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Data updated: May 26, 2026

AZELASTINE HYDROCHLORIDE AND FLUTICASONE PROPIONATE (azelastine hydrochloride)

Respiratory Approved 2017-04-28

Azelastine hydrochloride and fluticasone propionate nasal spray is indicated for the symptomatic relief of seasonal allergic rhinitis in adults and pediatric patients aged 6 years and older. This fixed-dose combination utilizes two distinct pharmacological classes—an H1-receptor antagonist and a corticosteroid—to address the multi-factorial inflammatory and physiological responses triggered by seasonal allergens.

Source: FDA Label • Apotex

How AZELASTINE HYDROCHLORIDE AND FLUTICASONE PROPIONATE Works

This medication provides a dual-action approach to allergic rhinitis. Azelastine hydrochloride is a histamine H1-receptor antagonist that inhibits the immediate hypersensitivity reaction. Fluticasone propionate is a synthetic trifluorinated corticosteroid with potent anti-inflammatory activity, acting on multiple cell types (e.g., mast cells, eosinophils) and mediators (e.g., cytokines, leukotrienes) to reduce the late-phase allergic response. Together, they target both the mediator-driven and inflammatory components of the allergic cascade.

Source: FDA Label
3
Indications
--
Phase 3 Trials
9
Years on Market

Details

Status
Prescription
First Approved
2017-04-28
Routes
NASAL
Dosage Forms
SPRAY, METERED

AZELASTINE HYDROCHLORIDE AND FLUTICASONE PROPIONATE Approval History

2018
2019
2020
2021
2022
2023
2024
2025
2026
Original
New Indication
New Form
Label Update
7 FDA actions from 2017 to 2025
Apr 2025 ORIGINAL
Update
Jun 2023 SUPPL
Label · Labeling
Nov 2022 SUPPL
Label · Labeling

What AZELASTINE HYDROCHLORIDE AND FLUTICASONE PROPIONATE Treats

1 indications

AZELASTINE HYDROCHLORIDE AND FLUTICASONE PROPIONATE is approved for 1 conditions since its original approval in 2017. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Seasonal Allergic Rhinitis
Source: FDA Label

AZELASTINE HYDROCHLORIDE AND FLUTICASONE PROPIONATE Competitive Set

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Clinical Trial Registry

5 trials
Trial Sponsor ID Phase Status Title
NCT04601324 Allergic Rhinitis Protocol Ph 4 withdrawn Allergic Rhinitis Combination Pharmacotherapy Efficacy Study
NCT05887843 SAN-0791 2023-000362-34 Ph 1 terminated Study to Compare the Pharmacokinetics of Fixed-Dose Combination of Mometasone + Azelastine Nasal Spray to Mometasone and Azelastine Nasal Sprays in Adolescents and Young Adults With Seasonal Allergic Rhinitis
NCT04729517 HILARIA Aİ-2019-01 Ph 3 completed Efficacy and Safety Study of AI201901 in Allergic Rhinitis Patients
NCT01915823 results posted MP 4008 Ph 3 completed Safety and Efficacy Trial of Dymista Nasal Spray in Children Ages 4 to 11 With Seasonal Allergic Rhinitis (SAR)
NCT00612118 IPR110982 Ph 2 completed A Phase II Study Evaluating Intranasal GSK256066 and Azelastine Hydrochloride in Subjects With Seasonal Allergic Rhinitis
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Active Pipeline

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Key Completed Trials

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

AZELASTINE HYDROCHLORIDE AND FLUTICASONE PROPIONATE FDA Label Details

Indications & Usage

AZELASTINE HYDROCHLORIDE AND FLUTICASONE PROPIONATE is indicated for the treatment of Seasonal Allergic Rhinitis.

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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.