Olopatadin / Mometason (1) – Ryaltris®

Allergic rhinitis

Characteristics

Start date 01.12.2022 – Marketing authorisation: 17.11.2021
Resolution 01.06.2023
INN Olopatadin/Mometason
Brand name Ryaltris®
Pharm. company Berlin-Chemie AG
G-BA Procedure ID D-880
ATC code R01AD59 Corticosteroids (R01AD)
ICD-10 codes (AIS) J30.1Allergy NOS due to pollen, J30.2Other seasonal allergic rhinitis, J30.3, J30.4
Alpha-ID codes (AIS) I12707Allergic rhinosinusitis, I5089Allergic rhinitis due to pollen, I97226Non-seasonal allergic rhinitis, I97370Seasonal allergic rhinitis
Therapeutic area Respiratory system diseases Chroinic rhinitis / rhinosinusitis (CRS)
Reason for procedure Initial assessment

Therapeutic indication of the resolution

Ryaltris is used in adults and adolescents aged 12 years and over for the treatment of moderate to severe nasal symptoms associated with allergic rhinitis

Subpopulation Indication Comparator
Adults and children aged 12 years and over with moderate to severe nasal symptoms of allergic rhinitis Intranasal glucocorticoid (INCS) in combination with intranasal antihistamine (INAH).

Studies and Results

No. of studies
(best subpopulation)
1 (GSP301-PoC) 0 (Data not accepted)
Study design
(best subpopulation)
Data not accepted (Dossier: H2H vs. ACT (off-label))

  • Clinical trials
    • The GSP301-PoC study is a single-centre, double-blind, 5-arm randomised controlled trial (RCT).

Adults and children aged 12 years and over with moderate to severe nasal symptoms associated with allergic rhinitis

  • Additional benefit is not proven for the treatment of adults and adolescents aged 12 years and over with moderate to severe nasal symptoms associated with allergic rhinitis.
  • Overall, for adults and children aged 12 years and over with moderate to severe nasal symptoms associated with allergic rhinitis, the additional benefit of olopatadine/mometasone compared with the appropriate comparator therapy is not proven.
  • Overall assessment / Conclusion
    • In summary, the study submitted by the pharmaceutical manufacturer is not suitable for demonstrating any additional benefit of olopatadine/mometasone compared with the appropriate comparator therapy ‘intranasal glucocorticoid (INCS) in combination with an intranasal antihistamine (INAH)’.
    • The study duration of only 14 days is considered too short within the context of the randomised comparative study phase for early benefit assessment in a chronic condition.
    • Furthermore, it is unclear whether the results obtained under artificial induction can be extrapolated to the clinical setting under natural exposure.

Courtesy translation only, please refer to the German original.

Associated procedures

Olopatadin / Mometason (1) Ryaltris® Berlin-Chemie AG Respiratory system diseases Allergic rhinitis 3,807,000–7,356,000 100% additional benefit not proven


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