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.
COMPLETED
PHASE3
439 participants
Start of the GPS to End of the GPS
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
| 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
| 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
| 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 GPSPopulation: 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
| 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 GPSPopulation: 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
| 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 GPSPopulation: 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
| 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 GPSPopulation: 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
| 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
Placebo
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
| 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