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A Study of ASP4070 to Confirm Safety and Immunological Response in Patients With Pollen Allergy

Primary Purpose

Cedar Pollinosis

Status
Completed
Phase
Phase 1
Locations
Japan
Study Type
Interventional
Intervention
ASP4070
Placebo
Sponsored by
Astellas Pharma Inc
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Cedar Pollinosis focused on measuring cedar pollinosis, immunological response,, ASP4070, vaccine

Eligibility Criteria

20 Years - 64 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Subject who has medical history of nasal symptoms (sneezing, itching, rhinorrhoea, and congestion), and/or eye symptoms (itching, redness, and lacrimation) at least in 2 cedar pollen dispersion seasons prior to the screening test.
  • Subject who had the Japanese cedar pollen-specific antibody test result of Class 3 or higher in the allergy test at screening.
  • Subject who had a positive prick test result for Japanese cedar pollen in the screening test.
  • Subject whose past and present medical conditions are considered medically stable.

Exclusion Criteria:

  • Subject who had the test result of IgE antibody specific to other antigen than Japanese cedar pollen
  • Subject who is scheduled to receive other vaccination during the primary study period.
  • Subject who has received or is planning to receive vaccination of live vaccine within 28 days prior to the first vaccination of the study drug, and/or a subject who has received or is planning to receive vaccination of inactivated vaccine/toxoid within 7 days prior to the first vaccination of the study drug.
  • Subject who received specific immunotherapy for cedar pollinosis in the past.
  • Subject who received specific or non-specific immunotherapy within 5 years prior to the screening test.
  • Subject who has used the following drug(s) prior to the first vaccination of the study drug:

    • Within 56 days prior to the first vaccination of the study drug: Topical steroid, histamine H1-receptor antagonist, chemical mediator-isolation inhibitor, Th2 cytokine inhibitor, thromboxane A2 synthesis inhibitor, thromboxane A2 receptor antagonist, and/or leukotriene receptor antagonist
    • Within 84 days prior to the first vaccination of the study drug: Systemic steroid, and antibody drugs (including anti-TNF-alpha antibody and anti-IgE monoclonal antibody)
  • Subject who has history of allergic reactions such as anaphylactic shock and exanthema generalized caused by food and/or medical products (including vaccine) in the past, and/or a subject who had a fever of 39.0 degrees Celsius or higher within 2 days after the previous vaccination.
  • Subject who has evidently high fever (37.5 degrees Celsius or higher) on the day of vaccination, or subject who has severe acute disease.
  • Subject who meets any of the following criteria for laboratory and other tests at screening. The reference range for each test is the range used in the study site.

    • Blood biochemistry test:

      1. AST (GOT) or ALT (GPT) value over 100 IU/L
      2. Creatinine value over 1.5 mg/dL
    • Urine drug screening:

      1. Subject who had a positive drug test result for: benzodiazepines, cocaine and similar narcotics, stimulant drugs, cannabis, barbituric acids, morphine and similar narcotics, PCPs, or tricyclic antidepressants.

    • Immunological test:

      1. Subject who had a positive test results for HBs antigen, HCV antibody, or HIV antigen/antibody
  • Subject who has autoimmune disease or other serious primary disease.
  • Subject who was diagnosed with immunodeficiency in the past.
  • Subject who has a complication of perennial allergic rhinitis, rhinitis medicamentosa, or non-allergic rhinitis which requires medical treatment.
  • Subject who has a complication of cardiovascular disease (including cardiac failure congestive, angina pectoris, and cardiac arrhythmias which requires medical treatment).
  • Subject who has a complication of hepatic disease (including hepatitis viral and drug-induced liver injury).
  • Subject who has a complication of renal disease (including acute kidney injury, glomerulonephritis, and nephritis interstitial, but not including medical history of calculus).
  • Subject who has a complication of respiratory disease (including asthma bronchial which requires medical treatment, and bronchitis chronic, but not including medical history of asthma in the childhood).
  • Subject has a complication of malignant tumor or has been diagnosed or has received treatment for malignant tumor within 5 years prior to the first vaccination of the study drug.
  • Subject who was diagnosed with schizophrenia, other mental conditions including bipolar disorder and major depressive disorder, or dementia, or a subject who has received drug(s) for the treatment of dementia.
  • Subject who has a complication of dermatitis atopic.
  • Subject who has a complication which may have an impact on the results of the local and systemic reaction or prick test assessment.
  • Subject who has received a vaccination of Cryj2-LAMP vaccine.

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm 9

Arm 10

Arm Type

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

Part1 ASP4070 intramuscular vaccination group

Part1 ASP4070 intradermal vaccination group

Part2 ASP4070 intramuscular vaccination group 1

Part2 ASP4070 intramuscular vaccination group 2

Part2 Placebo intramuscular vaccination group

Part2 ASP4070 intradermal vaccination group 1

Part2 ASP4070 intradermal vaccination group 2

Part2 ASP4070 intradermal vaccination group 3

Part2 ASP4070 intradermal vaccination group 4

Part2 Placebo intradermal vaccination group

Arm Description

ASP4070 high dose x 4 times

ASP4070 high dose x 4 times

ASP4070 high dose x 4 times

ASP4070 high dose x 1 time, Placebo x 3 times

Placebo x 4 times

ASP4070 high dose x 4 times

ASP4070 low dose x 4 times

ASP4070 high dose x 1 time, Placebo x 3 times

ASP4070 low dose x 1 time, Placebo x 3 times

Placebo x 4 times

Outcomes

Primary Outcome Measures

Adverse events developed after the first vaccination of the study drug

Secondary Outcome Measures

Local reaction(injection site pain, erythema, swelling, and induration) and systemic reaction(queasy, vomiting, diarrhoea, headache, malaise, myalgia, allergic reaction, and pyrexia) due to the vaccination developed
Vital signs (axillary temperature, blood pressure in a sitting position, and pulse rate in a sitting position)
12-lead ECG
ECG: Electrocardiogram
Laboratory test (hematology, biochemistry, and urinalysis)
Prick test for Japanese cedar pollen
Parameters developed by antibody and histamine release test
Antibody: IgG antibody, specific IgG antibody (anti-JRC, anti-Cry j 1, and anti-Cry j 2), specific IgG4 antibody (anti-JRC), IgE antibody, specific IgE antibody (anti-JRC), cytokine (IFN-gamma, IL-4, IL-5, IL-10, IL-12, and IL-13), anti-LAMP antibody

Full Information

First Posted
June 5, 2015
Last Updated
January 9, 2020
Sponsor
Astellas Pharma Inc
Collaborators
Immunomic Therapeutics, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT02469688
Brief Title
A Study of ASP4070 to Confirm Safety and Immunological Response in Patients With Pollen Allergy
Official Title
A Phase 1 Study of ASP4070 to Confirm the Safety and Immunological Response in Patients With Cedar Pollinosis When Administered as Intramuscular Vaccination and as Intradermal Vaccination
Study Type
Interventional

2. Study Status

Record Verification Date
January 2020
Overall Recruitment Status
Completed
Study Start Date
June 18, 2015 (Actual)
Primary Completion Date
November 27, 2015 (Actual)
Study Completion Date
July 26, 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Astellas Pharma Inc
Collaborators
Immunomic Therapeutics, Inc.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Examine safety and immunological response for ASP4070 when vaccinated in patients with pollen allergy
Detailed Description
This study consists of 2 parts: Part 1 and Part 2. [Part 1] An open-label, un-controlled study Examine the safety for the ASP4070 intramuscular vaccination group (high dose x 4 times) and the ASP4070 intradermal vaccination group (high dose x 4 times). [Part 2] A placebo-controlled, double-blinded, randomized, parallel-group comparative study Assess the immunological response and safety for the ASP 4070 intramuscular vaccination group (high dose x 1 time and high dose x 4 times) and the ASP4070 intradermal vaccination group (low dose x 1 time, low x 4 times, high dose x 1 time, and high dose x 4 times) as compared to those for the placebo group. The study will be double-blinded within the same route of vaccination, and non-blinded between the routes of vaccination (between the intramuscular vaccination group and intradermal vaccination group). The first vaccination to the subjects in Part 2 will start at least 14 days after the first vaccination to the subjects in Part 1 (6 subjects). For both Part 1 and Part 2, primary study period is for 3 months starting from the last dose of the study drug at Day 43 (until Day 127). After the primary study period, safety information will be collected for 9 months (for 1 year from the last dose of the study drug) as the long-term safety follow-up study period. Safety information will be collected for 1 year starting from the last vaccination of the study drug also from the patients who discontinued the participation in the study during the primary study period if the patients agree.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cedar Pollinosis
Keywords
cedar pollinosis, immunological response,, ASP4070, vaccine

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
66 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Part1 ASP4070 intramuscular vaccination group
Arm Type
Experimental
Arm Description
ASP4070 high dose x 4 times
Arm Title
Part1 ASP4070 intradermal vaccination group
Arm Type
Experimental
Arm Description
ASP4070 high dose x 4 times
Arm Title
Part2 ASP4070 intramuscular vaccination group 1
Arm Type
Experimental
Arm Description
ASP4070 high dose x 4 times
Arm Title
Part2 ASP4070 intramuscular vaccination group 2
Arm Type
Experimental
Arm Description
ASP4070 high dose x 1 time, Placebo x 3 times
Arm Title
Part2 Placebo intramuscular vaccination group
Arm Type
Placebo Comparator
Arm Description
Placebo x 4 times
Arm Title
Part2 ASP4070 intradermal vaccination group 1
Arm Type
Experimental
Arm Description
ASP4070 high dose x 4 times
Arm Title
Part2 ASP4070 intradermal vaccination group 2
Arm Type
Experimental
Arm Description
ASP4070 low dose x 4 times
Arm Title
Part2 ASP4070 intradermal vaccination group 3
Arm Type
Experimental
Arm Description
ASP4070 high dose x 1 time, Placebo x 3 times
Arm Title
Part2 ASP4070 intradermal vaccination group 4
Arm Type
Experimental
Arm Description
ASP4070 low dose x 1 time, Placebo x 3 times
Arm Title
Part2 Placebo intradermal vaccination group
Arm Type
Placebo Comparator
Arm Description
Placebo x 4 times
Intervention Type
Drug
Intervention Name(s)
ASP4070
Intervention Description
intramuscular or intradermal
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
intramuscular or intradermal
Primary Outcome Measure Information:
Title
Adverse events developed after the first vaccination of the study drug
Time Frame
Up to Day 127
Secondary Outcome Measure Information:
Title
Local reaction(injection site pain, erythema, swelling, and induration) and systemic reaction(queasy, vomiting, diarrhoea, headache, malaise, myalgia, allergic reaction, and pyrexia) due to the vaccination developed
Time Frame
within 14 days after the vaccination of the study drug
Title
Vital signs (axillary temperature, blood pressure in a sitting position, and pulse rate in a sitting position)
Time Frame
Screening period, :Day 1, 15, 29, 43, 71, 99, and 127
Title
12-lead ECG
Description
ECG: Electrocardiogram
Time Frame
Day 1 and 43
Title
Laboratory test (hematology, biochemistry, and urinalysis)
Time Frame
Screening period, Day 1, 43, and 127
Title
Prick test for Japanese cedar pollen
Time Frame
Screening period, Day 15, 29, 43, 71, 99 and 127
Title
Parameters developed by antibody and histamine release test
Description
Antibody: IgG antibody, specific IgG antibody (anti-JRC, anti-Cry j 1, and anti-Cry j 2), specific IgG4 antibody (anti-JRC), IgE antibody, specific IgE antibody (anti-JRC), cytokine (IFN-gamma, IL-4, IL-5, IL-10, IL-12, and IL-13), anti-LAMP antibody
Time Frame
Day 1, 71, 99 and 127

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
64 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subject who has medical history of nasal symptoms (sneezing, itching, rhinorrhoea, and congestion), and/or eye symptoms (itching, redness, and lacrimation) at least in 2 cedar pollen dispersion seasons prior to the screening test. Subject who had the Japanese cedar pollen-specific antibody test result of Class 3 or higher in the allergy test at screening. Subject who had a positive prick test result for Japanese cedar pollen in the screening test. Subject whose past and present medical conditions are considered medically stable. Exclusion Criteria: Subject who had the test result of IgE antibody specific to other antigen than Japanese cedar pollen Subject who is scheduled to receive other vaccination during the primary study period. Subject who has received or is planning to receive vaccination of live vaccine within 28 days prior to the first vaccination of the study drug, and/or a subject who has received or is planning to receive vaccination of inactivated vaccine/toxoid within 7 days prior to the first vaccination of the study drug. Subject who received specific immunotherapy for cedar pollinosis in the past. Subject who received specific or non-specific immunotherapy within 5 years prior to the screening test. Subject who has used the following drug(s) prior to the first vaccination of the study drug: Within 56 days prior to the first vaccination of the study drug: Topical steroid, histamine H1-receptor antagonist, chemical mediator-isolation inhibitor, Th2 cytokine inhibitor, thromboxane A2 synthesis inhibitor, thromboxane A2 receptor antagonist, and/or leukotriene receptor antagonist Within 84 days prior to the first vaccination of the study drug: Systemic steroid, and antibody drugs (including anti-TNF-alpha antibody and anti-IgE monoclonal antibody) Subject who has history of allergic reactions such as anaphylactic shock and exanthema generalized caused by food and/or medical products (including vaccine) in the past, and/or a subject who had a fever of 39.0 degrees Celsius or higher within 2 days after the previous vaccination. Subject who has evidently high fever (37.5 degrees Celsius or higher) on the day of vaccination, or subject who has severe acute disease. Subject who meets any of the following criteria for laboratory and other tests at screening. The reference range for each test is the range used in the study site. Blood biochemistry test: AST (GOT) or ALT (GPT) value over 100 IU/L Creatinine value over 1.5 mg/dL Urine drug screening: 1. Subject who had a positive drug test result for: benzodiazepines, cocaine and similar narcotics, stimulant drugs, cannabis, barbituric acids, morphine and similar narcotics, PCPs, or tricyclic antidepressants. Immunological test: Subject who had a positive test results for HBs antigen, HCV antibody, or HIV antigen/antibody Subject who has autoimmune disease or other serious primary disease. Subject who was diagnosed with immunodeficiency in the past. Subject who has a complication of perennial allergic rhinitis, rhinitis medicamentosa, or non-allergic rhinitis which requires medical treatment. Subject who has a complication of cardiovascular disease (including cardiac failure congestive, angina pectoris, and cardiac arrhythmias which requires medical treatment). Subject who has a complication of hepatic disease (including hepatitis viral and drug-induced liver injury). Subject who has a complication of renal disease (including acute kidney injury, glomerulonephritis, and nephritis interstitial, but not including medical history of calculus). Subject who has a complication of respiratory disease (including asthma bronchial which requires medical treatment, and bronchitis chronic, but not including medical history of asthma in the childhood). Subject has a complication of malignant tumor or has been diagnosed or has received treatment for malignant tumor within 5 years prior to the first vaccination of the study drug. Subject who was diagnosed with schizophrenia, other mental conditions including bipolar disorder and major depressive disorder, or dementia, or a subject who has received drug(s) for the treatment of dementia. Subject who has a complication of dermatitis atopic. Subject who has a complication which may have an impact on the results of the local and systemic reaction or prick test assessment. Subject who has received a vaccination of Cryj2-LAMP vaccine.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Medical Director
Organizational Affiliation
Astellas Pharma Inc
Official's Role
Study Director
Facility Information:
City
Kanto
Country
Japan

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Access to anonymized individual participant level data collected during the study, in addition to study-related supporting documentation, is planned for studies conducted with approved product indications and formulations, as well as compounds terminated during development. Studies conducted with product indications or formulations that remain active in development are assessed after study completion to determine if Individual Participant Data can be shared. Conditions and exceptions are described under the Sponsor Specific Details for Astellas on www.clinicalstudydatarequest.com.
IPD Sharing Time Frame
Access to participant level data is offered to researchers after publication of the primary manuscript (if applicable) and is available as long as Astellas has legal authority to provide the data.
IPD Sharing Access Criteria
Researchers must submit a proposal to conduct a scientifically relevant analysis of the study data. The research proposal is reviewed by an Independent Research Panel. If the proposal is approved, access to the study data is provided in a secure data sharing environment after receipt of a signed Data Sharing Agreement.
IPD Sharing URL
https://www.clinicalstudydatarequest.com/
Links:
URL
https://astellasclinicalstudyresults.com/study.aspx?ID=360
Description
Link to results on Astellas Clinical Study Results website

Learn more about this trial

A Study of ASP4070 to Confirm Safety and Immunological Response in Patients With Pollen Allergy

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