Trial Outcomes & Findings for Efficacy and Safety of Grass Sublingual Tablet in Adults (P05238 AM3)(COMPLETED) (NCT NCT00562159)

NCT ID: NCT00562159

Last Updated: 2017-03-03

Results Overview

The TCS is the sum of the rhinoconjunctivitis daily symptom score (DSS) and rhinoconjunctivitis daily medication score (DMS) averaged over the entire GPS. The TCS ranged from 0-54, with increasing score indicating a higher level of symptom severity. The DSS is composed of 6 rhinoconjunctivitis symptoms with scores from 0-18, with increasing score indicating increased severity. The DMS is composed of a sum of the scores associated with rescue medication use per day. The range for the DMS was 0-36, with a lower score indicating less use of rescue medication.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

439 participants

Primary outcome timeframe

Start of the GPS to End of the GPS

Results posted on

2017-03-03

Participant Flow

A total of 439 participants were randomized at a total of 62 sites (53 sites from US; 9 sites from Canada) to treatment assignment, and 438 participants received at least one dose of study medication: 213 participants received SCH 697243 and 225 received placebo.

Thirty five participants from the observation year did not continue on to the treatment year; 14 participants were not eligible and 21 participants were screen failures.

Participant milestones

Participant milestones
Measure
SCH 697243
Rapidly dissolving grass pollen allergen tablet administered sublingually once daily.
Placebo
Rapidly dissolving matching placebo tablets administered sublingually once daily.
Overall Study
STARTED
213
225
Overall Study
COMPLETED
175
192
Overall Study
NOT COMPLETED
38
33

Reasons for withdrawal

Reasons for withdrawal
Measure
SCH 697243
Rapidly dissolving grass pollen allergen tablet administered sublingually once daily.
Placebo
Rapidly dissolving matching placebo tablets administered sublingually once daily.
Overall Study
Adverse Event
11
8
Overall Study
Lost to Follow-up
5
4
Overall Study
Withdrawal by Subject
9
8
Overall Study
Protocol Violation
12
12
Overall Study
Did not meet protocol eligibility
1
1

Baseline Characteristics

Efficacy and Safety of Grass Sublingual Tablet in Adults (P05238 AM3)(COMPLETED)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
SCH 697243
n=213 Participants
Rapidly dissolving grass pollen allergen tablet administered sublingually once daily.
Placebo
n=225 Participants
Rapidly dissolving matching placebo tablets administered sublingually once daily.
Total
n=438 Participants
Total of all reporting groups
Age, Continuous
35.9 years
STANDARD_DEVIATION 11.1 • n=99 Participants
35.9 years
STANDARD_DEVIATION 9.8 • n=107 Participants
35.9 years
STANDARD_DEVIATION 10.5 • n=206 Participants
Gender
Female
109 Participants
n=99 Participants
112 Participants
n=107 Participants
221 Participants
n=206 Participants
Gender
Male
104 Participants
n=99 Participants
113 Participants
n=107 Participants
217 Participants
n=206 Participants

PRIMARY outcome

Timeframe: Start of the GPS to End of the GPS

Population: The full analysis set (FAS) population was comprised of all participants randomized with at least one post-treatment diary data entry.

The TCS is the sum of the rhinoconjunctivitis daily symptom score (DSS) and rhinoconjunctivitis daily medication score (DMS) averaged over the entire GPS. The TCS ranged from 0-54, with increasing score indicating a higher level of symptom severity. The DSS is composed of 6 rhinoconjunctivitis symptoms with scores from 0-18, with increasing score indicating increased severity. The DMS is composed of a sum of the scores associated with rescue medication use per day. The range for the DMS was 0-36, with a lower score indicating less use of rescue medication.

Outcome measures

Outcome measures
Measure
SCH 697243
n=184 Participants
Rapidly dissolving grass pollen allergen tablet administered sublingually once daily.
Placebo
n=207 Participants
Rapidly dissolving matching placebo tablet administered sublingually once daily.
Participant Total Combined Symptom (TCS) Score Over the Entire Grass Pollen Season (GPS)
5.08 Units on a Scale
Standard Error 0.4
6.39 Units on a Scale
Standard Error 0.4

SECONDARY outcome

Timeframe: Start of the GPS to End of the GPS

Population: The FAS population was comprised of all participants randomized with at least one post-treatment diary data entry.

The DSS is composed of six rhinoconjunctivitis symptoms which were recorded daily including runny nose, blocked nose, sneezing, itchy nose, gritty feeling/red/itchy, and watery eyes, and the symptoms were measured on a scale of 0 (no symptom) to 3 (severe symptoms). A higher score indicated a higher level of symptoms and the total daily score could range from 0 to 18.

Outcome measures

Outcome measures
Measure
SCH 697243
n=184 Participants
Rapidly dissolving grass pollen allergen tablet administered sublingually once daily.
Placebo
n=207 Participants
Rapidly dissolving matching placebo tablet administered sublingually once daily.
Participant Average Rhinoconjunctivitis Daily Symptom Score (DSS) Over the Entire GPS
3.83 Units on a Scale
Standard Error 0.3
4.69 Units on a Scale
Standard Error 0.3

SECONDARY outcome

Timeframe: Start of the GPS to End of the GPS

Population: The FAS population was comprised of all participants randomized with at least one post-treatment diary data entry.

The DMS is composed of a sum of the scores associated with rescue medication use per day. Rescue medications were implemented when a participant had a symptom score \>= 4. Rescue medications for allergic rhinoconjunctivitis were to be utilized in a step-wise fashion: loratadine, olopatadine hydrochloride 0.1% opthalmic solution, mometasone, and prednisone, in that sequence. The score for the DMS ranged from 0-36. A lower medication score indicated less impact on symptomology and was suggestive of less use of rescue medication.

Outcome measures

Outcome measures
Measure
SCH 697243
n=184 Participants
Rapidly dissolving grass pollen allergen tablet administered sublingually once daily.
Placebo
n=207 Participants
Rapidly dissolving matching placebo tablet administered sublingually once daily.
Participant Average Rhinoconjunctivitis Daily Medication Score (DMS) Over the Entire GPS
1.25 Units on a Scale
Standard Error 0.2
1.70 Units on a Scale
Standard Error 0.2

SECONDARY outcome

Timeframe: Start of the GPS to End of the GPS

Population: The FAS population was comprised of all participants randomized with at least one post-treatment diary data entry.

The RQLQ(s) has 28 questions and focusses on 7 domains that may be significantly impaired in participants with seasonal allergic rhinoconjunctivitis: sleep impairment, non-nasal symptoms, practical problems, nasal symptoms, eye symptoms, activity limitations, and emotional difficulty. The RQLQ score is the mean of all 28 responses and the individual domain scores are the means of the items in those domains. RQLQ scores range from 0-6, with a higher score indicating more significant impairment.

Outcome measures

Outcome measures
Measure
SCH 697243
n=184 Participants
Rapidly dissolving grass pollen allergen tablet administered sublingually once daily.
Placebo
n=207 Participants
Rapidly dissolving matching placebo tablet administered sublingually once daily.
Participant Average Weekly Rhinoconjunctivitis Quality-of-Life Questionnaire With Standardized Activities (RQLQ(S)) Total Score Over the Entire GPS
1.30 Units on a Scale
Standard Deviation 0.1
1.57 Units on a Scale
Standard Deviation 0.1

Adverse Events

SCH 697243

Serious events: 2 serious events
Other events: 162 other events
Deaths: 0 deaths

Placebo

Serious events: 5 serious events
Other events: 128 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
SCH 697243
n=213 participants at risk
Rapidly dissolving grass pollen allergen tablet administered sublingually once daily.
Placebo
n=226 participants at risk
Rapidly dissolving matching placebo tablets administered sublingually once daily.
Infections and infestations
Viral Pericarditis
0.00%
0/213
0.44%
1/226 • Number of events 1
Injury, poisoning and procedural complications
Multiple Drug Overdose
0.47%
1/213 • Number of events 1
0.00%
0/226
Metabolism and nutrition disorders
Hypokalaemia
0.00%
0/213
0.44%
1/226 • Number of events 1
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Colon Cancer
0.00%
0/213
0.44%
1/226 • Number of events 1
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung Adenocarcinoma
0.00%
0/213
0.44%
1/226 • Number of events 1
Psychiatric disorders
Alcohol Abuse
0.00%
0/213
0.44%
1/226 • Number of events 1
Psychiatric disorders
Bulimia Nervosa
0.00%
0/213
0.44%
1/226 • Number of events 1
Reproductive system and breast disorders
Pelvic Haematoma
0.47%
1/213 • Number of events 1
0.00%
0/226
Gastrointestinal disorders
Abdominal Pain
0.00%
0/213
0.44%
1/226 • Number of events 1

Other adverse events

Other adverse events
Measure
SCH 697243
n=213 participants at risk
Rapidly dissolving grass pollen allergen tablet administered sublingually once daily.
Placebo
n=226 participants at risk
Rapidly dissolving matching placebo tablets administered sublingually once daily.
Ear and labyrinth disorders
Ear Pruritis
19.7%
42/213 • Number of events 60
1.3%
3/226 • Number of events 3
Eye disorders
Eye Pruritis
5.2%
11/213 • Number of events 18
3.5%
8/226 • Number of events 13
Gastrointestinal disorders
Dyspepsia
5.6%
12/213 • Number of events 14
2.7%
6/226 • Number of events 9
Gastrointestinal disorders
Oedema Mouth
8.0%
17/213 • Number of events 20
0.44%
1/226 • Number of events 1
Gastrointestinal disorders
Oral Pruritus
35.7%
76/213 • Number of events 116
3.1%
7/226 • Number of events 8
Gastrointestinal disorders
Parathesia Oral
13.6%
29/213 • Number of events 48
2.2%
5/226 • Number of events 6
Gastrointestinal disorders
Stomatitis
7.5%
16/213 • Number of events 22
0.44%
1/226 • Number of events 1
Gastrointestinal disorders
Swollen Tongue
5.2%
11/213 • Number of events 12
0.00%
0/226
Infections and infestations
Nasopharyngitis
12.7%
27/213 • Number of events 35
19.0%
43/226 • Number of events 64
Infections and infestations
Sinusitis
5.2%
11/213 • Number of events 12
5.8%
13/226 • Number of events 18
Infections and infestations
Upper Respiratory Tract Infection
26.3%
56/213 • Number of events 71
17.3%
39/226 • Number of events 56
Nervous system disorders
Headache
8.9%
19/213 • Number of events 30
9.3%
21/226 • Number of events 58
Respiratory, thoracic and mediastinal disorders
Cough
6.1%
13/213 • Number of events 14
4.4%
10/226 • Number of events 13
Respiratory, thoracic and mediastinal disorders
Nasal Congestion
2.8%
6/213 • Number of events 6
5.8%
13/226 • Number of events 15
Respiratory, thoracic and mediastinal disorders
Oropharyngeal Pain
5.2%
11/213 • Number of events 14
6.6%
15/226 • Number of events 17
Respiratory, thoracic and mediastinal disorders
Pharyngeal Oedema
6.6%
14/213 • Number of events 14
0.00%
0/226
Respiratory, thoracic and mediastinal disorders
Throat Irritation
29.6%
63/213 • Number of events 104
4.9%
11/226 • Number of events 13
Skin and subcutaneous tissue disorders
Pruritis
5.2%
11/213 • Number of events 22
3.5%
8/226 • Number of events 15

Additional Information

Senior Vice President, Global Clinical Development

Merck Sharp & Dohme Corp.

Results disclosure agreements

  • Principal investigator is a sponsor employee The investigator agrees to provide to the sponsor 45 days prior to submission for publication or presentation, review copies of abstracts or manuscripts for publication that report any results of the study. The sponsor shall have the right to review and comment with respect to publications, abstracts, slides, and manuscripts and the right to review and comment on the data analysis and presentation.
  • Publication restrictions are in place

Restriction type: OTHER