Overview

The Effect of Desloratadine and Levocetirizine on Nasal Obstruction (Study P03609)

Status:
Completed
Trial end date:
2004-05-01
Target enrollment:
0
Participant gender:
All
Summary
This was a study to measure the ability of desloratadine and levocetirizine to decrease nasal obstruction in subjects who had study-induced allergic rhinitis. Study participants had allergic rhinitis symptoms induced in a Vienna Challenge Chamber and then received desloratadine or levocetirizine for 8 days. After at least a 10 to 35-day washout period (time when no drug is given), subjects received the opposite treatment for 8 days. Subjects had their total nasal symptom measured.on the 8th day of each treatment period.
Phase:
Phase 3
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Merck Sharp & Dohme Corp.
Treatments:
Cetirizine
Desloratadine
Levocetirizine
Loratadine
Criteria
Inclusion Criteria:

- 18 to 45 years of age

- Were free of any clinically significant disease that would interfere with study
evaluations.

- Demonstrated hypersensitivity to the grass allergen used in the chamber unless
confirmed previously within 12 months.

- Hypersensitivity to the allergen was documented by a positive response to the skin
prick test with a wheal diameter at least 3 mm larger than the diluent control and by
a radioallergosorbent test (RAST) class of >=2 (rating scale 0 -6).

- Had a history of SAR for at least 2 years, as diagnosed by the investigator, another
physician, or subject-provided history.

- Reported having shown therapeutic efficacy with previous use of an antihistamine
(without a decongestant).

- At the screening allergen provocation, the subject had a nasal obstruction symptom
severity score of at least moderate (>=2) and a decrease from baseline in nasal
airflow (mL/sec) measured by rhinomanometry of >=30% within 2 hours of allergen
exposure. Also, the subject had a nasal obstruction symptom severity score of none or
mild (<=1) prior to exposure to allergen.

Exclusion Criteria:

- Women who were pregnant or nursing.

- Had a body mass index (BMI) >=30 kg/m^2.

- Had asthma; were being treated with inhaled or oral corticosteroids, chromones,
theophylline, leukotriene inhibitors, or short-acting inhaled β2-agonists (except
during or immediately after the allergen exposures); and could not go through the
washout periods and the entire study without needing these medications.

- Developed wheezing or dyspnea during the screening allergen exposure.

- Had a respiratory infection during the 4 weeks prior to pre-dose evaluations.

- Had any clinically significant deviation from normal in the physical examination that,
in the investigator's judgment, could interfere with the study evaluation or affect
subject safety.

- Had any history of or laboratory evidence of hepatic failure or renal failure with a
glomerular filtration rate (GFR) known to be <30 mL/min.

- Had a known potential for hypersensitivity, allergic, or idiosyncratic reaction to the
study drug or excipients.

- Had nasal structural abnormalities, including large nasal polyps and marked septum
deviation, that significantly interfered with nasal airflow.