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Long-term Effect of a 3-month Supplementation With Holo-BLG on House Dust Mite Induced Allergic Rhinoconjunctivitis

Completed
Conditions
Allergic Rhinitis
Dust Mite Allergy
Registration Number
NCT04872868
Lead Sponsor
Ecarf Institute GmbH
Brief Summary

The aim of the study is to investigate the long-term effect of a lozenge containing beta-lactoglobulin (BLG), iron, retinoic acid, zinc and polyphenols (holo-BLG) in people with allergic rhinoconjunctivitis caused by house dust mites and the associated symptoms (symptom type and severity) during exposure to house dust mites in an Allergen Exposure Chamber (AEC).

In particular, the study aims to evaluate whether the improvements in symptoms of house dust mite-induced rhinoconjunctivitis observed after 3 months of supplementation with holo-BLG can still be detected 7 to 8 months after the last intake.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
27
Inclusion Criteria
  • Participation in the predecessor study including complete intake of the holo-BLG lozenge for 3 months; inclusion in the final analysis set of the predecessor study
  • patients with allergic rhinoconjunctivitis caused by house dust mites of any gender, aged 18-65 years
  • Verbal and written informed consent
Exclusion Criteria
  • Persons <18 years
  • lack of verbal and written consent
  • persons who do not speak German
  • seriously ill persons
  • Persons with immunosuppressive medication such as systemic corticosteroids, cyclosporine
  • Pregnancy and breastfeeding
  • psychiatric illness
  • Persons who have received or have started sublingual or subcutaneous immunotherapy (SLIT/SCIT) against house dust mites in the last 2 years before screening
  • Contraindications and/or history of adrenaline intolerance and/or emergency medication.
  • Concurrent use of anti-allergic medications and/or inadequate washout period of these anti-allergic medications prior to the selection process and exposure in the exposure chamber
  • Use of an investigational drug 30 days/5 half-lives of the drug (whichever is longer) prior to screening
  • Use of certain drugs prior to V5: Systemic corticosteroids within 3 weeks; Topical nasal corticosteroids within 2 weeks; Chromones within 7 days; Antihistamines within 72h; Antibiotics within 3 months; Pro-, Pre- and Synbiotics 1 month

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
TNSSAfter 120 minutes of allergen challenge

Total Nasal Symptom Score (TNSS) in response to HDM exposure in an AEC at V1 (baseline AEC exposure) versus V5 (follow-up AEC exposure). The TNSS is the sum of 4 nose symptoms (runny nose, sneezing, itchy nose, and blocked nose) on a scale of 0 to 3 (no symptoms, mild symptoms, moderate symptoms, and severe symptoms), leading to a maximum TNSS of 12.

Secondary Outcome Measures
NameTimeMethod
TBSSUp to 120 minutes following allergen challenge

The Total Bronchial Symptom Score (TBSS) is the sum of 4 bronchial symptoms (wheezing, cough, breathlessness, and asthma) on a scale of 0 to 3 (no symptoms, mild symptoms, moderate symptoms, and severe symptoms), leading to a maximum TBSS of 12.

VASRecorded at time zero (0) and every 30 minutes during exposure until 120 minutes

Visual Analogue Scale: Before, every 30 minutes during and after the exposure patients grade the question on their well-being by putting a vertical line on a 10 cm line representing severity from 0 cm "very good" to 10 cm "very bad".

Adverse events with regards to the allergen exposureup to 24 hours after AEC exposure

Number of events and number of patients recording late-phase reactions and/or adverse events with regards to the allergen exposure.

PEFRecorded at time zero (0) and every 30 minutes during allergen exposure up to 120 minutes

PEF (peak expiratory flow) liter/minute.

FEV1Recorded at time zero (0) and 120 minutes

Forced expiratory volume in 1 second, before and after the exposure.

FEV1/FVCRecorded at time zero (0) and 120 minutes

Forced expiratory volume in 1 second/forced vital capacity ratio, before and after the exposure.

rescue medication and/or emergency treatmentduring and up to 24 hours after AEC exposure

Need for rescue medication and/or emergency treatment

TESSUp to 120 minutes following allergen challenge

The Total Eye Symptom Score (TESS) is the sum of 3 eye symptoms (itchy eyes, watery eyes, and gritty feeling) on a scale of 0 to 3 (no symptoms, mild symptoms, moderate symptoms, and severe symptoms), leading to a maximum TESS of 9.

PNIFRecorded at time zero (0) and every 30 minutes during allergen exposure up to 120 minutes

PNIF (peak nasal inspiration flow) liter/minute.

TSSUp to 120 minutes following allergen challenge

Total Symptom Score in response to HDM exposure in an AEC at V1 (baseline AEC exposure) versus V5 (follow-up AEC exposure). The TSS is the sum of 4 nose symptoms (runny nose, sneezing, itchy nose, and blocked nose), 3 eye symptoms (itchy eyes, watery eyes, and gritty feeling), 4 bronchial symptoms (wheezing, cough, breathlessness, and asthma), and 2 other symptoms (itchy palate, and itchy skin) on a scale of 0 to 3 (no symptoms, mild symptoms, moderate symptoms, and severe symptoms), leading to a maximum TSS of 39.

Trial Locations

Locations (1)

ECARF Institute GmbH

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Berlin, Germany

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