search
Back to results

Biological Standardization of Dermatophagoides Pteronyssinus Allergen Extract

Primary Purpose

Allergy Dermatophagoides Pteronyssinus, Allergic Rhinitis, Allergic Asthma

Status
Completed
Phase
Phase 2
Locations
Spain
Study Type
Interventional
Intervention
Prick test Dermatophagoides pteronyssinus allergen extract
Sponsored by
Laboratorios Leti, S.L.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Allergy Dermatophagoides Pteronyssinus focused on measuring standardization, skin prick test, inmunotherapy

Eligibility Criteria

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

Inclusion Criteria:

  • Subject has provided written informed consent, appropriately signed and dated by the subject (or legal representative, if applicable).
  • Subject can be male or female of any race and ethnic group.
  • Age > and =18 years and < and =60 years at the study inclusion day.
  • Medical history of allergy with respiratory symptoms (rhinitis and /or rhinoconjunctivitis and/or asthma) to Dermatophagoides pteronyssinus.
  • Positive skin prick test with a standardized commercially available preparation of Dermatophagoides pteronyssinus allergen extract. The skin prick test will be considered positive if the test results in a wheal major diameter of at least 3 mm or an area at least 7 mm2. Positive skin prick test results are valid if performed within one year prior to the inclusion of the subject in the study
  • A positive test for specific IgE to Dermatophagoides pteronyssinus (CAP-RAST major or equal to 2). IgE results are valid if performed within one year prior to the inclusion of the subject in the study.

Exclusion Criteria:

  • Immunotherapy in the past 5 years with a Dermatophagoides pteronyssinus allergen extract or other mites allergen extracts known to interfere with the allergen to be tested, due to a high degree of cross-reactivity.
  • Use of drugs that may interfere with the skin reactions (e.g., antihistamines). See Appendix 1 of the protocol.
  • Treatment with any of the following medications: oral tricyclic or tetracyclic antidepressants or IMAOs, beta-blockers, chronic use of corticosteroids or use of oral or parenteral corticosteroids in repeated and intermittent patterns (10 mg/daily of prednisone or equivalent).
  • Women who are pregnant or period of breastfeeding and women with a pregnancy test positive during the visit 2, prior to the prick test.
  • Dermographism affecting the skin area at the test site at either study visit.
  • Atopic dermatitis affecting the skin area at the test site at either study visit.
  • Urticaria affecting the skin area at the test site at either study visit.
  • Diseases of the immune system relevant clinically, both autoimmune and immunodeficiencies.
  • Serious diseases not controlled that may increase the risk for the safety of the subjects involved in this study, including, but not limited to the following: heart failure, uncontrolled or severe respiratory diseases,endocrine diseases, clinically relevant kidney or liver diseases or hematological diseases.
  • Participation in any other clinical trial within 30 days (or 5 times the biological half-life of the research of the study product, whichever is longer) prior to the inclusion of the subject in this clinical trial.
  • Patients with diseases or conditions that limit the use of adrenaline (heart disease, severe hypertension...)
  • Severe psychiatric, psychological or neurological disorders
  • Abuse of alcohol, drugs or medicines in the previous year.

Sites / Locations

  • Hospital de Denia (Marina Salud)
  • Complexo Hospitalario Universitario A Coruña (Hospital Abente y Lago)

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

1

Arm Description

Three concentrations of Dermatophagoides pteronyssinus allergen extract (10, 1, 0.1 mg/ml) Positive control (10 mg/ml histamine dihydrochloride) Negative control (glycerinated phenol saline solution)

Outcomes

Primary Outcome Measures

Wheal size area (mm2) on the skin at the site of the puncture during the immediate phase.

Secondary Outcome Measures

Full Information

First Posted
March 27, 2013
Last Updated
February 21, 2018
Sponsor
Laboratorios Leti, S.L.
search

1. Study Identification

Unique Protocol Identification Number
NCT01821716
Brief Title
Biological Standardization of Dermatophagoides Pteronyssinus Allergen Extract
Official Title
Biological Standardization of Dermatophagoides Pteronyssinus Allergen Extract to Determine the Biological Activity in HEP Units.
Study Type
Interventional

2. Study Status

Record Verification Date
February 2018
Overall Recruitment Status
Completed
Study Start Date
March 2013 (undefined)
Primary Completion Date
January 2014 (Actual)
Study Completion Date
January 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Laboratorios Leti, S.L.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The objective of this study is to determine the biologic activity of a Dermatophagoides pteronyssinus allergen extract in histamine equivalent prick (HEP) units, in order to be used as in-house reference preparation (IHRP).
Detailed Description
This is an open, unblinded and non-randomized biological assay. The study design is a slight modification of the recommendations proposed by the Nordic Guidelines. Three concentrations of Dermatophagoides pteronyssinus allergen extract, together with a positive and negative control, using 10 mg/ml histamine dihydrochloride solution and a glycerinated phenol saline solution, respectively, will be tested in every patient in duplicate on the volar surface of the forearm.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Allergy Dermatophagoides Pteronyssinus, Allergic Rhinitis, Allergic Asthma
Keywords
standardization, skin prick test, inmunotherapy

7. Study Design

Primary Purpose
Diagnostic
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
42 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Experimental
Arm Description
Three concentrations of Dermatophagoides pteronyssinus allergen extract (10, 1, 0.1 mg/ml) Positive control (10 mg/ml histamine dihydrochloride) Negative control (glycerinated phenol saline solution)
Intervention Type
Biological
Intervention Name(s)
Prick test Dermatophagoides pteronyssinus allergen extract
Intervention Description
This is an open, unblinded and non randomized biological as proposed by the Nordic Guidelines. Three concentrations of Dermatophagoides pteronyssinus allergen extract, together with a positive and negative control, using 10 mg/ml histamine dichloride solution and a glycerinated phenol saline solution, respectively, will be tested in every patient in duplicate on the volar surface of the forearm. This test will be referred to as the Titrated Skin Prick test.
Primary Outcome Measure Information:
Title
Wheal size area (mm2) on the skin at the site of the puncture during the immediate phase.
Time Frame
Test sites should be inspected and recorded 15-20 min after application

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: Subject has provided written informed consent, appropriately signed and dated by the subject (or legal representative, if applicable). Subject can be male or female of any race and ethnic group. Age > and =18 years and < and =60 years at the study inclusion day. Medical history of allergy with respiratory symptoms (rhinitis and /or rhinoconjunctivitis and/or asthma) to Dermatophagoides pteronyssinus. Positive skin prick test with a standardized commercially available preparation of Dermatophagoides pteronyssinus allergen extract. The skin prick test will be considered positive if the test results in a wheal major diameter of at least 3 mm or an area at least 7 mm2. Positive skin prick test results are valid if performed within one year prior to the inclusion of the subject in the study A positive test for specific IgE to Dermatophagoides pteronyssinus (CAP-RAST major or equal to 2). IgE results are valid if performed within one year prior to the inclusion of the subject in the study. Exclusion Criteria: Immunotherapy in the past 5 years with a Dermatophagoides pteronyssinus allergen extract or other mites allergen extracts known to interfere with the allergen to be tested, due to a high degree of cross-reactivity. Use of drugs that may interfere with the skin reactions (e.g., antihistamines). See Appendix 1 of the protocol. Treatment with any of the following medications: oral tricyclic or tetracyclic antidepressants or IMAOs, beta-blockers, chronic use of corticosteroids or use of oral or parenteral corticosteroids in repeated and intermittent patterns (10 mg/daily of prednisone or equivalent). Women who are pregnant or period of breastfeeding and women with a pregnancy test positive during the visit 2, prior to the prick test. Dermographism affecting the skin area at the test site at either study visit. Atopic dermatitis affecting the skin area at the test site at either study visit. Urticaria affecting the skin area at the test site at either study visit. Diseases of the immune system relevant clinically, both autoimmune and immunodeficiencies. Serious diseases not controlled that may increase the risk for the safety of the subjects involved in this study, including, but not limited to the following: heart failure, uncontrolled or severe respiratory diseases,endocrine diseases, clinically relevant kidney or liver diseases or hematological diseases. Participation in any other clinical trial within 30 days (or 5 times the biological half-life of the research of the study product, whichever is longer) prior to the inclusion of the subject in this clinical trial. Patients with diseases or conditions that limit the use of adrenaline (heart disease, severe hypertension...) Severe psychiatric, psychological or neurological disorders Abuse of alcohol, drugs or medicines in the previous year.
Facility Information:
Facility Name
Hospital de Denia (Marina Salud)
City
Denia
State/Province
Alicante
ZIP/Postal Code
03700
Country
Spain
Facility Name
Complexo Hospitalario Universitario A Coruña (Hospital Abente y Lago)
City
La Coruña
ZIP/Postal Code
15001
Country
Spain

12. IPD Sharing Statement

Learn more about this trial

Biological Standardization of Dermatophagoides Pteronyssinus Allergen Extract

We'll reach out to this number within 24 hrs