CClinicalTrials.gg
CompletedNCT00435461Updated Mar 7, 2018Results posted

Fluticasone Furoate Nasal Spray Versus Oral Fexofenadine

A Phase 4 interventional study of Fluticasone furoate and fexofenadine in Rhinitis, Allergic, Seasonal, sponsored by GlaxoSmithKline. Completed at 6 sites in United States. Open to participants aged 12 Years and older. Per ClinicalTrials.gov, last updated 2018-03-07.

Sponsored by GlaxoSmithKline · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
1,000
Allocation
Randomized
Ages
12 Years and older
Sex
All
01

Study summary

The primary objective of this study is to compare the nighttime symptom relief of fluticasone furoate nasal spray and oral fexofenadine

02

Conditions studied

  • Rhinitis, Allergic, Seasonal

Keywords

  • once daily
  • mountain cedar
  • fexofenadine
  • allergic rhinitis
  • fluticasone furoate
03

In context

Rhinitis

1,105 studies on the registry are indexed under Rhinitis; 65 are open to participants now.

This study's enrollment of 1,000 is above the median of 89 across 906 interventional studies indexed under Rhinitis.

Browse Rhinitis studies →

Lead sponsor

GlaxoSmithKline is the lead sponsor of 3,562 studies on the registry; 117 are open to participants now.

Of its 258 completed or terminated interventional studies of FDA-regulated products, 232 (90%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
12 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Informed consent.
  • Outpatient.
  • Females of child-bearing potential must use appropriate contraception.
  • Diagnosis of seasonal allergic rhinitis to mountain cedar.
  • Adequate exposure to allergen.
  • Able to comply with study procedures.
  • Literate.

Exclusion criteria

Exclusion criteria:

  • Significant concomitant medical condition.
  • Use of corticosteroids, allergy medications, or other medication that affect allergic rhinitis
  • Positive pregnancy test.
  • Allergy to any component of the investigational product.
  • Tobacco use
  • Contact lens use
  • Has chickenpox or measles or recent exposure
  • Other clinical trial drug exposure in last 30 days
  • Affiliation with clinic site
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Enrollment
1,000 participants (actual)

Interventions

  • DrugFluticasone furoate and fexofenadine

    Fluticasone furoate and fexofenadine

06

What researchers measure

Primary outcomes

  1. Mean Change From Baseline Over the Two-week Treatment Period in Nighttime Symptoms Score (NSS)

    The NSS is a three-item questionnaire which assesses three aspects of allergic rhinitis symptoms at night which were rated using three 4-point scales, the sum of which comprises NSS. The total score ranged from 0 (best) to 9 (worst). The symptoms were: PM nasal congestion upon awakening (PMNCA) (0- None, 1- Mild, 2- Moderate, 3- Severe), difficulty in going to sleep due to nasal symptoms (DSNS) (0- Not at all, 1- Little, 2- Moderately, 3- Very), and nighttime awakenings due to nasal symptoms (NANS) (0- Not at all, 1- Once, 2- More than once, 3- I felt like I was awake all night). Each participant's Baseline NSS was defined as the average of the NSS calculated for the day of randomization and the three highest NSS scores calculated during the six days immediately prior to the day of randomization. Each participant's average change from Baseline NSS for Weeks 1-2 was the participant's average NSS over the treatment period minus the participant's Baseline NSS.

    Time frame: Baseline (Day 1) and up to 2 Weeks

Secondary outcomes

  1. Mean Change From Baseline Over the Two-week Treatment Period in Nighttime Reflective Total Nasal Symptom Scores (N-rTNSS) and Component Nasal Symptoms Score

    The nighttime reflective assessments were recorded each morning and assessed 4 nasal symptoms (rhinorrhea, nasal congestion, nasal itching, sneezing) at evening and night using a 4-point scale, 0- 'None' (symptom is not present), 1- 'Mild' (sign/symptom present; easily tolerated), 2- 'Moderate' (sign/symptom bothersome but tolerable), 3- 'Severe' (sign/symptom hard to tolerate; interference with activities of daily living). Scores of each of the 4 symptoms were summed for each participant to create a N-rTNSS for each day. The total score ranged from 0 (best) to 12 (worst). Each participant's Baseline total score was average of nighttime total symptom score on day of randomization and 3 highest scores calculated for 6 days immediately prior to day of randomization. Each participant's average change from Baseline nighttime total symptom score for Weeks 1-2 was the participant's average Nighttime total symptom score over the treatment period minus the participant's Baseline score.

    Time frame: Baseline (Day 1) and up to 2 Weeks

  2. Mean Change From Baseline Over the Two-week Treatment Period in D-rTNSS

    The Daytime reflective assessments were recorded each evening and assessed 4 nasal symptoms (rhinorrhea, nasal congestion, nasal itching, and sneezing) at evening and night using a 4-point scale, 0- 'None' (symptom is not present), 1- 'Mild' (sign/symptom present; easily tolerated), 2- 'Moderate' (sign/symptom bothersome but tolerable), 3- 'Severe' (sign/symptom hard to tolerate; interference with activities of daily living). The scores of each of the four Daytime symptoms were summed for each participant to create a D-rTNSS for each day. The total score ranged from 0 (best) to 12 (worst). Each participant's Baseline total symptom score was the average of the four highest total symptom score calculated for the seven days immediately prior to the day of randomization. Each participant's average change from Baseline Daytime total symptom score for Weeks 1-2 was the participant's average Daytime total symptom score over the treatment period minus the participants Baseline score.

    Time frame: Baseline (Day 1) and up to 2 Weeks

  3. Mean Change From Baseline Over the Two-week Treatment Period in 24-hour Reflective Total Nasal Symptom Scores (24-hour rTNSS) and Component Nasal Score

    Daily 24-hour rTNSS was calculated as the average of the corresponding N-rTNSS and D-rTNSS using a 4-point scale where, 0- 'None' (symptom is not present), 1- 'Mild' (sign/symptom present; easily tolerated), 2- 'Moderate' (sign/symptom bothersome but tolerable), 3- 'Severe' (sign/symptom hard to tolerate; interference with activities of daily living). The total score ranged from 0 (best) to 12 (worst). The 24-hour total symptom score for a Day is the average of the daytime total symptom score for that Day and the nighttime score for (D+1). If either component of a given date's 24-hour total symptom score was missing, then the 24-hour total symptom score itself were to be set to missing. Each participant's average change from Baseline 24-hour total symptom score for Weeks 1-2 was the participants average 24-hour total symptom score over the treatment period minus the participant's Baseline score.

    Time frame: Baseline (Day 1) and up to 2 Weeks

  4. Mean Change From Baseline Over the Two-week Treatment Period in Nighttime Reflective Total Ocular Symptom Scores (N-rTOSS)

    The nighttime reflective assessments were recorded each morning and assessed 3 ocular symptoms (tearing/watering, itching/burning, and redness) at evening and night using a 4-point scale, 0- 'None' (symptom is not present), 1- 'Mild' (sign/symptom present; easily tolerated), 2- 'Moderate' (sign/symptom bothersome but tolerable), 3- 'Severe' (sign/symptom hard to tolerate; interference with activities of daily living). Scores of each of 3 Nighttime symptoms were summed for each participant to create a N-rTOSS for each day. The total score ranged from 0 (best) to 9 (worst). Each participants Baseline total score was average of nighttime total symptom score on day of randomization and the 3 highest scores calculated for 6 days immediately prior to the day of randomization. Each participant's average change from Baseline nighttime total symptom score for Weeks 1-2 was the participant's average Nighttime total symptom score over treatment period minus the participant's Baseline score.

    Time frame: Baseline (Day 1) and up to 2 Weeks

  5. Mean Change From Baseline Over the Two-week Treatment Period in Daytime Reflective Total Ocular Symptom Scores (D-rTOSS)

    The Daytime reflective assessments were recorded each evening and assessed the 3 nasal symptoms (tearing/watering, itching/burning, and redness) at evening and night using a 4-point scale where, 0- 'None' (symptom is not present), 1- 'Mild' (sign/symptom present; easily tolerated), 2- 'Moderate' (sign/symptom bothersome but tolerable), 3- 'Severe' (sign/symptom hard to tolerate; interference with activities of daily living). The scores of each of the three Daytime symptoms were summed for each participant to create a D-rTOSS for each day. The total score ranged from 0 (best) to 9 (worst). Each participants Baseline total symptom score was the average of the four highest total symptom score calculated for the seven days immediately prior to the day of randomization. Each participant's average change from Baseline Daytime total symptom score for Weeks 1-2 was the participant's average Daytime total symptom score over the treatment period minus the participant's Baseline score.

    Time frame: Baseline (Day 1) and up to 2 Weeks

  6. Mean Change From Baseline Over the Two-week Treatment Period in 24-hour Reflective Total Ocular Symptom Scores (24-hour rTOSS)

    Daily 24-hour rTOSS was calculated as the average of the corresponding N-rTOSS and D-rTOSS using a 4-point scale, 0- 'None' (symptom is not present), 1- 'Mild' (sign/symptom present; easily tolerated), 2- 'Moderate' (sign/symptom bothersome but tolerable), 3- 'Severe' (sign/symptom hard to tolerate; interference with activities of daily living). The total score ranged from 0 (best) to 9 (worst). The 24-hour total symptom score for a Day is the average of the daytime total symptom score for that Day and the nighttime score for (D+1). If either component of a given date's 24-hour total symptom score was missing, then the 24-hour total symptom score itself was to be set to missing. Each participant's average change from Baseline 24-hour total symptom score for Weeks 1-2 was the participant's average 24-hour total symptom score over the treatment period minus the participant's Baseline score. Baseline is the 4 highest scores calculated for the 7 days prior to Day 1.

    Time frame: Baseline (Day 1) and up to 2 Weeks

  7. Mean Change From Baseline Over the Two-week Treatment Period in Pre-dose Instantaneous Total Nasal Symptom Score (Pre-dose iTNSS) and Pre-dose Instantaneous Total Ocular Symptom Scores (Pre-dose iTOSS)

    Participants were instructed to score and document their symptoms in an instantaneous manner on a diary card. The instantaneous rating was performed once daily just prior to administering their morning dose. The scores of each of the instantaneous nasal symptoms (nasal congestion, itching, rhinorrhea, and sneezing) and ocular symptoms (tearing/watering, itching/burning, and redness) were summed for each participant to create a iTNSS and iTOSS, respectively using a 4-point scale, 0- 'None' (symptom is not present), 1- 'Mild' (sign/symptom present; easily tolerated), 2- 'Moderate' (sign/symptom bothersome but tolerable), 3- 'Severe' (sign/symptom hard to tolerate; interference with activities of daily living). Total score ranged from 0 (best) to 12 (worst) for iTNSS and 0 (best) to 9 (worst) for iTOSS. Each participant's average change from Baseline iTNSS and iTOSS was participant's average iTNSS and iTOSS total score over the treatment period minus the participant's Baseline score.

    Time frame: Baseline (Day 1) and up to 2 Weeks

  8. Mean Change From Baseline Over the Two-week Treatment Period in Peak NasalIinspiratory Flow (PNIF)

    PNIF was measured by participants using an In-Check Nasal portable hand-held inspiratory flow meter and face mask. Participants recorded PNIF twice daily (in the morning prior to taking their study medication and in the evening). Three measurements were taken on each occasion and the highest measurement recorded on the electronic diary. Each participant's average change from Baseline PNIF was the participant's average PNIF over the treatment period minus the participant's baseline PNIF.

    Time frame: Baseline (Day 1) and up to 2 Weeks

  9. Mean Change From Baseline for Nocturnal Rhinoconjunctivitis Quality of Life Questionnaire (NRQLQ)

    The NRQLQ is a paper instrument administered on the day of randomization and at Visit 4/Early Withdrawal to assess nocturnal rhinitis-related quality of life. The NRQLQ is a 16-item, self-administered, disease-specific (allergic rhinitis), and quality of life instrument that measures the functional problems most troublesome to patients with nocturnal allergy symptoms over a one-week interval. Each question is scored from 0 to 6 with higher scores indicating more nocturnal impairment. Items are grouped into four domains: Sleep problems, Sleep time problems, Symptoms on waking in the morning and Practical problems. An overall score was calculated from the mean score of all items. Each participant's average change from Baseline NRQLQ score was the participant's average NRQLQ score over the treatment period minus the participant's baseline score.

    Time frame: Baseline (Day 1) and Day 15

07

Results

Posted Feb 5, 2018

Participant flow

The study included 5-21 days of screening period followed by two weeks of treatment period and a Follow-up. Participants had to meet five symptom assessment criteria before randomization. Two of these were based on average Nasal Symptom Score assessment and three criteria's were based on the Daytime reflective Nasal Symptom Score (D-rTNSS).

Participant flow — Overall Study
MilestonePlaceboFFNS 110 Microgram (mcg)Fex 180 Milligram (mg)
Started313312311
Completed290298287
Not completed231424
Withdrew: Visit changed to earlywithdrawn visit100
Withdrew: Protocol violation6910
Withdrew: Participant randomized(inadequate score)100
Withdrew: Compliance less than 80 percent100
Withdrew: In error, two study medications switched100
Withdrew: Lack of efficacy210
Withdrew: Withdrawal by subject102
Withdrew: Randomized in error100
Withdrew: Participant could not tolerate symptoms001
Withdrew: Participant could not swallow capsule001
Withdrew: Pregnancy200
Withdrew: Participant moved ediary,studymedication100
Withdrew: Participant ended study one day early100
Withdrew: Noncompliance with study requirements111
Withdrew: Adverse event126
Withdrew: Non-compliance of diary201
Withdrew: Lost to follow-up112

Outcome measures

PrimaryMean Change From Baseline Over the Two-week Treatment Period in Nighttime Symptoms Score (NSS)

The NSS is a three-item questionnaire which assesses three aspects of allergic rhinitis symptoms at night which were rated using three 4-point scales, the sum of which comprises NSS. The total score ranged from 0 (best) to 9 (worst). The symptoms were: PM nasal congestion upon awakening (PMNCA) (0- None, 1- Mild, 2- Moderate, 3- Severe), difficulty in going to sleep due to nasal symptoms (DSNS) (0- Not at all, 1- Little, 2- Moderately, 3- Very), and nighttime awakenings due to nasal symptoms (NANS) (0- Not at all, 1- Once, 2- More than once, 3- I felt like I was awake all night). Each participant's Baseline NSS was defined as the average of the NSS calculated for the day of randomization and the three highest NSS scores calculated during the six days immediately prior to the day of randomization. Each participant's average change from Baseline NSS for Weeks 1-2 was the participant's average NSS over the treatment period minus the participant's Baseline NSS.

Time frame:
Baseline (Day 1) and up to 2 Weeks
Reported as:
Mean · Scores on a scale
Mean Change From Baseline Over the Two-week Treatment Period in Nighttime Symptoms Score (NSS)
Scores on a scalePlaceboFFNS 110 mcgFex 180 mg
NSS, Week 1-2-1.9 ± 0.1-2.9 ± 0.1-2.0 ± 0.09
PMNCA, Week 1-2-0.6 ± 0.03-0.9 ± 0.03-0.6 ± 0.03
NANS, Week 1-2-0.7 ± 0.04-1.0 ± 0.04-0.7 ± 0.03
DSNS, Week 1-2-0.7 ± 0.04-1.1 ± 0.04-0.8 ± 0.04
Statistical analysis
  • FFNS 110 mcg vs Fex 180 mg · ANCOVA · p = <0.001 · Mean difference (final values): -0.9 · 95% CI -1.2 to -0.7
  • Placebo vs FFNS 110 mcg · ANCOVA · p = <0.001 · Mean difference (final values): -1 · 95% CI -1.2 to -0.7
  • Placebo vs Fex 180 mg · ANCOVA · p = 0.816 · Mean difference (final values): -0 · 95% CI -0.3 to 0.2
SecondaryMean Change From Baseline Over the Two-week Treatment Period in Nighttime Reflective Total Nasal Symptom Scores (N-rTNSS) and Component Nasal Symptoms Score

The nighttime reflective assessments were recorded each morning and assessed 4 nasal symptoms (rhinorrhea, nasal congestion, nasal itching, sneezing) at evening and night using a 4-point scale, 0- 'None' (symptom is not present), 1- 'Mild' (sign/symptom present; easily tolerated), 2- 'Moderate' (sign/symptom bothersome but tolerable), 3- 'Severe' (sign/symptom hard to tolerate; interference with activities of daily living). Scores of each of the 4 symptoms were summed for each participant to create a N-rTNSS for each day. The total score ranged from 0 (best) to 12 (worst). Each participant's Baseline total score was average of nighttime total symptom score on day of randomization and 3 highest scores calculated for 6 days immediately prior to day of randomization. Each participant's average change from Baseline nighttime total symptom score for Weeks 1-2 was the participant's average Nighttime total symptom score over the treatment period minus the participant's Baseline score.

Time frame:
Baseline (Day 1) and up to 2 Weeks
Reported as:
Mean · Scores on a scale
Mean Change From Baseline Over the Two-week Treatment Period in Nighttime Reflective Total Nasal Symptom Scores (N-rTNSS) and Component Nasal Symptoms Score
Scores on a scalePlaceboFFNS 110 mcgFex 180 mg
TNSS-2.5 ± 0.13-3.7 ± 0.14-2.7 ± 0.13
Nasal congestion-0.6 ± 0.03-0.9 ± 0.04-0.7 ± 0.03
Itchy nose-0.7 ± 0.04-0.9 ± 0.04-0.7 ± 0.04
Runny nose-0.6 ± 0.04-0.9 ± 0.04-0.7 ± 0.03
Sneezing-0.7 ± 0.04-1.0 ± 0.04-0.7 ± 0.04
Statistical analysis
  • Placebo vs FFNS 110 mcg · ANCOVA · p = <0.001 · Mean difference (final values): -1.3 · 95% CI -1.6 to -0.9
  • FFNS 110 mcg vs Fex 180 mg · ANCOVA · p = <0.001 · Mean difference (final values): -1 · 95% CI -1.4 to -0.7
  • Placebo vs Fex 180 mg · ANCOVA · p = 0.136 · Mean difference (final values): -0.3 · 95% CI -0.6 to 0.1
SecondaryMean Change From Baseline Over the Two-week Treatment Period in D-rTNSS

The Daytime reflective assessments were recorded each evening and assessed 4 nasal symptoms (rhinorrhea, nasal congestion, nasal itching, and sneezing) at evening and night using a 4-point scale, 0- 'None' (symptom is not present), 1- 'Mild' (sign/symptom present; easily tolerated), 2- 'Moderate' (sign/symptom bothersome but tolerable), 3- 'Severe' (sign/symptom hard to tolerate; interference with activities of daily living). The scores of each of the four Daytime symptoms were summed for each participant to create a D-rTNSS for each day. The total score ranged from 0 (best) to 12 (worst). Each participant's Baseline total symptom score was the average of the four highest total symptom score calculated for the seven days immediately prior to the day of randomization. Each participant's average change from Baseline Daytime total symptom score for Weeks 1-2 was the participant's average Daytime total symptom score over the treatment period minus the participants Baseline score.

Time frame:
Baseline (Day 1) and up to 2 Weeks
Reported as:
Mean · Scores on a scale
Mean Change From Baseline Over the Two-week Treatment Period in D-rTNSS
Scores on a scalePlaceboFFNS 110 mcgFex 180 mg
TNSS-2.6 ± 0.13-3.7 ± 0.14-3.0 ± 0.13
Nasal congestion-0.7 ± 0.04-0.9 ± 0.04-0.8 ± 0.03
Itchy nose-0.7 ± 0.04-1.0 ± 0.04-0.8 ± 0.04
Runny nose-0.6 ± 0.04-0.9 ± 0.04-0.7 ± 0.03
Sneezing-0.7 ± 0.04-1.1 ± 0.04-0.9 ± 0.04
Statistical analysis
  • Placebo vs FFNS 110 mcg · ANCOVA · p = <0.001 · Mean difference (final values): -1.1 · 95% CI -1.5 to -0.7
  • FFNS 110 mcg vs Fex 180 mg · ANCOVA · p = <0.001 · Mean difference (final values): -0.8 · 95% CI -1.2 to -0.4
  • Placebo vs Fex 180 mg · ANCOVA · p = 0.136 · Mean difference (final values): -0.3 · 95% CI -0.7 to 0.1
SecondaryMean Change From Baseline Over the Two-week Treatment Period in 24-hour Reflective Total Nasal Symptom Scores (24-hour rTNSS) and Component Nasal Score

Daily 24-hour rTNSS was calculated as the average of the corresponding N-rTNSS and D-rTNSS using a 4-point scale where, 0- 'None' (symptom is not present), 1- 'Mild' (sign/symptom present; easily tolerated), 2- 'Moderate' (sign/symptom bothersome but tolerable), 3- 'Severe' (sign/symptom hard to tolerate; interference with activities of daily living). The total score ranged from 0 (best) to 12 (worst). The 24-hour total symptom score for a Day is the average of the daytime total symptom score for that Day and the nighttime score for (D+1). If either component of a given date's 24-hour total symptom score was missing, then the 24-hour total symptom score itself were to be set to missing. Each participant's average change from Baseline 24-hour total symptom score for Weeks 1-2 was the participants average 24-hour total symptom score over the treatment period minus the participant's Baseline score.

Time frame:
Baseline (Day 1) and up to 2 Weeks
Reported as:
Mean · Scores on a scale
Mean Change From Baseline Over the Two-week Treatment Period in 24-hour Reflective Total Nasal Symptom Scores (24-hour rTNSS) and Component Nasal Score
Scores on a scalePlaceboFFNS 110 mcgFex 180 mg
TNSS-2.5 ± 0.13-3.6 ± 0.14-2.8 ± 0.13
Nasal congestion-0.6 ± 0.03-0.9 ± 0.04-0.7 ± 0.03
Itchy nose-0.7 ± 0.04-0.9 ± 0.04-0.8 ± 0.04
Runny nose-0.6 ± 0.03-0.9 ± 0.04-0.7 ± 0.03
Sneezing-0.7 ± 0.04-1.0 ± 0.04-0.8 ± 0.04
Statistical analysis
  • Placebo vs FFNS 110 mcg · ANCOVA · p = <0.001 · Mean difference (final values): -1.2 · 95% CI -1.6 to -0.8
  • FFNS 110 mcg vs Fex 180 mg · ANCOVA · p = <0.001 · Mean difference (final values): -0.9 · 95% CI -1.3 to -0.6
  • Placebo vs Fex 180 mg · ANCOVA · p = 0.136 · Mean difference (final values): -0.3 · 95% CI -0.6 to 0.1
SecondaryMean Change From Baseline Over the Two-week Treatment Period in Nighttime Reflective Total Ocular Symptom Scores (N-rTOSS)

The nighttime reflective assessments were recorded each morning and assessed 3 ocular symptoms (tearing/watering, itching/burning, and redness) at evening and night using a 4-point scale, 0- 'None' (symptom is not present), 1- 'Mild' (sign/symptom present; easily tolerated), 2- 'Moderate' (sign/symptom bothersome but tolerable), 3- 'Severe' (sign/symptom hard to tolerate; interference with activities of daily living). Scores of each of 3 Nighttime symptoms were summed for each participant to create a N-rTOSS for each day. The total score ranged from 0 (best) to 9 (worst). Each participants Baseline total score was average of nighttime total symptom score on day of randomization and the 3 highest scores calculated for 6 days immediately prior to the day of randomization. Each participant's average change from Baseline nighttime total symptom score for Weeks 1-2 was the participant's average Nighttime total symptom score over treatment period minus the participant's Baseline score.

Time frame:
Baseline (Day 1) and up to 2 Weeks
Reported as:
Mean · Scores on a scale
Mean Change From Baseline Over the Two-week Treatment Period in Nighttime Reflective Total Ocular Symptom Scores (N-rTOSS)
Scores on a scalePlaceboFFNS 110 mcgFex 180 mg
TOSS-2 ± 0.11-2.5 ± 0.11-2.2 ± 0.11
Eye tearing-0.7 ± 0.04-0.9 ± 0.04-0.8 ± 0.04
Eye itching-0.7 ± 0.04-0.9 ± 0.04-0.8 ± 0.04
Eye redness-0.6 ± 0.04-0.8 ± 0.04-0.7 ± 0.04
Statistical analysis
  • Placebo vs FFNS 110 mcg · ANCOVA · p = 0.001 · Mean difference (final values): -0.5 · 95% CI -0.8 to -0.2
  • FFNS 110 mcg vs Fex 180 mg · ANCOVA · p = 0.106 · Mean difference (final values): -0.3 · 95% CI -0.6 to 0
  • Placebo vs Fex 180 mg · ANCOVA · p = 0.286 · Mean difference (final values): -0.2 · 95% CI -0.5 to 0.1
SecondaryMean Change From Baseline Over the Two-week Treatment Period in Daytime Reflective Total Ocular Symptom Scores (D-rTOSS)

The Daytime reflective assessments were recorded each evening and assessed the 3 nasal symptoms (tearing/watering, itching/burning, and redness) at evening and night using a 4-point scale where, 0- 'None' (symptom is not present), 1- 'Mild' (sign/symptom present; easily tolerated), 2- 'Moderate' (sign/symptom bothersome but tolerable), 3- 'Severe' (sign/symptom hard to tolerate; interference with activities of daily living). The scores of each of the three Daytime symptoms were summed for each participant to create a D-rTOSS for each day. The total score ranged from 0 (best) to 9 (worst). Each participants Baseline total symptom score was the average of the four highest total symptom score calculated for the seven days immediately prior to the day of randomization. Each participant's average change from Baseline Daytime total symptom score for Weeks 1-2 was the participant's average Daytime total symptom score over the treatment period minus the participant's Baseline score.

Time frame:
Baseline (Day 1) and up to 2 Weeks
Reported as:
Mean · Scores on a scale
Mean Change From Baseline Over the Two-week Treatment Period in Daytime Reflective Total Ocular Symptom Scores (D-rTOSS)
Scores on a scalePlaceboFFNS 110 mcgFex 180 mg
TOSS-2.2 ± 0.11-2.6 ± 0.11-2.4 ± 0.11
Eye tearing-0.8 ± 0.04-0.9 ± 0.04-0.8 ± 0.04
Eye itching-0.8 ± 0.04-0.9 ± 0.04-0.9 ± 0.04
Eye redness-0.7 ± 0.04-0.8 ± 0.04-0.7 ± 0.04
Statistical analysis
  • Placebo vs FFNS 110 mcg · ANCOVA · p = 0.007 · Mean difference (final values): -0.4 · 95% CI -0.7 to -0.1
  • Placebo vs Fex 180 mg · ANCOVA · p = 0.286 · Mean difference (final values): -0.2 · 95% CI -0.5 to 0.1
  • FFNS 110 mcg vs Fex 180 mg · ANCOVA · p = 0.106 · Mean difference (final values): -0.2 · 95% CI -0.5 to 0.1
SecondaryMean Change From Baseline Over the Two-week Treatment Period in 24-hour Reflective Total Ocular Symptom Scores (24-hour rTOSS)

Daily 24-hour rTOSS was calculated as the average of the corresponding N-rTOSS and D-rTOSS using a 4-point scale, 0- 'None' (symptom is not present), 1- 'Mild' (sign/symptom present; easily tolerated), 2- 'Moderate' (sign/symptom bothersome but tolerable), 3- 'Severe' (sign/symptom hard to tolerate; interference with activities of daily living). The total score ranged from 0 (best) to 9 (worst). The 24-hour total symptom score for a Day is the average of the daytime total symptom score for that Day and the nighttime score for (D+1). If either component of a given date's 24-hour total symptom score was missing, then the 24-hour total symptom score itself was to be set to missing. Each participant's average change from Baseline 24-hour total symptom score for Weeks 1-2 was the participant's average 24-hour total symptom score over the treatment period minus the participant's Baseline score. Baseline is the 4 highest scores calculated for the 7 days prior to Day 1.

Time frame:
Baseline (Day 1) and up to 2 Weeks
Reported as:
Mean · Scores on a scale
Mean Change From Baseline Over the Two-week Treatment Period in 24-hour Reflective Total Ocular Symptom Scores (24-hour rTOSS)
Scores on a scalePlaceboFFNS 110 mcgFex 180 mg
TOSS-2.0 ± 0.11-2.5 ± 0.11-2.2 ± 0.11
Eye tearing-0.7 ± 0.04-0.9 ± 0.04-0.8 ± 0.04
Eye itching-0.7 ± 0.04-0.9 ± 0.04-0.8 ± 0.04
Eye redness-0.7 ± 0.04-0.8 ± 0.04-0.7 ± 0.04
Statistical analysis
  • Placebo vs FFNS 110 mcg · ANCOVA · p = 0.003 · Mean difference (final values): -0.5 · 95% CI -0.7 to -0.2
  • Placebo vs Fex 180 mg · ANCOVA · p = 0.286 · Mean difference (final values): -0.2 · 95% CI -0.5 to 0.1
  • FFNS 110 mcg vs Fex 180 mg · ANCOVA · p = 0.106 · Mean difference (final values): -0.3 · 95% CI -0.6 to 0
SecondaryMean Change From Baseline Over the Two-week Treatment Period in Pre-dose Instantaneous Total Nasal Symptom Score (Pre-dose iTNSS) and Pre-dose Instantaneous Total Ocular Symptom Scores (Pre-dose iTOSS)

Participants were instructed to score and document their symptoms in an instantaneous manner on a diary card. The instantaneous rating was performed once daily just prior to administering their morning dose. The scores of each of the instantaneous nasal symptoms (nasal congestion, itching, rhinorrhea, and sneezing) and ocular symptoms (tearing/watering, itching/burning, and redness) were summed for each participant to create a iTNSS and iTOSS, respectively using a 4-point scale, 0- 'None' (symptom is not present), 1- 'Mild' (sign/symptom present; easily tolerated), 2- 'Moderate' (sign/symptom bothersome but tolerable), 3- 'Severe' (sign/symptom hard to tolerate; interference with activities of daily living). Total score ranged from 0 (best) to 12 (worst) for iTNSS and 0 (best) to 9 (worst) for iTOSS. Each participant's average change from Baseline iTNSS and iTOSS was participant's average iTNSS and iTOSS total score over the treatment period minus the participant's Baseline score.

Time frame:
Baseline (Day 1) and up to 2 Weeks
Reported as:
Mean · Score on a scale
Mean Change From Baseline Over the Two-week Treatment Period in Pre-dose Instantaneous Total Nasal Symptom Score (Pre-dose iTNSS) and Pre-dose Instantaneous Total Ocular Symptom Scores (Pre-dose iTOSS)
Score on a scalePlaceboFFNS 110 mcgFex 180 mg
TNSS-2.3 ± 0.13-3.6 ± 0.14-2.6 ± 0.12
Pre-dose iTNSS, Nasal congestion-0.6 ± 0.03-0.8 ± 0.03-0.6 ± 0.03
Pre-dose iTNSS, Itchy nose-0.7 ± 0.04-1.0 ± 0.04-0.7 ± 0.04
Pre-dose iTNSS, Runny nose-0.6 ± 0.04-0.9 ± 0.04-0.6 ± 0.04
Pre-dose iTNSS, Sneezing-0.7 ± 0.04-1.0 ± 0.04-0.7 ± 0.04
TOSS-1.9 ± 0.11-2.4 ± 0.12-2.2 ± 0.1
Pre-dose iTOSS, Eye tearing-0.7 ± 0.04-0.9 ± 0.04-0.8 ± 0.04
Pre-dose iTOSS, Eye itching-0.7 ± 0.04-0.9 ± 0.04-0.8 ± 0.04
Pre-dose iTOSS, Eye redness-0.6 ± 0.04-0.8 ± 0.04-0.7 ± 0.04
Statistical analysis
  • Placebo vs FFNS 110 mcg · ANCOVA · p = <0.001 · Mean difference (final values): -1.3 · 95% CI -1.7 to -1
  • FFNS 110 mcg vs Fex 180 mg · ANCOVA · p = <0.001 · Mean difference (final values): -1.1 · 95% CI -1.4 to -0.7
  • Placebo vs Fex 180 mg · ANCOVA · p = 0.193 · Mean difference (final values): -0.2 · 95% CI -0.6 to 0.1
  • Placebo vs FFNS 110 mcg · ANCOVA · p = <0.001 · Mean difference (final values): -0.5 · 95% CI -0.8 to -0.2
  • FFNS 110 mcg vs Fex 180 mg · ANCOVA · p = 0.058 · Mean difference (final values): -0.3 · 95% CI -0.6 to 0
  • Placebo vs Fex 180 mg · ANCOVA · p = 0.16 · Mean difference (final values): -0.3 · 95% CI -0.5 to 0
SecondaryMean Change From Baseline Over the Two-week Treatment Period in Peak NasalIinspiratory Flow (PNIF)

PNIF was measured by participants using an In-Check Nasal portable hand-held inspiratory flow meter and face mask. Participants recorded PNIF twice daily (in the morning prior to taking their study medication and in the evening). Three measurements were taken on each occasion and the highest measurement recorded on the electronic diary. Each participant's average change from Baseline PNIF was the participant's average PNIF over the treatment period minus the participant's baseline PNIF.

Time frame:
Baseline (Day 1) and up to 2 Weeks
Reported as:
Mean · Liter(L)/minute (min)
Mean Change From Baseline Over the Two-week Treatment Period in Peak NasalIinspiratory Flow (PNIF)
Liter(L)/minute (min)PlaceboFFNS 110 mcgFex 180 mg
Morning PNIF1.7 ± 0.999.9 ± 1.281.4 ± 1.18
Evening PNIF0.2 ± 1.127.1 ± 1.311.3 ± 1.23
Statistical analysis
  • FFNS 110 mcg vs Fex 180 mg · ANCOVA · p = <0.001 · Mean difference (final values): 8.8 · 95% CI 5.7 to 11.9
  • Placebo vs FFNS 110 mcg · ANCOVA · p = <0.001 · Mean difference (final values): 8.4 · 95% CI 5.3 to 11.5
  • Placebo vs Fex 180 mg · ANCOVA · p = 0.779 · Mean difference (final values): -0.4 · 95% CI -3.6 to 2.7
  • FFNS 110 mcg vs Fex 180 mg · ANCOVA · p = <0.001 · Mean difference (final values): 6.3 · 95% CI 3.1 to 9.6
  • Placebo vs FFNS 110 mcg · ANCOVA · p = <0.001 · Mean difference (final values): 7 · 95% CI 3.8 to 10.3
  • Placebo vs Fex 180 mg · ANCOVA · p = 0.662 · Mean difference (final values): 0.7 · 95% CI -2.5 to 4
SecondaryMean Change From Baseline for Nocturnal Rhinoconjunctivitis Quality of Life Questionnaire (NRQLQ)

The NRQLQ is a paper instrument administered on the day of randomization and at Visit 4/Early Withdrawal to assess nocturnal rhinitis-related quality of life. The NRQLQ is a 16-item, self-administered, disease-specific (allergic rhinitis), and quality of life instrument that measures the functional problems most troublesome to patients with nocturnal allergy symptoms over a one-week interval. Each question is scored from 0 to 6 with higher scores indicating more nocturnal impairment. Items are grouped into four domains: Sleep problems, Sleep time problems, Symptoms on waking in the morning and Practical problems. An overall score was calculated from the mean score of all items. Each participant's average change from Baseline NRQLQ score was the participant's average NRQLQ score over the treatment period minus the participant's baseline score.

Time frame:
Baseline (Day 1) and Day 15
Reported as:
Mean · Scores on a scale
Mean Change From Baseline for Nocturnal Rhinoconjunctivitis Quality of Life Questionnaire (NRQLQ)
Scores on a scalePlaceboFFNS 110 mcgFex 180 mg
Overall score-1.3 ± 0.08-1.9 ± 0.09-1.5 ± 0.08
Sleep problems-1.2 ± 0.09-1.9 ± 0.09-1.5 ± 0.09
Sleep time problems-1.3 ± 0.09-1.9 ± 0.09-1.5 ± 0.09
Symptoms on waking-1.4 ± 0.09-2 ± 0.1-1.5 ± 0.09
Practical problems-1.2 ± 0.09-1.9 ± 0.1-1.6 ± 0.1
Statistical analysis
  • FFNS 110 mcg vs Fex 180 mg · ANCOVA · p = <0.001 · Mean difference (final values): -0.5 · 95% CI -0.7 to -0.3
  • Placebo vs Fex 180 mg · ANCOVA · p = 0.203 · Mean difference (final values): -0.1 · 95% CI -0.4 to 0.1
  • Placebo vs FFNS 110 mcg · ANCOVA · p = <0.001 · Mean difference (final values): -0.6 · 95% CI -0.8 to -0.4

Adverse events

Collected over Adverse events (AEs) and Serious adverse events (SAEs) were collected from the time the first dose of study medication until the follow up contact (Up to Day 20). Non-serious events are listed at a 3% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Placebo0/313 (0%)0/313 (0%)11/313 (3.5%)
FFNS 110 mcg0/312 (0%)0/312 (0%)12/312 (3.8%)
Fex 180 mg0/311 (0%)1/311 (0.3%)10/311 (3.2%)
Most frequent serious events
Most frequent serious events
EventPlaceboFFNS 110 mcgFex 180 mg
CholecystitisHepatobiliary disorders0/3130/3121/311
Most frequent other events
Most frequent other events
EventPlaceboFFNS 110 mcgFex 180 mg
HeadacheNervous system disorders11/31312/31210/311

Baseline characteristics

Age, Continuous
Age, Continuous(Years)PlaceboFFNS 110 mcgFex 180 mgTotal
Mean37.8 ± 14.3937.8 ± 13.9539.6 ± 14.6338.4 ± 14.34
Sex: Female, Male
Sex: Female, Male(Participants)PlaceboFFNS 110 mcgFex 180 mgTotal
Female194209199602
Male119103112334
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)PlaceboFFNS 110 mcgFex 180 mgTotal
African American/African Heritage2226957
American Indian or Alaska Native75618
Asian - Central/South Asian Heritage3115
Asian - East Asian Heritage1203
Asian - Japanese Heritage0101
Asian - South East Asian Heritage2125
Native Hawaiian or other Pacific Islander2125
White/Caucasian/European Heritage270268286824
Mixed Race67518
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Study locations

6 sites
  • GSK Investigational Site
    Austin, Texas 78731, United States
  • GSK Investigational Site
    Austin, Texas 78750, United States
  • GSK Investigational Site
    Kerrville, Texas 78028, United States
  • GSK Investigational Site
    New Braunfels, Texas 78130, United States
  • GSK Investigational Site
    San Antonio, Texas 78205, United States
  • GSK Investigational Site
    San Antonio, Texas 78229, United States
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References and documents

Publications

  • Andrews C, Martin B, Jacobs R, Toler T, Prillaman B, Philpot E. Efficacy of fluticasone furoate nasal spray versus oral fexofenadine on nighttime sleep disturbance caused by seasonal allergic rhinitis (SAR) nasal symptoms. Ann Allergy Asthma Immunol 2008; 100(1) (Supplement 1):A6 (abstract)
  • Andrews CP, Martin BG, Jacobs RL, Diaz J, Toler WT, Prillaman BA, Dalal AA, Philpot EE. Once-daily fluticasone furoate nasal spray showed greater improvement in nocturnal quality of life in subjects with seasonal allergic rhinitis compared with oral fexofenadine. J Allergy Clin Immunol 2008;121(2) (Supplement 1): S53 (abstract)
  • Andrews CP, Martin BG, Jacobs RL, Mohar DE, Diaz JD, Amar NJ, Kaiser HB, Vandewalker ML, Bernstein J, Toler WT, Prillaman BA, Dalal AA, Lee LA, Philpot EE. Fluticasone furoate nasal spray is more effective than fexofenadine for nighttime symptoms of seasonal allergy. Allergy Asthma Proc. 2009 Mar-Apr;30(2):128-38. doi: 10.2500/aap.2009.30.3204. PubMed 19463203 ↗
  • Martin BG, Andrews CP, Jacobs R, Mohar D, Toler WT, Prillaman BA, Philpot EE. Once-daily fluticasone furoate nasal spray showed greater improvements in relieving nighttime nasal symptoms and increasing peak nasal inspiratory flow versus oral fexofenadine in subjects with seasonal allergic rhinitis (SAR) J Allergy Clin Immunol 2008;121(2) (Supplement 1): S54-S55 (abstract)

Individual participant data

Plan to share: Yes — Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 7, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00435461
Lead sponsor
GlaxoSmithKline
Responsible party
Sponsor
First posted
Feb 15, 2007
Start date
Dec 20, 2006
Primary completion
Feb 1, 2007
Completion
Feb 28, 2007
Results posted
Feb 5, 2018
Last update
Mar 7, 2018

Study contacts

GSK Clinical Trials
study director · GlaxoSmithKline

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jul 2017. You cannot join it, but the record below documents what was studied.

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