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Phase 2 Study in Adults Sensitized to Cat

Primary Purpose

Allergy

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Standardized Allergenic Extract, Cat Hair
Placebo
Sponsored by
Antigen Laboratories, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Allergy focused on measuring Sublingual Immunotherapy (SLIT), Non-seasonal allergic rhinitis, Immunotherapy, Allergic rhinitis, Cat, Perennial allergy, Non-seasonal allergy

Eligibility Criteria

18 Years - 55 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Male and female patients between ages of 18 and 55 years (inclusive).
  • Written informed consent to participate in the study.
  • Documented allergy to cat hair as demonstrated by a positive epicutaneous skin test (wheal >3 mm) and symptoms of allergic rhinitis during exposure to cats.
  • Female subjects of childbearing potential, defined as not surgically sterile or at least 2 years postmenopausal, must agree to use one of the following forms of contraception from screening through the 4 week follow-up period following the last dose of clinical trial: hormonal begun >30 days prior to screening, barrier, intrauterine device or vasectomized partner (6 months minimum).
  • No clinically significant abnormal findings on physical examination, with the exception of head, ears, eyes, nose, and throat (HEENT) findings consistent with allergic rhinitis, medical history, or clinical laboratory results during screening which would jeopardize the safety of the subject or impact validity of study results.

Exclusion Criteria:

  • Previous allergen immunotherapy (subcutaneous immunotherapy (SCIT), oral immunotherapy, sublingual immunotherapy (SLIT) or recombinant peptide) for cat within 24 months of Screening Visit.
  • History of severe allergic reaction requiring medical intervention.
  • Intolerance of or severe allergic reaction to previous immunotherapy (SCIT, oral immunotherapy, SLIT, or recombinant peptide).
  • Allergy to any of the non-antigen ingredients in the study drug formulation, including, but not limited to: Food, Drug and Cosmetic Act (FD&C) Yellow #5, Red #40 and Blue #1; sodium chloride; sodium bicarbonate; and glycerine.
  • History of asthma requiring daily medication.
  • Subjects receiving anti-IgE monoclonal antibodies.
  • Congenital immune deficiency or acquired immune suppression. Causes of acquired immune suppression may include, but are not limited to, systemic illnesses such as malignancy and infection, the use of medications such as corticosteroids and chemotherapeutic agents, and radiation therapy.
  • History of organ transplant, hematologic malignancy, autoimmune disease, myocardial infarction, or congestive heart failure.
  • History of clinically significant gastrointestinal, renal, hepatic, neurologic, hematologic, endocrine, oncologic, pulmonary, psychiatric, or cardiovascular disease, or any other condition which, in the opinion of the Investigator, would jeopardize the safety of the subject or impact the validity of the study results.
  • Inability or unwillingness to stop using drugs that may inhibit the wheal-and-flare reaction or rhinitic response prior to the study and for the duration of dosing clinical trial material (CTM), with the exception of protocol-specified rescue medications provided by the study site for use after Study Day 0. This includes, but is not limited to:

    • Decongestants for 3 days prior to Study Day 0
    • H1 antagonists (antihistamines) (oral, nasal or ocular) for 7 days prior to Study Day 0
    • Topical intranasal corticosteroids for 14 days prior to Study Day 0
    • Cromolyn or nedocromil for 14 days prior to Study Day 0
    • Systemic corticosteroids for 28 days prior to Study Day 0
    • Tricyclic antidepressants for 28 days prior to Study Day 0
    • Leukotriene modifiers for 7 days prior to study Day 0
  • Inability or unwillingness to stop using drugs that may inhibit the ability to treat a severe allergic adverse event. This includes, but is not limited to: beta blockers such as atenolol (Tenormin®), metoprolol (Lopressor®, Toprol-XL®) and propranolol (Inderal®, Inderal LA®) for 14 days prior to Study Day 0 and for the duration of the study.
  • Female subjects who are trying to conceive, are pregnant, or are lactating.
  • Positive serum pregnancy test at screening or a positive human chorionic gonadotropin (HCG) urine test on Study Day 0 prior to administration of study drug for women of childbearing potential.
  • Positive blood screen for human immunodeficiency virus (HIV), Hepatitis B surface antigen (HbSAg), or Hepatitis C.
  • Forced Expiratory Volume in 1 second (FEV1) <70% of the predicted value.
  • History of alcohol or drug abuse within the year prior to the Screening Visit, or current evidence of substance dependence or abuse.
  • Participation in a clinical trial or receipt of a non-FDA approved therapy within 30 days prior to the Screening Visit.

Sites / Locations

  • Allergy & Asthma Medical Group & Research Center
  • Allergen Response and Research Center
  • Clinical Research Center

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Placebo Comparator

Active Comparator

Active Comparator

Arm Label

Dose Group C

Dose Group A

Dose Group B

Arm Description

Standardized Allergenic Extract, Cat Hair (Felis domesticus) placebo

Standardized Allergenic Extract, Cat Hair (Felis domesticus) 0.21 Units

Standardized Allergenic Extract, Cat Hair (Felis domesticus)2.1 units

Outcomes

Primary Outcome Measures

Scores on a Scale (Average of Total Symptom Scores)
Sum of individual symptoms scores, 7 items, 21 points maximum Total Symptom Scores during environmental chamber exposures at week 20. The Total Symptom Score was defined as the sum of the scores from the following seven symptoms rated 0-3 (0=absent, 1=mild, 2= moderate, 3=severe): runny nose, sneezing, itching nose, nasal congestion, watery eyes, itchy eyes, and itchy ears/palate/throat. Total Symptom score could range from 0-21; the lower the score, the more favorable the outcome. Each symptom parameter was graded by the study subject every 10 minutes for up to 60 minutes during the baseline (Day 0) and during the Week 20 environmental chamber exposures.

Secondary Outcome Measures

Full Information

First Posted
May 30, 2008
Last Updated
April 14, 2014
Sponsor
Antigen Laboratories, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT00689299
Brief Title
Phase 2 Study in Adults Sensitized to Cat
Official Title
A Randomized, Double-Blind, Placebo-Controlled, Parallel Group, Dose-Ranging Study of Sublingual Immunotherapy (SLIT) in Adults Sensitized to the Standardized Allergenic Extract, Cat Hair (Felis Domesticus)
Study Type
Interventional

2. Study Status

Record Verification Date
April 2014
Overall Recruitment Status
Completed
Study Start Date
October 2008 (undefined)
Primary Completion Date
May 2009 (Actual)
Study Completion Date
June 2009 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Antigen Laboratories, Inc.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to identify an effective dose of allergen-specific immunotherapy for cat hair (Felis domesticus) administered by the oral/sublingual route.
Detailed Description
This was a phase 2, randomized, double-blind, placebo-controlled, parallel groups study conducted in 3 centers in the US (NCT00689299). Study drug was sublingually dosed once daily as 0.15 mL of US standardized cat hair extract dosed either undiluted, as 1:10 dilution, or placebo. Target dose was obtained on Day 3 of dose titration escalating through 1:100 and 1:10 dilutions on Day 1 and Day 2 in the high dose group or placebo and 1:100 dilutions in the low dose group. Treatment duration was 20 weeks. Adult (>18 years) study subjects had positive history for cat allergy without asthma, positive skin test to cat allergen, absence of immunotherapy during the prior 2 years, and absence of other confounding baseline conditions. The primary outcome parameter was average Total Symptom Score (TSS) during a 1-hour cat chamber exposure. TSS is the sum of 7 items rated from 0 - 3 (none to severe) for nasal symptoms (rhinorrhea, nasal congestion, nasal itching, and sneezing) and non-nasal symptoms (eye watering, eye itching, and itching palate/ ear/ throat).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Allergy
Keywords
Sublingual Immunotherapy (SLIT), Non-seasonal allergic rhinitis, Immunotherapy, Allergic rhinitis, Cat, Perennial allergy, Non-seasonal allergy

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
167 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Dose Group C
Arm Type
Placebo Comparator
Arm Description
Standardized Allergenic Extract, Cat Hair (Felis domesticus) placebo
Arm Title
Dose Group A
Arm Type
Active Comparator
Arm Description
Standardized Allergenic Extract, Cat Hair (Felis domesticus) 0.21 Units
Arm Title
Dose Group B
Arm Type
Active Comparator
Arm Description
Standardized Allergenic Extract, Cat Hair (Felis domesticus)2.1 units
Intervention Type
Biological
Intervention Name(s)
Standardized Allergenic Extract, Cat Hair
Other Intervention Name(s)
Standardized Cat Hair Allergenic Extract
Intervention Description
Standardized Cat Hair Allergenic Extract sublingual drops
Intervention Type
Biological
Intervention Name(s)
Placebo
Intervention Description
Placebo Sublingual Drops
Primary Outcome Measure Information:
Title
Scores on a Scale (Average of Total Symptom Scores)
Description
Sum of individual symptoms scores, 7 items, 21 points maximum Total Symptom Scores during environmental chamber exposures at week 20. The Total Symptom Score was defined as the sum of the scores from the following seven symptoms rated 0-3 (0=absent, 1=mild, 2= moderate, 3=severe): runny nose, sneezing, itching nose, nasal congestion, watery eyes, itchy eyes, and itchy ears/palate/throat. Total Symptom score could range from 0-21; the lower the score, the more favorable the outcome. Each symptom parameter was graded by the study subject every 10 minutes for up to 60 minutes during the baseline (Day 0) and during the Week 20 environmental chamber exposures.
Time Frame
20 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male and female patients between ages of 18 and 55 years (inclusive). Written informed consent to participate in the study. Documented allergy to cat hair as demonstrated by a positive epicutaneous skin test (wheal >3 mm) and symptoms of allergic rhinitis during exposure to cats. Female subjects of childbearing potential, defined as not surgically sterile or at least 2 years postmenopausal, must agree to use one of the following forms of contraception from screening through the 4 week follow-up period following the last dose of clinical trial: hormonal begun >30 days prior to screening, barrier, intrauterine device or vasectomized partner (6 months minimum). No clinically significant abnormal findings on physical examination, with the exception of head, ears, eyes, nose, and throat (HEENT) findings consistent with allergic rhinitis, medical history, or clinical laboratory results during screening which would jeopardize the safety of the subject or impact validity of study results. Exclusion Criteria: Previous allergen immunotherapy (subcutaneous immunotherapy (SCIT), oral immunotherapy, sublingual immunotherapy (SLIT) or recombinant peptide) for cat within 24 months of Screening Visit. History of severe allergic reaction requiring medical intervention. Intolerance of or severe allergic reaction to previous immunotherapy (SCIT, oral immunotherapy, SLIT, or recombinant peptide). Allergy to any of the non-antigen ingredients in the study drug formulation, including, but not limited to: Food, Drug and Cosmetic Act (FD&C) Yellow #5, Red #40 and Blue #1; sodium chloride; sodium bicarbonate; and glycerine. History of asthma requiring daily medication. Subjects receiving anti-IgE monoclonal antibodies. Congenital immune deficiency or acquired immune suppression. Causes of acquired immune suppression may include, but are not limited to, systemic illnesses such as malignancy and infection, the use of medications such as corticosteroids and chemotherapeutic agents, and radiation therapy. History of organ transplant, hematologic malignancy, autoimmune disease, myocardial infarction, or congestive heart failure. History of clinically significant gastrointestinal, renal, hepatic, neurologic, hematologic, endocrine, oncologic, pulmonary, psychiatric, or cardiovascular disease, or any other condition which, in the opinion of the Investigator, would jeopardize the safety of the subject or impact the validity of the study results. Inability or unwillingness to stop using drugs that may inhibit the wheal-and-flare reaction or rhinitic response prior to the study and for the duration of dosing clinical trial material (CTM), with the exception of protocol-specified rescue medications provided by the study site for use after Study Day 0. This includes, but is not limited to: Decongestants for 3 days prior to Study Day 0 H1 antagonists (antihistamines) (oral, nasal or ocular) for 7 days prior to Study Day 0 Topical intranasal corticosteroids for 14 days prior to Study Day 0 Cromolyn or nedocromil for 14 days prior to Study Day 0 Systemic corticosteroids for 28 days prior to Study Day 0 Tricyclic antidepressants for 28 days prior to Study Day 0 Leukotriene modifiers for 7 days prior to study Day 0 Inability or unwillingness to stop using drugs that may inhibit the ability to treat a severe allergic adverse event. This includes, but is not limited to: beta blockers such as atenolol (Tenormin®), metoprolol (Lopressor®, Toprol-XL®) and propranolol (Inderal®, Inderal LA®) for 14 days prior to Study Day 0 and for the duration of the study. Female subjects who are trying to conceive, are pregnant, or are lactating. Positive serum pregnancy test at screening or a positive human chorionic gonadotropin (HCG) urine test on Study Day 0 prior to administration of study drug for women of childbearing potential. Positive blood screen for human immunodeficiency virus (HIV), Hepatitis B surface antigen (HbSAg), or Hepatitis C. Forced Expiratory Volume in 1 second (FEV1) <70% of the predicted value. History of alcohol or drug abuse within the year prior to the Screening Visit, or current evidence of substance dependence or abuse. Participation in a clinical trial or receipt of a non-FDA approved therapy within 30 days prior to the Screening Visit.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Robert B. Berkowitz, M.D.
Organizational Affiliation
Allergen Response Research Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
Allergy & Asthma Medical Group & Research Center
City
San Diego
State/Province
California
ZIP/Postal Code
92123
Country
United States
Facility Name
Allergen Response and Research Center
City
Marietta
State/Province
Georgia
ZIP/Postal Code
30062
Country
United States
Facility Name
Clinical Research Center
City
St. Louis
State/Province
Missouri
ZIP/Postal Code
63141
Country
United States

12. IPD Sharing Statement

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Phase 2 Study in Adults Sensitized to Cat

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