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. 2023 Jul 15;16(7):100799. doi: 10.1016/j.waojou.2023.100799

Table 1.

Summary of efficacy and safety of fexofenadine from various clinical studies

Reference Study population Treatment arm Efficacy data Safety data
Howarth PH et al. 199949 Seasonal AR Fexofenadine HCl 120 mg QD; n = 211
Fexofenadine HCl 180 mg QD; n = 202
Cetirizine 10 mg QD; n = 207
Placebo; n = 201
  • The total symptom score was considerably reduced by all active treatments as compared to placebo (p ≤ 0.0001)

  • In the placebo, fexofenadine 120 mg, fexofenadine 180 mg, and cetirizine 10 mg groups, the mean reduction was −1.9, −3.0, −3.3, and −3.3, respectively

  • No differences were observed in efficacy between the 2 doses of fexofenadine and cetirizine

  • There were no major side effects

  • Cetirizine showed a greater incidence of drowsiness or fatigue (9%) compared with placebo (4%) (P = 0.07) or fexofenadine (4%) (P = 0.02)

Ellis AK et al. 202151 Seasonal AR Fexofenadine HCl 180 mg; n = 126
Placebo; n = 125
  • Least squares mean difference (95% CI) for Log AUC2−12 of the total nasal symptom score between fexofenadine versus placebo was −0.24 (−0.425 to −0.047; p = 0.0148)

  • A single dose of fexofenadine 180 mg significantly decreased the symptoms compared with placebo

  • Seasonal AR symptoms induced by ragweed were aggravated by diesel exhaust particles

  • The proportion of patients reporting a TEAE was higher in the placebo group (15.1%), compared with the fexofenadine group (12.6%)

Casale TB et al. 199952 Seasonal AR Fexofenadine HCl 120 mg QD; n = 287
Fexofenadine 180 mg QD; n = 282
Placebo; n = 292
  • Compared to placebo, both fexofenadine doses significantly reduced total symptom score from the baseline over the 2-week treatment period (p = 0.05 and p ≤ 0.002)

  • The frequency of reported adverse events was similar between fexofenadine (30.2%) and placebo groups (30.0%)

Nathan RA et al. 199953 Healthy volunteers 6-month study
Fexofenadine 60 mg BID; n = 217
Placebo; n = 211
12-month study
Fexofenadine 240 mg QD; n = 234
Placebo; n = 235
NA (Safety studies)
  • In the 6-month and 12-month studies, one or more adverse events were reported in 74.2% and 92.8% of the fexofenadine group and 79.6% and 87.6% of the placebo group, respectively.

  • No statistically significant difference in the frequency of adverse events were reported between fexofenadine and placebo

AR, allergic rhinitis; AUC2-12, area under the curve from baseline to 12h; BID, twice daily; CI, confidence interval; HCl, hydrochloride; n, number of subjects; NA,: not applicable; QD, once a day; TEAE, treatment-emergent adverse event.