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The purpose of the study is to assess the efficacy and safety of 300 IR sublingual tablet of grass pollen allergen extract compared to placebo in adult patient with allergic rhinoconjunctivitis.
Allergy is one of the most common chronic disease in the world currently affecting between 10% and 25% of the general population.
Allergies to pollens characteristically result in seasonal rhinitis symptoms and allergic rhinoconjunctivitis is characterized by sneezing, congestion, rhinorrhea, nasal or palatal itching and itchy, watery, red and swollen eyes.
Even if several drugs effectively manage allergic rhinoconjunctivitis symptoms, immunotherapy is considered more appropriate for patients in whom these symptoms are not optimally controlled with relief medications.
In the study, each of the six rhinoconjunctivitis symptoms (sneezing, runny nose, itchy nose, nasal congestion, itchy eyes, watery eyes) will be evaluated daily and relief medication intake (oral antihistamines, eye drop antihistamine, nasal corticosteroid, oral corticosteroid) reported daily during the grass pollen season.
Efficacy and good safety profile of 300IR SLIT tablet administered once per day for approximately six months (starting 4 months before and over the season) will be demonstrated during the grass pollen season compared to placebo.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 300 IR | Experimental | 300 IR grass pollen allergen extract tablet |
|
| Placebo | Placebo Comparator | Pacebo tablet |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 300 IR | Drug | 300 IR grass pollen allergen extract tablet taken daily for approximately 6 months starting 4 months before the grass pollen season and over the grass pollen season |
|
| Measure | Description | Time Frame |
|---|---|---|
| Combined Score (CS) | The daily Combined Score (CS) is a patient specific score taking into account the patient's daily Rhinoconjunctivis Total Symptom Score (RTSS) and daily Rescue Medication Score (RMS), assuming equivalent importance of symptoms and rescue medication scores. The RMS (range 0-3) is derived as follows: 0, no rescue medication; 1, use of antihistamine; 2, use of nasal corticosteroid; 3, use of oral corticosteroid. The RTSS (range 0-18) is the sum of the 6 individual rhinoconjunctivitis symptom score (each symptom is scored as follows: 0: no symptoms, 1: mild symptoms, 2: moderate symptoms and 3: severe symptoms). The CS (range 0-3) = (RTSS/6 + RMS)/2. The lower the score, the better the outcome. | Pollen period (average of 42.8 days) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| COX Linda, MD | Allergists and Immunologists - Fort Lauderdale - Florida | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sneeze, wheeze, and Itch Associates, LLC | Normal | Illinois | 61761 | United States | ||
| University of Kentucky Medical Center |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 23122534 | Result | Cox LS, Casale TB, Nayak AS, Bernstein DI, Creticos PS, Ambroisine L, Melac M, Zeldin RK. Clinical efficacy of 300IR 5-grass pollen sublingual tablet in a US study: the importance of allergen-specific serum IgE. J Allergy Clin Immunol. 2012 Dec;130(6):1327-34.e1. doi: 10.1016/j.jaci.2012.08.032. Epub 2012 Oct 31. |
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First Patient First Visit 22 OCT 2008, Last Patient Last Visit 13 AUG 2009
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| ID | Title | Description |
|---|---|---|
| FG000 | 300 IR | 300 IR grass pollen allergen extract tablet |
| FG001 | Placebo | Placebo tablet |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Placebo | Drug | Placebo sublingual tablet taken daily for approximately 6 months starting 4 months before the grass pollen season and over the grass pollen season |
|
|
| Lexington |
| Kentucky |
| 40508 |
| United States |
| Allergy & Asthma Specialists, PSC | Owensboro | Kentucky | 42301 | United States |
| Johns Hopkins University | Baltimore | Maryland | 21224 | United States |
| Respiratory Medical Research Institute of Michigan PLC | Ypsilanti | Michigan | 48197 | United States |
| Clinical Research of the Ozarks, Inc. | Columbia | Missouri | 65203 | United States |
| Midwest Clinical Research LLC | St Louis | Missouri | 63141 | United States |
| Clinical Research of the Ozarks, Inc | Warrensburg | Missouri | 64093 | United States |
| Montana Allergy & Asthma Specialists | Billings | Montana | 59101 | United States |
| Montana Medical Research | Missoula | Montana | 59808 | United States |
| Creighton University - Allergy & Asthma | Omaha | Nebraska | 68131 | United States |
| Bernstein Clinical Research Center, LLC | Cincinnati | Ohio | 45231 | United States |
| Allergy and Asthma Research Group | Eugene | Oregon | 97401 | United States |
| Baker Allergy, Asthma, & Dermatology Research Center, LLC | Lake Oswego | Oregon | 97035 | United States |
| Clinical Research Institute of Southern Oregon, P.C. | Medford | Oregon | 97504 | United States |
| Allergy Associates Research | Portland | Oregon | 97213 | United States |
| Allergy & Clinical Immunology Associates | Pittsburgh | Pennsylvania | 15241 | United States |
| Vanderbilt University Medical Center | Nashville | Tennessee | 37203 | United States |
| North West Asthma Allergy Center | Vancouver | Washington | 98664 | United States |
| COMPLETED |
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| NOT COMPLETED |
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The Full Analysis Set (FAS) includes all patients who received at least one dose of the investigational product and had at least one Combined Score while on treatment during the pollen period. The FAS was regarded as primary for the efficacy evaluations.
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| ID | Title | Description |
|---|---|---|
| BG000 | 300 IR | 300 IR grass pollen allergen extract tablet |
| BG001 | Placebo | Placebo tablet |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Combined Score (CS) | The daily Combined Score (CS) is a patient specific score taking into account the patient's daily Rhinoconjunctivis Total Symptom Score (RTSS) and daily Rescue Medication Score (RMS), assuming equivalent importance of symptoms and rescue medication scores. The RMS (range 0-3) is derived as follows: 0, no rescue medication; 1, use of antihistamine; 2, use of nasal corticosteroid; 3, use of oral corticosteroid. The RTSS (range 0-18) is the sum of the 6 individual rhinoconjunctivitis symptom score (each symptom is scored as follows: 0: no symptoms, 1: mild symptoms, 2: moderate symptoms and 3: severe symptoms). The CS (range 0-3) = (RTSS/6 + RMS)/2. The lower the score, the better the outcome. | The Full Analysis Set (FAS) includes all patients who received at least one dose of the investigational product and had at least one Combined Score while on treatment during the pollen period. The FAS was regarded as primary for the efficacy evaluations. | Posted | Least Squares Mean | Standard Error | Units on a scale (range: 0 to 3) | Pollen period (average of 42.8 days) |
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4 months before the pollen period until the end of the pollen period.
A treatment-emergent adverse event (TEAE) is defined as any adverse event that started on or after the first administration of the investigational product.
Note: Serious Adverse Events and Other Adverse Events are described in the Results Publication.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | 300 IR | 300 IR grass pollen allergen extract tablet | 2 | 233 | 161 | 233 | ||
| EG001 | Placebo | Placebo tablet | 2 | 240 | 114 | 240 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| HAEMATOCHEZIA | Gastrointestinal disorders | MedDRA Version 12.0. | Systematic Assessment |
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| INTESTINAL OBSTRUCTION | Gastrointestinal disorders | MedDRA Version 12.0. | Systematic Assessment |
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| PALATAL DISORDER | Gastrointestinal disorders | MedDRA Version 12.0. | Systematic Assessment |
| |
| GASTROENTERITIS | Infections and infestations | MedDRA Version 12.0. | Systematic Assessment |
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| NEUROENDOCRINE CARCINOMA | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA Version 12.0. | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| NASOPHARYNGITIS | Infections and infestations | MedDRA Version 12.0. | Systematic Assessment |
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| UPPER RESPIRATORY TRACT INFECTION | Infections and infestations | MedDRA Version 12.0. | Systematic Assessment |
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| SINUSITIS | Infections and infestations | MedDRA Version 12.0. | Systematic Assessment |
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| THROAT IRRITATION | Respiratory, thoracic and mediastinal disorders | MedDRA Version 12.0. | Systematic Assessment |
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| NASAL CONGESTION | Respiratory, thoracic and mediastinal disorders | MedDRA Version 12.0. | Systematic Assessment |
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| OROPHARYNGEAL PAIN | Respiratory, thoracic and mediastinal disorders | MedDRA Version 12.0. | Systematic Assessment |
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| COUGH | Respiratory, thoracic and mediastinal disorders | MedDRA Version 12.0. | Systematic Assessment |
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| PHARYNGEAL OEDEMA | Respiratory, thoracic and mediastinal disorders | MedDRA Version 12.0. | Systematic Assessment |
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| ORAL PRURITUS | Gastrointestinal disorders | MedDRA Version 12.0. | Systematic Assessment |
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| OEDEMA MOUTH | Gastrointestinal disorders | MedDRA Version 12.0. | Systematic Assessment |
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| PARAESTHESIA ORAL | Gastrointestinal disorders | MedDRA Version 12.0. | Systematic Assessment |
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| HEADACHE | Nervous system disorders | MedDRA Version 12.0. | Systematic Assessment |
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| EYE PRURITUS | Eye disorders | MedDRA Version 12.0. | Systematic Assessment |
| |
| EAR PRURITUS | Ear and labyrinth disorders | MedDRA Version 12.0. | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Laurence Paolozzi, Medical Director | Stallergenes | +33 (0) 1 55 59 26 33 | lpaolozzi@stallergenes.com |
| ID | Term |
|---|---|
| D063729 | Sublingual Immunotherapy |
| ID | Term |
|---|---|
| D003888 | Desensitization, Immunologic |
| D007165 | Immunosuppression Therapy |
| D007167 | Immunotherapy |
| D056747 | Immunomodulation |
| D001691 | Biological Therapy |
| D013812 | Therapeutics |
| D007158 | Immunologic Techniques |
| D008919 | Investigative Techniques |
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| Male |
|