Azelastine–Fluticasone Combination Therapy in Allergic Rhinitis: Current Evidence and Clinical Implications in Children and Adults Article Swipe
YOU?
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· 2025
· Open Access
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· DOI: https://doi.org/10.3390/ph18111624
Allergic rhinitis (AR) is a common chronic respiratory disease that significantly impairs the life of children. While a combination intranasal spray of azelastine hydrochloride and fluticasone propionate (Aze-Flu) is an established effective treatment for adults with moderate-to-severe AR, the clinical evidence available in the pediatric population is limited. This review summarizes the current evidence on the efficacy, safety, and impact on Quality of Life (QoL) of Aze-Flu in children. Clinical trials have demonstrated that Aze-Flu provides faster and greater symptom relief in children with AR compared to fluticasone propionate (FP) monotherapy. One randomized controlled trial demonstrated that, although the overall change in the reflective Total Nasal Symptom Score (rTNSS) was not statistically different from the placebo, this was possibly due to rater assessment bias. Children’s symptoms self-assessment showed considerable ameliorations in both nasal and ocular scores. Furthermore, treatment with Aze-Flu has been shown to produce clinically relevant and statistically significant improvements in QoL compared to placebo in children with moderate-to-severe seasonal AR. The safety profile is favorable; a 3-month study confirmed that Aze-Flu is well-tolerated, with an incidence of treatment-related adverse events comparable to that of FP monotherapy. Beyond AR, emerging evidence suggests potential benefits of Aze-Flu in children with adenoid hypertrophy. The available evidence supports Aze-Flu as an effective and well-tolerated therapeutic option for children with moderate-to-severe AR, offering superior and faster symptom control than monotherapy and leading to meaningful improvements in quality of life. Future pediatric trials should incorporate validated, child-specific assessment tools to better capture treatment efficacy.
Related Topics
- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.3390/ph18111624
- https://www.mdpi.com/1424-8247/18/11/1624/pdf?version=1761649255
- OA Status
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- OpenAlex ID
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Raw OpenAlex JSON
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https://doi.org/10.3390/ph18111624Digital Object Identifier
- Title
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Azelastine–Fluticasone Combination Therapy in Allergic Rhinitis: Current Evidence and Clinical Implications in Children and AdultsWork title
- Type
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reviewOpenAlex work type
- Language
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enPrimary language
- Publication year
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2025Year of publication
- Publication date
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2025-10-28Full publication date if available
- Authors
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Cristiana Indolfi, Angela Klain, Giulio Dinardo, Carolina Grella, Pierluigi Di Filippo, Ilaria Fatica, Vincenzo Napolano, Fabio Decimo, Michele Miraglia del GiudiceList of authors in order
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https://doi.org/10.3390/ph18111624Publisher landing page
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goldOpen access status per OpenAlex
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0Total citation count in OpenAlex
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54Number of works referenced by this work
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| abstract_inverted_index.an | 29, 176, 208 |
| abstract_inverted_index.as | 207 |
| abstract_inverted_index.in | 42, 67, 81, 101, 130, 151, 156, 197, 232 |
| abstract_inverted_index.is | 3, 28, 46, 165, 173 |
| abstract_inverted_index.of | 14, 21, 62, 65, 178, 185, 195, 234 |
| abstract_inverted_index.on | 54, 60 |
| abstract_inverted_index.to | 86, 120, 143, 154, 183, 229, 245 |
| abstract_inverted_index.AR, | 37, 189, 218 |
| abstract_inverted_index.AR. | 161 |
| abstract_inverted_index.One | 91 |
| abstract_inverted_index.QoL | 152 |
| abstract_inverted_index.The | 162, 202 |
| abstract_inverted_index.and | 24, 58, 77, 133, 147, 210, 221, 227 |
| abstract_inverted_index.due | 119 |
| abstract_inverted_index.for | 33, 214 |
| abstract_inverted_index.has | 140 |
| abstract_inverted_index.not | 110 |
| abstract_inverted_index.the | 12, 38, 43, 51, 55, 98, 102, 114 |
| abstract_inverted_index.was | 109, 117 |
| abstract_inverted_index.(AR) | 2 |
| abstract_inverted_index.(FP) | 89 |
| abstract_inverted_index.Life | 63 |
| abstract_inverted_index.This | 48 |
| abstract_inverted_index.been | 141 |
| abstract_inverted_index.both | 131 |
| abstract_inverted_index.from | 113 |
| abstract_inverted_index.have | 71 |
| abstract_inverted_index.life | 13 |
| abstract_inverted_index.than | 225 |
| abstract_inverted_index.that | 9, 73, 171, 184 |
| abstract_inverted_index.this | 116 |
| abstract_inverted_index.with | 35, 83, 138, 158, 175, 199, 216 |
| abstract_inverted_index.(QoL) | 64 |
| abstract_inverted_index.Nasal | 105 |
| abstract_inverted_index.Score | 107 |
| abstract_inverted_index.Total | 104 |
| abstract_inverted_index.While | 16 |
| abstract_inverted_index.bias. | 123 |
| abstract_inverted_index.life. | 235 |
| abstract_inverted_index.nasal | 132 |
| abstract_inverted_index.rater | 121 |
| abstract_inverted_index.shown | 142 |
| abstract_inverted_index.spray | 20 |
| abstract_inverted_index.study | 169 |
| abstract_inverted_index.that, | 96 |
| abstract_inverted_index.tools | 244 |
| abstract_inverted_index.trial | 94 |
| abstract_inverted_index.Beyond | 188 |
| abstract_inverted_index.Future | 236 |
| abstract_inverted_index.adults | 34 |
| abstract_inverted_index.better | 246 |
| abstract_inverted_index.change | 100 |
| abstract_inverted_index.common | 5 |
| abstract_inverted_index.events | 181 |
| abstract_inverted_index.faster | 76, 222 |
| abstract_inverted_index.impact | 59 |
| abstract_inverted_index.ocular | 134 |
| abstract_inverted_index.option | 213 |
| abstract_inverted_index.relief | 80 |
| abstract_inverted_index.review | 49 |
| abstract_inverted_index.safety | 163 |
| abstract_inverted_index.should | 239 |
| abstract_inverted_index.showed | 127 |
| abstract_inverted_index.trials | 70, 238 |
| abstract_inverted_index.(rTNSS) | 108 |
| abstract_inverted_index.3-month | 168 |
| abstract_inverted_index.Aze-Flu | 66, 74, 139, 172, 196, 206 |
| abstract_inverted_index.Quality | 61 |
| abstract_inverted_index.Symptom | 106 |
| abstract_inverted_index.adenoid | 200 |
| abstract_inverted_index.adverse | 180 |
| abstract_inverted_index.capture | 247 |
| abstract_inverted_index.chronic | 6 |
| abstract_inverted_index.control | 224 |
| abstract_inverted_index.current | 52 |
| abstract_inverted_index.disease | 8 |
| abstract_inverted_index.greater | 78 |
| abstract_inverted_index.impairs | 11 |
| abstract_inverted_index.leading | 228 |
| abstract_inverted_index.overall | 99 |
| abstract_inverted_index.placebo | 155 |
| abstract_inverted_index.produce | 144 |
| abstract_inverted_index.profile | 164 |
| abstract_inverted_index.quality | 233 |
| abstract_inverted_index.safety, | 57 |
| abstract_inverted_index.scores. | 135 |
| abstract_inverted_index.symptom | 79, 223 |
| abstract_inverted_index.Allergic | 0 |
| abstract_inverted_index.Clinical | 69 |
| abstract_inverted_index.although | 97 |
| abstract_inverted_index.benefits | 194 |
| abstract_inverted_index.children | 82, 157, 198, 215 |
| abstract_inverted_index.clinical | 39 |
| abstract_inverted_index.compared | 85, 153 |
| abstract_inverted_index.emerging | 190 |
| abstract_inverted_index.evidence | 40, 53, 191, 204 |
| abstract_inverted_index.limited. | 47 |
| abstract_inverted_index.offering | 219 |
| abstract_inverted_index.placebo, | 115 |
| abstract_inverted_index.possibly | 118 |
| abstract_inverted_index.provides | 75 |
| abstract_inverted_index.relevant | 146 |
| abstract_inverted_index.rhinitis | 1 |
| abstract_inverted_index.seasonal | 160 |
| abstract_inverted_index.suggests | 192 |
| abstract_inverted_index.superior | 220 |
| abstract_inverted_index.supports | 205 |
| abstract_inverted_index.symptoms | 125 |
| abstract_inverted_index.(Aze-Flu) | 27 |
| abstract_inverted_index.available | 41, 203 |
| abstract_inverted_index.children. | 15, 68 |
| abstract_inverted_index.confirmed | 170 |
| abstract_inverted_index.different | 112 |
| abstract_inverted_index.effective | 31, 209 |
| abstract_inverted_index.efficacy, | 56 |
| abstract_inverted_index.efficacy. | 249 |
| abstract_inverted_index.incidence | 177 |
| abstract_inverted_index.pediatric | 44, 237 |
| abstract_inverted_index.potential | 193 |
| abstract_inverted_index.treatment | 32, 137, 248 |
| abstract_inverted_index.assessment | 122, 243 |
| abstract_inverted_index.azelastine | 22 |
| abstract_inverted_index.clinically | 145 |
| abstract_inverted_index.comparable | 182 |
| abstract_inverted_index.controlled | 93 |
| abstract_inverted_index.favorable; | 166 |
| abstract_inverted_index.intranasal | 19 |
| abstract_inverted_index.meaningful | 230 |
| abstract_inverted_index.population | 45 |
| abstract_inverted_index.propionate | 26, 88 |
| abstract_inverted_index.randomized | 92 |
| abstract_inverted_index.reflective | 103 |
| abstract_inverted_index.summarizes | 50 |
| abstract_inverted_index.validated, | 241 |
| abstract_inverted_index.combination | 18 |
| abstract_inverted_index.established | 30 |
| abstract_inverted_index.fluticasone | 25, 87 |
| abstract_inverted_index.incorporate | 240 |
| abstract_inverted_index.monotherapy | 226 |
| abstract_inverted_index.respiratory | 7 |
| abstract_inverted_index.significant | 149 |
| abstract_inverted_index.therapeutic | 212 |
| abstract_inverted_index.Children’s | 124 |
| abstract_inverted_index.Furthermore, | 136 |
| abstract_inverted_index.considerable | 128 |
| abstract_inverted_index.demonstrated | 72, 95 |
| abstract_inverted_index.hypertrophy. | 201 |
| abstract_inverted_index.improvements | 150, 231 |
| abstract_inverted_index.monotherapy. | 90, 187 |
| abstract_inverted_index.ameliorations | 129 |
| abstract_inverted_index.hydrochloride | 23 |
| abstract_inverted_index.significantly | 10 |
| abstract_inverted_index.statistically | 111, 148 |
| abstract_inverted_index.child-specific | 242 |
| abstract_inverted_index.well-tolerated | 211 |
| abstract_inverted_index.self-assessment | 126 |
| abstract_inverted_index.well-tolerated, | 174 |
| abstract_inverted_index.treatment-related | 179 |
| abstract_inverted_index.moderate-to-severe | 36, 159, 217 |
| cited_by_percentile_year | |
| corresponding_author_ids | https://openalex.org/A5098957859, https://openalex.org/A5076198034 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 9 |
| corresponding_institution_ids | https://openalex.org/I197809005 |
| citation_normalized_percentile |