Safety and Dose Finding Trial of BM32 in Subjects Suffering From Grass Pollen Allergy
Safety and Dose Finding Study Based on the Effects of Three Subcutaneous Injections of BM32, a Recombinant Hypoallergenic Grass Pollen Vaccine, on Responses to Allergen Challenge by Skin Testing and in the Vienna Challenge Chamber (VCC) as Well as Immunological Response in Subjects Know to Suffer From Grass-pollen Induced Allergic Rhinitis
The study will evaluate the dose response of immunotherapy against grass pollen allergy using the recombinant grass pollen vaccine BM32. Efficacy will be analyzed by:
- skin prick testing
- grass pollen inhalation challenge
- antibody responses. In addition, the safety of subcutaneous application of BM32 will be evaluated.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
-
-
-
Vienna, Austria, 1150
- Allergy Center Vienna West
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- History of seasonal allergic rhinitis from grass pollen
- Normal electrocardiogram
- Moderate to severe response to approx. 1500 grass pollen grains/m3 after 2 hrs of exposure in challenge chamber
- Positive skin prick test for grass pollen at or within 12 months preceding screening visit
- Positive RAST (class 2 or higher) for timothy grass pollen and to rPhl p 1 + rPhl p 5 at or within 12 months preceding screening visit
Exclusion Criteria:
- Pregnant or lactating females
- Females with childbearing potential not using medically acceptable birth control
- Structural nasal abnormalities, nasal polyposis, history of frequent nosebleeds, recent nasal surgery or ongoing upper respiratory tract infection
- Any respiratory disease other than mild asthma controlled with occasional short acting beta agonists and normal lung function
- Current or recent participation in another clinical trial
- SIT for grass pollen allergy in the last two years prior to study
- Past or present disease, which may affect outcome of the trial, judged by investigator
- Autoimmune diseases, immune defects including immunosuppression, immune- complex immunopathies
- Suspected hypersensitivity to any ingredients of study medication
- Use of prohibited medication prior to screening and throughout study
- depot corticosteroids (12 weeks)
- oral corticosteroids (8 weeks)
- inhaled corticosteroids (4 weeks)
- Allergic symptoms at the time of screening
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: BM32 low dose
3 subcutaneous injections of 10 micrograms in a time span of 8 weeks
|
Subcutaneous injection of 10 micrograms each of the BM32 components adsorbed on 0.3 mg of aluminum hydroxide every 4 week for a total of 3 injections
Subcutaneous injection of 20 micrograms of each of the BM32 components adsorbed on 0.6 mg of aluminum hydroxide every 4 weeks for a total of 3 injections
Subcutaneous injection of 40 micrograms of each of the BM32 components adsorbed on 1.2 mg of aluminum hydroxide every 4 weeks until a total of 3 injections
|
|
Experimental: BM32 medium dose
3 subcutaneous injections of 20 micrograms in a time span of 8 weeks
|
Subcutaneous injection of 10 micrograms each of the BM32 components adsorbed on 0.3 mg of aluminum hydroxide every 4 week for a total of 3 injections
Subcutaneous injection of 20 micrograms of each of the BM32 components adsorbed on 0.6 mg of aluminum hydroxide every 4 weeks for a total of 3 injections
Subcutaneous injection of 40 micrograms of each of the BM32 components adsorbed on 1.2 mg of aluminum hydroxide every 4 weeks until a total of 3 injections
|
|
Experimental: BM32 high dose
3 subcutaneous injections of BM32 over a time span of 8 weeks
|
Subcutaneous injection of 10 micrograms each of the BM32 components adsorbed on 0.3 mg of aluminum hydroxide every 4 week for a total of 3 injections
Subcutaneous injection of 20 micrograms of each of the BM32 components adsorbed on 0.6 mg of aluminum hydroxide every 4 weeks for a total of 3 injections
Subcutaneous injection of 40 micrograms of each of the BM32 components adsorbed on 1.2 mg of aluminum hydroxide every 4 weeks until a total of 3 injections
|
|
Placebo Comparator: Placebo
3 subcutaneous injections over a time span of 8 weeks
|
Subcutaneous injection of 1.2 mg of aluminum hydroxide suspension every 4 weeks until 3 injections
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Minimum effective dose for reduction of total nasal symptom score (TNSS) after inhalation challenge with grass pollen
Time Frame: Baseline and 14 weeks
|
Difference in the total Nasal Symptom Score (TNSS) between spending 6 hrs in the Vienna Challenge Chamber (VCC) at screening and spending 6 hrs in the VCC four weeks after the last subcutaneous injection of BM32.
|
Baseline and 14 weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Minimum Effective dose for reduction of Total Non-Nasal Symptom Score (TNNSS) following inhalation challenge with grass pollen
Time Frame: Baseline and 14 weeks
|
Baseline and 14 weeks
|
|
Minimum effective dose for reduction of Global symptom Score upon inhalation challenge with grass pollen
Time Frame: Baseline and 4 weeks after final s.c. injection
|
Baseline and 4 weeks after final s.c. injection
|
|
Minimum effective dose for reduction of nasal airflow resistance after inhalation challenge with grass pollen
Time Frame: Baseline and 14 weeks
|
Baseline and 14 weeks
|
|
Minimum effective dose to reduce skin reaction to grass pollen allergen upon skin prick testing
Time Frame: Baseline and 14 weeks
|
Baseline and 14 weeks
|
|
Difference in FEV1 and FEV/FVC between screening and completion of vaccination
Time Frame: Baseline and 14 weeks
|
Baseline and 14 weeks
|
|
Frequency of local reactions to treatment
Time Frame: average of 8 weeks from 1st to last injection
|
average of 8 weeks from 1st to last injection
|
|
Change in allergy specific total IgG
Time Frame: Baseline and average of 12 weeks after randomization
|
Baseline and average of 12 weeks after randomization
|
|
Change in allergy specific IgE
Time Frame: Baseline and average of 12 weeks after randomization
|
Baseline and average of 12 weeks after randomization
|
|
Frequency of systemic reactions to treatment
Time Frame: average of 8 weeks from 1st to last injection
|
average of 8 weeks from 1st to last injection
|
|
Severity of local reactions to treatment
Time Frame: Average of 8 weeks from 1st to last injection
|
Average of 8 weeks from 1st to last injection
|
|
Severity of systemic reactions to treatment
Time Frame: Average of 8 weeks from 1st to last injection
|
Average of 8 weeks from 1st to last injection
|
|
Frequency of adverse events
Time Frame: average of 14 weeks from 1st injection
|
average of 14 weeks from 1st injection
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- CS-BM32-002
- 2011-003368-64 (EudraCT Number)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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