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Safety Clinical Trial With Depigopid 50% Grasses/50% Olea Europaea(2000DPP/ml) or Depigoid 50% Grasses/50% Parietaria Judaica(2000DPP/ml).

Primary Purpose

Allergy, Rhinitis, Rhinoconjunctivitis

Status
Completed
Phase
Phase 2
Locations
Spain
Study Type
Interventional
Intervention
Depigoid 50% Grasses/50% Olea europaea (2000DPP/ml)
Depigoid 50% Grasses/50% Parietaria judaica (2000DPP/ml)
Sponsored by
Laboratorios Leti, S.L.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Allergy

Eligibility Criteria

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

Inclusion Criteria:

  • Subject has dated and signed the informed consent.
  • Men and women between 18 and 60 years of age (both inclusive).
  • Individuals suffering symptoms of allergic rhinoconjunctivitis or rhinitis during at least the preceding year, with or without allergic seasonal asthma caused by a clinically relevant sensitization to pollens (grasses AND P. judaica or O. europaea). Asthmatic patients can be included in the trial only if seasonal asthma is controlled with a medium daily dose minor or equal to 800 μg/day of budesonide or an equivalent or minor or equal to 400 μg/day of budesonide or an equivalent plus a long-acting- β2 agonist.
  • Asthmatic patients must be stable within 3 months prior to Visit 1 and on an stable inhaled steroid dose within 6 weeks prior to visit 1 and throughout the study. FEV1 must be ≥ 80% of predicted value.
  • The IgE-mediated sensitization must be demonstrated by the following:

medical history AND IgE specific CAP RAST ≥ 2 to the suspected relevant pollens (grass pollen AND Olea and/or Parietaria) AND a positive skin prick test to grass and Olea and/or Parietaria.

Exclusion Criteria:

  • Any contraindication for treatment with allergen specific immunotherapy.
  • Forced expiratory volume in 1 s (FEV1) or peak expiratory flow (PEF) value <80% of the predicted normal value.
  • Clinically relevant allergy symptoms due to sensitization to perennial allergens (mites, molds, epithelia) or other seasonal pollen which might interfere with the safety of the IMP.
  • Asthma requiring a dose > 800 μg/day of Budesonide or an equivalent, without long-lasting beta-2 agonists or requiring a dose > of 400 μg/day of Budesonide or an equivalent plus a long-acting-β2 agonist to reach asthma control, according to the Global Initiative for Asthma (GINA 2010)
  • Patients with non controlled bronchial asthma within 3 months prior to Visit 1.
  • Patients with asthma who have been treated with systemic steroids within 3 months prior to V1.
  • Patients with hospital admission due to asthma exacerbations within 1 year prior to V1.
  • Acute or chronic inflammatory or infectious diseases of the airways.
  • Chronic structural diseases of the respiratory system (for example, emphysema or bronchiectasis).
  • Immune system diseases, both autoimmune diseases and immunodeficiency.
  • Any disease involving a contraindication for the use of adrenaline (for example, hyperthyroidism).
  • Serious uncontrolled diseases involving a risk for the subjects participating in this study
  • Malignant disease with activity in the last 5 years.
  • Excessive consumption of alcohol, drugs or medication.
  • Serious psychiatric, psychological or neurological disorders.
  • Systemic or topical treatment with beta-blocker drugs 1 week before visit 2.
  • Treatment with substances interfering with the immune system 2 weeks before visit 2.
  • Use of tricyclic, tetracyclic and IMAO antidepressants. It will not be allowed to wash up antidepressants to enter the study because of the risks of interrupting antidepressant treatment, so patients on antidepressants therapy cannot be included in the trial.
  • Use of systemic corticosteroids 3 months before visit 1.
  • Immunization with prophylactic (bacterial or viral) vaccines within 7 days before visit 1 (prophylactic vaccines are allowed during the administration of IMP period provided they are administered at least one week after IMP administration and the next IMP administration is administered at least 14 days later).
  • Participation of the subject in another clinical trial 30 days before visit 2
  • Subjects who are going to donate stem cells, blood, organs or bone marrow in the course of the study.
  • Female subjects who are pregnant or nursing and women with a positive pregnancy test at visit 1 or 2.
  • Women of childbearing potential not using highly effective methods of birth control.
  • Subjects who are unable to comply with the requirements of the study or who in the opinion of the investigator should not participate in the study.

Sites / Locations

  • H. Manresa
  • H. Luis Alcañiz
  • H. Virgen Macarena
  • H. Virgen del Rocío

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Depigoid 50% Grasses/50% Olea europaea (2000DPP/ml)

Depigoid 50% Grasses/50% Parietaria judaica (2000DPP/ml)

Arm Description

Depigoid 50%Grasses/ 50% Olea europaea (2.000 DPP/ml) The administration regimen will consist of a rush build-up regimen: 0.2 ml followed by 0.3 ml after 30 minutes if no adverse events occur a second maintenance dose of 0,5 ml 4 weeks later.

Depigoid 50%Grasses/ 50% Parietaria judaica(2.000 DPP/ml) The administration regimen will consist of a rush build-up regimen: 0.2 ml followed by 0.3 ml after 30 minutes if no adverse events occur a second maintenance dose of 0,5 ml 4 weeks later.

Outcomes

Primary Outcome Measures

immediate or delayed systemic reaction of grade 2 or higher during the treatment period
The primary variable in this study is the number of subjects [%] who experienced at least one immediate or delayed systemic reaction of grade 2 or higher during the treatment period.

Secondary Outcome Measures

immediate and/or delayed systemic reactions and immediate and/or delayed local reactions
Number of subjects [%] suffering immediate and/or delayed systemic reactions broken down by grade (EAACI classification). Number of subjects [%] suffering immediate and/or delayed local reactions broken down by diameter (< 5 cm, 5-10 cm or > 10 cm). Number of immediate and/or delayed systemic reactions broken down by grade (EAACI classification). Number of immediate and/or delayed local reactions broken down by diameter (< 5 cm, 5-10 cm and > 10 cm). (Immunology assessment):Measurement of the following immunological parameters: sIgE and sIgG4 at baseline and at the end of the study (after two maintenance doses).

Full Information

First Posted
November 22, 2012
Last Updated
January 28, 2014
Sponsor
Laboratorios Leti, S.L.
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1. Study Identification

Unique Protocol Identification Number
NCT01734265
Brief Title
Safety Clinical Trial With Depigopid 50% Grasses/50% Olea Europaea(2000DPP/ml) or Depigoid 50% Grasses/50% Parietaria Judaica(2000DPP/ml).
Official Title
Prospective, Open Uncontrolled Study to Evaluate the Safety of Depigoid With Two Pollen Combinations (Grasses/Olea and Grasses/Parietaria)2000DPP/ml in Patients With Allergic Rhinitis or Rhinoconjunctivitis With or Without Seasonal Asthma.
Study Type
Interventional

2. Study Status

Record Verification Date
November 2012
Overall Recruitment Status
Completed
Study Start Date
November 2012 (undefined)
Primary Completion Date
March 2013 (Actual)
Study Completion Date
April 2013 (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 primary objective of this study is to evaluate the safety and tolerance of a rush build up administration of Depigoid forte pollen and the first maintenance dose administered 4 weeks later.
Detailed Description
The primary objective of this study is to evaluate the safety and tolerance of a rush build up administration of Depigoid forte pollen and the first maintenance dose administered 4 weeks later. The treatment period consists, thus, of 4 weeks. Primary variable: •Number of subjects [%] suffering at least one immediate or delayed systemic reaction of grade 2 or higher during the 4-weeks treatment period [grading according to the 2006 EAACI standards

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Allergy, Rhinitis, Rhinoconjunctivitis, Seasonal Asthma

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
63 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Depigoid 50% Grasses/50% Olea europaea (2000DPP/ml)
Arm Type
Experimental
Arm Description
Depigoid 50%Grasses/ 50% Olea europaea (2.000 DPP/ml) The administration regimen will consist of a rush build-up regimen: 0.2 ml followed by 0.3 ml after 30 minutes if no adverse events occur a second maintenance dose of 0,5 ml 4 weeks later.
Arm Title
Depigoid 50% Grasses/50% Parietaria judaica (2000DPP/ml)
Arm Type
Experimental
Arm Description
Depigoid 50%Grasses/ 50% Parietaria judaica(2.000 DPP/ml) The administration regimen will consist of a rush build-up regimen: 0.2 ml followed by 0.3 ml after 30 minutes if no adverse events occur a second maintenance dose of 0,5 ml 4 weeks later.
Intervention Type
Drug
Intervention Name(s)
Depigoid 50% Grasses/50% Olea europaea (2000DPP/ml)
Intervention Type
Drug
Intervention Name(s)
Depigoid 50% Grasses/50% Parietaria judaica (2000DPP/ml)
Primary Outcome Measure Information:
Title
immediate or delayed systemic reaction of grade 2 or higher during the treatment period
Description
The primary variable in this study is the number of subjects [%] who experienced at least one immediate or delayed systemic reaction of grade 2 or higher during the treatment period.
Time Frame
4 weeks
Secondary Outcome Measure Information:
Title
immediate and/or delayed systemic reactions and immediate and/or delayed local reactions
Description
Number of subjects [%] suffering immediate and/or delayed systemic reactions broken down by grade (EAACI classification). Number of subjects [%] suffering immediate and/or delayed local reactions broken down by diameter (< 5 cm, 5-10 cm or > 10 cm). Number of immediate and/or delayed systemic reactions broken down by grade (EAACI classification). Number of immediate and/or delayed local reactions broken down by diameter (< 5 cm, 5-10 cm and > 10 cm). (Immunology assessment):Measurement of the following immunological parameters: sIgE and sIgG4 at baseline and at the end of the study (after two maintenance doses).
Time Frame
4 weeks

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 dated and signed the informed consent. Men and women between 18 and 60 years of age (both inclusive). Individuals suffering symptoms of allergic rhinoconjunctivitis or rhinitis during at least the preceding year, with or without allergic seasonal asthma caused by a clinically relevant sensitization to pollens (grasses AND P. judaica or O. europaea). Asthmatic patients can be included in the trial only if seasonal asthma is controlled with a medium daily dose minor or equal to 800 μg/day of budesonide or an equivalent or minor or equal to 400 μg/day of budesonide or an equivalent plus a long-acting- β2 agonist. Asthmatic patients must be stable within 3 months prior to Visit 1 and on an stable inhaled steroid dose within 6 weeks prior to visit 1 and throughout the study. FEV1 must be ≥ 80% of predicted value. The IgE-mediated sensitization must be demonstrated by the following: medical history AND IgE specific CAP RAST ≥ 2 to the suspected relevant pollens (grass pollen AND Olea and/or Parietaria) AND a positive skin prick test to grass and Olea and/or Parietaria. Exclusion Criteria: Any contraindication for treatment with allergen specific immunotherapy. Forced expiratory volume in 1 s (FEV1) or peak expiratory flow (PEF) value <80% of the predicted normal value. Clinically relevant allergy symptoms due to sensitization to perennial allergens (mites, molds, epithelia) or other seasonal pollen which might interfere with the safety of the IMP. Asthma requiring a dose > 800 μg/day of Budesonide or an equivalent, without long-lasting beta-2 agonists or requiring a dose > of 400 μg/day of Budesonide or an equivalent plus a long-acting-β2 agonist to reach asthma control, according to the Global Initiative for Asthma (GINA 2010) Patients with non controlled bronchial asthma within 3 months prior to Visit 1. Patients with asthma who have been treated with systemic steroids within 3 months prior to V1. Patients with hospital admission due to asthma exacerbations within 1 year prior to V1. Acute or chronic inflammatory or infectious diseases of the airways. Chronic structural diseases of the respiratory system (for example, emphysema or bronchiectasis). Immune system diseases, both autoimmune diseases and immunodeficiency. Any disease involving a contraindication for the use of adrenaline (for example, hyperthyroidism). Serious uncontrolled diseases involving a risk for the subjects participating in this study Malignant disease with activity in the last 5 years. Excessive consumption of alcohol, drugs or medication. Serious psychiatric, psychological or neurological disorders. Systemic or topical treatment with beta-blocker drugs 1 week before visit 2. Treatment with substances interfering with the immune system 2 weeks before visit 2. Use of tricyclic, tetracyclic and IMAO antidepressants. It will not be allowed to wash up antidepressants to enter the study because of the risks of interrupting antidepressant treatment, so patients on antidepressants therapy cannot be included in the trial. Use of systemic corticosteroids 3 months before visit 1. Immunization with prophylactic (bacterial or viral) vaccines within 7 days before visit 1 (prophylactic vaccines are allowed during the administration of IMP period provided they are administered at least one week after IMP administration and the next IMP administration is administered at least 14 days later). Participation of the subject in another clinical trial 30 days before visit 2 Subjects who are going to donate stem cells, blood, organs or bone marrow in the course of the study. Female subjects who are pregnant or nursing and women with a positive pregnancy test at visit 1 or 2. Women of childbearing potential not using highly effective methods of birth control. Subjects who are unable to comply with the requirements of the study or who in the opinion of the investigator should not participate in the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Pedro Guardia, Dr
Organizational Affiliation
H. Virgen Macarena
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Joaquín Quiralte, Dr
Organizational Affiliation
H. Virgen del Rocío
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Luis Angel Navarro, Dr
Organizational Affiliation
H. Luis Alcañiz
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Santiago Nevot, Dr
Organizational Affiliation
H. Manresa
Official's Role
Principal Investigator
Facility Information:
Facility Name
H. Manresa
City
Manresa
State/Province
Barcelona
ZIP/Postal Code
08243
Country
Spain
Facility Name
H. Luis Alcañiz
City
Xativa
State/Province
Valencia
ZIP/Postal Code
46800
Country
Spain
Facility Name
H. Virgen Macarena
City
Sevilla
ZIP/Postal Code
41009
Country
Spain
Facility Name
H. Virgen del Rocío
City
Sevilla
ZIP/Postal Code
41013
Country
Spain

12. IPD Sharing Statement

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Safety Clinical Trial With Depigopid 50% Grasses/50% Olea Europaea(2000DPP/ml) or Depigoid 50% Grasses/50% Parietaria Judaica(2000DPP/ml).

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