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Alleviation of allergic symptoms induced by house dust mites when using the medical device AM-301.
This clinical investigation explored the efficacy and safety of AM-301 when used to reduce symptoms of house dust mite sufferers. The primary objective was to compare the efficacy of AM-301 Device between treated and non-treated subjects in the treatment of perennial allergic rhinitis (PAR).
This was a randomized, open-label, 3-period crossover study. The total study duration was approximately 65 days and consisted of 2 screening visits and 3 treatment visits (total 5 visits) followed by a telephone call. Patients with HDM allergy as assessed by their medical history and a positive skin prick test for Dermatophagoides pteronyssinus (der p) allergen were enrolled into the screening phase.
At least 7 days after the second screening visit, the treatment visits started. Eligible subjects were randomized to one of the six treatment sequences (ABC, BCA, CAB, ACB, BAC, CBA) at an equal ratio. The treatments were applied 10 minutes before the challenge at Visit 3, 4 and 5:
The cross-over design allowed treatment C to be used as internal control. Between the three treatment visits in the chamber there was a 7±2 days wash-out period.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Sequence 1 | Experimental | Treatment sequence for the 3 treatment exposure visits is ABC. |
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| Sequence 2 | Experimental | Treatment sequence for the 3 treatment exposure visits is BCA. |
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| Sequence 3 | Experimental | Treatment sequence for the 3 treatment exposure visits is CAB. |
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| Sequence 4 | Experimental | Treatment sequence for the 3 treatment exposure visits is ACB. |
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| Sequence 5 | Experimental | Treatment sequence for the 3 treatment exposure visits is BAC. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Treatment A | Device | Nasal Spray with drug-free aqueous gel emulsion (AM-301) intended to help protect against airborne allergens. One Spray of AM-301 per nostril |
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| Measure | Description | Time Frame |
|---|---|---|
| Overall Change From Baseline in TNSS at Visits 3, 4 and 5 | Total Nasal Symptom Score (TNSS) average from 20 - 180 minutes will be compared between treated and non-treated subjects. Data from all three visits are combined. Scale for a single symptom is from 0 - 3, 0 meaning no symptoms and 3 severe symptoms. Assessed symptoms are: nasal congestion, runny nose, nasal itching and sneezing. TNSS is the sum of the rating of all 4 symptoms and ranges from 0-12. | Day 8 to Day 22 |
| Measure | Description | Time Frame |
|---|---|---|
| Difference of Total Nasal Symptom Score (TNSS) at Individual Timepoints During House Dust Mite Challenge in the EEC (0-180 Min) Between Single and Double Application of AM-301 and no Treatment. | Total Nasal Symptom Score (TNSS) average from 20 - 180 min was compared between treated and non-treated subjects. Scale for a single symptom is from 0 - 3, 0 meaning no symptoms and 3 severe symptoms. Assessed symptoms are: nasal congestion, runny nose, nasal itching and sneezing. TNSS is the sum of the rating of all 4 symptoms and ranges from 0-12. This descriptive endpoint was not corrected for baseline. |
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Main Inclusion Criteria:
Main Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Patricia Couroux, MD, FRCPC, CPI | Cliantha Research | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cliantha Research | Mississauga | Canada |
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| Label | URL |
|---|---|
| Peer-reviewed publication of study results. PMID: 37488728 | View source |
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Researchers may reach out to the Sponsor in order to ask for data sets.
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Patients with house dust mite (HDM) allergy as assessed by their medical history and a positive skin prick test for Dermatophagoides pteronyssinus (der p) allergen were enrolled into the screening phase. 173 patients were screened and out of those, 37 patients were randomized into the prophylactic treatment phase with AM-301.
Subjects that could not be enrolled mainly failed to show sufficient proof for HDM allergy.
The study was conducted from November 10, 2021 (first subject first screening) to April 04, 2022 (last subject telephone call).
Details on treatment sequences:
Subjects that qualified for randomization, could enter the treatment period where they received a treatment before entering the chamber. This treatment could be either A - one spray of AM-301 per nostril, B - two sprays of AM-301 per nostril or C - no treatment at all. The order of the treatments was different > sequences (ABC, xxx).
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| ID | Title | Description |
|---|---|---|
| FG000 | Sequence 1 | Treatment sequence for the 3 treatment visits: ABC. |
| FG001 | Sequence 2 | Treatment sequence for the 3 treatment visits: BCA. |
| FG002 | Sequence 3 | Treatment sequence for the 3 treatment visits: CAB. |
| FG003 | Sequence 4 | Treatment sequence for the 3 treatment visits: ACB. |
| FG004 | Sequence 5 | Treatment sequence for the 3 treatment visits: BAC. |
| FG005 | Sequence 6 | Treatment sequence for the 3 treatment visits: CBA. |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
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| ID | Title | Description |
|---|---|---|
| BG000 | Sequence 1 | Treatment sequence for the 3 treatment visits: ABC. |
| BG001 | Sequence 2 | Treatment sequence for the 3 treatment visits: BCA. |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of 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 | Overall Change From Baseline in TNSS at Visits 3, 4 and 5 | Total Nasal Symptom Score (TNSS) average from 20 - 180 minutes will be compared between treated and non-treated subjects. Data from all three visits are combined. Scale for a single symptom is from 0 - 3, 0 meaning no symptoms and 3 severe symptoms. Assessed symptoms are: nasal congestion, runny nose, nasal itching and sneezing. TNSS is the sum of the rating of all 4 symptoms and ranges from 0-12. | All participants received all three treatments in a different order (sequence). Therefore, data are available for each treatment for all participants. In the ITT population, all participants of the safety population with at least one TNSS assessment are included. | Posted | Mean | Standard Deviation | TNSS score (0-12) | Day 8 to Day 22 |
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For each participant, adverse event data were collected from day 0 to day 65 (last follow-up call).
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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 | Treatment A | Participants received one spray of AM-301 per nostril before they entered the environmental exposure chamber (EEC). |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Type I hypersensitivity | Immune system disorders | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Thomas Meyer | Altamira Medica Ltd. | 0041 61 201 13 | 50 | ra@altamiramedica.com |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Sep 27, 2021 | Apr 15, 2024 | Prot_SAP_000.pdf |
| ICF | No | No | Yes | Informed Consent Form | Oct 12, 2021 | Apr 15, 2024 | ICF_001.pdf |
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| ID | Term |
|---|---|
| D012221 | Rhinitis, Allergic, Perennial |
| D065631 | Rhinitis, Allergic |
| D000086722 | Rhinorrhea |
| ID | Term |
|---|---|
| D012220 | Rhinitis |
| D009668 | Nose Diseases |
| D012140 | Respiratory Tract Diseases |
| D012130 | Respiratory Hypersensitivity |
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| Sequence 6 |
| Experimental |
Treatment sequence for the 3 treatment exposure visits is CBA. |
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| Treatment B | Device | Nasal Spray with drug-free aqueous gel emulsion (AM-301) intended to help protect against airborne allergens. Two Sprays of AM-301 per nostril (with different spray angles) |
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| Treatment C | Other | No treatment |
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| Day 8 to Day 22 |
| Protocol non-compliance |
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| Covid contact |
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| BG002 | Sequence 3 | Treatment sequence for the 3 treatment visits:CAB. |
| BG003 | Sequence 4 | Treatment sequence for the 3 treatment visits: ACB. |
| BG004 | Sequence 5 | Treatment sequence for the 3 treatment visits: BAC. |
| BG005 | Sequence 6 | Treatment sequence for the 3 treatment visits: CBA. |
| BG006 | Total | Total of all reporting groups |
| Participants |
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| Age, Continuous | Mean | Standard Deviation | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Ethnicity (NIH/OMB) | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
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| OG001 | Treatment B | Participants received two sprays of AM-301 per nostril before they entered the environmental exposure chamber (EEC). |
| OG002 | Treatment C | Participants received no treatment before they entered the environmental exposure chamber (EEC). |
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| Secondary | Difference of Total Nasal Symptom Score (TNSS) at Individual Timepoints During House Dust Mite Challenge in the EEC (0-180 Min) Between Single and Double Application of AM-301 and no Treatment. | Total Nasal Symptom Score (TNSS) average from 20 - 180 min was compared between treated and non-treated subjects. Scale for a single symptom is from 0 - 3, 0 meaning no symptoms and 3 severe symptoms. Assessed symptoms are: nasal congestion, runny nose, nasal itching and sneezing. TNSS is the sum of the rating of all 4 symptoms and ranges from 0-12. This descriptive endpoint was not corrected for baseline. | Posted | Mean | Standard Deviation | TNSS (0-12) | Day 8 to Day 22 |
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| 0 |
| 36 |
| 0 |
| 36 |
| 4 |
| 36 |
| EG001 | Treatment B | Participants received two sprays of AM-301 per nostril before they entered the environmental exposure chamber (EEC). | 0 | 37 | 0 | 37 | 0 | 37 |
| EG002 | Treatment C | Participants received no treatment before they entered the environmental exposure chamber (EEC). | 0 | 36 | 0 | 36 | 0 | 36 |
| Headache | Nervous system disorders | Systematic Assessment |
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| Taste disorder | Nervous system disorders | Systematic Assessment |
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| Epistaxis | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
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| D010038 |
| Otorhinolaryngologic Diseases |
| D006969 | Hypersensitivity, Immediate |
| D006967 | Hypersensitivity |
| D007154 | Immune System Diseases |
| D012818 | Signs and Symptoms, Respiratory |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| 40 min in chamber |
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| 60 min in chamber |
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| 80 min in chamber |
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| 100 min in chamber |
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| 120 min in chamber |
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| 140 min in chamber |
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| 160 min in chamber |
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| 180 min in chamber |
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