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Effects of Bilastine on F1 Simulator Driving Performance in Patients Affected by Allergic Rhinitis and/or Urticaria (F1)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT02576041
Recruitment Status : Completed
First Posted : October 15, 2015
Results First Posted : January 16, 2017
Last Update Posted : April 18, 2017
Information provided by (Responsible Party):
Menarini International Operations Luxembourg SA

Brief Summary:
The aim of the study is to evaluate the effects of Bilastine on patients' attention and reactivity levels by measuring psychophysical performance at a F1-high speed simulator driving test.

Condition or disease Intervention/treatment Phase
Allergic Rhinitis Urticaria Drug: Bilastine Drug: Placebo Phase 4

Detailed Description:
This was a phase IV, interventional, prospective, mono-centric, single arm, uncontrolled, open label trial. The study included outpatient affected by Allergic Rhinitis and/or Chronic Urticaria, responding to inclusive criteria and able to perform a preliminary driving test on F1-high speed simulator (at the simulator centre) without experiencing signs or symptoms of intolerance towards the drive simulation (e.g., nausea, vomiting or dizziness etc). Each subject underwent 3 ambulatory visits at the hospital site and 3 driving test at the simulator centre.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 19 participants
Allocation: N/A
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Supportive Care
Official Title: Effects of Bilastine on F1 Simulator Driving Performance in Patients Affected by Allergic Rhinitis and/or Urticaria
Study Start Date : October 2015
Actual Primary Completion Date : December 2015
Actual Study Completion Date : December 2015

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Hives

Arm Intervention/treatment
Experimental: Placebo (run-in); Bilastine
At V0, the enrolled patient received the complete drug-kit and started a 7 (+3)-day wash-out period with placebo. At the end of the 7 (+3)-days of placebo-treatment period, patients repeated the F1-high speed simulator test at Visit V1, and afterwards initiated the 7 (+3)-day treatment period with active treatment (bilastine).
Drug: Bilastine
Bilastine tablets once a day for 7+3 days
Other Name: Robilas

Drug: Placebo
Placebo tablets once a day during 7+3 days run in period

Primary Outcome Measures :
  1. Standard Deviation Lateral Position (SDLP) Evaluated During the F1 Simulator Test [ Time Frame: 7+3 days of active treatment ]
    SDLP (mainly assessing attention capacities). This is a measure of weaving and quality in keeping the requested path. The vehicle position was constantly monitored. The deviation from central position was registered.

Secondary Outcome Measures :
  1. Maintenance of Constant Speed Evaluated During the F1 Simulator [ Time Frame: 7±3 days of active treatment ]
    Different speed were maintained as requested by the simulator. Variations during the test were recorded. The mean deviation from the requested speed was registered.

  2. Time to Reaction Evaluated During the F1 Simulator [ Time Frame: 7±3 days of active treatment ]
    During the test, at different times, the patient will be requested (by led enlighten on the dashboard) to execute actions on the steering-wheel. The delay in executing the requested actions will be registered.

Information from the National Library of Medicine

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Ages Eligible for Study:   21 Years to 55 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Patients affected by allergic rhinitis (seasonal or perennial) or urticaria (induced and not induced) who need histamine H1-receptor antagonist therapy according to PI therapeutic decision;
  • Males and females aged between 21 and 55 years;
  • Body Mass Index (BMI) between 19 and 30 kg/m2 (included);
  • If women: negative pregnant test and contraception from at least 30 days before the study (Visit V-1) and up to the end of the study. For women patients the negative pregnant test will be acquired before the Simulator performance (Visit V-1H);
  • Subjects having a valid driving license from more than 3 years;
  • Subjects having a driving experience of at least 5000 km per year;
  • Subjects able to understand the protocol and to come to the visits;
  • Subjects able to give a written informed consent;
  • Subjects who, at investigator's judgment, are likely to be compliant during the study and do not use potentially adulterating drugs;
  • Potential compliant subjects will be enrolled only if they tolerate driving the F1-simulator (starting from V-1 S).

Exclusion Criteria:

  • Subjects with autoimmune urticaria;
  • Hypersensitivity to the active substance bilastine or to any of the excipients;
  • History or symptoms of severe mental or physical disorders or taking substance and alcohol;
  • Excessive smoking (more than 20 cigarettes per day), or consumption of caffeinated beverages (more than 6 cups per day);
  • Subjects who need unimpaired psychophysical condition due to their job;
  • Subjects with any non corrected visual defect or locomotor disorder which could interfere with the study;
  • Subjects ineligible at Visit V-1;
  • Subjects with known allergic reactions to antihistamines;
  • Subjects with porphyria;
  • Subjects with important sleep disturbances or kinetosis;
  • Subjects with clinically important (based on Investigator's judgment) renal or hepatic impairment, or gastrointestinal diseases (e.g. malabsorption);
  • Subjects with a medical history of seizure (i.e. epileptic related) or with current seizure;
  • Presence of significant medical condition/concomitant illnesses that, in the opinion of the Investigator, renders the patient immunocompromised or not suitable for a clinical trial or could adversely affect the subject's participation or evaluation in this study;
  • Subjects for whom, in the opinion of the Investigator, there is concern about compliance with the study procedures;
  • Presence of a permanent gastrointestinal condition which may influence the oral therapy (chronic diarrhoea diseases, congenital malformations or surgical mutilations of the gastrointestinal tract);
  • Presence of active cancer which requires chemotherapy or radiation therapy;
  • Presence of alcohol abuse or drug addiction;
  • Pregnancy or breast-feeding;
  • Treatment with: diuretics, corticosteroids (other than medication applied topically), central nervous system medications or medications with sedative effects (sleep inducing or antidepressant, sedative medications), medications that can interact with bilastine, other medications. In particular, patients treated with any of the following drugs will be excluded:

    • Imipramine antidepressants, anticholinergic antiparkinsonians, atropine antispasmodics, disopyramide, phenothiazine neuroleptics;
    • Sedative antidepressants, monoamine oxidase (MAOI) inhibitors, barbiturates, benzodiazepines, clonidine and related substances, hypnotics, morphine derivatives (analgesics, antitussives, replacement treatments), neuroleptics, anxiolytics;
    • Treatments with P-glycoprotein inhibitors (e.g. ketoconazole, erythromycin, cyclosporine, ritonavir, diltiazem), which may increase the plasmatic levels of bilastine;
    • Treatments that are substrates or inhibitors of OATP1A2 (e.g. ritonavir, rifampicin), which may decrease plasma concentrations of bilastine
    • Other treatments that can interact with bilastine (e.g. ketoconazole, erythromycin, diltiazem); Treatment with anticoagulants (e.g. warfarin);
    • Sedatives, hypnotics, tranquillizers or any other addictive agents;
    • Other treatments not admitted during the study: betahistine, anticholinesterases, arrhythmogenic drugs;
    • H2-antihistamines;
    • H1 antihistamines other than study medication or rescue medication. In any case, the possibility of inclusion of patients taking any of these drugs will be left at the Investigator's judgment.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT02576041

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Azienda Ospedaliero-Universitaria Policlinico
Modena, Italy
Sponsors and Collaborators
Menarini International Operations Luxembourg SA
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Principal Investigator: Patrizia Pepe Allergology Unit, Azienda Ospedaliero-Universitaria Policlinico di Modena
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Responsible Party: Menarini International Operations Luxembourg SA Identifier: NCT02576041    
Other Study ID Numbers: MEIN/14/Bil-ARU/001
2015-001313-26 ( EudraCT Number )
First Posted: October 15, 2015    Key Record Dates
Results First Posted: January 16, 2017
Last Update Posted: April 18, 2017
Last Verified: March 2017
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Undecided
Keywords provided by Menarini International Operations Luxembourg SA:
driving simulator
Additional relevant MeSH terms:
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Rhinitis, Allergic
Respiratory Tract Infections
Nose Diseases
Respiratory Tract Diseases
Otorhinolaryngologic Diseases
Respiratory Hypersensitivity
Hypersensitivity, Immediate
Immune System Diseases
Skin Diseases, Vascular
Skin Diseases