Intranasal budesonide for rhinitis during a high airborne pollution period: a randomized controlled trial

Allergy, Asthma & Clinical Immunology

Chengshuo Wang¹  Yuan Zhang¹  Luo Zhang¹  Weiwei Liu²  Guanggang Shi³  Yaozhong Han⁴  Yongjian Ma⁵  Chunguang Shan⁶  Lili Zhang⁷  Xiaoyan Tian⁷  Steven Sacavage⁸  Kathleen Franklin⁸  Kerstin Wagner⁸  Allan Joseph Larona⁹ 

[1] Department of Allergy, Beijing TongRen Hospital, Capital Medical University;Department of Otolaryngology Head and Neck Surgery, Cangzhou Center Hospital;Department of Otolaryngology Head and Neck Surgery, Shandong Provincial Hospital;Department of Otolaryngology Head and Neck Surgery, The No.2 Hospital of Baoding;Department of Otolaryngology Head and Neck Surgery, The No.2 People’s Hospital of Weifang;Department of Otolaryngology Head and Neck Surgery, The Second Hospital to Hebei Medical University;Johnson & Johnson Consumer China Ltd;Johnson & Johnson Consumer Inc;Johnson & Johnson Consumer Regional Office Asia Pacific;

关键词: Airborne pollution;    Air quality index;    Budesonide;    Intranasal corticosteroid;    Intranasal spray;    Non-allergic rhinitis;   

DOI  :  10.1186/s13223-022-00686-y

来源: DOAJ

【 摘 要 】

Abstract Background Air pollution may induce or reinforce nasal inflammation regardless of allergy status. There is limited direct clinical evidence informing the treatment of airborne pollution-related rhinitis. Objective To assess the effectiveness of intranasal budesonide in adults with self-reported rhinitis symptoms triggered/worsened by airborne pollution. Methods Adults in northern China with self-reported rhinitis symptoms triggered or worsened by airborne pollution were randomized to budesonide 256 µg/day or placebo for 10 days in pollution season (October 2019 to February 2020). The primary endpoint was the mean change from baseline in 24-h reflective total nasal symptom score (rTNSS) averaged over 10 days. The secondary endpoints were subject-assessed Global Impression of Change (SGIC), mean change from baseline in individual nasal symptom severity, and mean change from baseline in individual non-nasal symptoms of cough and postnasal drip severity. One-sided P < 0.0125 was considered statistically significant. Results After an interruption by COVID-19, an interim analysis showed that the study could be ended for efficacy with n = 206 participants (103/group) since the primary efficacy endpoint demonstrated significant results. The final efficacy results showed that the 10-day-averaged rTNSS change in the budesonide group was greater than with placebo (− 2.20 vs − 1.72, P = 0.0107). Budesonide also significantly improved 10-day-averaged itching/sneezing change (− 0.75 vs − 0.51, P = 0.0009). Results for SGIC and all other individual symptoms did not show significant differences between the two groups. Conclusions Intranasal budesonide 256 µg once daily improved the total nasal symptoms and itching/sneezing over 10 days in adults with rhinitis triggered/worsened by airborne pollution.

【 授权许可】

Unknown