ClinicalTrials.gg
CompletedNCT00133146Updated Jul 13, 2021

Assessment of the Contribution of Monophosphoryl Lipid A (MPL) to a Grass Pollen Allergy Vaccine

A Phase 2 interventional study of Grass MATA MPL in Type I Hypersensitivity, sponsored by Allergy Therapeutics. Completed at 1 site in Canada. Open to participants aged 18 Years to 50 Years. Per ClinicalTrials.gov, last updated 2021-07-13.

Sponsored by Allergy Therapeutics · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Nov 2005, 20 years 11 months ago, and no results have been posted to the registry.
Phase
Phase 2
Study type
Interventional
Enrollment
41
Allocation
Randomized
Ages
18 Years to 50 Years
Sex
All
01

Study summary

Allergen-specific immunotherapy (SIT), the administration of gradually increasing quantities of an allergen extract to an allergic patient, is a curative approach which directly treats the underlying allergic disease. GrassMATAMPL has been developed to provide pre-seasonal specific immunotherapy for patients with an allergy to grass and rye pollen (hay fever).

The tolerability and immunogenicity of GrassMATA (allergen modified with glutaraldehyde and adsorbed to tyrosine) with and without MPL adjuvant (monophosphoryl lipid A, extracted from a bacterial cell surface) was investigated in this double-blind, randomized Phase IIa study in volunteers allergic to grass and rye pollen.

Additionally, this study assessed residual allergenicity of the modified grass and rye pollen in the product GrassMATAMPL using skin prick testing in volunteers allergic to grass and rye pollen.

Read the detailed description

Double-blind Phase IIa study with a single-blind component, to evaluate skin tests allergenicity and to demonstrate the contribution of MPL® to tyrosine adsorbed grass/rye pollen allergoid (Grass MATA) in volunteers allergic to grass and rye pollen. Volunteers underwent skin prick tests with 12 different solutions and then were randomized to receive 3 subcutaneous injections of either Grass MATA MPL or Grass MATA over approximately 14-day intervals for total study duration of approximately 67 days.

Enrollment was planned for 40 patients, 20 in each active treatment group. Data from 41 patients who completed the single blind portion of the study and from 40 randomized patients who took part in the double blind portion of the study were analyzed and included in the study. Screening was performed at Visit 0, then subjects fulfilling all inclusion/exclusion criteria underwent a series of skin prick tests to evaluate the tolerability of native allergen, modified allergen and tyrosine adsorbates with and without MPL® (Visit 1, single-blind portion of the study).

At Visit 2, subjects were randomized 1:1 to receive either Grass MATA MPL or Grass MATA and received the first injection of treatment. The dosing regimen consisted of three 0.5 mL subcutaneous injections of increasing strengths and was the same for both treatment groups. Patients were asked to remain in the clinic for an observation period of 30 to 45 minutes following study drug administration in order to record adverse reactions associated. The second and third injections of treatment were administered at Visit 4 and Visit 6. Each dosing visit occurred at least 14 days after the previous one.

Safety follow-up were performed 7-8 days after each dosing, at Visit 3, 5 and 7.

Subjects terminated the study after completion of Visit 8 (Post-treatment visit).

To assess the immunological response to Grass MATA MPL versus Grass MATA blood test were performed at baseline (Visit 0), after the first administration (Visit 3) and at the end of the study (Visit 8). Safety and tolerability of the different allergens used during prick test and of Grass MATA MPL versus Grass MATA were also be evaluated.

02

Conditions studied

  • Type I Hypersensitivity

Keywords

  • Allergy
  • Specific Immunotherapy
03

In context

Hypersensitivity, Immediate

82 studies on the registry are indexed under Hypersensitivity, Immediate; 7 are open to participants now.

This study's enrollment of 41 is below the median of 70 across 66 interventional studies indexed under Hypersensitivity, Immediate.

Browse Hypersensitivity, Immediate studies →

Lead sponsor

Allergy Therapeutics is the lead sponsor of 27 studies on the registry; 1 is open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 2 (40%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 50 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patients had a positive skin prick test for grass and rye allergen (wheal >= 5 mm greater than the negative control)
  • Patients had a positive skin prick test to positive histamine control with a wheal (longest) diameter >= 3 mm.
  • Patients had a negative skin prick test to negative control; redness, but no wheal was acceptable.
  • Specific IgE for grass and rye as documented by radioallergosorbent (RAST) or equivalent test with class >= 2
  • History of at least 1 season of moderate to severe seasonal rhinoconjunctivitis due to an IgE-mediated allergy to pollen from grass and rye
  • Patients scored moderate or severe in the disease severity questionnaire
  • Males or non-pregnant, non-lactating females who are or naturally or surgically sterile (hysterectomy; bilateral oophorectomy; bilateral tubal ligation with surgery at least 6 weeks prior to study initiation). Postmenopausal was defined as at least 12 months natural spontaneous amenorrhea, or at least 6 weeks following surgical menopause (bilateral oophorectomy). Females of were required to have a confirmed absence of pregnancy according to a negative urine pregnancy test and were required to be using one of the following acceptable methods:

    1. Intrauterine device (IUD) in place for at least 90 days
    2. Barrier method (condom or diaphragm) with spermicide
    3. Stable hormonal contraceptive for at least 90 days prior to study and through study completion
    4. Abstinence
    5. Non-heterosexual lifestyle
    6. Vasectomised partner for at least 90 days.
  • Patients were normally active and otherwise judged to be in good health on the basis of medical history, physical examination, and routine laboratory tests.
  • Patients were willing and able to attend required study visits.
  • Patients were able to follow instructions.
  • Patients were willing and able to give written and provided this consent. Consent was required prior to the initiation of any .
  • Spirometry at Screening demonstrates >= 80% predicted and FEV1/FVC>= 70%.

Exclusion criteria

Exclusion Criteria:

  • Acute or subacute atopic dermatitis and/or urticaria factitia and/or urticaria due to physical or chemical influence and/or chronic dermatitis
  • Patient has moderate to severe asthma. Patients with mild asthma requiring use of bronchodilators as needed were allowed as long as they did not have significant worsening with seasonal exposure to grass pollen
  • Visual inspection of the forearms indicates potential problems with the conduct or interpretation of the skin prick test; both forearms must be available for testing
  • History or presence of diabetes (insulin dependent and non-dependent), cancer or any cardiac, metabolic renal, hematologic diseases or disorders
  • Recent clinically significant history (within 2 years) of hepatic gastrointestinal, dermatologic, venereal, neurologic or psychiatric diseases or disorders
  • Any clinically significant (as determined by the investigator) abnormal laboratory value at Visit 0
  • Clinically relevant sensitivity to any of the following perennial allergens: house dust mites (Dermatophagoides pteronyssinus, Dermatophagoides farinae), molds (Cladosporium cladosporoides, Alternaria alternata, Penicillium chrysogenum, Aspergillus fumigatus) and epithelia (cat [Felis domesticus], dog [Canis familiaris])
  • Patient had clinically relevant sensitivity determined by a positive case history, skin prick test wheal size >= 3 mm in diameter greater than the negative control, or RAST test with class >= 2 against the following summer/autumn season flowering plants: Plantago lanceolata (plantain), Atriplex sp. (orache), Urtica dioica (nettle), Artemisia vulgaris (mugwort), Cynodon dactylon (Bermuda grass), or Ambrosia elatior (ragweed).
  • Secondary alteration at the affected organ (i.e. emphysema, bronchiectasis)
  • History of diseases and/or rheumatoid diseases
  • Patients who are taking b-blockers for any indication
  • Patients who are not allowed to receive adrenalin
  • Disorder of tyrosine metabolism (especially in the case of alcaptonuria, tyrosinemia).
  • Presence of a disease with a pathogenesis interfering with the immune response and had received medication which could influence the results of this study
  • Documented evidence of acute or significant chronic infection
  • History of anaphylaxis, including anaphylactic food allergy, insect venom anaphylaxis, or exercise- or drug-induced anaphylaxis.
  • Documented history of angioedema
  • to the in the study medication
  • Previous or current hyposensitization therapy with comparable grass allergen extracts
  • Currently using anti-allergy medication and other drugs with antihistaminic activity
  • Currently participating in a clinical trial or has been exposed to study drug within the last 30 days
  • Could not communicate reliably with the Investigator or was not likely to cooperate with the requirements of the study
  • Patient is pregnant or planning pregnancy and/or lactating
  • Patient has received treatment with preparation containing monophosphoryl lipid A (MPL) during the past 12 months.
  • Concurrent use of any prohibited medication or inadequate washout of any medication
  • Any systemic disorder that could have interfered with the evaluation of the study drug.
  • Clinical history (within 2 years) of drug or alcohol abuse, at the Investigator's discretion, that would interfere with the patient's participation in the study.
  • Study site staff or immediate relatives of study site staff or other individuals who would have access to the clinical study protocol
Terms in these criteria, in plain language(10)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Washout period

A planned gap after a treatment, so that its effects can lessen before the study treatment or a study assessment. Ask the study team and the doctor who prescribed it before changing any medicine.

FEV1

From a breathing test (spirometry): how much air you can blow out in the first second. Often given as a percentage of what is expected for your age, height and sex.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
41 participants (actual)

Study arms

  • Experimental
    Grass MATA MPL

    300 SU/0.5 mL Grass MATA MPL (Visit 2); 800 SU/0.5 mL Grass MATA MPL (Visit 4); 2000 SU/0.5 mL Grass MATA MPL (Visit 6)

    Biological: Grass MATA MPL

  • Active comparator
    Grass MATA

    300 SU/0.5 mL Grass MATA (Visit 2); 800 SU/0.5 mL Grass MATA (Visit 4); 2000 SU/0.5 mL Grass MATA (Visit 6);

    Biological: Grass MATA MPL

Interventions

06

What researchers measure

Primary outcomes

  1. Immunological response to GrassMATAMPL versus GrassMATA (grass specific)

    Immunoglobulin levels: Timothy Grass specific IgG, Timothy Grass specific IgG1, Timothy Grass specific IgG4, and Timothy Grass specific IgE

    Time frame: 14 days

Secondary outcomes

  1. Immunological response to Grass MATA MPL versus Grass MATA in volunteers allergic to grass and rye pollen

    immunoglobulin levels: rye specific IgG, rye specific IgG1, rye specific IgG4, and rye specific IgE; June grass specific IgG, June Grass specific IgG1, June Grass specific IgG4, and June Grass specific IgE

    Time frame: up to 10 weeks

  2. Tolerability of native allergen, modified allergen and tyrosine adsorbents with and without MPL® in the skin prick tests

    Time frame: >= 30 min to 6 hours post application

  3. Tolerability of the cumulative subcutaneous doses compared between Grass MATA MPL and Grass MATA.

    The rate of Adverse events reported by subjects in the two groups was compared.

    Time frame: 6 weeks

  4. Tolerability of the different dose steps compared between GrassMATAMPL and GrassMATA treatment groups.

    The rate of local or systemic Adverse Events occurring within a 24-hour after any injection with study drug in subjects of the two groups was compared.

    Time frame: Up to 24 hours post-administration

  5. Measure of concentration of Albumin (g/L)

    Time frame: 10 Weeks

  6. Measure of concentration of Alkaline Phospatase, ALT, AST and LDH (U/L)

    Time frame: 10 Weeks

  7. Measure of concentration of Bilirubin Total and Creatinine (µmol/L)

    Time frame: 10 Weeks

  8. Measure of concentration of Calcium, Glucose, Phosphorus, Potassium, Sodium and Urea (mmol/L).

    Time frame: 10 weeks

  9. Measure of concentration of Red Blood Cells (10E12/L)

    Time frame: 10 weeks

  10. Measure of concentration of White Blood Cells, Neutrophils, Lymphocytes, Basophils, Eosinophils, Monocytes and Platelets (10E9/L)

    Time frame: 10 weeks

  11. Measure of concentration of Haemoglobin (g/L)

    Time frame: 10 weeks

  12. Measure of concentration of Haematocrit (L/L)

    Time frame: 10 weeks

  13. Vital signs - Blood pressure

    Assessment of Sistolic (SBP) and diastolic (DBP) blood pressure.

    Time frame: 10 weeks

  14. Vital signs - Pulse

    Time frame: 10 weeks

  15. Vital signs - Temperature

    Time frame: 10 weeks

  16. 12-lead electrocardiogram (ECG)

    ECG evaluations by parameter (QRS interval, PR interval, QT interval, and QTc interval) and overall ECG results (normal, abnormal non clinical significant, abnormal clinical significant).

    Time frame: 10 weeks

  17. Number of adverse events

    Time frame: Up to 10 weeks

  18. Number of adverse reactions

    The total of local or systemic events occurring in one patient within a 24-hour period after any one injection

    Time frame: Up to 24 hours post-injection

07

Study locations

1 site
  • Allied Research International Inc.
    Mississauga, Ontario L4W 1N2, Canada
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Sep 2005 to primary completion in Nov 2005, 2 months.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 22, 2005
First posted
Aug 23, 2005
StartActual
Sep 12, 2005
Primary completionActual
Nov 23, 2005
CompletionActual
Nov 23, 2005
Last update
Jul 13, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 13, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00133146
Responsible party
Sponsor
First posted
Aug 23, 2005
Start date
Sep 12, 2005
Primary completion
Nov 23, 2005
Completion
Nov 23, 2005
Last update
Jul 13, 2021

Study contacts

Karl Jürgen Fischer von Weikersthal-Drachenberg, MD
study chair · Allergy Therapeutics

Oversight

FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jul 2021. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Grass MATA MPL

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