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Topical azelastine in perennial allergic conjunctivitis

SUMMARY Objective: Azelastine is a selective H1-receptor antagonist that inhibits histamine release and interferes with activation of several other mediators of allergic inflammation. Together with demonstrated efficacy in seasonal allergic conjunctivitis, azelastine indicated a therapeutic potentia...

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Bibliographic Details
Published in:Current medical research and opinion 2003, Vol.19 (4), p.321-329
Main Authors: Canonica, G. W., Ciprandi, G., Petzold, U., Kolb, C., Ellers-Lenz, B., Hermann, R.
Format: Article
Language:English
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Summary:SUMMARY Objective: Azelastine is a selective H1-receptor antagonist that inhibits histamine release and interferes with activation of several other mediators of allergic inflammation. Together with demonstrated efficacy in seasonal allergic conjunctivitis, azelastine indicated a therapeutic potential for perennial allergic conjunctivitis (PAC). The present study aimed to evaluate azelastine eye drops in patients with PAC compared to placebo. Research design and methods: A multinational trial in 22 centres randomised 139 patients to twice-daily treatment for 6 weeks with masked 0.05% azelastine eye drops, matching masked placebo, or open-label levocabastine. Randomisation required a sum itching and conjunctival redness score of at least 3 (0-6 scale) after 1 week of placebo. The change in sum score was evaluated during treatment. Results: Azelastine significantly improved itching and conjunctival redness compared to placebo (p 
ISSN:0300-7995
1473-4877
DOI:10.1185/030079903125001794