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Phenylephrine

Phase 3

Nasal Congestion Due to Allergic Rhinitis | Small molecule | ENT |Bayer AG|Last Updated: Sep 1, 2020

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLED
Total Trials1
Total Enrollment347

FDA Designations

No designations recorded

Clinical trial landscape

Phenylephrine · 4 trials · 5 indications

Phase 3 2Phase 2 1Phase 1 1
NCT04534452Study to Find Out Whether Participants With a History of Stuffy Nose Due to Allergic Reactions in the Nose Would Intend to Buy Drug Phenylephrine Hydrochloride Extended Release Tablets After Receiving it Once in This StudyNasal Congestion Due to Allergic Rhinitis
COMPLETED347 Analytics
NCT01413958Effects of Phenylephrine Extended-Release Tablets on Allergy-Related Nasal Congestion (P08498 AM1)Seasonal Allergic Rhinitis
COMPLETED575 Analytics
PHASE3COMPLETED
Study to Find Out Whether Participants With a History of Stuffy Nose Due to Allergic Reactions in the Nose Would Intend to Buy Drug Phenylephrine Hydrochloride Extended Release Tablets After Receiving it Once in This Study
Nasal Congestion Due to Allergic RhinitisUnlock trial analytics
PHASE3COMPLETED
Effects of Phenylephrine Extended-Release Tablets on Allergy-Related Nasal Congestion (P08498 AM1)
Seasonal Allergic RhinitisUnlock trial analytics

Study Endpoints

Primary Endpoints

Purchase intent evaluated by using the 5-point scale
At approximately 8 hours postdose

* 4 = Very Acceptable * 3 = Acceptable * 2 = Somewhat acceptable * 1 = Somewhat unacceptable * 0 = Very unacceptable

Mean Change From Baseline in Daily Reflective Nasal Congestion Score
Baseline and Days 1-7

The reflective assessment is a self-evaluation of the symptom severity over the preceding 12 hours. Baseline values were calculated as the mean from 4 consecutive 24-hour periods in which a symptom score was ≥1, prior to randomization. The nasal congestion score was calculated from data captured twice daily (morning and evening) in the participant's diary during the run-in and treatment periods. Participants rated congestion on a 4-point scale of severity: 0 = absent symptoms (no sign/symptom evident), 1 = mild symptoms (sign/symptom clearly present, but minimal awareness; easily tolerated), 2 = moderate symptoms (definite awareness of sign/symptom that is bothersome but tolerable), and 3 = severe symptoms (sign/symptom that is hard to tolerate; causes interference with activities of daily living and/or sleeping). The average of individual reflective nasal scores was reported as the daily reflective nasal congestion score over the entire treatment period.

Mean Change From Baseline Over the Entire Treatment Period in the Daily Reflective Nasal Congestion Score
Baseline, Day 7

The reflective nasal congestion score was captured in participant diaries just before the 8:00 a.m. dose and 12 hours later just before the 8:00 p.m. dose. Participants rated congestion on a 4-point scale of severity from 0 (best) to 3 (worst), with 0 = absent symptoms, 1 = mild symptoms, 2 = moderate symptoms, and 3 = severe symptoms. The daily reflective nasal congestion symptom score was defined as the average of the morning and evening reflective nasal congestion score for the entire treatment period. Baseline was defined as the average of the daily scores over the 4 consecutive 24-hour periods before randomization.

Maximum plasma concentration (Cmax) of phenylephrine
0 hours to time of maximum observed plasma concentration of phenylephrine (blood samples will be collected up to 24 hours after first administration of study treatment)
Time to Cmax (Tmax) of phenylephrine
0 hours to time of maximum observed plasma concentration of phenylephrine (blood samples will be collected up to 24 hours after first administration of study treatment)
Area under the concentration versus time curve from time 0 to the last measurable concentration (AUC[0-t])
0 hours to time of last measurable plasma concentration of phenylephrine (blood samples will be collected up to 24 hours after first administration of study treatment)
Area under the concentration versus time curve from time 0 to infinity (AUC[0-∞])
0 hours to time of last measurable plasma concentration of phenylephrine (blood samples will be collected up to 24 hours after first administration of study treatment)
Terminal rate constant (λz)
0 hours to time of last measurable plasma concentration of phenylephrine (blood samples will be collected up to 24 hours after first administration of study treatment)
Terminal elimination half-life (t1/2)
0 hours to t1/2 of phenylephrine (blood samples will be collected up to 24 hours after first administration of study treatment)

Secondary Endpoints

Overall satisfaction for nasal congestion relief evaluated by using the 5-point scale
At approximately 8 hours postdose
Mean Change From Baseline in the Morning Reflective Symptom Assessment Score
Baseline and Days 1-7
Mean Change From Baseline in the Evening Reflective Symptom Assessment Score
Baseline and Days 1-7
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Phenylephrine HClEXPERIMENTALSubjects have a documented and/or self-reported history of allergic rhinitis with nasal congestion for at least 2 years.
PhenylephrineEXPERIMENTAL -
PlaceboPLACEBO_COMPARATOR -
PE 10 mgEXPERIMENTAL -
PE 20 mgEXPERIMENTAL -
PE 30 mgEXPERIMENTAL -
PE 40 mgEXPERIMENTAL -
Phenylephrine HCl Extended Release - FastedEXPERIMENTALSingle dose phenylephrine HCl extended release tablet administered under fasted conditions on Day 1 in one of four study periods
Phenylephrine HCl Extended Release - FedEXPERIMENTALSingle dose phenylephrine HCl extended release tablet administered after a high-fat, high-calorie breakfast on Day 1 in one of four study periods
Phenylephrine HCl Immediate Release - FastedACTIVE_COMPARATORThree single doses of phenylephrine HCl immediate release tablet four hours apart, with the first dose administered under fasted conditions on Day 1 in one of four study periods
Phenylephrine HCl Immediate Release - FedACTIVE_COMPARATORThree single doses of phenylephrine HCl immediate release tablet four hours apart, with the first dose administered after a high-fat, high-calorie breakfast on Day 1 in one of four study periods

Interventions

NameTypeDescription
Phenylephrine HCl (Sinus Comfort, BAY112476)DRUG30 mg Extended Release Tablets, single oral dose
PhenylephrineDRUGPhenylephrine hydrochloride 30-mg extended-release tablets, one tablet every 12 hours for 7 days
PlaceboDRUGPlacebo to phenylephrine hydrochloride 30-mg extended release tablets, one tablet every 12 hours for 7 days
LoratadineDRUGLoratadine, 10 mg, once daily as rescue medication, only if needed for intolerable allergic rhinitis symptoms
Phenylephrine HClDRUG10-mg immediate-release tablets, orally, up to 4 tablets per dose every 4 hours, for 7 days
Phenylephrine HCl Extended ReleaseDRUGOne phenylephrine HCl 30 mg extended release tablet orally
Phenylephrine HCl Immediate ReleaseDRUGOne phenylephrine HCl 10 mg immediate release tablet every 4 hours for three doses
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Eligibility Criteria

Age Range18 Years to 60 Years
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Healthy male or female volunteers must be 18 to 60 years old. * Subjects must currently use or have previously used oral decongestant products. * Subjects must have a documented and/or self-reported history (of at least 2 years) of allergic rhinitis with nasal congestion. * Su...

Countries:United States
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Frequently asked questions about Phenylephrine

What is Phenylephrine used for?

Phenylephrine is used for nasal congestion due to allergic rhinitis, seasonal allergic rhinitis, and rhinitis. It is being developed by Bayer AG as an extended-release tablet formulation to relieve allergy-related nasal stuffiness in adults.

What does Phenylephrine target?

Phenylephrine is a small molecule that acts as a decongestant. It works by constricting blood vessels in the nasal passages, which reduces swelling and congestion. The specific molecular target is not disclosed in the available information.

Who makes Phenylephrine?

Phenylephrine is being developed by Bayer AG, a pharmaceutical company traded on the OTC market under the ticker BAYRY. Bayer is conducting clinical trials to evaluate the extended-release tablet formulation for treating nasal congestion due to allergic rhinitis.

What phase is Phenylephrine in?

Phenylephrine is in Phase 3 clinical development for seasonal allergic rhinitis and nasal congestion due to allergic rhinitis. It is an investigational drug and has not been approved by regulatory authorities. Clinical trials have been completed to assess its effects.

What clinical trials is Phenylephrine in?

Phenylephrine has been studied in clinical trials including NCT01330017, NCT01413958, and NCT04534452. These trials evaluated its effects on nasal congestion in participants with seasonal allergic rhinitis and rhinitis, with enrollment ranging from 347 to 575 participants.

Is Phenylephrine the same as phenylephrine hydrochloride?

Phenylephrine is the active ingredient in phenylephrine hydrochloride, which is the salt form used in the extended-release tablets studied by Bayer. The clinical trials refer to phenylephrine hydrochloride extended-release tablets, indicating they are the same drug substance.