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A 6 Month Safety Study Of Ciclesonide Nasal Aerosol (Zetonna�) And Ciclesonide Nasal Spray (Omnaris�) In Subjects 12 Years And Older With Perennial Allergic Rhinitis (PAR)

Information source: Sunovion
ClinicalTrials.gov processed this data on August 23, 2015
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Perennial Allergic Rhinitis

Intervention: ciclesonide nasal aerosol (Drug); ciclesonide nasal spray (Drug)

Phase: Phase 4

Status: Completed

Sponsored by: Sunovion

Official(s) and/or principal investigator(s):
Respiratory Medical Director, MD, Study Director, Affiliation: Sunovion Pharmaceuticals, Inc.

Summary

This is a 6 month, multicenter, randomized, open label, parallel group, study to evaluate the nasal safety of ciclesonide nasal aerosol and ciclesonide aqueous nasal spray administered once daily to male and female subjects 12 years and older diagnosed with PAR.

Clinical Details

Official title: A 6 Month Randomized, Open Label, Parallel Group, Safety Study Of Ciclesonide Nasal Aerosol (Zetonna) And Ciclesonide Nasal Spray (Omnaris) In Subjects 12 Years And Older With Perennial Allergic Rhinitis

Study design: Allocation: Randomized, Endpoint Classification: Safety Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment

Primary outcome:

The Number of Subjects Experiencing Nasal Mucosal Disorders, Septum Disorders, or Nasal Septum Perforations as Treatment Emergent Adverse Events (AEs; TEAE)

The Percentage of Subjects Experiencing Nasal Mucosal Disorders, Septum Disorders, or Nasal Septum Perforations as Treatment Emergent Adverse Events (AEs; TEAE)

Secondary outcome:

The Number of Subjects Experiencing Treatment Emergent Nasal AEs.

The Percentage of Subjects Experiencing Treatment Emergent Nasal AEs.

The Number of Subjects Experiencing Treatment Emergent AEs.

The Percentage of Subjects Experiencing Treatment Emergent AEs.

The Number of Subjects Experiencing Treatment Emergent Serious Adverse Events (SAEs).

The Percentage of Subjects Experiencing Treatment Emergent Serious Adverse Events (SAEs).

The Number of Subjects Experiencing Treatment Emergent AEs Causing Study Medication Discontinuation.

The Percentage of Subjects Experiencing Treatment Emergent AEs Causing Study Medication Discontinuation.

Number of Subjects With Development of or Worsening in Lens Opacities.

Percentage of Subjects With Development of or Worsening in Lens Opacities.

Number of Subjects With Increase ≥ 7 mm Hg From Baseline in Intraocular Pressure, or a Change to > 21 mm Hg, in Either Eye

Percentage of Subjects With Increase ≥ 7 mm Hg From Baseline in Intraocular Pressure, or a Change to > 21 mm Hg, in Either Eye

Number of Subjects With Change From Baseline in Best Corrected Visual Acuity.

Percentage of Subjects With Change From Baseline in Best Corrected Visual Acuity.

Detailed description: This is a 6 month, multicenter, randomized, open label, parallel group, safety study of ciclesonide nasal aerosol and ciclesonide aqueous nasal spray administered once daily to male and female subjects 12 years and older diagnosed with PAR. The objectives of this study are to evaluate the nasal and ocular safety of once daily dosing with ciclesonide nasal aerosol (Zetonna) 74 mcg and ciclesonide aqueous nasal spray (Omnaris) 200 mcg in subjects 12 years and older with PAR.

Eligibility

Minimum age: 12 Years. Maximum age: N/A. Gender(s): Both.

Criteria:

Inclusion Criteria:

- Subject or Subject's parent/guardian gives written informed consent and assent,

including privacy authorization as well as adherence to concomitant medication withholding periods, prior to participation.

- Male or female 12 years and older, as of the Screening visit.

- Subject must be in general good health (defined as the absence of any clinically

relevant abnormalities as determined by the Investigator) based on screening physical examination, medical history.

- A history of PAR to a relevant perennial allergen (eg, house dust mites, cockroach,

molds, animal dander) for a minimum of one year immediately preceding the study Screening visit. The PAR must have been of sufficient severity to have required treatment (either continuous or intermittent) in the past 12 months, and require treatment throughout the entire study period.

- Subject, if female ≤ 65 years of age, must have a negative serum pregnancy test at

screening. Females of childbearing potential must be instructed to and agree to avoid pregnancy during the study and must use an acceptable method of birth control:

- An oral contraceptive, an intrauterine device (IUD), implantable contraceptive,

transdermal or injectable contraceptive for at least 1 month prior to entering the study with continued use throughout the study and for thirty days following study participation.

- Barrier method of contraception, eg, condom and/or diaphragm with spermicide

while participating in the study.

- Abstinence.

- Subject must possess an educational level and degree of understanding of English that

enables them to communicate suitably with the PI and study coordinator. Exclusion Criteria:

- Female subject who is pregnant or lactating.

- Current physical findings of nasal polyps, septal perforation, or nasal ulceration.

(Subjects showing significant progression of nasal pathology between screening and randomization would be excluded at the discretion of the investigator.]

- Planned insertion of nasal septal jewelry during the study period.

- Surgery (including biopsy) and atrophic rhinitis or rhinitis medicamentosa are not

permitted within the last 30 days prior to the Screening visit.

- Participation in any investigational drug trial within the 30 days preceding the

Screening visit or planned participation in another investigational drug trial at any time during this trial.

- A known hypersensitivity to any corticosteroid or any of the excipients in the

formulation of ciclesonide.

- History of a respiratory infection or disorder [including, but not limited to

bronchitis, pneumonia, influenza, severe acute respiratory syndrome (SARS)] within the 14 days preceding the Screening visit.

- History of alcohol or drug abuse within 2 years preceding the Screening visit.

- History of a positive test for HIV, hepatitis B or hepatitis C.

- Active asthma requiring treatment with inhaled or systemic corticosteroids.

- Use of chronic treatment with agents known to promote the development of cataracts

(potassium-sparing diuretics and allopurinol).

- Non vaccinated exposure to or active infection with, chickenpox or measles within the

21 days preceding the Screening Visit.

- Initiation of pimecrolimus cream 1% or greater or tacrolimus ointment 0. 03% or

greater during the study period or planned dose escalation during the study period. However, initiation of these creams/ointments 30 days or more prior to screening and use of a stable (maintenance) dose during the study period may be considered for inclusion.

- Use of nasal corticosteroids within 14 days, or ocular, oral or parenteral within 6

months prior to randomization.

- Have any of the following conditions that are judged by the investigator to be

clinically significant and/or affect the subject's ability to participate in the clinical trial: 1. impaired hepatic function including alcohol related liver disease or cirrhosis 2. diabetes mellitus 3. malignancy (excluding basal cell carcinoma)

- Any condition that, in the judgment of the investigator, would preclude the subject

from completing the protocol with capture of the assessments as written Ocular Exclusion Criteria

- History of bacterial or viral infection of the eyes within 14 days of the Screening

visit or current or history of ocular herpes simplex.

- Any use within 6 months prior to the randomization or planned use during the trial of

a topical ocular corticosteroid, or intraocular or periocular injection of corticosteroids.

- Progressive retinal (including, but not limited to acute macular degeneration or

unstable diabetic retinopathy) or optic nerve disease in either eye.

- Ocular injury/surgery in the last 6 months (including LASIK eye surgery, as well as

any glaucoma intraocular surgery, including laser trabeculoplasty [ALT or SLT]).

- Any evidence of glaucomatous optic disc changes or a vertical cup: disc ratio > 0. 8.

- Current or history of any glaucoma related diagnosis, including ocular hypertension,

open-angle or closed-angle, as well as secondary or congenital glaucoma.

- Occludable angles by slit lamp examination (eg, peripheral anterior chamber less than

or equal to one quarter of the peripheral corneal thickness), which may be confirmed by gonioscopy at the investigator's discretion..

- Current PSC cataract or previous history of cataract surgery.

- Current or history of congenital cataract or active or prior uveitis.

- Historical or current intraocular pressure of 22 mm Hg or higher in either eye.

- Inability to complete ocular examination, including: Inability to measure intraocular

pressure, Pupillary diameter < 6 mm upon dilation , Significant media opacity in either eye that would exclude adequate posterior segment examination, Clinically significant corneal dystrophy, epithelial, or endothelial disease that would preclude visualization or intraocular pressure measurement, Corneal irregularities or scarring that in the investigator's judgment would impeded an accurate measurement of intraocular pressure or visualization of intraocular anatomy, Unwillingness to remove contact lenses for ocular examination, Subjects with LOCS III grade NO > 4. 0, NC > 4. 0 and C > 4. 0 in either eye

- Best-corrected visual acuity in either eye of 20/200 or worse at the screening ocular

examination.

- Planned or anticipated ocular surgery during the next 6 months.

- Any condition that, in the judgment of the ophthalmologist, would preclude the

subject from completing the protocol with capture of the assessments as written.

Locations and Contacts

Allergy & Asthma Associates of Southern California, Mission Viejo, California 92691, United States

CHOC PSF AMC - Division of Allergy, Asthma and Immunology, Orange, California 92868, United States

Allergy Associates Medical Group Inc., San Diego, California 92120, United States

Bensch Research Associates, Stockton, California 95207, United States

Storms Clinical Research Institute, Colorado Springs, Colorado 80907, United States

DataQuest Medical Research LLC, Lawerenceville, Georgia 30046, United States

Asthma & Allergy Consultants, PC, Lilburn, Georgia 30047, United States

Gordon D Raphael, MD, Bethesda, Maryland 20814, United States

Medical Education and Research Management Services of New England, Gardner, Massachusetts 01440, United States

Northeast Medical Research Associates, Inc., North Dartmouth, Massachusetts 02747, United States

Respiratory Medicine Research Institute of Michigan, PLC, Ypsilanti, Michigan 48197, United States

Clinical Research Institute Inc., Minneappolis, Minnesota 55402, United States

The Clinical Research Center, LLC, St. Louis, Missouri 63141, United States

Clinical Research Group of Montanta, Bozeman, Montana 59718, United States

Ocean Allergy & Respiratory Research Center, Brick, New Jersey 08724, United States

Atlantic Research Center, LLC, Ocean, New Jersey 07721, United States

Princeton Center for Clinical Research, Skillman, New Jersey 08558, United States

Allergy and Asthma Center of NC, PA, High Point, North Carolina 27262, United States

North Carolina Clinical Research, Raleigh, North Carolina 27607, United States

Allergy Assocaites Research Center, Portland, Oregon 97202, United States

Valley Clinical Research Center, Bethlehem, Pennsylvania 18020, United States

Asthma and Allergy Research Associates, Upland, Pennsylvania 19013, United States

National Allergy, Asthma & Uticaria Centers of Charleston, P.A., Charleston, South Carolina 29406, United States

Isis Clinical Research, LLC, Austin, Texas 78731, United States

Sirius Clinical Research LLC, Austin, Texas 78759, United States

Pharmaceutical Research and Consulting Inc., Dallas, Texas 75231, United States

Kerrville Research Associates, PA, Kerrville, Texas 78028, United States

Central Texas Health Research, New Braunfels, Texas 78130, United States

Biogenics Research Institute, San Antonio, Texas 78229, United States

Sylvana Research Associates, San Antonio, Texas 78229, United States

ASTHMA Inc. Clinical Research Center, Seattle, Washington 98115, United States

Additional Information

Starting date: September 2012
Last updated: July 23, 2014

Page last updated: August 23, 2015

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