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Dose-response Study With Subcutaneous Immunotherapy of an Standardized Dermatophagoides Pteronyssinus (DPT) Extract

Primary Purpose

Allergic Rhinoconjunctivitis

Status
Completed
Phase
Phase 2
Locations
Spain
Study Type
Interventional
Intervention
Allergovac depot
Allergovac depot
Allergovac depot
Allergovac depot
Allergovac depot
Allergovac depot
Sponsored by
Roxall Medicina España S.A
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Allergic Rhinoconjunctivitis focused on measuring Allergy, Allergic rhinoconjunctivitis, Immunotherapy, D. pteronyssinus, house dust allergy

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Patients must sign the Informed Consent Form.
  2. Patients must be between 18 and 60 years of age.
  3. Patients with perennial allergic rhinoconjunctivitis produced by Dermatophagoides pteronyssinus during at least 2 years prior to participating in the study. Although the pathology being studied is allergic rhinoconjunctivitis, patients who have concomitant mild or moderate asthma may be included.
  4. Patients who have had a skin prick test result greater or equal to 3 mm in diameter against Dermatophagoides pteronyssinus.
  5. Patients who have specific Immunoglobulin E (IgE) greater or equal to class 2 (CAP/PHADIA) to Dermatophagoides pteronyssinus.
  6. Patients will preferably be monosensitized to Dermatophagoides pteronyssinus. Polysensitized patients may only be included in the study if their other sensitizations are produced by:

    • Pollens whose season period does not overlap with the study treatment or, if overlap, whose specific IgE levels are less than class 2.
    • Perennial allergens with specific IgE levels less than class 2.
    • Allergens that do not cohabit with the patient or whose environmental levels are not high enough to produce symptoms during the study period.
  7. Women of child-bearing potential must have a negative urine pregnancy test at the time they begin the study.
  8. Furthermore, women of child-bearing potential must agree to use adequate contraceptive methods during this study if they are sexually active.

Exclusion Criteria:

  1. Patients with stable and continued use of medication to treat their allergic condition during the 2 weeks prior to their inclusion in the study.
  2. Patients sensitized and with specific IgE levels greater or equal to class 2 to other perennial or seasonal allergens clinically relevant including other mites unless they are cross reactive with Dermatophagoides pteronyssinus.
  3. Patients who have received immunotherapy in the 5 years prior to the study against either the allergen being tested or an allergen which is cross-reactive, or who are currently receiving immunotherapy for any other allergen.
  4. Patients with severe asthma or FEV1< 70% or with asthma which requires treatment with inhaled or systemic corticoids at the time of the study or in the 8 weeks immediately prior to the onset of treatment.
  5. Patients with immunological, cardiac, renal or hepatic diseases or with any other illness which the investigators deem may interfere with the study.
  6. Patients with a prior history of anaphylaxis.
  7. Patients with chronic urticaria.
  8. Patients with moderate-severe atopic dermatitis.
  9. Patients with clinically relevant malformations of the upper respiratory tract.
  10. Patients who have participated in another clinical trial within 3 months prior to this study.
  11. Patients being treated with tricyclic antidepressants, psychotropic drugs, beta-blockers, or angiotensin-converting enzyme inhibitors (ACEIs).
  12. Women who are pregnant or breast-feeding or are of child-bearing age and who do not agree to use adequate contraception if they are sexually active and who have not demonstrated that they have been surgically sterilized or have other means of not bearing children.
  13. Patients who cannot attend study visits.
  14. Patients who are uncooperative or refuse to participate in the study.

Sites / Locations

  • Hospital Vega Baja
  • Hospital Germans Triasl i Pujol
  • Hospital Donostia
  • Complejo Hospitalario Universitario de Santiago
  • Hospital Virgen de la Arrixaca
  • Hospital Xeral de Vigo
  • Hospital de Manises
  • Hospital Luis Alcañiz
  • Hospital Universitari de Bellvitge
  • Hospital Blanca Paloma
  • Hospital Marqués de Valdecilla
  • Hospital Universitari i Politècnic La Fe

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

Allergovac depot. Group 1

Allergovac depot. Group 2

Allergovac depot. Group 3

Allergovac depot. Group 4

Allergovac depot. Group 5

Allergovac depot placebo. Group 6

Arm Description

Increasing dosages till the maintenance dose of 0.0625 SPT is reached. Afterwards, 3 maintenance doses are given at 4-weekly intervals.

Increasing dosages till the maintenance dose of 0.125 SPT is reached. Afterwards, 3 maintenance doses are given at 4-weekly intervals.

Increasing dosages till the maintenance dose of 0.25 SPT is reached. Afterwards, 3 maintenance doses are given at 4-weekly intervals.

Increasing dosages till the maintenance dose of 0.5 SPT is reached. Afterwards, 3 maintenance doses are given at 4-weekly intervals.

Increasing dosages till the maintenance dose of 0.75 SPT is reached. Afterwards, 3 maintenance doses are given at 4-weekly intervals.

The same scheme of treatment as the active groups

Outcomes

Primary Outcome Measures

Changes in nasal provocation test
Variation of the concentration of DPT extract needed to produce a positive nasal provocation test from baseline (V0) to final visit (FV). The changes will be compared among groups (including the placebo group).

Secondary Outcome Measures

Full Information

First Posted
March 23, 2012
Last Updated
April 28, 2017
Sponsor
Roxall Medicina España S.A
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1. Study Identification

Unique Protocol Identification Number
NCT01564017
Brief Title
Dose-response Study With Subcutaneous Immunotherapy of an Standardized Dermatophagoides Pteronyssinus (DPT) Extract
Official Title
Phase II, Multicenter, Randomized, Double-blind Study, With Subcutaneous Immunotherapy, in Parallel Groups and Placebo-controlled, in Patients With Rhinoconjunctivitis ± Asthma Sensitized to Dermatophagoides Pteronyssinus.
Study Type
Interventional

2. Study Status

Record Verification Date
April 2017
Overall Recruitment Status
Completed
Study Start Date
May 2012 (undefined)
Primary Completion Date
May 2013 (Actual)
Study Completion Date
May 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Roxall Medicina España S.A

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
As part of the registration plan of our products and after performing a Phase I study the present trial has been designed to compare the efficacy of 5 different doses of subcutaneous immunotherapy in depot presentation.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Allergic Rhinoconjunctivitis
Keywords
Allergy, Allergic rhinoconjunctivitis, Immunotherapy, D. pteronyssinus, house dust allergy

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
150 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Allergovac depot. Group 1
Arm Type
Experimental
Arm Description
Increasing dosages till the maintenance dose of 0.0625 SPT is reached. Afterwards, 3 maintenance doses are given at 4-weekly intervals.
Arm Title
Allergovac depot. Group 2
Arm Type
Experimental
Arm Description
Increasing dosages till the maintenance dose of 0.125 SPT is reached. Afterwards, 3 maintenance doses are given at 4-weekly intervals.
Arm Title
Allergovac depot. Group 3
Arm Type
Experimental
Arm Description
Increasing dosages till the maintenance dose of 0.25 SPT is reached. Afterwards, 3 maintenance doses are given at 4-weekly intervals.
Arm Title
Allergovac depot. Group 4
Arm Type
Experimental
Arm Description
Increasing dosages till the maintenance dose of 0.5 SPT is reached. Afterwards, 3 maintenance doses are given at 4-weekly intervals.
Arm Title
Allergovac depot. Group 5
Arm Type
Experimental
Arm Description
Increasing dosages till the maintenance dose of 0.75 SPT is reached. Afterwards, 3 maintenance doses are given at 4-weekly intervals.
Arm Title
Allergovac depot placebo. Group 6
Arm Type
Placebo Comparator
Arm Description
The same scheme of treatment as the active groups
Intervention Type
Biological
Intervention Name(s)
Allergovac depot
Intervention Description
Depot sterile suspension fpor subcutaneous injection Increasing concentrations to reach the following maintenance doses: Group 1: 0.25 SPT
Intervention Type
Biological
Intervention Name(s)
Allergovac depot
Intervention Description
Depot sterile suspension for subcutaneous injection. Increasing concentrations to reach the following maintenance doses: Group 2: 0.5 SPT
Intervention Type
Biological
Intervention Name(s)
Allergovac depot
Intervention Description
Depot sterile suspension for subcutaneous injection. Increasing concentrations to reach the following maintenance doses: Group 3: 1 SPT
Intervention Type
Biological
Intervention Name(s)
Allergovac depot
Intervention Description
depot sterile suspension for subcutaneous injection Increasing concentrations to reach the following maintenance doses: Group 4: 2 SPT
Intervention Type
Biological
Intervention Name(s)
Allergovac depot
Intervention Description
Depot sterile suspension for subcutaneous injection. Increasing concentrations to reach the following maintenance doses: Group 5: 4 SPT
Intervention Type
Biological
Intervention Name(s)
Allergovac depot
Intervention Description
Sterile suspension for subcutaneous injection. Same number of administration as the active groups
Primary Outcome Measure Information:
Title
Changes in nasal provocation test
Description
Variation of the concentration of DPT extract needed to produce a positive nasal provocation test from baseline (V0) to final visit (FV). The changes will be compared among groups (including the placebo group).
Time Frame
from baseline (V0) to final visit (VF 18 weeks after randmization)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients must sign the Informed Consent Form. Patients must be between 18 and 60 years of age. Patients with perennial allergic rhinoconjunctivitis produced by Dermatophagoides pteronyssinus during at least 2 years prior to participating in the study. Although the pathology being studied is allergic rhinoconjunctivitis, patients who have concomitant mild or moderate asthma may be included. Patients who have had a skin prick test result greater or equal to 3 mm in diameter against Dermatophagoides pteronyssinus. Patients who have specific Immunoglobulin E (IgE) greater or equal to class 2 (CAP/PHADIA) to Dermatophagoides pteronyssinus. Patients will preferably be monosensitized to Dermatophagoides pteronyssinus. Polysensitized patients may only be included in the study if their other sensitizations are produced by: Pollens whose season period does not overlap with the study treatment or, if overlap, whose specific IgE levels are less than class 2. Perennial allergens with specific IgE levels less than class 2. Allergens that do not cohabit with the patient or whose environmental levels are not high enough to produce symptoms during the study period. Women of child-bearing potential must have a negative urine pregnancy test at the time they begin the study. Furthermore, women of child-bearing potential must agree to use adequate contraceptive methods during this study if they are sexually active. Exclusion Criteria: Patients with stable and continued use of medication to treat their allergic condition during the 2 weeks prior to their inclusion in the study. Patients sensitized and with specific IgE levels greater or equal to class 2 to other perennial or seasonal allergens clinically relevant including other mites unless they are cross reactive with Dermatophagoides pteronyssinus. Patients who have received immunotherapy in the 5 years prior to the study against either the allergen being tested or an allergen which is cross-reactive, or who are currently receiving immunotherapy for any other allergen. Patients with severe asthma or FEV1< 70% or with asthma which requires treatment with inhaled or systemic corticoids at the time of the study or in the 8 weeks immediately prior to the onset of treatment. Patients with immunological, cardiac, renal or hepatic diseases or with any other illness which the investigators deem may interfere with the study. Patients with a prior history of anaphylaxis. Patients with chronic urticaria. Patients with moderate-severe atopic dermatitis. Patients with clinically relevant malformations of the upper respiratory tract. Patients who have participated in another clinical trial within 3 months prior to this study. Patients being treated with tricyclic antidepressants, psychotropic drugs, beta-blockers, or angiotensin-converting enzyme inhibitors (ACEIs). Women who are pregnant or breast-feeding or are of child-bearing age and who do not agree to use adequate contraception if they are sexually active and who have not demonstrated that they have been surgically sterilized or have other means of not bearing children. Patients who cannot attend study visits. Patients who are uncooperative or refuse to participate in the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Fernando Rodríguez, MD
Organizational Affiliation
Hospital Universitario Marqués de Valdecilla
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Ramón Lleonart, MD
Organizational Affiliation
Hospital Universitario Marqués de Valdecilla
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Albert Roger, MD
Organizational Affiliation
Germans Trias i Pujol Hospital
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Dolores Hernández, MD
Organizational Affiliation
Hospital Universitario La Fe
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Carmen Vidal, MD
Organizational Affiliation
Complejo Hospitalario Universitario de Santiago
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Juan A Pagán, MD
Organizational Affiliation
Hospital Virgen de la Arrixaca
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Carmen Marcos, MD
Organizational Affiliation
Hospital Xeral de Vigo
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Jose A Navarro, MD
Organizational Affiliation
Hospital Donostia
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Victoria Moreno, MD
Organizational Affiliation
Hospital Blanca Paloma
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Luis A Navarro, MD
Organizational Affiliation
Hospital Luis Alcañiz
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
María I Peña, MD
Organizational Affiliation
Hospital Vega Baja
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Marta Alvariño, MD
Organizational Affiliation
Hospital de Manises
Official's Role
Principal Investigator
Facility Information:
Facility Name
Hospital Vega Baja
City
Orihuela
State/Province
Alicante
ZIP/Postal Code
03314
Country
Spain
Facility Name
Hospital Germans Triasl i Pujol
City
Badalona
State/Province
Barcelona
ZIP/Postal Code
08916
Country
Spain
Facility Name
Hospital Donostia
City
Donostia-San Sebastián
State/Province
Guipuzcoa
ZIP/Postal Code
20014
Country
Spain
Facility Name
Complejo Hospitalario Universitario de Santiago
City
Santiago de Compostela
State/Province
La Coruña
ZIP/Postal Code
15706
Country
Spain
Facility Name
Hospital Virgen de la Arrixaca
City
El Palmar
State/Province
Murcia
ZIP/Postal Code
30120
Country
Spain
Facility Name
Hospital Xeral de Vigo
City
Vigo
State/Province
Pontevedra
ZIP/Postal Code
36024
Country
Spain
Facility Name
Hospital de Manises
City
Manises
State/Province
Valencia
ZIP/Postal Code
46940
Country
Spain
Facility Name
Hospital Luis Alcañiz
City
Xátiva
State/Province
Valencia
ZIP/Postal Code
46800
Country
Spain
Facility Name
Hospital Universitari de Bellvitge
City
Barcelona
ZIP/Postal Code
08907
Country
Spain
Facility Name
Hospital Blanca Paloma
City
Huelva
ZIP/Postal Code
21005
Country
Spain
Facility Name
Hospital Marqués de Valdecilla
City
Santander
ZIP/Postal Code
39008
Country
Spain
Facility Name
Hospital Universitari i Politècnic La Fe
City
Valencia
ZIP/Postal Code
46026
Country
Spain

12. IPD Sharing Statement

Learn more about this trial

Dose-response Study With Subcutaneous Immunotherapy of an Standardized Dermatophagoides Pteronyssinus (DPT) Extract

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