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Efficacy of a Depigmented Extract of Phleum in Local Allergic Rhinitis

Phase 2
Completed
Conditions
Allergic Rhinitis
Registration Number
NCT02126111
Lead Sponsor
Plaza del Hospital Civil
Brief Summary

The purpose of this study is evaluate the efficacy of a depigmented grass extract in the treatment of local allergic rhinitis.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
56
Inclusion Criteria
  • Local allergic rhinitis with sensitization to grass pollen
  • Skin prick test and serum specific IgE negative to grass pollen.
  • Positive Nasal allergen provocation test (NAPT) to grass pollen and/or positive nasal specific IgE to grass pollen.
  • Written informed consent
Exclusion Criteria
  • Immunological diseases
  • Heart diseases that limit the use of adrenaline. For example, severe hypertension or treatment with beta-blockers.
  • Treatment with beta-blockers
  • Severe psychological disorders
  • Severe atopic dermatitis
  • FEV1 < 70% of reference value after treatment
  • Hypersensitivity or intolerance to excipients and / or medication trial.
  • Failure to adequately perform diagnostic tests or treatment.
  • Sensitization to other allergens (perennial or seasonal) with clinical relevance for the subject and that may interfere in the evaluation of the response.
  • Immunotherapy in the 5 years prior to their inclusion in the study.
  • Pregnant women or at risk of pregnancy and lactating women.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Symptoms and medication scores comparison between active and placebo grouptwo years

Patients were provided a diary to score the severity of their symptoms and the use of rescue medication during 4 weeks in two consecutive springs.

Nasal symptoms of rhinorrhea, nasal congestion, sneezing, nasal itching, and ocular symptoms were recorded using a 4-point categorical scale from 0 to 3 (0: no symptoms, 1:mild, 2:moderate; 3:severe).

The use of rescue medication was recorded in the patient diary according to the following score:

Oral antihistamines (1 tablet = 1 point); intranasal corticosteroids (400mcg/day of beclometasone or equivalent = 1.4 points); and ocular antihistamines (1 dose = 1 point).

Secondary Outcome Measures
NameTimeMethod
Flow cytometry study for determination of IFN-gamma, IL-13, IL-5, IL-8, IL-10, IL-12, IL-2 in peripheral blood and nasal lavage2 years
Heart rate2 years
Blood pressure2 years
Intradermal test (IDT) with phleum2 years

IDT wheal and erythema size.

FEV12 years
Adverse events2 years
Determination of tryptase, eosinophil cationic protein, IgG, IgG4, specific IgE to grass (Phl p1, Phl p5, Phl p7, Phl p12) in peripheral blood and nasal lavage.2 years
Quality of life questionnaire RQLQ2 years
Response to nasal allergen provocation test with phleum (NAPT-Phl)two years

The response to NAPT-Phl with increasing concentrations of phleum pratense (0.001-0.01-0.05-0.1 mcg/ml) will be evaluated by nasal symptoms and acoustic rhinometry.

Skin prick-test (SPT) with phleum.2 years

Evaluation of SPT wheal size.

Trial Locations

Locations (2)

Hospital Infanta Leonor

🇪🇸

Madrid, Spain

Hospital Regional Universitario Carlos Haya

🇪🇸

Malaga, Spain

Hospital Infanta Leonor
🇪🇸Madrid, Spain

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