EUCTR2021-006533-19-DE招募中1 期
Phase II-III study to assess the efficacy and safety of subcutaneous cluster-immunotherapy in patients suffering from grass pollen allergy - CLUSTOID Grass Study
适应症
试验速览
- 阶段
- 1 期
- 状态
- 招募中
- 入组人数
- 488
研究概览
简要总结
暂无简介。
研究设计
- 研究类型
- Interventional
入排标准
- 性别
- All
入选标准
- •Patients who signed and dated informed consent form obtained prior to any study-specific examination
- •Female or male patients between 18 and 65 years of age at the time of signing the informed consent form
- •Patients with moderate-to-severe allergic rhinitis/rhinoconjunctivitis due to grass pollen for at least two years, according to the Allergic Rhinitis and its Impact on Asthma (ARIA) guideline, either
- •- with well-controlled mild-to-moderate asthma defined in GINA guideline (Global Initiative for Asthma, 2022)
- •- or without Asthma
- •Forced expiratory volume (FEV1) in one second > 80 % of predicted normal value (only for asthmatic patients)
- •Sensitization to Phleum pratense pollen, verified by:
- •- positive skin prick test (wheal diameter = 3 mm and negative control < 2 mm and positive (histamine) control = 3 mm) and
- •- serum allergen-specific IgE to Phleum pratense = 0.7 kU/L (CAP EAST class = 2) and
- •- a Retrospective Rhinoconjunctivitis Total Symptom Score (RRTSS) = 2 (0-3 scale) based on the most severe days during one of the two GPS preceding enrolment and
- •- positive response to nasal provocation with Phleum pratense pollen allergen extract (at least at the third concentration step)
- •Assumed compliance and ability of the patient to understand the patient´s electronic diary and to follow the instructions of the study staff
- •Compliance and ability of the patient to complete an electronic diary for self-evaluation of the symptoms and rescue medication
- •Safety laboratory results within the normal range or considered to be not clinically significant in any other case
- •Are the trial subjects under 18? no
- •Number of subjects for this age range:
- •F.1.2 Adults (18-64 years) yes
- •F.1.2.1 Number of subjects for this age range 488
- •F.1.3 Elderly (>=65 years) no
- •F.1.3.1 Number of subjects for this age range
排除标准
- •Previous immunotherapy with grass pollen allergen extracts according to the homologous group of grass pollen of the Poaceae group, as defined in Annex 1 in the Guideline on allergen products: production and quality issues (EMEA/CHMP/BWP/304831), within the last 5 years
- •Patients with co-sensitizations or co-allergies to any perennial or seasonal allergen, which interfere with the conduct of the study (e. g. with the tNPT), especially if the result in SPT for this allergen is higher than that for Phleum pratense
- •Patients with co-sensitizations to any pollen or mould with overlapping seasons but which are not cross-reactive with Phleum pratense and with specific IgE levels = class 2 CAP/PHADIA (unless the relevance can be excluded by component resolved diagnosis)
- •Simultaneous participation in other clinical trials
- •Simultaneous specific immunotherapy with other allergens
- •Participation in a trial in the last three months before enrolment
- •Contraindications for SCIT (Pfaar et al., 2014a; Pitsios et al., 2015)
- •Contraindications for SPT
- •Contraindications for NPT
- •Serious systemic reactions to allergen-specific immunotherapy in the past
- •Hypersensitivity to excipients of the IMP
- •Any severe or unstable lung disease e. g. active tuberculosis, cystic fibrosis, COPD
- •Severe, or partly controlled or uncontrolled asthma according to GINA guideline (Global Initiative for Asthma, 2022)
- •Asthmatic patients with FEV1 = 80 % of predicted normal value at screening
- •Chronic or severe acute diseases of the nose or eyes
- •Irreversible secondary disorders of the target organs (e. g. emphysema, bronchiectasis)
- •Therapy with immunoglobulins
- •Completed or ongoing treatment with anti-IgE-antibody (like Omalizumab) and/or checkpoint-inhibitor
- •Diseases of the immune system including autoimmune and immune deficiencies (with exception to well-controlled Hashimoto thyroiditis and type-1 diabetes mellitus)
- •Severe acute or chronic inflammatory or infectious diseases
- •Chronic or acute diseases of the heart, kidney or liver with severe impairment of their function
- •Malignancy within the previous 5 years
- •Active chronic urticaria
- •Active severe atopic eczema
- •Alcohol, drug, or medication abuse within the past year and/or during the study
- •Existing or intended pregnancy, lactation or inadequate contraceptive measures for woman with childbearing potential or a positive pregnancy test at screening
- •Systemic and local (eye drops) treatment with beta-blockers
- •Use of non-allowed medication (see section 5.3.1)
- •Contraindication for adrenalin (for example, acute or chronic symptomatic coronary heart disease, severe hypertension, hyperthyroidism, glaucoma)
- •Severe psychiatric, psychological, or neurological disorders; completed or ongoing long-term treatment with tranquilizer or psychoactive drugs (including tricyclic anti-depressants)
- •Relationship or dependence with the sponsor and/or investigator
- •Legal incapacity
- •Patients who are jurisdictional or governmentally institutionalized
- •Risk of non-compliance by the patient with the study procedures
研究者
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