A Randomized, Double-Blind, 4-way Crossover Study to Evaluate the Efficacy of Bilastine in the Vienna Challenge Chamber

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This is a randomized, double blind, active and placebo controlled, 4 way crossover study in patients with seasonal allergic rhinitis. Patients will receive a single dose of bilastine 20 mg, Cetirizine 10 mg, Fexofenadine 120 mg, and placebo in the Vienna Challenge Chamber...

Brief Summary

Official Title: “A Randomized, Double-Blind, 4 Way Cross-over, Placebo Controlled Trial to Evaluate the Onset of Action of Bilastine 20 mg vs. Placebo, Cetirizine 10 mg, and Fexofenadine 120 mg in the Vienna Challenge Chamber”

This is a randomized, double blind, active and placebo controlled, 4 way crossover study in patients with seasonal allergic rhinitis. Patients will receive a single dose of bilastine 20 mg, Cetirizine 10 mg, Fexofenadine 120 mg, and placebo in the Vienna Challenge Chamber.

  • Study Type: Interventional
  • Study Design: Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Crossover Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment

Detailed Clinical Trial Description

The objective of the study is to determine the effect of a single dose of bilastine 20 mg on nasal symptoms of allergic rhinitis provoked by spending 4 hours in the Vienna Challenge Chamber . This effect will be compared to that action of Cetirizine 10 mg, Fexofenadine 120 mg, and placebo. To explore the onset of action, patients will receive study drug two hours after the start of the provocation on Day 1.Patients will remain in theVCC for an additional four hours. On Day 2, patients will return to the VCC post-dose hours 22-26.

Intervention(s) in this Clinical Trial

  • Drug: Bilastine
    • Encapsulated Bilastine 20 mg tablets Q.D.
  • Drug: Fexofenadine
    • Encapsulated Fexofenadine 120 mg tablets Q.D.
  • Drug: Cetirizine
    • Encapsulated Cetirizine 10 mg tablets Q.D.
  • Drug: Placebo
    • Encapsulated Placebo tablets Q.D.

Arms, Groups and Cohorts in this Clinical Trial

  • Experimental: 1
    • Bilastine 20 mg
  • Active Comparator: 2
    • Fexofenadine 120 mg
  • Active Comparator: 3
    • Cetirizine 10 mg
  • Placebo Comparator: 4
    • Placebo

Outcome Measures for this Clinical Trial

Primary Measures

  • Onset of action and action duration
    • Safety Issue?: No

Secondary Measures

  • Nasal and ocular symptom scores
    • Safety Issue?: No
  • Nasal airflow resistance
    • Safety Issue?: No
  • Nasal secretion weight
    • Safety Issue?: No
  • FEV1
    • Safety Issue?: No
  • Routine safety parameters (vital signs, ECGs, clinical laboratory tests)
    • Safety Issue?: Yes

Criteria for Participation in this Clinical Trial

Inclusion Criteria:

  • Have a history of seasonal allergic rhinitis
  • Have a positive (as defined in the protocol) skin prick or RAST test within 12 months prior to the screening visit

Exclusion Criteria:

  • Have a clinically significant illness or disease
  • Have unstable asthma
  • Has participated in a clinical trial 30 days prior to the screening visit

Gender Eligibility for this Clinical Trial: Both

Minimum Age for this Clinical Trial: 18 Years

Maximum Age for this Clinical Trial: 55 Years

Are Healthy Volunteers Accepted for this Clinical Trial?: No

Clinical Trial Investigator Information

Lead Investigator: Faes Farma, S.A. Industry

Overall Clinical Trial Officials and Contacts

Friedrich Horak, Professor Principal Investigator ENT University Clinic Vienna  

Related Publications

Citations Reporting Results

Horak F, Zieglmayer P, Zieglmayer R, Lemell P. The effects of bilastine compared with cetirizine, fexofenadine, and placebo on allergen-induced nasal and ocular symptoms in patients exposed to aeroallergen in the Vienna Challenge Chamber. Inflamm Res. 2009 Nov 27; [Epub ahead of print]

Additional Information

Information obtained from ClinicalTrials.gov on February 12, 2012

Link to the current ClinicalTrials.gov record. http://clinicaltrials.gov/show/NCT00420082

Study ID Number: BILA-2306/ACC

ClinicalTrials.gov Identifier: NCT00420082

Health Authority: Austria: Agency for Health and Food Safety

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http://clinicaltrialsfeeds.org/clinical-trials/show/NCT00420082