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Innate Neutrophilic Nasal Inflammation in a Pollen Exposure Chamber (Pollen)

Primary Purpose

Allergic Rhinitis

Status
Completed
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
ragweed pollen
Sponsored by
The University of Texas Medical Branch, Galveston
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional health services research trial for Allergic Rhinitis

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Participant demonstrates understanding of the study and has provided an appropriately signed and dated informed consent.
  2. Male or Female, 18 to 70 years of age, at time of the Screening visit.
  3. Positive allergic participants must have a history of at least moderate AR due to hypersensitivity to ragweed pollen for a minimum of 2 years prior to the Screening visit.
  4. Positive allergic participants must respond to the ragweed pollen through a standard SPT administered at the Screening visit. A positive SPT is defined as a specified aeroallergen wheal diameter of at least 5 mm or larger than the negative control (normal saline). A historical SPT performed within three-hundred sixty-five (365) days or one (1) year will be accepted in lieu of performing a new SPT.
  5. Normal negative control participants must have no medical history suggestive of chronic or recurrent nasal and ocular symptoms secondary to allergy to the ragweed pollen.
  6. Normal negative control participants must demonstrate a negative SPT to the ragweed pollen at the Screening visit. A historical SPT performed within three-hundred sixty-five (365) days or one (1) year will be accepted in lieu of performing a new SPT.
  7. Subject understands and is willing, able and likely to comply with study procedures and restrictions.
  8. Subject, if female of child bearing potential, must have a negative urine pregnancy test at Visit 1. All females of child bearing potential must agree to a medically acceptable form of birth control throughout the study duration and for at least 1 month prior to Visit 1. Acceptable methods of birth control for this study include:

    1. oral, patch, or intra-vaginal contraceptives
    2. Norplant System®
    3. Depo-Provera®
    4. Intrauterine device (IUD)
    5. double barrier method
    6. abstinence
    7. surgically sterile females (hysterectomy or tubal ligation)
    8. > 1 year post-menopausal females
    9. abstinence
  9. Other than SAR, participant is healthy as determined by pre-study medical history, physical examination and vital signs. Any chronic conditions that may interfere with the study outcomes or the subject's safety will be considered clinically significant and a reason for exclusion.
  10. Subject must be able to read, comprehend, and record all information in English.

Exclusion Criteria:

  1. Has significant current nasal or ocular symptoms that the study doctor associates with perennial allergic or non-allergic rhinitis.
  2. Female participant who is pregnant or lactating.
  3. Has a history of any illness that, in the opinion of the study investigator, might confound the results of the study or poses an additional risk to the participant by their participation in the study. This includes a clinically relevant medical or surgical history or presence of other respiratory disease (exceptions made for asthma and AR as defined in further exclusion criteria), or gastrointestinal, renal, hepatic, hematological, lymphatic, neurological, cardiovascular, psychiatric, musculoskeletal, immunological, dermatological, connective tissue diseases or disorders, or a history of malignancy within the past 5 years, with the exception of non- melanoma skin cancer.
  4. Has any significant abnormalities found during physical exam as determined by the investigator.
  5. Has had a respiratory and/or bacterial sinusitis infection during the past one (1) week prior to the first challenge visit or any subsequent study visits.
  6. Has a current medical history of significant pulmonary disease and/or active asthma requiring daily drug therapy. Mild, intermittent asthma is permitted (managed with short acting beta-agonist less than 3 times per week). Isolated exercise-induced bronchospasm is also permitted.
  7. Has received an investigational drug within the last thirty (30) days.
  8. Has a history of rebound nasal congestion from extended use of topical decongestants.
  9. Has had use of immunotherapy containing short ragweed within the last 3 years.
  10. Has a history of nasal polyps, nasal septal perforation, or nasal tract malformations as noted on physical exam.
  11. Has a clinically significant history of substance abuse, drug addiction, or alcohol abuse in the past 3 years in the judgement of the investigator.
  12. Currently uses or is expected to use any of the disallowed medications as listed in Disallowed Medications in section 4.3.
  13. Cannot communicate reliably with the investigator.
  14. Is unlikely to cooperate with the requirements of the study.

    -

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Other

    Other

    Arm Label

    Allergic Subjects

    Healthy

    Arm Description

    After recording baseline symptoms, subjects were exposed to ragweed pollen for three hours and symptoms were recorded

    After recording baseline symptoms, subjects were exposed to ragweed pollen for three hours and symptoms were recorded

    Outcomes

    Primary Outcome Measures

    Effect of ragweed pollen exposure
    Subjects self-recorded nasal allergy symptom scores from exposure to ragweed pollen in an Allergen Challenge Chamber (ACC). The subjects self-assessed total nasal symptom scores, a combination or runny nose, itchy nose, sneezing and nasal congestion on a scale of 0-3 using the Likert 4-point severity score: 0=none, 1=minimal, 2=moderate, 3=severe symptoms

    Secondary Outcome Measures

    Full Information

    First Posted
    April 3, 2018
    Last Updated
    April 11, 2018
    Sponsor
    The University of Texas Medical Branch, Galveston
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    1. Study Identification

    Unique Protocol Identification Number
    NCT03496103
    Brief Title
    Innate Neutrophilic Nasal Inflammation in a Pollen Exposure Chamber
    Acronym
    Pollen
    Official Title
    Induction of Innate Neutrophilic Nasal Inflammation in a Pollen Exposure Chamber
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    April 2018
    Overall Recruitment Status
    Completed
    Study Start Date
    February 29, 2016 (Actual)
    Primary Completion Date
    March 12, 2016 (Actual)
    Study Completion Date
    March 12, 2016 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    The University of Texas Medical Branch, Galveston

    4. Oversight

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

    5. Study Description

    Brief Summary
    In this study subjects self recorded nasal and ocular symptoms scores from exposure to ragweed pollen in an Allergen Challenge Chamber (ACC). This single site study of seasonal allergic rhinitis was designed to enroll up to 35 participants. These participants would be age 18-70, male and female, with a mixture of ethnic groups. The study would involve 2 phases: Screening and Exposure. In the Exposure phase, participants were exposed to pollen for up to 180 minutes.
    Detailed Description
    This was a study to evaluate self recorded nasal and ocular allergy symptom scores from exposure to ragweed pollen in an Allergen Challenge Chamber (ACC). This single site study of seasonal allergic rhinitis was designed to enroll up to 35 participants. These participants would be age 18-70, male and female, with a mixture of ethnic groups. The study would involve 2 phases: Screening and Exposure. In the Exposure phase, participants were exposed to pollen for up to 180 minutes. For allergic participants, qualification symptom scores at 120 minutes of exposure determined if ACC exposure would be continued.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Allergic Rhinitis

    7. Study Design

    Primary Purpose
    Health Services Research
    Study Phase
    Phase 1
    Interventional Study Model
    Parallel Assignment
    Model Description
    Healthy non allergic and ragweed allergic subjects were exposed to ragweed pollen in a pollen exposure chamber for 3 hrs and symptom score was recorded
    Masking Description
    Investigator received de-identified biological material for further studies.
    Allocation
    Non-Randomized
    Enrollment
    29 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Allergic Subjects
    Arm Type
    Other
    Arm Description
    After recording baseline symptoms, subjects were exposed to ragweed pollen for three hours and symptoms were recorded
    Arm Title
    Healthy
    Arm Type
    Other
    Arm Description
    After recording baseline symptoms, subjects were exposed to ragweed pollen for three hours and symptoms were recorded
    Intervention Type
    Biological
    Intervention Name(s)
    ragweed pollen
    Intervention Description
    three hours ragweed pollen in a allergen exposure chamber
    Primary Outcome Measure Information:
    Title
    Effect of ragweed pollen exposure
    Description
    Subjects self-recorded nasal allergy symptom scores from exposure to ragweed pollen in an Allergen Challenge Chamber (ACC). The subjects self-assessed total nasal symptom scores, a combination or runny nose, itchy nose, sneezing and nasal congestion on a scale of 0-3 using the Likert 4-point severity score: 0=none, 1=minimal, 2=moderate, 3=severe symptoms
    Time Frame
    3 hours

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    70 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Participant demonstrates understanding of the study and has provided an appropriately signed and dated informed consent. Male or Female, 18 to 70 years of age, at time of the Screening visit. Positive allergic participants must have a history of at least moderate AR due to hypersensitivity to ragweed pollen for a minimum of 2 years prior to the Screening visit. Positive allergic participants must respond to the ragweed pollen through a standard SPT administered at the Screening visit. A positive SPT is defined as a specified aeroallergen wheal diameter of at least 5 mm or larger than the negative control (normal saline). A historical SPT performed within three-hundred sixty-five (365) days or one (1) year will be accepted in lieu of performing a new SPT. Normal negative control participants must have no medical history suggestive of chronic or recurrent nasal and ocular symptoms secondary to allergy to the ragweed pollen. Normal negative control participants must demonstrate a negative SPT to the ragweed pollen at the Screening visit. A historical SPT performed within three-hundred sixty-five (365) days or one (1) year will be accepted in lieu of performing a new SPT. Subject understands and is willing, able and likely to comply with study procedures and restrictions. Subject, if female of child bearing potential, must have a negative urine pregnancy test at Visit 1. All females of child bearing potential must agree to a medically acceptable form of birth control throughout the study duration and for at least 1 month prior to Visit 1. Acceptable methods of birth control for this study include: oral, patch, or intra-vaginal contraceptives Norplant System® Depo-Provera® Intrauterine device (IUD) double barrier method abstinence surgically sterile females (hysterectomy or tubal ligation) > 1 year post-menopausal females abstinence Other than SAR, participant is healthy as determined by pre-study medical history, physical examination and vital signs. Any chronic conditions that may interfere with the study outcomes or the subject's safety will be considered clinically significant and a reason for exclusion. Subject must be able to read, comprehend, and record all information in English. Exclusion Criteria: Has significant current nasal or ocular symptoms that the study doctor associates with perennial allergic or non-allergic rhinitis. Female participant who is pregnant or lactating. Has a history of any illness that, in the opinion of the study investigator, might confound the results of the study or poses an additional risk to the participant by their participation in the study. This includes a clinically relevant medical or surgical history or presence of other respiratory disease (exceptions made for asthma and AR as defined in further exclusion criteria), or gastrointestinal, renal, hepatic, hematological, lymphatic, neurological, cardiovascular, psychiatric, musculoskeletal, immunological, dermatological, connective tissue diseases or disorders, or a history of malignancy within the past 5 years, with the exception of non- melanoma skin cancer. Has any significant abnormalities found during physical exam as determined by the investigator. Has had a respiratory and/or bacterial sinusitis infection during the past one (1) week prior to the first challenge visit or any subsequent study visits. Has a current medical history of significant pulmonary disease and/or active asthma requiring daily drug therapy. Mild, intermittent asthma is permitted (managed with short acting beta-agonist less than 3 times per week). Isolated exercise-induced bronchospasm is also permitted. Has received an investigational drug within the last thirty (30) days. Has a history of rebound nasal congestion from extended use of topical decongestants. Has had use of immunotherapy containing short ragweed within the last 3 years. Has a history of nasal polyps, nasal septal perforation, or nasal tract malformations as noted on physical exam. Has a clinically significant history of substance abuse, drug addiction, or alcohol abuse in the past 3 years in the judgement of the investigator. Currently uses or is expected to use any of the disallowed medications as listed in Disallowed Medications in section 4.3. Cannot communicate reliably with the investigator. Is unlikely to cooperate with the requirements of the study. -
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Sanjiv Sur, MD
    Organizational Affiliation
    University of Texas
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

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    Innate Neutrophilic Nasal Inflammation in a Pollen Exposure Chamber

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