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Efficacy of the Anti-Bet v 1 Monoclonal Antibodies (Given Subcutaneously) to Reduce Allergic Rhinitis and Conjunctivitis Symptoms and Skin Test Reactivity Upon Exposure to Birch Allergen in Adult Participants

Primary Purpose

Allergic Rhinitis, Conjunctivitis

Status
Completed
Phase
Phase 2
Locations
Canada
Study Type
Interventional
Intervention
REGN5713
REGN5714
REGN5715
Placebo
Sponsored by
Regeneron Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Allergic Rhinitis focused on measuring Birch Allergy, Birch Pollen Season, Monoclonal antibody(ies), Oak Pollen Season, Subcutaneous immunotherapy, Skin Prick Test

Eligibility Criteria

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

Key Inclusion Criteria:

  1. Documented or participant-reported history of birch tree pollen-triggered allergic-rhinitis (AR) symptoms with or without conjunctivitis (for at least 2 seasons)
  2. Positive Skin prick test (SPT) with birch tree pollen extract (mean wheal diameter at least 5 mm greater than a negative control) in screening period
  3. Positive allergen-specific immunoglobulin E (sIgE) tests for birch tree pollen and Bet v 1 (≥0.7 kUa/L) in screening period
  4. Demonstrated TNSS ≥ 6 out of 12 on at least 2 time points during the birch EEU exposure challenge in screening period

Key Exclusion Criteria:

  1. Participation in a prior REGN5713-5714-5715 clinical trial and received REGN5713-5714-5715 antibodies (receipt of placebo in a previous trial is allowed)
  2. Significant rhinitis, sinusitis, significant and/or severe allergies not associated with the birch pollen season, or due to daily contact with other non-birch related allergens causing symptoms that are expected to coincide or potentially interfere with the study EEU assessments or with the birch pollen season, as assessed by the investigator
  3. Participants who anticipate major changes in allergen exposure during the birch pollen season that are expected to coincide with study assessments or planned travel that is expected to interfere with the study assessments, as assessed by the investigator (eg. anticipated travel during planned EEU sessions or birch pollen season)
  4. Persistent chronic or recurring acute infection requiring treatment with antibiotics, antivirals, or antifungals, or any untreated respiratory infections within 4 weeks prior to screening visit 1. Patients may be re-evaluated for eligibility after resolution of symptoms and specified duration.
  5. History of significant, recurrent sinusitis, defined as at least 3 episodes requiring antibiotic treatment per year for the last 2 years
  6. Abnormal lung function as judged by the investigator with Forced Expiratory Volume (FEV1) <75% of predicted at screening or randomization
  7. A clinical history of moderate to severe asthma, uncontrolled asthma, global initiative for asthma [GINA] steps 3 to 5, history of life-threatening asthma, asthma exacerbations due to tree pollen allergy within 2 prior seasons, >2 asthma exacerbations requiring systemic steroids in past 12 months, asthma related emergency care or hospitalization within 12 months prior to screening, as defined in the protocol.
  8. History of birch or other tree allergen immunotherapy in the 3 years prior to screening.
  9. Use of anti-IgE or other biological therapy (including but not limited to anti IL-5, anti IL-4) that interferes with type 2 disease within 6 months prior to screening visit 1.
  10. Allergen-specific immunotherapy with any allergen other than birch or other trees at screening.
  11. History of clinically significant cardiovascular, respiratory, hepatic, renal, gastrointestinal, endocrine, hematological, psychiatric, or neurological disease,
  12. Any malignancy within the past 5 years, except for basal cell or squamous epithelial cell carcinomas of the skin or carcinoma in situ of the cervix or anus that have been resected, with no evidence of local recurrence or metastatic disease for 3 years.

NOTE: Other protocol defined Inclusion/Exclusion Criteria apply

Sites / Locations

  • Kingston General Health Research Institute
  • Inflamax Research Limited DBA Cliantha Research
  • Clinique Specialisee en Allergie de la Capitale

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

REGN5713-5714-5715

REGN5713-5715

REGN5715

Matching Placebo

Arm Description

3-mAb

2-mAb

1-mAb

Outcomes

Primary Outcome Measures

Mean of Total Nasal Symptom Score [TNSS (2 to 6 hours)] during a birch allergen environmental exposure unit (EEU) challenge
The TNSS ranges from 0 to 12 and is based on assessment of 4 nasal symptoms graded on a Likert scale ranging from 0 (none) to 3 (severe) for nasal congestion, itching, and runny nose, and sneezing.

Secondary Outcome Measures

Mean of TNSS (2 to 6 hours) during out-of-season birch allergen EEU challenges except for 3-mAb
The TNSS ranges from 0 to 12 and is based on assessment of 4 nasal symptoms graded on a Likert scale ranging from 0 (none) to 3 (severe) for nasal congestion, itching, and runny nose, and sneezing.
Mean of TNSS (2 to 6 hours) during out-of-season birch allergen EEU challenges for 3-mAb only
The TNSS ranges from 0 to 12 and is based on assessment of 4 nasal symptoms graded on a Likert scale ranging from 0 (none) to 3 (severe) for nasal congestion, itching, and runny nose, and sneezing.
Mean of Total Ocular Symptom Score (TOSS) (2 to 6 hours) during out-of-season birch allergen EEU challenges
The TOSS ranges from 0 to 6 and is based on 2 eye symptoms: itching/redness/gritty feeling and tearing/watering. Each of the 2 symptoms is graded on a Likert scale ranging from 0 (none) to 3 (severe).
Mean of Total Symptom Score (TSS) (2 to 6 hours) during out-of-season birch allergen EEU challenges
The TSS is calculated by adding the TNSS and TOSS together, for a combined TSS of 0 to 18.
Change from pre-treatment baseline in TNSS (2 to 6 hours) during out-of-season birch allergen EEU challenges
The TNSS ranges from 0 to 12 and is based on assessment of 4 nasal symptoms graded on a Likert scale ranging from 0 (none) to 3 (severe) for nasal congestion, itching, and runny nose, and sneezing.
Change from pre-treatment baseline in TOSS (2 to 6 hours) during out-of-season birch allergen EEU challenges
The TOSS ranges from 0 to 6 and is based on 2 eye symptoms: itching/redness/gritty feeling and tearing/watering. Each of the 2 symptoms is graded on a Likert scale ranging from 0 (none) to 3 (severe).
Change from pre-treatment baseline in TSS (2 to 6 hours) during out-of-season birch allergen EEU challenges
The TSS is calculated by adding the TNSS and TOSS together, for a combined TSS of 0 to 18.
Percent change from pre-treatment baseline in TNSS (2 to 6 hours) during out-of-season birch allergen EEU challenges
The TNSS ranges from 0 to 12 and is based on assessment of 4 nasal symptoms graded on a Likert scale ranging from 0 (none) to 3 (severe) for nasal congestion, itching, and runny nose, and sneezing.
Percent change from pre-treatment baseline in TOSS (2 to 6 hours) during out-of-season birch allergen EEU challenges
The TOSS ranges from 0 to 6 and is based on 2 eye symptoms: itching/redness/gritty feeling and tearing/watering. Each of the 2 symptoms is graded on a Likert scale ranging from 0 (none) to 3 (severe).
Percent change from pre-treatment baseline in TSS (2 to 6 hours) during out-of-season birch allergen EEU challenges
The TSS is calculated by adding the TNSS and TOSS together, for a combined TSS of 0 to 18.
Change from pre-treatment baseline in the birch (and related allergens) titrated Skin Prick Test (SPT) mean wheal diameter Area under the Curve (AUC)
Skin prick test using serial dilutions of birch and related allergens will be evaluated as a percent change from baseline AUC.
Percent change from pre-treatment baseline in the birch (and related allergens) titrated SPT mean wheal diameter AUC
Skin prick test using serial dilutions of birch and related allergens will be evaluated as a percent change from baseline AUC.
Mean of TNSS (2 to 6 hours) during out-of-season oak allergen EEU challenge
The TNSS ranges from 0 to 12 and is based on assessment of 4 nasal symptoms graded on a Likert scale ranging from 0 (none) to 3 (severe) for nasal congestion, itching, and runny nose, and sneezing.
Mean of TOSS (2 to 6 hours) during out-of-season oak allergen EEU challenge
The TOSS ranges from 0 to 6 and is based on 2 eye symptoms: itching/redness/gritty feeling and tearing/watering. Each of the 2 symptoms is graded on a Likert scale ranging from 0 (none) to 3 (severe).
Mean of TSS (2 to 6 hours) during out-of-season oak allergen EEU challenge
The TSS is calculated by adding the TNSS and TOSS together, for a combined TSS of 0 to 18.
Change from pre-treatment baseline in TNSS (2 to 6 hours) during an oak allergen EEU in subpopulation of oak-allergic participants
The TNSS ranges from 0 to 12 and is based on assessment of 4 nasal symptoms graded on a Likert scale ranging from 0 (none) to 3 (severe) for nasal congestion, itching, and runny nose, and sneezing.
Change from pre-treatment baseline in TOSS (2 to 6 hours) during an oak allergen EEU in subpopulation of oak-allergic participants
The TOSS ranges from 0 to 6 and is based on 2 eye symptoms: itching/redness/gritty feeling and tearing/watering. Each of the 2 symptoms is graded on a Likert scale ranging from 0 (none) to 3 (severe).
Change from pre-treatment baseline in TSS (2 to 6 hours) during an oak allergen EEU in subpopulation of oak-allergic participants
The TSS is calculated by adding the TNSS and TOSS together, for a combined TSS of 0 to 18.
Percent change from pre-treatment baseline in TNSS (2 to 6 hours) during an oak allergen EEU in subpopulation of oak-allergic participants
The TNSS ranges from 0 to 12 and is based on assessment of 4 nasal symptoms graded on a Likert scale ranging from 0 (none) to 3 (severe) for nasal congestion, itching, and runny nose, and sneezing.
Percent change from pre-treatment baseline in TOSS (2 to 6 hours) during an oak allergen EEU in subpopulation of oak-allergic participants
The TOSS ranges from 0 to 6 and is based on 2 eye symptoms: itching/redness/gritty feeling and tearing/watering. Each of the 2 symptoms is graded on a Likert scale ranging from 0 (none) to 3 (severe).
Percent change from pre-treatment baseline in TSS (2 to 6 hours) during an oak allergen EEU in subpopulation of oak-allergic participants
The TSS is calculated by adding the TNSS and TOSS together, for a combined TSS of 0 to 18.
Proportion of participants achieving different degrees of clinical responses will be compared across TNSS (2 to 6 hours) response threshold
The TNSS ranges from 0 to 12 and is based on assessment of 4 nasal symptoms graded on a Likert scale ranging from 0 (none) to 3 (severe) for nasal congestion, itching, and runny nose, and sneezing.
Proportion of participants achieving different degrees of clinical responses will be compared across TOSS (2 to 6 hours) response threshold
The TOSS ranges from 0 to 6 and is based on 2 eye symptoms: itching/redness/gritty feeling and tearing/watering. Each of the 2 symptoms is graded on a Likert scale ranging from 0 (none) to 3 (severe).
Proportion of participants achieving different degrees of clinical responses will be compared across TSS (2 to 6 hours) response threshold
The TSS is calculated by adding the TNSS and TOSS together, for a combined TSS of 0 to 18.
Proportion of participants achieving different degrees of responses in the birch (and related allergens) titrated SPT mean wheal diameter AUC will be compared across different response thresholds
Skin prick test using serial dilutions of birch and related allergens will be evaluated as a percent change from baseline AUC.
Mean of TNSS (2 to 6 hours) during the peak-season birch allergen EEU challenge
The TNSS ranges from 0 to 12 and is based on assessment of 4 nasal symptoms graded on a Likert scale ranging from 0 (none) to 3 (severe) for nasal congestion, itching, and runny nose, and sneezing.
Mean of TOSS (2 to 6 hours) during the peak-season birch allergen EEU challenge
The TOSS ranges from 0 to 6 and is based on 2 eye symptoms: itching/redness/gritty feeling and tearing/watering. Each of the 2 symptoms is graded on a Likert scale ranging from 0 (none) to 3 (severe).
Mean of TSS (2 to 6 hours) during the peak-season birch allergen EEU challenge
The TSS is calculated by adding the TNSS and TOSS together, for a combined TSS of 0 to 18.
Daily Combined Symptom and Medication Score (CSMS) averaged during the BPS
The CSMS is defined as Total Symptom Score (TSS) plus Daily Medication Score (DMS).
Daily TSS averaged during the BPS
The TSS is calculated by adding the TNSS and TOSS together, for a combined TSS of 0 to 18.
Daily TNSS averaged during the BPS
The TNSS ranges from 0 to 12 and is based on assessment of 4 nasal symptoms graded on a Likert scale ranging from 0 (none) to 3 (severe) for nasal congestion, itching, and runny nose, and sneezing.
Daily TOSS averaged during the BPS
The TOSS ranges from 0 to 6 and is based on 2 eye symptoms: itching/redness/gritty feeling and tearing/watering. Each of the 2 symptoms is graded on a Likert scale ranging from 0 (none) to 3 (severe).
Daily Medication Score (DMS) averaged during the BPS
For the DMS, oral antihistamine 6 points/dose; maximum daily score 6 points, ocular antihistamine 1.5 points/drop; maximum daily score 6 points, intranasal corticosteroid 2.0 points/spray; maximum daily score 8 points). The maximum DMS score is 20.
Daily CSMS averaged during the peak BPS
The CSMS is defined as Total Symptom Score (TSS) plus Daily Medication Score (DMS).
Daily TSS averaged during the peak BPS
The TSS is calculated by adding the TNSS and TOSS together, for a combined TSS of 0 to 18.
Daily TNSS averaged during the peak BPS
The TNSS ranges from 0 to 12 and is based on assessment of 4 nasal symptoms graded on a Likert scale ranging from 0 (none) to 3 (severe) for nasal congestion, itching, and runny nose, and sneezing.
Daily TOSS averaged during the peak BPS
The TOSS ranges from 0 to 6 and is based on 2 eye symptoms: itching/redness/gritty feeling and tearing/watering. Each of the 2 symptoms is graded on a Likert scale ranging from 0 (none) to 3 (severe).
DMS averaged during the peak BPS
For the DMS, oral antihistamine 6 points/dose; maximum daily score 6 points, ocular antihistamine 1.5 points/drop; maximum daily score 6 points, intranasal corticosteroid 2.0 points/spray; maximum daily score 8 points). The maximum DMS score is 20.
Change from baseline in CSMS averaged during the BPS
The CSMS is defined as Total Symptom Score (TSS) plus Daily Medication Score (DMS).
Change from baseline in TSS averaged during the BPS
The TSS is calculated by adding the TNSS and TOSS together, for a combined TSS of 0 to 18.
Change from baseline in TNSS averaged during the BPS
The TNSS ranges from 0 to 12 and is based on assessment of 4 nasal symptoms graded on a Likert scale ranging from 0 (none) to 3 (severe) for nasal congestion, itching, and runny nose, and sneezing.
Change from baseline in TOSS averaged during the BPS
The TOSS ranges from 0 to 6 and is based on 2 eye symptoms: itching/redness/gritty feeling and tearing/watering. Each of the 2 symptoms is graded on a Likert scale ranging from 0 (none) to 3 (severe).
Change from baseline in DMS averaged during the BPS
For the DMS, oral antihistamine 6 points/dose; maximum daily score 6 points, ocular antihistamine 1.5 points/drop; maximum daily score 6 points, intranasal corticosteroid 2.0 points/spray; maximum daily score 8 points). The maximum DMS score is 20.
Change from baseline in CSMS averaged during the peak BPS
The CSMS is defined as Total Symptom Score (TSS) plus Daily Medication Score (DMS).
Change from baseline in TSS averaged during the peak BPS
The TSS is calculated by adding the TNSS and TOSS together, for a combined TSS of 0 to 18.
Change from baseline in TNSS averaged during the peak BPS
The TNSS ranges from 0 to 12 and is based on assessment of 4 nasal symptoms graded on a Likert scale ranging from 0 (none) to 3 (severe) for nasal congestion, itching, and runny nose, and sneezing.
Change from baseline in TOSS averaged during the peak BPS
The TOSS ranges from 0 to 6 and is based on 2 eye symptoms: itching/redness/gritty feeling and tearing/watering. Each of the 2 symptoms is graded on a Likert scale ranging from 0 (none) to 3 (severe).
Change from baseline in DMS averaged during the peak BPS
For the DMS, oral antihistamine 6 points/dose; maximum daily score 6 points, ocular antihistamine 1.5 points/drop; maximum daily score 6 points, intranasal corticosteroid 2.0 points/spray; maximum daily score 8 points). The maximum DMS score is 20.
Percentage change from baseline in CSMS averaged during the BPS
The CSMS is defined as Total Symptom Score (TSS) plus Daily Medication Score (DMS).
Percentage change from baseline in TSS averaged during the BPS
The TSS is calculated by adding the TNSS and TOSS together, for a combined TSS of 0 to 18.
Percentage change from baseline in TNSS averaged during the BPS
The TNSS ranges from 0 to 12 and is based on assessment of 4 nasal symptoms graded on a Likert scale ranging from 0 (none) to 3 (severe) for nasal congestion, itching, and runny nose, and sneezing.
Percentage change from baseline in TOSS averaged during the BPS
The TOSS ranges from 0 to 6 and is based on 2 eye symptoms: itching/redness/gritty feeling and tearing/watering. Each of the 2 symptoms is graded on a Likert scale ranging from 0 (none) to 3 (severe).
Percentage change from baseline in DMS averaged during the BPS
For the DMS, oral antihistamine 6 points/dose; maximum daily score 6 points, ocular antihistamine 1.5 points/drop; maximum daily score 6 points, intranasal corticosteroid 2.0 points/spray; maximum daily score 8 points). The maximum DMS score is 20.
Percentage change from baseline in CSMS averaged during the peak BPS
The CSMS is defined as Total Symptom Score (TSS) plus Daily Medication Score (DMS).
Percentage change from baseline in TSS averaged during the peak BPS
The TSS is calculated by adding the TNSS and TOSS together, for a combined TSS of 0 to 18.
Percentage change from baseline in TNSS averaged during the peak BPS
The TNSS ranges from 0 to 12 and is based on assessment of 4 nasal symptoms graded on a Likert scale ranging from 0 (none) to 3 (severe) for nasal congestion, itching, and runny nose, and sneezing.
Percentage change from baseline in TOSS averaged during the peak BPS
The TOSS ranges from 0 to 6 and is based on 2 eye symptoms: itching/redness/gritty feeling and tearing/watering. Each of the 2 symptoms is graded on a Likert scale ranging from 0 (none) to 3 (severe).
Percentage change from baseline in DMS averaged during the peak BPS
For the DMS, oral antihistamine 6 points/dose; maximum daily score 6 points, ocular antihistamine 1.5 points/drop; maximum daily score 6 points, intranasal corticosteroid 2.0 points/spray; maximum daily score 8 points). The maximum DMS score is 20.
Change from pre-treatment baseline to end-of-season visits in the birch (and related allergens) titrated SPT mean wheal diameter AUC
Skin prick test using serial dilutions of birch and related allergens will be evaluated as a percent change from baseline AUC.
Change from pre-treatment baseline to end-of-study visits in the birch (and related allergens) titrated SPT mean wheal diameter AUC
Skin prick test using serial dilutions of birch and related allergens will be evaluated as a percent change from baseline AUC.
Percent change from pre-treatment baseline to end-of-season visits in the birch (and related allergens) titrated SPT mean wheal diameter AUC
Skin prick test using serial dilutions of birch and related allergens will be evaluated as a percent change from baseline AUC.
Percent change from pre-treatment baseline to end-of-study visits in the birch (and related allergens) titrated SPT mean wheal diameter AUC
Skin prick test using serial dilutions of birch and related allergens will be evaluated as a percent change from baseline AUC.
Mean of the total Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ[S]) score during BPS
The RQLQ(S) is a self-administered questionnaire to measure health-related quality of life in those 12 years of age and above, as a result of perennial or seasonal allergic rhinitis. There are 28 items with 1-week recall on the RQLQ(S) in 7 domains: activity limitation, sleep problems, nasal symptoms, eye symptoms, non-nasal/eye symptoms, practical problems, and emotional function. Higher scores indicated more health-related quality of life impairment (lower scores were better).
Mean of the total Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ[S]) score during peak BPS
The RQLQ(S) is a self-administered questionnaire to measure health-related quality of life in those 12 years of age and above, as a result of perennial or seasonal allergic rhinitis. There are 28 items with 1-week recall on the RQLQ(S) in 7 domains: activity limitation, sleep problems, nasal symptoms, eye symptoms, non-nasal/eye symptoms, practical problems, and emotional function. Higher scores indicated more health-related quality of life impairment (lower scores were better).
RQLQ(S) averaged during the BPS
The RQLQ(S) is a self-administered questionnaire to measure health-related quality of life in those 12 years of age and above, as a result of perennial or seasonal allergic rhinitis. There are 28 items with 1-week recall on the RQLQ(S) in 7 domains: activity limitation, sleep problems, nasal symptoms, eye symptoms, non-nasal /eye symptoms, practical problems, and emotional function. Higher scores indicated more health-related quality of life impairment (lower scores were better).
RQLQ(S) averaged during the peak BPS
The RQLQ(S) is a self-administered questionnaire to measure health-related quality of life in those 12 years of age and above, as a result of perennial or seasonal allergic rhinitis. There are 28 items with 1-week recall on the RQLQ(S) in 7 domains: activity limitation, sleep problems, nasal symptoms, eye symptoms, non-nasal /eye symptoms, practical problems, and emotional function. Higher scores indicated more health-related quality of life impairment (lower scores were better).
Change from baseline in the average RQLQ(S) score during BPS
The RQLQ(S) is a self-administered questionnaire to measure health-related quality of life in those 12 years of age and above, as a result of perennial or seasonal allergic rhinitis. There are 28 items with 1-week recall on the RQLQ(S) in 7 domains: activity limitation, sleep problems, nasal symptoms, eye symptoms, non-nasal /eye symptoms, practical problems, and emotional function. Higher scores indicated more health-related quality of life impairment (lower scores were better).
Change from baseline in the average RQLQ(S) score during peak BPS
The RQLQ(S) is a self-administered questionnaire to measure health-related quality of life in those 12 years of age and above, as a result of perennial or seasonal allergic rhinitis. There are 28 items with 1-week recall on the RQLQ(S) in 7 domains: activity limitation, sleep problems, nasal symptoms, eye symptoms, non-nasal /eye symptoms, practical problems, and emotional function. Higher scores indicated more health-related quality of life impairment (lower scores were better).
Percent change from baseline in the average RQLQ(S) score during BPS
The RQLQ(S) is a self-administered questionnaire to measure health-related quality of life in those 12 years of age and above, as a result of perennial or seasonal allergic rhinitis. There are 28 items with 1-week recall on the RQLQ(S) in 7 domains: activity limitation, sleep problems, nasal symptoms, eye symptoms, non-nasal /eye symptoms, practical problems, and emotional function. Higher scores indicated more health-related quality of life impairment (lower scores were better).
Percent change from baseline in the total RQLQ[S]) score during peak BPS
The RQLQ(S) is a self-administered questionnaire to measure health-related quality of life in those 12 years of age and above, as a result of perennial or seasonal allergic rhinitis. There are 28 items with 1-week recall on the RQLQ(S) in 7 domains: activity limitation, sleep problems, nasal symptoms, eye symptoms, non-nasal /eye symptoms, practical problems, and emotional function. Higher scores indicated more health-related quality of life impairment (lower scores were better).
Incidence rates of Treatment-Emergent Adverse Events (TEAEs) through end of study
Incidence rates of Serious TEAEs through end of study
Serum concentration of REGN5713 over the study duration
Serum concentration of REGN5714 over the study duration
Serum concentration of REGN5715 over the study duration
Incidence of anti-drug antibodies (ADA) to REGN5713 over time
Incidence of ADA to REGN5714 over time
Incidence of ADA to REGN5715 over time
Titers of anti-drug antibodies (ADA) to REGN5713 over time
Titers of ADA to REGN5714 over time
Titers of ADA to REGN5715 over time

Full Information

First Posted
June 20, 2022
Last Updated
August 15, 2023
Sponsor
Regeneron Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT05430919
Brief Title
Efficacy of the Anti-Bet v 1 Monoclonal Antibodies (Given Subcutaneously) to Reduce Allergic Rhinitis and Conjunctivitis Symptoms and Skin Test Reactivity Upon Exposure to Birch Allergen in Adult Participants
Official Title
A Two-Part Randomized, Double-Blind, Placebo-Controlled Study to Assess the Efficacy of the Anti-Bet v 1 Monoclonal Antibodies to Reduce Allergic Rhinitis and Conjunctivitis Symptoms and Skin Test Reactivity Upon Exposure to Birch Allergen
Study Type
Interventional

2. Study Status

Record Verification Date
August 2023
Overall Recruitment Status
Completed
Study Start Date
August 15, 2022 (Actual)
Primary Completion Date
July 31, 2023 (Actual)
Study Completion Date
July 31, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Regeneron Pharmaceuticals

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Primary objective: To assess the efficacy of a single dose of the anti- Bet v 1 monoclonal antibodies (mAb(s ) in the reduction of allergic nasal symptoms during an out-of-season birch allergen environmental exposure unit (EEU) challenge in participants receiving REGN5713-5714-5715 versus placebo (Part A)
Detailed Description
The study consists of Part A and Part B. All participants will be asked to complete both Part A and Part B of the study. The study lasts for a total duration of up to approximately 46 weeks (including up to a 10-week screening period). Part A of the study lasts up to approximately 28 weeks (including the screening period). Part B of the study starts after completion of Part A and lasts up to approximately 18 weeks (including an approximately 4-week follow-up period after end of birch pollen season (BPS)), dependent on the start and end times of the natural BPS.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Allergic Rhinitis, Conjunctivitis
Keywords
Birch Allergy, Birch Pollen Season, Monoclonal antibody(ies), Oak Pollen Season, Subcutaneous immunotherapy, Skin Prick Test

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
218 (Actual)

8. Arms, Groups, and Interventions

Arm Title
REGN5713-5714-5715
Arm Type
Experimental
Arm Description
3-mAb
Arm Title
REGN5713-5715
Arm Type
Experimental
Arm Description
2-mAb
Arm Title
REGN5715
Arm Type
Experimental
Arm Description
1-mAb
Arm Title
Matching Placebo
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
REGN5713
Intervention Description
Administered subcutaneously (SC)
Intervention Type
Drug
Intervention Name(s)
REGN5714
Intervention Description
Administered SC
Intervention Type
Drug
Intervention Name(s)
REGN5715
Intervention Description
Administered SC
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Administered SC
Primary Outcome Measure Information:
Title
Mean of Total Nasal Symptom Score [TNSS (2 to 6 hours)] during a birch allergen environmental exposure unit (EEU) challenge
Description
The TNSS ranges from 0 to 12 and is based on assessment of 4 nasal symptoms graded on a Likert scale ranging from 0 (none) to 3 (severe) for nasal congestion, itching, and runny nose, and sneezing.
Time Frame
Day 29
Secondary Outcome Measure Information:
Title
Mean of TNSS (2 to 6 hours) during out-of-season birch allergen EEU challenges except for 3-mAb
Description
The TNSS ranges from 0 to 12 and is based on assessment of 4 nasal symptoms graded on a Likert scale ranging from 0 (none) to 3 (severe) for nasal congestion, itching, and runny nose, and sneezing.
Time Frame
Days 29, 57 and 85
Title
Mean of TNSS (2 to 6 hours) during out-of-season birch allergen EEU challenges for 3-mAb only
Description
The TNSS ranges from 0 to 12 and is based on assessment of 4 nasal symptoms graded on a Likert scale ranging from 0 (none) to 3 (severe) for nasal congestion, itching, and runny nose, and sneezing.
Time Frame
Days 57 and 85
Title
Mean of Total Ocular Symptom Score (TOSS) (2 to 6 hours) during out-of-season birch allergen EEU challenges
Description
The TOSS ranges from 0 to 6 and is based on 2 eye symptoms: itching/redness/gritty feeling and tearing/watering. Each of the 2 symptoms is graded on a Likert scale ranging from 0 (none) to 3 (severe).
Time Frame
Days 29, 57 and 85
Title
Mean of Total Symptom Score (TSS) (2 to 6 hours) during out-of-season birch allergen EEU challenges
Description
The TSS is calculated by adding the TNSS and TOSS together, for a combined TSS of 0 to 18.
Time Frame
Days 29, 57 and 85
Title
Change from pre-treatment baseline in TNSS (2 to 6 hours) during out-of-season birch allergen EEU challenges
Description
The TNSS ranges from 0 to 12 and is based on assessment of 4 nasal symptoms graded on a Likert scale ranging from 0 (none) to 3 (severe) for nasal congestion, itching, and runny nose, and sneezing.
Time Frame
Days 29, 57 and 85
Title
Change from pre-treatment baseline in TOSS (2 to 6 hours) during out-of-season birch allergen EEU challenges
Description
The TOSS ranges from 0 to 6 and is based on 2 eye symptoms: itching/redness/gritty feeling and tearing/watering. Each of the 2 symptoms is graded on a Likert scale ranging from 0 (none) to 3 (severe).
Time Frame
Days 29, 57 and 85
Title
Change from pre-treatment baseline in TSS (2 to 6 hours) during out-of-season birch allergen EEU challenges
Description
The TSS is calculated by adding the TNSS and TOSS together, for a combined TSS of 0 to 18.
Time Frame
Days 29, 57 and 85
Title
Percent change from pre-treatment baseline in TNSS (2 to 6 hours) during out-of-season birch allergen EEU challenges
Description
The TNSS ranges from 0 to 12 and is based on assessment of 4 nasal symptoms graded on a Likert scale ranging from 0 (none) to 3 (severe) for nasal congestion, itching, and runny nose, and sneezing.
Time Frame
Days 29, 57 and 85
Title
Percent change from pre-treatment baseline in TOSS (2 to 6 hours) during out-of-season birch allergen EEU challenges
Description
The TOSS ranges from 0 to 6 and is based on 2 eye symptoms: itching/redness/gritty feeling and tearing/watering. Each of the 2 symptoms is graded on a Likert scale ranging from 0 (none) to 3 (severe).
Time Frame
Days 29, 57 and 85
Title
Percent change from pre-treatment baseline in TSS (2 to 6 hours) during out-of-season birch allergen EEU challenges
Description
The TSS is calculated by adding the TNSS and TOSS together, for a combined TSS of 0 to 18.
Time Frame
Days 29, 57 and 85
Title
Change from pre-treatment baseline in the birch (and related allergens) titrated Skin Prick Test (SPT) mean wheal diameter Area under the Curve (AUC)
Description
Skin prick test using serial dilutions of birch and related allergens will be evaluated as a percent change from baseline AUC.
Time Frame
Days 29, 57, 85 and 127
Title
Percent change from pre-treatment baseline in the birch (and related allergens) titrated SPT mean wheal diameter AUC
Description
Skin prick test using serial dilutions of birch and related allergens will be evaluated as a percent change from baseline AUC.
Time Frame
Days 29, 57, 85 and 127
Title
Mean of TNSS (2 to 6 hours) during out-of-season oak allergen EEU challenge
Description
The TNSS ranges from 0 to 12 and is based on assessment of 4 nasal symptoms graded on a Likert scale ranging from 0 (none) to 3 (severe) for nasal congestion, itching, and runny nose, and sneezing.
Time Frame
Day 36
Title
Mean of TOSS (2 to 6 hours) during out-of-season oak allergen EEU challenge
Description
The TOSS ranges from 0 to 6 and is based on 2 eye symptoms: itching/redness/gritty feeling and tearing/watering. Each of the 2 symptoms is graded on a Likert scale ranging from 0 (none) to 3 (severe).
Time Frame
Day 36
Title
Mean of TSS (2 to 6 hours) during out-of-season oak allergen EEU challenge
Description
The TSS is calculated by adding the TNSS and TOSS together, for a combined TSS of 0 to 18.
Time Frame
Day 36
Title
Change from pre-treatment baseline in TNSS (2 to 6 hours) during an oak allergen EEU in subpopulation of oak-allergic participants
Description
The TNSS ranges from 0 to 12 and is based on assessment of 4 nasal symptoms graded on a Likert scale ranging from 0 (none) to 3 (severe) for nasal congestion, itching, and runny nose, and sneezing.
Time Frame
Day 36
Title
Change from pre-treatment baseline in TOSS (2 to 6 hours) during an oak allergen EEU in subpopulation of oak-allergic participants
Description
The TOSS ranges from 0 to 6 and is based on 2 eye symptoms: itching/redness/gritty feeling and tearing/watering. Each of the 2 symptoms is graded on a Likert scale ranging from 0 (none) to 3 (severe).
Time Frame
Day 36
Title
Change from pre-treatment baseline in TSS (2 to 6 hours) during an oak allergen EEU in subpopulation of oak-allergic participants
Description
The TSS is calculated by adding the TNSS and TOSS together, for a combined TSS of 0 to 18.
Time Frame
Day 36
Title
Percent change from pre-treatment baseline in TNSS (2 to 6 hours) during an oak allergen EEU in subpopulation of oak-allergic participants
Description
The TNSS ranges from 0 to 12 and is based on assessment of 4 nasal symptoms graded on a Likert scale ranging from 0 (none) to 3 (severe) for nasal congestion, itching, and runny nose, and sneezing.
Time Frame
Day 36
Title
Percent change from pre-treatment baseline in TOSS (2 to 6 hours) during an oak allergen EEU in subpopulation of oak-allergic participants
Description
The TOSS ranges from 0 to 6 and is based on 2 eye symptoms: itching/redness/gritty feeling and tearing/watering. Each of the 2 symptoms is graded on a Likert scale ranging from 0 (none) to 3 (severe).
Time Frame
Day 36
Title
Percent change from pre-treatment baseline in TSS (2 to 6 hours) during an oak allergen EEU in subpopulation of oak-allergic participants
Description
The TSS is calculated by adding the TNSS and TOSS together, for a combined TSS of 0 to 18.
Time Frame
Day 36
Title
Proportion of participants achieving different degrees of clinical responses will be compared across TNSS (2 to 6 hours) response threshold
Description
The TNSS ranges from 0 to 12 and is based on assessment of 4 nasal symptoms graded on a Likert scale ranging from 0 (none) to 3 (severe) for nasal congestion, itching, and runny nose, and sneezing.
Time Frame
Days 29, 57 and 85
Title
Proportion of participants achieving different degrees of clinical responses will be compared across TOSS (2 to 6 hours) response threshold
Description
The TOSS ranges from 0 to 6 and is based on 2 eye symptoms: itching/redness/gritty feeling and tearing/watering. Each of the 2 symptoms is graded on a Likert scale ranging from 0 (none) to 3 (severe).
Time Frame
Days 29, 57 and 85
Title
Proportion of participants achieving different degrees of clinical responses will be compared across TSS (2 to 6 hours) response threshold
Description
The TSS is calculated by adding the TNSS and TOSS together, for a combined TSS of 0 to 18.
Time Frame
Days 29, 57 and 85
Title
Proportion of participants achieving different degrees of responses in the birch (and related allergens) titrated SPT mean wheal diameter AUC will be compared across different response thresholds
Description
Skin prick test using serial dilutions of birch and related allergens will be evaluated as a percent change from baseline AUC.
Time Frame
Days 29, 57 and 85
Title
Mean of TNSS (2 to 6 hours) during the peak-season birch allergen EEU challenge
Description
The TNSS ranges from 0 to 12 and is based on assessment of 4 nasal symptoms graded on a Likert scale ranging from 0 (none) to 3 (severe) for nasal congestion, itching, and runny nose, and sneezing.
Time Frame
Up to 253 Days
Title
Mean of TOSS (2 to 6 hours) during the peak-season birch allergen EEU challenge
Description
The TOSS ranges from 0 to 6 and is based on 2 eye symptoms: itching/redness/gritty feeling and tearing/watering. Each of the 2 symptoms is graded on a Likert scale ranging from 0 (none) to 3 (severe).
Time Frame
Up to 253 Days
Title
Mean of TSS (2 to 6 hours) during the peak-season birch allergen EEU challenge
Description
The TSS is calculated by adding the TNSS and TOSS together, for a combined TSS of 0 to 18.
Time Frame
Up to 253 Days
Title
Daily Combined Symptom and Medication Score (CSMS) averaged during the BPS
Description
The CSMS is defined as Total Symptom Score (TSS) plus Daily Medication Score (DMS).
Time Frame
Up to 253 Days
Title
Daily TSS averaged during the BPS
Description
The TSS is calculated by adding the TNSS and TOSS together, for a combined TSS of 0 to 18.
Time Frame
Up to 253 Days
Title
Daily TNSS averaged during the BPS
Description
The TNSS ranges from 0 to 12 and is based on assessment of 4 nasal symptoms graded on a Likert scale ranging from 0 (none) to 3 (severe) for nasal congestion, itching, and runny nose, and sneezing.
Time Frame
Up to 253 Days
Title
Daily TOSS averaged during the BPS
Description
The TOSS ranges from 0 to 6 and is based on 2 eye symptoms: itching/redness/gritty feeling and tearing/watering. Each of the 2 symptoms is graded on a Likert scale ranging from 0 (none) to 3 (severe).
Time Frame
Up to 253 Days
Title
Daily Medication Score (DMS) averaged during the BPS
Description
For the DMS, oral antihistamine 6 points/dose; maximum daily score 6 points, ocular antihistamine 1.5 points/drop; maximum daily score 6 points, intranasal corticosteroid 2.0 points/spray; maximum daily score 8 points). The maximum DMS score is 20.
Time Frame
Up to 253 Days
Title
Daily CSMS averaged during the peak BPS
Description
The CSMS is defined as Total Symptom Score (TSS) plus Daily Medication Score (DMS).
Time Frame
Up to 253 Days
Title
Daily TSS averaged during the peak BPS
Description
The TSS is calculated by adding the TNSS and TOSS together, for a combined TSS of 0 to 18.
Time Frame
Up to 253 Days
Title
Daily TNSS averaged during the peak BPS
Description
The TNSS ranges from 0 to 12 and is based on assessment of 4 nasal symptoms graded on a Likert scale ranging from 0 (none) to 3 (severe) for nasal congestion, itching, and runny nose, and sneezing.
Time Frame
Up to 253 Days
Title
Daily TOSS averaged during the peak BPS
Description
The TOSS ranges from 0 to 6 and is based on 2 eye symptoms: itching/redness/gritty feeling and tearing/watering. Each of the 2 symptoms is graded on a Likert scale ranging from 0 (none) to 3 (severe).
Time Frame
Up to 253 Days
Title
DMS averaged during the peak BPS
Description
For the DMS, oral antihistamine 6 points/dose; maximum daily score 6 points, ocular antihistamine 1.5 points/drop; maximum daily score 6 points, intranasal corticosteroid 2.0 points/spray; maximum daily score 8 points). The maximum DMS score is 20.
Time Frame
Up to 253 Days
Title
Change from baseline in CSMS averaged during the BPS
Description
The CSMS is defined as Total Symptom Score (TSS) plus Daily Medication Score (DMS).
Time Frame
Up to 253 Days
Title
Change from baseline in TSS averaged during the BPS
Description
The TSS is calculated by adding the TNSS and TOSS together, for a combined TSS of 0 to 18.
Time Frame
Up to 253 Days
Title
Change from baseline in TNSS averaged during the BPS
Description
The TNSS ranges from 0 to 12 and is based on assessment of 4 nasal symptoms graded on a Likert scale ranging from 0 (none) to 3 (severe) for nasal congestion, itching, and runny nose, and sneezing.
Time Frame
Up to 253 Days
Title
Change from baseline in TOSS averaged during the BPS
Description
The TOSS ranges from 0 to 6 and is based on 2 eye symptoms: itching/redness/gritty feeling and tearing/watering. Each of the 2 symptoms is graded on a Likert scale ranging from 0 (none) to 3 (severe).
Time Frame
Up to 253 Days
Title
Change from baseline in DMS averaged during the BPS
Description
For the DMS, oral antihistamine 6 points/dose; maximum daily score 6 points, ocular antihistamine 1.5 points/drop; maximum daily score 6 points, intranasal corticosteroid 2.0 points/spray; maximum daily score 8 points). The maximum DMS score is 20.
Time Frame
Up to 253 Days
Title
Change from baseline in CSMS averaged during the peak BPS
Description
The CSMS is defined as Total Symptom Score (TSS) plus Daily Medication Score (DMS).
Time Frame
Up to 253 Days
Title
Change from baseline in TSS averaged during the peak BPS
Description
The TSS is calculated by adding the TNSS and TOSS together, for a combined TSS of 0 to 18.
Time Frame
Up to 253 Days
Title
Change from baseline in TNSS averaged during the peak BPS
Description
The TNSS ranges from 0 to 12 and is based on assessment of 4 nasal symptoms graded on a Likert scale ranging from 0 (none) to 3 (severe) for nasal congestion, itching, and runny nose, and sneezing.
Time Frame
Up to 253 Days
Title
Change from baseline in TOSS averaged during the peak BPS
Description
The TOSS ranges from 0 to 6 and is based on 2 eye symptoms: itching/redness/gritty feeling and tearing/watering. Each of the 2 symptoms is graded on a Likert scale ranging from 0 (none) to 3 (severe).
Time Frame
Up to 253 Days
Title
Change from baseline in DMS averaged during the peak BPS
Description
For the DMS, oral antihistamine 6 points/dose; maximum daily score 6 points, ocular antihistamine 1.5 points/drop; maximum daily score 6 points, intranasal corticosteroid 2.0 points/spray; maximum daily score 8 points). The maximum DMS score is 20.
Time Frame
Up to 253 Days
Title
Percentage change from baseline in CSMS averaged during the BPS
Description
The CSMS is defined as Total Symptom Score (TSS) plus Daily Medication Score (DMS).
Time Frame
Up to 253 Days
Title
Percentage change from baseline in TSS averaged during the BPS
Description
The TSS is calculated by adding the TNSS and TOSS together, for a combined TSS of 0 to 18.
Time Frame
Up to 253 Days
Title
Percentage change from baseline in TNSS averaged during the BPS
Description
The TNSS ranges from 0 to 12 and is based on assessment of 4 nasal symptoms graded on a Likert scale ranging from 0 (none) to 3 (severe) for nasal congestion, itching, and runny nose, and sneezing.
Time Frame
Up to 253 Days
Title
Percentage change from baseline in TOSS averaged during the BPS
Description
The TOSS ranges from 0 to 6 and is based on 2 eye symptoms: itching/redness/gritty feeling and tearing/watering. Each of the 2 symptoms is graded on a Likert scale ranging from 0 (none) to 3 (severe).
Time Frame
Up to 253 Days
Title
Percentage change from baseline in DMS averaged during the BPS
Description
For the DMS, oral antihistamine 6 points/dose; maximum daily score 6 points, ocular antihistamine 1.5 points/drop; maximum daily score 6 points, intranasal corticosteroid 2.0 points/spray; maximum daily score 8 points). The maximum DMS score is 20.
Time Frame
Up to 253 Days
Title
Percentage change from baseline in CSMS averaged during the peak BPS
Description
The CSMS is defined as Total Symptom Score (TSS) plus Daily Medication Score (DMS).
Time Frame
Up to 253 Days
Title
Percentage change from baseline in TSS averaged during the peak BPS
Description
The TSS is calculated by adding the TNSS and TOSS together, for a combined TSS of 0 to 18.
Time Frame
Up to 253 Days
Title
Percentage change from baseline in TNSS averaged during the peak BPS
Description
The TNSS ranges from 0 to 12 and is based on assessment of 4 nasal symptoms graded on a Likert scale ranging from 0 (none) to 3 (severe) for nasal congestion, itching, and runny nose, and sneezing.
Time Frame
Up to 253 Days
Title
Percentage change from baseline in TOSS averaged during the peak BPS
Description
The TOSS ranges from 0 to 6 and is based on 2 eye symptoms: itching/redness/gritty feeling and tearing/watering. Each of the 2 symptoms is graded on a Likert scale ranging from 0 (none) to 3 (severe).
Time Frame
Up to 253 Days
Title
Percentage change from baseline in DMS averaged during the peak BPS
Description
For the DMS, oral antihistamine 6 points/dose; maximum daily score 6 points, ocular antihistamine 1.5 points/drop; maximum daily score 6 points, intranasal corticosteroid 2.0 points/spray; maximum daily score 8 points). The maximum DMS score is 20.
Time Frame
Up to 253 Days
Title
Change from pre-treatment baseline to end-of-season visits in the birch (and related allergens) titrated SPT mean wheal diameter AUC
Description
Skin prick test using serial dilutions of birch and related allergens will be evaluated as a percent change from baseline AUC.
Time Frame
Up to 253 Days
Title
Change from pre-treatment baseline to end-of-study visits in the birch (and related allergens) titrated SPT mean wheal diameter AUC
Description
Skin prick test using serial dilutions of birch and related allergens will be evaluated as a percent change from baseline AUC.
Time Frame
Up to 253 Days
Title
Percent change from pre-treatment baseline to end-of-season visits in the birch (and related allergens) titrated SPT mean wheal diameter AUC
Description
Skin prick test using serial dilutions of birch and related allergens will be evaluated as a percent change from baseline AUC.
Time Frame
Up to 253 Days
Title
Percent change from pre-treatment baseline to end-of-study visits in the birch (and related allergens) titrated SPT mean wheal diameter AUC
Description
Skin prick test using serial dilutions of birch and related allergens will be evaluated as a percent change from baseline AUC.
Time Frame
Up to 253 Days
Title
Mean of the total Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ[S]) score during BPS
Description
The RQLQ(S) is a self-administered questionnaire to measure health-related quality of life in those 12 years of age and above, as a result of perennial or seasonal allergic rhinitis. There are 28 items with 1-week recall on the RQLQ(S) in 7 domains: activity limitation, sleep problems, nasal symptoms, eye symptoms, non-nasal/eye symptoms, practical problems, and emotional function. Higher scores indicated more health-related quality of life impairment (lower scores were better).
Time Frame
Up to 253 Days
Title
Mean of the total Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ[S]) score during peak BPS
Description
The RQLQ(S) is a self-administered questionnaire to measure health-related quality of life in those 12 years of age and above, as a result of perennial or seasonal allergic rhinitis. There are 28 items with 1-week recall on the RQLQ(S) in 7 domains: activity limitation, sleep problems, nasal symptoms, eye symptoms, non-nasal/eye symptoms, practical problems, and emotional function. Higher scores indicated more health-related quality of life impairment (lower scores were better).
Time Frame
Up to 253 Days
Title
RQLQ(S) averaged during the BPS
Description
The RQLQ(S) is a self-administered questionnaire to measure health-related quality of life in those 12 years of age and above, as a result of perennial or seasonal allergic rhinitis. There are 28 items with 1-week recall on the RQLQ(S) in 7 domains: activity limitation, sleep problems, nasal symptoms, eye symptoms, non-nasal /eye symptoms, practical problems, and emotional function. Higher scores indicated more health-related quality of life impairment (lower scores were better).
Time Frame
Up to 253 Days
Title
RQLQ(S) averaged during the peak BPS
Description
The RQLQ(S) is a self-administered questionnaire to measure health-related quality of life in those 12 years of age and above, as a result of perennial or seasonal allergic rhinitis. There are 28 items with 1-week recall on the RQLQ(S) in 7 domains: activity limitation, sleep problems, nasal symptoms, eye symptoms, non-nasal /eye symptoms, practical problems, and emotional function. Higher scores indicated more health-related quality of life impairment (lower scores were better).
Time Frame
Up to 253 Days
Title
Change from baseline in the average RQLQ(S) score during BPS
Description
The RQLQ(S) is a self-administered questionnaire to measure health-related quality of life in those 12 years of age and above, as a result of perennial or seasonal allergic rhinitis. There are 28 items with 1-week recall on the RQLQ(S) in 7 domains: activity limitation, sleep problems, nasal symptoms, eye symptoms, non-nasal /eye symptoms, practical problems, and emotional function. Higher scores indicated more health-related quality of life impairment (lower scores were better).
Time Frame
Up to 253 Days
Title
Change from baseline in the average RQLQ(S) score during peak BPS
Description
The RQLQ(S) is a self-administered questionnaire to measure health-related quality of life in those 12 years of age and above, as a result of perennial or seasonal allergic rhinitis. There are 28 items with 1-week recall on the RQLQ(S) in 7 domains: activity limitation, sleep problems, nasal symptoms, eye symptoms, non-nasal /eye symptoms, practical problems, and emotional function. Higher scores indicated more health-related quality of life impairment (lower scores were better).
Time Frame
Up to 253 Days
Title
Percent change from baseline in the average RQLQ(S) score during BPS
Description
The RQLQ(S) is a self-administered questionnaire to measure health-related quality of life in those 12 years of age and above, as a result of perennial or seasonal allergic rhinitis. There are 28 items with 1-week recall on the RQLQ(S) in 7 domains: activity limitation, sleep problems, nasal symptoms, eye symptoms, non-nasal /eye symptoms, practical problems, and emotional function. Higher scores indicated more health-related quality of life impairment (lower scores were better).
Time Frame
Up to end of BPS, Up to 127 Days
Title
Percent change from baseline in the total RQLQ[S]) score during peak BPS
Description
The RQLQ(S) is a self-administered questionnaire to measure health-related quality of life in those 12 years of age and above, as a result of perennial or seasonal allergic rhinitis. There are 28 items with 1-week recall on the RQLQ(S) in 7 domains: activity limitation, sleep problems, nasal symptoms, eye symptoms, non-nasal /eye symptoms, practical problems, and emotional function. Higher scores indicated more health-related quality of life impairment (lower scores were better).
Time Frame
Up to 253 Days
Title
Incidence rates of Treatment-Emergent Adverse Events (TEAEs) through end of study
Time Frame
Up to 253 Days
Title
Incidence rates of Serious TEAEs through end of study
Time Frame
Up to 253 Days
Title
Serum concentration of REGN5713 over the study duration
Time Frame
Up to 253 Days
Title
Serum concentration of REGN5714 over the study duration
Time Frame
Up to 253 Days
Title
Serum concentration of REGN5715 over the study duration
Time Frame
Up to 253 Days
Title
Incidence of anti-drug antibodies (ADA) to REGN5713 over time
Time Frame
Up to 253 Days
Title
Incidence of ADA to REGN5714 over time
Time Frame
Up to 253 Days
Title
Incidence of ADA to REGN5715 over time
Time Frame
Up to 253 Days
Title
Titers of anti-drug antibodies (ADA) to REGN5713 over time
Time Frame
Up to 253 Days
Title
Titers of ADA to REGN5714 over time
Time Frame
Up to 253 Days
Title
Titers of ADA to REGN5715 over time
Time Frame
Up to 253 Days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Key Inclusion Criteria: Documented or participant-reported history of birch tree pollen-triggered allergic-rhinitis (AR) symptoms with or without conjunctivitis (for at least 2 seasons) Positive Skin prick test (SPT) with birch tree pollen extract (mean wheal diameter at least 5 mm greater than a negative control) in screening period Positive allergen-specific immunoglobulin E (sIgE) tests for birch tree pollen and Bet v 1 (≥0.7 kUa/L) in screening period Demonstrated TNSS ≥ 6 out of 12 on at least 2 time points during the birch EEU exposure challenge in screening period Key Exclusion Criteria: Participation in a prior REGN5713-5714-5715 clinical trial and received REGN5713-5714-5715 antibodies (receipt of placebo in a previous trial is allowed) Significant rhinitis, sinusitis, significant and/or severe allergies not associated with the birch pollen season, or due to daily contact with other non-birch related allergens causing symptoms that are expected to coincide or potentially interfere with the study EEU assessments or with the birch pollen season, as assessed by the investigator Participants who anticipate major changes in allergen exposure during the birch pollen season that are expected to coincide with study assessments or planned travel that is expected to interfere with the study assessments, as assessed by the investigator (eg. anticipated travel during planned EEU sessions or birch pollen season) Persistent chronic or recurring acute infection requiring treatment with antibiotics, antivirals, or antifungals, or any untreated respiratory infections within 4 weeks prior to screening visit 1. Patients may be re-evaluated for eligibility after resolution of symptoms and specified duration. History of significant, recurrent sinusitis, defined as at least 3 episodes requiring antibiotic treatment per year for the last 2 years Abnormal lung function as judged by the investigator with Forced Expiratory Volume (FEV1) <75% of predicted at screening or randomization A clinical history of moderate to severe asthma, uncontrolled asthma, global initiative for asthma [GINA] steps 3 to 5, history of life-threatening asthma, asthma exacerbations due to tree pollen allergy within 2 prior seasons, >2 asthma exacerbations requiring systemic steroids in past 12 months, asthma related emergency care or hospitalization within 12 months prior to screening, as defined in the protocol. History of birch or other tree allergen immunotherapy in the 3 years prior to screening. Use of anti-IgE or other biological therapy (including but not limited to anti IL-5, anti IL-4) that interferes with type 2 disease within 6 months prior to screening visit 1. Allergen-specific immunotherapy with any allergen other than birch or other trees at screening. History of clinically significant cardiovascular, respiratory, hepatic, renal, gastrointestinal, endocrine, hematological, psychiatric, or neurological disease, Any malignancy within the past 5 years, except for basal cell or squamous epithelial cell carcinomas of the skin or carcinoma in situ of the cervix or anus that have been resected, with no evidence of local recurrence or metastatic disease for 3 years. NOTE: Other protocol defined Inclusion/Exclusion Criteria apply
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Trial Management
Organizational Affiliation
Regeneron Pharmaceuticals
Official's Role
Study Director
Facility Information:
Facility Name
Kingston General Health Research Institute
City
Kingston
State/Province
Ontario
ZIP/Postal Code
K7L 2V7
Country
Canada
Facility Name
Inflamax Research Limited DBA Cliantha Research
City
Mississauga
State/Province
Ontario
ZIP/Postal Code
L4W 1A4
Country
Canada
Facility Name
Clinique Specialisee en Allergie de la Capitale
City
Quebec City
State/Province
Quebec
ZIP/Postal Code
G1V4W2
Country
Canada

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
All Individual Patient Data (IPD) that underlie publicly available results will be considered for sharing
IPD Sharing Time Frame
Individual anonymized participant data will be considered for sharing once the indication has been approved by a regulatory body, if there is legal authority to share the data and there is not a reasonable likelihood of participant re-identification.
IPD Sharing Access Criteria
Qualified researchers may request access to anonymized patient level data or aggregate study data when Regeneron has received marketing authorization from major health authorities (e.g., FDA, European Medicines Agency [EMA], Pharmaceuticals and Medical Devices Agency [PMDA], etc) for the product and indication, has the legal authority to share the data, and has made the study results publicly available (eg, scientific publication, scientific conference, clinical trial registry).
IPD Sharing URL
https://vivli.org/

Learn more about this trial

Efficacy of the Anti-Bet v 1 Monoclonal Antibodies (Given Subcutaneously) to Reduce Allergic Rhinitis and Conjunctivitis Symptoms and Skin Test Reactivity Upon Exposure to Birch Allergen in Adult Participants

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