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Sublingual Immunotherapy in Patients With Atopic Dermatitis

Primary Purpose

Atopic Dermatitis

Status
Completed
Phase
Phase 2
Locations
China
Study Type
Interventional
Intervention
Dermatophagoides Farinae Drops Group 1
Dermatophagoides Farinae Drops Group 2
Dermatophagoides Farinae Drops Group 3
Placebo
Sponsored by
Zhejiang University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Atopic Dermatitis focused on measuring sublingual immunotherapy, atopic dermatitis, Dermatophagoides Farinae Drops

Eligibility Criteria

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

Inclusion Criteria:

  • Patients of either sex ,aged from 18 to 60 years. Diagnosed of atopic dermatitis.
  • Mild to moderate AD ( [SCORAD] 1O-40)
  • The results of skin prick tests with dermatophagoides farinae allergen extracts preparation is positive(≥2+)
  • Written informed consent by the subject or legal guardian.
  • Female patients of child-bearing potential must be negative pregnant test on screening and use an appropriate method of contraception.

Exclusion Criteria:

  • Dust mites are not the primary allergens.
  • Pregnant, breastfeeding women or women planned to pregnant within 1 year.
  • Have concurrent skin disease that it could interfere with the study evaluation.
  • Were treated with antihistamines or topical therapy within 7 days of randomization.
  • Have received systemic corticosteroids,leukotriene receptor antagonists or immunosuppressants within 4 weeks of randomization.
  • Have received phototherapy (e.g. UVA, UVB) within 4 weeks of randomization.
  • Have a history of immune suppressed diseases(malignant tumor or infection of HIV), autoimmune disease or tuberculosis.
  • Patients with impaired liver function (aspartate aminotransferase and/ or alanine aminotransferase levels 1.5 times the upper limit of normal), impaired renal function(serum creatinine>normal value) or other severe diseases.
  • Bronchial asthma patients who need treatments with corticosteroids and or β agonists(including injection, oral administration or inhalation) regularly.
  • Patients who need to take β-blockers during research.
  • Have received investigational drugs within 3 months prior to randomization or planned use of other investigational drugs during participation in this study.
  • Have received immunotherapy with dust mite preparation within 3 years prior to randomization.
  • Patients with severe mental disorders.

Sites / Locations

  • Second Affiliated Hospital,School of Medicine,Zhejiang University.

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

Dermatophagoides Farinae Drops Group 1

Dermatophagoides Farinae Drops Group 2

Dermatophagoides Farinae Drops Group 3

Placebo

Arm Description

Dermatophagoides Farinae Drops Group 1 is the group with maintenance dose of 2 drops of grade 5 Dermatophagoides Farinae and 1 drop of placebo.

Dermatophagoides Farinae Drops Group 2 is the group with maintenance dose of one drop of grade 5 Dermatophagoides Farinae and 2 drops of placebo.

Dermatophagoides Farinae Drops Group 3 is the group with maintenance dose of 3 drops of grade 4 Dermatophagoides Farinae.

Placebo Group is the group with maintenance dose of 3 drops of placebo.

Outcomes

Primary Outcome Measures

average anesis interval
The average duration of last 3 whole anesis interval.
Rescue medication consumption
The total sum of rescue medication consumption will be recorded.
SCORAD
Change of SCORAD will be assessed.

Secondary Outcome Measures

DLQI
Change of Dermatology Life Quality Index will be assessed.

Full Information

First Posted
November 9, 2011
Last Updated
August 16, 2018
Sponsor
Zhejiang University
Collaborators
Wolwo Bio-pharmaceutical Co. LTD., Huashan Hospital, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Peking University Third Hospital, Tongji Hospital, First Affiliated Hospital of Suzhou Medical College
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1. Study Identification

Unique Protocol Identification Number
NCT01471119
Brief Title
Sublingual Immunotherapy in Patients With Atopic Dermatitis
Official Title
Usefulness and Safety of Sublingual Dermatophagoides Farinae Drops in Patients With Atopic Dermatitis:A Randomized,Double-blind,Placebo-controlled Study.
Study Type
Interventional

2. Study Status

Record Verification Date
August 2015
Overall Recruitment Status
Completed
Study Start Date
October 2011 (undefined)
Primary Completion Date
June 2015 (Actual)
Study Completion Date
June 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Zhejiang University
Collaborators
Wolwo Bio-pharmaceutical Co. LTD., Huashan Hospital, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Peking University Third Hospital, Tongji Hospital, First Affiliated Hospital of Suzhou Medical College

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
To assess the effect and safety of sublingual Dermatophagoides Farinae Drops in adult patients with atopic dermatitis and allergic sensitization to house dust mites.240 adults age 18 to 60 years with atopic dermatitis(Objective Scoring Atopic Dermatitis, Objective SCORAD from 10 to 40) are going to be enrolled in a randomized,double-blind,placebo-controlled study.Sublingual Dermatophagoides Farinae Drops or placebo is given for 9 months in addition to standard therapy.SCORAD,average anesis interval,rescue medicine and DLQI will be recorded.
Detailed Description
SCORAD is composed of skin rash area,severity and subjective symptom including pruritus and sleeping quality.Skin rash area and severity score are objective SCORAD(range from 0 to 83).Subjective SCORAD range from 0 to 20 and total SCORAD range from 0 to 103.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Atopic Dermatitis
Keywords
sublingual immunotherapy, atopic dermatitis, Dermatophagoides Farinae Drops

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
239 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Dermatophagoides Farinae Drops Group 1
Arm Type
Experimental
Arm Description
Dermatophagoides Farinae Drops Group 1 is the group with maintenance dose of 2 drops of grade 5 Dermatophagoides Farinae and 1 drop of placebo.
Arm Title
Dermatophagoides Farinae Drops Group 2
Arm Type
Experimental
Arm Description
Dermatophagoides Farinae Drops Group 2 is the group with maintenance dose of one drop of grade 5 Dermatophagoides Farinae and 2 drops of placebo.
Arm Title
Dermatophagoides Farinae Drops Group 3
Arm Type
Experimental
Arm Description
Dermatophagoides Farinae Drops Group 3 is the group with maintenance dose of 3 drops of grade 4 Dermatophagoides Farinae.
Arm Title
Placebo
Arm Type
Experimental
Arm Description
Placebo Group is the group with maintenance dose of 3 drops of placebo.
Intervention Type
Biological
Intervention Name(s)
Dermatophagoides Farinae Drops Group 1
Intervention Description
Dermatophagoides Farinae Drops Group 1 is the group with maintenance dose of 2 drops of grade 5 Dermatophagoides Farinae and 1 drop of placebo.
Intervention Type
Biological
Intervention Name(s)
Dermatophagoides Farinae Drops Group 2
Intervention Description
Dermatophagoides Farinae Drops Group 2 is the group with maintenance dose of one drop of grade 5 Dermatophagoides Farinae and 2 drop of placebo.
Intervention Type
Biological
Intervention Name(s)
Dermatophagoides Farinae Drops Group 3
Intervention Description
Dermatophagoides Farinae Drops Group 3 is the group with maintenance dose of 3 drops of grade 4 Dermatophagoides Farinae.
Intervention Type
Biological
Intervention Name(s)
Placebo
Intervention Description
Placebo Group is the group with maintenance dose of 3 drops of placebo.
Primary Outcome Measure Information:
Title
average anesis interval
Description
The average duration of last 3 whole anesis interval.
Time Frame
baseline and 36 week
Title
Rescue medication consumption
Description
The total sum of rescue medication consumption will be recorded.
Time Frame
36 week
Title
SCORAD
Description
Change of SCORAD will be assessed.
Time Frame
baseline and 36 week
Secondary Outcome Measure Information:
Title
DLQI
Description
Change of Dermatology Life Quality Index will be assessed.
Time Frame
baseline and 36 week

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: Patients of either sex ,aged from 18 to 60 years. Diagnosed of atopic dermatitis. Mild to moderate AD ( [SCORAD] 1O-40) The results of skin prick tests with dermatophagoides farinae allergen extracts preparation is positive(≥2+) Written informed consent by the subject or legal guardian. Female patients of child-bearing potential must be negative pregnant test on screening and use an appropriate method of contraception. Exclusion Criteria: Dust mites are not the primary allergens. Pregnant, breastfeeding women or women planned to pregnant within 1 year. Have concurrent skin disease that it could interfere with the study evaluation. Were treated with antihistamines or topical therapy within 7 days of randomization. Have received systemic corticosteroids,leukotriene receptor antagonists or immunosuppressants within 4 weeks of randomization. Have received phototherapy (e.g. UVA, UVB) within 4 weeks of randomization. Have a history of immune suppressed diseases(malignant tumor or infection of HIV), autoimmune disease or tuberculosis. Patients with impaired liver function (aspartate aminotransferase and/ or alanine aminotransferase levels 1.5 times the upper limit of normal), impaired renal function(serum creatinine>normal value) or other severe diseases. Bronchial asthma patients who need treatments with corticosteroids and or β agonists(including injection, oral administration or inhalation) regularly. Patients who need to take β-blockers during research. Have received investigational drugs within 3 months prior to randomization or planned use of other investigational drugs during participation in this study. Have received immunotherapy with dust mite preparation within 3 years prior to randomization. Patients with severe mental disorders.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Min Zheng, Doctor
Organizational Affiliation
Second Affiliated Hospital, School of Medicine, Zhejiang University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Second Affiliated Hospital,School of Medicine,Zhejiang University.
City
Hangzhou
State/Province
Zhejiang
ZIP/Postal Code
310009
Country
China

12. IPD Sharing Statement

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Sublingual Immunotherapy in Patients With Atopic Dermatitis

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