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bepotastine besilate

Phase 2FDA approved

Allergic Conjunctivitis | Small molecule | Ophthalmology |Bausch + Lomb Corporation|Trials Updated: Oct 5, 2020

bepotastine besilate development status

FDA approval on record Sep 8, 2009 as Bepreve
Approval holderBausch And Lomb Inc
ApplicationNDA022288
Highest phase Phase 2
Registered trials 2 across 1 sponsor since Jan 2007

Label indication BEPREVE ® (bepotastine besilate ophthalmic solution) 1.5% is a histamine H 1 receptor antagonist indicated for the treatment of itching associated with signs and symptoms of allergic conjunctivitis. BEPREVE is a histamine H1 receptor antagonist indicated for the treatment of itching associated with allergic conjunctivitis. ( 1 ) FDA label

bepotastine besilate target and mechanism

Molecular targetHRH1
Target classAntagonist
ModalitySmall molecule

Also known as bepotastine besilate ophthalmic solution, Bepotastine besilate formulation, Bepotastine Besilate Ophthalmic Solution 1.0%, Bepotastine Besilate 1.0%

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials3
Total Enrollment1,468

FDA Designations

No designations recorded

bepotastine besilate clinical trials

bepotastine besilate · 3 trials · 2 indications

Phase 2 3
NCT01753739Bepotastine Besilate Nasal Sprays in the Treatment of Seasonal Allergic Rhinitis (SAR)Seasonal Allergic Rhinitis
COMPLETED617 Analytics
NCT01578278Bepotastine Besilate-corticosteroid Nasal Spray Combination Compared to Placebo, Bepotastine Besilate Nasal Spray, and Corticosteroid Nasal Spray in the Treatment of Patients With Seasonal Allergic RhinitisSeasonal Allergic Rhinitis
COMPLETED606 Analytics
NCT01174823Safety and Efficacy of Bepotastine Besilate Ophthalmic Solution in Seasonal Allergic Conjunctivitis PatientsAllergic Conjunctivitis
COMPLETED245 Analytics
PHASE2COMPLETED
Bepotastine Besilate Nasal Sprays in the Treatment of Seasonal Allergic Rhinitis (SAR)
Seasonal Allergic RhinitisUnlock trial analytics
PHASE2COMPLETED
Bepotastine Besilate-corticosteroid Nasal Spray Combination Compared to Placebo, Bepotastine Besilate Nasal Spray, and Corticosteroid Nasal Spray in the Treatment of Patients With Seasonal Allergic Rhinitis
Seasonal Allergic RhinitisUnlock trial analytics
PHASE2COMPLETED
Safety and Efficacy of Bepotastine Besilate Ophthalmic Solution in Seasonal Allergic Conjunctivitis Patients
Allergic ConjunctivitisUnlock trial analytics

Study Endpoints

Primary Endpoints

Mean Change From Baseline (Pre-Dose) Twice Daily Averaged Subject-rated Reflective Total Nasal Symptom Score (TNSS)
14 Days

Total nasal symptom score (TNSS) was the summed scores for nasal pruritus \[itching\], rhinorrhea \[runny nose\], nasal congestion, and sneezing. Individual nasal symptoms were each rated on a 4-point scale from 0-3 (0=Absent, 1=Mild, 2=Moderate, 3=Severe), with no half-unit assessments. TNSS was the sum score of 4 nasal symptoms with a minimum score of 0 units and a maximum score of 12 units, with higher score corresponding to increased nasal allergy symptoms. Morning and evening scores were averaged.

Mean Change From Baseline (Pre-Dose) in Morning and Evening Averaged Subject-rated Reflective TNSS
Baseline, 14 days

Total nasal symptom scores (TNSS) was the summed scores for nasal pruritus \[itching\], rhinorrhea \[runny nose\], nasal congestion, and sneezing. Individual nasal symptoms were rated on a 4-point scale from 0-3 (0=Absent, 1=Mild, 2=Moderate, 3=Severe), with no half-unit assessments. TNSS was the sum score of 4 nasal symptoms with a minimum score of 0 and a maximum score of 12 units, with higher score corresponding to increased severity of nasal allergy symptoms. The morning and evening scores were averaged.

Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) - Mean Change in Total Score
Baseline, 14 days

Responses to questions relating to symptoms and daily activities in the RQLQ were provided for 28 questions encompassing the 7 major domains of activities, sleep, non-nose/eye symptoms, practical problems, nasal symptoms, eye symptoms, and emotional state. Each response to an RQLQ question was provided on a scale of 0-6 units, where 0 = not troubled/none of the time and 6 = extremely troubled/all of the time. The minimum total score was 0 units and the maximum total score was 42 units, with higher score indicating decreased quality of life due to rhinoconjunctivitis.

Secondary Endpoints

Mean Change From Baseline (Pre-Dose) in Morning Averaged Subject-rated Reflective (TNSS)
14 Days
Mean Change From Baseline (Pre-Dose) in Evening Averaged Subject-rated Reflective Total Nasal Symptom Score (TNSS)
14 Days
Mean Change From Baseline for Twice Daily (BID) Averaged Reflective Ocular Itching Scores Over the Treatment Period
Baseline, 14 days
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Bepotastine besilate Concentration 1EXPERIMENTALBepotastine besilate nasal spray, BID for 14 days.
PlaceboACTIVE_COMPARATORPlacebo nasal spray BID for 14 days
Bepotastine besilate Concentration 2EXPERIMENTALBepotastine besilate nasal spray, BID for 14 days.
Bepotastine besilate Concentration 3EXPERIMENTALBepotastine besilate nasal spray, BID for 14 days.
Bepotastine besilate Concentration 4EXPERIMENTALBepotastine besilate nasal spray, BID for 14 days.
Bepotastine besilate formulationEXPERIMENTALNasal Spray
Fluticasone propionateEXPERIMENTALNasal Spray
Bepotastine besilate-fluticasone propionateEXPERIMENTALNasal Spray
Placebo ComparatorPLACEBO_COMPARATORNasal Spray
Bepotastine Besilate Ophthalmic SolutionEXPERIMENTAL -

Interventions

NameTypeDescription
Bepotastine besilateDRUGNasal spray administered in the morning and at night approximately 12 hours apart daily for 14 days
PlaceboDRUGNasal spray administered in the morning and at night approximately 12 hours apart daily for 14 days
Bepotastine besilate formulationDRUGNasal Spray
Fluticasone propionateDRUGNasal Spray
Bepotastine besilate-fluticasone propionateDRUGNasal Spray
Placebo ComparatorDRUGNasal Spray
bepotastine besilate ophthalmic solutionDRUGsterile ophthalmic solution
placebo comparator ophthalmic solutionDRUGsterile ophthalmic solution
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Eligibility Criteria

Age Range12 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * The subject is a male or female 12 years of age or older. * Have a documented history of SAR resulting from exposure to Mountain Cedar pollen for a minimum of 2 years immediately preceding Screening Visit 1. * Have demonstrated sensitivity to Mountain Cedar pollen through a st...

Countries:United States
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Frequently asked questions about bepotastine besilate

What is bepotastine besilate?

Bepotastine besilate is a small molecule drug developed by Bausch + Lomb Corporation (ticker BLCO). It is being studied in Phase 2 clinical trials for allergic conjunctivitis and seasonal allergic rhinitis. It is an HRH1 antagonist.

What is bepotastine besilate used for?

Bepotastine besilate is being developed for the treatment of allergic conjunctivitis and seasonal allergic rhinitis. It is currently in Phase 2 clinical development.

What does bepotastine besilate target?

Bepotastine besilate targets HRH1, the histamine H1 receptor. It acts as an antagonist at this receptor.

Who makes bepotastine besilate?

Bepotastine besilate is developed by Bausch + Lomb Corporation, which trades under the ticker BLCO.

What phase is bepotastine besilate in?

Bepotastine besilate is in Phase 2 clinical development. It is investigational and has not been approved by the FDA for the studied indications.

What clinical trials is bepotastine besilate in?

Bepotastine besilate has been studied in completed Phase 2 trials: NCT01753739 and NCT01578278 in seasonal allergic rhinitis, and NCT01174823 in allergic conjunctivitis. All were randomized, double-blind, and placebo-controlled.

Is bepotastine besilate the same as bepotastine besilate ophthalmic solution?

Yes, bepotastine besilate is also known as bepotastine besilate ophthalmic solution, bepotastine besilate formulation, bepotastine besilate ophthalmic solution 1.0%, and bepotastine besilate 1.0%. These names refer to the same active ingredient.