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Red Maple Trials Cat Allergen Natural Exposure Chamber Validation in Cat-allergic Subjects (NEC)

Primary Purpose

Allergic Rhinitis, Rhinoconjunctivitis, Exposure

Status
Completed
Phase
Not Applicable
Locations
Canada
Study Type
Interventional
Intervention
Allergen Exposure
Sponsored by
Red Maple Trials Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Allergic Rhinitis focused on measuring Environmental Exposure Unit, Cat Allergen, Rhinitis, Subject Validation

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria for Allergic Subjects:

  • Male and female adults, 18 years to 65 years of age
  • Willing and able to give informed consent for participation in the study.
  • Otherwise healthy with a diagnosis of perennial allergic rhinitis and a clinical history of nasal symptoms during exposure to cat in the previous 2 years
  • With positive skin prick test reactivity to cat dander. A positive skin prick test is a wheal ≥3 mm larger than the negative control performed at the screening visit or within 6 months of the screening visit provided that complete documentation (specific allergen used for the SPT and the size of the reaction) is available
  • Having sufficient rhinoconjunctivitis symptoms (TRCSS score ≥5) during the first cat challenge
  • If subjects are taking medications (other than allergy medications), the dosing must be stable for at least 4 weeks prior to study entry
  • With laboratory results at the screening visit which, in the opinion of the investigator, are clinically acceptable for the subject to be enrolled in the study
  • Able (in the investigators opinion) and willing to comply with all study requirements

Exclusion Criteria for Allergic Subjects:

  • Subjects with a cat at home or who are regularly exposed to cats during the study period
  • Subjects with a diagnosis of asthma with the exception of mild intermittent asthma defined as normal lung function and intermittent treatment with a short-acting beta agonist only
  • Subjects with a history of anaphylactic reactions defined as previous or current presentation with two or more of the following:

    • Involvement of the skin or mucosa
    • respiratory difficulties
    • low blood pressure
    • gastrointestinal symptoms
  • Subjects who have undergone allergen desensitization for cat allergy within the last 2 years
  • Subjects with structural nasal defects or nasal polyps
  • Subjects with a positive skin-prick test reaction to house dust mite
  • Subjects having an infection of the upper airways within 2 weeks prior to the screening visit.
  • Subjects who develop an upper respiratory tract infection during the study will be discontinued
  • Subjects who have received treatment with Xolair or immunosuppressants during the 4 months prior to the screening visit
  • Subjects who wear contact lenses will not be permitted to wear them during the challenge sessions
  • Female subjects who are pregnant or lactating at screening or who are planning pregnancy during the course of the study
  • Subjects with significant renal or hepatic impairment at screening
  • Subjects with scheduled elective surgery or other procedures requiring general anaesthesia during the study
  • Subjects with any other significant disease or disorder which, in the opinion of the investigator, may either put the participant at risk because of participation in the study, or may influence the outcomes of the study, or the participant's ability to participate in the study
  • Subjects who have participated in another research study involving an investigational product within 30 days or 5 half-lives prior to the screening visit
  • Subjects who are using unacceptable concomitant medications within the washout period prior to the screening visit (see Table 7.2-1)
  • Subjects with a history of alcohol or drug abuse within the previous 5 years
  • Subjects with known HIV or hepatitis B or C positivity
  • Subjects who for any reason would be unlikely to comply with the study requirements

Inclusion Criteria for non allergic subjects:

  • Healthy male and female adults, 18 years to 65 years of age
  • Willing and able to give informed consent for participation in the study.
  • With laboratory results at the screening visit which, in the opinion of the investigator, are clinically acceptable for the subject to be enrolled in the study
  • Able (in the investigators opinion) and willing to comply with all study requirements

Exclusion Criteria for non allergic subjects:

  • With a diagnosis of perennial allergic rhinitis and a clinical history of nasal symptoms during exposure to cat in the previous 2 years
  • With positive skin prick test reactivity to cat dander. A positive skin prick test is a wheal ≥3 mm larger than the negative control performed at the screening visit
  • Subjects with a cat at home or who are regularly exposed to cats during the study period
  • Subjects with a diagnosis of asthma with the exception of mild intermittent asthma defined as normal lung function and intermittent treatment with a short-acting beta agonist only
  • Subjects with a history of anaphylactic reactions defined as previous or current presentation with two or more of the following:

    • Involvement of the skin or mucosa
    • respiratory difficulties
    • low blood pressure
    • gastrointestinal symptoms
  • Subjects with structural nasal defects or nasal polyps
  • Subjects with a positive skin-prick test reaction to house dust mite
  • Subjects having an infection of the upper airways within 2 weeks prior to the screening visit.
  • Subjects who develop an upper respiratory tract infection during the study will be discontinued
  • Subjects who have received treatment with Xolair or immunosuppressants during the 4 months prior to the screening visit
  • Subjects who wear contact lenses will not be permitted to wear them during the challenge sessions
  • Female subjects who are pregnant or lactating at screening or who are planning pregnancy during the course of the study
  • Subjects with significant renal or hepatic impairment at screening
  • Subjects with scheduled elective surgery or other procedures requiring general anaesthesia during the study
  • Subjects with any other significant disease or disorder which, in the opinion of the investigator, may either put the participant at risk because of participation in the study, or may influence the outcomes of the study, or the participant's ability to participate in the study
  • Subjects who have participated in another research study involving an investigational product within 30 days or 5 half-lives prior to the screening visit
  • Subjects who are using unacceptable concomitant medications within the washout period prior to the screening visit (see Table 7.2-1)
  • Subjects with a history of alcohol or drug abuse within the previous 5 years
  • Subjects with known HIV or hepatitis B or C positivity
  • Subjects who for any reason would be unlikely to comply with the study requirements

Sites / Locations

  • Ottawa Allergy Research Corporation

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Active Comparator

Arm Label

Cohort 1

Cohort 2

Arm Description

Cat Allergic Subjects

Non-Allergic Subjects will

Outcomes

Primary Outcome Measures

Difference in Total Nasal Symptom Score (TNSS) change from baseline to the end of the challenge between the two challenge days (Visits 2 and 3) in the cat-allergic subjects
Runny nose, sneezing, blocked nose, itchy nose

Secondary Outcome Measures

TNSS change from baseline to the end of the challenge of allergic subjects to non-allergic subjects
Difference in exposure time between the two exposure days for all subjects
Comparison of the exposure times of allergic compared to non-allergic subjects
Comparison of TNSS at individual time points on the two exposure days
Runny nose, sneezing, blocked nose, itchy nose
Comparison of Total Respiratory Symptom Score (TRSS) at individual time points on the two exposure days
Wheezing, shortness of breath, coughing
Comparison of Total Rhinoconjunctivitis Symptom Score (TRCSS) at individual time points on the two exposure days
Sum of TNSS and TOSS
Comparison of Total Ocular Symptom Score (TOSS) at individual time points on the two exposure days
Itchy eyes and watery eyes
Comparison of Fel d1 levels during the exposures

Full Information

First Posted
January 18, 2018
Last Updated
August 23, 2018
Sponsor
Red Maple Trials Inc.
Collaborators
Ottawa Allergy Research Corporation
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1. Study Identification

Unique Protocol Identification Number
NCT03414801
Brief Title
Red Maple Trials Cat Allergen Natural Exposure Chamber Validation in Cat-allergic Subjects
Acronym
NEC
Official Title
A Single-Group Study Evaluating Reproducibility of Rhinitis Symptoms Induced by Cat Allergen (Fel d1) Exposure in the Red Maple Trials Natural Exposure Chamber (NEC) ™ in Subjects With Cat Allergy
Study Type
Interventional

2. Study Status

Record Verification Date
April 2018
Overall Recruitment Status
Completed
Study Start Date
February 6, 2018 (Actual)
Primary Completion Date
April 15, 2018 (Actual)
Study Completion Date
July 30, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Red Maple Trials Inc.
Collaborators
Ottawa Allergy Research Corporation

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
To assess the reproducibility of the allergic response in the cat allergic subjects, measured as the change from baseline of the Total Nasal Symptom Score (TNSS) on the two challenge days.
Detailed Description
To validate the Red Maple Trials Natural Exposure Chamber for cat exposure studies in non-asthmatic subjects with perennial allergic rhinitis and allergy to cat dander by examining the reproducibility of the response on two allergen challenge days and comparing the response of allergic to non-allergic subjects.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Allergic Rhinitis, Rhinoconjunctivitis, Exposure
Keywords
Environmental Exposure Unit, Cat Allergen, Rhinitis, Subject Validation

7. Study Design

Primary Purpose
Other
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
6 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Cohort 1
Arm Type
Active Comparator
Arm Description
Cat Allergic Subjects
Arm Title
Cohort 2
Arm Type
Active Comparator
Arm Description
Non-Allergic Subjects will
Intervention Type
Other
Intervention Name(s)
Allergen Exposure
Other Intervention Name(s)
Environmental Exposure
Intervention Description
Subjects will undergo two exposure sessions, one week apart, of up to 1 hour depending on the subject's symptom severity and pulmonary function. During the exposure, subjects will be exposed to cat dander and levels of cat allergen, Fel d1, will be measured using sampling pumps with attached filters.
Primary Outcome Measure Information:
Title
Difference in Total Nasal Symptom Score (TNSS) change from baseline to the end of the challenge between the two challenge days (Visits 2 and 3) in the cat-allergic subjects
Description
Runny nose, sneezing, blocked nose, itchy nose
Time Frame
15 weeks
Secondary Outcome Measure Information:
Title
TNSS change from baseline to the end of the challenge of allergic subjects to non-allergic subjects
Time Frame
15 weeks
Title
Difference in exposure time between the two exposure days for all subjects
Time Frame
15 weeks
Title
Comparison of the exposure times of allergic compared to non-allergic subjects
Time Frame
15 weeks
Title
Comparison of TNSS at individual time points on the two exposure days
Description
Runny nose, sneezing, blocked nose, itchy nose
Time Frame
15 weeks
Title
Comparison of Total Respiratory Symptom Score (TRSS) at individual time points on the two exposure days
Description
Wheezing, shortness of breath, coughing
Time Frame
15 weeks
Title
Comparison of Total Rhinoconjunctivitis Symptom Score (TRCSS) at individual time points on the two exposure days
Description
Sum of TNSS and TOSS
Time Frame
15 weeks
Title
Comparison of Total Ocular Symptom Score (TOSS) at individual time points on the two exposure days
Description
Itchy eyes and watery eyes
Time Frame
15 weeks
Title
Comparison of Fel d1 levels during the exposures
Time Frame
15 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria for Allergic Subjects: Male and female adults, 18 years to 65 years of age Willing and able to give informed consent for participation in the study. Otherwise healthy with a diagnosis of perennial allergic rhinitis and a clinical history of nasal symptoms during exposure to cat in the previous 2 years With positive skin prick test reactivity to cat dander. A positive skin prick test is a wheal ≥3 mm larger than the negative control performed at the screening visit or within 6 months of the screening visit provided that complete documentation (specific allergen used for the SPT and the size of the reaction) is available Having sufficient rhinoconjunctivitis symptoms (TRCSS score ≥5) during the first cat challenge If subjects are taking medications (other than allergy medications), the dosing must be stable for at least 4 weeks prior to study entry With laboratory results at the screening visit which, in the opinion of the investigator, are clinically acceptable for the subject to be enrolled in the study Able (in the investigators opinion) and willing to comply with all study requirements Exclusion Criteria for Allergic Subjects: Subjects with a cat at home or who are regularly exposed to cats during the study period Subjects with a diagnosis of asthma with the exception of mild intermittent asthma defined as normal lung function and intermittent treatment with a short-acting beta agonist only Subjects with a history of anaphylactic reactions defined as previous or current presentation with two or more of the following: Involvement of the skin or mucosa respiratory difficulties low blood pressure gastrointestinal symptoms Subjects who have undergone allergen desensitization for cat allergy within the last 2 years Subjects with structural nasal defects or nasal polyps Subjects with a positive skin-prick test reaction to house dust mite Subjects having an infection of the upper airways within 2 weeks prior to the screening visit. Subjects who develop an upper respiratory tract infection during the study will be discontinued Subjects who have received treatment with Xolair or immunosuppressants during the 4 months prior to the screening visit Subjects who wear contact lenses will not be permitted to wear them during the challenge sessions Female subjects who are pregnant or lactating at screening or who are planning pregnancy during the course of the study Subjects with significant renal or hepatic impairment at screening Subjects with scheduled elective surgery or other procedures requiring general anaesthesia during the study Subjects with any other significant disease or disorder which, in the opinion of the investigator, may either put the participant at risk because of participation in the study, or may influence the outcomes of the study, or the participant's ability to participate in the study Subjects who have participated in another research study involving an investigational product within 30 days or 5 half-lives prior to the screening visit Subjects who are using unacceptable concomitant medications within the washout period prior to the screening visit (see Table 7.2-1) Subjects with a history of alcohol or drug abuse within the previous 5 years Subjects with known HIV or hepatitis B or C positivity Subjects who for any reason would be unlikely to comply with the study requirements Inclusion Criteria for non allergic subjects: Healthy male and female adults, 18 years to 65 years of age Willing and able to give informed consent for participation in the study. With laboratory results at the screening visit which, in the opinion of the investigator, are clinically acceptable for the subject to be enrolled in the study Able (in the investigators opinion) and willing to comply with all study requirements Exclusion Criteria for non allergic subjects: With a diagnosis of perennial allergic rhinitis and a clinical history of nasal symptoms during exposure to cat in the previous 2 years With positive skin prick test reactivity to cat dander. A positive skin prick test is a wheal ≥3 mm larger than the negative control performed at the screening visit Subjects with a cat at home or who are regularly exposed to cats during the study period Subjects with a diagnosis of asthma with the exception of mild intermittent asthma defined as normal lung function and intermittent treatment with a short-acting beta agonist only Subjects with a history of anaphylactic reactions defined as previous or current presentation with two or more of the following: Involvement of the skin or mucosa respiratory difficulties low blood pressure gastrointestinal symptoms Subjects with structural nasal defects or nasal polyps Subjects with a positive skin-prick test reaction to house dust mite Subjects having an infection of the upper airways within 2 weeks prior to the screening visit. Subjects who develop an upper respiratory tract infection during the study will be discontinued Subjects who have received treatment with Xolair or immunosuppressants during the 4 months prior to the screening visit Subjects who wear contact lenses will not be permitted to wear them during the challenge sessions Female subjects who are pregnant or lactating at screening or who are planning pregnancy during the course of the study Subjects with significant renal or hepatic impairment at screening Subjects with scheduled elective surgery or other procedures requiring general anaesthesia during the study Subjects with any other significant disease or disorder which, in the opinion of the investigator, may either put the participant at risk because of participation in the study, or may influence the outcomes of the study, or the participant's ability to participate in the study Subjects who have participated in another research study involving an investigational product within 30 days or 5 half-lives prior to the screening visit Subjects who are using unacceptable concomitant medications within the washout period prior to the screening visit (see Table 7.2-1) Subjects with a history of alcohol or drug abuse within the previous 5 years Subjects with known HIV or hepatitis B or C positivity Subjects who for any reason would be unlikely to comply with the study requirements
Facility Information:
Facility Name
Ottawa Allergy Research Corporation
City
Ottawa
State/Province
Ontario
ZIP/Postal Code
K1G6C6
Country
Canada

12. IPD Sharing Statement

Plan to Share IPD
No

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Red Maple Trials Cat Allergen Natural Exposure Chamber Validation in Cat-allergic Subjects

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