Study of rBet v1 Tablets
Primary Purpose
Birch Pollen-related Rhinoconjunctivitis, Rhinitis, Allergic, Seasonal
Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
Placebo
rBet v 1
rBet v 1
rBet v 1
Sponsored by
About this trial
This is an interventional treatment trial for Birch Pollen-related Rhinoconjunctivitis focused on measuring Hypersensitivity, Allergy, Birch, allergy, Sublingual Immunotherapy
Eligibility Criteria
Inclusion Criteria:
- Symptomatic birch pollen-related allergic rhinoconjunctivitis for at least the last 2 pollen seasons
- Sensitisation to birch pollen as demonstrated, at screening, by a positive SPT to birch pollen with wheal diameter greater than 3 mm and specific IgE levels > 0.70 kU/L (birch pollen and rBet v 1)
- Patients asymptomatic to all other allergens during the birch pollen season
- RRTSS during the previous pollen season ≥ 12 out of a maximum possible score of 18
- Patients with an FEV1 ≥ 80% of the predicted value
- Female patients with no childbearing potential
- Female patients of childbearing potential are eligible if they are not sexually active or if they use a medically accepted contraceptive method and have a negative urine pregnancy test, and are willing and able to sign written informed consent stating that they will use appropriate contraception and not plan a pregnancy during this study
- Patients able to be compliant with respect to the completion of the daily record card and taking of the investigational products
- Patients having provided signed informed consent
Exclusion Criteria:
- Patients with symptoms of rhinoconjunctivitis during the birch pollen season due to non-birch-related allergens
- Patients with symptomatic allergic rhinitis/rhinoconjunctivitis due to house dust mites
- Patients with symptomatic allergic rhinitis/rhinoconjunctivitis due to cat or dog allergens, and living with these animals at home or at risk of frequent contacts with these animals (family, friends etc.) during the course of the study
- Patients who previously received desensitisation treatment to birch pollen and/or another Betulaceae sp. within the previous 10 years
- Patients with asthma (except birch seasonal asthma in which case the patient could be included in the study)
- Patients with any nasal or oral condition that could interfere with efficacy or safety assessments (such as nasal polyposis or oral inflammation)
- Patients with a past or current disease, which as judged by the investigator, may affect the patient's participation in or outcome of this study
- Any disease or condition which would place a patient at undue risk by being included in the study (according to the investigator's opinion)
- Usual contra-indications of immunotherapy such as concomitant local or systemic beta-blocker therapy and/or immunosuppressive drugs
- Patients with ongoing treatment by immunotherapy with another allergen
- Patients treated with inhaled/systemic steroids within 4 weeks prior to Screening, or with long acting systemic corticosteroids 12 weeks before Screening
- Patients under continuous corticotherapy or undergoing chronic treatment with H2-antihistamine drugs
- Known hypersensitivity to mannitol
- Pregnancy, breast-feeding/lactation or sexually active women of childbearing potential who are not using a medically accepted contraceptive method
- Patients with a history of drug or alcohol abuse
Sites / Locations
- National University Hospital - Allergy Unit 4222
- Helsingin yliopistollinen keskussairaala
- NHC, Hôpitaux Universitaires de Strasbourg
- Charité universitaetsmedizin
- Public Institution Kaunas Medical University Hospital
- SPZOZ Uniwersytecki Szpital Kliniczny Nr 1im.N.Barlickiego w Uniwersystetu Medycznego w Łodzi
- Institute of Immunology of FMBA
- Sabina RAK
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm Type
Placebo Comparator
Experimental
Experimental
Experimental
Arm Label
1
2
3
4
Arm Description
Placebo
12.5 µg rBet v 1
25 µg rBet v 1
50 µg rBet v 1
Outcomes
Primary Outcome Measures
Average Adjusted Symptom Score
Secondary Outcome Measures
Average Rhinoconjunctivitis Total symptom Score
Rescue Medication Score
Average Combined Score
Proportion of symptom-controlled days
Global evaluation by the patient
Immunological markers (IgE and IgG4)
Sensitisation status
Lower airways symptoms
Safety assessments
Full Information
NCT ID
NCT00901914
First Posted
April 28, 2009
Last Updated
June 26, 2013
Sponsor
Stallergenes Greer
Collaborators
Quintiles, Inc., Aptuit
1. Study Identification
Unique Protocol Identification Number
NCT00901914
Brief Title
Study of rBet v1 Tablets
Official Title
A Multi-national, Randomised, DBPC, Phase II Study to Assess the Efficacy and Safety of Three Doses of SLIT Administered as rBet v 1 Tablets Once Daily to Patients Suffering From Birch Pollen Rhinoconjunctivitis
Study Type
Interventional
2. Study Status
Record Verification Date
February 2010
Overall Recruitment Status
Completed
Study Start Date
October 2008 (undefined)
Primary Completion Date
June 2009 (Actual)
Study Completion Date
August 2009 (Actual)
3. Sponsor/Collaborators
Name of the Sponsor
Stallergenes Greer
Collaborators
Quintiles, Inc., Aptuit
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The purpose of this study is to determine the efficacy and safety of three doses of r Bet v1 administered as sublingual tablets in birch pollen allergic subjects.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Birch Pollen-related Rhinoconjunctivitis, Rhinitis, Allergic, Seasonal
Keywords
Hypersensitivity, Allergy, Birch, allergy, Sublingual Immunotherapy
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
483 (Actual)
8. Arms, Groups, and Interventions
Arm Title
1
Arm Type
Placebo Comparator
Arm Description
Placebo
Arm Title
2
Arm Type
Experimental
Arm Description
12.5 µg rBet v 1
Arm Title
3
Arm Type
Experimental
Arm Description
25 µg rBet v 1
Arm Title
4
Arm Type
Experimental
Arm Description
50 µg rBet v 1
Intervention Type
Biological
Intervention Name(s)
Placebo
Other Intervention Name(s)
Placebo control
Intervention Description
One sublingual tablet of matching placebo daily during approximately 5.5 months
Intervention Type
Biological
Intervention Name(s)
rBet v 1
Other Intervention Name(s)
rBet v 1.0101
Intervention Description
One sublingual tablet containing rBet v 1 at a dosage of 12.5 µg daily during approximately 5.5 months
Intervention Type
Biological
Intervention Name(s)
rBet v 1
Other Intervention Name(s)
rBet v 1.0101
Intervention Description
One sublingual tablet containing rBet v 1 at a dosage of 25 µg daily during approximately 5.5 months
Intervention Type
Biological
Intervention Name(s)
rBet v 1
Other Intervention Name(s)
rBet v 1.0101
Intervention Description
One sublingual tablet containing rBet v 1 at a dosage of 50 µg daily during approximately 5.5 months
Primary Outcome Measure Information:
Title
Average Adjusted Symptom Score
Time Frame
~1 month (whole birch pollen season)
Secondary Outcome Measure Information:
Title
Average Rhinoconjunctivitis Total symptom Score
Time Frame
~1 month (whole birch pollen season)
Title
Rescue Medication Score
Time Frame
~1 month (whole birch pollen season)
Title
Average Combined Score
Time Frame
~1 month (whole birch pollen season)
Title
Proportion of symptom-controlled days
Time Frame
~1 month (whole birch pollen season)
Title
Global evaluation by the patient
Time Frame
after 5-6 months of treatment
Title
Immunological markers (IgE and IgG4)
Time Frame
6-7 months
Title
Sensitisation status
Time Frame
At least 6 months
Title
Lower airways symptoms
Time Frame
~1 month (whole birch pollen season)
Title
Safety assessments
Time Frame
6-7 months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Symptomatic birch pollen-related allergic rhinoconjunctivitis for at least the last 2 pollen seasons
Sensitisation to birch pollen as demonstrated, at screening, by a positive SPT to birch pollen with wheal diameter greater than 3 mm and specific IgE levels > 0.70 kU/L (birch pollen and rBet v 1)
Patients asymptomatic to all other allergens during the birch pollen season
RRTSS during the previous pollen season ≥ 12 out of a maximum possible score of 18
Patients with an FEV1 ≥ 80% of the predicted value
Female patients with no childbearing potential
Female patients of childbearing potential are eligible if they are not sexually active or if they use a medically accepted contraceptive method and have a negative urine pregnancy test, and are willing and able to sign written informed consent stating that they will use appropriate contraception and not plan a pregnancy during this study
Patients able to be compliant with respect to the completion of the daily record card and taking of the investigational products
Patients having provided signed informed consent
Exclusion Criteria:
Patients with symptoms of rhinoconjunctivitis during the birch pollen season due to non-birch-related allergens
Patients with symptomatic allergic rhinitis/rhinoconjunctivitis due to house dust mites
Patients with symptomatic allergic rhinitis/rhinoconjunctivitis due to cat or dog allergens, and living with these animals at home or at risk of frequent contacts with these animals (family, friends etc.) during the course of the study
Patients who previously received desensitisation treatment to birch pollen and/or another Betulaceae sp. within the previous 10 years
Patients with asthma (except birch seasonal asthma in which case the patient could be included in the study)
Patients with any nasal or oral condition that could interfere with efficacy or safety assessments (such as nasal polyposis or oral inflammation)
Patients with a past or current disease, which as judged by the investigator, may affect the patient's participation in or outcome of this study
Any disease or condition which would place a patient at undue risk by being included in the study (according to the investigator's opinion)
Usual contra-indications of immunotherapy such as concomitant local or systemic beta-blocker therapy and/or immunosuppressive drugs
Patients with ongoing treatment by immunotherapy with another allergen
Patients treated with inhaled/systemic steroids within 4 weeks prior to Screening, or with long acting systemic corticosteroids 12 weeks before Screening
Patients under continuous corticotherapy or undergoing chronic treatment with H2-antihistamine drugs
Known hypersensitivity to mannitol
Pregnancy, breast-feeding/lactation or sexually active women of childbearing potential who are not using a medically accepted contraceptive method
Patients with a history of drug or alcohol abuse
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Sabina Rak, MD. PR
Organizational Affiliation
Sahlgrenska University Hospital, Department of Respiratory Medicine and Allergy, 413 45 Gothenburg, Sweden
Official's Role
Principal Investigator
Facility Information:
Facility Name
National University Hospital - Allergy Unit 4222
City
Copenhagen
ZIP/Postal Code
2100
Country
Denmark
Facility Name
Helsingin yliopistollinen keskussairaala
City
Helsinki
ZIP/Postal Code
00029
Country
Finland
Facility Name
NHC, Hôpitaux Universitaires de Strasbourg
City
Strasbourg
ZIP/Postal Code
67091
Country
France
Facility Name
Charité universitaetsmedizin
City
Berlin
ZIP/Postal Code
10117
Country
Germany
Facility Name
Public Institution Kaunas Medical University Hospital
City
Kaunas
ZIP/Postal Code
50009
Country
Lithuania
Facility Name
SPZOZ Uniwersytecki Szpital Kliniczny Nr 1im.N.Barlickiego w Uniwersystetu Medycznego w Łodzi
City
Lodz
ZIP/Postal Code
90-153
Country
Poland
Facility Name
Institute of Immunology of FMBA
City
Moscow
ZIP/Postal Code
115478
Country
Russian Federation
Facility Name
Sabina RAK
City
Gothenburg
ZIP/Postal Code
413 45
Country
Sweden
12. IPD Sharing Statement
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Study of rBet v1 Tablets
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