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CompletedNCT00955825Updated May 19, 2016Results posted

Study of Efficacy and Safety of 300 IR Sublingual Immunotherapy (SLIT) Tablets in Adult Patients With Allergic Grass Pollen Rhinoconjunctivitis

A Phase 3 interventional study of 300 IR and Placebo in Allergic Rhinitis Due to Grass Pollens, sponsored by Stallergenes Greer. Completed at 19 sites in United States. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2016-05-19.

Sponsored by Stallergenes Greer · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
473
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

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.

Read the detailed description

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.

02

Conditions studied

  • Allergic Rhinitis Due to Grass Pollens

Keywords

  • allergic rhinoconjunctivitis
03

In context

Rhinitis

1,105 studies on the registry are indexed under Rhinitis; 65 are open to participants now.

This study's enrollment of 473 is above the median of 89 across 906 interventional studies indexed under Rhinitis.

Browse Rhinitis studies →

Lead sponsor

Stallergenes Greer is the lead sponsor of 25 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Grass pollen-related allergic rhinoconjunctivitis for at least the last two pollen seasons.
  2. Positive SPT to grasses
  3. Total symptoms score for the previous pollen season more than 12 out of 18.
  4. Patients with FEV1 ≥ 80% of the predicted value.

Exclusion criteria

Exclusion Criteria:

  1. Positive SPT to other grasses present during the grass pollen season and if endemic to the region
  2. Patients with clinically significant confounding symptoms of allergy to other allergens potentially overlapping the grass pollen season
  3. Asthma requiring treatment with medications other than beta-2 inhaled agonists.
  4. Patients who have received any desensitization treatment for grass pollen in the past 5 years.
  5. Ongoing immunotherapy with any other allergen.
  6. Patients with any nasal or oral condition that could confound the efficacy or safety assessments
  7. Patients with known history of hypersensitivity or intolerance to any of the excipients in the investigational product (such as lactose intolerance).
  8. Patients with any past or current clinically significant condition which as judged by the investigator, may affect the patient's participation or the outcome of the study.
  9. Patients treated with systemic or inhaled corticosteroids
  10. Patients treated or under treatment with beta-blockers, continuous systemic corticotherapy or immunosuppressive drugs.
  11. Pregnant, breastfeeding, or sexually active women who are not using a medically accepted contraceptive method as listed above.
  12. Patients participating or having participated within 30 days before Screening in any clinical study.
  13. Patients who are unlikely to complete the study for any reason, or patients who have to travel for extended periods of time during the grass pollen season which will compromise the data
  14. Patients with history of drug or alcohol abuse.
  15. Study staff, investigators, sub-investigators, as well as their children or spouses and family members of all study staff should not be enrolled in the study.
  16. Patients will not be randomized in this study more than once.
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
473 participants (actual)

Study arms

  • Experimental
    300 IR

    300 IR grass pollen allergen extract tablet

    Drug: 300 IR

  • Placebo comparator
    Placebo

    Pacebo tablet

    Drug: Placebo

Interventions

  • Drug300 IR

    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

    Also known as: Sublingual immunotherapy tablet

  • DrugPlacebo

    Placebo sublingual tablet taken daily for approximately 6 months starting 4 months before the grass pollen season and over the grass pollen season

    Also known as: Sublingual placebo tablet

06

What researchers measure

Primary outcomes

  1. 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.

    Time frame: Pollen period (average of 42.8 days)

07

Results

Posted May 19, 2016

Participant flow

First Patient First Visit 22 OCT 2008, Last Patient Last Visit 13 AUG 2009

Participant flow — Overall Study
Milestone300 IRPlacebo
Started233240
Completed207223
Not completed2617
Withdrew: Adverse event152
Withdrew: Withdrawal by subject46
Withdrew: Any other reason not above-mentioned79

Outcome measures

PrimaryCombined 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.

Time frame:
Pollen period (average of 42.8 days)
Reported as:
Least squares mean · Units on a scale (range: 0 to 3)
Combined Score (CS)
Units on a scale (range: 0 to 3)300 IRPlacebo
Combined Score (CS)0.32 ± 0.0330.45 ± 0.032
Statistical analysis
  • 300 IR vs Placebo · ANCOVA · p = 0.0003 · Ls mean difference vs. placebo: -0.126 · 95% CI -0.194 to -0.058Relative LS Means difference (%) = - 28.24

Adverse events

Collected over 4 months before the pollen period until the end of the pollen period.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
300 IR—2/233 (0.9%)161/233 (69.1%)
Placebo—2/240 (0.8%)114/240 (47.5%)
Most frequent serious events
Most frequent serious events
Event300 IRPlacebo
PALATAL DISORDERGastrointestinal disorders1/2330/240
NEUROENDOCRINE CARCINOMANeoplasms benign, malignant and unspecified (incl cysts and polyps)1/2330/240
HAEMATOCHEZIAGastrointestinal disorders0/2331/240
INTESTINAL OBSTRUCTIONGastrointestinal disorders0/2331/240
GASTROENTERITISInfections and infestations0/2331/240
Most frequent other events
Showing 10 of 14
Most frequent other events
Event300 IRPlacebo
ORAL PRURITUSGastrointestinal disorders57/23311/240
THROAT IRRITATIONRespiratory, thoracic and mediastinal disorders54/2336/240
NASOPHARYNGITISInfections and infestations40/23342/240
EAR PRURITUSEar and labyrinth disorders31/2331/240
HEADACHENervous system disorders15/23330/240
OEDEMA MOUTHGastrointestinal disorders22/2331/240
PARAESTHESIA ORALGastrointestinal disorders22/2331/240
UPPER RESPIRATORY TRACT INFECTIONInfections and infestations17/23321/240
OROPHARYNGEAL PAINRespiratory, thoracic and mediastinal disorders18/23312/240
NASAL CONGESTIONRespiratory, thoracic and mediastinal disorders17/23315/240

Baseline characteristics

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.

Age, Continuous
Age, Continuous(years)300 IRPlaceboTotal
Mean36.8 ± 11.2737.6 ± 11.6437.2 ± 11.46
Sex: Female, Male
Sex: Female, Male(Participants)300 IRPlaceboTotal
Female109125234
Male101103204
08

Study locations

19 sites
  • Sneeze, wheeze, and Itch Associates, LLC
    Normal, Illinois 61761, United States
  • University of Kentucky Medical Center
    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
    Cincinatti, 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
09

References and documents

Publications

  • 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. PubMed 23122534 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 19, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00955825
Lead sponsor
Stallergenes Greer
Responsible party
Sponsor
First posted
Aug 10, 2009
Start date
Oct 2008
Primary completion
Aug 2009
Completion
Aug 2009
Results posted
May 19, 2016
Last update
May 19, 2016

Study contacts

COX Linda, MD
principal investigator · Allergists and Immunologists - Fort Lauderdale - Florida

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Apr 2016. You cannot join it, but the record below documents what was studied.

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