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Abstracts from the North American Rhinology & Allergy Conference, February 3, 2011, Puerto Rico.

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    Bepotastine besilate ophthalmic solution 1.5% effectively reduced ocular itching and redness in patients with allergic rhinoconjunctivitis. This dual-acting H1 antagonist demonstrated significant clinical benefits compared to placebo over a two-week treatment period.

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    Area of Science:

    • Ophthalmology
    • Allergy and Immunology
    • Pharmacology

    Background:

    • Allergic rhinoconjunctivitis causes significant ocular itching and redness.
    • Bepotastine besilate ophthalmic solution 1.5% is a dual-acting histamine H1 receptor antagonist.
    • Existing treatments aim to alleviate symptoms associated with allergic conjunctivitis.

    Purpose of the Study:

    • To evaluate the efficacy of bepotastine besilate ophthalmic solution 1.5% versus placebo.
    • To assess symptom relief for ocular itching and redness in active allergic rhinoconjunctivitis.
    • To confirm the clinical effectiveness in a natural exposure setting.

    Main Methods:

    • Randomized, double-masked, placebo-controlled natural exposure study.
    • 1.5% bepotastine besilate ophthalmic solution or placebo administered twice daily (BID) for 14 days.
    • Subjects (N=245, age ≥12) recorded instantaneous ocular symptom severity.

    Main Results:

    • Bepotastine 1.5% showed statistically significant reduction in ocular itching (p=0.007) and redness (p=0.001) versus placebo.
    • Investigator efficacy ratings were superior for bepotastine 1.5% (p=0.024).
    • Adverse events were minimal, with only one discontinuation due to an adverse event.

    Conclusions:

    • Bepotastine 1.5% ophthalmic solution is an effective treatment for allergen-induced ocular symptoms.
    • The study results support its use in managing allergic rhinoconjunctivitis.
    • The findings closely mimic real-world patient conditions requiring treatment.