Trial Outcomes & Findings for Buparid/PARI SINUS Versus Budes® Nasal Spray in the Therapy of Chronic Rhinosinusitis (NCT NCT01955980)

NCT ID: NCT01955980

Last Updated: 2022-04-12

Results Overview

Inflammation of the nasal mucosa and paranasal sinus was assessed using the Lund-Mackay score based on magnetic resonance imaging. The score can take on values between 0 and 24 points, with higher values indicating more severe thickness of the mucosa or opacification. The outcome investigated is the intraindividual mean score of 2 independent raters assessing the same images.

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

19 participants

Primary outcome timeframe

Change from Baseline to week 8

Results posted on

2022-04-12

Participant Flow

Participant milestones

Participant milestones
Measure
Buparid; Treatment A
Buparid 1mg budesonide/2 ml nebulizer solution Budesonide: Inhalation Solution
Budes; Treatment B
Budes Nasal Spray 50 µg budesonide/pump Budesonide: Nasal Spray
Overall Study
STARTED
10
9
Overall Study
COMPLETED
10
9
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Buparid; Treatment A
n=10 Participants
Buparid 1mg budesonide/2 ml nebulizer solution Budesonide: Inhalation Solution
Budes; Treatment B
n=9 Participants
Budes Nasal Spray 50 µg budesonide/pump Budesonide: Nasal Spray
Total
n=19 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=10 Participants
0 Participants
n=9 Participants
0 Participants
n=19 Participants
Age, Categorical
Between 18 and 65 years
10 Participants
n=10 Participants
9 Participants
n=9 Participants
19 Participants
n=19 Participants
Age, Categorical
>=65 years
0 Participants
n=10 Participants
0 Participants
n=9 Participants
0 Participants
n=19 Participants
Sex: Female, Male
Female
5 Participants
n=10 Participants
5 Participants
n=9 Participants
10 Participants
n=19 Participants
Sex: Female, Male
Male
5 Participants
n=10 Participants
4 Participants
n=9 Participants
9 Participants
n=19 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
Germany
10 Participants
n=10 Participants
9 Participants
n=9 Participants
19 Participants
n=19 Participants

PRIMARY outcome

Timeframe: Change from Baseline to week 8

Inflammation of the nasal mucosa and paranasal sinus was assessed using the Lund-Mackay score based on magnetic resonance imaging. The score can take on values between 0 and 24 points, with higher values indicating more severe thickness of the mucosa or opacification. The outcome investigated is the intraindividual mean score of 2 independent raters assessing the same images.

Outcome measures

Outcome measures
Measure
Buparid; Treatment A
n=10 Participants
Buparid 1mg budesonide/2 ml nebulizer solution Budesonide: Inhalation
Budes; Treatment B
n=9 Participants
Budes Nasal Spray 50 µg budesonide/pump Budesonide: Nasal Spray
Change of Inflammation of the Nasal Mucosa and Paranasal Sinus
0 score on a scale
Interval -2.0 to 5.5
-0.8 score on a scale
Interval -5.5 to 4.5

SECONDARY outcome

Timeframe: change of SNOT-20 total score from baseline to week 48

Health-specific quality of life was assessed by means of the self-rated, 20-item Sino-Nasal Outcome Test (SNOT-20). The SNOT-20 total score has a (theoretical) range of 0 - 100 points, with higher scores indicating more severe impairment. Presented are the mean values of the SNOT-20 total score after 48 weeks minus value at day 0 (baseline).

Outcome measures

Outcome measures
Measure
Buparid; Treatment A
n=10 Participants
Buparid 1mg budesonide/2 ml nebulizer solution Budesonide: Inhalation
Budes; Treatment B
n=9 Participants
Budes Nasal Spray 50 µg budesonide/pump Budesonide: Nasal Spray
Health-specific Quality of Life
17.1 score on a scale
Interval 5.5 to 28.7
22.9 score on a scale
Interval 10.5 to 35.3

SECONDARY outcome

Timeframe: 4 weeks / 8 weeks

Nasal obstruction was assessed using the method of rhinomanometry by measuring the positive nasal inspiratory flow (PNIF). For the assessment the subject had to inhale maximally through the nose three times and the highest value of flow rate was recorded after 4 weeks and 8 weeks of treatment.

Outcome measures

Outcome measures
Measure
Buparid; Treatment A
n=10 Participants
Buparid 1mg budesonide/2 ml nebulizer solution Budesonide: Inhalation
Budes; Treatment B
n=9 Participants
Budes Nasal Spray 50 µg budesonide/pump Budesonide: Nasal Spray
Nasal Obstruction
Mean flow rate after 4 weeks
542.4 ml/sec
Interval 521.0 to 664.0
582.0 ml/sec
Interval 447.0 to 717.0
Nasal Obstruction
Mean flow rate after 8 weeks
461.5 ml/sec
Interval 320.0 to 602.0
551.5 ml/sec
Interval 408.0 to 694.0

SECONDARY outcome

Timeframe: Changes from Baseline at Week 8

Determination of the thickness of the mucosa using Magnetic Resonance Imaging

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 48 weeks

Treatment-emergent adverse events

Outcome measures

Outcome measures
Measure
Buparid; Treatment A
n=10 Participants
Buparid 1mg budesonide/2 ml nebulizer solution Budesonide: Inhalation
Budes; Treatment B
n=9 Participants
Budes Nasal Spray 50 µg budesonide/pump Budesonide: Nasal Spray
Safety Assessment
6 Participants
6 Participants

Adverse Events

Buparid; Treatment A

Serious events: 1 serious events
Other events: 5 other events
Deaths: 0 deaths

Budes; Treatment B

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Buparid; Treatment A
n=10 participants at risk
Buparid 1mg budesonide/2 ml nebulizer solution Budesonide: Inhalation Solution
Budes; Treatment B
n=9 participants at risk
Budes Nasal Spray 50 µg budesonide/pump Budesonide: Nasal Spray
Vascular disorders
Aneurysm
10.0%
1/10 • Number of events 1 • Each participant has been monitored for adverse events up to 48 weeks. All patients withdrawn from the study will be followed-up for AEs or SAEs for further 2 weeks or 4 weeks, respectively.
0.00%
0/9 • Each participant has been monitored for adverse events up to 48 weeks. All patients withdrawn from the study will be followed-up for AEs or SAEs for further 2 weeks or 4 weeks, respectively.

Other adverse events

Other adverse events
Measure
Buparid; Treatment A
n=10 participants at risk
Buparid 1mg budesonide/2 ml nebulizer solution Budesonide: Inhalation Solution
Budes; Treatment B
n=9 participants at risk
Budes Nasal Spray 50 µg budesonide/pump Budesonide: Nasal Spray
Respiratory, thoracic and mediastinal disorders
Cough
10.0%
1/10 • Number of events 1 • Each participant has been monitored for adverse events up to 48 weeks. All patients withdrawn from the study will be followed-up for AEs or SAEs for further 2 weeks or 4 weeks, respectively.
0.00%
0/9 • Each participant has been monitored for adverse events up to 48 weeks. All patients withdrawn from the study will be followed-up for AEs or SAEs for further 2 weeks or 4 weeks, respectively.
Respiratory, thoracic and mediastinal disorders
Nasal Dryness
0.00%
0/10 • Each participant has been monitored for adverse events up to 48 weeks. All patients withdrawn from the study will be followed-up for AEs or SAEs for further 2 weeks or 4 weeks, respectively.
11.1%
1/9 • Number of events 1 • Each participant has been monitored for adverse events up to 48 weeks. All patients withdrawn from the study will be followed-up for AEs or SAEs for further 2 weeks or 4 weeks, respectively.
Respiratory, thoracic and mediastinal disorders
Epistaxis
0.00%
0/10 • Each participant has been monitored for adverse events up to 48 weeks. All patients withdrawn from the study will be followed-up for AEs or SAEs for further 2 weeks or 4 weeks, respectively.
22.2%
2/9 • Number of events 2 • Each participant has been monitored for adverse events up to 48 weeks. All patients withdrawn from the study will be followed-up for AEs or SAEs for further 2 weeks or 4 weeks, respectively.
Nervous system disorders
Headache
0.00%
0/10 • Each participant has been monitored for adverse events up to 48 weeks. All patients withdrawn from the study will be followed-up for AEs or SAEs for further 2 weeks or 4 weeks, respectively.
11.1%
1/9 • Number of events 1 • Each participant has been monitored for adverse events up to 48 weeks. All patients withdrawn from the study will be followed-up for AEs or SAEs for further 2 weeks or 4 weeks, respectively.
Psychiatric disorders
Depression
10.0%
1/10 • Number of events 1 • Each participant has been monitored for adverse events up to 48 weeks. All patients withdrawn from the study will be followed-up for AEs or SAEs for further 2 weeks or 4 weeks, respectively.
0.00%
0/9 • Each participant has been monitored for adverse events up to 48 weeks. All patients withdrawn from the study will be followed-up for AEs or SAEs for further 2 weeks or 4 weeks, respectively.
Infections and infestations
Rhinitis
10.0%
1/10 • Number of events 1 • Each participant has been monitored for adverse events up to 48 weeks. All patients withdrawn from the study will be followed-up for AEs or SAEs for further 2 weeks or 4 weeks, respectively.
11.1%
1/9 • Number of events 1 • Each participant has been monitored for adverse events up to 48 weeks. All patients withdrawn from the study will be followed-up for AEs or SAEs for further 2 weeks or 4 weeks, respectively.
Infections and infestations
Sinusitis
10.0%
1/10 • Number of events 1 • Each participant has been monitored for adverse events up to 48 weeks. All patients withdrawn from the study will be followed-up for AEs or SAEs for further 2 weeks or 4 weeks, respectively.
11.1%
1/9 • Number of events 1 • Each participant has been monitored for adverse events up to 48 weeks. All patients withdrawn from the study will be followed-up for AEs or SAEs for further 2 weeks or 4 weeks, respectively.
Infections and infestations
Tonsillitis
10.0%
1/10 • Number of events 1 • Each participant has been monitored for adverse events up to 48 weeks. All patients withdrawn from the study will be followed-up for AEs or SAEs for further 2 weeks or 4 weeks, respectively.
0.00%
0/9 • Each participant has been monitored for adverse events up to 48 weeks. All patients withdrawn from the study will be followed-up for AEs or SAEs for further 2 weeks or 4 weeks, respectively.
Infections and infestations
Influenza
10.0%
1/10 • Number of events 1 • Each participant has been monitored for adverse events up to 48 weeks. All patients withdrawn from the study will be followed-up for AEs or SAEs for further 2 weeks or 4 weeks, respectively.
11.1%
1/9 • Number of events 1 • Each participant has been monitored for adverse events up to 48 weeks. All patients withdrawn from the study will be followed-up for AEs or SAEs for further 2 weeks or 4 weeks, respectively.

Additional Information

Friedrich Gruber

PARI Pharma

Phone: +4989742846

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place