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Study to Assess the Efficacy of Anti-Bet v 1 Monoclonal Antibodies in Adults to Reduce Symptoms of Seasonal Allergic Rhinitis

Primary Purpose

Allergic Rhinitis, Conjunctivitis

Status
Completed
Phase
Phase 3
Locations
International
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

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Key Inclusion Criteria

  1. Documented or participant-reported history of birch pollen-triggered allergic rhinitis symptoms, with or without conjunctivitis, for at least 2 years
  2. Positive Skin prick test (SPT) with birch pollen extract in the screening period, as defined in the protocol
  3. Positive Allergen-specific IgE (sIgE) tests for birch pollen and Bet v 1 in the screening period, as defined in the protocol
  4. Willing and able to comply with clinic visits and study-related procedures

Key Exclusion Criteria:

  1. Participation in a prior REGN5713-5714-5715 clinical trial
  2. Recurrent or chronic rhinitis or sinusitis not associated with birch pollen season, or due to daily contact with other allergens causing symptoms that are expected to coincide with birch pollen season, as assessed by the investigator
  3. Participants who anticipate major changes in allergen exposure in their home or work environments that are expected to coincide with the study assessments as assessed by the investigator
  4. Persistent chronic or recurring acute infection requiring treatment with antibiotics, antivirals, or antifungals, or any untreated respiratory infections (at the discretion of the investigator) within 4 weeks prior to screening visit. Participants may be re-evaluated for eligibility after symptoms resolve
  5. Documentation of active SARS-CoV-2 infection, as defined in the protocol
  6. A clinical history of asthma with 2 or more asthma exacerbations requiring hospitalizations or systemic corticosteroids in the previous year
  7. History of birch allergy immunotherapy as defined in the protocol
  8. Use of anti-IgE or other biological therapy in treatment of asthma or allergy within 6 months prior to screening

NOTE: Other protocol defined Inclusion/Exclusion Criteria apply

Sites / Locations

  • Regeneron Study Site
  • Regeneron Study Site
  • Regeneron Study Site
  • Regeneron Study Site
  • Regeneron Study Site
  • Regeneron Study Site
  • Regeneron Study Site
  • Regeneron Study Site
  • Regeneron Study Site
  • Regeneron Study Site
  • Regeneron Study Site
  • Regeneron Study Site
  • Regeneron Study Site
  • Regeneron Study Site
  • Regeneron Study Site
  • Regeneron Study Site
  • Regeneron Study Site
  • Regeneron Study Site
  • Regeneron Study Site
  • Regeneron Study Site
  • Regeneron Study Site
  • Regeneron Study Site
  • Regeneron Study Site
  • Regeneron Study Site
  • Regeneron Study Site
  • Regeneron Study Site
  • Regeneron Study Site
  • Regeneron Study Site
  • Regeneron Study Site
  • Regeneron Study Site
  • Regeneron Study Site
  • Regeneron Study Site
  • Regeneron Study Site
  • Regeneron Study Site
  • Regeneron Study Site
  • Regeneron Study Site
  • Regeneron Study Site

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

REGN5713-5714-5715

Placebo Only

Arm Description

REGN5713-5714-5715 administered subcutaneously

Placebo matching REGN5713-5714-5715 administered subcutaneously

Outcomes

Primary Outcome Measures

Combined Symptom and Medication Score (CSMS) in Participants Who Receive a Single Dose of REGN5713-5714-5715 Versus Placebo
The average CSMS will be calculated based on daily symptom score and daily medication score recorded over the duration of the birch pollen season (BPS). CSMS is calculated by adding the Daily Medication Score (DMS) and Total Symptom Score (TSS) together, with scores ranging between 0 (none) and 38 (severe).

Secondary Outcome Measures

Total Symptom Score (TSS), Averaged Over the Duration of the Birch Pollen Season, in Participants Who Receive a Single Dose of REGN5713-5714-5715 Versus Placebo
TSS is a combined score of TOSS and TNSS. TNSS and TOSS are scored as in part 1 each for a combined TSS of 0 (none) to 18 (severe)
Total Nasal Symptom Score (TNSS), Averaged Over the Duration of the Birch Pollen Season, in Participants Who Receive a Single Dose of REGN5713-5714-5715 Versus Placebo
Total nasal symptom score (TNSS) is 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 congestion, itching, and rhinorrhea, and from 0 (none) to 3 (5 or more sneezes) for sneezing.
Total Ocular Symptom Score (TOSS), Averaged Over the Duration of the Birch Pollen Season, in Participants Who Receive a Single Dose of REGN5713-5714-5715 Versus Placebo
Total ocular symptom score is 0 to 6 and is based on itching/redness/gritty feeling and tearing/watering; each of the 2 symptoms is graded 0 (absent), 1 (mild), 2 (moderate), and 3 (severe)
Daily Medication Score (DMS), Averaged Over the Duration of the Birch Pollen Season, in Participants Who Receive a Single Dose of REGN5713-5714-5715 Versus Placebo
The Daily Medication Score (DMS) is calculated by adding points for each pre-specified medication taken as follows: desloratadine 5 mg 6 points/dose; maximum daily score 6 points, olopatadine 1 mg/mL each drop 1.5 points/drop; maximum daily score 6 points, mometasone furoate 50 ug/dose 2.0 points/spray; maximum daily score 8 points). The scale is 0 (minimum) to 20 (maximum)
Number of Participants With Treatment-Emergent Adverse Events (TEAEs) Throughout the Study
Number of participants with any Treatment Emergent Adverse Events (TEAEs) from participating in study
Number of Participants With Serious TEAEs Throughout the Study
Number of participants with any Serious Treatment Emergent Adverse Events (TEAEs) from participating in study
Change From Baseline to the End of Study in Birch SPT Mean Wheal Diameter in Participants Who Receive a Single Dose of REGN5713-5714-5715 Versus Placebo
Number of participants who showed change from baseline to the end of the study in Birch Skin Prick Test (SPT) Mean Wheal Diameter, in participants who received REGN5713-5714-5715 compared to placebo
Percent Change From Baseline to the End of Study in Birch SPT Mean Wheal Diameter in Participants Who Receive a Single Dose of REGN5713-5714-5715 Versus Placebo
Serum Concentration of REGN5713 Over the Study Duration
Serum Concentration of REGN5714 Over the Study Duration
Serum Concentration of REGN5715 Over the Study Duration
Percentage of Participants With Treatment Emergent Anti-drug Antibodies to REGN5713 Throughout the Study
Percentage of participants who developed antibodies to intervention provided during study
Percentage of Participants With Treatment Emergent Anti-drug Antibodies to REGN5714 Throughout the Study
Percentage of participants who developed antibodies to intervention provided during study
Percentage of Participants With Treatment Emergent Anti-drug Antibodies to REGN5715 Throughout the Study
Percentage of participants who developed antibodies to intervention provided during study
Number of "Well Days"
"Well Days" are defined as days when rescue medication is not utilized and the Total symptom score (TSS) is ≤2/18

Full Information

First Posted
December 23, 2020
Last Updated
September 30, 2022
Sponsor
Regeneron Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT04709575
Brief Title
Study to Assess the Efficacy of Anti-Bet v 1 Monoclonal Antibodies in Adults to Reduce Symptoms of Seasonal Allergic Rhinitis
Official Title
A Phase 3 Randomized, Double-Blind, Placebo-Controlled Study Assessing the Efficacy of Anti-Bet v 1 Monoclonal Antibodies to Reduce Symptoms of Seasonal Allergic Rhinitis
Study Type
Interventional

2. Study Status

Record Verification Date
September 2022
Overall Recruitment Status
Completed
Study Start Date
January 14, 2021 (Actual)
Primary Completion Date
August 24, 2021 (Actual)
Study Completion Date
August 24, 2021 (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
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The primary objective is to assess the reduction of allergic symptoms as measured by combined symptom and medication score (CSMS) during birch pollen season after a single dose of REGN5713-5714-5715 versus placebo.

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
353 (Actual)

8. Arms, Groups, and Interventions

Arm Title
REGN5713-5714-5715
Arm Type
Experimental
Arm Description
REGN5713-5714-5715 administered subcutaneously
Arm Title
Placebo Only
Arm Type
Placebo Comparator
Arm Description
Placebo matching REGN5713-5714-5715 administered subcutaneously
Intervention Type
Drug
Intervention Name(s)
REGN5713
Intervention Description
Administered subcutaneously
Intervention Type
Drug
Intervention Name(s)
REGN5714
Intervention Description
Administered subcutaneously
Intervention Type
Drug
Intervention Name(s)
REGN5715
Intervention Description
Administered subcutaneously
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo that replaces REGN5713-5714-5715
Primary Outcome Measure Information:
Title
Combined Symptom and Medication Score (CSMS) in Participants Who Receive a Single Dose of REGN5713-5714-5715 Versus Placebo
Description
The average CSMS will be calculated based on daily symptom score and daily medication score recorded over the duration of the birch pollen season (BPS). CSMS is calculated by adding the Daily Medication Score (DMS) and Total Symptom Score (TSS) together, with scores ranging between 0 (none) and 38 (severe).
Time Frame
Until the end of Birch Pollen Season, up to Week 16
Secondary Outcome Measure Information:
Title
Total Symptom Score (TSS), Averaged Over the Duration of the Birch Pollen Season, in Participants Who Receive a Single Dose of REGN5713-5714-5715 Versus Placebo
Description
TSS is a combined score of TOSS and TNSS. TNSS and TOSS are scored as in part 1 each for a combined TSS of 0 (none) to 18 (severe)
Time Frame
Until the end of Birch Pollen Season, up to Week 16
Title
Total Nasal Symptom Score (TNSS), Averaged Over the Duration of the Birch Pollen Season, in Participants Who Receive a Single Dose of REGN5713-5714-5715 Versus Placebo
Description
Total nasal symptom score (TNSS) is 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 congestion, itching, and rhinorrhea, and from 0 (none) to 3 (5 or more sneezes) for sneezing.
Time Frame
Until the end of Birch Pollen Season, up to Week 16
Title
Total Ocular Symptom Score (TOSS), Averaged Over the Duration of the Birch Pollen Season, in Participants Who Receive a Single Dose of REGN5713-5714-5715 Versus Placebo
Description
Total ocular symptom score is 0 to 6 and is based on itching/redness/gritty feeling and tearing/watering; each of the 2 symptoms is graded 0 (absent), 1 (mild), 2 (moderate), and 3 (severe)
Time Frame
Until the end of Birch Pollen Season, up to Week 16
Title
Daily Medication Score (DMS), Averaged Over the Duration of the Birch Pollen Season, in Participants Who Receive a Single Dose of REGN5713-5714-5715 Versus Placebo
Description
The Daily Medication Score (DMS) is calculated by adding points for each pre-specified medication taken as follows: desloratadine 5 mg 6 points/dose; maximum daily score 6 points, olopatadine 1 mg/mL each drop 1.5 points/drop; maximum daily score 6 points, mometasone furoate 50 ug/dose 2.0 points/spray; maximum daily score 8 points). The scale is 0 (minimum) to 20 (maximum)
Time Frame
Until the end of Birch Pollen Season, up to Week 16
Title
Number of Participants With Treatment-Emergent Adverse Events (TEAEs) Throughout the Study
Description
Number of participants with any Treatment Emergent Adverse Events (TEAEs) from participating in study
Time Frame
Up to Day 127
Title
Number of Participants With Serious TEAEs Throughout the Study
Description
Number of participants with any Serious Treatment Emergent Adverse Events (TEAEs) from participating in study
Time Frame
Up to Day 127
Title
Change From Baseline to the End of Study in Birch SPT Mean Wheal Diameter in Participants Who Receive a Single Dose of REGN5713-5714-5715 Versus Placebo
Description
Number of participants who showed change from baseline to the end of the study in Birch Skin Prick Test (SPT) Mean Wheal Diameter, in participants who received REGN5713-5714-5715 compared to placebo
Time Frame
Baseline through Day 127
Title
Percent Change From Baseline to the End of Study in Birch SPT Mean Wheal Diameter in Participants Who Receive a Single Dose of REGN5713-5714-5715 Versus Placebo
Time Frame
Baseline through Day 127
Title
Serum Concentration of REGN5713 Over the Study Duration
Time Frame
Day 0, Day 56, Day 112
Title
Serum Concentration of REGN5714 Over the Study Duration
Time Frame
Up to Day 127
Title
Serum Concentration of REGN5715 Over the Study Duration
Time Frame
Up to Day 127
Title
Percentage of Participants With Treatment Emergent Anti-drug Antibodies to REGN5713 Throughout the Study
Description
Percentage of participants who developed antibodies to intervention provided during study
Time Frame
Up to Day 127
Title
Percentage of Participants With Treatment Emergent Anti-drug Antibodies to REGN5714 Throughout the Study
Description
Percentage of participants who developed antibodies to intervention provided during study
Time Frame
Up to Day 127
Title
Percentage of Participants With Treatment Emergent Anti-drug Antibodies to REGN5715 Throughout the Study
Description
Percentage of participants who developed antibodies to intervention provided during study
Time Frame
Up to Day 127
Title
Number of "Well Days"
Description
"Well Days" are defined as days when rescue medication is not utilized and the Total symptom score (TSS) is ≤2/18
Time Frame
Until the end of Birch Pollen Season, up to Week 16

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Key Inclusion Criteria Documented or participant-reported history of birch pollen-triggered allergic rhinitis symptoms, with or without conjunctivitis, for at least 2 years Positive Skin prick test (SPT) with birch pollen extract in the screening period, as defined in the protocol Positive Allergen-specific IgE (sIgE) tests for birch pollen and Bet v 1 in the screening period, as defined in the protocol Willing and able to comply with clinic visits and study-related procedures Key Exclusion Criteria: Participation in a prior REGN5713-5714-5715 clinical trial Recurrent or chronic rhinitis or sinusitis not associated with birch pollen season, or due to daily contact with other allergens causing symptoms that are expected to coincide with birch pollen season, as assessed by the investigator Participants who anticipate major changes in allergen exposure in their home or work environments that are expected to coincide with the study assessments as assessed by the investigator Persistent chronic or recurring acute infection requiring treatment with antibiotics, antivirals, or antifungals, or any untreated respiratory infections (at the discretion of the investigator) within 4 weeks prior to screening visit. Participants may be re-evaluated for eligibility after symptoms resolve Documentation of active SARS-CoV-2 infection, as defined in the protocol A clinical history of asthma with 2 or more asthma exacerbations requiring hospitalizations or systemic corticosteroids in the previous year History of birch allergy immunotherapy as defined in the protocol Use of anti-IgE or other biological therapy in treatment of asthma or allergy within 6 months prior to screening 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
Regeneron Study Site
City
Bangor
State/Province
Maine
ZIP/Postal Code
04401
Country
United States
Facility Name
Regeneron Study Site
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21224
Country
United States
Facility Name
Regeneron Study Site
City
Plymouth
State/Province
Minnesota
ZIP/Postal Code
55441
Country
United States
Facility Name
Regeneron Study Site
City
Columbia
State/Province
Missouri
ZIP/Postal Code
65212
Country
United States
Facility Name
Regeneron Study Site
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63141
Country
United States
Facility Name
Regeneron Study Site
City
Missoula
State/Province
Montana
ZIP/Postal Code
59808
Country
United States
Facility Name
Regeneron Study Site
City
Verona
State/Province
New Jersey
ZIP/Postal Code
07044
Country
United States
Facility Name
Regeneron Study Site
City
Great Neck
State/Province
New York
ZIP/Postal Code
11021
Country
United States
Facility Name
Regeneron Study Site
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45231
Country
United States
Facility Name
Regeneron Study Site
City
Toledo
State/Province
Ohio
ZIP/Postal Code
43617
Country
United States
Facility Name
Regeneron Study Site
City
Portland
State/Province
Oregon
ZIP/Postal Code
97202
Country
United States
Facility Name
Regeneron Study Site
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15241
Country
United States
Facility Name
Regeneron Study Site
City
Lincoln
State/Province
Rhode Island
ZIP/Postal Code
02865
Country
United States
Facility Name
Regeneron Study Site
City
Greenfield
State/Province
Wisconsin
ZIP/Postal Code
53228
Country
United States
Facility Name
Regeneron Study Site
City
Gent
State/Province
Oost-Vlaanderen
ZIP/Postal Code
9000
Country
Belgium
Facility Name
Regeneron Study Site
City
Leuven
State/Province
Vlaams Brabant
ZIP/Postal Code
3000
Country
Belgium
Facility Name
Regeneron Study Site
City
Kingston
State/Province
Ontario
ZIP/Postal Code
K7L 2V7
Country
Canada
Facility Name
Regeneron Study Site
City
London
State/Province
Ontario
ZIP/Postal Code
N5W 6A2
Country
Canada
Facility Name
Regeneron Study Site
City
Ottawa
State/Province
Ontario
ZIP/Postal Code
K1G 6C6
Country
Canada
Facility Name
Regeneron Study Site
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M4V 1R2
Country
Canada
Facility Name
Regeneron Study Site
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M5B 1W8
Country
Canada
Facility Name
Regeneron Study Site
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M5G 1E2
Country
Canada
Facility Name
Regeneron Study Site
City
Trois-Rivieres
State/Province
Quebec
ZIP/Postal Code
G8T 7A1
Country
Canada
Facility Name
Regeneron Study Site
City
Quebec
ZIP/Postal Code
G1V 4M6
Country
Canada
Facility Name
Regeneron Study Site
City
Hvidovre
State/Province
Capital
ZIP/Postal Code
2650
Country
Denmark
Facility Name
Regeneron Study Site
City
Hellerup
State/Province
Copenhagen Surroundings
ZIP/Postal Code
2900
Country
Denmark
Facility Name
Regeneron Study Site
City
Vejle
State/Province
South Jutland
ZIP/Postal Code
7100
Country
Denmark
Facility Name
Regeneron Study Site
City
Heidelberg
State/Province
Baden-Wurttemberg
ZIP/Postal Code
69120
Country
Germany
Facility Name
Regeneron Study Site
City
Stuttgart
State/Province
Baden-Wurttemberg
ZIP/Postal Code
70374
Country
Germany
Facility Name
Regeneron Study Site
City
Dreieich
State/Province
Hessen
ZIP/Postal Code
63303
Country
Germany
Facility Name
Regeneron Study Site
City
Wiesbaden
State/Province
Hessen
ZIP/Postal Code
65183
Country
Germany
Facility Name
Regeneron Study Site
City
Duisburg
State/Province
Nordrhein-Westfalen
ZIP/Postal Code
47051
Country
Germany
Facility Name
Regeneron Study Site
City
Dusseldorf
State/Province
North Rhine-Westphalia
ZIP/Postal Code
40225
Country
Germany
Facility Name
Regeneron Study Site
City
Dresden
State/Province
Sachsen
ZIP/Postal Code
01139
Country
Germany
Facility Name
Regeneron Study Site
City
Berlin
ZIP/Postal Code
10117
Country
Germany
Facility Name
Regeneron Study Site
City
Berlin
ZIP/Postal Code
14050
Country
Germany
Facility Name
Regeneron Study Site
City
Hamburg
ZIP/Postal Code
22549
Country
Germany

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

Study to Assess the Efficacy of Anti-Bet v 1 Monoclonal Antibodies in Adults to Reduce Symptoms of Seasonal Allergic Rhinitis

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