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CompletedNCT03444506GSP 301- PoCUpdated Jun 20, 2018

Efficacy and Safety of Fixed Dose Combination (FDC) of Olopatadine Hydrochloride and Mometasone Furoate Nasal Spray (Molo; Also Referred as GSP 301) in the Treatment of Seasonal Allergic Rhinitis (SAR)

A Phase 2 interventional study of Molo 1 (also referred as GSP 301-2 NS) and Molo 2 (also referred as GSP 301-1 NS) in Seasonal Allergic Rhinitis, sponsored by Glenmark Pharmaceuticals Ltd. India. Completed at 1 site in Canada. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2018-06-20.

Sponsored by Glenmark Pharmaceuticals Ltd. India · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
180
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

A single-center, double-blind, placebo-controlled study of FDC olopatadine hydrochloride and mometasone furoate nasal spray (Molo; also referred as GSP 301) was conducted in subjects with seasonal allergic rhinitis. In this study, the efficacy and safety of two regimens (BID and QD) of the FDC (i.e. Molo 1 and Molo 2) were evaluated compared to placebo nasal spray, DYMISTA® and PATANASE®.

02

Conditions studied

  • Seasonal Allergic Rhinitis

Keywords

  • SAR
03

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Male and female patients aged 18 to 65 years (inclusive) with a clinical history of seasonal allergic rhinitis (SAR) (for at least 2 years) and exhibiting a positive skin prick test

Exclusion criteria

Exclusion Criteria:

  • Pregnant or lactating women
  • Patients with known hypersensitivity to any of the components of the formulation
  • Patients with a history of seasonal asthma during ragweed season.
  • Patient requiring chronic use of inhaled or systemic corticosteroids
  • Patients with perennial rhinitis; non-allergic rhinitis; or ocular infection within 3 weeks before the screening
  • Patients with history of acute or significant chronic sinusitis or chronic purulent post-nasal drip or Rhinitis Medicamentosa as determined by the Investigator.
  • Patients with history of narrow-angle glaucoma, increased intraocular pressure, posterior subcapsular cataract, urinary retention, uncontrolled hypertension, severe Coronary Artery Disease, Ischemic Heart Disease, uncontrolled Diabetes Mellitus, Hyperthyroidism, Renal Impairment or Prostatic Hypertrophy, and those receiving MAO inhibitor therapy.
04

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
180 participants (actual)

Study arms

  • Placebo comparator
    Placebo nasal spray

    Placebo nasal spray - 2 sprays per nostril, BID

    Drug: Placebo nasal spray

  • Experimental
    Molo 1 (also referred as GSP 301-2 NS)

    Fixed Dose Combination of Molo nasal spray (olopatadine hydrochloride 665 mcg and mometasone furoate 25 mcg nasal spray) - 2 sprays per nostril, BID

    Drug: Molo 1 (also referred as GSP 301-2 NS)

  • Experimental
    Molo 2 (also referred as GSP 301-1 NS)

    Fixed Dose Combination of Molo nasal spray (olopatadine hydrochloride 665 mcg and mometasone furoate 50 mcg nasal spray) - 2 sprays per nostril, QD

    Drug: Molo 2 (also referred as GSP 301-1 NS)

  • Active comparator
    DYMISTA nasal spray

    Fixed Dose Combination of azelastine hydrochloride 137 mcg and fluticasone propionate 50 mcg nasal spray - 1 spray per nostril, BID

    Drug: DYMISTA nasal spray

  • Active comparator
    PATANASE nasal spray

    Olopatadine hydrochloride 665 mcg nasal spray - 2 sprays per nostril, BID

    Drug: PATANASE nasal spray

Interventions

  • DrugMolo 1 (also referred as GSP 301-2 NS)
  • DrugMolo 2 (also referred as GSP 301-1 NS)
  • DrugPlacebo nasal spray
  • DrugDYMISTA nasal spray
  • DrugPATANASE nasal spray
05

What researchers measure

Primary outcomes

  1. Change in mean post-treatment instantaneous Total Nasal Symptoms Score (iTNSS) for Molo 1 and Molo 2 compared with placebo from baseline to end of treatment

    Instantaneous Total Nasal Symptom Score (iTNSS) is calculated as the sum of instantaneous scoring of the severity of four individual nasal symptoms (nasal congestion, rhinorrhea, nasal itching, sneezing). Subject responds on a 4-point severity scale with scores ranging from 0 (no signs/absent) to 3 (severe signs).

    Time frame: 15 days

Secondary outcomes

  1. Change in mean post-treatment iTNSS for Molo 1 and Molo 2 compared with reference products Dymista and Patanase

    Instantaneous Total Nasal Symptom Score (iTNSS) is calculated as the sum of instantaneous scoring of the severity of four individual nasal symptoms (nasal congestion, rhinorrhea, nasal itching, sneezing). Subject responds on a 4-point severity scale with scores ranging from 0 (no signs/absent) to 3 (severe signs).

    Time frame: 15 days

  2. Change in mean post-treatment iTNSS for reference products Dymista and Patanase compared with placebo

    Instantaneous Total Nasal Symptom Score (iTNSS) is calculated as the sum of instantaneous scoring of the severity of four individual nasal symptoms (nasal congestion, rhinorrhea, nasal itching, sneezing). Subject responds on a 4-point severity scale with scores ranging from 0 (no signs/absent) to 3 (severe signs).

    Time frame: 15 days

  3. Onset of action assessed by comparing change in iTNSS after the first dose

    Time frame: 15 days

  4. Change from baseline in post-treatment instantaneous Total Symptoms Score (iTSS) (Molo 1 and Molo 2 versus Active Comparator)

    Instantaneous Total Symptom Score (iTSS) is calculated as the sum of the four individual nasal symptom (nasal congestion, rhinorrhea, nasal itching, sneezing) scores and the three individual ocular symptom (ocular itching, tearing/watering eyes, and ocular redness) scores. Subject responds on a 4-point severity scale with scores ranging from 0 (no signs/absent) to 3 (severe signs).

    Time frame: 15 days

  5. Change from baseline in individual instantaneous Nasal Symptoms Scores (iNSS) (Molo 1 and Molo 2 versus Active Comparator)

    Individual Instantaneous Nasal Symptoms Scores (iNSS) is calculated as the score of individual nasal symptoms (nasal congestion, rhinorrhea, nasal itching, sneezing). Subject responds on a 4-point severity scale with scores ranging from 0 (no signs/absent) to 3 (severe signs).

    Time frame: 15 days

  6. Change from baseline in instantaneous Total Ocular Symptom Score (iTOSS) (Molo 1 and Molo 2 versus Active Comparator)

    Instantaneous Total Ocular Symptom Score (iTOSS) is calculated as the sum of the three individual ocular symptoms (ocular itching, tearing/watering eyes, and ocular redness). Subject responds on a 4-point severity scale with scores ranging from 0 (no signs/absent) to 3 (severe signs).

    Time frame: 15 days

  7. Change in mean post-treatment Environmental Exposure Chamber - Rhinoconjunctivitis Quality-of-Life Questionnaire (EEC-QoLQ) scores

    The EEC-QoLQ has questions in three domains (non-nose/eye symptoms, practical problems and emotional) related to how much a subject was bothered with symptoms. Subject responds on a 7-point scale with score ranging from 0 (better outcome) to 6 (worse outcome).

    Time frame: 15 days

  8. Responses to a reflective Global Assessment of Tolerability and Acceptance Questionnaire (GATAQ)

    Scale of 0 (very much acceptable) - 6 (not acceptable)

    Time frame: 15 days

06

Study locations

1 site
  • Glenmark Investigational Site 1
    Mississauga, Ontario L4W 1V7, Canada
07

References and documents

Publications

  • Patel P, Salapatek AM, Tantry SK. Effect of olopatadine-mometasone combination nasal spray on seasonal allergic rhinitis symptoms in an environmental exposure chamber study. Ann Allergy Asthma Immunol. 2019 Feb;122(2):160-166.e1. doi: 10.1016/j.anai.2018.10.011. Epub 2018 Oct 12. PubMed 30321655 ↗
08

Registry details

Key details

Study ID
NCT03444506
Lead sponsor
Glenmark Pharmaceuticals Ltd. India
Responsible party
Sponsor
First posted
Feb 23, 2018
Start date
Jan 27, 2014
Primary completion
Feb 28, 2014
Completion
Feb 28, 2014
Last update
Jun 20, 2018

Study contacts

Sudeesh Tantry, PhD
study director · Glenmark Pharmaceuticals

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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