1. Efficacy and safety of twice-daily and once-daily olopatadine-mometasone combination nasal spray for seasonal allergic rhinitis
- Author
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Dale Mohar, Yacine Salhi, Sudeesh K. Tantry, and Charles P. Andrews
- Subjects
Male ,Pulmonary and Respiratory Medicine ,medicine.drug_class ,medicine.medical_treatment ,Immunology ,Mometasone furoate ,Placebo ,Drug Administration Schedule ,03 medical and health sciences ,0302 clinical medicine ,Clinical endpoint ,Humans ,Immunology and Allergy ,Medicine ,030212 general & internal medicine ,Olopatadine Hydrochloride ,business.industry ,Rhinitis, Allergic, Seasonal ,Nasal Sprays ,Middle Aged ,Olopatadine ,Drug Combinations ,Treatment Outcome ,030228 respiratory system ,Nasal spray ,Anesthesia ,Corticosteroid ,Drug Therapy, Combination ,Female ,Antihistamine ,business ,Mometasone Furoate ,medicine.drug - Abstract
GSP301 is an investigational fixed-dose combination nasal spray of olopatadine hydrochloride (antihistamine) and mometasone furoate (corticosteroid).To evaluate efficacy and safety of GSP301 in patients with seasonal AR (SAR).In this phase 2, double-blind, parallel-group study, patients (≥12 years of age) with SAR were equally randomized to twice-daily GSP301 (olopatadine 665 μg and mometasone 25 μg), once-daily GSP301 (olopatadine 665 μg and mometasone 50 μg), twice-daily or once-daily olopatadine monotherapy (665 μg), mometasone monotherapy (twice-daily 25 μg or once-daily 50 μg), or placebo for 14 days. The primary endpoint-mean change from baseline in morning and evening reflective Total Nasal Symptom Score (rTNSS)-was analyzed using analysis of covariance (ANCOVA; P.05 = statistically significant). Average morning and evening 12-hour instantaneous TNSS (iTNSS), ocular symptoms, individual symptoms, onset of action, quality of life, and adverse events (AEs) were also assessed.A total of 1111 patients were randomized. Twice-daily GSP301 provided statistically significant and clinically meaningful rTNSS improvements vs placebo (P.001), twice-daily olopatadine (P = .049), and mometasone (P = .004). Similar significant improvements in iTNSS were observed with twice-daily GSP301 vs placebo (P.001) and twice-daily mometasone (P = .007); improvements were not significant vs olopatadine (P = .058). Once-daily GSP301 provided significant rTNSS and iTNSS improvements vs placebo and once-daily olopatadine (P.01, all) but improvements were not significant vs mometasone. Treatment-emergent AEs rates were 10.8%, 9.5%, and 8.2%, with twice-daily GSP301, once-daily GSP301, and placebo, respectively.Twice-daily GSP301 treatment was efficacious and well tolerated, providing statistically significant and clinically meaningful improvements in rTNSS (primary endpoint) vs placebo and both monotherapies.Clinicaltrials.gov Identifier NCT02318303.
- Published
- 2020