Efficacy and Safety Evaluation for the Treatment of Allergy Against Grass and Olive Pollen
A Randomized, Double-Blinded, Placebo-Controlled, Prospective, Multicenter CT to Evaluate Efficacy and Safety of Subcutaneous Immunotherapy in Subjects With Rhinitis With/Without Mild to Moderate Asthma Sensitized to Olive and Grass Pollen
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Contact
Study Contact
- Name: Miguel Casanovas
- Phone Number: 0034 912908942
- Email: mcasanovas@inmunotek.com
Study Contact Backup
- Name: Raquel Caballero
- Phone Number: 34 607600638
- Email: rcaballero@inmunotek.com
Study Locations
-
-
-
Albacete, Spain, 02003
- Withdrawn
- Private Practice
-
Badajoz, Spain, 06001
- Recruiting
- Clínica Dermatológica y Alergia
-
Principal Investigator:
- Irán Sánchez Ramos, MD
-
Badajoz, Spain, 06011
- Recruiting
- Hospital Quironsalud Clideba
-
Principal Investigator:
- Silvia Sánchez, MD
-
Barcelona, Spain, 08028
- Recruiting
- Hospital Universitario Dexeus
-
Principal Investigator:
- Elena Botey Faraudo, MD
-
Barcelona, Spain, 08172
- Withdrawn
- Clínica privada Barcelona
-
Ciudad Real, Spain, 13005
- Recruiting
- Hospital General Universitario Ciudad Real
-
Principal Investigator:
- Carmen García, MD
-
Córdoba, Spain, 14004
- Recruiting
- Hospital Quirónsalud Córdoba
-
Principal Investigator:
- Ignacio Garcia Núñez, MD
-
Granada, Spain, 18016
- Active, not recruiting
- Hospital Universitario Clínico San Cecilio
-
Jaén, Spain, 23007
- Recruiting
- Hospital Universitario de Jaen
-
Sub-Investigator:
- Carmen Laura Cañada Porta, MD
-
Sub-Investigator:
- María Antonia Navarrete del Pimo, MD
-
Principal Investigator:
- Manuel Alcántara Villar, MD
-
Sub-Investigator:
- Miriam Bermúdez Bejarano, MD
-
Sub-Investigator:
- Alicia López Guerrero, MD
-
Lleida, Spain, 25198
- Recruiting
- Hospital Universitari Santa Maria
-
Principal Investigator:
- Eva Alcoceba Borrás, MD
-
Madrid, Spain, 28006
- Recruiting
- Clínica Subiza
-
Principal Investigator:
- Javier Subiza Garrido-Lestache, MD
-
Sub-Investigator:
- Concepción Barjau Buj, MD
-
Madrid, Spain, 28003
- Recruiting
- Hospital Universitario Cruz Roja
-
Principal Investigator:
- Jose Julio Laguna, MD
-
Sub-Investigator:
- Cosmin Boteau, MD
-
Sub-Investigator:
- Rosario González, MD
-
Sub-Investigator:
- Inmaculada Piorno, MD
-
Sub-Investigator:
- Maria Luisa Sánchez, MD
-
Madrid, Spain, 28006
- Recruiting
- Clínica de Asma y Alergia en Madrid | CLÍNICA OJEDA
-
Principal Investigator:
- Pedro Ojeda, MD
-
Sub-Investigator:
- David Baquero, MD
-
Madrid, Spain, 28001
- Withdrawn
- Private Practice
-
Madrid, Spain, 28029
- Completed
- Hospital Carlos III
-
Madrid, Spain, 28933
- Withdrawn
- Hospital Universitario Rey Juan Carlos
-
Murcia, Spain
- Recruiting
- Private Practice
-
Principal Investigator:
- Antonio Carbonell, MD
-
Sub-Investigator:
- Yulia Petryk Petryk, MD
-
Málaga, Spain, 29004
- Recruiting
- Hospital Quironsalud Malaga
-
Principal Investigator:
- Leticia Herrero, DM
-
Málaga, Spain
- Recruiting
- Private Practice
-
Principal Investigator:
- Manuel Barceló, DM
-
Palencia, Spain, 34001
- Completed
- Private Practice
-
Parla, Spain, 28981
- Recruiting
- Hospital Universitario Infanta Cristina
-
Principal Investigator:
- Aurora Losada, MD
-
Sevilla, Spain, 41013
- Recruiting
- Hospital Virgen Del Rocio
-
Principal Investigator:
- Joaquín Quiralte Enriquez, MD
-
Sub-Investigator:
- Yolanda Puente Crespo, MD
-
Sub-Investigator:
- María del Robledo Ávila Castellano, MD
-
Sub-Investigator:
- Carmen Rodríguez Pozo, Nurse
-
Sub-Investigator:
- Esteban Romero Rueda, Nurse
-
Sevilla, Spain, 41014
- Recruiting
- Hospital Viamed Santa Angela De la Cruz
-
Principal Investigator:
- MÓNICA DONADO NORTES, MD
-
Sevilla, Spain, 41005
- Withdrawn
- Clínica privada Sevilla
-
Toledo, Spain, 45005
- Withdrawn
- Private Practice
-
Valladolid, Spain, 47003
- Recruiting
- Hospital Recoletas Felipe Ii
-
Principal Investigator:
- Alicia Alonso, DM
-
Ávila, Spain, 05004
- Recruiting
- Hospital Ntra. Sra. de Sonsoles
-
Principal Investigator:
- Sara Acero, MD
-
-
Comunidad De Madrid
-
Alcalá De Henares, Comunidad De Madrid, Spain, 28805
- Completed
- Hospital Universitario Príncipe de Asturias
-
-
Cuenca
-
Tarancon, Cuenca, Spain, 16400
- Recruiting
- Cedt de Tarancón
-
Principal Investigator:
- Antonio Moreno Fernández, MD
-
-
Madrid
-
Tres Cantos, Madrid, Spain, 28760
- Recruiting
- Centro Médico Iza
-
Contact:
- Diana Pérez Alzate
-
Principal Investigator:
- Diana Pérez Alzate, MD
-
Valdemoro, Madrid, Spain, 28342
- Recruiting
- Hospital Infanta Elena
-
Principal Investigator:
- FRANCISCO JAVIER RUIZ HORNILLOS, DM
-
-
Murcia
-
El Palmar, Murcia, Spain, 30120
- Recruiting
- Hospital Clínico Universitario Virgen de Arrixaca
-
Principal Investigator:
- PAOLA CARRILLO, DM
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Subject who has signed the informed consent.
- Subjects of both sexes aged between 12 and 65 years.
- Subjects with confirmed clinical history of inhalational allergy (rhinitis and / or moderate-severe intermittent or persistent rhinoconjunctivitis according to the ARIA classification with or without intermittent or persistent controlled mild-moderate asthma according to the GEMA 5.0 classification caused by grass and olive allergy. The diagnosis of asthma will be valid from 12 months prior to signing the informed consent
- Subjects with a positive prick test (higher papule diameter ≥ 5 mm) to a standardized extract of pollen from grasses (Phleum pratense, Holcus lanatus, Dactylis glomerata, Poa pratensis, Festuca elatior, Lolium perenne), or one of the components of the mixture and an olive extract.
- Specific IgE (CAP or Immulite) against a mixture of grasses or against one of the components of the mixture of grasses, preferably Phleum pratense and olive or one of the molecular components of allergenic sources with a value > 3,5 KU / L.
- Women of childbearing age (from menarche) should submit a urine pregnancy test with a negative result at the time of joining the trial.
- Women of childbearing potential, and men participating in the trial, should commit to using an appropriate method of contraception. Medically acceptable methods of contraception are intrauterine devices placed at least 3 months in advance, surgical sterilization (for example, tubal ligation), barrier methods, or the use of oral contraceptives.
- Subjects capable of complying with the dosage regimen.
- Subjects who have a smartphone to record symptoms and medication.
- Subjects with a negative prick test to coestational pollens. In the case specific IgE is available, the result should be <3,5 kU/L and without relevant symptomatology
- Subjects with a negative prick test to other aeroallergens (dust mites, epitheliums and fungus). In the case specific IgE is available, the result should be <3,5 kU/L and without relevant symptomatology
Exclusion Criteria:
- Subjects polysensitized to other aeroallergens with the exception of epithelia with occasional exposure and symptoms
- Subjects polysensitized to other aeroallergens with the exception non-seasonal pollens with grasses and olive
- Subjects who have received prior immunotherapy in the preceding 5 years to any aeroallergens.
- Subjects in which immunotherapy may be subject to an absolute general contraindication according to the criteria of the Immunotherapy Committee of the Spanish Society of Allergy and Clinical Immunology and the European Allergy and Clinical Immunology Immunotherapy Subcommittee.
- Subjects with severe or uncontrolled persistent asthma, with an FEV1 <70% with respect to the reference value despite adequate pharmacological treatment at the time of inclusion in the trial. Likewise, subjects with intermittent or persistent rhinitis / rhinoconjunctivitis with severe symptoms in which the suspension of oral or systemic antihistamine treatment is contraindicated.
- Subjects who have previously presented a serious secondary reaction during the performance of diagnostic skin tests using the prick test.
- Subjects under treatment with ß-blockers.
- Clinically unstable subjects at the time of enrolment in the trial (acute asthma exacerbation, respiratory infection, feverish process, acute urticaria, etc.).
- Subjects with active chronic urticaria, severe dermographism, severe atopic dermatitis, sunburns, active psoriasis with lesions in areas where skin tests will be performed, or a history of hereditary angioedema.
- Subjects who have any pathology in which the administration of adrenaline is contraindicated (hyperthyroidism, HT, heart disease, etc.).
- Subjects with some other disease not related to moderate rhinoconjunctivitis or asthma, but of potential severity and that may interfere with treatment and follow-up (epilepsy, psychomotor disorder, uncontrolled diabetes, malformations, multiple operations, kidney disease,).
- Subjects with autoimmune disease (thyroiditis, lupus, etc.), tumor diseases or with a diagnosis of immunodeficiencies.
- Subject whose condition prevents him / her from offering cooperation and who has severe psychiatric disorders.
- Subjects with a known allergy to other investigational drug components other than the allergen.
- Subjects with diseases of the lower respiratory tract other than asthma such as emphysema or bronchiectasis.
- Subjects who are direct relatives of the researchers.
- Pregnant or lactating women.
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 |
|---|---|
|
Placebo Comparator: Placebo subcutaneous
The same solution and presentation as the active treatment, but without active ingredients.
|
The same solution and presentation as the active treatment, but without active ingredients
|
|
Experimental: 10,000 MG01 + 10,000 T517
10,000 TU/mL of MG01 + 10,000 TU/mL of T517 of subcutaneous immunotherapy
|
Purified and polymerized with glutaraldehyde allergen extract, from a mixture of grasses (Phleum pratense, Holcus lanatus, Poa pratensis, Festuca pratensis, Lolium perenne and Dactylis glomerata) and Olea (Olea europaea), adsorbed on aluminum hydroxide.
The other ingredients are: sodium chloride (0.9%), phenol (0.4%) and water for injections
Other Names:
|
|
Experimental: 30,000 MG01 + 10,000 T517
30,000 TU/mL of MG01 + 10,000 TU/mL of T517 of subcutaneous immunotherapy
|
Purified and polymerized with glutaraldehyde allergen extract, from a mixture of grasses (Phleum pratense, Holcus lanatus, Poa pratensis, Festuca pratensis, Lolium perenne and Dactylis glomerata) and Olea (Olea europaea), adsorbed on aluminum hydroxide.
The other ingredients are: sodium chloride (0.9%), phenol (0.4%) and water for injections
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
CSMS: Combined Symptoms and Medication Score
Time Frame: 12 months
|
Overall score of symptoms and medication throughout the trial.
The minimum score is cero and maximum six, per day
|
12 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Medication-free days
Time Frame: 12 months
|
Number of days that the subjects need no medication
|
12 months
|
|
Symptom-free days
Time Frame: 12 months
|
Number of days that the subjects have no symptom
|
12 months
|
|
Security parameters
Time Frame: 12 months
|
Global rate and severity of AE per administration and per subject
|
12 months
|
|
Visual Analogue Scale (VAS)
Time Frame: 12 months
|
Visual Analogue Scale in which the subject has to indicate in a straight line of 10cm how he/she feels regarding to his allergy symptoms.
Being left side very bad and right side very well
|
12 months
|
|
Quality of life rhinitis test
Time Frame: 12 months
|
Quality of life rhinitis test (ESPRINT-15)
|
12 months
|
|
Quality of life asthma test
Time Frame: 12 months
|
Control of asthma by Asthma Control Quality questionnaire
|
12 months
|
|
Health resources
Time Frame: 12 months
|
For each patient, the number of times that due to allergy symptoms has done the following will be counted: Have visited the GP, Have made an unscheduled visit to the specialist, Has gone to the emergency room, Has been hospitalized, Have needed to contact the doctor by phone |
12 months
|
|
Immunological parameters
Time Frame: 12 months
|
Analyses of total and specific IgE, specific Ig G4
|
12 months
|
|
Adverse Reactions
Time Frame: 12 months
|
Local and systemic reactions and any medication administered for the treatment of AR
|
12 months
|
|
Asthmatic exacerbations
Time Frame: 12 months
|
Time elapsed until the first appearance of asthmatic exacerbations
|
12 months
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Chair: Irán Sánchez, Private Site
Publications and helpful links
General Publications
- Subiza J, Feliu A, Subiza JL, Uhlig J, Fernandez-Caldas E. Cluster immunotherapy with a glutaraldehyde-modified mixture of grasses results in an improvement in specific nasal provocation tests in less than 2.5 months of treatment. Clin Exp Allergy. 2008 Jun;38(6):987-94. doi: 10.1111/j.1365-2222.2008.02995.x. Epub 2008 Apr 25.
- Klimek L, Uhlig J, Mosges R, Rettig K, Pfaar O. A high polymerized grass pollen extract is efficacious and safe in a randomized double-blind, placebo-controlled study using a novel up-dosing cluster-protocol. Allergy. 2014 Dec;69(12):1629-38. doi: 10.1111/all.12513. Epub 2014 Oct 6.
- Guzman-Fulgencio M, Caballero R, Lara B, Mena M, Tejera M, Sastre A, Subiza JL, Fernandez-Caldas E, Casanovas M. Safety of immunotherapy with glutaraldehyde modified allergen extracts in children and adults. Allergol Immunopathol (Madr). 2017 Mar-Apr;45(2):198-207. doi: 10.1016/j.aller.2016.08.008. Epub 2016 Dec 7.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
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
- Immune System Diseases
- Respiratory Tract Infections
- Infections
- Respiratory Tract Diseases
- Lung Diseases
- Bronchial Diseases
- Lung Diseases, Obstructive
- Respiratory Hypersensitivity
- Hypersensitivity, Immediate
- Hypersensitivity
- Nose Diseases
- Otorhinolaryngologic Diseases
- Asthma
- Rhinitis
- Rhinitis, Allergic
Other Study ID Numbers
Other Study ID Numbers
- DMV03-SIT-027
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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