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Safety and Dose Finding Trial of BM32 in Subjects Suffering From Grass Pollen Allergy

Primary Purpose

Grass Pollen Allergy

Status
Completed
Phase
Phase 2
Locations
Austria
Study Type
Interventional
Intervention
BM32
BM32
BM32
Placebo
Sponsored by
Biomay AG
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Grass Pollen Allergy focused on measuring grass pollen allergy, immunotherapy, recombinant vaccine

Eligibility Criteria

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

Inclusion Criteria:

  • History of seasonal allergic rhinitis from grass pollen
  • Normal electrocardiogram
  • Moderate to severe response to approx. 1500 grass pollen grains/m3 after 2 hrs of exposure in challenge chamber
  • Positive skin prick test for grass pollen at or within 12 months preceding screening visit
  • Positive RAST (class 2 or higher) for timothy grass pollen and to rPhl p 1 + rPhl p 5 at or within 12 months preceding screening visit

Exclusion Criteria:

  • Pregnant or lactating females
  • Females with childbearing potential not using medically acceptable birth control
  • Structural nasal abnormalities, nasal polyposis, history of frequent nosebleeds, recent nasal surgery or ongoing upper respiratory tract infection
  • Any respiratory disease other than mild asthma controlled with occasional short acting beta agonists and normal lung function
  • Current or recent participation in another clinical trial
  • SIT for grass pollen allergy in the last two years prior to study
  • Past or present disease, which may affect outcome of the trial, judged by investigator
  • Autoimmune diseases, immune defects including immunosuppression, immune- complex immunopathies
  • Suspected hypersensitivity to any ingredients of study medication
  • Use of prohibited medication prior to screening and throughout study
  • depot corticosteroids (12 weeks)
  • oral corticosteroids (8 weeks)
  • inhaled corticosteroids (4 weeks)
  • Allergic symptoms at the time of screening

Sites / Locations

  • Allergy Center Vienna West

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

BM32 low dose

BM32 medium dose

BM32 high dose

Placebo

Arm Description

3 subcutaneous injections of 10 micrograms in a time span of 8 weeks

3 subcutaneous injections of 20 micrograms in a time span of 8 weeks

3 subcutaneous injections of BM32 over a time span of 8 weeks

3 subcutaneous injections over a time span of 8 weeks

Outcomes

Primary Outcome Measures

Minimum effective dose for reduction of total nasal symptom score (TNSS) after inhalation challenge with grass pollen
Difference in the total Nasal Symptom Score (TNSS) between spending 6 hrs in the Vienna Challenge Chamber (VCC) at screening and spending 6 hrs in the VCC four weeks after the last subcutaneous injection of BM32.

Secondary Outcome Measures

Minimum Effective dose for reduction of Total Non-Nasal Symptom Score (TNNSS) following inhalation challenge with grass pollen
Minimum effective dose for reduction of Global symptom Score upon inhalation challenge with grass pollen
Minimum effective dose for reduction of nasal airflow resistance after inhalation challenge with grass pollen
Minimum effective dose to reduce skin reaction to grass pollen allergen upon skin prick testing
Difference in FEV1 and FEV/FVC between screening and completion of vaccination
Frequency of local reactions to treatment
Change in allergy specific total IgG
Change in allergy specific IgE
Frequency of systemic reactions to treatment
Severity of local reactions to treatment
Severity of systemic reactions to treatment
Frequency of adverse events

Full Information

First Posted
September 26, 2011
Last Updated
January 10, 2013
Sponsor
Biomay AG
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1. Study Identification

Unique Protocol Identification Number
NCT01445002
Brief Title
Safety and Dose Finding Trial of BM32 in Subjects Suffering From Grass Pollen Allergy
Official Title
Safety and Dose Finding Study Based on the Effects of Three Subcutaneous Injections of BM32, a Recombinant Hypoallergenic Grass Pollen Vaccine, on Responses to Allergen Challenge by Skin Testing and in the Vienna Challenge Chamber (VCC) as Well as Immunological Response in Subjects Know to Suffer From Grass-pollen Induced Allergic Rhinitis
Study Type
Interventional

2. Study Status

Record Verification Date
January 2013
Overall Recruitment Status
Completed
Study Start Date
October 2011 (undefined)
Primary Completion Date
March 2012 (Actual)
Study Completion Date
October 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Biomay AG

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The study will evaluate the dose response of immunotherapy against grass pollen allergy using the recombinant grass pollen vaccine BM32. Efficacy will be analyzed by: skin prick testing grass pollen inhalation challenge antibody responses. In addition, the safety of subcutaneous application of BM32 will be evaluated.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Grass Pollen Allergy
Keywords
grass pollen allergy, immunotherapy, recombinant vaccine

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
BM32 low dose
Arm Type
Experimental
Arm Description
3 subcutaneous injections of 10 micrograms in a time span of 8 weeks
Arm Title
BM32 medium dose
Arm Type
Experimental
Arm Description
3 subcutaneous injections of 20 micrograms in a time span of 8 weeks
Arm Title
BM32 high dose
Arm Type
Experimental
Arm Description
3 subcutaneous injections of BM32 over a time span of 8 weeks
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
3 subcutaneous injections over a time span of 8 weeks
Intervention Type
Biological
Intervention Name(s)
BM32
Intervention Description
Subcutaneous injection of 10 micrograms each of the BM32 components adsorbed on 0.3 mg of aluminum hydroxide every 4 week for a total of 3 injections
Intervention Type
Biological
Intervention Name(s)
BM32
Intervention Description
Subcutaneous injection of 20 micrograms of each of the BM32 components adsorbed on 0.6 mg of aluminum hydroxide every 4 weeks for a total of 3 injections
Intervention Type
Biological
Intervention Name(s)
BM32
Intervention Description
Subcutaneous injection of 40 micrograms of each of the BM32 components adsorbed on 1.2 mg of aluminum hydroxide every 4 weeks until a total of 3 injections
Intervention Type
Biological
Intervention Name(s)
Placebo
Intervention Description
Subcutaneous injection of 1.2 mg of aluminum hydroxide suspension every 4 weeks until 3 injections
Primary Outcome Measure Information:
Title
Minimum effective dose for reduction of total nasal symptom score (TNSS) after inhalation challenge with grass pollen
Description
Difference in the total Nasal Symptom Score (TNSS) between spending 6 hrs in the Vienna Challenge Chamber (VCC) at screening and spending 6 hrs in the VCC four weeks after the last subcutaneous injection of BM32.
Time Frame
Baseline and 14 weeks
Secondary Outcome Measure Information:
Title
Minimum Effective dose for reduction of Total Non-Nasal Symptom Score (TNNSS) following inhalation challenge with grass pollen
Time Frame
Baseline and 14 weeks
Title
Minimum effective dose for reduction of Global symptom Score upon inhalation challenge with grass pollen
Time Frame
Baseline and 4 weeks after final s.c. injection
Title
Minimum effective dose for reduction of nasal airflow resistance after inhalation challenge with grass pollen
Time Frame
Baseline and 14 weeks
Title
Minimum effective dose to reduce skin reaction to grass pollen allergen upon skin prick testing
Time Frame
Baseline and 14 weeks
Title
Difference in FEV1 and FEV/FVC between screening and completion of vaccination
Time Frame
Baseline and 14 weeks
Title
Frequency of local reactions to treatment
Time Frame
average of 8 weeks from 1st to last injection
Title
Change in allergy specific total IgG
Time Frame
Baseline and average of 12 weeks after randomization
Title
Change in allergy specific IgE
Time Frame
Baseline and average of 12 weeks after randomization
Title
Frequency of systemic reactions to treatment
Time Frame
average of 8 weeks from 1st to last injection
Title
Severity of local reactions to treatment
Time Frame
Average of 8 weeks from 1st to last injection
Title
Severity of systemic reactions to treatment
Time Frame
Average of 8 weeks from 1st to last injection
Title
Frequency of adverse events
Time Frame
average of 14 weeks from 1st injection

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: History of seasonal allergic rhinitis from grass pollen Normal electrocardiogram Moderate to severe response to approx. 1500 grass pollen grains/m3 after 2 hrs of exposure in challenge chamber Positive skin prick test for grass pollen at or within 12 months preceding screening visit Positive RAST (class 2 or higher) for timothy grass pollen and to rPhl p 1 + rPhl p 5 at or within 12 months preceding screening visit Exclusion Criteria: Pregnant or lactating females Females with childbearing potential not using medically acceptable birth control Structural nasal abnormalities, nasal polyposis, history of frequent nosebleeds, recent nasal surgery or ongoing upper respiratory tract infection Any respiratory disease other than mild asthma controlled with occasional short acting beta agonists and normal lung function Current or recent participation in another clinical trial SIT for grass pollen allergy in the last two years prior to study Past or present disease, which may affect outcome of the trial, judged by investigator Autoimmune diseases, immune defects including immunosuppression, immune- complex immunopathies Suspected hypersensitivity to any ingredients of study medication Use of prohibited medication prior to screening and throughout study depot corticosteroids (12 weeks) oral corticosteroids (8 weeks) inhaled corticosteroids (4 weeks) Allergic symptoms at the time of screening
Facility Information:
Facility Name
Allergy Center Vienna West
City
Vienna
ZIP/Postal Code
1150
Country
Austria

12. IPD Sharing Statement

Citations:
PubMed Identifier
27650868
Citation
Zieglmayer P, Focke-Tejkl M, Schmutz R, Lemell P, Zieglmayer R, Weber M, Kiss R, Blatt K, Valent P, Stolz F, Huber H, Neubauer A, Knoll A, Horak F, Henning R, Valenta R. Mechanisms, safety and efficacy of a B cell epitope-based vaccine for immunotherapy of grass pollen allergy. EBioMedicine. 2016 Sep;11:43-57. doi: 10.1016/j.ebiom.2016.08.022. Epub 2016 Aug 20.
Results Reference
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Safety and Dose Finding Trial of BM32 in Subjects Suffering From Grass Pollen Allergy

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