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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT01018030
Other study ID # 113203
Secondary ID
Status Completed
Phase Phase 2
First received November 19, 2009
Last updated March 21, 2017
Start date January 2010
Est. completion date July 2010

Study information

Verified date March 2017
Source GlaxoSmithKline
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

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).


Description:

- Rationale - Acute rhinosinusitis (ARS) is a condition caused by inflammation of the nose and the paranasal sinuses that generally lasts up to 4 weeks. Despite ARS being a self-limiting condition, untreated or inadequately treated sinus infection can lead to the development of complications. Uncomplicated ARS is a subset of ARS and is distinguished from the common cold by the persistence or the worsening of sinus inflammation after the usual period for recovery of viral infection of the nasal cavity (i.e., 10 days). Clinically the difference is based on the following criteria: symptoms are present at least 10 days but less than 4 weeks beyond the onset of upper respiratory symptoms OR symptoms worsen after 5 days from their onset.

In the primary care settings, ARS is often treated empirically with antibiotics although they are shown to provide limited benefit in the uncomplicated ARS population. Alternatively, the use of an intranasal corticosteroid (INS) to control symptoms of uncomplicated ARS is plausible based on clinically proven ability to reduce inflammation and mucosal swelling.

This study is a phase II study.

- Objective - The objective of this study is to evaluate the safety and efficacy of two doses of FFNS (110 mcg once daily and 110 mcg twice daily) compared to placebo as monotherapy in the treatment of adult and adolescent subjects 12 years of age and older with uncomplicated ARS.

- Study Design - This is a randomized, double-blind, placebo controlled, parallel group, multi-centre, 2-week treatment study. The study includes a 2-week post-treatment follow-up period.

Approximately 720 subjects will be randomized to one of three treatment groups for a period of 14 days: FFNS 110 mcg QD, FFNS 110 mcg BID, and placebo nasal spray.


Recruitment information / eligibility

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

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
FFNS 110 mcg QD
Active Nasal Spray (AM) and Placebo Nasal Spray (PM)
FFNS 110 mcg BID
Active Nasal Spray (AM) and Active Nasal Spray (PM)
Placebo Nasal Spray
Placebo Nasal Spray (AM) and Placebo Nasal Spray (PM)

Locations

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

Sponsors (1)

Lead Sponsor Collaborator
GlaxoSmithKline

Countries where clinical trial is conducted

Bulgaria,  Canada,  Czech Republic,  Estonia,  Germany,  Netherlands,  Norway,  Poland,  Russian Federation,  Spain,  Sweden,  Ukraine, 

References & Publications (1)

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

Outcome

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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