Effect of holoBLG on Cat Allergic Patients
A Prospective Pilot Study to Observe the Effects of Cat Exposure in an Allergen Exposure Chamber (AEC) in Cat Allergic Patients Taking a Food for Special Medical Purposes (holoBLG) for 3 Months
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
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-
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Berlin, Germany, 10115
- ECARF Institute GmbH
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- At least 1 year of clinically relevant cat allergy
- positive SPT (wheal >3mm)
- Positive NPT
- Increase in TSS >3 during the 1st exposure in the AEC
- Verbal and written consent
Exclusion Criteria:
- subjects <18 years
- subjects taking immunosuppressive drugs such as systemic corticosteroids, cyclosporine, etc.
- subjects who have received or are currently receiving sublingual or subcutaneous immunotherapy (SLIT/SCIT) for cat allergy in the last 2 years prior to V0
- clinically relevant overreactions to the ingredients of holoBLG, in particular subjects with a milk protein allergy or pronounced lactose intolerance
- subjects with severe asthma and/or a history of uncontrolled asthmatic attacks in the last three months before the selection process (GINA 4 and 5).
- subjects with an FEV1 <70% (predicted value) prior to exposure in the AEC
- Lack of verbal and written informed consent
- subjects who are not proficient in the German language
- History of serious chronic medical illness and/or any condition for which the local investigator believes that participation in the study could pose a risk to the individual
- Pregnancy and lactation
- Contraindications and/or history of adrenaline intolerance and/or emergency medications
- Concurrent use of anti-allergic medications and/or inadequate washout period of these anti-allergic medications prior to the selection process and exposure in the exposure chamber
- TSS ≥ 6 at t0 of first exposure in the AEC
- Subjects who have a history of ingestion of holoBLG
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: holoBLG
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holo-BLG (beta-lactoglobulin) - a major component of the protein fraction of raw milk, loaded with ligands (vitamin A, zinc and polyphenol-iron complexes)
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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TSS
Time Frame: After 120 minutes of allergen challenge
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Total Symptom Score in response to cat exposure in an AEC at baseline versus final AEC exposure.
The TSS is the sum of 4 nose symptoms (runny nose, sneezing, itchy nose, and blocked nose), 4 eye symptoms (itchy eyes, watery eyes, gritty feeling, eye reddening), 4 bronchial symptoms (wheezing, cough, breathlessness, rhonchus), and 2 other symptoms (itchy palate, and itchy skin) on a scale of 0 to 3 (no symptoms, mild symptoms, moderate symptoms, and severe symptoms), leading to a maximum TSS of 42.
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After 120 minutes of allergen challenge
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
TNSS
Time Frame: Up to 120 minutes following allergen challenge
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The Total Nasal Symptom Score (TNSS) is the sum of 4 nose symptoms (runny nose, sneezing, itchy nose, and blocked nose) on a scale of 0 to 3 (no symptoms, mild symptoms, moderate symptoms, and severe symptoms), leading to a maximum TNSS of 12.
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Up to 120 minutes following allergen challenge
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TESS
Time Frame: Up to 120 minutes following allergen challenge
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The Total Eye Symptom Score (TESS) is the sum of 4 eye symptoms (itchy eyes, watery eyes, gritty feeling, eye reddening) on a scale of 0 to 3 (no symptoms, mild symptoms, moderate symptoms, and severe symptoms), leading to a maximum TESS of 12.
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Up to 120 minutes following allergen challenge
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TBSS
Time Frame: Up to 120 minutes following allergen challenge
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The Total Bronchial Symptom Score (TBSS) is the sum of 4 bronchial symptoms (wheezing, cough, breathlessness, rhonchus) on a scale of 0 to 3 (no symptoms, mild symptoms, moderate symptoms, and severe symptoms), leading to a maximum TBSS of 12.
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Up to 120 minutes following allergen challenge
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VAS
Time Frame: Recorded at time zero (0) and every 30 minutes during exposure until 120 minutes
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Visual Analogue Scale: Before, every 30 minutes during and after each exposure patients grade the question on their well-being by putting a vertical line on a 10 cm line representing severity from 0 cm "very good" to 10 cm "very bad".
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Recorded at time zero (0) and every 30 minutes during exposure until 120 minutes
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PNIF
Time Frame: Recorded at time zero (0) and every 30 minutes during allergen exposure up to 120 minutes
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PNIF (peak nasal inspiration flow) liter/minute.
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Recorded at time zero (0) and every 30 minutes during allergen exposure up to 120 minutes
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PEF
Time Frame: Recorded at time zero (0) and every 30 minutes during allergen exposure up to 120 minutes
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PEF (peak expiratory flow) liter/minute
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Recorded at time zero (0) and every 30 minutes during allergen exposure up to 120 minutes
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FEV1
Time Frame: Recorded at time zero (0) and 120 minutes
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Forced expiratory volume in 1 second, before and after the exposure
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Recorded at time zero (0) and 120 minutes
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FEV1/FVC
Time Frame: Recorded at time zero (0) and 120 minutes
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Forced expiratory volume in 1 second/forced vital capacity ratio, before and after the exposure.
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Recorded at time zero (0) and 120 minutes
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Adverse events with regards to the allergen exposure
Time Frame: up to 24 hours after AEC exposure
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Number of events and number of patients recording late-phase reactions and/or adverse events with regards to the allergen exposure
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up to 24 hours after AEC exposure
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NPT
Time Frame: up to 3 months following first AEC
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Changes in Nasal Provocation Test before and after intervention period
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up to 3 months following first AEC
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TOSS
Time Frame: Up to 120 minutes following allergen challenge
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The Total Other Symptom Score (TBSS) is the sum of 2 additional symptoms (itchy palate, itchy skin) on a scale of 0 to 3 (no symptoms, mild symptoms, moderate symptoms, and severe symptoms), leading to a maximum TOSS of 6.
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Up to 120 minutes following allergen challenge
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Karl-Christian Bergmann, Prof. Dr. med., Institute of Allergology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
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 (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimated)
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
Other Study ID Numbers
Other Study ID Numbers
- 039-P-21
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
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