Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
Also known as Montelukast, montelukast sodium
Comparator: montelukast · 33 trials · 11 indications
The TNSS is the sum of the three nasal symptom scores for nasal congestion, nasal discharge and sneezing. Participants completed a questionnaire about their nasal symptoms. Score ranged from 0 to 4 for each of the three nasal symptoms, with a total possible score ranging from 0 to 12 and a higher score indicating more severe nasal symptoms. The baseline TNSS was assessed on Day 7 of a treatment period prior to entering the chamber room. The post-baseline TNSS was assessed on Day 7 of a treatment period during 3 hours of exposure to Japanes cedar (JC) pollen in the chamber room, as an average of measurements at 30, 60, 90, 120, 150 and 180 minutes. Analysis was done by study drug as taken.
An adverse event is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the study drug, whether or not considered related to the use of the product. Participants were monitored for occurrence adverse events for up to 14 days after last dose of study drug. Analysis was done by study drug as taken.
An AE is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the study treatment, whether or not considered related to the use of the study treatment.
An AE is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the study treatment, whether or not considered related to the use of the study treatment.
The time weighted average change from Baseline in Forced Expiratory Volume in One Second (FEV1) over the first 60 minutes after study drug administration (average change FEV1 (0-60 min)). Baseline (pre-allocation) was the last measurement obtained during the screening period.
The rate per year of asthma episodes culminating in an asthma attack for each of the 3 treatment groups. Asthma attacks were defined as respiratory symptoms requiring healthcare resource utilization (HRU), which comprised unscheduled visits to a physician or emergency department, treatment with corticosteroids (oral, rectal, or inhaled), or hospitalization. Each day during an episode, the patient's legal guardian recorded all the HRU that was required specifically for breathing problems.
A day of worsening asthma is a day with: increase from baseline in β-agonist use (\> 70% and a min increase of 2 puffs); \> 50% increase from baseline in daytime symptoms score; awake "all night"; increase from baseline in inhaled corticosteroid use ≥ 100% or oral corticosteroid rescue for worsening asthma; or unanticipated healthcare utilization.
An asthma-control day, computed from daily diaries, was any day with no unscheduled visit for asthma care, no use of \> than 2 puffs of β-agonist, no use of other asthma rescue medication, and no nocturnal awakening. The percentage of asthma-control days was the number of days with asthma-control divided by the total number of days with non-missing values for this endpoint. The patient diary had questions concerning daytime and nighttime symptoms, morning (AM) and evening (PM) peak expiratory flow rate (PEFR), β-agonist use, asthma attacks and smoking activity.
Percent change from baseline in FEV1, a measure of airway function, at Week 3
The effect of four weeks of treatment with oral montelukast plus inhaled fluticasone, and inhaled salmeterol plus inhaled fluticasone on EIB as measured by the maximum post-exercise percent fall (relative to pre-exercise baseline) in FEV1.
In patients with EIB, the percent change from pre-exercise baseline FEV1 to the lowest FEV1 within 60 minutes after exercise challenge (2 hours post-dose). The FEV1 measurement obtained 5 minutes before the exercise challenge was the baseline, and was specific to each exercise challenge.
The Time Weighed Average Changes in Forced Expiratory Volume in One Second (FEV1) from pre-allocation baseline over the first 60 minutes after study drug administration with time interval between any measurement and the measurement prior to it is used as the weighting factor
Improvement in FEV1 as the time-weighted average change from baseline over 60 minutes following the end of study drug administration. Time-weighted average of the changes from baseline obtained over the 60 minutes (at 60, 45, 30 and 15) with the time interval between any measurement and the measurement prior to it used as the weighting factor.
In patients with EIB, the percent change from pre-exercise baseline FEV, to the lowest FEV1 within 60 minutes after exercise challenge (2 hours post-dose). The FEV1 measurement obtained 5 minutes before the exercise challenge was the baseline, and was specific to each exercise challenge.
Mean change from baseline in Daytime Nasal Symptoms score averaged over the 6-week treatment period. The Daytime Nasal Symptoms score was calculated as the average of the 3 individual scores for Congestion, Rhinorrhea, and Sneezing, each rated by patients daily on a 4-point scale \[Score 0 (best) to 3 (worst)\].
In Participants with EIB, the percent change from pre-exercise baseline FEV1 to the lowest FEV1 within 60 minutes after exercise challenge (2 hours post-dose). The FEV1 measurement obtained 5 minutes before the exercise challenge was the baseline, and was specific to each exercise challenge.
Mean change from baseline in Daytime Nasal Symptoms score. Patients were asked to rate each nasal symptom of Congestion, Rhinorrhea, Itching, and Sneezing daily on a 4-point scale \[Score 0 (best) to 3 (worst)\]. The average of the 4 individual nasal symptoms scores was reported as the Daytime Nasal Symptoms Score.
Mean change from baseline in Daytime Nasal Symptoms Score. Patients were asked to rate each nasal symptom of Congestion, Rhinorrhea, Itching, and Sneezing daily on a 4- point scale \[Score 0 (best) to 3 (worse)\]. The average of the 4 individual nasal symptoms scores was reported as the Daytime Nasal Symptoms Score.
An adverse experience (AE) is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the SPONSOR'S product, whether or not considered related to the use of the product
Mean change from baseline in Daytime Nasal Symptoms. Patients were asked to rate each of the 4 nasal symptoms of Congestion, Rhinorrhea, Itching, and Sneezing daily on a 4-point scale \[Score 0 (best) to 3 (worst)\]. The average of the 4 individual nasal symptoms scores was reported as the Daytime Nasal Symptoms Score.
A clinical adverse experience (AE) is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the SPONSOR'S product, whether or not considered related to the use of the product
Mean change from baseline in Daytime Nasal Symptoms score. Patients were asked to rate each of the 4 nasal symptoms of Congestion, Rhinorrhea, Itching, and Sneezing daily on a 4-point scale. The average of the 4 individual nasal symptoms scores was reported as the Daytime Nasal Symptoms Score. Scores were measured as 0 (best) to 3 (worst).
An adverse experience (AE) is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the SPONSOR'S product, whether or not considered related to the use of the product
Mean percent change from baseline in FEV1 in patients with chronic asthma averaged over 16 weeks for the Beclo and MK+ Beclo groups and averaged over last 10 weeks for the Placebo and MK groups
The daily daytime symptom score was determined by averaging the daily scores (the patient scored his/her symptoms \[from 0 (best) to 6 (worst)\] on a daily basis.) for the four questions on the Daytime Asthma Symptoms Diary. The average daytime symptom score for the visit was determined by averaging the daily symptom scores over all days between two consecutive visits.
FEV1 measurements taken at 0 (=baseline), 10, 20, 30, 45, 60, 120, 180 and 240 minutes contributed to the average change from baseline over 4 hours. The number of minutes between consecutive measurements was used as weighting factor. The time-weighted average change was standardized by dividing by the time associated with the last measurement.
Blood samples for assessment of AUC 0-24hr were drawn predose and then at specified timepoints (up to 24 hours postdose) on Day 1 in Part I.
Blood samples for assessment of AUC 0-24hr were drawn predose and then at specified timepoints (up to 24 hours postdose) on Days 1 and 5 in Part II and on Days 1 and 10 in Part III.
Blood samples for assessment of Cmax were drawn predose and then at specified timepoints (up to 24 hours postdose) on Day 1 in Part I.
Blood samples for assessment of Cmax were drawn predose and then at specified timepoints (up to 24 hours postdose) on Days 1 and 5 in Part II and on Days 1 and 10 in Part III.
Blood samples for assessment of Tmax were drawn predose and then at specified timepoints (up to 24 hours postdose) on Day 1 in Part I.
Blood samples for assessment of Tmax were drawn predose and then at specified timepoints (up to 24 hours postdose) on Days 1 and 5 in Part II and on Days 1 and 10 in Part III.
Blood samples for assessment of t1/2 were drawn predose and then at specified timepoints (up to 24 hours postdose) on Day 1 in Part I.
Blood samples for assessment of t1/2 were drawn predose and then at specified timepoints (up to 24 hours postdose) on Days 1 and 5 in Part II and on Days 1 and 10 in Part III.
The AUC 0-24hr Accumulation Ratio of Montelukast was calculated as the geometric mean ratio of AUC 0-24hr on the last day and the first day of a multiple dose regimen: Day 5/Day 1 in Part II and Day 10/Day 1 in Part III.
The Cmax Accumulation Ratio of Montelukast was calculated as the geometric mean ratio of Cmax on the last day and the first day of a multiple dose regimen: Day 5/Day 1 in Part II and Day 10/Day 1 in Part III.
| Arm | Type | Description |
|---|---|---|
| Montelukast/Placebo | EXPERIMENTAL | Participants receive montelukast 5 mg chewable tablets for 7 days during Period 1 and receive placebo chewable tablets for 7 days during Period 2. There is a 7-day washout period between Periods 1 and 2. |
| Placebo/Montelukast | EXPERIMENTAL | Participants receive placebo chewable tablets for 7 days during Period 1 and receive montelukast 5 mg chewable tablets for 7 days during Period 2. There is a 7-day washout period between Periods 1 and 2. |
| Montelukast 10 mg/loratadine 10 mg | EXPERIMENTAL | Montelukast 10 mg/loratadine 10 mg combination tablet administered orally once daily for 2 weeks |
| Placebo | PLACEBO_COMPARATOR | Matching placebo tablet administered orally once daily for 2 weeks |
| Montelukast 7 mg | EXPERIMENTAL | Montelukast 7 mg IV administration |
| Montelukast 14 mg | EXPERIMENTAL | Montelukast 14 mg IV administration |
| Aminophylline 250 mg | ACTIVE_COMPARATOR | Aminophylline 250 mg IV drip administration |
| Arm 1: drug + episodic supplemental placebo | ACTIVE_COMPARATOR | Montelukast once a day (qd) + episode driven supplemental placebo qd for 12 days for a 52-wk treatment period |
| Arm 2: placebo comparator + episodic supplemental drug | ACTIVE_COMPARATOR | Placebo qd + episode driven supplemental Montelukast qd for 12 days for a 52-wk treatment period |
| Arm 3: placebo comparator + episodic supplemental placebo | PLACEBO_COMPARATOR | Placebo qd + episode driven supplemental placebo qd for 12 days for a 52-wk treatment period |
| 1 | EXPERIMENTAL | Montelukast |
| 2 | PLACEBO_COMPARATOR | Placebo |
| 3 | PLACEBO_COMPARATOR | Arm 3: Placebo |
| Montelukast/Salmeterol | EXPERIMENTAL | Period I - Montelukast 5 milligrams (mg) oral tablet once daily and Salmeterol matching placebo dry powder inhaler (DPI) twice daily for 4 weeks followed by a 2-week washout period (salmeterol matching placebo + montelukast matching placebo). Period II - Montelukast matching placebo oral tablet once daily and Salmeterol DPI 50 micrograms (mcg) twice daily for 4 weeks. Inhaled Fluticasone 100 mcg twice daily throughout the study. |
| Salmeterol/Montelukast | EXPERIMENTAL | Period I - Montelukast matching placebo oral tablet once daily and Salmeterol DPI 50 mcg twice daily for 4 weeks followed by a 2-week washout period (salmeterol matching placebo + montelukast matching placebo). Period II - Montelukast 5 mg oral tablet once daily and Salmeterol matching placebo DPI twice daily for 4 weeks. Inhaled Fluticasone 100 mcg twice daily throughout the study. |
| 4 | EXPERIMENTAL | Salmeterol - Placebo - Montelukast |
| 5 | EXPERIMENTAL | Placebo - Montelukast - Salmeterol |
| 6 | EXPERIMENTAL | Placebo - Salmeterol - Montelukast |
| Montelukast 0.1 mg | EXPERIMENTAL | Participants receive Montelukast inhalation powder, 0.1 mg. * Part I: Administered as a single dose followed by at least a 3-day washout period. |
| Montelukast 0.3 mg | EXPERIMENTAL | Participants receive Montelukast inhalation powder, 0.3 mg. * Part I: Administered as a single dose followed by at least a 3-day washout period. |
| Montelukast 1 mg | EXPERIMENTAL | Participants receive Montelukast inhalation powder, 1 mg. * Part I: Administered as a single dose followed by at least a 3-day washout period. * Part II: Administered once daily (QD) for 5 days followed by at least a 3-day washout period. |
| Montelukast 3 mg | EXPERIMENTAL | Participants receive Montelukast inhalation powder, 3 mg. * Part I: Administered as a single dose followed by at least a 3-day washout period. * Part II: Administered QD for 5 days followed by at least a 3-day washout period. * Part III: Administered QD for 10 days followed by at least a 7-day washout period. |
| Montelukast 10 mg | EXPERIMENTAL | Participants receive Montelukast inhalation powder, 10 mg. * Part I: Administered as a single dose followed by at least a 3-day washout period. * Part II: Administered QD for 5 days followed by at least a 3-day washout period. * Part III: Administered QD for 10 days followed by at least a 7-day washout period. |
| I | PLACEBO_COMPARATOR | Three period crossover study, 7 week duration: During periods I-III patients will receive oral medication as a single dose before exercise challenge. For the three periods of this study patients will receive in a randomized sequence one dose of montelukast 10mg and a matching placebo during the other 2 periods. |
| II | PLACEBO_COMPARATOR | Three period crossover study, 7 week duration: During periods I-III patients will receive oral medication as a single dose before exercise challenge. For the three periods of this study patients will receive in a randomized sequence one dose of montelukast 10mg and a matching placebo during the other 2 periods. |
| III | PLACEBO_COMPARATOR | Three period crossover study, 7 week duration: During periods I-III patients will receive oral medication as a single dose before exercise challenge. For the three periods of this study patients will receive in a randomized sequence one dose of montelukast 10mg and a matching placebo during the other 2 periods. |
| Name | Type | Description |
|---|---|---|
| Montelukast | DRUG | Montelukast 5 mg chewable tablets, taken orally once daily at bedtime for 7 days |
| Placebo | DRUG | Matching placebo chewable tablets, taken orally once daily at bedtime for 7 days |
| Montelukast 10 mg/loratadine 10 mg | DRUG | Montelukast 10 mg/loratadine 10 mg tablet administered once daily |
| montelukast sodium | DRUG | Montelukast 7 mg single injection (IV bolus administration) over 2-3 minutes |
| aminophylline hydrate | DRUG | Aminophylline 250 mg IV drip infusion over 60 minutes |
| Comparator: Placebo (unspecified) | DRUG | Placebo (Pbo) qd + episode driven supplemental Pbo for 12 days for a 52-wk treatment period. |
| Comparator: Placebo | DRUG | Placebo to montelukast QD for 8 weeks |
| Comparator: fluticasone | DRUG | fluticasone propionate 250 mcg twice daily, 6 month treatment period |
| Salmeterol xinafoate | DRUG | Salmeterol 50 mcg dry powder per actuation inhaled twice daily |
| Fluticasone propionate | DRUG | Fluticasone (50 mcg per actuation) 100 mcg inhaled twice daily |
| Montelukast matching placebo | DRUG | Matching placebo to montelukast oral tablet administered once daily. |
| Salmeterol matching placebo | DRUG | Matching placebo to salmeterol dry powder for inhalation administered twice daily |
| Comparator: Montelukast | DRUG | 1 dose montelukast 10 mg tablet given orally in one of three treatment periods |
| Comparator: Salmeterol | DRUG | 1 dose of 50 ug salmeterol given by inhalation in one of three treatment periods |
| Comparator: Placebo (montelukast) | DRUG | 1 dose matching-image placebo to montelukast tablet in two of three treatment periods |
| Comparator: Placebo (salmeterol) | DRUG | 1 dose matching-image placebo of salmeterol 50 ug inhalation in two of three treatment periods |
| Comparator: pranlukast | DRUG | Pranlukast 225 mg BID 2-weeks. |
| Comparator: cetirizine | DRUG | cetirizine 10 mg tablet orally once daily at bedtime for 6 weeks |
| Comparator: loratadine | DRUG | loratadine 10 mg tablet orally once daily in the morning for 4 weeks |
| Comparator: Usual Care | DRUG | Usual care defined as inhaled/nebulized cromolyn or inhaled nedocromil or inhaled/nebulized corticosteroids, according to the investigator's usual clinical practice for 52 weeks |
| placebo (unspecified) | DRUG | Matching-image Montelukast placebo. Duration of Treatment: 48 Weeks |
| Comparator: montelukast/loratadine | DRUG | montelukast 10-mg/loratadine 10-mg combination tablet taken orally once daily at bedtime for 2 weeks |
| beclomethasone | DRUG | 200 ug inhaled, taken twice daily for 16 weeks |
| Placebo inhaler | DRUG | placebo inhaler taken twice daily for 16 weeks |
| placebo tablet | DRUG | placebo tablet taken once daily at bedtime for 16 weeks |
Inclusion Criteria: * Weight: ≥ 25 kg * Height: ≥ 125 cm * Able to record symptoms in a diary * Has had allergic rhinitis symptoms \[Japanese Cedar (JC) pollinosis\] * Tested positive for JC pollen specific immunoglobulin E (IgE) antibody assay Exclusion Criteria: * Has nasal findings that would ...
Top 1 of 3 competitors
| Company | Ticker | Trials | Lead Phase | Drugs |
|---|---|---|---|---|
| Eli Lilly and Company | LLY | 1 | PHASE3 | LY3650150 |