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CompletedNCT04877678Updated Jan 5, 2023

Effects of Second-generation Antihistamine Bepotastine on Cough Outcomes in Cough Patients With Allergic Rhinitis

A Phase 4 interventional study of Bepotastine and Placebo in Allergic Rhinitis and Cough, sponsored by Asan Medical Center. Completed at 1 site in Korea, Republic of. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2023-01-05.

Sponsored by Asan Medical Center · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
50
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
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Study summary

This is a phase 4 study to evaluate the the efficacy of second generation antihistamine on cough outcomes in cough patients with allergic rhinitis.

Read the detailed description

This is a randomized, double blind, placebo controlled trial in which a total of 78 participants who have cough (≥ 3 weeks) and symptoms of allergic rhinitis will be enrolled. Study participants will be randomly assigned to either active treatment or placebo group. The subjects in active treatment groups will be treated with daily oral bepotastine for 2 weeks, while those in placebo group will take identical-looking tablets. The efficacy of bepotastine will be assessed at the end of 2-week intervention using leicester cough questionnaire.

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Conditions studied

  • Allergic Rhinitis
  • Cough

Keywords

  • cough, allergic rhinitis, antihistamines
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In context

Rhinitis

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

This study's enrollment of 50 is below the median of 89 across 906 interventional studies indexed under Rhinitis.

Browse Rhinitis studies →

Lead sponsor

Asan Medical Center is the lead sponsor of 562 studies on the registry; 71 are open to participants now.

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

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Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Had a cough for at least 3 weeks (score of ≥30 mm on the VAS)
  2. History or allergic rhinitis confirmed with skin prick test or serum specific IgE test AND current one or more symptoms of allergic rhinitis (runny nose, obstruction, sneezing, nasal itching)
  3. Provided written informed consent
  4. Were willing and able to comply with the study protocol

Exclusion criteria

Exclusion Criteria:

  1. Current smoker or individuals who have smoked within the past 1 month prior to study entry
  2. Sings of coexisting respiratory diseases requiring active treatment such as fever, chills, wheezing, dyspnea, or purulent sputum
  3. Currently under allergen immunotherapy
    1. Allergic rhinitis or chronic rhinosinusitis under treatment with intranasal corticosteroids (INS) or leukotriene receptor antagonist (LTRA) or 2) allergic rhinitis requiring treatment with INS or LTRA
  4. Treatment with an angiotensin converting enzyme (ACE)-inhibitor within 4 weeks prior to the enrollment
  5. Forced Expiratory Volume in 1 second (FEV1)/Forced Vital Capacity (FVC) \< 0.7 or FEV1 % of predicted \< 80% within 1 month prior to enrollment
  6. Abnormal findings on chest x-ray related to cough within 1 month prior to enrollment
  7. Diagnosis or treatment of bronchial asthma or COPD within 1 year of the enrollment
  8. Clinically significant medical conditions possibly affecting evaluation of cough and nasal symptoms
  9. History of hypersensitivity or severe adverse reaction to antihistamines
  10. Unable to fill in the questionnaires (blindness, unable to read)
  11. Unable to provide informed consent
  12. History of taking following medication within 2 weeks of the enrollment; LTRA, nasal decongestants, intranasal corticosteroids (INS), systemic corticosteroids, antitussive agents (OTCs, codeine)
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Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
50 participants (actual)

Study arms

  • Active comparator
    Treatment group

    Participants will be treated with bepotastine.

    Drug: Bepotastine

  • Placebo comparator
    Placebo group

    Participants will be treated with identical looking placebo.

    Drug: Placebo

Interventions

  • DrugBepotastine

    10 mg Bepotastine, twice a day

    Also known as: Beposta B

  • DrugPlacebo

    Identical looking placebo, twice a day

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What researchers measure

Primary outcomes

  1. Leicester Cough Questionnaire (LCQ)

    The total score range of Leicester Cough Questionnaire is from 3 to 21. A higher score indicates a better quality of life.

    Time frame: At baseline, and at 2 weeks of treatment

Secondary outcomes

  1. Visual analogue scale (VAS) of cough

    The visual analogue scale of cough ranges from 0-100. A higher score indicates more severe cough.

    Time frame: At baseline, and at 2 weeks of treatment

  2. Cough hypersensitivity questionnaire (CHQ)

    The total score of cough hypersensitivity questionnaire ranges from 0-23. A higher score indicates a greater number of sensations or triggers associated with cough (or a higher degree of cough hypersensitivity).

    Time frame: At baseline, and at 2 weeks of treatment

  3. Sino-nasal outcome test -22 (SNOT-22)

    The total score of sino-nasal outcome test -22 ranges from 0-110. A higher score indicates worse quality of life related to nasal symptoms.

    Time frame: At baseline, and at 2 weeks of treatment

  4. Visual analogue scale (VAS) of globus pharyngeus

    The visual analogue scale of globus pharyngeus ranges from 0-100. A higher score indicates more severe sensation of globus pharyngeus.

    Time frame: At baseline, and at 2 weeks of treatment

  5. Daily cough severity

    The scale of daily cough severity ranges from 0-10. A higher score indicates more severe cough.

    Time frame: daily assessment

  6. Rate of adverse events

    Rate of adverse events in participant

    Time frame: during 2 weeks of treatment

  7. Objective cough frequency

    24-hour objective cough frequency will be measured using the Hyfe Cough Tracker, a smartphone application-based cough monitoring. The measurement is optional and will be done in patients who agree to measure it.

    Time frame: At baseline, and at 2 weeks of treatment

07

Study locations

1 site
  • Asan medical center
    Seoul, Korea, Republic of
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 5, 2023, 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
NCT04877678
Lead sponsor
Asan Medical Center
Responsible party
Woo-Jung Song (Professor, Asan Medical Center) — Principal investigator
First posted
May 7, 2021
Start date
Oct 1, 2021
Primary completion
Sep 1, 2022
Completion
Oct 31, 2022
Last update
Jan 5, 2023

Study contacts

Woo-Jung Song
principal investigator · Asan Medical Center

Oversight

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

Not currently enrolling

This study is completed, as verified in Jan 2023. You cannot join it, but the record below documents what was studied.

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