Recent Updates
Recently added Catalysts

Desloratadine

Phase 4FDA approved

Allergic Rhinitis | Small molecule | Respiratory |Organon & Co.|Trials Updated: Aug 15, 2024

Desloratadine development status

FDA approval on record Dec 21, 2001
Approval holderOrganon
ApplicationNDA021165
Highest phase Phase 4 (NCT00783354)
Phase scored for OGNPhase 3
Registered trials 27 across 3 sponsors since Apr 2006

Label indication CLARINEX is a histamine-1 (H1) receptor antagonist indicated for: Seasonal Allergic Rhinitis: relief of nasal and non-nasal symptoms in patients 2 years of age and older. ( 1.1 ) Perennial Allergic Rhinitis: relief of nasal and non-nasal symptoms in patients 6 months of age and older. FDA label

Desloratadine target and mechanism

Molecular targetHRH1
Target classAntagonist
ModalitySmall molecule

Also known as Desloratadine (Clarinex), SCH 034117, Clarinex

Success Probability

Subscribe to view

Market & Valuation

Subscribe to view

Trial Design

RandomizedDouble-BlindCONTROLLED
Total Trials12
Total Enrollment2,890

FDA Designations

No designations recorded

Desloratadine clinical trials

Desloratadine · 12 trials · 14 indications

Phase 3 11Phase 2 1
NCT02320396Efficacy and Safety Study of Desloratadine (MK-4117) in Japanese Participants With Seasonal Allergic Rhinitis (MK-4117-204)Seasonal Allergic Rhinitis
COMPLETED449 Analytics
NCT01916967An Efficacy and Safety Study of Desloratadine (MK-4117) in Japanese Participants With Chronic Urticaria (MK-4117-201)Urticaria
COMPLETED239 Analytics
NCT01916980Efficacy and Safety Study of Desloratadine (MK-4117) in Japanese Participants With Eczema/Dermatitis and Dermal Pruritus (MK-4117-202)Eczema
COMPLETED94 Analytics
NCT01918033A Study of the Efficacy and Safety of Desloratadine (MK-4117) in Japanese Participants With Perennial Allergic Rhinitis (MK-4117-200)Perennial Allergic Rhinitis
COMPLETED608 Analytics
NCT00794378Taste Test Between Desloratadine and Cetirizine Syrup in Children (Study P03829)(COMPLETED)Allergic Rhinitis
COMPLETED202 Analytics
NCT00794794Taste Test Between Desloratadine and Cetirizine Syrup in Children (Study P03826)Allergic Rhinitis
COMPLETED204 Analytics
NCT00789152The Effect of Desloratadine and Levocetirizine on Nasal Obstruction (Study P03609)Allergic Rhinitis
COMPLETED81 Analytics
NCT00805324Study of the Effectiveness and Safety of Desloratadine (Aerius) Syrup in Children With Hayfever With or Without Asthma (P03472)Rhinitis, Allergic, Seasonal
COMPLETED54 Analytics
NCT00817076Study of the Effectiveness and Safety of Desloratadine (Aerius) Syrup in Children With Allergic Skin Inflammation (P03475)Dermatitis, Atopic
COMPLETED40 Analytics
NCT00757562Safety of Desloratadine in Children With Allergy Sensitivity and Chronic Hives, Who Are Poor Metabolizers of Desloratadine (Study P02994)Chronic Idiopathic Urticaria
COMPLETED97 Analytics
PHASE3COMPLETED
Efficacy and Safety Study of Desloratadine (MK-4117) in Japanese Participants With Seasonal Allergic Rhinitis (MK-4117-204)
Seasonal Allergic RhinitisUnlock trial analytics
PHASE3COMPLETED
An Efficacy and Safety Study of Desloratadine (MK-4117) in Japanese Participants With Chronic Urticaria (MK-4117-201)
UrticariaUnlock trial analytics
PHASE3COMPLETED
Efficacy and Safety Study of Desloratadine (MK-4117) in Japanese Participants With Eczema/Dermatitis and Dermal Pruritus (MK-4117-202)
EczemaUnlock trial analytics
PHASE3COMPLETED
A Study of the Efficacy and Safety of Desloratadine (MK-4117) in Japanese Participants With Perennial Allergic Rhinitis (MK-4117-200)
Perennial Allergic RhinitisUnlock trial analytics
PHASE3COMPLETED
Taste Test Between Desloratadine and Cetirizine Syrup in Children (Study P03829)(COMPLETED)
Allergic RhinitisUnlock trial analytics
PHASE3COMPLETED
Taste Test Between Desloratadine and Cetirizine Syrup in Children (Study P03826)
Allergic RhinitisUnlock trial analytics
PHASE3COMPLETED
The Effect of Desloratadine and Levocetirizine on Nasal Obstruction (Study P03609)
Allergic RhinitisUnlock trial analytics
PHASE3COMPLETED
Study of the Effectiveness and Safety of Desloratadine (Aerius) Syrup in Children With Hayfever With or Without Asthma (P03472)
Rhinitis, Allergic, SeasonalUnlock trial analytics
PHASE3COMPLETED
Study of the Effectiveness and Safety of Desloratadine (Aerius) Syrup in Children With Allergic Skin Inflammation (P03475)
Dermatitis, AtopicUnlock trial analytics
PHASE3COMPLETED
Safety of Desloratadine in Children With Allergy Sensitivity and Chronic Hives, Who Are Poor Metabolizers of Desloratadine (Study P02994)
Chronic Idiopathic UrticariaUnlock trial analytics

Study Endpoints

Primary Endpoints

Change From Baseline in Total Nasal Symptom Score (TNSS) During 2 Weeks of Therapy
Baseline, Day 1 to Day 13 (Weeks 1 through 2 average) of double-blind treatment

The TNSS was used to evaluate participant nasal symptoms of: sneezing (daily frequency of attacks scored from 0 \[\<1 time or "none"\] to 4 \[≥21 times\]), rhinorrhea (daily frequency of blowing nose scored from 0 \[\<1 time or "none"\] to 4 \[≥21 times\]), nasal congestion (scored from 0 \[no nasal blockage\] to 4 \[completely obstructed all day\]), and nasal itching (scored from 0 \[none\] to 4 \[nose is itchy, requiring frequent rubbing or blowing nose) as rated in the participant's diary. The TNSS was the sum of the 4 nasal symptom sub-scores. TNSS scores ranged from 0 to 16, with a higher score indicating more frequent/severe nasal symptoms. Baseline (BL) measurement was an average of scores for 3 days prior to treatment (during Confirmation of Symptom Period). Post-BL measurement was an average from Day 1 to Day 13 (2 week average). Change from BL = Post BL measurement - BL measurement.

Number of Participants Who Experience at Least One Adverse Event (AE)
Up to 4 weeks (Up to 2 weeks after last dose of study drug)

An AE was defined as any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. An AE could therefore be any unfavourable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether or not considered related to the medicinal product or protocol-specified procedure. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a preexisting condition that was temporally associated with the use of the Sponsor's product, was also an AE.

Number of Participants Who Discontinue Study Drug Due to an AE
Up to 2 weeks

An AE was defined as any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. An AE could therefore be any unfavourable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether or not considered related to the medicinal product or protocol-specified procedure. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a preexisting condition that was temporally associated with the use of the Sponsor's product, was also an AE.

Change From Baseline in the Sum Score of Pruritus/Itch and Rash Assessed by Investigator at Week 2
Baseline Visit and Week 2 Visit

The Investigator assessed the severity of participant pruritus/itch during the daytime (0=Virtually no itching to 4=Cannot relax because of constant itching) and nighttime (0=Virtually no itching to 4=Cannot sleep because of itching). The score used for pruritus/itch was the higher of the day or night scores (0=Asymptomatic to 4=Severe). The Investigator also assessed the severity of participant rash using the overall rash score (0=No rash to 3=Looks very bad). The sum of the pruritus/itch score (0-4) and rash score (0-3) could range from 0 to 7, with a higher sum score indicating greater severity. The change from Baseline in the sum of the pruritus/itch and overall rash scores at the Week 2 clinic visit was calculated.

Number of Participants Who Experienced at Least One Adverse Event (AE)
Up to 4 weeks (Up to 2 weeks after last dose of study drug)

An AE is any unfavourable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a study drug or protocol-specified procedure, whether or not considered related to the study drug or protocol-specified procedure. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a pre-existing condition that is temporally associated with the use of the study drug, is also an AE.

Number of Participants Who Discontinued Study Drug Due to an AE
Up to 2 weeks

An AE is any unfavourable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a study drug or protocol-specified procedure, whether or not considered related to the study drug or protocol-specified procedure. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a pre-existing condition that is temporally associated with the use of the study drug, is also an AE.

Change From Baseline in Pruritus/Itch Score (Sum of Daytime and Nighttime Scores) Assessed by the Investigator at Week 2
Baseline Visit and Week 2 Visit

The Investigator assessed the severity of participant pruritus/itch during the daytime (0=Virtually no itching to 4=Cannot relax because of constant itching) and nighttime (0=Virtually no itching to 4=Cannot sleep because of itching). The sum of the daytime and nighttime pruritus/itch scores could range from 0 to 8, with a higher sum score indicating greater severity. The change from Baseline in the sum of the daytime and nighttime pruritus/itch scores at Week 2 clinic visit was calculated.

Percentage of Participants Who Experienced at Least One Adverse Event (AE)
Up to 14 weeks (Up to 2 weeks after last dose dose of study drug)

An AE is any unfavourable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a study drug or protocol-specified procedure, whether or not considered related to the study drug or protocol-specified procedure. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a pre-existing condition that is temporally associated with the use of the study drug is also an AE.

Percentage of Participants Who Discontinued Study Drug Due to an AE
Up to 12 weeks

An AE is any unfavourable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a study drug or protocol-specified procedure, whether or not considered related to the study drug or protocol-specified procedure. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a pre-existing condition that is temporally associated with the use of the study drug is also an AE.

Change From Baseline in Total Nasal Symptom Score (TNSS) Assessed by the Investigator at Week 2
Baseline and Week 2

The investigator interviewed and examined participants to evaluate for nasal symptoms of: sneezing (daily frequency of attacks; score of 0=less than 1 time to 3=11+ times), rhinorrhea (daily frequency of blowing nose; score of 0=less than 1 time to 3=11+ times), nasal congestion (score of 0=less than nasal blockage without oral breathing to 3=severe nasal blockage causing prolonged oral breathing in a day), and nasal itching (score of 0=none to 3=nose is itchy, requiring frequent rubbing or blowing nose). The TNSS is the sum of the 4 nasal symptom sub-scores. TNSS scores could range from 0 to 12, with a higher score indicating more frequent/severe nasal symptoms.

Number of Participants Experiencing an Adverse Event (AE)
Up to Week 4

An AE is defined as any unfavourable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of the study drug or protocol-specified procedure, whether or not considered related to the study drug or protocol-specified procedure. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a pre-existing condition that is temporally associated with the use of the study drug, is also an AE. The number of participants who experienced an AE, regardless of causality or severity, was summarized.

Number of Participants Discontinuing Study Drug Due to an AE
Up to Week 2

An AE is defined as any unfavourable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of the study drug or protocol-specified procedure, whether or not considered related to the study drug or protocol-specified procedure. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a pre-existing condition that is temporally associated with the use of the study drug, is also an AE. The number of participants who discontinued study drug, whether permanently or temporarily, due to an AE was summarized.

Taste acceptability as determined from smiley-face scale of 1 (frowning child) to 5 (happy child face).
During the only study visit
Change in Total Nasal Symptom Score (TNSS) at the end of treatment phase compared to pre-exposure baseline scores
End of each treatment phase (8th day)
Demonstration of the efficacy of desloratadine in relieving the total nasal/non-nasal symptoms of seasonal allergic rhinitis
Baseline, Day 8, Day 15, Day 29
Demonstration of the efficacy of desloratadine in relieving the total symptoms of atopic dermatitis through SCORAD Index
Baseline, Day 8, Day 15, and Day 29
Safety and Tolerance
Weekly throughout the 5-week study (Day 1, Day 8, Day 15, Day 22, Day 29, and Day 36).
Change from baseline to day 28 in Dermatology Life Quality Index (DLQI) score
Baseline and treatment day 28
Change from baseline in mean daily AM/PM Prior post-nasal drip scores averaged over the entire treatment period
Days 1 to 7 +/- 2 days

Secondary Endpoints

Change From Baseline in TNSS for Week 1 and Week 2 of Double-blind Treatment
Baseline, Day 1 to 7 (Week 1 average), Day 8 to 13 (Week 2 average) of double-blind treatment
Change From Baseline to Week 1 in Each Nasal Symptom Sub-Score (Sneezing, Rhinorrhea, Nasal Congestion and Nasal Itching)
Baseline, Day 1 to 7 (Week 1 average) of double-blind treatment
Change From Baseline to Week 2 in Each Nasal Symptom Sub-Score (Sneezing, Rhinorrhea, Nasal Congestion and Nasal Itching)
Baseline, Day 8 to 13 (Week 2 average) of double-blind treatment
Unlock Study Endpoints

Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
DesloratadineEXPERIMENTALAfter a 1-week single-blinded placebo run-in during which SAR symptoms are confirmed (Confirmation of Symptom Period), participants receive double-blinded desloratadine (one 5 mg tablet) orally (PO) once daily (QD) in the morning for 2 weeks during the Treatment Period.
PlaceboPLACEBO_COMPARATORAfter a 1-week single-blinded placebo run-in during which SAR symptoms are confirmed (Confirmation of Symptom Period), participants receive double-blinded placebo (one tablet) PO QD in the morning for 2 weeks during the Treatment Period.
Desloratadine 5 mgEXPERIMENTALParticipants receive desloratadine 5 mg, as one 5-mg tablet and one placebo tablet, orally, once daily in the evening for 2 weeks
Desloratadine 10 mgEXPERIMENTALParticipants receive desloratadine 10 mg, as two 5-mg tablets, orally, once daily in the evening for 2 weeks
Desloratadine: Eczema/DermatitisEXPERIMENTALParticipants with eczema/dermatitis receive desloratadine 5 mg, taken as one 5-mg tablet, orally once daily in the evening for up to 12 weeks. After Week 4, the dose of desloratadine can be increased from 5 mg/day to 10 mg/day (two 5-mg tablets, orally once daily in the evening for up to 8 weeks), if criteria for dose up-titration are met, there is insufficient antipruritic efficacy and there is no safety concern.
Desloratadine: Dermal PuritusEXPERIMENTALParticipants with dermal pruritus receive desloratadine 5 mg, taken as one 5-mg tablet, orally once daily in the evening for up to 12 weeks. After Week 4, the dose of desloratadine can be increased from 5 mg/day to 10 mg/day (two 5-mg tablets, orally once daily in the evening for up to 8 weeks), if criteria for dose up-titration are met, there is insufficient anti-pruritic efficacy and there is no safety concern.
Desloratadine and Cetirizine CrossoverEXPERIMENTALTo compare the preference in taste between desloratadine and cetirizine.
desloratadine followed by levocetirizineEXPERIMENTALSubjects in this arm received desloratadine 5 mg daily for 8 days, followed by 10 day washout period, then followed by levocetirizine 5 mg daily for 8 days
levocetirizine followed by desloratadineEXPERIMENTALSubjects in this arm received levocetirizine 5 mg daily for 8 days, followed by 10 day washout period, then followed by desloratadine 5 mg daily for 8 days
Arm 1EXPERIMENTAL -
1EXPERIMENTAL -
DLEXPERIMENTALDesloratadine syrup once daily
DL 2.5 mgACTIVE_COMPARATORDesloratadine 2.5 mg twice daily (BID) + Placebo for Oxybutynin 2.5 mg BID for 7 days
OXY 5 mgACTIVE_COMPARATORPlacebo for Desloratadine 2.5 mg BID + Oxybutynin 5 mg BID for 7 days
DL 2.5 mg + OXY 2.5 mgEXPERIMENTALDesloratadine 2.5 mg BID + Oxybutynin 2.5 mg BID + Placebo for Oxybutynin 2.5 mg BID for 7 days
DL 2.5 mg + OXY 5 mgEXPERIMENTALDesloratadine 2.5 mg BID + Oxybutynin 5 mg BID for 7 days

Interventions

NameTypeDescription
Desloratadine 5 mgDRUGDesloratadine 5 mg tablets
PlaceboDRUGPlacebo tablets
DesloratadineDRUGDesloratadine 5 mg tablets, given orally, once daily in the evening for 2 weeks
Desloratadine (Clarinex)DRUGEach subject received 5 mL of desloratadine syrup one time
Cetirizine (Zyrtec)DRUGEach subject received 5 mL of cetirizine syrup
levocetirizineDRUGlevocetirizine 5 mg daily x 8 days
Desloratadine 2.5 mgDRUGDesloratadine 2.5 mg BID
Oxybutynin 2.5 mgDRUGOxybutynin 2.5 mg BID
Placebo for Desloratadine 2.5 mgDRUGPlacebo BID
Placebo for Oxybutynin 2.5 mgDRUGPlacebo BID
Unlock Study Design Details

Eligibility Criteria

Age Range16 Years to N/A
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Has at least a 2-year history of seasonal allergic rhinitis with typical symptoms * Male or female who is unlikely to conceive: a surgically sterilized female, female who has reached natural menopause, or is of reproductive potential and agrees to either remain abstinent or us...

Unlock Eligibility Criteria

Competitive Landscape -Allergic Rhinitis 8 trials

Top 1 of 3 competitors

CompanyTickerTrialsLead PhaseDrugs
Eli Lilly and CompanyLLY1PHASE3LY3650150
Unlock Competitive Intelligence

Frequently asked questions about Desloratadine

What is Desloratadine used for?

Desloratadine is used to treat allergic conditions including allergic rhinitis, chronic idiopathic urticaria, atopic dermatitis, eczema, perennial allergic rhinitis, and post-nasal drip. It is a small molecule antihistamine developed by Organon & Co. for respiratory and allergic indications.

How does Desloratadine work?

Desloratadine works as an antagonist at the HRH1 receptor, also known as the histamine H1 receptor. By blocking this target, it prevents histamine from triggering allergic symptoms such as sneezing, itching, and runny nose.

Who makes Desloratadine?

Desloratadine is developed by Organon & Co., which trades under the ticker OGN. Organon is the company responsible for the clinical development of this small molecule antihistamine.

What phase is Desloratadine in?

Desloratadine is in Phase 3 clinical development. It has completed three Phase 3 trials and is investigational, meaning it is still being studied in clinical trials and has not been approved by the FDA for the indications listed.

What clinical trials is Desloratadine in?

Desloratadine has been studied in completed Phase 3 trials including NCT02320396 in seasonal allergic rhinitis, NCT01918033 in perennial allergic rhinitis, NCT01916980 in eczema and dermatitis, and NCT01916967 in chronic urticaria. All trials are completed and no active trials are ongoing.

Is Desloratadine the same as Clarinex?

Yes, Desloratadine is also known as Clarinex. Other names include Desloratadine 2.5 mg and Desloratadine 5 mg, which refer to different dosage strengths of the same medication.