Safety of Cat-PAD to Treat Cat Allergy in Cat Allergic Subjects With Controlled Asthma

This is an interventional treatment trial for Cat Allergy focused on measuring Cat allergy, Immunotherapy, Cat-PAD Read More

Inclusion Criteria

• Male or female, aged 18-65 years.
• A history of controlled asthma as defined in GINA (2007) on exposure to cats for at least 1 year
• Asthma controlled with:Inhaled salbutamol (Cohort 1), Inhaled corticosteroid (Cohort 2), Inhaled corticosteroid plus a long acting β2agonist (LABA) (Cohort 3) Treatment for asthma must have been stable (drug(s), dose, frequency) for at least 3 months.
• A reliable history of rhinoconjunctivitis (sneezing, rhinorrhoea, nasal blockage, itchy/red/sore/watering eyes) on exposure to cats for at least 1 year.
• Subjects who provide written informed consent.
• Positive skin prick test to cat allergen with a wheal diameter at least 3mm larger than that produced by the negative control.
• A LPSR to cat allergen eight hours after intradermal injection of greater than 25mm diameter.
• Positive CPT with a score ≥4.
• The subject must be willing and able to comply with the study requirements.
• If the subject is female and of childbearing potential she must practice an acceptable form of contraception, and produce a negative urine pregnancy test on the Screening Visit. A female subject may be included without a negative urine pregnancy test if she can document that she is surgically sterile or at least 2 years post-menopausal.

Exclusion Criteria

• Subjects with asthma falling under GINA (2007) definitions "partly controlled" and "uncontrolled"
• Subjects with a requirement for more than 1000 µg beclomethasone (or equivalent) per day for the treatment of asthma.
• A history of anaphylaxis to cat allergen.
• Subjects with a cat specific IgE >100 kU/L.
• Subjects with an FEV1 <80% of normal
• Subjects with an acute phase skin response to cat allergen with a wheal diameter > 30mm.
• Subjects who suffer from seasonal allergic rhinoconjunctivitis, and cannot complete the baseline/post-treatment challenge (PTC) and the dosing periods outside the respective pollen season.
• Allergen immunotherapy during the last 12 months or any history of Cat Dander immunotherapy.
• Subjects who have completed or are undergoing ongoing treatment with anti-IgE-antibody.
• Use of the therapies listed in Section 5.9.2 at any time during the study will make the subject ineligible for the study.
• The subject has unacceptable symptoms in the 3 days without loratadine prior to the screening visit.
• Subjects for whom administration of adrenaline is contra-indicated (e.g. subjects with acute or chronic symptomatic coronary heart disease or severe hypertension).
• Subjects being treated with beta-blockers.
• Have symptoms of a clinically relevant illness in the Investigator's opinion, within 6 weeks prior to Screening Visit.
• Female subjects who are pregnant, lactating or planning a pregnancy during the study.
• Have any clinically relevant abnormalities detected on physical examination.
• 12-lead ECG or vital signs (blood pressure, pulse rate, respiratory rate and oral temperature) that are outside normal limits, unless the abnormality is considered not to be of clinical relevance by the Investigator.
• Laboratory values (haematology, biochemistry, urine tests) that are outside the normal ranges, unless the abnormality is considered not to be of clinical relevance by the Investigator.
• Significant history of alcohol or drug abuse.
• History of immunopathological diseases.
• Positive test for hepatitis B, hepatitis C or HIV at screening.
• Previously randomised into this study or have received Cat-PAD (or a prototype thereof) previously.
• Have a history of severe drug allergy or anaphylactic reaction to food.
• Planned travel outside the study area for a substantial portion of the study period.
• Have received treatment with an investigational drug within 6 months prior to study screening or have participated in a study with a new formulation of a marketed drug one month prior to study screening.
• Are unable to communicate or to understand the requirements of the study, or any psychiatric disorder, which would impair communication between the subject and the Investigator thereby interfering with the informed consent procedure or the gathering of study data.
• A history of any significant disease or disorder (e.g. cardiovascular, pulmonary, gastrointestinal, liver, renal, neurological, musculoskeletal, endocrine, metabolic, malignant, psychiatric, major physical impairment) which, in the opinion of the Investigator, may either put the subject at risk because of participation in the study, or influence the results of the study, or the subject's ability to participate in the study.
• Subjects with a known allergy to thioglycerol.
• Subjects who have a dependent relationship (e.g. employees or family members) with either the Sponsor or Investigator