PMID- 23484763 OWN - NLM STAT- MEDLINE DCOM- 20131025 LR - 20220316 IS - 1539-6304 (Electronic) IS - 1088-5412 (Linking) VI - 34 IP - 3 DP - 2013 May-Jun TI - Efficacy of bepotastine besilate ophthalmic solution 1.5% for seasonal allergic conjunctivitis: a randomized, placebo-controlled, natural exposure, clinical trial. PG - 247-54 AB - Allergic conjunctivitis (AC) affects an estimated 20% of the population in the Western world, with a large fraction suffering due to seasonal or perennial allergen exposures. Bepotastine besilate ophthalmic solution (BBOS) 1.5%, a dual-acting histamine (H(1)) receptor antagonist and mast cell stabilizer, is indicated for itching associated with AC. This study was designed to evaluate the efficacy and safety of BBOS 1.5% for reducing ocular itching associated with AC in subjects enrolled in a natural exposure trial. Eligible subjects in a multicenter, double-masked, randomized, parallel-group, placebo-controlled, natural exposure clinical trial were randomly assigned to either BBOS 1.5% or placebo eyedrops on a 1:1 basis and instilled 1 drop of the test agent into both eyes twice daily for 2 weeks. The mean change from baseline in instantaneous and reflective ocular itching scores at the end of 2 weeks of treatment were evaluated based on subject-assessed severity of instantaneous and reflective itching. Subject-reported adverse events (AEs) were also recorded for safety. Treatment with BBOS 1.5% significantly reduced instantaneous and reflective ocular itching scores from baseline compared with placebo over the 2-week study period(p = 0.007 and p = 0.005, respectively). BBOS 1.5% was well tolerated, and AEs were generally transient and mild. This clinical study indicates BBOS 1.5% effectively and safely treated ocular itching in a natural exposure allergy study and is a useful treatment option for the management of ocular itching associated with AC. (ClinicalTrials.gov identifier number: NCT01174823.) FAU - Carr, Warner W AU - Carr WW AD - Allergy and Asthma Association of Southern California, Mission Viejo, CA, USA. FAU - Nayak, Anjuli S AU - Nayak AS FAU - Ratner, Paul H AU - Ratner PH FAU - Gow, James A AU - Gow JA FAU - McNamara, Timothy R AU - McNamara TR FAU - Williams, Jon I AU - Williams JI CN - Bepotastine Besilate Ophthalmic Solution 1.5% (Bepreve) Study Group LA - eng SI - ClinicalTrials.gov/NCT01174823 PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PL - United States TA - Allergy Asthma Proc JT - Allergy and asthma proceedings JID - 9603640 RN - 0 (Anti-Allergic Agents) RN - 0 (Ophthalmic Solutions) RN - 0 (Piperidines) RN - 0 (Pyridines) RN - 6W18MO1QR3 (bepotastine besilate) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Anti-Allergic Agents/*therapeutic use MH - Child MH - Conjunctivitis, Allergic/*drug therapy MH - Double-Blind Method MH - Drug Administration Schedule MH - Female MH - Humans MH - Intention to Treat Analysis MH - Male MH - Middle Aged MH - Ophthalmic Solutions MH - Piperidines/*therapeutic use MH - Pyridines/*therapeutic use MH - Seasons MH - Treatment Outcome MH - Young Adult FIR - Berman, Gary IR - Berman G FIR - Bernstein, David IR - Bernstein D FIR - Carr, Warner IR - Carr W FIR - Gower, Rich IR - Gower R FIR - Hampel, Frank Jr IR - Hampel F Jr FIR - Henderson, Diana IR - Henderson D FIR - Nayak, Anjuli IR - Nayak A FIR - Posner, Larry IR - Posner L FIR - Ratner, Paul IR - Ratner P FIR - Saff, Ronald IR - Saff R FIR - Stillerman, Allan IR - Stillerman A FIR - Wald, Jeffrey IR - Wald J EDAT- 2013/03/15 06:00 MHDA- 2013/10/26 06:00 CRDT- 2013/03/15 06:00 PHST- 2013/03/15 06:00 [entrez] PHST- 2013/03/15 06:00 [pubmed] PHST- 2013/10/26 06:00 [medline] AID - 3671 [pii] AID - 10.2500/aap.2013.34.3671 [doi] PST - ppublish SO - Allergy Asthma Proc. 2013 May-Jun;34(3):247-54. doi: 10.2500/aap.2013.34.3671.