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gpASIT+TM product is based on highly purified allergen fragments obtained from grass pollen. The purpose of this study is to demonstrate the clinical efficacy and safety of a subcutaneous immunotherapy with gpASIT+™ in patients with grass pollen-induced allergic rhinoconjunctivitis compared to placebo.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Placebo | Placebo Comparator |
| |
| gpASIT+TM | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Placebo solution | Biological | 4 x 2 injections over 21 days |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Combined Symptom and Medication Score (CSMS) | over the peak (corresponding to 14 consecutive days with highest pollen counts) of grass pollen season estimated between 3 and 6 months after treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Combined Symptom and Medication Score (CSMS) | over the entire grass pollen season estimated between 3 and 6 months after treatment | |
| Symptom sub-scores (Eyes, Nose) | over the peak period (14 consecutive days with highest pollen counts within grass pollen season) and over the pollen season estimated between 3 and 6 months after treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Production of grass pollen specific immunoglobulins IgE, IgG and IgG4 | up to 8 months | |
| Production of blocking antibodies (FAB assay) | up to 8 months | |
| Reduction of Th2 response by measuring IL-4+ and IFN-gamma+ production |
Key Inclusion Criteria:
Allergy diagnosis:
Patients treated with anti-allergic medication for at least 2 grass pollen seasons prior to enrollment
For asthmatic patients: confirmed diagnosis of controlled asthma according to Global Initiative for Asthma (GINA) guidelines (steps 1-3, GINA 2014)
Key Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ralph Mösges, Professor | Private practice, Aachen, Germany | Principal Investigator |
| Claus Bachert, Professor | UZ Gent, Gent, Belgium | Principal Investigator |
| Petr Panzner, MD | University Hospital of Pilsen, Pilsen, Czech Republic | Principal Investigator |
| Frédéric de Blay, Professor | CHRU de Strasbourg, Strasbourg, France | Principal Investigator |
| Enrico Iemoli, MD | Clinica dell'Azienda Ospedaliera Luigi Sacco Di Milano, Milano, Italy | Principal Investigator |
| Joachin Sastre, Professor | FundaciĂłn JimĂ©nez DĂaz, Madrid,Spain | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital Ghent | Ghent | Belgium | ||||
| Clinica dell'Azienda Opsedaliera Luigi Sacco |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30844425 | Derived | Sharif H, Singh I, Kouser L, Mosges R, Bonny MA, Karamani A, Parkin RV, Bovy N, Kishore U, Robb A, Katotomichelakis M, Holtappels G, Derycke L, Corazza F, von Frenckell R, Wathelet N, Duchateau J, Legon T, Pirotton S, Durham SR, Bachert C, Shamji MH. Immunologic mechanisms of a short-course of Lolium perenne peptide immunotherapy: A randomized, double-blind, placebo-controlled trial. J Allergy Clin Immunol. 2019 Sep;144(3):738-749. doi: 10.1016/j.jaci.2019.02.023. Epub 2019 Mar 5. |
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| ID | Term |
|---|---|
| D006255 | Rhinitis, Allergic, Seasonal |
| ID | Term |
|---|---|
| D065631 | Rhinitis, Allergic |
| D012220 | Rhinitis |
| D009668 | Nose Diseases |
| D012140 | Respiratory Tract Diseases |
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| gpASIT+TM |
| Biological |
4 x 2 injections over 21 days |
|
| Well days: number of days with symptomatic score below or equal to 2 and no rescue medication | over the peak period (14 consecutive days with highest pollen counts within grass pollen season) and over the pollen season estimated between 3 and 6 months after treatment |
| Lung Symptom Score (LLS: the average of coughing, wheezing, chest tightness and exercise induced dyspnoea scores) in asthmatic patients | over the peak period (14 consecutive days with highest pollen counts within grass pollen season) and over the pollen season estimated between 3 and 6 months after treatment |
| Total Symptom Score (TSS: the sum of the nose, eye and lung scores) in asthmatic patients | over the peak period (14 consecutive days with highest pollen counts within grass pollen season) and the pollen season estimated between 3 and 6 months after treatment |
| Use of rescue medication to relief asthma symptoms in asthmatic patients | over the peak period (14 consecutive days with highest pollen counts within grass pollen season) and the pollen season estimated between 3 and 6 months after treatment |
| Conjunctival Provocation Test (CPT) outcomes | at baseline and up to 6 weeks |
| Standardized Quality-of-Life Questionnaires for asthma and rhinoconjunctivitis | between 2 weeks and 8 months after treatment |
| Number of working day lost due to grass pollen induced-allergy symptoms | between 2 weeks and 8 months after treatment |
| Loss of productivity at work due to grass pollen induced-allergy symptoms, using a visual analog scale (VAS) | between 2 weeks and 8 months after treatment |
| Solicited adverse events |
| up to 4 weeks |
| Unsolicited adverse events and serious adverse events | up to 8 months |
| Physical examinations and vital signs | up to 8 months |
| Laboratory investigations (haematology, clinical biochemistry, immunological parameters) | up to 8 months |
| Use of rescue medication | up to 4 weeks |
| up to 8 months |
| Induction of regulatory T cells (Treg) | up to 8 months |
| Induction of regulatory B cells (Breg) and their phenotyping | up to 8 months |
| Reduction of basophil activation measured through detection of CD63 expression marker on activated cells | up to 8 months |
| Milan |
| Italy |
| Fundacion Jiménez Diaz | Madrid | Spain |
| D012130 |
| Respiratory Hypersensitivity |
| D010038 | Otorhinolaryngologic Diseases |
| D006969 | Hypersensitivity, Immediate |
| D006967 | Hypersensitivity |
| D007154 | Immune System Diseases |