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CompletedNCT01489020Updated May 6, 2019Results posted

Subcutaneous Immunotherapy in Patients Sensitized to Dermatophagoides Pteronyssinus (DPT)

A Phase 1 interventional study of subcutaneous immunotherapy with DPT extract and Subcutaneous depot placebo in Allergic Rhinoconjunctivitis, sponsored by Roxall Medicina España S.A. Completed at 2 sites in Spain. Open to participants aged 18 Years to 60 Years. Per ClinicalTrials.gov, last updated 2019-05-06.

Sponsored by Roxall Medicina España S.A · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
48
Allocation
Randomized
Ages
18 Years to 60 Years
Sex
All
01

Study summary

Based on EMA (European Medicines Agency) new guidelines on the clinical development of products for immunotherapy for the treatment of allergic diseases the aim of this study was to assess safety and tolerability of 3 different subcutaneous immunotherapy dose escalations in patients allergic to Dermatophagoides pteronyssinus.

02

Conditions studied

  • Allergic Rhinoconjunctivitis

Keywords

  • Allergy
  • Immunotherapy
  • Allergic Rhinoconjunctivitis
  • D. pteronyssinus
  • house dust allergy
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In context

Conjunctivitis

361 studies on the registry are indexed under Conjunctivitis; 17 are open to participants now.

This study's enrollment of 48 is below the median of 100 across 299 interventional studies indexed under Conjunctivitis.

Browse Conjunctivitis studies →

Lead sponsor

Roxall Medicina España S.A is the lead sponsor of 15 studies on the registry; none are open to participants now.

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

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Who can participate

Ages eligible
18 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Patients with allergic rhinoconjunctivitis with or without asthma against DPT during a minimum of 1 year prior to study participation.
  2. Patients must sign the informed consent form.
  3. Patients must be between 18 and 60 years of age.
  4. Patients who obtained a prick test result greater or equal to 3 mm diameter and a specific IgE greater or equal to class 2 (CAP/PHADIA) to DPT.
  5. Patients will preferably be monosensitized to DPT. In the case of polysensitized patients they can only be included if other sensitizations are caused by seasonal allergens whose pollination do not overlap with the study period.
  6. Women of childbearing potential must have a negative urine pregnancy test at Screening visit/Visit 0
  7. Women of childbearing potential must agree to use an appropriate contraception method during the study if they are sexually active

Exclusion criteria

Exclusion Criteria:

  1. Stable and continued use of medication for allergic pathology during 2 weeks prior to inclusion.
  2. Patients sensitised to other perennial allergens clinically relevant and with specific IgE levels greater or equal to class 2 CAP/PHADIA.
  3. Patients who received immunotherapy in the previous 5 years for DPT or for any allergen with cross reactivity or patients that are currently receiving immunotherapy for any allergen.
  4. Patients with severe asthma or FEV1 minor than 70% or asthma requiring inhaled or systemic corticoid treatment at the time of study entry or within 8 weeks prior to treatment initiation.
  5. Patients with: immunological, cardiac, renal or hepatic illnesses or any other medical condition that the investigator deems relevant so as to interfere with the study.
  6. Patients with a previous history of anaphylaxis
  7. Patients with chronic urticaria
  8. Patients with unstable angina
  9. Patients with uncontrolled hypertension
  10. Patients with clinically significant arrythmias
  11. Patients with neoplasia
  12. Patients with clinically relevant malformations of the upper respiratory tract.
  13. Other chronic or immunological disease that could interfere with the assessment of the investigational product or that could generate any additional risk for the patients
  14. Patients who have participated in another clinical trial within 3 month prior to enrolment.
  15. Patients under treatment with tricyclic antidepressives, psychotropics beta-blockers, or Angiotensin Converting Enzyme Inhibitors (ACEI)
  16. Female patients who are pregnant or breast-feeding or women of childbearing potential that do not agree to use an appropriate contraception method during the study if they are sexually active, if they have not been surgically sterilised or present any other incapacity to bear
  17. Patient who does not attend the visits
  18. Patient's lack of collaboration or refusal to participate
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Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
48 participants (actual)

Study arms

  • Experimental
    Group A active

    6 administrations and 5 weeks duration 1. Vial 2: 0.1 ml, 0.2 ml and 0.5 ml at 1 week intervals 2. Vial 3: 0.1 ml, 0.2 ml and 0.5 ml at 1 week intervals.

    Biological: subcutaneous immunotherapy with DPT extract

  • Placebo comparator
    Group A placebo

    6 administrations and 5 weeks duration 1. Vial 2: 0.1 ml, 0.2 ml and 0.5 ml at 1 week intervals 2. Vial 3: 0.1 ml, 0.2 ml and 0.5 ml at 1 week intervals.

    Biological: Subcutaneous depot placebo

  • Experimental
    group B active

    8 administrations and 7 weeks duration 1. Vial 1: 0.2 ml at 1 week intervals 2. Vial 2: 0.1 ml, 0.2 ml, 0.4 ml at 1 week intervals 3. Vial 3: 0.1 ml, 0.2 ml, 0.4 ml and 0.5 ml at 1 week intervals

    Biological: subcutaneous immunotherapy with DPT extract

  • Placebo comparator
    Group B placebo

    8 administrations and 7 weeks duration 1. Vial 1: 0.2 ml at 1 week intervals 2. Vial 2: 0.1 ml, 0.2 ml, 0.4 ml at 1 week intervals 3. Vial 3: 0.1 ml, 0.2 ml, 0.4 ml and 0.5 ml at 1 week intervals

    Biological: Subcutaneous depot placebo

  • Experimental
    Group C active

    8 administrations, 2 administrations in the same day. 1 week interval between 2 doses, during 3 weeks. 1. Week 1: vial 2 - 2 administrations of 0.1 ml with 30 minute interval 2. Week 2: vial 2 - 0.2 ml and 0.3 ml with 30 minute interval 3. Week 3: vial 3 - 2 doses of 0.1 ml with 30 minute interval 4. Week 4: vial 3 - 0.2 ml and 0.3 ml with 30 minute interval

    Biological: subcutaneous immunotherapy with DPT extract

  • Placebo comparator
    Group C placebo

    8 administrations, 2 administrations in the same day. 1 week interval between 2 doses, during 3 weeks. 1. Week 1: vial 2 - 2 administrations of 0.1 ml with 30 minute interval 2. Week 2: vial 2 - 0.2 ml and 0.3 ml with 30 minute interval 3. Week 3: vial 3 - 2 dose of 0.1 ml with 30 minute interval 4. Week 4: vial 3 - 0.2 ml and 0.3 ml with 30 minute interval

    Biological: Subcutaneous depot placebo

Interventions

  • Biologicalsubcutaneous immunotherapy with DPT extract

    Increasing doses of subcutaneous immunotherapy in three different scales up to the maximum dose of 500 TSU (Treatment Standardized Units)

    Also known as: DPT depot vaccine

  • BiologicalSubcutaneous depot placebo

    Increasing doses of subcutaneous depot placebo in three different scales

06

What researchers measure

Primary outcomes

  1. Number and Seriousness of Both Local and Systemic Adverse Reactions

    The primary end points were the number of ARs and the severity of local and systemic ARs (SARs) to SCIT administration. Proportions were compared between study arms. The tolerability of SCIT was evaluated by early and late local reactions (i.e., local swelling and redness) and systemic reactions after each injection (any symptoms from organs distant from the location of the injection). Reactions were classified depending on the severity and onset of the reaction, according to the EAACI classification (Alvarez-Cuesta 2006).

    Time frame: From informed consent signature (V0) until the end of patient participation in the study (depending on the treatment assigned between 4 and 8 weeks )

Secondary outcomes

  1. Immunoglobulin Levels (IgE Specific) Active Versus Placebo

    Changes on immunoglobulin level determinations (specific IgE, IgG and IgG4) from basal visit to final visit and changes in mean wheal area in prick test dose response from basal visit to final visit, active versus placebo.

    Time frame: Before (V0) and after treatment (depending on the treatment assigned between 4 and 8 weeks)

  2. Immunoglobulin Levels (IgG Total) Active Versus Placebo

    Changes on immunoglobulin level determinations (IgG) from basal visit to final visit and changes in mean wheal area in prick test dose response from basal visit to final visit, active versus placebo.

    Time frame: Before (V0) and after treatment (depending on the treatment assigned between 4 and 8 weeks)

  3. Immunoglobulin Levels (IgG 4) Active Versus Placebo

    Changes on immunoglobulin level determinations (IgG4) from basal visit to final visit and changes in mean wheal area in prick test dose response from basal visit to final visit, active versus placebo.

    Time frame: Before (V0) and after treatment (depending on the treatment assigned between 4 and 8 weeks)

07

Results

Posted May 6, 2019
Limitations and caveats
Sample size

Participant flow

Participant flow — Overall Study
MilestoneGroup A ActiveGroup A PlaceboGroup B ActiveGroup B PlaceboGroup C ActiveGroup C Placebo
Started124124124
Completed1149464
Not completed103060
Withdrew: Withdrawal by subject100000
Withdrew: Adverse event003030
Withdrew: Concomitant disease000030

Outcome measures

PrimaryNumber and Seriousness of Both Local and Systemic Adverse Reactions

The primary end points were the number of ARs and the severity of local and systemic ARs (SARs) to SCIT administration. Proportions were compared between study arms. The tolerability of SCIT was evaluated by early and late local reactions (i.e., local swelling and redness) and systemic reactions after each injection (any symptoms from organs distant from the location of the injection). Reactions were classified depending on the severity and onset of the reaction, according to the EAACI classification (Alvarez-Cuesta 2006).

Time frame:
From informed consent signature (V0) until the end of patient participation in the study (depending on the treatment assigned between 4 and 8 weeks )
Reported as:
Number · adverse reactions number
Number and Seriousness of Both Local and Systemic Adverse Reactions
adverse reactions numberGroup A ActiveGroup B ActiveGroup C ActiveGroup A PlaceboGroup B PlaceboGroup C Placebo
Local adverse reactions number210110
Systemic adverse reactions number464011
SecondaryImmunoglobulin Levels (IgE Specific) Active Versus Placebo

Changes on immunoglobulin level determinations (specific IgE, IgG and IgG4) from basal visit to final visit and changes in mean wheal area in prick test dose response from basal visit to final visit, active versus placebo.

Time frame:
Before (V0) and after treatment (depending on the treatment assigned between 4 and 8 weeks)
Reported as:
Mean · ng/mL
Immunoglobulin Levels (IgE Specific) Active Versus Placebo
ng/mLGroup A ActiveGroup A PlaceboGroup B ActiveGroup B PlaceboGroup C ActiveGroup C Placebo
Immunoglobulin Levels (IgE Specific) Active Versus Placebo0.0750 ± 0.393-0.0055 ± 0.0130.1709 ± 0.274-0.1445 ± 0.639-0.0398 ± 0.5070.0395 ± 0.039
SecondaryImmunoglobulin Levels (IgG Total) Active Versus Placebo

Changes on immunoglobulin level determinations (IgG) from basal visit to final visit and changes in mean wheal area in prick test dose response from basal visit to final visit, active versus placebo.

Time frame:
Before (V0) and after treatment (depending on the treatment assigned between 4 and 8 weeks)
Reported as:
Mean · ng/mL
Immunoglobulin Levels (IgG Total) Active Versus Placebo
ng/mLGroup A ActiveGroup A PlaceboGroup B ActiveGroup B PlaceboGroup C ActiveGroup C Placebo
Immunoglobulin Levels (IgG Total) Active Versus Placebo-0.8813 ± 0.484-0.0405 ± 0.097-0.9589 ± 0.536-0.0953 ± 0.137-0.4918 ± 0.389-0.0425 ± 0.090
SecondaryImmunoglobulin Levels (IgG 4) Active Versus Placebo

Changes on immunoglobulin level determinations (IgG4) from basal visit to final visit and changes in mean wheal area in prick test dose response from basal visit to final visit, active versus placebo.

Time frame:
Before (V0) and after treatment (depending on the treatment assigned between 4 and 8 weeks)
Reported as:
Mean · ng/mL
Immunoglobulin Levels (IgG 4) Active Versus Placebo
ng/mLGroup A ActiveGroup A PlaceboGroup B ActiveGroup B PlaceboGroup C ActiveGroup C Placebo
Immunoglobulin Levels (IgG 4) Active Versus Placebo-1.0878 ± 0.7700.0838 ± 0.518-1.2885 ± 0.8440.0770 ± 0.162-0.8243 ± 0.6630.0580 ± 0.039

Adverse events

Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Group A Active0/12 (0%)1/12 (8.3%)12/12 (100%)
Group B Active0/12 (0%)3/12 (25%)11/12 (91.7%)
Group C Active0/12 (0%)3/12 (25%)8/12 (66.7%)
Group A Placebo0/4 (0%)0/4 (0%)1/4 (25%)
Group B Placebo0/4 (0%)0/4 (0%)2/4 (50%)
Group C Placebo0/4 (0%)0/4 (0%)1/4 (25%)
Most frequent serious events
Most frequent serious events
EventGroup A ActiveGroup B ActiveGroup C ActiveGroup A PlaceboGroup B PlaceboGroup C Placebo
broncoconstrictionRespiratory, thoracic and mediastinal disorders0/121/122/12———
OtitisEar and labyrinth disorders1/120/120/12———
pyrosisGastrointestinal disorders0/121/120/12———
Facial edemaSkin and subcutaneous tissue disorders0/121/120/12———
urticariaSkin and subcutaneous tissue disorders0/121/120/12———
Edema in upper extremitiesSkin and subcutaneous tissue disorders0/120/121/12———
diarrheaGastrointestinal disorders0/120/121/12———
allergic rhinoconjunctivitisImmune system disorders0/121/120/12———
Most frequent other events
Most frequent other events
EventGroup A ActiveGroup B ActiveGroup C ActiveGroup A PlaceboGroup B PlaceboGroup C Placebo
alterations injection siteGeneral disorders5/127/125/121/41/41/4
cephaleaNervous system disorders3/125/124/120/41/40/4
ColdInfections and infestations5/121/120/120/40/40/4

Baseline characteristics

Age, Continuous
Age, Continuous(years)Group A ActiveGroup B ActiveGroup C ActiveGroup A PlaceboGroup B PlaceboGroup C PlaceboTotal
Mean31.66 ± 8.9330.88 ± 9.7731.80 ± 8.8533.93 ± 9.4933.93 ± 9.4933.93 ± 9.4932.68 ± 9.34
Sex: Female, Male
Sex: Female, Male(Participants)Group A ActiveGroup B ActiveGroup C ActiveGroup A PlaceboGroup B PlaceboGroup C PlaceboTotal
Female74732124
Male58512324
08

Study locations

2 sites
  • Hospital de Basurto
    Bilbao, Vizcaya 48013, Spain
  • Hospital La Fe
    Valencia, 46009, Spain
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 6, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01489020
Lead sponsor
Roxall Medicina España S.A
Responsible party
Sponsor
First posted
Dec 9, 2011
Start date
Jan 2011
Primary completion
Jul 2011
Completion
Aug 2011
Results posted
May 6, 2019
Last update
May 6, 2019

Study contacts

Mª Dolores Hernández, MD
principal investigator · Hospital Universitario La Fe
Ignacio Antépara, MD
principal investigator · Hospital de Basurto

Oversight

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

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