A Comparative Double-blind, Double-dummy Study of Desloratadine (DL) 5 mg Once Daily, Cetirizine 10 mg Once Daily, and Placebo Once Daily in Patients With Chronic Idiopathic Urticaria (Study P03736)

A Comparative Double-blind, Double-dummy Study of Desloratadine (DL) 5 mg Once Daily, Cetirizine 10 mg Once Daily, and Placebo Once Daily in Patients With Chronic Idiopathic Urticaria (CIU)

This was a randomized, double-blind, parallel-group, multicenter study that used both an active control (cetirizine) and a placebo control to evaluate desloratadine 5 mg once daily during a 28-day treatment period. The active treatments and placebo were allocated in a 2:2:1 ratio.

Study Overview

• Status: Terminated
• Conditions: Urticaria
• Intervention / Treatment: Drug: Desloratadine; Drug: Cetirizine; Drug: placebo

• Study Type: Interventional
• Enrollment (Actual): 149
• Phase: Phase 4

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 12 years to 70 years (Child, Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Have demonstrated their willingness to participate in the study and comply with its procedures by signing a written informed consent. For pediatric patients, the parent or legal guardian was to have signed a written informed consent.
• Be between 12 and 70 years of age, of either sex and any race.
• Have had signs and symptoms of CIU for at least 6 weeks prior to the Screening Visit.
• Have been experiencing a current flare of their CIU of at least 3 weeks prior to the Baseline Visit. Hives were to have been present for at least 3 days per week during the current flare prior to the Baseline Visit.
• Have an overall condition of CIU that was at least of "moderate" severity (minimum score of 2) at both Screening and Baseline Visits.
• Have at least a moderately severe pruritus score (minimum score of 2) and hives (minimum score of 1) present at Screening.
• Have, at Baseline, a total pruritus score of 14 or greater for the sum of AM and PM (reflective) diary scores for the 3 days prior to Baseline and the AM diary score on Day 1.
• Understand and be able to adhere to the dosing and visit schedules, and agree to assess and record their symptom severity scores, medication times,concomitant medications, and adverse events accurately and consistently in a daily diary.
• Be in general good health and free of any clinically significant disease (other than CIU) that would have interfered with study evaluations.
• If female and of childbearing potential, have had a negative urine (hCG) pregnancy test at the time of Baseline (Visit 2).
• Female subjects of childbearing potential were to be counseled in the appropriate use of birth control while in the study. They were to be using a medically accepted method of birth control, for example: double barrier method, oral contraceptive, Depo-Provera®, or Norplant®, prior to Baseline and during the study. Women who were not sexually active were to agree and consent to use one of the above-mentioned methods should they become sexually active while participating in the study. If the subject had had a tubal ligation or was using an intra-uterine device, or if the husband/partner had had a vasectomy, another method was to be used.

Exclusion Criteria:

• Had asthma requiring chronic use of inhaled or systemic corticosteroids.
• Had been unresponsive to antihistamine treatment in the past.
• Had a history of allergies to more than two classes of medication or who were allergic to or unable to tolerate antihistamines.
• Had used any investigational drug in the last 30 days prior to Baseline.
• Had food or drug allergies manifested as skin reactions. Subjects with urticaria that was primarily due to physical urticaria or other known etiology.
• If female, were pregnant or nursing.
• Had a history of hypersensitivity to the study drug or its excipients.
• Were family members of the investigational study staff involved with this study.
• Had previously been randomized into the study.
• Had current evidence of clinically significant hematopoietic, cardi distribution, metabolism, or excretion of the study medication or with the subject's ability to reliably complete the diary card.
• Were morbidly obese (BMI >= 35, as described in Appendix 6 of the protocol)
• Had a compromised ability to provide informed consent.
• Had a history of non-compliance with medications or treatment protocols.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Triple

Number of Arms

3

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Placebo Comparator: 3; placebo	Drug: placebo; placebo once daily for 28 days
Experimental: 1; Desloratadine	Drug: Desloratadine; Desloratadine 5 mg, oral tablet, once daily in the morning, 28 days
Active Comparator: 2; Cetirizine	Drug: Cetirizine; Cetirizine 10 mg, oral tablet (over encapsulated), once daily in the morning, 28 days

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
Compare the efficacy of the study treatments with respect to the change from Baseline in the average AM/PM 12-hour reflective pruritus severity score (diary recordings)	After the first 7 days of treatment

Secondary Outcome Measures

Outcome Measure	Time Frame
Joint physician-patient evaluations ("now") of: overall condition of the CIU and overall global therapeutic response.	At treatment days 14 and 28 (Visit 3 and 4)
Average AM/PM "reflective" diary scores over treatment days 1-7, 8-14, 15-21 and 22-28 for: severity of pruritus; number of hives; size of largest hives; total symptom score (pruritus, number of hives, size of the largest hives)	Days 7, 14, 21 and 28
Average AM/PM "reflective" diary scores over treatment days 1-7, 8-14, 15-21 and 22-28 for: subject-evaluated CIU interference with sleep (AM) and interference with daily activities (PM)	Days 7, 14, 21 and 28
Adverse Events	End of Trial

Collaborators and Investigators

• Sponsor: Organon and Co

Study record dates

Study Major Dates

• Study Start (Actual): March 1, 2004
• Primary Completion (Actual): May 1, 2005
• Study Completion (Actual): May 1, 2005

Study Registration Dates

• First Submitted: September 10, 2008
• First Submitted That Met QC Criteria: September 10, 2008
• First Posted (Estimate): September 11, 2008

Study Record Updates

• Last Update Posted (Actual): February 16, 2022
• Last Update Submitted That Met QC Criteria: February 7, 2022
• Last Verified: February 1, 2022

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Skin Diseases; Immune System Diseases; Hypersensitivity, Immediate; Skin Diseases, Vascular; Hypersensitivity; Urticaria; Chronic Urticaria; Physiological Effects of Drugs; Neurotransmitter Agents; Molecular Mechanisms of Pharmacological Action; Cholinergic Antagonists; Cholinergic Agents; Anti-Allergic Agents; Histamine H1 Antagonists; Histamine Antagonists; Histamine Agents; Histamine H1 Antagonists, Non-Sedating; Cetirizine; Desloratadine
• Other Study ID Numbers: P03736

Plan for Individual participant data (IPD)

Study Data/Documents

1. CSR Synopsis