Olopatadine HCl 0.6% Nasal Spray, 2 sprays/nostril twice-daily for up to 12 months

    Reporting group title
    Vehicle
    Reporting group description
    Olopatadine Vehicle Placebo Nasal Spray, 2 sprays/nostril twice-daily for up to 12 months

    Primary: Mean Patient-Rated Relief Assessment at Day 30 by Treatment Group

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    End point title
    Mean Patient-Rated Relief Assessment at Day 30 by Treatment Group
    End point description
    At each post-treatment visit, subjects answered the symptom relief question: “I would rate the study medication’s effectiveness for relieving my allergy symptoms since my last visit as:” on a 4-point scale, where 1=Complete Relief, 2=Moderate Relief, 3=Mild Relief, and 4=No Relief. This analysis population includes all subjects who received drug and had at least one on-therapy visit (Intent-to-Treat Analysis Set), with non-missing data.
    End point type
    Primary
    End point timeframe
    Day 30
    End point values
    Olo 0.6% Vehicle
    Number of subjects analysed
    431
    430
    Units: units on a scale
        arithmetic mean (standard deviation)
    2.5 ± 0.9
    2.7 ± 0.9
    Statistical analysis title
    Response to Subject-Rated Relief Assessment
    Comparison groups
    Olo 0.6% v Vehicle
    Number of subjects included in analysis
    861
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.0011
    Method
    t-test, 2-sided
    Confidence interval

    Secondary: Average number of days rescue medication was used

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    End point title
    Average number of days rescue medication was used
    End point description
    Use of rescue medication (pseudoephedrine) was recorded by the subject in a dosing diary.
    End point type
    Secondary
    End point timeframe
    Up through Month 12
    End point values
    Olo 0.6% Vehicle
    Number of subjects analysed
    439 [1]
    439 [2]
    Units: days
        arithmetic mean (standard deviation)
    11.8 ± 26.6
    10.2 ± 22.4
    Notes
    [1] - Intent-to-treat with non-missing data
    [2] - Intent-to-treat with non-missing data
    No statistical analyses for this end point

    Secondary: Mean Patient-Rated Relief Assessment for Months 1 to 12 by Treatment Group

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    End point title
    Mean Patient-Rated Relief Assessment for Months 1 to 12 by Treatment Group
    End point description
    At each post-treatment visit, subjects answered the symptom relief question: “I would rate the study medication’s effectiveness for relieving my allergy symptoms since my last visit as:” on a 4-point scale, where 1=Complete Relief, 2=Moderate Relief, 3=Mild Relief, and 4=No Relief. Ratings were averaged over the entire study. Intent-to-Treat with non-missing response.
    End point type
    Secondary
    End point timeframe
    Up through Month 12
    End point values
    Olo 0.6% Vehicle
    Number of subjects analysed
    438
    437
    Units: units on a scale
        arithmetic mean (standard deviation)
    2.5 ± 0.8
    2.6 ± 0.9
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Adverse events are collected from First Patient First Visit (FPFV) until Last Patient Last Visit (LPLV). All adverse events reported in this record are from date of First Patient First Treatment until Last Patient Last Visit.
    Adverse event reporting additional description
    Only total subjects affected by non-serious AEs that occur at >5% are reported.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    9.0
    Reporting groups
    Reporting group title
    Olo 0.6%
    Reporting group description
    Olopatadine HCl 0.6% Nasal Spray, 2 sprays/nostril twice-daily for up to 12 months

    Reporting group title
    Vehicle
    Reporting group description
    Olopatadine Vehicle Placebo Nasal Spray, 2 sprays/nostril twice-daily for up to 12 months

    Serious adverse events
    Olo 0.6% Vehicle
    Total subjects affected by serious adverse events
         subjects affected / exposed
    15 / 445 (3.37%)
    15 / 445 (3.37%)
         number of deaths (all causes)
    0
    2
         number of deaths resulting from adverse events
    0
    2
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Lung neoplasm malignant
         subjects affected / exposed
    1 / 445 (0.22%)
    0 / 445 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Thyroid neoplasm
         subjects affected / exposed
    1 / 445 (0.22%)
    0 / 445 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Uterine leiomyoma
         subjects affected / exposed
    1 / 445 (0.22%)
    1 / 445 (0.22%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Injury, poisoning and procedural complications
    Accidental overdose
         subjects affected / exposed
    0 / 445 (0.00%)
    1 / 445 (0.22%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    Injury
         subjects affected / exposed
    2 / 445 (0.45%)
    3 / 445 (0.67%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 4
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    Post procedural complication
         subjects affected / exposed
    0 / 445 (0.00%)
    1 / 445 (0.22%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Congenital, familial and genetic disorders
    Hip dysplasia
         subjects affected / exposed
    1 / 445 (0.22%)
    0 / 445 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Vascular disorders
    Peripheral embolism
         subjects affected / exposed
    1 / 445 (0.22%)
    0 / 445 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Surgical and medical procedures
    Cholecystectomy
         subjects affected / exposed
    1 / 445 (0.22%)
    0 / 445 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hysterectomy
         subjects affected / exposed
    0 / 445 (0.00%)
    1 / 445 (0.22%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Intervertebral disc operation
         subjects affected / exposed
    0 / 445 (0.00%)
    1 / 445 (0.22%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Joint surgery
         subjects affected / exposed
    0 / 445 (0.00%)
    1 / 445 (0.22%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Knee arthroplasty
         subjects affected / exposed
    1 / 445 (0.22%)
    0 / 445 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Thyroidectomy
         subjects affected / exposed
    0 / 445 (0.00%)
    1 / 445 (0.22%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Nervous system disorders
    Headache
         subjects affected / exposed
    0 / 445 (0.00%)
    1 / 445 (0.22%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pregnancy, puerperium and perinatal conditions
    Hyperemesis gravidarum
         subjects affected / exposed
    1 / 445 (0.22%)
    0 / 445 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gastrointestinal disorders
    Faecaloma
         subjects affected / exposed
    0 / 445 (0.00%)
    1 / 445 (0.22%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gastrooesophageal reflux disease
         subjects affected / exposed
    0 / 445 (0.00%)
    1 / 445 (0.22%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hiatus hernia
         subjects affected / exposed
    0 / 445 (0.00%)
    1 / 445 (0.22%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Small intestinal obstruction
         subjects affected / exposed
    1 / 445 (0.22%)
    0 / 445 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Reproductive system and breast disorders
    Genital prolapse
         subjects affected / exposed
    0 / 445 (0.00%)
    1 / 445 (0.22%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Pneumothorax
         subjects affected / exposed
    0 / 445 (0.00%)
    1 / 445 (0.22%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pulmonary embolism
         subjects affected / exposed
    1 / 445 (0.22%)
    0 / 445 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Psychiatric disorders
    Depression
         subjects affected / exposed
    3 / 445 (0.67%)
    0 / 445 (0.00%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Infections and infestations
    Appendicitis
         subjects affected / exposed
    1 / 445 (0.22%)
    1 / 445 (0.22%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Olo 0.6% Vehicle
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    309 / 445 (69.44%)
    319 / 445 (71.69%)
    Injury, poisoning and procedural complications
    Injury
         subjects affected / exposed
    31 / 445 (6.97%)
    49 / 445 (11.01%)
         occurrences all number
    34
    61
    Nervous system disorders
    Dysgeusia
         subjects affected / exposed
    29 / 445 (6.52%)
    3 / 445 (0.67%)
         occurrences all number
    30
    3
    Headache
         subjects affected / exposed
    57 / 445 (12.81%)
    56 / 445 (12.58%)
         occurrences all number
    123
    110
    Sinus headache
         subjects affected / exposed
    15 / 445 (3.37%)
    23 / 445 (5.17%)
         occurrences all number
    21
    42
    Immune system disorders
    Seasonal allergy
         subjects affected / exposed
    28 / 445 (6.29%)
    29 / 445 (6.52%)
         occurrences all number
    44
    62
    Respiratory, thoracic and mediastinal disorders
    Asthma
         subjects affected / exposed
    29 / 445 (6.52%)
    24 / 445 (5.39%)
         occurrences all number
    36
    33
    Cough
         subjects affected / exposed
    23 / 445 (5.17%)
    23 / 445 (5.17%)
         occurrences all number
    32
    29
    Epistaxis
         subjects affected / exposed
    111 / 445 (24.94%)
    126 / 445 (28.31%)
         occurrences all number
    189
    212
    Nasal ulcer
         subjects affected / exposed
    46 / 445 (10.34%)
    38 / 445 (8.54%)
         occurrences all number
    62
    52
    Pharyngolaryngeal pain
         subjects affected / exposed
    21 / 445 (4.72%)
    26 / 445 (5.84%)
         occurrences all number
    24
    29
    Rhinitis allergic
         subjects affected / exposed
    46 / 445 (10.34%)
    65 / 445 (14.61%)
         occurrences all number
    97
    148
    Infections and infestations
    Bronchitis
         subjects affected / exposed
    23 / 445 (5.17%)
    19 / 445 (4.27%)
         occurrences all number
    25
    21
    Nasopharyngitis
         subjects affected / exposed
    72 / 445 (16.18%)
    67 / 445 (15.06%)
         occurrences all number
    98
    90
    Rhinitis
         subjects affected / exposed
    87 / 445 (19.55%)
    73 / 445 (16.40%)
         occurrences all number
    126
    108
    Sinusitis
         subjects affected / exposed
    66 / 445 (14.83%)
    58 / 445 (13.03%)
         occurrences all number
    96
    72
    Upper respiratory tract infection
         subjects affected / exposed
    73 / 445 (16.40%)
    75 / 445 (16.85%)
         occurrences all number
    97
    102

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? No

    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
    For support, Contact us.
    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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