Perennial Allergic Rhinitis Clinical Trial
Official title:
Efficacy of Levocetirizine in the Treatment of Nasal Obstruction Due to Perennial Rhinitis
The purpose of this study is to show that in patients suffering from perennial allergic rhinitis levocetirizine 5 mg OD relieves nasal obstruction. Furthermore the study is to investigate how relevant for these patients their nasal obstruction and the effect of levocetirizine on their nasal obstruction are.
The study is performed according to a monocentre, double-blind, placebo controlled, two arm
parallel group design. It is divided in 3 periods: A 7 ± 2 day screening phase when patients
are not to treat their perennial allergic rhinitis (PAR) is followed by a 29 ± 4 day
treatment period when patients administer either levocetirizine 5 mg OD or placebo and a 14
± 2 week post treatment observation period when again medication against PAR is not to be
taken. However in all study periods patients are provided cromoglicine nasal spray and eye
drops which in case of severe complaints they may use as rescue medication.
Throughout the study patients keep a diary documenting the severity of their nasal and
ocular symptoms of allergy. Every morning and every evening they use a 4-point scale (0 = no
symptom, 1 = mild, 2 = moderate, 3 = severe) to rate nasal obstruction, rhinorrhea, nasal
itching, sneezing and ocular complaints they experienced during the preceding 12 hours.
Furthermore they report adverse events and intake of drugs inclusive of rescue and (during
treatment period) study medication.
Patients attend 5 visits to the study site. On visit 1 medical history and concomitant
medication are assessed and patients undergo a physical examination, a pregnancy test in
case of women of child bearing potential, and, if necessary, a skin prick test. Blood is
taken to estimate creatinine clearance. Inclusion and exclusion criteria are checked and, if
they do not contradict study continuation, patients enter the screening period which ends in
the morning of the day visit 2. If on this visit morning diary reports show sufficiently
high nasal obstruction scores and study participation still complies with the inclusion and
exclusion criteria, patients are randomized and start the treatment period taking the first
dose at the study site. On visit 2 as well as on the following visits adverse events and use
of medication are surveyed and compliance is checked. Visit 3, 4 and 5 are scheduled after
one week of treatment, between treatment and post treatment observation period and at the
end of the study respectively. On visit 5 there is a final physical examination and again
females of childbearing potential undergo a pregnancy test. To assess how relevant for
patients nasal obstruction and the effect of the study medication on nasal obstruction are
questionnaires are completed on each visit.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator), Primary Purpose: Treatment
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