Safety of gpASIT+TM Subcutaneously Administered to Hay Fever Patients With or Without Immunoregulating Adjuvant
Primary Purpose
Hay Fever
Status
Completed
Phase
Phase 2
Locations
Belgium
Study Type
Interventional
Intervention
gpASIT+TM
gpASIT+TM + adjuvant
Sponsored by
About this trial
This is an interventional treatment trial for Hay Fever focused on measuring seasonal allergic rhinoconjunctivitis, grass pollen, allergen specific immunotherapy
Eligibility Criteria
Inclusion Criteria:
- Subject has given written informed consent
- Age between 18 and 50 years
- The subjects are in good physical and mental health according to his/her medical history, vital signs, and clinical status
- Male or non-pregnant, non-lactating female
- Females unable to bear children must have documentation of such in the CRF (i.e. tubule ligation, hysterectomy, or post-menopausal (defined as a minimum of one year since the last menstrual period))
Allergy diagnosis:
- A medical history of moderate to severe seasonal allergic rhinoconjunctivitis (SAR) during the grass pollen season during at least the two previous years
- A positive skin prick test (wheal diameter ≥ 3 mm) to grass-pollen mixture
- Specific IgE against grass pollen (IgE > 0.7 kU/l) [using recombinant mixture of rPhl p1 and rPhl p5b Phleum pratense (g213)]
- Subjects never treated by immunotherapy or subjects for whom the immunotherapy ended at December 31, 2009 and who had as well moderate to severe symptoms in the two previous years (2010 and 2011)
Exclusion Criteria:
- Subjects with current immunotherapy and subjects who underwent a previous immunotherapy within the last 2 years
- Participation in another clinical trial and/or treatment with an experimental drug within the last 3 months
- A history of hypersensitivity to the excipients of investigational products
- Subjects with perennial asthma (regular intake of inhaled corticosteroids outside the pollen season: consumption on a daily base or patients who are taking a reliever more than twice a week)
- Subjects with severe seasonal asthma requiring long acting beta agonist AND inhaled steroid treatment
- Subjects with a VC < 80% and a FEV1 < 70% of predicted value at the screening visit
- Subjects symptomatic to perennial inhalant allergens who should need antihistamine drug or systemic corticoids to relieve allergic symptoms during the treatment period
- Subjects with documented evidence of chronic sinusitis (as determined by Investigator)
- Subjects with rhinitis medicamentosa, non-specific rhinitis (to food dye, preservative agent…)
- Subjects with a history of renal disease or chronic hepatic disease
- Subject with malignant disease, autoimmune disease
- Any chronic disease, which may impair the subject's ability to participate in the trial
- Subjects requiring beta-blockers medication
- Chronic use of concomitant medications that would affect assessment of the effectiveness of the trial medication (e.g. tricyclic antidepressants)
- Regular consumption of corticoids (oral, topic or nasal) or of anti-histaminic drugs within 4 weeks preceding the trial (screening visit)
- Any consumption of corticoids (oral, topic or nasal) or of anti-histaminic drugs within 1 week preceding the trial (screening visit)
- Subject with febrile illness (> 37.5°C, oral)
- A known positive serology for HIV-1/2, HBV or HCV
- Subjects that are immunocompromised by medication or illness, have received a vaccine, corticoids or immunosuppressive medications within 1 month before trial entry
- Receipt of blood or a blood derivative in the past 6 months preceding trial entry
- Female subjects who are pregnant, lactating, or of child-bearing potential and not protected from pregnancy by a sufficiently reliable method
- Any condition which could be incompatible with protocol understanding and compliance
- Subjects who have forfeited their freedom by administrative or legal award or who are under guardianship
- Unreliable subjects including non-compliant subjects, subjects with known alcoholism or drug abuse or with a history of a serious psychiatric disorder as well as subjects unwilling to give informed consent or to abide by the requirements of the protocol
- Subjects without means of contacting the Investigator rapidly in case of emergency, or not able to be contacted rapidly by the Investigator
Sites / Locations
- Universitaire Ziekenhuis van Leuven
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Experimental
Arm Label
gpASIT
gpASIT/adjuvant
Arm Description
grass pollen peptides alone
grass pollen peptides + adjuvant
Outcomes
Primary Outcome Measures
Safety of the treatment
Safety will be evaluated by the following parameters: general physical status, vital signs, haematological parameters, general biochemical parameters, solicited local adverse events, all (serious) adverse events, immunological analysis (total IgG and IgE), inflammatory parameters (CRP) and anti-adjuvant mmunoglobulins.
Clinical tolerability of the treatment
The clinical tolerability will by assessed through the solicited local adverse events, all (serious) adverse events and the investigator and subject opinion.
Secondary Outcome Measures
Impact of gpASIT+TM with or without adjuvant on the immunological status of the subjects.
The following parameters will be assessed: allergen-specific immunoglobulins and blocking antibodies.
Impact of gpASIT+TM with or without adjuvant on the grass pollen allergic symptoms of the subjects.
The following parameters will be recorded: symptom and rescue medication scores (diary cards), Quality-of-Life (RQLQ(S)).
Long-term follow-up of the patients
Safety parameters will be: immunological analysis (Total IgG and IgE), inflammatory parameters (CRP), DnaK-specific immunoglobulins and SAEs.
Immunogenicity parameters will be: evolution of grass pollen specific immunoglobulins and of blocking antibodies.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01506375
Brief Title
Safety of gpASIT+TM Subcutaneously Administered to Hay Fever Patients With or Without Immunoregulating Adjuvant
Official Title
Safety, Clinical Tolerability and Immunogenicity of gpASIT+TM Administered Subcutaneously to Hay Fever Patients Either Alone or in Presence of DnaK Immunoregulating Adjuvant
Study Type
Interventional
2. Study Status
Record Verification Date
August 2012
Overall Recruitment Status
Completed
Study Start Date
November 2011 (undefined)
Primary Completion Date
January 2013 (Actual)
Study Completion Date
April 2013 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
BioTech Tools S.A.
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The aim of the study is to compare the safety, clinical tolerability, immunogenicity and efficacy of gpASIT+TM (grass pollen peptides) alone and combined with an immunoregulating adjuvant, in a short course administration (5 injections over 4 weeks).
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hay Fever
Keywords
seasonal allergic rhinoconjunctivitis, grass pollen, allergen specific immunotherapy
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
24 (Actual)
8. Arms, Groups, and Interventions
Arm Title
gpASIT
Arm Type
Experimental
Arm Description
grass pollen peptides alone
Arm Title
gpASIT/adjuvant
Arm Type
Experimental
Arm Description
grass pollen peptides + adjuvant
Intervention Type
Biological
Intervention Name(s)
gpASIT+TM
Intervention Description
1 subcutaneous injection every 7 days during 29 days
Intervention Type
Biological
Intervention Name(s)
gpASIT+TM + adjuvant
Intervention Description
1 subcutaneous injection every 7 days during 29 days
Primary Outcome Measure Information:
Title
Safety of the treatment
Description
Safety will be evaluated by the following parameters: general physical status, vital signs, haematological parameters, general biochemical parameters, solicited local adverse events, all (serious) adverse events, immunological analysis (total IgG and IgE), inflammatory parameters (CRP) and anti-adjuvant mmunoglobulins.
Time Frame
up to the end of the grass pollen season
Title
Clinical tolerability of the treatment
Description
The clinical tolerability will by assessed through the solicited local adverse events, all (serious) adverse events and the investigator and subject opinion.
Time Frame
Duration of treatment period (4 weeks)
Secondary Outcome Measure Information:
Title
Impact of gpASIT+TM with or without adjuvant on the immunological status of the subjects.
Description
The following parameters will be assessed: allergen-specific immunoglobulins and blocking antibodies.
Time Frame
up to 1 year after the start of treatment
Title
Impact of gpASIT+TM with or without adjuvant on the grass pollen allergic symptoms of the subjects.
Description
The following parameters will be recorded: symptom and rescue medication scores (diary cards), Quality-of-Life (RQLQ(S)).
Time Frame
During the pollen season
Title
Long-term follow-up of the patients
Description
Safety parameters will be: immunological analysis (Total IgG and IgE), inflammatory parameters (CRP), DnaK-specific immunoglobulins and SAEs.
Immunogenicity parameters will be: evolution of grass pollen specific immunoglobulins and of blocking antibodies.
Time Frame
1 year after the start of treatment
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Subject has given written informed consent
Age between 18 and 50 years
The subjects are in good physical and mental health according to his/her medical history, vital signs, and clinical status
Male or non-pregnant, non-lactating female
Females unable to bear children must have documentation of such in the CRF (i.e. tubule ligation, hysterectomy, or post-menopausal (defined as a minimum of one year since the last menstrual period))
Allergy diagnosis:
A medical history of moderate to severe seasonal allergic rhinoconjunctivitis (SAR) during the grass pollen season during at least the two previous years
A positive skin prick test (wheal diameter ≥ 3 mm) to grass-pollen mixture
Specific IgE against grass pollen (IgE > 0.7 kU/l) [using recombinant mixture of rPhl p1 and rPhl p5b Phleum pratense (g213)]
Subjects never treated by immunotherapy or subjects for whom the immunotherapy ended at December 31, 2009 and who had as well moderate to severe symptoms in the two previous years (2010 and 2011)
Exclusion Criteria:
Subjects with current immunotherapy and subjects who underwent a previous immunotherapy within the last 2 years
Participation in another clinical trial and/or treatment with an experimental drug within the last 3 months
A history of hypersensitivity to the excipients of investigational products
Subjects with perennial asthma (regular intake of inhaled corticosteroids outside the pollen season: consumption on a daily base or patients who are taking a reliever more than twice a week)
Subjects with severe seasonal asthma requiring long acting beta agonist AND inhaled steroid treatment
Subjects with a VC < 80% and a FEV1 < 70% of predicted value at the screening visit
Subjects symptomatic to perennial inhalant allergens who should need antihistamine drug or systemic corticoids to relieve allergic symptoms during the treatment period
Subjects with documented evidence of chronic sinusitis (as determined by Investigator)
Subjects with rhinitis medicamentosa, non-specific rhinitis (to food dye, preservative agent…)
Subjects with a history of renal disease or chronic hepatic disease
Subject with malignant disease, autoimmune disease
Any chronic disease, which may impair the subject's ability to participate in the trial
Subjects requiring beta-blockers medication
Chronic use of concomitant medications that would affect assessment of the effectiveness of the trial medication (e.g. tricyclic antidepressants)
Regular consumption of corticoids (oral, topic or nasal) or of anti-histaminic drugs within 4 weeks preceding the trial (screening visit)
Any consumption of corticoids (oral, topic or nasal) or of anti-histaminic drugs within 1 week preceding the trial (screening visit)
Subject with febrile illness (> 37.5°C, oral)
A known positive serology for HIV-1/2, HBV or HCV
Subjects that are immunocompromised by medication or illness, have received a vaccine, corticoids or immunosuppressive medications within 1 month before trial entry
Receipt of blood or a blood derivative in the past 6 months preceding trial entry
Female subjects who are pregnant, lactating, or of child-bearing potential and not protected from pregnancy by a sufficiently reliable method
Any condition which could be incompatible with protocol understanding and compliance
Subjects who have forfeited their freedom by administrative or legal award or who are under guardianship
Unreliable subjects including non-compliant subjects, subjects with known alcoholism or drug abuse or with a history of a serious psychiatric disorder as well as subjects unwilling to give informed consent or to abide by the requirements of the protocol
Subjects without means of contacting the Investigator rapidly in case of emergency, or not able to be contacted rapidly by the Investigator
Facility Information:
Facility Name
Universitaire Ziekenhuis van Leuven
City
Leuven
ZIP/Postal Code
3000
Country
Belgium
12. IPD Sharing Statement
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Safety of gpASIT+TM Subcutaneously Administered to Hay Fever Patients With or Without Immunoregulating Adjuvant
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