SUBLIVAC FIX Birch Phase III Short-term Efficacy

Phase 3

Completed

• Conditions: Birch Pollen Induced Rhinitis/Rhinoconjunctivitis
• Interventions: Drug: SUBLIVAC FIX Birch

• Registration Number: NCT02231307
• Lead Sponsor: HAL Allergy

Brief Summary

The aim of this phase III study is to asses if SUBLIVAC FIX Birch is safe and effective in reducing birch allergy induced symptoms and birch allergy medication usage.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2014-08-25
• Study Start: 2014-09
• Study First Submitted QC: 2014-09-01
• Study First Posted: 2014-09-04
• Primary Completion: 2015-07
• Study Completion: 2015-11
• Status Verified: 2016-09
• Last Update Submitted: 2016-09-22
• Last Update Posted: 2016-09-23

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 406

Inclusion Criteria

• Signed informed consent
• Age ≥ 18 and ≤65 years
• Moderate-to-severe birch pollen induced allergic rhinitis/rhinoconjunctivitis based on ARIA classification for at least 2 consecutive years
• FEV1 (forced expiratory volume at one second) > 70% (of predicted value) for patients with a history of asthma, FEV1 > 70% or PEF (peak expiratory flow) > 80% (of predicted value) for patients without a history of asthma
• Positive SPT (skin prick test) for birch pollen (mean wheal diameter ≥ 3mm compared to negative control; negative control should be negative; histamine control should be positive (mean wheal diameter ≥ 3mm)) assessed during screening.
• Serum specific anti-birch IgE (immunoglobulin E) concentration >0.7 U/ml
• Patients should be willing and capable to complete an e-diary daily during the birch pollen season (≥ 60% compliance in completion between Visit 1 and 2).
• A positive Nasal Provocation Test to birch pollen at Visit 2 (Lebel score ≥ 6) or a documented positive test within 1 year before start of treatment

Exclusion Criteria

• Patients sensitized and symptomatic to pets should not be included if they are regularly exposed to pets
• Specific immunotherapy (SCIT or SLIT) with birch pollen or a cross-reacting allergen within the last 5 years
• SPT positive (mean wheal diameter ≥ 3mm compared to negative control; negative control should be negative; histamine control should be positive (mean wheal diameter ≥ 3mm)) patients to allergen(s) other than birch pollen, in the absence of a negative provocation test for this allergen(s) (within 1 year), who are expected to have clinically relevant symptoms during the birch pollen season
• Completed unsuccessful allergen-specific immunotherapy (SCIT or SLIT) within the last 5 years
• (Ongoing) allergen-specific immunotherapy (SCIT or SLIT) with any allergen(s) during the study period
• Vaccination one week before start of treatment and/or during the up-dosing phase
• Treatment with experimental products within the last 3 months or biologicals (including anti-IgE or TNF (tumor necrosis factor) - α treatment) within the last 6 months or during the study
• Uncontrolled asthma or other active respiratory diseases
• Clinically significant chronic sinusitis, ocular infection or severe inflammation of the oral mucosa
• Severe immune disorders (including auto-immune diseases) and/or diseases requiring immunosuppressive drugs
• Active malignancies or any malignant disease in the last 5 years
• Acute or chronic disease that in the opinion of the investigator is an additional risk for the patients, including but not limited to the following: cardiovascular insufficiency, any severe or unstable lung diseases, endocrine disorders, clinically significant renal or hepatic diseases, or haematological disorders
• Diseases with a contra-indication for the use of adrenaline (e.g. hyperthyroidism, glaucoma)
• Use of systemic corticosteroids 4 weeks before the study
• Treatment with systemic or local β-blockers
• Known hypersensitivity to any of the excipients (Disodium phosphate dihydrate, Sodium dihydrogen phosphate dehydrate, aminocaproic acid, Peppermint oil, Caramel Colorant or Glycerol)
• A positive urine pregnancy test, lactation or inadequate contraceptive methods (adequate methods: oral contraceptives, IUD (intrauterine device), condom use and having no sexual relationship with a man)
• Alcohol-, drug or medication abuse
• Lack of co-operation or compliance
• Severe psychiatric, psychological, or neurological disorders
• Any physical or mental condition that precludes administration or allergen-specific immunotherapy, compliance or participation in a clinical trial
• Patients who are employees of the department, 1st grade relatives, or partners of the investigator
• Patients who have planned holidays outside the country for more than 7 continuous days during the defined pollen season (1st of March till 31st of May)

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
SUBLIVAC FIX Birch 0 AUN/ml	SUBLIVAC FIX Birch	-
SUBLIVAC FIX Birch 40,000 AUN/ml	SUBLIVAC FIX Birch	-

Primary Outcome Measures

Name	Time	Method
combined symptom medication score	3 months

Secondary Outcome Measures

Name	Time	Method
symptom score	3 months
Quality of Life questionnaires	3 months
Serum specific immunoglobulin levels	up to 9 months
local and systemic reactions	up to 9 months
(serious) adverse events	up to 9 months
blood safety parameters	up to 9 months
urinalysis	up to 9 months
medication score	up to 3 months

Trial Locations

Locations (39)

University Hospital; 🇧🇪 Gent, Belgium

Cliniques universitaire St. Luc; 🇧🇪 Brussels, Belgium

CHR Citadelle; 🇧🇪 Liege, Belgium

CHU de Liege; 🇧🇪 Liege, Belgium

Alergologicka ambulance; 🇨🇿 Liberec, Czech Republic

Ordinace Alergologie; 🇨🇿 Most, Czech Republic

Respiral s.r.o.; 🇨🇿 Plzen, Czech Republic

Ustav imunologie a alergologie; 🇨🇿 Plzen, Czech Republic

AKI spol. s.r.o.; 🇨🇿 Brno, Czech Republic

Kasmed s.r.o.; 🇨🇿 Tabor, Czech Republic

CIMS Studienzentrum Bamberg; 🇩🇪 Bamberg, Germany

Charite Universitatsmedizin; 🇩🇪 Berlin, Germany

HNO Gemeinschaftspraxis; 🇩🇪 Heidelberg, Germany

Dermatologikum Hamburg; 🇩🇪 Hamburg, Germany

Hautarztpraxis fur Dermatologie & asthetische medizin; 🇩🇪 Hildesheim, Germany

ALERGOMED Specjalistyczna Przychodnia Lekarska; 🇵🇱 Tarnow, Poland

EMED s.r.o. Alergoimunologicke centrum; 🇸🇰 Presov, Slovakia

Praxis fur Atemwegserkrankungen; 🇩🇪 Leipzig, Germany

Prywatna Praktyka Lekarska Gabinet Pediatryczno-Alergologiczny; 🇵🇱 Bialystok, Poland

SP-ZOZ Osrodek Zdrowia w Bienkowce; 🇵🇱 Bienkowka, Poland

Klinik fur Dermatologie & Allergologie; 🇩🇪 Stuttgart, Germany

HNO Wiesbaden Institute for Allergology and Rhinology; 🇩🇪 Wiesbaden, Germany

NZOZ ZLS Medex Sp. z o.o. Poradnia Alergologiczna; 🇵🇱 Bielsko-Biala, Poland

NZOZ Centrum Alergologii Krzysztof Buczylko; 🇵🇱 Lodz, Poland

Alerso s.r.o. Imunoalergologicka ambulancie; 🇸🇰 Kosice, Slovakia

FA HNOW Allergologie; 🇩🇪 Saalfeld/Saale, Germany

Praxis Dr. Jager; 🇩🇪 Schwabach, Germany

NZOZ Clinica Vitae; 🇵🇱 Gdansk, Poland

Centrumk Medyczne Lucyna i Andrzej Dymek; 🇵🇱 Strzelce Opolskie, Poland

Grazyna Pulka Specjalistyczny Osrodek 'All-Med'; 🇵🇱 Krakow, Poland

Przychodnia Alergologiczno-Pulmonologiczna ALERGOPNEUMA; 🇵🇱 Lublin, Poland

Centrum Alergologii Teresa Hofman; 🇵🇱 Poznan, Poland

Poradnia Alergologii i Chorob Pluc Uniwersytecki Szpital Kliniczny; 🇵🇱 Lodz, Poland

NZOZ Centrum Alergologii; 🇵🇱 Lublin, Poland

EMC Intytut Medyczny S.A. Przychodnia przy Lowieckiej; 🇵🇱 Wroclaw, Poland

ALIAN s.r.o. Ambulancia alergologie a klinickej imunologie; 🇸🇰 Bardejov, Slovakia

STALERG s.r.o. Imunoalergologicka ambulancia; 🇸🇰 Kosice, Slovakia

DANIMED, spol. s.r.o. Ambulancia klinkckej imunologie a alergologie; 🇸🇰 Levice, Slovakia

UZ Leuven; 🇧🇪 Leuven, Belgium