A Clinical Trial to Test How Well Two Drugs, QAW039 and Montelukast Work Both Individually and Together, to Target Allergic Rhinitis Using an Environmental Exposure Chamber
A Randomized, Double-blind, Placebo-controlled Three-period Incomplete Cross Over Study to Compare the Efficacy of QAW039 Alone and in Combination With Montelukast in Patients With Allergic Rhinitis Using an Environmental Exposure Chamber
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
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Hannover, Germany, 30625
- Novartis Investigative Site
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Male or female aged 18-65 years inclusive, with a clinical history of intermittent allergic rhinitis with seasonal onset and offset of nasal allergy symptoms during each of the last two grass pollen allergy seasons.
- A positive skin prick test at Visit 1 to dactylis glomerata with a wheal diameter equal to or greater than 3 mm and a negative control with a wheal diameter of zero. A positive skin prick test within 12 months prior to Visit 1 is also acceptable.
- FEV1 measured by spirometry must be ≥80% of their predicted value at screening. If the patient does not achieve ≥80% of their predicted value this may be repeated prior to the EEC challenge at visit 2.
- TNSS score ≥6 on at least one assessment during the 2h EEC challenge at Screening.
Exclusion Criteria:
- Use of other investigational drugs at the time of enrollment, or within 30 days or 5 half-lives of enrollment, whichever is longer; or longer if required by local regulations, and for any other limitation of participation in an investigational trial based on local regulations.
- Pregnant or nursing (lactating) women,
- Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant, unless they are using effective methods of contraception during dosing of study treatment.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Placebo Comparator: Placebo
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Active Comparator: Montelukast
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Experimental: QAW039 + Montelukast
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Experimental: QAW039 Once a day (q.d.)
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Experimental: QAW039 Twice a day (b.i.d.)
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in Total Nasal Symptom Score from baseline at 14 days
Time Frame: Baseline, Day 14
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Total Nasal Symptom Score (TNSS) averaged over the last two hours (2-4h) of exposure following 14 days treatment with QAW039 and/or Montelukast or matched placebo
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Baseline, Day 14
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in Total Ocular Symptom score from Baseline at 14 days
Time Frame: Baseline, Day 14
|
Total Ocular Symptom Score (TOSS), defined as the sum of ocular symptoms of eye tearing, itching, watery eyes and redness, each of which is scored on a scale from 0 and 3
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Baseline, Day 14
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Change in Nasal Flow from baseline at 14 days
Time Frame: Prior to, and every 60 min during allergen exposure period
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Measured using rhinomanometry Flow rates at 150 Pa will be obtained separately for the right and left nostrils (cm^3/second).
The sum of the flow rates of both nostrils will be calculated from the two measurements
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Prior to, and every 60 min during allergen exposure period
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Change in Nasal excretion weight from baseline at 14 days
Time Frame: Baseline, Day 14
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Total weight of tissues (before and after use)
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Baseline, Day 14
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Change in Forced Expiratory Volume in 1 Second (FEV1) from baseline at 14 days
Time Frame: Baseline, Day 14
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Change in FEV1 from Baseline
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Baseline, Day 14
|
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Change in Forced Vital Capacity (FVC) from baseline at 14 days
Time Frame: Baseline, Day 14
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Change in FVC from Baseline
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Baseline, Day 14
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Change in FEV1/FVC at from baseline at 14 days
Time Frame: Baseline, Day 14
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Change in FEV1/FVC from Baseline
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Baseline, Day 14
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Plasma Concentration maximum (Cmax)
Time Frame: Day 1-14
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Determined at steady state in plasma
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Day 1-14
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Plasma Concentration Minimum (Cmin)
Time Frame: Day 1-14
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Determined at steady state in plasma
|
Day 1-14
|
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Plasma Concentration Average (Cav)
Time Frame: Day 1-14
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Determined at steady state in plasma
|
Day 1-14
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Time of Cmax (Tmax)
Time Frame: Day 1-14
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Determined at steady state in plasma
|
Day 1-14
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Area Under Curve (AUCtau)
Time Frame: Day 1-14
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Determined at steady state in plasma
|
Day 1-14
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Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Infections
- Respiratory Tract Infections
- Respiratory Tract Diseases
- Immune System Diseases
- Hypersensitivity, Immediate
- Otorhinolaryngologic Diseases
- Respiratory Hypersensitivity
- Hypersensitivity
- Nose Diseases
- Rhinitis
- Rhinitis, Allergic
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Hormones, Hormone Substitutes, and Hormone Antagonists
- Anti-Asthmatic Agents
- Respiratory System Agents
- Leukotriene Antagonists
- Hormone Antagonists
- Cytochrome P-450 CYP1A2 Inducers
- Cytochrome P-450 Enzyme Inducers
- Montelukast
Other Study ID Numbers
Other Study ID Numbers
- CQAW039A2212
- 2012-001389-14 (EudraCT Number)
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