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Efficacy and Safety of Grass Pollen Sublingual Immunotherapy

Phase 2
Completed
Conditions
Allergic Rhinoconjunctivitis
Interventions
Registration Number
NCT00567346
Lead Sponsor
Artu Biologicals
Brief Summary

The study is assessing efficacy and safety of three different dosage regimens of grass pollen sublingual immunotherapy in adult patients suffering from grass pollen related rhinoconjunctivitis.

Detailed Description

Patients with seasonal grass pollen related rhinoconjunctivitis will be randomized to one of four treatment groups at 41 centres in Europe. Each treatment group will consist of approximately 150 patients and 150 patients will be randomized to a placebo group. The study will consist of a screening phase, a treatment phase and a variable maintenance period.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
605
Inclusion Criteria
  • male or female aged 18-50
  • patients with grass pollen related allergic rhinoconjunctivitis for at least 2 pollen seasons
  • Positive skin prick test and IgE value of at least Class 2+
  • RTSS of greater or equal to 14 during pollen season prior tot the start of the study
  • Patients must be in general good health
  • Patients with normal spirometry
  • Informed consent given and willing to comply with the protocol
  • Female patients are eligible if they use an accepted contraceptive method
  • Negative urine pregnancy test if female
Exclusion Criteria
  • Pregnancy, breast feeding
  • Asthma requiring treatment other than beta-2 inhaled agonists
  • patients who have taken oral steroids within 12 weeks before screening visit
  • patients who have received desensitisation treatment for grass pollen
  • treatment by immunotherapy with any other allergen within the previous 5 years
  • patients who have suffered a lower respiratory tract infection within 4 weeks or an upper respiratory tract infection within 2 weeks of the screening visit
  • patients at risk of non-compliance
  • participation in any other clinical study within the previous 3 months
  • patients with a past or current disease, which may affect participation in or outcome of this study.
  • patients treated with beta-blockers or under continuous corticotherapy
  • allergic sensitivity to epithelial allergens the patients is exposed to
  • positive skin prick test for environmental allergens and suffering from serious allergic symptoms due to exposure to these allergens during study period
  • intention to subject the patient to surgery of the nasal cavity during current study
  • Usual contraindications of immunotherapy
  • a clinical history of symptomatic seasonal allergic rhinitis and/or asthma due to tree pollen or weed pollen adjacent to the start of, and potentially overlapping the grass pollen season

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
grass pollen extract twice weeklyOralgenCurrent standard dose regimen of grass pollen immunotherapy (9,500 BU), given twice weekly. Note: patients in twice weekly dosing regimen will also receive placebo on days no active treatment is given.
Grass pollen extract, dailyOralgenGrass pollen immunotherapy, 9,500 BU, given daily
Increased dose of grass pollen extractOralgenIncreased dose of grass pollen immunotherapy, 19,000 BU, given daily
Placebo controlgrass pollen extractPatients randomized to placebo will receive placebo daily.
Primary Outcome Measures
NameTimeMethod
Primary efficacy variable is based on pollen season rhinoconjunctivitis Total Symptom Score (PS.RTSS)One year
Secondary Outcome Measures
NameTimeMethod
Diarised Period RTSS on severity of rhinoconjunctivitis scores and rescue medication usage will be calculated to assess efficacy. Safety will be assessed through AE profile, the assessment of routine safety tests.one year

Trial Locations

Locations (35)

MHAT PLovdiv, ENT Clinic

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Plovdiv, Bulgaria

MHAT Sveta Marina

πŸ‡§πŸ‡¬

Varna, Bulgaria

ORL Soukroma praxe

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Brno, Czech Republic

Svabhegyi Allami Gyermekgyogyintezet pulmonologia

πŸ‡­πŸ‡Ί

Budapest, Hungary

Selye Janos Korhaz

πŸ‡­πŸ‡Ί

Komarom, Hungary

Vilnius Central Outpatient Clinic

πŸ‡±πŸ‡Ή

Vilnius, Lithuania

Karolina Korhaz

πŸ‡­πŸ‡Ί

Mosomagyarovar, Hungary

Kaunas medical University hospital

πŸ‡±πŸ‡Ή

Kaunas, Lithuania

Centrum imunologie a alergologie s.r.o

πŸ‡ΈπŸ‡°

Bratislava, Slovakia

Medcentrum s.r.o.

πŸ‡ΈπŸ‡°

Zilina, Slovakia

Ampha

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Hengelo, Netherlands

Menox

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Nijmegen, Netherlands

Berufsgen. kliniken Bergmannsheil

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Bochum, Germany

Tudogyogyintezet Torokbalint

πŸ‡­πŸ‡Ί

Torokbalint, Hungary

Privataertz. inst. & Forsh. einrichtung

πŸ‡©πŸ‡ͺ

Wiesbaden, Germany

Univ. klinikum Carl Gustav Carus

πŸ‡©πŸ‡ͺ

Dresden, Germany

Johannes-Gutenberg-Universitat Mainz

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Mainz, Germany

MedicoKIT

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Goch, Germany

Klaipeda Regional Hospital

πŸ‡±πŸ‡Ή

Klaipeda, Lithuania

Amb. klinickey imunologie a allergologie UTaRCH

πŸ‡ΈπŸ‡°

Poprad, Slovakia

Military Medical Academy

πŸ‡§πŸ‡¬

Varna, Bulgaria

5th MHAT, ENT Clinic

πŸ‡§πŸ‡¬

Sofia, Bulgaria

Ministry of interior-central clinical database

πŸ‡§πŸ‡¬

Sofia, Bulgaria

Fakultni nemocnice Brno

πŸ‡¨πŸ‡Ώ

Brno-Bohunice, Czech Republic

Alergologicka ordinace

πŸ‡¨πŸ‡Ώ

Kutna Hora, Czech Republic

Nemocnice Caslav

πŸ‡¨πŸ‡Ώ

Caslav, Czech Republic

Ambulance plicni a alergologicka

πŸ‡¨πŸ‡Ώ

Ostrave - Hrabuvka, Czech Republic

FNsP Nove Zamky, ambulancia TaRCh

πŸ‡ΈπŸ‡°

Nove Zamky, Slovakia

Vital Care

πŸ‡©πŸ‡ͺ

Muenchen, Germany

JSC Seimos gydytojas

πŸ‡±πŸ‡Ή

Vilnius, Lithuania

Ambulancia klinickej imunologie a alergologie

πŸ‡ΈπŸ‡°

Trencin, Slovakia

Vilnius university hospital, Santariskiu Clinic

πŸ‡±πŸ‡Ή

Vilnius, Lithuania

Szent Janos Korhaz

πŸ‡­πŸ‡Ί

Budapest, Hungary

Alergologicka ambulance

πŸ‡¨πŸ‡Ώ

Ostrava - Hrabuvka, Czech Republic

Alergologicka ambulance Okresni nemocnice Tabor

πŸ‡¨πŸ‡Ώ

Tabor, Czech Republic

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