The study was to determine if the drug worked to relieve nasal congestion experienced by people with seasonal allergies.
Subjects who met the inclusion/exclusion criteria were enrolled into the placebo run-in phase of the study on Day -7 (prerandomization, Visit 1). Baseline symptom scores were established during this run-in phase. Subjects with moderate nasal congestion who took at least 80% of their study medication during the run-in phase were eligible for enrollment in the two-week double-blind phase of the study and were randomized on Day 1 (randomization, Visit 2). They were treated for two weeks with their assigned medication. The severity of signs/symptoms were evaluated by the subjects every morning and night and by the investigator at each visit on Day 7 and Day 14. In addition, the subject and investigator provided a global evaluation of response to treatment on Day 7 and Day 14. Safety was evaluated by adverse events reported during the study, vital signs, and the incidence of somnolence.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
1,021
Three times daily: two diphenhydramine 25 mg capsules Twice daily: one pseudoephedrine-matching placebo tablet
Three times daily: one diphenhydramine 25 mg capsule and one diphenhydramine-matching placebo capsule Twice daily: one pseudoephedrine-matching placebo tablet
Three times daily: two diphenhydramine-matching placebo capsules Twice daily: one pseudoephedrine 120 mg tablet
Benchmark Research - Austin
Austin, Texas, United States
Allergy and Asthma Associates
Austin, Texas, United States
Lovelace Scientific Resources
Austin, Texas, United States
Change from baseline in the subject's mean reflective nasal congestion/stuffiness symptom score
Time frame: every 12-hours over the 14-day treatment period
Change from baseline in the subject's mean reflective Total Nasal Symptom (TNS) Score
Time frame: 14 Days
Change from baseline in the subject's mean instantaneous TNS Score
Time frame: 14 Days
Change from baseline in the subject's mean reflective Total SAR Symptom (TSS) Score
Time frame: 14 Days
Change from baseline in the subject's mean instantaneous TSS Score
Time frame: 14 Days
Change from baseline in the subject's mean reflective score for each of the seven remaining individual SAR symptoms, excluding nasal congestion/stuffiness
Time frame: 14 Days
Change from baseline in the subject's mean instantaneous score for each of the eight individual SAR symptoms
Time frame: 14 Days
Onset of action for diphenhydramine treatment for nasal congestion/stuffiness was determined by comparing the change from baseline in the subject's instantaneous nasal congestion/stuffiness scores for diphenhydramine versus placebo
Time frame: taken at 15, 30, 60 and 90 minutes after the initial dose. Baseline was the score taken just prior to the initial dose.
Onset of action for diphenhydramine treatment for allergic rhinitis symptoms was determined by comparing the change from baseline in the subject's instantaneous TNS scores for diphenhydramine versus placebo
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Allergy/Immunology Research Center of North Texas
Dallas, Texas, United States
Kerrville Research Associates
Kerrville, Texas, United States
Central Texas Health Research
New Braunfels, Texas, United States
Benchmark Research - San Angelo
San Angelo, Texas, United States
Sun Research Institute
San Antonio, Texas, United States
Biogenics Research Institute
San Antonio, Texas, United States
Diagnostics Research Group
San Antonio, Texas, United States
...and 2 more locations
Time frame: taken at 15, 30, 60 and 90 minutes after the initial dose. Baseline was the score taken just prior to the initial dose
Duration of action for diphenhydramine for treatment of nasal congestion/stuffiness was evaluated by comparing the change from baseline in the subject's mean instantaneous nasal congestion/stuffiness scores for diphenhydramine versus placebo
Time frame: taken at the six-hour trough (just prior to the 8:00 pm dose) and the 12-hour trough (just prior to the 8:00 am dose)
Duration of action for diphenhydramine for treatment of allergic rhinitis symptoms was evaluated by comparing the change from baseline in the subject's mean instantaneous TNS scores for diphenhydramine versus placebo
Time frame: taken at the six-hour trough (just prior to the 8:00 pm dose) and the 12-hour trough (just prior to the 8:00 am dose)
Time to maximal effect was assessed by a by-day analysis of the primary efficacy endpoint and select secondary endpoints
Time frame: 14 Days
Subject's global evaluation of response to treatment
Time frame: at Visits 3 and 4, analyzed separately at each visit
Change from baseline in the Investigator's TNS score
Time frame: at Visits 3 and 4, analyzed separately for each visit. Baseline was the score at Visit 1
Change from baseline in the Investigator's TSS score
Time frame: at Visits 3 and 4, analyzed separately for each visit. Baseline was the score at Visit 1
Change from baseline for each of the eight individual Investigator's SAR symptoms
Time frame: at Visits 3 and 4, analyzed separately for each visit. Baseline was the score at Visit 1
Investigator's global evaluation of the subject's response to treatment
Time frame: at Visits 3 and 4, analyzed separately for each visit
Number and percentage of subjects experiencing adverse events
Time frame: Duration of study
Change from baseline and potentially clinically important vital signs (systolic and diastolic blood pressure, pulse, and respiratory rate)
Time frame: Duration of study
Occurrence of somnolence
Time frame: Overall and weekly