- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00997620
Fluticasone Furoate Treatment of Daytime Somnolence and Cognitive Performance in Seasonal Allergic Rhinitis
May 14, 2018 updated by: Lyndon Mansfield, Western Sky Medical Research
A Double Blind, Placebo Controlled Randomized Trial Evaluating the Effects of Fluticasone Nasal Spray in Subjects With Seasonal Allergic Rhinitis and a History of Sleep Disturbance on Cognitive Performance and Daytime Sleepiness
The hypothesis is that treating hay fever patients who had daytime sleepiness and slowed thinking because of the hay fever will improve when treated with an effective anti-hay fever medication, an intranasal steroid, that is will have less daytime sleepiness and demonstrate better thinking.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
In this study of patients with seasonal allergic rhinitis we will monitor daytime sleepiness as measured by validated daytime sleep score (Eppworth Daytime Sleepiness Scale) and cognitive performance weekly as measured by a validated test of cognitive performance (TOVA).
The treatment group with intervention of fluticasone furoate nasal spray 110 mcg two sprays in each nostril once daily will be compared to a placebo treated group of similar subjects with seasonal allergic rhinitis.
Study Type
Interventional
Enrollment (Actual)
40
Phase
- Phase 4
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 55 years (Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Symptomatic seasonal allergic rhinitis symptoms for at least 2 years at the time of study in the season of the study.
- Allergy skin tests positive for the airborne allergens present at the study time within the past 12 months.
- A score of 2 or more on the NRQLQ of the Rhinitis Quality of LIfe Questionnaire.
- Active allergic rhinitis on 4 of 7 days during run-in week, and evidence on sleep scales of drowsiness on 3 of 7 days.
- Ability to read, understand and give informed consent.
- Ability to understand and carry out responsibilities of the study
Exclusion Criteria:
- Any chronic disease or other acute disease, which could influence central nervous system.
- The use of any medication, which could affect central nervous system function.
- Unwillingness to participate in the study.
- Inability to understand testing procedures or use of medication.
- Hypersensitivity to fluticasone or vehicle of nasal sprays.
- Any sleep disorders including obstructive sleep apnea.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Placebo Comparator: Placebo
Placebo treatment given as a once daily dose intranasally.in
subjects with active seasonal allergic rhinitis.
|
Fluticasone nasal spray 2 sprays each nostril will be compared to similar appearing placebo.
The subjects will receive one week placebo nasal spray to establish a baseline then they will then be switched to a nasal spray of Placebo once daily and continue the evaluations.
Other Names:
|
Experimental: Fluticasone Furoate
IFluticasone Furoate 110 mcg given intranasly once daily in am as an active treatment of seasonal allergic rhinitis
|
Fluticasone fuorate nasal spray 110 mcg 2 sprays each nostril am will be compared to similar appearing placebo given 2 sprays each nostril am.
The subjects will receive one week placebo nasal spray to establish a baseline then they will then be switched to a nasal spray of fluticasone furoate 110 mcg once daily and continue the evaluations.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Performance on Test of Variables of Attention (TOVA) - a Standardized Test of Cognitive Performance
Time Frame: over 2 weeks
|
The outcomes measures for TOVA are errors of omission.
Targets which were not identified.
Errors of commission are when targets are identified incorrectly.
Reaction time is reported as the average time in milliseconds for the responses.
The results are reported as mean and standard deviation as baseline and after 2 weeks of intervention.
The difference between the means was evaluated by paired t testing.
|
over 2 weeks
|
Performance on Test of Variables of Attention (TOVA) - a Standardized Test of Cognitive Performance, Errors of Commission.
Time Frame: after 2 weeks intervention
|
The outcomes measures for TOVA are errors of commission.
Targets which were identified incorrectly.
Targets which are not identified, errors of omission and average time of each target viewing.
|
after 2 weeks intervention
|
Performance on Test of Variables of Attention (TOVA) - a Standardized Test of Cognitive Performance, Response Time for Targets.
Time Frame: over 2 weeks
|
The outcomes measures for TOVA are the length of time to respond to targets.
The time function represents the average time spent in milliseconds spent on each target.
|
over 2 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Epworth Sleep Scale
Time Frame: Baseline and after 2 weeks intervention
|
The Epworth sleepiness scale measures is a validated test of daytime sleepiness which involved the subjects answering 8 questions.
Each question is answered on a 0 - 3 scale with 3 being the most likely associated with drowsiness.
The score is reported as a composite score of 8 questions, with a minimum score of 0 and a maximum score of 24.
A higher composite score represents more likelihood of daytime sleepiness.
It is administered between 1500 and 1700 daily.
|
Baseline and after 2 weeks intervention
|
Change From Baseline in Nocturnal Rhinoconjunctivitis Quality of Life Questionaire
Time Frame: 2 weeks
|
In nocturnal rhinoconjunctivitis quality of life questionnaire instrument to measure the effects of nasal disorder on nighttime sleep and awakening.
It consists of 16 questions.
The scale is from 0-6, 0 being not troubled and 6 reflecting extreme trouble.
This survey is interpreted as a minimal clinically important difference of each question.
A change of +/- 0.5 is a threshold of minimally important clinical difference.
Higher value mean more disturbance.
|
2 weeks
|
Nasal Symptom Scores
Time Frame: 2 weeks
|
Total nasal symptom score was measured AM and PM.
The reflective scale measures subjective symptoms over the previous 12 hours.
Instantaneous symptoms measure how subjects felt at the present time.
The score consists of subjective perception of nasal congestion, rhinorrhea, nasal itching and sneezing.
The scale for each symptom is 0 - not present, 1- mild (present but minimal), 2 - moderate (symptoms are bothersome but tolerable), 3 - severe (symptoms are not tolerable).
The baseline value was the mean of the 7 day placebo run-in for the combined scores.
This was calculated for the placebo group and the fluticasone group for both the instantaneous and the reflective scores.
The intervention time utilized the same combined AM and PM reflective and instantaneous scoring.
The data was analyzed using two sample t test comparison of the placebo vs fluticasone furoate group.
Low value, less symptoms.
High value, more symptoms.
Minimum score is 0. Maximum score is 24.
|
2 weeks
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
March 1, 2010
Primary Completion (Actual)
September 1, 2010
Study Completion (Actual)
October 1, 2010
Study Registration Dates
First Submitted
October 15, 2009
First Submitted That Met QC Criteria
October 16, 2009
First Posted (Estimate)
October 19, 2009
Study Record Updates
Last Update Posted (Actual)
May 18, 2018
Last Update Submitted That Met QC Criteria
May 14, 2018
Last Verified
May 1, 2018
More Information
Terms related to this study
Keywords
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
- Rhinitis, Allergic, Seasonal
- Physiological Effects of Drugs
- Autonomic Agents
- Peripheral Nervous System Agents
- Anti-Inflammatory Agents
- Dermatologic Agents
- Bronchodilator Agents
- Anti-Asthmatic Agents
- Respiratory System Agents
- Anti-Allergic Agents
- Fluticasone
- Xhance
Other Study ID Numbers
- 2008-4
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Undecided
IPD Plan Description
This a single study site and at end IPD will be used in analyis by PI
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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