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Rhinitis, Allergic, SeasonalPhase 2NCT01007721

Randomized, Placebo Controlled, Crossover Study in an Environmental Challenge Chamber to Assess Safety & Efficacy of Three Oral Doses of BI 671800 Versus Fluticasone Propionate and Montelukast in Sensitive Seasonal Allergic Rhinitis Patients Out of Season

A Phase 2 study testing BI 67100 ED 25 mg and BI 671800 ED 100 mg in people with Rhinitis, Allergic, Seasonal and Asthma, run by Boehringer Ingelheim at 1 site in Germany.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The objective of the current study is to investigate the efficacy, safety and tolerability of BI 671800 ED using three dose levels of BI 671800 ED (50 mg, 200 mg and 400 mg), administered twice daily compared to FP (fluticasone propionate) nasal 100 mcg per nostril qd in the morning or Montelukast 10 mg qd am given… Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Rhinitis, Allergic, Seasonal, Asthma
What is being tested?
BI 67100 ED 25 mg and BI 671800 ED 100 mg
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
146 participants
Where
1 siteGermany
Study dates
Oct 2009to Apr 2010
Phase
Phase 2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Signed informed consent consistent with ICH-GCP guidelines (International Conference on Harmonisation for Good Clinical Practice) and local legislations prior to any study-related procedures, which includes medication washout and restrictions.
  • Male or female, with a diagnosis of seasonal allergic rhinitis by a physician with a positive skin prick test to Dactylis glomerata within 12 months prior to Visit 2
  • TNSS (total nasal symptom score) of less or equal than 2 before start of challenge at Visit 2 and a TNSS of > 5 at least once during the 2h-baseline ECC exposure
  • 18 to 65 years of age (age inclusive)
  • Non-smoker or ex-smoker with a cigarette smoking history of less or equal than 10 pack-years (and smoking cessation for at least one year prior to enrolment) with negative urinary cotinine at screening (Visit 1)
  • Ability to comply with requirements, medication restrictions (see 4.2.2) and procedures of the study protocol including AM1® device and rescue medication use.
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  • Pre-bronchodilator FEV1 (forced expiratory volume in one second) equal or greater than 80% of predicted value (European Community for Steel and Coal) at screening
  • BMI between 18 and 35 (Body Mass Index)
  • Negative breath -alcohol, urine -cotinine and -drug tests at screening (Visit 1)

Who cannot join

  • Significant pulmonary disease other than allergic rhinitis (or mild intermittent asthma managed by SABA (short acting bronchodilator) alone) or other medical conditions* that may, in the opinion of the investigator result in the any of the following:
  • put the patient at risk because of participation in the study
  • influence the results of the study (as determined by medical history, examination and clinical investigations at screening)
  • cause concern regarding the patient's ability to participate in the study. *e.g. cardiac, gastro-intestinal, hepatic, renal, metabolic, dermatologic, neurological, haematological, oncological and psychiatric. Patients with malignancy for which the patient has undergone resection, radiation or chemotherapy within past 5 years. Patients with treated basal cell carcinoma or fully cured squamous cell carcinoma are allowed.
  • Any other nasal and sinusoidal diseases or conditions by discretion of the investigator (i.e. nasal polyps, frequent nose bleeding) which may influence the study results
  • Respiratory tract infection or asthma exacerbation in the 4 weeks prior to Visit 1 or during the screening and baseline period.
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  • Thoracotomy with pulmonary resection.
  • Previous participation in this study (receipt of randomized treatment) or active participation in a current interventional study.
  • Patients with a clinically relevant abnormal baseline haematology, blood chemistry, or urinalysis at screening, if the abnormality defines a significant disease as defined in exclusion criterion No. 1. Patients will not be randomised if they have increased liver transaminases (AST or ALT greater than two fold the upper limit of normal at screening). Laboratory testing may be repeated once before randomization.
  • Significant alcohol or drug abuse within past 2 years (see exclusion criteria No. 1)
  • Patients with known hypersensitivity to any component of the investigational treatment (see section 4.1.1) or to fluticasone propionate nasal spray or montelukast or salbutamol or components.
  • Patients taking CYP2C8 substrates such as -but not restricted to- amiodarone, amodiaquine, paclitaxel, rosiglitazone, pioglitazone, and repaglinide and CYP2C9 substrates such as -but not restricted to- warfarin, tolbutamide, phenytoin, losartan and acenocoumarol.
  • Patients who have been treated with any of the following medications in the given interval before the respective Visit: Before Visit 2
  • An investigational drug within 1 month or six half lives (whichever is greater)
  • Any immunomodulatory therapy since specific positive skin prick test.
  • A biological based antagonist therapy including Omalizumab, or immune modulator therapy within 6 months
  • A systemic (intravenous, intramuscular or oral) corticosteroid within 3 months
  • The following medications within 4 weeks: topical steroids, change in prescription medications
  • The following medications within 2 weeks: LABA (long acting beta agonist), methylxanthines, leukotriene modifiers, any antihistamines, oral decongestants, any anti-rhinitis therapies (i.e., decongestants, herbals, anticholinergics), and hay-fever medications, tricyclic antidepressants, aspirin and any NSAIDs (non steroidal anti inflammatory drugs) (for occasional pain relief, only paracetamol may be used), oral beta 2 agonists
  • Before Visit 1: Short acting bronchodilator within 6 hours of baseline pulmonary function testing
  • Patients with a risk for prolonged QT interval effects including:
  • A marked baseline prolongation of the QT interval in the electrocardiogram by demonstration of a QTcB interval (Bazett's correction formula) > 450 ms
  • A history of additional risk factors for TdP (Torsades de pointes) e.g., heart failure, hypokalemia, family, history of Long QT Syndrome, etc.
  • The use of concomitant medications known to prolong the QT/QTc interval
  • Pregnant or nursing women
  • Women of childbearing potential not using a highly effective method of birth control.

Trial locations and contacts

1 site in 1 country.

Germany1 site
  • 1268.41.49001 Boehringer Ingelheim Investigational Site

    Hanover

Other trials in Germany

About this study

Official title: Randomised, Double-blind, Triple Dummy, Partial Cross-over (Each Active Treatment With Placebo) Study Using an Environmental Challenge Chamber (ECC) to Assess the Safety and Efficacy of 2 Weeks of Oral BI 671800 ED 50, 200 or 400 mg Bid, Compared to Montelukast 10 mg qd, Fluticasone Propionate Nasal Spray 200 µg qd (2 Nasal Actuations Each Nostril of 50 µg) Versus Placebo in Seasonal Allergic Rhinitis Patients Out of Season, Sensitive to Dactylis Glomerata.

The objective of the current study is to investigate the efficacy, safety and tolerability of BI 671800 ED using three dose levels of BI 671800 ED (50 mg, 200 mg and 400 mg), administered twice daily compared to FP (fluticasone propionate) nasal 100 mcg per nostril qd in the morning or Montelukast 10 mg qd am given for 2 weeks in patients with SAR (seasonal allergic rhinitis) out of season using an environmental exposure chamber in patients known to be sensitive to the aero-allergen Dactylis glomerata.

Being tested
BI 67100 ED 25 mg, BI 671800 ED placebo, montelukast placebo tablet, fluticasone propionate placebo nasal spray, BI 671800 ED 100 mg
Medical subject headings
Rhinitis, Allergic, Seasonal, Asthma

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • BI 67100 ED 25 mgDrug

    2 capsules of BI 671800 ED 25 mg

  • BI 671800 ED placeboDrug

    2 capsules of BI 671800 ED placebo (bid in the morning and evening)

  • montelukast placebo tabletDrug

    1 over-encapsulated montelukast placebo tablet (qd in the morning)

  • montelukast placebo tabletDrug

    1 over-encapsulated montelukast placebo tablet (qd in the morning)

  • fluticasone propionate placebo nasal sprayDrug

    fluticasone propionate placebo nasal spray (2 puffs each nostril qd in the morning)

  • fluticasone propionate placebo nasal sprayDrug

    fluticasone propionate placebo nasal spray (2 puffs each nostril qd in the morning)

  • fluticasone propionate placebo nasal sprayDrug

    fluticasone propionate placebo nasal spray (2 puffs each nostril qd in the morning)

  • BI 671800 ED 100 mgDrug

    4 capsules of BI 671800 ED 100 mg (bid in the morning and evening)

  • BI 671800 ED placeboDrug

    4 capsules of BI 671800 ED placebo (bid in the morning and evening)

  • BI 671800 ED placeboDrug

    4 capsules of BI 671800 ED placebo (bid in the morning and evening)

  • BI 671800 ED placeboDrug

    4 capsules of BI 671800 ED placebo (bid in the morning and evening)

  • BI 671800 ED 100 mgDrug

    2 capsules of BI 671800 ED 100 mg (bid in the morning and evening)

  • 671800 ED placeboDrug

    2 capsules of BI 671800 ED placebo (bid in the morning and evening)

  • montelukast placebo tabletDrug

    1 over-encapsulated montelukast placebo tablet (qd in the morning)

  • montelukast placebo tabletDrug

    1 over-encapsulated montelukast placebo tablet (qd in the morning)

  • montelukast placebo tabletDrug

    1 over-encapsulated montelukast placebo tablet (qd in the morning)

  • montelukast 10 mg tabletDrug

    1 over-encapsulated montelukast 10 mg tablet (qd in the morning)

  • fluticasone propionate placebo nasal sprayDrug

    fluticasone propionate placebo nasal spray (2 puffs each nostril qd in the morning)

  • fluticasone propionate nasal spray placeboDrug

    fluticasone propionate nasal spray placebo (2 puffs each nostril qd in the morning)

  • Fluticasonepropionate nasal spray 200 mcgDrug

    Fluticasonepropionate nasal spray 200 mcg (qd, 2 puffs of 50 mcg per nostril)

Study groups in NCT01007721
Study groupRoleWhat they receive
BI 671800 ED 100 mgExperimental2 capsules of BI 671800 ED 25 mg plus 2 capsules of BI 671800 ED placebo (bid in the morning and evening) plus 1 over-encapsulated montelukast placebo tablet (qd in the morning) plus fluticasone propionate placebo nasal spray (2 puffs each nostril qd in the morning)
Receives: Drug: BI 67100 ED 25 mg; Drug: BI 671800 ED placebo; Drug: montelukast placebo tablet; Drug: fluticasone propionate placebo nasal spray
BI 671800 ED 400 mgExperimental2 capsules of BI 671800 ED 100 mg plus 2 capsules of placebo (bid in the morning and evening) plus 1 over-encapsulated montelukast placebo tablet (qd in the morning) plus fluticasone propionate nasal spray placebo (2 puffs each nostril qd in the morning)
Receives: Drug: fluticasone propionate placebo nasal spray; Drug: BI 671800 ED 100 mg; Drug: 671800 ED placebo; Drug: montelukast placebo tablet
Montelukast 10 mgActive comparator1 over-encapsulated montelukast 10 mg tablet (qd in the morning) plus 4 capsules of BI 671800 ED placebo (bid in the morning and evening) plus fluticasone propionate placebo nasal spray (2 puffs each nostril qd in the morning)
Receives: Drug: fluticasone propionate placebo nasal spray; Drug: BI 671800 ED placebo; Drug: montelukast 10 mg tablet
Fluticasonepropionate nasal spray 200¿gActive comparatorFluticasonepropionate nasal spray 200 mcg (qd, 2 puffs of 50 ¿g per nostril) plus 4 capsules of BI 671800 ED placebo (bid in the morning and evening) plus 1 overencapsulated montelukast placebo tablet (qd in the morning)
Receives: Drug: BI 671800 ED placebo; Drug: montelukast placebo tablet; Drug: Fluticasonepropionate nasal spray 200 mcg
BI 671800 ED placeboPlacebo comparator4 capsules of BI 671800 ED placebo (bid in the morning and evening), plus 1 over-encapsulated montelukast placebo tablet (qd in the morning) plus fluticasone propionate placebo nasal spray (2 puffs each nostril qd in the morning)
Receives: Drug: montelukast placebo tablet; Drug: BI 671800 ED placebo; Drug: fluticasone propionate placebo nasal spray
BI 671800 ED 800 mgExperimental4 capsules of BI 671800 ED 100 mg (bid in the morning and evening) plus 1 over-encapsulated montelukast placebo tablet (qd in the morning) plus fluticasone propionate nasal spray placebo (2 puffs each nostril qd in the morning)
Receives: Drug: BI 671800 ED 100 mg; Drug: montelukast placebo tablet; Drug: fluticasone propionate nasal spray placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Total Nasal Symptom Score (TNSS) as AUC (area under the curve) of values over the entire period from 0-6 hours (h) in the ECC (Environmental Challenge Chamber)

    Measured: After 2 wks of active treatment compared to 2 wks treatment with placebo

Secondary outcomes (5)
  1. Total Symptom Score (TSSc) as AUC of values for the following periods: 0-2h; 2-4h; 4-6h; 2-6h; 0-6h; 0h-tmax; tmax-6h and hourly

    Measured: After 2 wks of active treatment compared to 2 wks treatment with placebo

  2. TNSS as AUC of values for the following periods: 0-2h; 2-4h; 4-6h; 2-6; 0h-tmax; tmax-6h and hourly

    Measured: After 2 wks of active treatment compared to 2 wks treatment with placebo

  3. Total Ocular Symptom Score (TOSS) as AUC of values for the following periods: 0-2h; 2-4h; 4-6h; 2-6h; 0-6h; 0h-tmax; tmax- 6h and hourly

    Measured: After 2 wks of active treatment compared to 2 wks treatment with placebo

  4. Nasal and ocular sub-scores (single symptoms of TNSS and TOSS) as AUC of values for the following periods: 0-2h; 2-4h; 4-6h; 2-6h; 0-6h; 0h-tmax; tmax-6h and hourly

    Measured: After 2 wks of active treatment compared to 2 wks treatment with placebo

  5. Flow rate from rhinomanometry as AUC of values obtained at 2, 4 and 6 h

    Measured: After 2 wks of active treatment compared to 2 wks treatment with placebo

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted4 Nov 2009 (estimated)
  2. Study startOct 2009
  3. Primary completionApr 2010

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Crossover
Masking
Double blind
Enrolment
146 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01007721
Sponsor's protocol ID
1268.41
Other IDs
2009-013269-24, 2009
Status last verified
Apr 2014
First submitted
3 Nov 2009
Last updated
16 May 2014
Results posted
No

Publications

  • Krug N, Gupta A, Badorrek P, Koenen R, Mueller M, Pivovarova A, Hilbert J, Wetzel K, Hohlfeld JM, Wood C. Efficacy of the oral chemoattractant receptor homologous molecule on TH2 cells antagonist BI 671800 in patients with seasonal allergic rhinitis. J Allergy Clin Immunol. 2014 Feb;133(2):414-9. doi: 10.1016/j.jaci.2013.10.013. Epub 2013 Dec 9.

    PubMed 24332218

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing BI 67100 ED 25 mg and BI 671800 ED 100 mg in people with Rhinitis, Allergic, Seasonal and Asthma, run by Boehringer Ingelheim at 1 site in Germany.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 26 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 16 May 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Germany. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Total Nasal Symptom Score (TNSS) as AUC (area under the curve) of values over the entire period from 0-6 hours (h) in the ECC (Environmental Challenge Chamber) (time frame: After 2 wks of active treatment compared to 2 wks treatment with placebo). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01007721, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 16 May 2014.

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