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NCT02761252: SKY

Efficacy of Co-administration of Bilastine and Montelukast in Patients With SARC and Asthma

Completed Phase 4 Results posted Last updated 12 July 2019
What this trial tests

Phase 4 trial testing Bilastine 20mg in Seasonal Allergic Rhinoconjunctivitis in 454 participants. Completed in 24 November 2016.

Timeline
13 April 2016
Primary endpoint
24 November 2016
24 November 2016

Quick facts

Lead sponsorMenarini International Operations Luxembourg SA
PhasePhase 4
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment454
Start date13 April 2016
Primary completion24 November 2016
Estimated completion24 November 2016
Sites32 locations across Italy, Slovakia, Germany, Poland, Romania, Czechia, Croatia, Latvia

Drugs / interventions tested

Conditions studied

Sponsor

Menarini International Operations Luxembourg SA — full company profile →

Who can join

18 and older, any sex, with Seasonal Allergic Rhinoconjunctivitis or Asthma. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Change From Baseline With Montelukast+Bilastine Compared With Bilastine Monotherapy in SARC Symptoms Primary · 4 weeks of treatment (from baseline to 4 weeks of treatment)

To demonstrate that concomitant administration of montelukast and bilastine is superior to bilastine monotherapy in SARC symptoms, as assessed by Total Symptoms Scores (TSS) after 4 weeks of treatment. Total Symptoms Scores (TSS) assesses nasal (nasal congestion, rhinorrhea, nasal itching, sneezing) and non nasal symptoms (ocular redness, ocular itching, tearing) of rhinoconjuctivits. Each of the 7 symptoms is scored from 0 (absent) to 3 (severe) as follows: * 0 (absent) Symptom not present * 1 (mild) Symptom is clearly present but easily tolerated, a nuisance, minimal awareness * 2 (modera

GroupValue95% CI
Bilastine+Montelukast-3.2522-3.8718 – -2.6327
Bilastine Monotherapy-3.4462-4.0708 – -2.8217
Change From Baseline With Montelukast+Bilastine Compared With Montelukast and Bilastine Monotherapies in Asthma Control Secondary · After 4 weeks of treatments

To evaluate the efficacy of concomitant montelukast and bilastine compared with montelukast and bilastine monotherapies in asthma control, as assessed by Asthma Quality of Life Questionnaire (AQLQ) after 4 weeks. The AQLQ was developed to measure the functional problems (physical, emotional, social and occupational) that are most troublesome to adults (17-70 years) with asthma. Each of the 32 questionnaire's items will be scored on a 7-point scale (where 7 means "not impaired at all" and 1 means "severely impaired"). The overall AQLQ score is the mean of all 32 responses (https://www.qoltech

GroupValue95% CI
Bilastine+Montelukast0.62500.4788 – 0.7712
Bilastine Monotherapy0.63990.4929 – 0.7870
Montelukast Monotherapy0.58490.4344 – 0.7353
Change From Baseline With Montelukast+Bilastine Compared With Montelukast and Bilastine Monotherapies in SARC Symptoms (DNSS) Secondary · After 4 weeks of treatment (from baseline)

To evaluate the efficacy of concomitant montelukast and bilastine compared with montelukast and bilastine monotherapies in daytime symptoms of SARC, as assessed by Daytime Nasal Symptom Score (DNSS) after 4 weeks of treatment. Daytime Nasal Symptom Score (DNSS) is the average of individual scores of nasal congestion, rhinorrhea, nasal itching, sneezing of rhinoconjuctivits. Each of the 4 symptoms is scored from 0 (absent) to 3 (severe) as follows: * 0 (absent) Symptom not present * 1 (mild) Symptom is clearly present but easily tolerated, a nuisance, minimal awareness * 2 (moderate) Symptom

GroupValue95% CI
Bilastine+Montelukast-1.9713-2.3442 – -1.5984
Bilastine Monotherapy-2.1106-2.4863 – -1.7349
Montelukast Monotherapy-1.8678-2.2468 – -1.4888
Change From Baseline With Montelukast + Bilastine Compared With Montelukast and Bilastine Monotherapies in SARC Symptoms (DNNSS) Secondary · After 4 weeks of treatment (from baseline)

To evaluate the efficacy of concomitant montelukast and bilastine compared with montelukast and bilastine monotherapies in daytime symptoms of SARC, as assessed by Daytime Non Nasal Symptom Score (DNNSS) after 4 weeks of treatment. Daytime Non Nasal Symptom Score (DNSS) is the average of individual scores of ocular redness, ocular itching and tearing of rhinoconjuctivits. Each of the 3 symptoms is scored from 0 (absent) to 3 (severe) as follows: * 0 (absent) Symptom not present * 1 (mild) Symptom is clearly present but easily tolerated, a nuisance, minimal awareness * 2 (moderate) Symptom i

GroupValue95% CI
Bilastine+Montelukast-1.2824-1.5667 – -0.9980
Bilastine Monotherapy-1.3185-1.6051 – -1.0320
Montelukast Monotherapy-1.1574-1.4462 – -0.8687
Usage of Relief Medication for SARC Secondary · From baseline to 4 weeks of treatment

Number of days without any relief medication for SARC

GroupValue95% CI
Bilastine+Montelukast15.0057± 0.8260
Bilastine Monotherapy15.8416± 0.8326
Montelukast Monotherapy15.4179± 0.8411
Usage of Relief Medication for Asthma Secondary · From baseline to 4 weeks of treatment

Number of days without any relief medication for Asthma.

GroupValue95% CI
Bilastine+Montelukast53.2548± 2.0193
Bilastine Monotherapy52.4177± 2.0212
Montelukast Monotherapy50.7146± 2.0768

Adverse events — posted to ClinicalTrials.gov

Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Bilastine+Montelukast
Serious: 0/143 (0%)
Deaths:
Bilastine+Placebo Montelukast
Serious: 0/140 (0%)
Deaths:
Montelukast+Placebo Bilastine
Serious: 1/137 (1%)
Deaths:

Serious adverse events (1 terms)

ReactionSystemBilastine+MontelukastBilastine+Placebo Monteluk…Montelukast+Placebo Bilast…
Abdominal PainGastrointestinal disorders
Other adverse events (18 terms — click to expand)

ReactionSystemBilastine+MontelukastBilastine+Placebo Monteluk…Montelukast+Placebo Bilast…
Alanine Aminotransferase IncreasedInvestigations
DizzinessNervous system disorders
SomnolenceNervous system disorders
Aspartate Aminotransferase IncreasedInvestigations
Gamma-glutamytrasferase IncreasedInvestigations
HeadacheNervous system disorders
HypoaesthesiaNervous system disorders
SedationNervous system disorders
FatigueGeneral disorders
VertigoEar and labyrinth disorders
AnxietyPsychiatric disorders
InsomniaPsychiatric disorders
IrritabilityPsychiatric disorders
Gastrooesophageal Reflux DiseaseGastrointestinal disorders
Gingival BleedingGastrointestinal disorders
Hypoaesthesia oralGastrointestinal disorders
Increased appetiteMetabolism and nutrition disorders
Oedema PeripheralGeneral disorders

Most-reported serious reactions: Abdominal Pain.

Data from ClinicalTrials.gov NCT02761252 adverse events section.

Sponsor's own description

The purpose of this study is to compare concomitant administration of Montelukast and Bilastine to Montelukast and Bilastine monotherapies in patients with SARC and asthma

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.

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