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A Study of Tolerability and Safety of a New Cumulative Dose of Grass MATA MPL (G104)

Primary Purpose

Seasonal Allergic Rhinitis

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Placebo comparator
Grass MATA MPL
Sponsored by
Allergy Therapeutics
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Seasonal Allergic Rhinitis focused on measuring Grass MATA MPL, Safety

Eligibility Criteria

18 Years - 50 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Patients must have a positive skin prick test for grass pollen allergen.
  • Positive skin prick test to positive histamine control
  • Negative skin prick test to negative control
  • Specific IgE for grass pollen as documented by ImmunoCAP test with class ≥ 2
  • A history of moderate to severe symptoms of seasonal allergic rhinitis and/or conjunctivitis due to grass (Pooideae) pollen exposure that required repeated use of antihistamines, nasal steroids, and/or leukotriene modifiers for relief of symptoms during the last two consecutive seasons prior to the study
  • Males or non-pregnant, non-lactating females who are not of child-bearing potential or using effective contraception
  • Patients who are normally active and otherwise judged to be in good health
  • For patients with a history of asthma, forced expiratory volume in 1 second (FEV1) ≥ 80% of National Health and Nutrition Examination Surveys (NHANES) predicted, with a FEV1/forced vital capacity (FVC) ratio ≥ 70%.
  • Able to observe the drug washout times listed in the Prohibited Medications Table below prior to screening
  • Patients willing and able to attend required study visits and able to follow the protocol requirements.
  • Patients willing and able to give written informed consent.

Exclusion Criteria:

  • Symptoms outside the grass pollen season due to a perennial and/or non-grass seasonal allergen, if the patient is unable to avoid the offending allergen.
  • Immunological disorders or other diseases that in the opinion of the investigator may pose a safety risk.
  • Presence of moderate to severe asthma, characterized by the current use of inhaled steroids at a daily dose above 400 micrograms of budesonide (or equivalent)
  • Emergency room visit or admission for asthma in the 12 months prior to Visit 1 or history of a life-threatening asthma attack ever.
  • Presence of non-atopic rhinitis and/or rhino-sinusitis (with or without polyps).
  • Presence of any skin conditions (skin abnormalities, tattoos etc.) which might interfere with the interpretation of the SPT results.
  • Current diagnosis of type I diabetes. Patients with type II diabetes will only be allowed to participate at the discretion of the investigator.
  • Treatment with a preparation containing MPL (e.g. Cervarix) within 6 months prior to screening
  • Moderate to severe upper or lower respiratory tract infections requiring medication within 14 days of or a diagnosis of sinusitis within 30 days of randomisation
  • Clinical history of severe or life-threatening anaphylactic reactions to foods, insect venom, exercise, drugs or idiopathic anaphylaxis.
  • Clinical history of allergy, hypersensitivity or intolerance to the excipients of the study medication.
  • Tyrosine metabolism disorders, especially tyrosinemia and alkaptonuria.
  • Unable to receive epinephrine therapy (i.e., use of epinephrine is contraindicated).
  • Clinical history of immunodeficiency, including those who are on immunosuppressant therapy.
  • Clinical history of recurrent idiopathic angioedema.
  • Beta-blocker medication, including eye drops, for any indication.
  • Treatment with monoamine oxidase inhibitors, tricyclic antidepressants or ACE inhibitors.
  • Clinical history of drug or alcohol abuse which, in the investigator's opinion, could interfere with the patient's ability to participate in the study.
  • Participation in a clinical research trial with any investigational medicinal product within 4 weeks of screening or concomitantly with this study.

Sites / Locations

  • Vedas Research
  • Atlantic Reseach Center
  • STARx Asthma and Allergy Center
  • Allergy Partners of New Jersey

Arms of the Study

Arm 1

Arm 2

Arm Type

Placebo Comparator

Experimental

Arm Label

Treatment Group 1

Treatment Group 2

Arm Description

Six 1.0mL placebo injections (2% w/v L-tyrosine)

Six 1.0mL injections of Grass MATA MPL 900, 2700, 8000, 8000, 8000, and 8000 SU

Outcomes

Primary Outcome Measures

Number and frequency of adverse events (AEs)
Number and frequency of adverse reaction complexes (ARCs)
The maximum intensity of all injection site [local] and systemic AEs experienced by a patient within a 24-hour period after an injection.
Frequency of premature discontinuation from treatment or study due to AEs.
Changes in vital sign parameters at all visits in the treatment period from pre-injection to post-injection - Systolic blood pressure
Mean values compared to normal range
Changes in vital sign parameters at all visits in the treatment period from pre-injection to post-injection - Diastolic blood pressure
Mean values compared to normal range
Changes in vital sign parameters at all visits in the treatment period from pre-injection to post-injection - Pulse
Mean values compared to normal range
Changes in vital sign parameters at all visits in the treatment period from pre-injection to post-injection - Body temperature
Mean values compared to normal range
Changes in routine clinical laboratory values - Serum Chemistry
Absolute and relative number of patients with values below, within or above the normal range
Changes in routine clinical laboratory values - Hematology
Absolute and relative number of patients with values below, within or above the normal range
Changes in routine clinical laboratory values - Urinalysis
Absolute and relative number of patients with values below, within or above the normal range
Changes in peak expiratory flow rate (PEFR) before and after injections in asthmatic patients

Secondary Outcome Measures

Number and frequency of neuro-inflammatory (NI) events.
Assessed by clinical judgement
Number and frequency of new onset autoimmune disease (NOAD) events.
Assessed by clinical judgement

Full Information

First Posted
March 29, 2017
Last Updated
April 29, 2019
Sponsor
Allergy Therapeutics
Collaborators
SynteractHCR, Metronomia Clinical Research GMBH
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1. Study Identification

Unique Protocol Identification Number
NCT03931993
Brief Title
A Study of Tolerability and Safety of a New Cumulative Dose of Grass MATA MPL
Acronym
G104
Official Title
A Pre-Season,Randomized,Single-blind,Placebo-controlled,Parallel-group Study to Determine Tolerability+Safety of a New Cumulative Dose of GrassMATAMPL Compared With Placebo in Patients With Seasonal Allergic Rhinoconjunctivitis Due to Grass Pollen Allergy
Study Type
Interventional

2. Study Status

Record Verification Date
April 2019
Overall Recruitment Status
Completed
Study Start Date
January 16, 2017 (Actual)
Primary Completion Date
April 27, 2017 (Actual)
Study Completion Date
April 27, 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Allergy Therapeutics
Collaborators
SynteractHCR, Metronomia Clinical Research GMBH

4. Oversight

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

5. Study Description

Brief Summary
There is increasing evidence that the effectiveness of allergy immunotherapy to control symptoms of rhinoconjunctivitis is related to the cumulative dose of allergen or allergoid administered during a single regimen of subcutaneous (SC) injections or of sublingual administration. Previously, high cumulative doses of the Grass MATA MPL 10200 and 18200 SU (Standardized Units) were compared with the marketed dose of 5100 SU and were found to have acceptable tolerability and safety. The purpose of this study is to evaluate the tolerability and safety of an even higher cumulative dose regimen of 35600 SU. of Grass MATA MPL compared with placebo in patients with seasonal allergic rhinoconjunctivitis (SAR) due to grass pollen, to enable selection of the best dose to take forward for further development.
Detailed Description
This will be a placebo-controlled study, using a 1:1 randomization and parallel-group, single-blind design, in patients with seasonal allergic rhino-conjunctivitis to grass pollen conducted at multiple centres in the US. The study will be conducted outside the grass pollen season and is comprised of 3 periods. Period 1: Screening Period 2: Randomization and treatment Period 3: Post-treatment safety follow-up Period 1 consists of the screening visit (Visit 1) at which patient eligibility will be assessed. Blood samples will be taken for clinical safety laboratory assessments and for baseline transcriptomics analysis. Eligible patients will proceed to Period 2 for enrolment into study. Period 2 starts with the randomization visit (Visit 2: 3-33 days after Visit 1), at which eligible patients will be randomly allocated to the Grass MATA MPL 35600 SU or placebo treatment groups and receive the first of 6 weekly injections of subcutaneous immunotherapy (SCIT). Injections 2 to 6 will be administered at Visits 3 to 7. After each injection, patients will be kept under observation at the site for at least 30 minutes by personnel qualified to observe for and manage local and systemic adverse events. This period may be extended by the investigator according to his/her judgment. The observation will be followed up by a telephone call approximately 24 hours after the time of injection. In the event of mild or moderate systemic adverse events judged by the investigator to be well-tolerated by the patient and to show good recovery, the patient may continue treatment as scheduled. Period 3 (Visit 8 - End of Study) will occur 6-8 days after Visit 7 to review any AEs and to perform end-of-treatment assessments, which will include blood draws for safety laboratory tests and transcriptomics analysis.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Seasonal Allergic Rhinitis
Keywords
Grass MATA MPL, Safety

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Model Description
Single-blind
Masking
Participant
Allocation
Randomized
Enrollment
30 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Treatment Group 1
Arm Type
Placebo Comparator
Arm Description
Six 1.0mL placebo injections (2% w/v L-tyrosine)
Arm Title
Treatment Group 2
Arm Type
Experimental
Arm Description
Six 1.0mL injections of Grass MATA MPL 900, 2700, 8000, 8000, 8000, and 8000 SU
Intervention Type
Biological
Intervention Name(s)
Placebo comparator
Intervention Type
Biological
Intervention Name(s)
Grass MATA MPL
Primary Outcome Measure Information:
Title
Number and frequency of adverse events (AEs)
Time Frame
36 - 48 days
Title
Number and frequency of adverse reaction complexes (ARCs)
Description
The maximum intensity of all injection site [local] and systemic AEs experienced by a patient within a 24-hour period after an injection.
Time Frame
36 - 48 days
Title
Frequency of premature discontinuation from treatment or study due to AEs.
Time Frame
36 - 48 days
Title
Changes in vital sign parameters at all visits in the treatment period from pre-injection to post-injection - Systolic blood pressure
Description
Mean values compared to normal range
Time Frame
30 - 40 days
Title
Changes in vital sign parameters at all visits in the treatment period from pre-injection to post-injection - Diastolic blood pressure
Description
Mean values compared to normal range
Time Frame
30 - 40 days
Title
Changes in vital sign parameters at all visits in the treatment period from pre-injection to post-injection - Pulse
Description
Mean values compared to normal range
Time Frame
30 - 40 days
Title
Changes in vital sign parameters at all visits in the treatment period from pre-injection to post-injection - Body temperature
Description
Mean values compared to normal range
Time Frame
30 - 40 days
Title
Changes in routine clinical laboratory values - Serum Chemistry
Description
Absolute and relative number of patients with values below, within or above the normal range
Time Frame
36 - 48 days
Title
Changes in routine clinical laboratory values - Hematology
Description
Absolute and relative number of patients with values below, within or above the normal range
Time Frame
36 - 48 days
Title
Changes in routine clinical laboratory values - Urinalysis
Description
Absolute and relative number of patients with values below, within or above the normal range
Time Frame
36 - 48 days
Title
Changes in peak expiratory flow rate (PEFR) before and after injections in asthmatic patients
Time Frame
30 - 40 days
Secondary Outcome Measure Information:
Title
Number and frequency of neuro-inflammatory (NI) events.
Description
Assessed by clinical judgement
Time Frame
36 - 48 days
Title
Number and frequency of new onset autoimmune disease (NOAD) events.
Description
Assessed by clinical judgement
Time Frame
36 - 48 days
Other Pre-specified Outcome Measures:
Title
Transcriptomics analysis
Description
X fold-change in expression of selected genes (before and after the treatment)
Time Frame
36-48 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients must have a positive skin prick test for grass pollen allergen. Positive skin prick test to positive histamine control Negative skin prick test to negative control Specific IgE for grass pollen as documented by ImmunoCAP test with class ≥ 2 A history of moderate to severe symptoms of seasonal allergic rhinitis and/or conjunctivitis due to grass (Pooideae) pollen exposure that required repeated use of antihistamines, nasal steroids, and/or leukotriene modifiers for relief of symptoms during the last two consecutive seasons prior to the study Males or non-pregnant, non-lactating females who are not of child-bearing potential or using effective contraception Patients who are normally active and otherwise judged to be in good health For patients with a history of asthma, forced expiratory volume in 1 second (FEV1) ≥ 80% of National Health and Nutrition Examination Surveys (NHANES) predicted, with a FEV1/forced vital capacity (FVC) ratio ≥ 70%. Able to observe the drug washout times listed in the Prohibited Medications Table below prior to screening Patients willing and able to attend required study visits and able to follow the protocol requirements. Patients willing and able to give written informed consent. Exclusion Criteria: Symptoms outside the grass pollen season due to a perennial and/or non-grass seasonal allergen, if the patient is unable to avoid the offending allergen. Immunological disorders or other diseases that in the opinion of the investigator may pose a safety risk. Presence of moderate to severe asthma, characterized by the current use of inhaled steroids at a daily dose above 400 micrograms of budesonide (or equivalent) Emergency room visit or admission for asthma in the 12 months prior to Visit 1 or history of a life-threatening asthma attack ever. Presence of non-atopic rhinitis and/or rhino-sinusitis (with or without polyps). Presence of any skin conditions (skin abnormalities, tattoos etc.) which might interfere with the interpretation of the SPT results. Current diagnosis of type I diabetes. Patients with type II diabetes will only be allowed to participate at the discretion of the investigator. Treatment with a preparation containing MPL (e.g. Cervarix) within 6 months prior to screening Moderate to severe upper or lower respiratory tract infections requiring medication within 14 days of or a diagnosis of sinusitis within 30 days of randomisation Clinical history of severe or life-threatening anaphylactic reactions to foods, insect venom, exercise, drugs or idiopathic anaphylaxis. Clinical history of allergy, hypersensitivity or intolerance to the excipients of the study medication. Tyrosine metabolism disorders, especially tyrosinemia and alkaptonuria. Unable to receive epinephrine therapy (i.e., use of epinephrine is contraindicated). Clinical history of immunodeficiency, including those who are on immunosuppressant therapy. Clinical history of recurrent idiopathic angioedema. Beta-blocker medication, including eye drops, for any indication. Treatment with monoamine oxidase inhibitors, tricyclic antidepressants or ACE inhibitors. Clinical history of drug or alcohol abuse which, in the investigator's opinion, could interfere with the patient's ability to participate in the study. Participation in a clinical research trial with any investigational medicinal product within 4 weeks of screening or concomitantly with this study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Tim Higenbottam, MD, FRCP
Organizational Affiliation
Allergy Therapeutics
Official's Role
Study Director
Facility Information:
Facility Name
Vedas Research
City
Edison
State/Province
New Jersey
Country
United States
Facility Name
Atlantic Reseach Center
City
Ocean City
State/Province
New Jersey
ZIP/Postal Code
07712
Country
United States
Facility Name
STARx Asthma and Allergy Center
City
Springfield
State/Province
New Jersey
ZIP/Postal Code
07081-2515
Country
United States
Facility Name
Allergy Partners of New Jersey
City
Teaneck
State/Province
New Jersey
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

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A Study of Tolerability and Safety of a New Cumulative Dose of Grass MATA MPL

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