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    Clinical Trial Results:
    A multicentre, open-label clinical trial to assess plasma levels and safety of bilastine in children from 2 to 5 years of age with seasonal and/or perennial allergic rhinoconjunctivitis or urticaria

    Summary
    EudraCT number
    2021-003011-26
    Trial protocol
    SK   LT   PL  
    Global end of trial date
    21 Apr 2022

    Results information
    Results version number
    v1(current)
    This version publication date
    21 Mar 2024
    First version publication date
    21 Mar 2024
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    BILA-4021/PED
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    -
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    FAES FARMA, S.A.
    Sponsor organisation address
    Avenida Autonomía 10, Leioa (Bizkaia) , Spain, 48940
    Public contact
    Clinical Research Derpartment, FAES FARMA S.A., clinical_rd@faes.es
    Scientific contact
    Clinical Research Derpartment, FAES FARMA S.A., clinical_rd@faes.es
    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?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    30 Jun 2022
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    08 Apr 2022
    Global end of trial reached?
    Yes
    Global end of trial date
    21 Apr 2022
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To obtain bilastine plasma concentrations after the administration of multiple oral doses over a treatment period of 7 (+3) days in children between the ages of 2 and 5 years old with seasonal and/or perennial allergic rhinoconjunctivitis (SAR/PAR) or urticaria.
    Protection of trial subjects
    The trial will be conducted in compliance with this protocol, by the trial personnel, who are qualified by education, training, and experienced in their roles, with adherence to Good Clinical Practice (GCP), the applicable regulatory requirements, and ethical principles based on the Declaration of Helsinki.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    02 Dec 2021
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Poland: 6
    Country: Number of subjects enrolled
    Slovakia: 19
    Country: Number of subjects enrolled
    Lithuania: 14
    Worldwide total number of subjects
    39
    EEA total number of subjects
    39
    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)
    39
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    0
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    39 subjects were enrolled in 7 active sites in 3 European countries: Lithuania (2 sites), Poland (1 site) and Slovakia (4 sites), 38 subjects were randomised.

    Pre-assignment
    Screening details
    Subjects who met all the inclusion criteria and none of the exclusion criteria. 39 subjects were enrolled to the trial. 1 subject was a screening failure, for 1 subject consent was withdrawn before IMP intake.

    Pre-assignment period milestones
    Number of subjects started
    39
    Number of subjects completed
    38

    Pre-assignment subject non-completion reasons
    Reason: Number of subjects
    Screening failures: 1
    Period 1
    Period 1 title
    Baseline Period
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Not blinded

    Arms
    Arm title
    Overall - Bilastine
    Arm description
    Children aged 2 to 5 years with allergic rhinoconjunctivitis or urticaria. All eligible subjects were treated with a dose of 10 mg bilastine orodispersible tablets once daily and were randomised in a 1:1:1 ratio to one of 3 PK blood sampling groups, stratified by age group (≥ 2 to < 4 years of age; ≥ 4 to ≤ 5 years of age).
    Arm type
    Open-label trial with only one treatment arm

    Investigational medicinal product name
    Bilastine orodispersible tablets 10 mg
    Investigational medicinal product code
    Bilastine
    Other name
    Bilaxten
    Pharmaceutical forms
    Orodispersible tablet
    Routes of administration
    Oral use
    Dosage and administration details
    All subjects received 10 mg of bilastine orally, once daily, preferably in the morning and at the same time every day for 7 (+3) days (all subjects) or 14 (+6) days (based on investigator’s decision). The IMP was taken under fasting conditions, 1 hour before or 2 hours after intake of food. In case fruits, fruit juices, meals containing fruits or soft drinks were consumed, the medication was recommended to be taken either 3 hours before or 3 hours afterwards. The details of IMP intake were described in the IMP intake instructions.

    Number of subjects in period 1 [1]
    Overall - Bilastine
    Started
    38
    Completed
    37
    Not completed
    1
         Consent withdrawn by subject
    1
    Notes
    [1] - The number of subjects reported to be in the baseline period are not the same as the worldwide number enrolled in the trial. It is expected that these numbers will be the same.
    Justification: Number of subjects in the baseline period are defined as subjects who met all the inclusion criteria and none of the exclusion criteria. 39 subjects were enrolled to the trial. 1 subject was a screening failure
    Period 2
    Period 2 title
    Overall Treatment Period
    Is this the baseline period?
    No
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Arm title
    Overall - Bilastine
    Arm description
    Children aged 2 to 5 years with allergic rhinoconjunctivitis or urticaria. All eligible subjects were treated with a dose of 10 mg bilastine orodispersible tablets once daily and were randomised in a 1:1:1 ratio to one of 3 PK blood sampling groups, stratified by age group (≥ 2 to < 4 years of age; ≥ 4 to ≤ 5 years of age).
    Arm type
    Open-label trial with only one treatment arm

    Investigational medicinal product name
    Bilastine orodispersible tablets 10 mg
    Investigational medicinal product code
    Bilastine
    Other name
    Bilaxten
    Pharmaceutical forms
    Orodispersible tablet
    Routes of administration
    Oral use
    Dosage and administration details
    All subjects received 10 mg of bilastine orally, once daily, preferably in the morning and at the same time every day for 7 (+3) days (all subjects) or 14 (+6) days (based on investigator’s decision). The IMP was taken under fasting conditions, 1 hour before or 2 hours after intake of food. In case fruits, fruit juices, meals containing fruits or soft drinks were consumed, the medication was recommended to be taken either 3 hours before or 3 hours afterwards. The details of IMP intake were described in the IMP intake instructions.

    Number of subjects in period 2
    Overall - Bilastine
    Started
    37
    Completed
    36
    Not completed
    1
         Consent withdrawn by subject
    1
    Period 3
    Period 3 title
    Completion Period
    Is this the baseline period?
    No
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Arm title
    Overall - Bilastine
    Arm description
    Children aged 2 to 5 years with allergic rhinoconjunctivitis or urticaria. All eligible subjects were treated with a dose of 10 mg bilastine orodispersible tablets once daily and were randomised in a 1:1:1 ratio to one of 3 PK blood sampling groups, stratified by age group (≥ 2 to < 4 years of age; ≥ 4 to ≤ 5 years of age).
    Arm type
    Open-label trial with only one treatment arm

    Investigational medicinal product name
    Bilastine orodispersible tablets 10 mg
    Investigational medicinal product code
    Bilastine
    Other name
    Bilaxten
    Pharmaceutical forms
    Orodispersible tablet
    Routes of administration
    Oral use
    Dosage and administration details
    All subjects received 10 mg of bilastine orally, once daily, preferably in the morning and at the same time every day for 7 (+3) days (all subjects) or 14 (+6) days (based on investigator’s decision). The IMP was taken under fasting conditions, 1 hour before or 2 hours after intake of food. In case fruits, fruit juices, meals containing fruits or soft drinks were consumed, the medication was recommended to be taken either 3 hours before or 3 hours afterwards. The details of IMP intake were described in the IMP intake instructions.

    Number of subjects in period 3
    Overall - Bilastine
    Started
    36
    Completed
    28
    Not completed
    8
         Agreed with sponsor to skip Visit 4
    3
         Physician decision
    4
         Protocol deviation
    1
    Period 4
    Period 4 title
    Follow-Up Period
    Is this the baseline period?
    No
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Arm title
    Overall - Bilastine
    Arm description
    Children aged 2 to 5 years with allergic rhinoconjunctivitis or urticaria. All eligible subjects were treated with a dose of 10 mg bilastine orodispersible tablets once daily and were randomised in a 1:1:1 ratio to one of 3 PK blood sampling groups, stratified by age group (≥ 2 to < 4 years of age; ≥ 4 to ≤ 5 years of age).
    Arm type
    Open-label trial with only one treatment arm

    Investigational medicinal product name
    Bilastine orodispersible tablets 10 mg
    Investigational medicinal product code
    Bilastine
    Other name
    Bilaxten
    Pharmaceutical forms
    Orodispersible tablet
    Routes of administration
    Oral use
    Dosage and administration details
    All subjects received 10 mg of bilastine orally, once daily, preferably in the morning and at the same time every day for 7 (+3) days (all subjects) or 14 (+6) days (based on investigator’s decision). The IMP was taken under fasting conditions, 1 hour before or 2 hours after intake of food. In case fruits, fruit juices, meals containing fruits or soft drinks were consumed, the medication was recommended to be taken either 3 hours before or 3 hours afterwards. The details of IMP intake were described in the IMP intake instructions.

    Number of subjects in period 4
    Overall - Bilastine
    Started
    28
    Completed
    28

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Overall - Bilastine
    Reporting group description
    Children aged 2 to 5 years with allergic rhinoconjunctivitis or urticaria. All eligible subjects were treated with a dose of 10 mg bilastine orodispersible tablets once daily and were randomised in a 1:1:1 ratio to one of 3 PK blood sampling groups, stratified by age group (≥ 2 to < 4 years of age; ≥ 4 to ≤ 5 years of age).

    Reporting group values
    Overall - Bilastine Total
    Number of subjects
    38 38
    Age categorical
    Units: Subjects
        In utero
    0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0
        Newborns (0-27 days)
    0 0
        Infants and toddlers (28 days-23 months)
    0 0
        Children (2-11 years)
    38 38
        Adolescents (12-17 years)
    0 0
        Adults (18-64 years)
    0 0
        From 65-84 years
    0 0
        85 years and over
    0 0
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    3.7 ± 1.06 -
    Gender categorical
    Units: Subjects
        Female
    11 11
        Male
    27 27
    Subject analysis sets

    Subject analysis set title
    Safety population
    Subject analysis set type
    Safety analysis
    Subject analysis set description
    The safety set (SAF) was defined as all subjects who received at least one dose of IMP.

    Subject analysis set title
    PK-Set
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    The PK set was defined as all subjects who received at least one dose of IMP and had at least one plasma concentration result.

    Subject analysis set title
    PK group 1
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Subjects of Safety Set set were randomly assigned to one of the 3 pharmacokinetic (PK) blood sampling groups, the randomisation ratio was 1:1:1 with a stratification by age group (children from ≥ 2 to < 4 years of age and children from ≥ 4 to ≤ 5 years of age).

    Subject analysis set title
    PK group 2
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Subjects of Safety Set set were randomly assigned to one of the 3 pharmacokinetic (PK) blood sampling groups, the randomisation ratio was 1:1:1 with a stratification by age group (children from ≥ 2 to < 4 years of age and children from ≥ 4 to ≤ 5 years of age).

    Subject analysis set title
    PK group 3
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Subjects of Safety Set set were randomly assigned to one of the 3 pharmacokinetic (PK) blood sampling groups, the randomisation ratio was 1:1:1 with a stratification by age group (children from ≥ 2 to < 4 years of age and children from ≥ 4 to ≤ 5 years of age).

    Subject analysis sets values
    Safety population PK-Set PK group 1 PK group 2 PK group 3
    Number of subjects
    37
    35
    12
    13
    12
    Age categorical
    Units: Subjects
        In utero
    0
    0
    0
    0
    0
        Preterm newborn infants (gestational age < 37 wks)
    0
    0
    0
    0
    0
        Newborns (0-27 days)
    0
    0
    0
    0
    0
        Infants and toddlers (28 days-23 months)
    0
    0
    0
    0
    0
        Children (2-11 years)
    37
    35
    12
    13
    12
        Adolescents (12-17 years)
    0
    0
    0
    0
    0
        Adults (18-64 years)
    0
    0
    0
    0
    0
        From 65-84 years
    0
    0
    0
    0
    0
        85 years and over
    0
    0
    0
    0
    0
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    3.7 ± 1.06
    3.7 ± 1.05
    3.6 ± 1.16
    3.6 ± 0.96
    3.8 ± 1.11
    Gender categorical
    Units: Subjects
        Female
    11
    11
    3
    3
    5
        Male
    26
    24
    9
    10
    7

    End points

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    End points reporting groups
    Reporting group title
    Overall - Bilastine
    Reporting group description
    Children aged 2 to 5 years with allergic rhinoconjunctivitis or urticaria. All eligible subjects were treated with a dose of 10 mg bilastine orodispersible tablets once daily and were randomised in a 1:1:1 ratio to one of 3 PK blood sampling groups, stratified by age group (≥ 2 to < 4 years of age; ≥ 4 to ≤ 5 years of age).
    Reporting group title
    Overall - Bilastine
    Reporting group description
    Children aged 2 to 5 years with allergic rhinoconjunctivitis or urticaria. All eligible subjects were treated with a dose of 10 mg bilastine orodispersible tablets once daily and were randomised in a 1:1:1 ratio to one of 3 PK blood sampling groups, stratified by age group (≥ 2 to < 4 years of age; ≥ 4 to ≤ 5 years of age).
    Reporting group title
    Overall - Bilastine
    Reporting group description
    Children aged 2 to 5 years with allergic rhinoconjunctivitis or urticaria. All eligible subjects were treated with a dose of 10 mg bilastine orodispersible tablets once daily and were randomised in a 1:1:1 ratio to one of 3 PK blood sampling groups, stratified by age group (≥ 2 to < 4 years of age; ≥ 4 to ≤ 5 years of age).
    Reporting group title
    Overall - Bilastine
    Reporting group description
    Children aged 2 to 5 years with allergic rhinoconjunctivitis or urticaria. All eligible subjects were treated with a dose of 10 mg bilastine orodispersible tablets once daily and were randomised in a 1:1:1 ratio to one of 3 PK blood sampling groups, stratified by age group (≥ 2 to < 4 years of age; ≥ 4 to ≤ 5 years of age).

    Subject analysis set title
    Safety population
    Subject analysis set type
    Safety analysis
    Subject analysis set description
    The safety set (SAF) was defined as all subjects who received at least one dose of IMP.

    Subject analysis set title
    PK-Set
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    The PK set was defined as all subjects who received at least one dose of IMP and had at least one plasma concentration result.

    Subject analysis set title
    PK group 1
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Subjects of Safety Set set were randomly assigned to one of the 3 pharmacokinetic (PK) blood sampling groups, the randomisation ratio was 1:1:1 with a stratification by age group (children from ≥ 2 to < 4 years of age and children from ≥ 4 to ≤ 5 years of age).

    Subject analysis set title
    PK group 2
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Subjects of Safety Set set were randomly assigned to one of the 3 pharmacokinetic (PK) blood sampling groups, the randomisation ratio was 1:1:1 with a stratification by age group (children from ≥ 2 to < 4 years of age and children from ≥ 4 to ≤ 5 years of age).

    Subject analysis set title
    PK group 3
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Subjects of Safety Set set were randomly assigned to one of the 3 pharmacokinetic (PK) blood sampling groups, the randomisation ratio was 1:1:1 with a stratification by age group (children from ≥ 2 to < 4 years of age and children from ≥ 4 to ≤ 5 years of age).

    Primary: Bilastine plasma concentrations at 0.25 h

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    End point title
    Bilastine plasma concentrations at 0.25 h [1]
    End point description
    When comparing the individual subject’s data, highest bilastine plasma concentration values were observed 0.5, 1 and 2 hours after IMP intake (up to 583.35 ng/mL, 634.91 ng/mL and 375.81 ng/mL, respectively) while values decreased at 4, 6 and 12 hours after IMP intake to individual values below 100 ng/mL except for one subject with 154.20 ng/mL after 4 hours. Here the maximum value (ng/ml) for bilastine plasma concentrations at 0.25 hours after intake is stated.
    End point type
    Primary
    End point timeframe
    At 0.25h
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: The primary endpoint of this trial was only to assess the values for bilastine plasma concentrations. A PK analysis including PK modelling will be performed out of scope of this trial and results will be provided as a separate report.
    End point values
    PK-Set
    Number of subjects analysed
    35
    Units: ng/mL
        number (not applicable)
    219.11
    No statistical analyses for this end point

    Primary: Bilastine plasma concentrations at 0.5 h

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    End point title
    Bilastine plasma concentrations at 0.5 h [2]
    End point description
    When comparing the individual subject’s data, highest bilastine plasma concentration values were observed 0.5, 1 and 2 hours after IMP intake (up to 583.35 ng/mL, 634.91 ng/mL and 375.81 ng/mL, respectively) while values decreased at 4, 6 and 12 hours after IMP intake to individual values below 100 ng/mL except for one subject with 154.20 ng/mL after 4 hours. Here the maximum value (ng/ml) for bilastine plasma concentrations at 0.5 hours after intake is stated.
    End point type
    Primary
    End point timeframe
    At 0.5 h
    Notes
    [2] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: The primary endpoint of this trial was only to assess the values for bilastine plasma concentrations. A PK analysis including PK modelling will be performed out of scope of this trial and results will be provided as a separate report.
    End point values
    PK-Set
    Number of subjects analysed
    35
    Units: ng/mL
        number (not applicable)
    583.35
    No statistical analyses for this end point

    Primary: Bilastine plasma concentrations at 1 h

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    End point title
    Bilastine plasma concentrations at 1 h [3]
    End point description
    When comparing the individual subject’s data, highest bilastine plasma concentration values were observed 0.5, 1 and 2 hours after IMP intake (up to 583.35 ng/mL, 634.91 ng/mL and 375.81 ng/mL, respectively) while values decreased at 4, 6 and 12 hours after IMP intake to individual values below 100 ng/mL except for one subject with 154.20 ng/mL after 4 hours. Here the maximum value (ng/ml) for bilastine plasma concentrations at 1 hour after intake is stated.
    End point type
    Primary
    End point timeframe
    At 1 h.
    Notes
    [3] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: The primary endpoint of this trial was only to assess the values for bilastine plasma concentrations. A PK analysis including PK modelling will be performed out of scope of this trial and results will be provided as a separate report.
    End point values
    PK-Set
    Number of subjects analysed
    35
    Units: ng/mL
        number (not applicable)
    634.91
    No statistical analyses for this end point

    Primary: Bilastine plasma concentrations at 2 h

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    End point title
    Bilastine plasma concentrations at 2 h [4]
    End point description
    When comparing the individual subject’s data, highest bilastine plasma concentration values were observed 0.5, 1 and 2 hours after IMP intake (up to 583.35 ng/mL, 634.91 ng/mL and 375.81 ng/mL, respectively) while values decreased at 4, 6 and 12 hours after IMP intake to individual values below 100 ng/mL except for one subject with 154.20 ng/mL after 4 hours. Here the maximum value (ng/ml) for bilastine plasma concentrations at 2 hours after intake is stated.
    End point type
    Primary
    End point timeframe
    At 2 h.
    Notes
    [4] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: The primary endpoint of this trial was only to assess the values for bilastine plasma concentrations. A PK analysis including PK modelling will be performed out of scope of this trial and results will be provided as a separate report.
    End point values
    PK-Set
    Number of subjects analysed
    35
    Units: ng/mL
        number (not applicable)
    375.81
    No statistical analyses for this end point

    Primary: Bilastine plasma concentrations at 4 h

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    End point title
    Bilastine plasma concentrations at 4 h [5]
    End point description
    When comparing the individual subject’s data, highest bilastine plasma concentration values were observed 0.5, 1 and 2 hours after IMP intake (up to 583.35 ng/mL, 634.91 ng/mL and 375.81 ng/mL, respectively) while values decreased at 4, 6 and 12 hours after IMP intake to individual values below 100 ng/mL except for one subject with 154.20 ng/mL after 4 hours. Here the maximum value (ng/ml) for bilastine plasma concentrations at 4 hours after intake is stated.
    End point type
    Primary
    End point timeframe
    At 4 h.
    Notes
    [5] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: The primary endpoint of this trial was only to assess the values for bilastine plasma concentrations. A PK analysis including PK modelling will be performed out of scope of this trial and results will be provided as a separate report.
    End point values
    PK-Set
    Number of subjects analysed
    35
    Units: ng/mL
        number (not applicable)
    154.20
    No statistical analyses for this end point

    Primary: Bilastine plasma concentrations at 6 h

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    End point title
    Bilastine plasma concentrations at 6 h [6]
    End point description
    When comparing the individual subject’s data, highest bilastine plasma concentration values were observed 0.5, 1 and 2 hours after IMP intake (up to 583.35 ng/mL, 634.91 ng/mL and 375.81 ng/mL, respectively) while values decreased at 4, 6 and 12 hours after IMP intake to individual values below 100 ng/mL except for one subject with 154.20 ng/mL after 4 hours. Here the maximum value (ng/ml) for bilastine plasma concentrations at 6 hours after intake is stated.
    End point type
    Primary
    End point timeframe
    At 6 h.
    Notes
    [6] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: The primary endpoint of this trial was only to assess the values for bilastine plasma concentrations. A PK analysis including PK modelling will be performed out of scope of this trial and results will be provided as a separate report.
    End point values
    PK-Set
    Number of subjects analysed
    35
    Units: ng/mL
        number (not applicable)
    83.97
    No statistical analyses for this end point

    Primary: Bilastine plasma concentrations at 12 h

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    End point title
    Bilastine plasma concentrations at 12 h [7]
    End point description
    When comparing the individual subject’s data, highest bilastine plasma concentration values were observed 0.5, 1 and 2 hours after IMP intake (up to 583.35 ng/mL, 634.91 ng/mL and 375.81 ng/mL, respectively) while values decreased at 4, 6 and 12 hours after IMP intake to individual values below 100 ng/mL except for one subject with 154.20 ng/mL after 4 hours. Here the maximum value (ng/ml) for bilastine plasma concentrations at 12 hours after intake is stated.
    End point type
    Primary
    End point timeframe
    At 12 h.
    Notes
    [7] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: The primary endpoint of this trial was only to assess the values for bilastine plasma concentrations. A PK analysis including PK modelling will be performed out of scope of this trial and results will be provided as a separate report.
    End point values
    PK-Set
    Number of subjects analysed
    35
    Units: ng/mL
        number (not applicable)
    16.74
    No statistical analyses for this end point

    Primary: Bilastine plasma concentrations at 0.25 h

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    End point title
    Bilastine plasma concentrations at 0.25 h [8]
    End point description
    When comparing the individual subject’s data, highest bilastine plasma concentration values were observed 0.5, 1 and 2 hours after IMP intake (up to 583.35 ng/mL, 634.91 ng/mL and 375.81 ng/mL, respectively) while values decreased at 4, 6 and 12 hours after IMP intake to individual values below 100 ng/mL except for one subject with 154.20 ng/mL after 4 hours. Here the minimum value (ng/ml) for bilastine plasma concentrations at 0.25 hours after intake is stated.
    End point type
    Primary
    End point timeframe
    At 0.25 h.
    Notes
    [8] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: The primary endpoint of this trial was only to assess the values for bilastine plasma concentrations. A PK analysis including PK modelling will be performed out of scope of this trial and results will be provided as a separate report.
    End point values
    PK-Set
    Number of subjects analysed
    35
    Units: ng/mL
        number (not applicable)
    0.94
    No statistical analyses for this end point

    Primary: Bilastine plasma concentrations at 0.5 h

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    End point title
    Bilastine plasma concentrations at 0.5 h [9]
    End point description
    When comparing the individual subject’s data, highest bilastine plasma concentration values were observed 0.5, 1 and 2 hours after IMP intake (up to 583.35 ng/mL, 634.91 ng/mL and 375.81 ng/mL, respectively) while values decreased at 4, 6 and 12 hours after IMP intake to individual values below 100 ng/mL except for one subject with 154.20 ng/mL after 4 hours. Here the minimum value (ng/ml) for bilastine plasma concentrations at 0.5 hours after intake is stated.
    End point type
    Primary
    End point timeframe
    At 0.5 h.
    Notes
    [9] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: The primary endpoint of this trial was only to assess the values for bilastine plasma concentrations. A PK analysis including PK modelling will be performed out of scope of this trial and results will be provided as a separate report.
    End point values
    PK-Set
    Number of subjects analysed
    35
    Units: ng/mL
        number (not applicable)
    62.15
    No statistical analyses for this end point

    Primary: Bilastine plasma concentrations at 1 h

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    End point title
    Bilastine plasma concentrations at 1 h [10]
    End point description
    When comparing the individual subject’s data, highest bilastine plasma concentration values were observed 0.5, 1 and 2 hours after IMP intake (up to 583.35 ng/mL, 634.91 ng/mL and 375.81 ng/mL, respectively) while values decreased at 4, 6 and 12 hours after IMP intake to individual values below 100 ng/mL except for one subject with 154.20 ng/mL after 4 hours. Here the minimum value (ng/ml) for bilastine plasma concentrations at 1 hour after intake is stated.
    End point type
    Primary
    End point timeframe
    At 1 h.
    Notes
    [10] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: The primary endpoint of this trial was only to assess the values for bilastine plasma concentrations. A PK analysis including PK modelling will be performed out of scope of this trial and results will be provided as a separate report.
    End point values
    PK-Set
    Number of subjects analysed
    35
    Units: ng/mL
        number (not applicable)
    9.12
    No statistical analyses for this end point

    Primary: Bilastine plasma concentrations at 2 h

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    End point title
    Bilastine plasma concentrations at 2 h [11]
    End point description
    When comparing the individual subject’s data, highest bilastine plasma concentration values were observed 0.5, 1 and 2 hours after IMP intake (up to 583.35 ng/mL, 634.91 ng/mL and 375.81 ng/mL, respectively) while values decreased at 4, 6 and 12 hours after IMP intake to individual values below 100 ng/mL except for one subject with 154.20 ng/mL after 4 hours. Here the minimum value (ng/ml) for bilastine plasma concentrations at 2 hours after intake is stated.
    End point type
    Primary
    End point timeframe
    At 2 h.
    Notes
    [11] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: The primary endpoint of this trial was only to assess the values for bilastine plasma concentrations. A PK analysis including PK modelling will be performed out of scope of this trial and results will be provided as a separate report.
    End point values
    PK-Set
    Number of subjects analysed
    35
    Units: ng/mL
        number (not applicable)
    70.63
    No statistical analyses for this end point

    Primary: Bilastine plasma concentrations at 4 h

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    End point title
    Bilastine plasma concentrations at 4 h [12]
    End point description
    When comparing the individual subject’s data, highest bilastine plasma concentration values were observed 0.5, 1 and 2 hours after IMP intake (up to 583.35 ng/mL, 634.91 ng/mL and 375.81 ng/mL, respectively) while values decreased at 4, 6 and 12 hours after IMP intake to individual values below 100 ng/mL except for one subject with 154.20 ng/mL after 4 hours. Here the minimum value (ng/ml) for bilastine plasma concentrations at 4 hours after intake is stated.
    End point type
    Primary
    End point timeframe
    At 4 h.
    Notes
    [12] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: The primary endpoint of this trial was only to assess the values for bilastine plasma concentrations. A PK analysis including PK modelling will be performed out of scope of this trial and results will be provided as a separate report.
    End point values
    PK-Set
    Number of subjects analysed
    35
    Units: ng/mL
        number (not applicable)
    31.56
    No statistical analyses for this end point

    Primary: Bilastine plasma concentrations at 6 h

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    End point title
    Bilastine plasma concentrations at 6 h [13]
    End point description
    When comparing the individual subject’s data, highest bilastine plasma concentration values were observed 0.5, 1 and 2 hours after IMP intake (up to 583.35 ng/mL, 634.91 ng/mL and 375.81 ng/mL, respectively) while values decreased at 4, 6 and 12 hours after IMP intake to individual values below 100 ng/mL except for one subject with 154.20 ng/mL after 4 hours. Here the minimum value (ng/ml) for bilastine plasma concentrations at 6 hours after intake is stated.
    End point type
    Primary
    End point timeframe
    At 6 h.
    Notes
    [13] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: The primary endpoint of this trial was only to assess the values for bilastine plasma concentrations. A PK analysis including PK modelling will be performed out of scope of this trial and results will be provided as a separate report.
    End point values
    PK-Set
    Number of subjects analysed
    35
    Units: ng/mL
        number (not applicable)
    0.58
    No statistical analyses for this end point

    Primary: Bilastine plasma concentrations at 12 h

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    End point title
    Bilastine plasma concentrations at 12 h [14]
    End point description
    When comparing the individual subject’s data, highest bilastine plasma concentration values were observed 0.5, 1 and 2 hours after IMP intake (up to 583.35 ng/mL, 634.91 ng/mL and 375.81 ng/mL, respectively) while values decreased at 4, 6 and 12 hours after IMP intake to individual values below 100 ng/mL except for one subject with 154.20 ng/mL after 4 hours. Here the minimum value (ng/ml) for bilastine plasma concentrations at 12 hours after intake is stated.
    End point type
    Primary
    End point timeframe
    At 12 h.
    Notes
    [14] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: The primary endpoint of this trial was only to assess the values for bilastine plasma concentrations. A PK analysis including PK modelling will be performed out of scope of this trial and results will be provided as a separate report.
    End point values
    PK-Set
    Number of subjects analysed
    35
    Units: ng/mL
        number (not applicable)
    0.20
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    In this clinical trial all untoward events with onset or worsening after the first intake of IMP until the end of the follow-up period will be defined as TEAEs.
    Adverse event reporting additional description
    In this clinical trial all untoward events with onset or worsening after the first intake of IMP until the end of the follow-up period will be defined as TEAEs.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    24.1
    Reporting groups
    Reporting group title
    Overall - Bilastine x Safety Set
    Reporting group description
    Subjects in the Safety Set treated with Bilastine

    Serious adverse events
    Overall - Bilastine x Safety Set
    Total subjects affected by serious adverse events
         subjects affected / exposed
    0 / 37 (0.00%)
         number of deaths (all causes)
    0
         number of deaths resulting from adverse events
    0
    Frequency threshold for reporting non-serious adverse events: 0%
    Non-serious adverse events
    Overall - Bilastine x Safety Set
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    8 / 37 (21.62%)
    Injury, poisoning and procedural complications
    PROCEDURAL VOMITING
         subjects affected / exposed
    1 / 37 (2.70%)
         occurrences all number
    1
    General disorders and administration site conditions
    FATIGUE
         subjects affected / exposed
    1 / 37 (2.70%)
         occurrences all number
    1
    INJECTION SITE HAEMATOMA
         subjects affected / exposed
    1 / 37 (2.70%)
         occurrences all number
    1
    Infections and infestations
    COVID-19
         subjects affected / exposed
    1 / 37 (2.70%)
         occurrences all number
    1
    Upper respiratory tract infection
         subjects affected / exposed
    1 / 37 (2.70%)
         occurrences all number
    1
    URINARY TRACT INFECTION
         subjects affected / exposed
    1 / 37 (2.70%)
         occurrences all number
    1
    VARICELLA
         subjects affected / exposed
    1 / 37 (2.70%)
         occurrences all number
    1
    VIRAL INFECTION
         subjects affected / exposed
    1 / 37 (2.70%)
         occurrences all number
    1

    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
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    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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