Sinusitis, Acute Clinical Trial
Official title:
A Randomized, Double-blind, Placebo Controlled, Parallel Group, Multi-centre, 2-week Treatment Study to Evaluate the Safety and Efficacy of Fluticasone Furoate Nasal Spray 110 mcg in the Treatment in the Treatment of Uncomplicated Acute Rhinosinusitis in Adults and Adolescents >= 12 Years of Age
Verified date | March 2017 |
Source | GlaxoSmithKline |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The purpose of this study is to assess the safety and efficacy of fluticasone furoate nasal spray (FFNS), without the use of an antibiotic, in the treatment of adult and adolescent subjects who are 12 years of age and older with uncomplicated acute rhinosinusitis (ARS).
Status | Completed |
Enrollment | 741 |
Est. completion date | July 2010 |
Est. primary completion date | July 2010 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 12 Years and older |
Eligibility |
Inclusion Criteria: 1. Informed consent 2. Outpatient 3. Age (>= 18 years at Visit 1 for Russia, Ukraine, and Germany; >= 12 years at Visit 2 for all other countries) 4. Diagnosis of uncomplicated acute rhinosinusitis 5. Ability and willingness to comply with study procedures and restrictions. 6. Male or eligible female - Female subjects should not be enrolled if they plan to become pregnant during the time of study participation; To be eligible for entry into the study, females of childbearing potential must commit to the consistent and correct use of an acceptable method of birth control. 7. Literate Exclusion Criteria: 1. Based on the investigator's clinical judgement, subject has fulminant bacterial rhinosinusitis during the screening period including Visits 1 and 2. 2. A history of acute rhinosinusitis within 12 weeks prior to the current episode as determined by the investigator 3. Current or a history of other sinonasal conditions (e.g., chronic or recurrent rhinosinusitis, non-allergic rhinitis) within 3 years prior to Visit 1 as determined by the investigator 4. Symptomatic perennial or seasonal allergic rhinitis prior to ARS episode, or allergy to seasonal allergens likely to be present during the study period (as determined by documented skin prick test or in vitro blood test). 5. Significant concomitant medical conditions 6. Subjects with planned elective surgery, vacation or other event during the study period which could prevent the subject from participating in the study according to protocol specifications 7. Use of antibiotics within 30 days prior to Visit 1 for sinopulmonary infections. 8. Use of antiviral medications such as zanamivir and oseltamivir within 30 days prior to Visit 1 9. Use of analgesics or antipyretics within 1 day prior to Visit 1 10. Known hypersensitivity or allergy to corticosteroids or any excipients in the product 11. Use of corticosteroids, defined as: 12. Use of any other medications that may affect nasal symptoms 13. Use of immunosuppressive medications eight weeks prior to screening and during the study 14. Immunotherapy 15. Use of any medications that significantly inhibit the cytochrome P450 subfamily enzyme CYP3A4, including ritonavir and ketoconazole 16. Clinical trial/experimental medication experience 17. Positive pregnancy test or inconclusive pregnancy test or female who is breastfeeding 18. Affiliation with investigational site 19. Current tobacco use 20. Chicken pox or measles |
Country | Name | City | State |
---|---|---|---|
Bulgaria | GSK Investigational Site | Ruse | |
Bulgaria | GSK Investigational Site | Sofia | |
Bulgaria | GSK Investigational Site | Sofia | |
Bulgaria | GSK Investigational Site | Sofia | |
Bulgaria | GSK Investigational Site | Varna | |
Canada | GSK Investigational Site | Ajax | Ontario |
Canada | GSK Investigational Site | Brampton | Ontario |
Canada | GSK Investigational Site | Chilliwack | British Columbia |
Canada | GSK Investigational Site | Granby | Quebec |
Canada | GSK Investigational Site | Hamilton | Ontario |
Canada | GSK Investigational Site | Kelowna | British Columbia |
Canada | GSK Investigational Site | London | Ontario |
Canada | GSK Investigational Site | Mississauga | Ontario |
Canada | GSK Investigational Site | Newmarket | Ontario |
Canada | GSK Investigational Site | Oshawa | Ontario |
Canada | GSK Investigational Site | Ottawa | Ontario |
Canada | GSK Investigational Site | Pointe-Claire | Quebec |
Canada | GSK Investigational Site | Quebec | |
Canada | GSK Investigational Site | Quebec City | Quebec |
Canada | GSK Investigational Site | Sarnia | Ontario |
Canada | GSK Investigational Site | Saskatoon | Saskatchewan |
Canada | GSK Investigational Site | Sudbury | Ontario |
Canada | GSK Investigational Site | Surrey | British Columbia |
Canada | GSK Investigational Site | Toronto | Ontario |
Canada | GSK Investigational Site | Toronto | Ontario |
Canada | GSK Investigational Site | Toronto | Ontario |
Canada | GSK Investigational Site | Winnipeg | Manitoba |
Canada | GSK Investigational Site | Winnipeg | Manitoba |
Canada | GSK Investigational Site | Woodstock | Ontario |
Czech Republic | GSK Investigational Site | Benesov | |
Czech Republic | GSK Investigational Site | Brno | |
Czech Republic | GSK Investigational Site | Hradec Kralove | |
Czech Republic | GSK Investigational Site | Pardubice | |
Czech Republic | GSK Investigational Site | Praha 5 | |
Estonia | GSK Investigational Site | Tallinn | |
Germany | GSK Investigational Site | Berlin | |
Germany | GSK Investigational Site | Berlin | |
Germany | GSK Investigational Site | Delitzsch | Sachsen |
Germany | GSK Investigational Site | Duisburg | Nordrhein-Westfalen |
Germany | GSK Investigational Site | Essen | Nordrhein-Westfalen |
Germany | GSK Investigational Site | Frankfurt | Hessen |
Germany | GSK Investigational Site | Goch | Nordrhein-Westfalen |
Germany | GSK Investigational Site | Hamburg | |
Germany | GSK Investigational Site | Hannover | Niedersachsen |
Germany | GSK Investigational Site | Ketzin | Brandenburg |
Germany | GSK Investigational Site | Nuernberg | Bayern |
Germany | GSK Investigational Site | Schmoelln | Thueringen |
Germany | GSK Investigational Site | Weinheim | Baden-Wuerttemberg |
Germany | GSK Investigational Site | Wiesbaden | Hessen |
Netherlands | GSK Investigational Site | Almere | |
Netherlands | GSK Investigational Site | Beek | |
Netherlands | GSK Investigational Site | Etten-leur | |
Netherlands | GSK Investigational Site | Losser | |
Netherlands | GSK Investigational Site | Nijmegen | |
Netherlands | GSK Investigational Site | Woerden | |
Norway | GSK Investigational Site | Alesund | |
Norway | GSK Investigational Site | Bekkestua | |
Norway | GSK Investigational Site | Elverum | |
Norway | GSK Investigational Site | Hamar | |
Norway | GSK Investigational Site | Hønefoss | |
Norway | GSK Investigational Site | Nesttun | |
Norway | GSK Investigational Site | Stavanger | |
Poland | GSK Investigational Site | Lublin | |
Poland | GSK Investigational Site | Tarnow | |
Poland | GSK Investigational Site | Wroclaw | |
Poland | GSK Investigational Site | Wroclaw | |
Poland | GSK Investigational Site | Zawadzkie | |
Russian Federation | GSK Investigational Site | Moscow | |
Russian Federation | GSK Investigational Site | Moscow | |
Russian Federation | GSK Investigational Site | Moscow | |
Russian Federation | GSK Investigational Site | Saint-Petersburg | |
Spain | GSK Investigational Site | Barcelona | |
Spain | GSK Investigational Site | Benidorm/Alicante | |
Spain | GSK Investigational Site | Madrid | |
Spain | GSK Investigational Site | Oviedo | |
Spain | GSK Investigational Site | Petrer/Alicante | |
Spain | GSK Investigational Site | Talavera de la Reina (Toledo) | |
Sweden | GSK Investigational Site | Göteborg | |
Sweden | GSK Investigational Site | Göteborg | |
Sweden | GSK Investigational Site | Lidingö | |
Sweden | GSK Investigational Site | Lund | |
Sweden | GSK Investigational Site | Stockholm | |
Ukraine | GSK Investigational Site | Kyiv | |
Ukraine | GSK Investigational Site | Kyiv | |
Ukraine | GSK Investigational Site | Odesa | |
Ukraine | GSK Investigational Site | Symferopil | |
Ukraine | GSK Investigational Site | Zaporizhzhya |
Lead Sponsor | Collaborator |
---|---|
GlaxoSmithKline |
Bulgaria, Canada, Czech Republic, Estonia, Germany, Netherlands, Norway, Poland, Russian Federation, Spain, Sweden, Ukraine,
Keith PK, Dymek A, Pfaar O, Fokkens W, Yun Kirby S, Wu W, Garris C, Topors N, Lee LA. Fluticasone furoate nasal spray reduces symptoms of uncomplicated acute rhinosinusitis: a randomised placebo-controlled study. Prim Care Respir J. 2012 Sep;21(3):267-75. doi: 10.4104/pcrj.2012.00039. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Mean Change From Baseline in the Daily Major Symptom Score (MSS) Over the Entire Treatment Period (Weeks 1-2) | The MSS was calculated as the sum of 3 individual symptom scores for nasal congestion/stuffiness, sinus headache/pressure or facial pain/pressure, and postnasal drip. Daily MSS was calculated as the average of the morning (AM) and evening (PM) MSS. Each individual symptom was scored on a scale of 0 to 3: 0=none; 1=mild; 2=moderate; 3=severe. The total score ranged from 0 to 9. Change from baseline was calculated as the daily MSS averaged over the entire treatment period minus daily MSS over the baseline period (defined as the average daily MSS over the last 3 days prior to randomization). | Baseline and entire treatment period (up to 2 weeks) | |
Secondary | First Time to Symptom Improvement | Symptom improvement was defined as symptom scores less than or equal to 1 (i.e., mild or no symptoms) for all three major symptoms (nasal congestion/stuffiness, sinus headache/pressure or facial pain/pressure, and postnasal drip) on 2 consecutive 12-hour assessments. Each individual symptom was scored on a scale of 0 to 3: 0=none; 1=mild; 2=moderate; 3=severe. | Entire treatment period (up to 2 weeks) | |
Secondary | Mean Change From Baseline Over the Entire Treatment Period in AM MSS | Mean change from baseline in MSS for nasal congestion/stuffiness, sinus headache/pressure or facial pain/pressure, and postnasal drip as measured in the morning (AM) was calculated as the Week 1-2 value minus the baseline value. Each individual symptom was scored on a scale of 0 to 3: 0=none; 1=mild; 2=moderate; 3=severe. The total score ranged from 0 to 9. Change from baseline in AM MSS was calculated as the AM MSS averaged over the entire treatment period minus the AM MSS over the baseline period (defined as the average AM MSS over the last 3 days prior to randomization). | Baseline and entire treatment period (up to 2 weeks) | |
Secondary | Mean Change From Baseline Over the Entire Treatment Period in PM MSS | Mean change from baseline in MSS for nasal congestion/stuffiness, sinus headache/pressure or facial pain/pressure, and postnasal drip as measured in the evening (PM) was calculated as the Week 1-2 value minus the baseline value. Each individual symptom was scored on a scale of 0 to 3: 0=none; 1=mild; 2=moderate; 3=severe. The total score ranged from 0 to 9. Change from baseline in PM MSS was calculated as the PM MSS averaged over the entire treatment period minus the PM MSS over the baseline period (defined as the average PM MSS over the last 3 days prior to randomization). | Baseline and entire treatment period (up to 2 weeks) | |
Secondary | Mean Change From Baseline Over the Entire Treatment Period in the Daily Nasal Congestion/Stuffiness Score | Mean change from baseline was calculated as the Week 1-2 value minus the baseline value. Each individual symptom was scored on a scale of 0 to 3: 0=none; 1=mild; 2=moderate; 3=severe. The score ranged from 0 to 3. Change from baseline in the daily nasal congestion/stuffiness score was calculated as the daily score averaged over the entire treatment period minus the daily score over the baseline period (defined as the average daily score over the last 3 days prior to randomization). | Baseline and entire treatment period (up to 2 weeks) | |
Secondary | Mean Change From Baseline Over the Entire Treatment Period in the AM Nasal Congestion/Stuffiness Score | Mean change from baseline was calculated as the Week 1-2 value minus the baseline value. Each individual symptom was scored on a scale of 0 to 3: 0=none; 1=mild; 2=moderate; 3=severe. The score ranged from 0 to 3. Change from baseline in the AM nasal congestion/stuffiness score was calculated as the AM score averaged over the entire treatment period minus the AM score over the baseline period (defined as the average AM score over the last 3 days prior to randomization). | Baseline and entire treatment period (up to 2 weeks) | |
Secondary | Mean Change From Baseline Over the Entire Treatment Period in the PM Nasal Congestion/Stuffiness Score | Mean change from baseline was calculated as the Week 1-2 value minus the baseline value. Each individual symptom was scored on a scale of 0 to 3: 0=none; 1=mild; 2=moderate; 3=severe. The score ranged from 0 to 3. Change from baseline in the PM nasal congestion/stuffiness score was calculated as the PM score averaged over the entire treatment period minus the PM score over the baseline period (defined as the average PM score over the last 3 days prior to randomization). | Baseline and entire treatment period (up to 2 weeks) | |
Secondary | Mean Change From Baseline Over the Entire Treatment Period in the Daily Sinus Headache/Pressure or Facial Pain/Pressure Score | Mean change from baseline was calculated as the Week 1-2 value minus the baseline value. Each individual symptom was scored on a scale of 0 to 3: 0=none; 1=mild; 2=moderate; 3=severe. The score ranged from 0 to 3. Change from baseline in the daily sinus headache/pressure or facial pain/pressure score was calculated as the daily score averaged over the entire treatment period minus the daily score over the baseline period (defined as the average daily score over the last 3 days prior to randomization). | Baseline and entire treatment period (up to 2 weeks) | |
Secondary | Mean Change From Baseline Over the Entire Treatment Period in the AM Sinus Headache/Pressure or Facial Pain/Pressure Score | Mean change from baseline was calculated as the Week 1-2 value minus the baseline value. Each individual symptom was scored on a scale of 0 to 3: 0=none; 1=mild; 2=moderate; 3=severe. The score ranged from 0 to 3. Change from baseline in the AM sinus headache/pressure or facial pain/pressure score was calculated as the AM score averaged over the entire treatment period minus the AM score over the baseline period (defined as the average AM score over the last 3 days prior to randomization). | Baseline and entire treatment period (up to 2 weeks) | |
Secondary | Mean Change From Baseline Over the Entire Treatment Period in the PM Sinus Headache/Pressure or Facial Pain/Pressure Score | Mean change from baseline was calculated as the Week 1-2 value minus the baseline value. Each individual symptom was scored on a scale of 0 to 3: 0=none; 1=mild; 2=moderate; 3=severe. The score ranged from 0 to 3. Change from baseline in the PM sinus headache/pressure or facial pain/pressure score was calculated as the PM score averaged over the entire treatment period minus the PM score over the baseline period (defined as the average PM score over the last 3 days prior to randomization). | Baseline and entire treatment period (up to 2 weeks) | |
Secondary | Mean Change From Baseline Over the Entire Treatment Period in the Daily Postnasal Drip Score | Mean change from baseline was calculated as the Week 1-2 value minus the baseline value. Each individual symptom was scored on a scale of 0 to 3: 0=none; 1=mild; 2=moderate; 3=severe. The score ranged from 0 to 3. Change from baseline in the daily postnasal drip score was calculated as the daily postnasal drip score averaged over the entire treatment period minus the daily postnasal drip score over the baseline period (defined as the average daily postnasal drip score over the last 3 days prior to randomization). | Baseline and entire treatment period (up to 2 weeks) | |
Secondary | Mean Change From Baseline Over the Entire Treatment Period in the AM Postnasal Drip Score | Mean change from baseline was calculated as the Week 1-2 value minus the baseline value. Each individual symptom was scored on a scale of 0 to 3: 0=none; 1=mild; 2=moderate; 3=severe. The score ranged from 0 to 3. Change from baseline in the AM postnasal drip score was calculated as the AM postnasal drip score averaged over the entire treatment period minus the AM postnasal drip score over the baseline period (defined as the average AM postnasal drip score over the last 3 days prior to randomization). | Baseline and entire treatment period (up to 2 weeks) | |
Secondary | Mean Change From Baseline Over the Entire Treatment Period in the PM Postnasal Drip Score | Mean change from baseline was calculated as the Week 1-2 value minus the baseline value. Each individual symptom was scored on a scale of 0 to 3: 0=none; 1=mild; 2=moderate; 3=severe. The score ranged from 0 to 3. Change from baseline in the PM postnasal drip score was calculated as the PM postnasal drip score averaged over the entire treatment period minus the PM postnasal drip score over the baseline period (defined as the average PM postnasal drip score over the last 3 days prior to randomization). | Baseline and entire treatment period (up to 2 weeks) | |
Secondary | Number of Participants Who Require the Use of an Antibiotic Due to the Development of Fulminant Bacterial Rhinosinusitis (FBRS) | Participants who required the use of an antibiotic due to the development of FBRS during the 2-week treatment period and the 2-week follow-up period were included in the analysis. | 4 weeks |
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