PMID- 19233485 OWN - NLM STAT- MEDLINE DCOM- 20090814 LR - 20151119 IS - 1872-8464 (Electronic) IS - 0165-5876 (Linking) VI - 73 IP - 5 DP - 2009 May TI - Mometasone furoate nasal spray is safe and effective for 1-year treatment of children with perennial allergic rhinitis. PG - 651-7 LID - 10.1016/j.ijporl.2008.12.025 [doi] AB - OBJECTIVE: Perennial allergic rhinitis (PAR) affects children at a young age. Current guidelines recommend intranasal corticosteroids as the first-line treatment in patients with moderate-to-severe or persistent disease or in those who have congestion. In this study, the long-term safety and efficacy of mometasone furoate nasal spray (MFNS) were assessed in children with PAR. METHODS: In this multicenter, active-controlled, evaluator-blind, 12-month study, 255 children aged 6-11 years with a >or=1-year history of PAR were randomized to receive once-daily MFNS 100 microg (n=166) or the active comparator beclomethasone dipropionate (BDP) 168 microg (n=85). Changes from baseline in overall PAR symptoms and response to treatment were rated at each visit. Cosyntropin stimulation testing, as well as tonometry and slit lamp procedures, were performed. Safety variables were assessed. RESULTS: A total of 137 subjects in the MFNS group and 68 in the BDP group completed treatment. The mean reductions in physician- and subject-rated overall condition of PAR at week 52 were -42.1% and -39.7%, respectively, for MFNS, compared with -44.0% and -39.0%, respectively, for BDP. A total of 94% and 100% of MFNS and BDP subjects, respectively, reported adverse events (AEs), which were mostly mild or moderate. The most frequently reported treatment-related AEs in both groups were epistaxis, headache, and pharyngitis. Response to cosyntropin was normal and no posterior subcapsular cataracts were observed in either group. Although no significant changes in intraocular pressure were observed with MFNS, one subject receiving BDP demonstrated this effect. CONCLUSIONS: Treatment with MFNS 100 microg once daily for 1 year was well tolerated in children 6-11 years old, with negligible systemic exposure and no evidence of suppression of the hypothalamic-pituitary-adrenal axis or ocular changes. FAU - Ratner, Paul H AU - Ratner PH AD - Sylvana Research Associates, San Antonio, TX 78229, USA. pratner@sylvanaresearch.com FAU - Meltzer, Eli O AU - Meltzer EO FAU - Teper, Ariel AU - Teper A LA - eng PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20090223 PL - Ireland TA - Int J Pediatr Otorhinolaryngol JT - International journal of pediatric otorhinolaryngology JID - 8003603 RN - 0 (Aerosols) RN - 0 (Anti-Allergic Agents) RN - 0 (Anti-Inflammatory Agents) RN - 0 (Pregnadienediols) RN - 04201GDN4R (Mometasone Furoate) RN - 16960-16-0 (Cosyntropin) RN - KGZ1SLC28Z (Beclomethasone) RN - WI4X0X7BPJ (Hydrocortisone) SB - IM CIN - Int J Pediatr Otorhinolaryngol. 2011 Jan;75(1):140. PMID: 20223526 MH - Aerosols MH - Anti-Allergic Agents/administration & dosage/*adverse effects/*therapeutic use MH - Anti-Inflammatory Agents/adverse effects/therapeutic use MH - Beclomethasone/*adverse effects/therapeutic use MH - Cerebrospinal Fluid Rhinorrhea/chemically induced MH - Child MH - Cosyntropin/pharmacology MH - Demography MH - Double-Blind Method MH - Female MH - Humans MH - Hydrocortisone/metabolism MH - Male MH - Mometasone Furoate MH - Nasal Obstruction/chemically induced MH - Pregnadienediols/administration & dosage/adverse effects/*therapeutic use MH - Rhinitis, Allergic, Perennial/*drug therapy EDAT- 2009/02/24 09:00 MHDA- 2009/08/15 09:00 CRDT- 2009/02/24 09:00 PHST- 2008/07/22 00:00 [received] PHST- 2008/12/16 00:00 [revised] PHST- 2008/12/17 00:00 [accepted] PHST- 2009/02/24 09:00 [entrez] PHST- 2009/02/24 09:00 [pubmed] PHST- 2009/08/15 09:00 [medline] AID - S0165-5876(08)00631-9 [pii] AID - 10.1016/j.ijporl.2008.12.025 [doi] PST - ppublish SO - Int J Pediatr Otorhinolaryngol. 2009 May;73(5):651-7. doi: 10.1016/j.ijporl.2008.12.025. Epub 2009 Feb 23.