Safety and efficacy of olopatadine hydrochloride nasal spray for the treatment of seasonal allergic rhinitis to mountain cedar

Paul H. Ratner, Frank C. Hampel, Niran J. Amar, Julius H. Van Bavel, Dale Mohar, Bradley F. Marple, Peter S. Roland, G. Michael Wall, Michael J. Brubaker, Margaret Drake, Darell Turner, Lewis H. Silver

Research output: Contribution to journalArticle

40 Scopus citations

Abstract

Background: A nasal spray containing the antiallergy agent olopatadine hydrochloride is being developed for the treatment of seasonal allergic rhinitis (SAR) to mountain cedar. Objective: To evaluate the safety and efficacy of 2 concentrations of olopatadine nasal spray vs placebo nasal spray in patients with SAR to mountain cedar. Methods: This was a multicenter, randomized, double-blind, placebo-controlled study. After a 3- to 21-day placebo run-in, 677 patients aged 12 to 81 years were randomized to receive 0.4% or 0.6% olopatadine or placebo, 2 sprays per nostril twice daily for 2 weeks. Patients evaluated morning and evening reflective and instantaneous nasal symptoms (sneezing, stuffy nose, runny nose, and itchy nose, which compose the total nasal symptom score [TNSS]) and ocular symptoms. Results: Olopatadine spray (0.4% and 0.6%) was statistically significantly superior to placebo for percentage change from baseline in overall reflective and instantaneous TNSSs. Also, 0.6% olopatadine was statistically significantly superior to placebo for reducing the reflective and instantaneous assessments of sneezing, runny nose, itchy nose, stuffy nose, itchy eyes, and watery eyes. Olopatadine spray exhibited a safety profile comparable with that of placebo. Conclusions: Olopatadine nasal spray (0.4% and 0.6%) provided statistically significant improvements in allergic rhinitis symptoms compared with placebo regarding TNSSs and individual symptoms, including congestion, itchy and runny nose, sneezing, and itchy and watery eyes, in patients with SAR to mountain cedar. Olopatadine nasal spray administered twice daily was safe and well tolerated in adolescents and adults.

Original languageEnglish (US)
Pages (from-to)474-479
Number of pages6
JournalAnnals of Allergy, Asthma and Immunology
Volume95
Issue number5
DOIs
StatePublished - Nov 2005

ASJC Scopus subject areas

  • Immunology and Allergy
  • Immunology
  • Pulmonary and Respiratory Medicine

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    Ratner, P. H., Hampel, F. C., Amar, N. J., Van Bavel, J. H., Mohar, D., Marple, B. F., Roland, P. S., Wall, G. M., Brubaker, M. J., Drake, M., Turner, D., & Silver, L. H. (2005). Safety and efficacy of olopatadine hydrochloride nasal spray for the treatment of seasonal allergic rhinitis to mountain cedar. Annals of Allergy, Asthma and Immunology, 95(5), 474-479. https://doi.org/10.1016/S1081-1206(10)61174-X