Evidence map›Paper›PMID 32569395›Full record

ArticleClinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology2020

Fast effectiveness of a solubilized low-dose budesonide nasal spray in allergic rhinitis.

Petra Zieglmayer, René Schmutz, Patrick Lemell, Nicole Unger-Manhart, Sabine Nakowitsch, Andreas Goessl, Markus Savli, René Zieglmayer, Eva Prieschl-Grassauer

Open access · hybridAbstract readComparative StudyEquivalence Trial
In one paragraph

Article in Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.6field-weighted citation impact, top 35% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Focused allergic rhinitis practice parameter for Canada.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2024
    Article
  5. Review
  6. Fast effectiveness of a solubilized low-dose budesonide nasal spray in allergic rhinitis.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 2 countries.

Petra ZieglmayerPower Project GmbH, Vienna Challenge Chamber, Vienna, Austria.ORCID 0000-0001-5432-9459
René SchmutzPower Project GmbH, Vienna Challenge Chamber, Vienna, Austria.
Patrick LemellPower Project GmbH, Vienna Challenge Chamber, Vienna, Austria.ORCID 0000-0003-0262-4047
Nicole Unger-ManhartMarinomed Biotech AG, Vienna, Austria.
Sabine NakowitschMarinomed Biotech AG, Vienna, Austria.
Andreas GoesslMarinomed Biotech AG, Vienna, Austria.
Markus SavliBiostatistik & Consulting, Hartberg, Austria.
René ZieglmayerPower Project GmbH, Vienna Challenge Chamber, Vienna, Austria.
Eva Prieschl-GrassauerMarinomed Biotech AG, Vienna, Austria.
Marinomed Biotech (Austria) · ATVienna Challenge Chamber · ATBiostatistical Consulting (United States) · USSigmund Freud Privatuniversität Wien · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBudesonide, a poorly water-soluble corticosteroid, is currently marketed as a suspension. Budesolv is a novel aqueous formulation containing dissolved budesonide showing increased local availability in preclinical models. Budesolv contains ~85% less corticosteroid than the marketed comparator.

objectiveThe study (EudraCT:2018-001324-19) was designed to assess non-inferiority of Budesolv compared to Rhinocort® Aqua 64 (RA) and early onset of action.

methodsIn a three-way cross-over double-blinded randomized trial, Budesolv 10 was compared to RA and placebo in grass pollen allergic rhinoconjunctivitis volunteers (n = 83 (ITT); n = 75 (PP)). On day 1, participants entered the Vienna Challenge Chamber (VCC) for 6 hours; first treatment took place at 1:45 hours after entry. Participants treated themselves for further 6 days; on day 8, the last treatment was applied before entering the VCC. Subjective symptom scores, nasal airflow and nasal secretion were measured regularly during allergen challenge.

resultsBudesolv 10 was equally effective compared to RA with respect to TNSS and nasal airflow after eight days of treatment with a strongly reduced dose (more than 80% reduction). After first dose, only Budesolv 10 showed a significant reduction of nasal and respiratory symptoms starting 90 minutes (P < .05) and 15 minutes (P < .05) after application onwards, respectively, demonstrating an early onset of efficacy. A clinically significant 1 point reduction in nasal symptom score was reached at 195 minutes (P < .05) after application. CONCLUSIONS AND CLINICAL RELEVANCE: The novel preservative-free, aqueous low-dose budesonide formulation is highly efficacious even after an initial single treatment. Thus, Budesolv 10 appears to be an effective acute treatment for allergic rhinitis as well as for AR comorbidities like mild asthma and conjunctivitis.

Indexed as

Administration, IntranasalAdultAnti-Allergic AgentsAustriaBudesonideCross-Over StudiesDouble-Blind MethodDrug CompoundingFemaleGlucocorticoidsHumansMaleMiddle AgedNasal SpraysRhinitis, Allergic, SeasonalSolubilityAnti-Allergic AgentsBudesonideGlucocorticoidsNasal Spraysallergic rhinitisbudesonidechallenge chamberearly onsetinflammationintranasal glucocorticoidsnasal spraypreservative-free

Identifiers

PMID32569395
PMCPMC7540702
OpenAlexW3036934235

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.